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 SeptemberJune 30, 20192020
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 1-4448

BAXTER INTERNATIONAL INC.
(Exact name of registrant as specified in its charter)

Delaware36-0781620
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
One Baxter Parkway,Deerfield,Illinois60015
(Address of Principal Executive Offices)(Zip Code)

224.948.2000
(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $1.00 par valueBAX (NYSE)New York Stock Exchange
Chicago Stock Exchange
0.4% Global Notes due 2024BAX 24New York Stock Exchange
1.3% Global Notes due 2025BAX 25New York Stock Exchange
1.3% Global Notes due 2029BAX 29New York 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 filerxAccelerated filero
Non-accelerated fileroSmaller reporting company
Emerging 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. o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).     Yes    No x
The number of shares of the registrant’s Common Stock, par value $1.00 per share, outstanding as of February 29,July 21, 2020 was $507,263,731.00506,231,732 shares.




BAXTER INTERNATIONAL INC.
FORM 10-Q
For the quarterly period ended SeptemberJune 30, 20192020
TABLE OF CONTENTS
Page Number
Item 1A.































Explanatory Note

General

On February 13, 2020,As previously disclosed, we concluded, in consultation with the Audit Committee ofrestated our Board of Directors, that ouraudited consolidated financial statements as of December 31, 2018 and 2017, for the years ended December 31, 2018 2017 and 2016,December 31, 2017. The restatements of those consolidated financial statements were presented within our Annual Report on Form 10-K for the year ended December 31, 2019 (2019 Annual Report). See Note 2, Restatement of Previously Issued Consolidated Financial Statements, to the consolidated financial statements in the 2019 Annual Report for additional information related to those restatements.

Additionally, as previously disclosed, we restated our unaudited interim financial information as of and for the interimquarterly periods withinended June 30, 2019, March 31, 2019, June 30, 2018, and March 31, 2018, for the yearsquarterly period ended December 31, 2018, and 2017 andfor the interim periodssix months ended June 30, 2019 and as of September 30, 2018. The restatements of that unaudited interim financial information were presented within our 2019 Annual Report. See Note 19, Quarterly Financial Data (unaudited), to the consolidated financial statements in the 2019 Annual Report for additional information related to these restatements for each of those periods. See Note 2, Restatement of Previously Issued Condensed Consolidated Financial Statements, to the condensed consolidated financial statements within our Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2019 should no longer be relied upon because2020 for additional information related to the restatement of misstatements to our previously reported foreign exchange gains and losses as described below.condensed consolidated financial statements for the three months ended March 31, 2019.

Restatement

ThisAdditionally, as previously disclosed, we restated our unaudited condensed consolidated financial statements for the three and nine months ended September 30, 2018. The restatements of those unaudited condensed consolidated financial statements were presented within our Quarterly Report on Form 10-Q for the quarterly period ended September 30, 20192019. See Note 2, Restatement of Previously Issued Consolidated Financial Statements, to the condensed consolidated financial statements in that Quarterly Report on Form 10-Q for additional information related to those restatements.

This Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2020 includes unaudited condensed consolidated financial statements as of SeptemberJune 30, 20192020 and December 31, 20182019 and for each of the three and ninesix months ended SeptemberJune 30, 2020 and 2019. As previously disclosed in our 2019 and 2018. WeAnnual Report, we have restated certain information within this Quarterly Report on Form 10-Q, including the condensed consolidated balance sheet as of December 31, 2018 and the condensed consolidated financial statements for the three and ninesix months ended SeptemberJune 30, 2018.

Refer to our Annual Report on Form 10-K for the year ended December 31, 2019, filed on March 17, 2020, for information about the restatement of our consolidated balance sheet as of December 31, 2018.

Restatement Background

On October 24, 2019, we reported that we had commenced an internal investigation into certain intra-company transactions that impacted our previously reported non-operating foreign exchange gains and losses. Our internal investigation, as it pertains to the evaluation of related financial statement impacts, is complete.

We previously had applied a longstanding convention for the initial measurement of foreign exchange transactions and the subsequent remeasurement of foreign currency denominated monetary assets and liabilities that was not consistent with U.S. Generally Accepted Accounting Principles (U.S. GAAP). Beginning years after the adoption of that convention, certain intra-company transactions were undertaken, after the related exchange rates were already known, solely for the purpose of generating non-operating foreign exchange gains or avoiding foreign exchange losses. We believe that the use of our previous exchange rate convention to generate non-operating foreign exchange gains and avoid losses had occurred for at least ten years. The cumulative impact of correcting misstatements of non-operating foreign exchange gains and losses in periods prior to 2018 has been recorded as a reduction to our opening retained earnings in the condensed consolidated financial statements included herein.

As previously disclosed, we voluntarily advised the staff of the Securities and Exchange Commission (SEC) of our internal investigation and are continuing to cooperate with the staff of the SEC.

Restatement of Previously Issued Condensed Consolidated Financial Statements

As described above, this Quarterly Report on Form 10-Q includes restated condensed consolidated financial statements as of December 31, 2018 and for the three and nine months ended September 30, 2018. In addition to the correction of misstatements related to non-operating foreign exchange gains and losses, we corrected additional misstatements that were immaterial, individually and in the aggregate, to our previously issued financial statements. Those other immaterial misstatements relate to (i) equipment leased to customers under operating leases, (ii) classification of foreign exchange gains and losses on cash balances and intra-company receivables and payables in our consolidated statements of cash flows, (iii) translation of the financial position and results of operations of our foreign operations into U.S. dollars, (iv) statement of income classification of transition services income related to the separation of Baxalta Incorporated in 2015 and (v) other miscellaneous adjustments.2019. See Note 2, Restatement of Previously Issued Condensed Consolidated Financial Statements, in Item 1, Financial Statements, for additional information.

The restatement resulted ininformation related to the following decreases to our previously reported net income and diluted earnings per share (in millions, except per share data):

restatement.
Three months ended September 30, 2018Nine months ended September 30, 2018
Net income$(26) $(35) 
Diluted earnings per share$(0.05) $(0.07) 

1


Control Considerations

In connection with the restatement, management has reassessed its conclusions regarding the effectiveness of our internal control over financial reporting as of December 31, 2018 and has determined that a material weakness in our internal control over financial reporting existed as of that date. As a result of the material weakness, our disclosure controls and procedures were not effective as of December 31, 2018 and throughout 2019. Management has been implementing changes to strengthen our internal controls and remediate the material weakness, which continued to exist as of September 30, 2019. See Item 4, Controls and Procedures, for additional information related to the material weakness in internal control over financial reporting and our related remediation activities.

2


PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
Baxter International Inc.
Condensed Consolidated Balance Sheets (unaudited)
(in millions, except share information)
As Restated
September 30,
2019
December 31,
2018
June 30,
2020
December 31,
2019
Current assets:Current assets:Current assets:
Cash and cash equivalentsCash and cash equivalents$3,009  $1,838  Cash and cash equivalents$4,085  $3,335  
Accounts receivable, net1,814  1,840  
Accounts receivable, net of allowances of $120 in 2020 and $112 in 2019Accounts receivable, net of allowances of $120 in 2020 and $112 in 20191,884  1,896  
InventoriesInventories1,715  1,667  Inventories1,905  1,653  
Prepaid expenses and other current assetsPrepaid expenses and other current assets672  614  Prepaid expenses and other current assets692  619  
Total current assetsTotal current assets7,210  5,959  Total current assets8,566  7,503  
Property, plant and equipment, netProperty, plant and equipment, net4,406  4,530  Property, plant and equipment, net4,382  4,512  
GoodwillGoodwill2,847  3,002  Goodwill3,052  3,030  
Other intangible assets, netOther intangible assets, net1,365  1,410  Other intangible assets, net1,716  1,471  
Operating lease right-of-use assetsOperating lease right-of-use assets589  —  Operating lease right-of-use assets581  608  
Other non-current assetsOther non-current assets882  819  Other non-current assets1,168  1,069  
Total assetsTotal assets$17,299  $15,720  Total assets$19,465  $18,193  
Current liabilities:Current liabilities:Current liabilities:
Short-term debtShort-term debt$—  $ Short-term debt$ $226  
Current maturities of long-term debt and finance lease obligationsCurrent maturities of long-term debt and finance lease obligations  Current maturities of long-term debt and finance lease obligations318  315  
Accounts payable and accrued liabilitiesAccounts payable and accrued liabilities2,609  2,810  Accounts payable and accrued liabilities2,561  2,689  
Total current liabilitiesTotal current liabilities2,611  2,814  Total current liabilities2,880  3,230  
Long-term debt and finance lease obligationsLong-term debt and finance lease obligations5,063  3,481  Long-term debt and finance lease obligations6,055  4,809  
Operating lease liabilitiesOperating lease liabilities494  —  Operating lease liabilities488  510  
Other non-current liabilitiesOther non-current liabilities1,514  1,559  Other non-current liabilities1,882  1,732  
Total liabilitiesTotal liabilities9,682  7,854  Total liabilities11,305  10,281  
Commitments and contingenciesCommitments and contingenciesCommitments and contingencies
Equity:Equity:Equity:
Common stock, $1 par value, authorized 2,000,000,000 shares, issued 683,494,944 shares in 2019 and 2018683  683  
Common stock in treasury, at cost, 175,461,299 shares in 2019 and 170,495,859 shares in 2018(10,582) (9,989) 
Common stock, $1 par value, authorized 2,000,000,000 shares, issued 683,494,944 shares in 2020 and 2019Common stock, $1 par value, authorized 2,000,000,000 shares, issued 683,494,944 shares in 2020 and 2019683  683  
Common stock in treasury, at cost, 173,312,541 shares in 2020 and 177,340,358 shares in 2019Common stock in treasury, at cost, 173,312,541 shares in 2020 and 177,340,358 shares in 2019(10,597) (10,764) 
Additional contributed capitalAdditional contributed capital5,926  5,898  Additional contributed capital5,975  5,955  
Retained earningsRetained earnings15,849  15,075  Retained earnings16,055  15,718  
Accumulated other comprehensive (loss) incomeAccumulated other comprehensive (loss) income(4,288) (3,823) Accumulated other comprehensive (loss) income(3,988) (3,710) 
Total Baxter stockholders’ equityTotal Baxter stockholders’ equity7,588  7,844  Total Baxter stockholders’ equity8,128  7,882  
Noncontrolling interestsNoncontrolling interests29  22  Noncontrolling interests32  30  
Total equityTotal equity7,617  7,866  Total equity8,160  7,912  
Total liabilities and equityTotal liabilities and equity$17,299  $15,720  Total liabilities and equity$19,465  $18,193  
The accompanying notes are an integral part of these condensed consolidated financial statements.
2
3


Baxter International Inc.
Condensed Consolidated Statements of Income (unaudited)
(in millions, except per share data)
Three months ended
September 30,
Nine months ended
September 30,
Three months ended
June 30,
Six months ended
June 30,
As RestatedAs RestatedAs RestatedAs Restated
20192018201920182020201920202019
Net salesNet sales$2,851  $2,761  $8,323  $8,266  Net sales$2,718  $2,834  $5,520  $5,472  
Cost of salesCost of sales1,621  1,529  4,860  4,690  Cost of sales1,680  1,681  3,319  3,239  
Gross marginGross margin1,230  1,232  3,463  3,576  Gross margin1,038  1,153  2,201  2,233  
Selling, general and administrative expensesSelling, general and administrative expenses627  684  1,869  1,993  Selling, general and administrative expenses590  641  1,218  1,242  
Research and development expensesResearch and development expenses144  166  439  479  Research and development expenses117  166  263  295  
Other operating income, netOther operating income, net(44) —  (81) (89) Other operating income, net—  (4) (20) (37) 
Operating incomeOperating income503  382  1,236  1,193  Operating income331  350  740  733  
Interest expense, netInterest expense, net13  11  51  34  Interest expense, net36  20  57  38  
Other (income) expense, netOther (income) expense, net (1) (8) (45) Other (income) expense, net  16  (17) 
Income before income taxesIncome before income taxes481  372  1,193  1,204  Income before income taxes289  326  667  712  
Income tax expense (benefit)106  (146) 163  (37) 
Income tax expenseIncome tax expense42  13  87  57  
Net incomeNet income375  518  1,030  1,241  Net income247  313  580  655  
Less: Net income attributable to noncontrolling interests —   —  
Net income attributable to noncontrolling interestsNet income attributable to noncontrolling interests —   —  
Net income attributable to Baxter stockholdersNet income attributable to Baxter stockholders$369  $518  $1,024  $1,241  Net income attributable to Baxter stockholders$246  $313  $578  $655  
Earnings per shareEarnings per shareEarnings per share
BasicBasic$0.72  $0.97  $2.01  $2.32  Basic$0.48  $0.61  $1.14  $1.28  
DilutedDiluted$0.71  $0.95  $1.97  $2.26  Diluted$0.48  $0.60  $1.12  $1.26  
Weighted-average number of shares outstandingWeighted-average number of shares outstandingWeighted-average number of shares outstanding
BasicBasic511  534  510  536  Basic509  510  508  511  
DilutedDiluted520  546  520  548  Diluted517  519  517  520  
The accompanying notes are an integral part of these condensed consolidated financial statements.
3
4


Baxter International Inc.
Condensed Consolidated Statements of Comprehensive Income (unaudited)
(in millions)
Three months ended
September 30,
Nine months ended
September 30,
As RestatedAs Restated
2019201820192018
Net income$375  $518  $1,030  $1,241  
Other comprehensive (loss) income, net of tax:
Currency translation adjustments, net of tax (benefit) expense of ($13) and $3 for the three months ended September 30, 2019 and 2018, respectively, and ($11) and ($24) for the nine months ended September 30, 2019 and 2018, respectively(177) (9) (272) (314) 
Pension and other postretirement benefits, net of tax expense of $3 and $9 for the three months ended September 30, 2019 and 2018, respectively, and $9 and $26 for the nine months ended September 30, 2019 and 2018, respectively17   37  94  
Hedging activities, net of tax (benefit) expense of ($13) and $1 for the three months ended September 30, 2019 and 2018, respectively, and ($21) and $4 for the nine months ended September 30, 2019 and 2018, respectively(42)  (69)  
Total other comprehensive (loss) income, net of tax(202)  (304) (212) 
Comprehensive income173  520  726  1,029  
Less: Comprehensive income attributable to noncontrolling interests —   —  
Comprehensive income attributable to Baxter stockholders$167  $520  $720  $1,029  
Three months ended
June 30,
Six months ended
June 30,
As RestatedAs Restated
2020201920202019
Net income$247  $313  $580  $655  
Other comprehensive income (loss), net of tax:
Currency translation adjustments, net of tax (benefit) expense of $2 and $2 for the three months ended June 30, 2020 and 2019, respectively, and ($6) and $2 for the six months ended June 30, 2020 and 2019, respectively189   (170) (95) 
Pension and other postretirement benefits, net of tax expense of $1 and $2 for the three months ended June 30, 2020 and 2019, respectively, and $7 and $6 for the six months ended June 30, 2020 and 2019, respectively  26  20  
Hedging activities, net of tax (benefit) expense of $1 and ($3) for the three months ended June 30, 2020 and 2019, respectively, and ($38) and ($8) for the six months ended June 30, 2020 and 2019, respectively(4) (12) (134) (27) 
Total other comprehensive income (loss), net of tax189  (4) (278) (102) 
Comprehensive income436  309  302  553  
Less: Comprehensive income attributable to noncontrolling interests —   —  
Comprehensive income attributable to Baxter stockholders$435  $309  $300  $553  
The accompanying notes are an integral part of these condensed consolidated financial statements.
4


Baxter International Inc.
Condensed Consolidated Statements of Changes in Equity (unaudited)
(in millions)

For the three months ended June 30, 2020
Baxter International Inc. stockholders' equity
Common stock sharesCommon stockCommon stock shares
in treasury
Common stock in
treasury
Additional contributed capitalRetained earningsAccumulated other comprehensive
income (loss)
Total Baxter stockholders' equityNoncontrolling interestsTotal equity
Balance as of April 1, 2020683  $683  175  $(10,677) $5,935  $15,935  $(4,177) $7,699  $31  $7,730  
Net income—  —  —  —  —  246  —  246   247  
Other comprehensive income (loss)—  —  —  —  —  —  189  189  —  189  
Stock issued under employee benefit plans and other—  —  (2) 80  40  —  —  120  —  120  
Dividends declared on common stock—  —  —  —  —  (126) —  (126) —  (126) 
Balance as of June 30, 2020683  $683  173  $(10,597) $5,975  $16,055  $(3,988) $8,128  $32  $8,160  

For the six months ended June 30, 2020
Baxter International Inc. stockholders' equity
Common stock sharesCommon stockCommon stock shares in treasuryCommon stock in treasuryAdditional contributed capitalRetained earningsAccumulated other comprehensive income (loss)Total Baxter stockholders' equityNoncontrolling interestsTotal equity
Balance as of January 1, 2020683  $683  177  $(10,764) $5,955  $15,718  $(3,710) $7,882  $30  $7,912  
Adoption of new accounting standards—  —  —  —  —  (4) —  $(4) —  $(4) 
Net income—  —  —  —  —  578  —  578   580  
Other comprehensive income (loss)—  —  —  —  —  —  (278) (278) —  (278) 
Stock issued under employee benefit plans and other—  —  (4) 167  20  —  —  187  —  187  
Dividends declared on common stock—  —  —  —  —  (237) —  (237) —  (237) 
Balance as of June 30, 2020683  $683  173  $(10,597) $5,975  $16,055  $(3,988) $8,128  $32  $8,160  
The accompanying notes are an integral part of these condensed consolidated financial statements.


5


Baxter International Inc.
Condensed Consolidated Statements of Changes in Equity (unaudited)
(in millions)
For the three months ended September 30, 2019
Baxter International Inc. stockholders' equity
Common stock sharesCommon stockCommon stock shares
in treasury
Common stock in
treasury
Additional contributed capitalRetained earningsAccumulated other comprehensive
income (loss)
Total Baxter stockholders' equityNoncontrolling interestsTotal equity
Balance as of July 1, 2019 (As Restated)683  $683  173  $(10,322) $5,906  $15,598  $(4,086) $7,779  $24  $7,803  
Net income—  —  —  —  —  369  —  369   375  
Other comprehensive income (loss)—  —  —  —  —  —  (202) (202) —  (202) 
Purchases of treasury stock—  —   (346) —  —  —  (346) —  (346) 
Stock issued under employee benefit plans and other—  —  (2) 86  20  (1) —  105  —  105  
Dividends declared on common stock—  —  —  —  —  (117) —  (117) —  (117) 
Change in noncontrolling interests—  —  —  —  —  —  —  —  (1) (1) 
Balance as of September 30, 2019683  $683  175  $(10,582) $5,926  $15,849  $(4,288) $7,588  $29  $7,617  

For the three months ended June 30, 2019
Baxter International Inc. stockholders' equity
Common stock sharesCommon stockCommon stock shares in treasuryCommon stock in treasuryAdditional contributed capitalRetained earningsAccumulated other comprehensive income (loss)Total Baxter stockholders' equityNoncontrolling interestsTotal equity
Balance as of April 1, 2019 (As Restated)683  $683  173  $(10,284) $5,839  $15,414  $(4,082) $7,570  $23  $7,593  
Net income—  —  —  —  313  —  313  —  313  
Other comprehensive income (loss)—  —  —  —  —  —  (4) (4) —  (4) 
Purchases of treasury stock—  —   (157) 46  —  —  (111) —  (111) 
Stock issued under employee benefit plans and other—  —  (2) 119  21  (17) —  123  —  123  
Dividends declared on common stock—  —  —  —  —  (112) (112) —  (112) 
Change in noncontrolling interests—  —  —  —  —  —  —  —    
Balance as of June 30, 2019 (As Restated)683  $683  173  $(10,322) $5,906  $15,598  $(4,086) $7,779  $24  $7,803  


For the nine months ended September 30, 2019For the six months ended June 30, 2019
Baxter International Inc. stockholders' equityBaxter International Inc. stockholders' equity
Common stock sharesCommon stockCommon stock shares in treasuryCommon stock in treasuryAdditional contributed capitalRetained earningsAccumulated other comprehensive income (loss)Total Baxter stockholders' equityNoncontrolling interestsTotal equityCommon stock sharesCommon stockCommon stock shares in treasuryCommon stock in treasuryAdditional contributed capitalRetained earningsAccumulated other comprehensive income (loss)Total Baxter stockholders' equityNoncontrolling interestsTotal equity
Balance as of January 1, 2019 (As Restated)Balance as of January 1, 2019 (As Restated)683  $683  170  $(9,989) $5,898  $15,075  $(3,823) $7,844  $22  $7,866  Balance as of January 1, 2019 (As Restated)683  $683  170  $(9,989) $5,898  $15,075  $(3,823) $7,844  $22  $7,866  
Adoption of new accounting standardsAdoption of new accounting standards—  —  —  —  —  161  (161) $—  —  $—  Adoption of new accounting standards—  —  —  —  —  161  (161) —  —  —  
Net incomeNet income—  —  —  —  —  1,024  —  1,024   1,030  Net income—  —  —  —  —  655  —  655  —  655  
Other comprehensive income (loss)Other comprehensive income (loss)—  —  —  —  —  —  (304) (304) —  (304) Other comprehensive income (loss)—  —  —  —  —  —  (102) (102) —  (102) 
Purchases of treasury stockPurchases of treasury stock—  —  14  (1,089) 46  —  —  (1,043) —  (1,043) Purchases of treasury stock—  —  10  (743) 46  —  —  (697) —  (697) 
Stock issued under employee benefit plans and otherStock issued under employee benefit plans and other—  —  (9) 496  (18) (84) —  394  —  394  Stock issued under employee benefit plans and other—  —  (7) 410  (38) (83) —  289  —  289  
Dividends declared on common stockDividends declared on common stock—  —  —  —  —  (327) —  (327) —  (327) Dividends declared on common stock—  —  —  —  —  (210) —  (210) —  (210) 
Change in noncontrolling interestsChange in noncontrolling interests—  —  —  —  —  —  —  —    Change in noncontrolling interests—  —  —  —  —  —  —  —    
Balance as of September 30, 2019683  $683  175  $(10,582) $5,926  $15,849  $(4,288) $7,588  $29  $7,617  
Balance as of June 30, 2019 (As Restated)Balance as of June 30, 2019 (As Restated)683  $683  173  $(10,322) $5,906  $15,598  $(4,086) $7,779  $24  $7,803  

The accompanying notes are an integral part of these condensed consolidated financial statements.
6


Baxter International Inc.
Condensed Consolidated Statements of Changes in Equity (unaudited)
(in millions)
For the three months ended September 30, 2018
Baxter International Inc. stockholders' equity  
Common stock shares  Common stock  Common stock shares in treasury  Common stock in treasury  Additional contributed capital  Retained earningsAccumulated other comprehensive income (loss) Total Baxter stockholders' equityNoncontrolling interests  Total equity
Balance as of July 1, 2018 (As Restated)683  $683  148  $(8,485) $5,916  $14,484  $(3,756) $8,842  $(12) $8,830  
Net income—  —  —  —  —  518  —  518  —  518  
Other comprehensive income (loss)—  —  —  —  —  —    —   
Purchases of treasury stock—  —   (247) —  —  —  (247) —  (247) 
Stock issued under employee benefit plans and other—  —  (2) 93  15  (14) —  94  —  94  
Dividends declared on common stock—  —  —  —  —  (102) —  (102) —  (102) 
Change in noncontrolling interests—  —  —  —  —  —  —  —  (5) (5) 
Balance as of September 30, 2018 (As Restated)683  $683  150  $(8,639) $5,931  $14,886  $(3,754) $9,107  $(17) $9,090  


For the nine months ended September 30, 2018
Baxter International Inc. stockholders' equity  
Common stock shares  Common stock  Common stock shares in treasury  Common stock in treasury  Additional contributed capital  Retained earningsAccumulated other comprehensive income (loss) Total Baxter stockholders' equityNoncontrolling interests  Total equity
Balance as of January 1, 2018 (As Restated)683  $683  142  $(7,981) $5,940  $14,014  $(3,539) $9,117  $(8) $9,109  
Adoption of new accounting standards—  —  —  —  —  (20) (3) $(23) —  $(23) 
Net income—  —  —  —  —  1,241  —  1,241  —  1,241  
Other comprehensive income (loss)—  —  —  —  —  —  (212) (212) —  (212) 
Purchases of treasury stock—  —  15  (1,028) —  —  —  (1,028) —  (1,028) 
Stock issued under employee benefit plans and other—  —  (7) 370  (9) (59) —  302  —  302  
Dividends declared on common stock—  —  —  —  —  (290) —  (290) —  (290) 
Change in noncontrolling interests—  —  —  —  —  —  —  —  (9) (9) 
Balance as of September 30, 2018 (As Restated)683  $683  150  $(8,639) $5,931  $14,886  $(3,754) $9,107  $(17) $9,090  
The accompanying notes are an integral part of these condensed consolidated financial statements.
7


Baxter International Inc.
Condensed Consolidated Statements of Cash Flows (unaudited)
(in millions)
Nine months ended
September 30,
Six months ended
June 30,
As RestatedAs Restated
2019201820202019
Cash flows from operationsCash flows from operationsCash flows from operations
Net incomeNet income$1,030  $1,241  Net income$580  $655  
Adjustments to reconcile net income to cash flows from operations:Adjustments to reconcile net income to cash flows from operations:Adjustments to reconcile net income to cash flows from operations:
Depreciation and amortizationDepreciation and amortization580  586  Depreciation and amortization401  385  
Deferred income taxesDeferred income taxes(45) (291) Deferred income taxes(23) (63) 
Stock compensationStock compensation92  87  Stock compensation64  57  
Net periodic pension benefit and other postretirement costsNet periodic pension benefit and other postretirement costs 31  Net periodic pension benefit and other postretirement costs40   
Intangible asset impairment31  —  
Intangible asset impairmentsIntangible asset impairments17  31  
OtherOther90  23  Other27  44  
Changes in balance sheet items:Changes in balance sheet items:Changes in balance sheet items:
Accounts receivable, netAccounts receivable, net(23) (16) Accounts receivable, net(25) (60) 
InventoriesInventories(88) (226) Inventories(261) (91) 
Accounts payable and accrued liabilitiesAccounts payable and accrued liabilities(249) (32) Accounts payable and accrued liabilities(48) (299) 
OtherOther(145) (95) Other(124) (86) 
Cash flows from operations – continuing operationsCash flows from operations – continuing operations1,281  1,308  Cash flows from operations – continuing operations648  580  
Cash flows from operations – discontinued operationsCash flows from operations – discontinued operations(6) —  Cash flows from operations – discontinued operations(2) (6) 
Cash flows from operationsCash flows from operations1,275  1,308  Cash flows from operations646  574  
Cash flows from investing activitiesCash flows from investing activitiesCash flows from investing activities
Capital expendituresCapital expenditures(505) (453) Capital expenditures(316) (338) 
Acquisitions and investments(186) (255) 
Acquisitions, net of cash acquired, and investmentsAcquisitions, net of cash acquired, and investments(453) (111) 
Other investing activities, netOther investing activities, net12   Other investing activities, net11   
Cash flows from investing activitiesCash flows from investing activities(679) (700) Cash flows from investing activities(758) (448) 
Cash flows from financing activitiesCash flows from financing activitiesCash flows from financing activities
Issuances of debtIssuances of debt1,661  —  Issuances of debt1,240  1,661  
Net decreases in debt with original maturities of three months or lessNet decreases in debt with original maturities of three months or less(225) —  
Cash dividends on common stockCash dividends on common stock(310) (274) Cash dividends on common stock(223) (198) 
Proceeds from stock issued under employee benefit plansProceeds from stock issued under employee benefit plans334  232  Proceeds from stock issued under employee benefit plans151  262  
Purchases of treasury stockPurchases of treasury stock(1,029) (1,028) Purchases of treasury stock—  (720) 
Other financing activities, netOther financing activities, net(42) (25) Other financing activities, net(34) (37) 
Cash flows from financing activitiesCash flows from financing activities614  (1,095) Cash flows from financing activities909  968  
Effect of foreign exchange rate changes on cash and cash equivalents(39) (53) 
Increase (decrease) in cash and cash equivalents1,171  (540) 
Cash and cash equivalents at beginning of period1,838  3,403  
Cash and cash equivalents at end of period$3,009  $2,863  
Effect of foreign exchange rate changes on cash, cash equivalents and restricted cashEffect of foreign exchange rate changes on cash, cash equivalents and restricted cash(38)  
Increase in cash, cash equivalents and restricted cashIncrease in cash, cash equivalents and restricted cash759  1,096  
Cash, cash equivalents and restricted cash at beginning of periodCash, cash equivalents and restricted cash at beginning of period3,335  1,838  
Cash, cash equivalents and restricted cash at end of period (1)
Cash, cash equivalents and restricted cash at end of period (1)
$4,094  $2,934  
(1) We did not have any restricted cash balances as of December 31, 2019, June 30, 2019 or December 31, 2018. The following table provides a reconciliation of cash, cash equivalents and restricted cash shown above to the amounts reported within the condensed consolidated balance sheet as of June 30, 2020 (in millions):
June 30, 2020
Cash and cash equivalents$4,085 
Restricted cash included in prepaid expenses and other current assets
Cash, cash equivalents and restricted cash$4,094 
The accompanying notes are an integral part of these condensed consolidated financial statements.

7
8


Baxter International Inc.
Notes to Condensed Consolidated Financial Statements (unaudited)
1. BASIS OF PRESENTATION
The unaudited interim condensed consolidated financial statements of Baxter International Inc. and its subsidiaries (we or our) have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (SEC). Accordingly, certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (U.S. GAAP) in the United States have been condensed or omitted. These unaudited interim condensed consolidated financial statements should be read in conjunction with the restated consolidated financial statements and notes as of and for the year ended December 31, 2018 included in our Annual Report on Form 10-K for the year ended December 31, 2019 (2019 Annual Report) which was filed on March 17, 2020..
In the opinion of management, the unaudited interim condensed consolidated financial statements reflect all adjustments necessary for a fair presentation of the financial position, results of operations and cash flows for the periods presented. All such adjustments, unless otherwise noted herein, are of a normal, recurring nature. The results of operations for the current interim period are not necessarily indicative of the results of operations to be expected for the full year.
Certain reclassifications have been made to conform the prior period condensed consolidated statements to the current period presentation.
Risks and Uncertainties Related to COVID-19
Our global operations expose us to risks associated with public health crises and epidemics/pandemics, such as the novel strain of coronavirus (COVID-19). COVID-19 has had, and we expect will continue to have, an adverse impact on our operations, supply chains and distribution systems and increase our expenses, including as a result of impacts associated with preventive and precautionary measures that we, other businesses and governments are taking. These measures have led to unprecedented restrictions on, disruptions in, and other related impacts on businesses and personal activities. In addition to travel restrictions put in place in early 2020, governments have closed borders, imposed prolonged quarantines and may continue those measures or implement other restrictions and requirements in light of the continuing spread of the pandemic and concern of a “second wave” of outbreaks. We expect that these evolving restrictions and requirements, as well as the corresponding need to adapt to new methods of conducting business remotely, will continue to have an adverse effect on our business.
New Accounting Standards
Recently adopted accounting pronouncements
As of January 1, 2019,2020, we adopted Accounting Standards Update (ASU) No. 2016-02, Leases (Topic 842). Under this guidance, lessees are required to recognize a right-of-use asset2016-13, Financial Instruments - Credit Losses, which requires the measurement of expected lifetime credit losses, rather than incurred losses, for financial instruments held at the reporting date based on historical experience, current conditions and a lease liability on the balance sheet for all operating leases, other than those that meet the definition of a short-term lease. We adopted Topic 842 using the modified retrospective method. We elected the following practical expedients when assessing the transition impact: i) not to reassess whether any expired or existing contracts as of the adoption date are or contain leases; ii) not to reassess the lease classification for any expired or existing leases as of the adoption date; and iii) not to reassess initial direct costs for any existing leases as of the adoption date.reasonable forecasts. The adjustment to record operating lease right-of-use assets and operating lease liabilities was $502 million as of January 1, 2019. The impact to the condensed consolidated statements of income was not material and there was no net impact to the condensed consolidated statements of cash flows.
As of January 1, 2019, we adopted ASU No. 2017-12, Targeted Improvements to Accounting for Hedging Activities. The purposemain objective of this ASU is to better alignprovide financial statement users with more decision-useful information about the expected credit losses on financial instruments and other commitments to extend credit held by a company’s risk management activities and financial reporting for hedging relationships, simplifyentity at each reporting date. We adopted this ASU using the hedge accounting requirements, and improve the disclosures of hedging arrangements. The adoption of this standard did not have a material impact on our condensed consolidated financial statements.
As of January 1, 2019, we adopted ASU No. 2018-02, Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income (AOCI). As a result of the enactment of the U.S. Tax Cuts and Jobs Act of 2017 (the 2017 Tax Act), this guidance provides for a reclassification of certain tax effects from AOCI to retained earnings.modified retrospective approach. The impact of the adoption of this standardASU was a $161 millionan increase to our allowance for doubtful accounts and a decrease to retained earnings.earnings of $4 million.
8


The following table is a summary of the changes in our allowance for doubtful accounts for the three and six months ended June 30, 2020:
(in millions)Three months ended
June 30, 2020
Six months ended
June 30, 2020
Balance at beginning of period$114  $112  
Adoption of new accounting standard—   
Charged to costs and expenses 12  
Write-offs(1) (1) 
Currency translation adjustments (7) 
Balance at end of period$120  $120  
ASU 2016-13 also requires disclosure by vintage year of origination for net investment in leases. Our net investment in sales-type leases was $130 million as of June 30, 2020, of which $16 million originated in 2016 and prior, $16 million in 2017, $46 million in 2018, $36 million in 2019 and $16 million in 2020.
As of January 1, 2020, we adopted ASU 2018-15, Intangibles-Goodwill and Other-Internal-Use Software, which aligns 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. Our policies for capitalizing implementation costs incurred in a hosting arrangement were not impacted by this ASU. However, we have historically classified those capitalized costs within property, plant and equipment, net on our condensed consolidated balance sheets and as capital expenditures on our condensed consolidated statements of cash flows. Under the new ASU, those capitalized costs are presented as other non-current assets on our condensed consolidated balance sheets and within operating cash flows on our condensed consolidated statements of cash flows. We adopted this ASU on a prospective basis and capitalized $12 million and $20 million, respectively, of implementation costs related to hosting arrangements that are service contracts during the three and six months ended June 30, 2020.
2. RESTATEMENT OF PREVIOUSLY ISSUED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
We have restated herein our condensed consolidated financial statements as of December 31, 2018 and for the three and ninesix months ended SeptemberJune 30, 2018.2019. We have also restated impacted amounts within the accompanying notes to the consolidated financial statements, as applicable. The restatement of our condensed consolidated financial statements for the three and six months ended June 30, 2019 was previously reported in our 2019 Annual Report.
Restatement Background
On October 24, 2019, we reported that we had commenced an internal investigation into certain intra-company transactions that impacted our previously reported non-operating foreign exchange gains and losses. Our internal investigation, as it pertains to the evaluation of related financial statement impacts, is complete.
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We previously had applied a longstanding convention for the initial measurement of foreign currency transactions and the subsequent remeasurement of foreign currency denominated monetary assets and liabilities (collectively, our historical exchange rate convention) that was not consistent with U.S. GAAP. U.S. GAAP requires that foreign currency transactions be initially measured and recorded in an entity’s functional currency using the exchange rate on the date of the transaction and it requires that foreign currency denominated monetary assets and liabilities be remeasured at the end of each reporting period using the exchange rate at that date. Under our historical exchange rate convention, all foreign currency transactions in a given month were initially measured using exchange rates from a specified date near the middle of the previous month. Additionally, all foreign currency denominated monetary assets and liabilities were subsequently remeasured at the end of each month using exchange rates from a specified date near the middle of the current month. Beginning years after the adoption of our historical exchange rate convention, certain intra-company transactions were undertaken, after the related exchange rates were already known, solely for the purpose of generating non-operating foreign exchange gains or avoiding foreign exchange losses.
We identified misstatements relating to foreign currency denominated monetary assets and liabilities and foreign currency derivative contracts that caused our Other income (expense), net and Income before income taxes to be overstated by $30$32 million and $34$36 million, respectively, for the three and ninesix months ended SeptemberJune 30, 2018.2019. Our quantification of those misstatements to our previously reported foreign exchange gains and losses was not limited to intra-company transactions undertaken for the purpose of generating foreign exchange gains or avoiding foreign
9


exchange losses after the related exchange rates were already known. Rather, we identified every legal entity within our consolidated group that had foreign exchange gains or losses above an immaterial threshold and, for those entities, we remeasured all foreign exchange gains and losses from foreign currency denominated cash balances and intra-company loan receivables and payables using the exchange rates required by U.S. GAAP. For those entities, we also quantified misstatements to our previously reported gains and losses on foreign currency derivative contracts, which had used foreign exchange rates determined under our historical exchange rate convention as inputs to the fair value measurements of those contracts. Our quantification of misstatements to the condensed consolidated financial statements did not include foreign currency gains or losses from short-term third-party and intra-company trade receivables and trade payables denominated in foreign currencies. We determined that any potential misstatements relating to such balances that arise in the ordinary course of business and are ultimately settled for cash within a short period of time, generally thirty to sixty days, would not be material to our condensed consolidated financial statements.
In order to correct our previously issued financial statements, we have restated herein our condensed consolidated financial statements as of December 31, 2018 and for the three and ninesix months ended SeptemberJune 30, 2018,2019, in accordance with Accounting Standards Codification (ASC) Topic 250, Accounting Changes and Error Corrections. In addition to the misstatements described above relating to foreign exchange gains and losses, we corrected additional misstatements that were not material, individually or in the aggregate, to our previously issued condensed consolidated financial statements. Those other immaterial misstatements relate to equipment leased to customers under operating leases, classification of foreign currency gains and losses on cash balances and intra-company loan receivables and payables in our condensed consolidated statements of cash flows, translation of the financial position and results of operations of our foreign operations into U.S. dollars, income statement classification of transition services income related to the separation of Baxalta in 2015, other miscellaneous adjustments, and the income tax effects of those items.
We believe that the use of our historical exchange rate convention to generate non-operating foreign exchange gains and avoid losses had occurred for at least ten years. The cumulative impact of misstatements related to non-operating foreign exchange gains and losses that we corrected for periods earlier than 2018,2019, as well as the cumulative impact of correcting other immaterial misstatements relating to those earlier periods, have been recorded as a reduction to our opening retained earnings as of January 1, 2018.2019.
The categories of misstatements and their impact on our previously issued condensed consolidated financial statements for the three and six months ended June 30, 2019 are described in more detail below.
10


Description of Misstatements
Misstatements of Foreign Exchange Gains and Losses
(a) Foreign Currency Denominated Monetary Assets and Liabilities
As discussed above, we recorded adjustments to correct foreign exchange gains and losses on monetary assets and liabilities denominated in a foreign currency to reflect the gains and losses resulting from application of the exchange rates required by U.S. GAAP. The impacts of the foreign currency gain or loss misstatements on each period are discussed in restatement reference (a) throughout this note.
(b) Foreign Currency Derivative Contracts
As discussed above, we recorded adjustments to correct gains and losses on foreign currency derivative contracts by using current exchange rates at the applicable measurement dates as inputs to the related fair value measurements. The impacts of the foreign currency derivative contract gain or loss misstatements on each period are discussed in restatement reference (b) throughout this note.
Additional Misstatements
(c) Equipment Leased to Customers under Operating Leases
Our manufacturing subsidiaries often sell products to commercial subsidiaries within our consolidated group which then sell or lease those products to third-party customers. Under U.S. GAAP, intra-company sales, intra-company cost of sales, and any step-ups in the carrying amount of inventory from intra-company transactions are eliminated in consolidation. If we subsequently sell the products to a third-party customer, the related intra-company profit previously eliminated in consolidation is recognized in our condensed consolidated statements of income. For transactions in which we lease, rather than sell, our products to customers under operating lease arrangements, no
10


profit or loss should be recognized at inception of the arrangement and any intra-company profit previously eliminated in consolidation should be recognized as a reduction to the carrying amount of the related leased assets. Prior to the third quarter of 2019, our international operations incorrectly recognized intra-company profit previously eliminated in consolidation as a reduction of cost of sales, rather than as a reduction of leased assets, at inception of operating lease arrangements. Accordingly, we have recorded adjustments to increase cost of sales and decrease property, plant, and equipment, net in our condensed consolidated financial statements. Those adjustments include corrections of depreciation expense and accumulated depreciation resulting from the decreases to the carrying amounts of the related leased equipment. The impacts of the operating lease misstatements on each period are discussed in restatement reference (c) throughout this note.
(d) Classification of Foreign Currency Gains and Losses in our Condensed Consolidated Statements of Cash Flows
We previously included foreign exchange gains and losses related to intra-company receivables and payables and cash balances within our cash flows from operations. In the accompanying condensed consolidated statements of cash flows, foreign exchange gains and losses, as restated, related to intra-company receivables and payables and cash balances are presented as reconciling items between income from continuing operations and cash flows from operations. The impacts of those misclassifications on our operating cash flows for each period are discussed in restatement reference (d) throughout this note.
(e) Translation of the Financial Position and Results of Operations of our Foreign Operations into U.S. Dollars
U.S. GAAP specifies that the income statement of a foreign operation should be translated into the reporting currency using the exchange rates on the dates the income or expense was recognized and indicates that the use of weighted-average exchange rates during the period is generally appropriate. Similar to our convention for the initial measurement of foreign currency transactions, we historically translated the results of operations of our foreign operations for a given month into U.S. dollars using exchange rates from a specified date near the middle of the previous month. Accordingly, we have recorded adjustments to translate the income statements of our foreign operations into U.S. dollars using the applicable average foreign exchange rates for each month.
U.S. GAAP specifies that the assets and liabilities of foreign operations be translated into the reporting currency at the end of each reporting period using the exchange rate at that date. Similar to our convention for the subsequent remeasurement of foreign currency denominated monetary assets and liabilities, our financial reporting systems were
11


previously configured to translate assets and liabilities at the end of each month using exchange rates from a specified date near the middle of the current month. In recent years, we separately computed the impact of translating assets and liabilities at period-end exchange rates and adjusted our condensed consolidated balance sheets to reflect that difference. However, due to an incorrect input in those manual calculations as of December 31, 2018, the currency translation adjustments component of our balance sheetother comprehensive income (loss) was misstated asin our condensed consolidated statement of that date.comprehensive income (loss) for the six months ended June 30, 2019.
The impacts of misstatements related to the translation of the financial position and results of operations of our foreign operations on each period are discussed in restatement reference (e) throughout this note.
(f) Income Statement Classification of Transition Services Income
We entered into a transition services agreement (TSA) with Baxalta in connection with the July 1, 2015 separation transaction. Services we provided under the TSA included, among others, finance, information technology, human resources, quality, supply chain, and certain other administrative services. Those services generally commenced on July 1, 2015 and concluded on July 1, 2018. As previously disclosed, we recognized income of approximately $9 million under the TSA for the nine months ended September 30, 2018. The amounts earned for those services were previously presented as a reduction of Selling, general, and administrative expenses (which we previously referred to as “Marketing and administrative expenses”) in our condensed consolidated statements of income. The accompanying restated condensed consolidated statement of income for the nine months ended September 30, 2018 presents the amounts earned for those services within Other operating income, net, rather than as a reduction of Selling, general, and administrative expenses. The impacts of the income statement misclassification of TSA income on each period are discussed in restatement reference (f) throughout this note.
(g) Other Miscellaneous Adjustments
We recorded adjustments to correct other out-of-period items and previously uncorrected misstatements that were not material, individually or in the aggregate, to our condensed consolidated financial statements. Those other misstatements were primarily related to a historical restructuring liability and amounts related to our separation of Baxalta in 2015. The impacts of the other miscellaneous adjustments on each period are discussed in restatement reference (g)(f) throughout this note.
Description of Restatement Tables
The following tables presentwere previously presented in our 2019 Annual Report. See Note 19, Quarterly Financial Data (unaudited), to the impact of the adjustments described above to our previously reported condensed consolidated balance sheet as of December 31, 2018 and the condensed consolidated statements of income, comprehensive income, and changes in equity for the three and nine months ended September 30, 2018, and the restated condensed consolidated statement of cash flows for the nine months ended September 30, 2018.
Following the restated condensed consolidated financial statement tables,statements in our 2019 Annual Report. Below, we have presented reconciliations from our prior periods as previously reported to the restated amounts.amounts for each of our condensed consolidated financial statements for the three and six months ended June 30, 2019. The amounts as previously reported for the three and nine months ended September 30, 2018 were derived from our Quarterly Report on Form 10-Q for the periodquarter ended SeptemberJune 30, 20182019 filed on November 5, 2018.July 30, 2019.

1211


Baxter International Inc.
Condensed Consolidated Balance Sheet
(in millions, except per share)
December 31, 2018
As previously reportedRestatement impactsRestatement referenceAs restated
Current assets:
Cash and cash equivalents$1,832  $ (e) $1,838  
Accounts receivable, net1,812  28  (e)(g) 1,840  
Inventories1,653  14  (e)(g) 1,667  
Prepaid expenses and other current assets622  (8) (b)(e)(g) 614  
Total current assets5,919  40  5,959  
Property, plant and equipment, net4,542  (12) (c)(e) 4,530  
Goodwill2,958  44  (e) 3,002  
Other intangible assets, net1,398  12  (e)(g) 1,410  
Other non-current assets824  (5) (a)(c)(e)(g) 819  
Total assets$15,641  $79  $15,720  
Current liabilities:
Short-term debt$ $—  $ 
Current maturities of long-term debt and finance lease obligations —   
Accounts payable and accrued liabilities2,832  (22) (b)(e)(g) 2,810  
Total current liabilities2,836  (22) 2,814  
Long-term debt and finance lease obligations3,473   (e) 3,481  
Other non-current liabilities1,516  43  (a)(c)(e)(g) 1,559  
Total liabilities7,825  29  7,854  
Commitments and contingencies
Equity:
Common stock, $1 par value, authorized 2,000,000,000 shares, issued 683,494,944 shares683  —  683  
Common stock in treasury, at cost, 170,495,859 shares(9,989) —  (9,989) 
Additional contributed capital5,898  —  5,898  
Retained earnings15,626  (551) (a)(b)(c)(e)(g) 15,075  
Accumulated other comprehensive (loss) income(4,424) 601  (a)(e) (3,823) 
Total Baxter stockholders’ equity7,794  50  7,844  
Noncontrolling interests22  —  22  
Total equity7,816  50  7,866  
Total liabilities and equity$15,641  $79  $15,720  

Baxter International Inc.
Condensed Consolidated Statement of Income
(in millions, except per share)
Three months ended June 30, 2019
As previously reportedRestatement impactsRestatement referenceAs restated
Net sales$2,840  $(6) (e)$2,834  
Cost of sales1,681  —  (c)(e)1,681  
Gross margin1,159  (6) 1,153  
Selling, general and administrative expenses642  (1) (e)641  
Research and development expenses166  —  166  
Other operating income, net(4) —  (4) 
Operating income355  (5) 350  
Interest expense, net20  —  20  
Other (income) expense, net(28) 32  (a)(b) 
Income before income taxes363  (37) 326  
Income tax expense20  (7) (a)(c)13  
Net income$343  $(30) $313  
Earnings per share
Basic$0.67  $(0.06) $0.61  
Diluted$0.66  $(0.06) $0.60  
Weighted-average number of shares outstanding
Basic510  —  510  
Diluted519  —  519  
(a) Foreign Currency Denominated Monetary Assets and Liabilities—The correction of these misstatements resulted in decreasesa decrease to retained earningsother (income) expense, net of $487$26 million and accumulated other comprehensive lossa decrease to income tax expense of $482$5 million and increases to other non-current assets of $8 million and other non-current liabilities of $13 million as of December 31, 2018.for the three months ended June 30, 2019.
(b) Foreign Currency Derivative Contracts—The correction of these misstatements resulted in increases to prepaid expenses and other current assets of $2 million, accounts payable and accrued liabilities of $1 million and retained earnings of $1 million as of December 31, 2018.
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(c) Equipment Leased to Customers under Operating Leases—The correction of these misstatements resulted in decreases to property, plant and equipment, net of $53 million, other non-current liabilities of $5 million, and retained earnings of $38 million, and an increase to other non-current assets of $10 million as of December 31, 2018.
(e) Translation of the Financial Position and Results of Operations of our Foreign Operations into U.S. Dollars—The correction of these misstatements resulted in increases to cash and cash equivalents of $6 million, accounts receivable, net of $22 million, inventories of $19 million, prepaid expenses and other current assets of $2 million, property, plant and equipment of $41 million, goodwill of $44 million, other intangible assets, net of $13 million, other non-current assets of $6 million, accounts payable and accrued liabilities of $24 million, long-term debt and finance lease obligations of $8 million, and other non-current liabilities of $19 million as of December 31, 2018. The correction of these misstatements also resulted in decreases to retained earnings of $17 million and accumulated other comprehensive loss of $119 million as of December 31, 2018.
(g) Other miscellaneous adjustments - The correction of these misstatements resulted in decreases to inventories of $5 million, prepaid expenses and other current assets of $12 million, other intangible assets, net of $1 million, other non-current assets of $29 million, accounts payable and accrued liabilities of $47 million, and retained earnings of $10 million, and increases to accounts receivable, net of $6 million and other non-current liabilities of $16 million as of December 31, 2018.


14


Baxter International Inc.
Condensed Consolidated Statement of Income
(in millions, except per share)
Three months ended September 30, 2018
As previously reportedRestatement impactsRestatement referenceAs restated
Net sales$2,767  $(6) (e) $2,761  
Cost of sales1,531  (2) (c)(e) 1,529  
Gross margin1,236  (4) 1,232  
Selling, general and administrative expenses685  (1) (e) 684  
Research and development expenses166  —  166  
Operating income385  (3) 382  
Interest expense, net11  —  11  
Other (income) expense, net(32) 31  (a)(b)(e) (1) 
Income before income taxes406  (34) 372  
Income tax benefit(138) (8) (a)(b)(c)(e) (146) 
Net income$544  $(26) $518  
Earnings per share
Basic$1.02  $(0.05) $0.97  
Diluted$1.00  $(0.05) $0.95  
Weighted-average number of shares outstanding
Basic534  —  534  
Diluted546  —  546  
(a) Foreign Currency Denominated Monetary Assets and Liabilities—The correction of these misstatements resulted in decreasesa decrease to other (income) expense, net of $49 million and income tax expense of $10$6 million for the three months ended SeptemberJune 30, 2018.
(b) Foreign Currency Derivative Contracts—The correction of these misstatements resulted in increases to other (income) expense, net of $19 million and income tax expense of $4 million for the three months ended September 30, 2018.2019.
(c) Equipment Leased to Customers under Operating Leases—The correction of these misstatements resulted in an increase to cost of sales of $4$5 million and a decrease to income tax expense of $1$2 million for the three months ended SeptemberJune 30, 2018.2019.
(e) Translation of the Financial Position and Results of Operations of our Foreign Operations into U.S. Dollars—The correction of these misstatements resulted in decreases to net sales of $6 million, cost of sales of $6 million, SG&A expense of $1 million, other (income) expense, net of $1$5 million and income taxselling, general and administrative (SG&A) expense of $1 million for the three months ended SeptemberJune 30, 2018.2019.

1512


Baxter International Inc.Baxter International Inc.Baxter International Inc.
Condensed Consolidated Statement of IncomeCondensed Consolidated Statement of IncomeCondensed Consolidated Statement of Income
(in millions, except per share)(in millions, except per share)(in millions, except per share)
Nine months ended September 30, 2018Six months ended June 30, 2019
As previously reportedRestatement impactsRestatement referenceAs restatedAs previously reportedRestatement impactsRestatement referenceAs restated
Net salesNet sales$8,286  $(20) (e) $8,266  Net sales$5,472  $—  $5,472  
Cost of salesCost of sales4,697  (7) (c)(e) 4,690  Cost of sales3,233   (c)(e)3,239  
Gross marginGross margin3,589  (13) 3,576  Gross margin2,239  (6) 2,233  
Selling, general and administrative expensesSelling, general and administrative expenses1,988   (e)(f) 1,993  Selling, general and administrative expenses1,242  —  1,242  
Research and development expensesResearch and development expenses480  (1) (e) 479  Research and development expenses295  —  295  
Other operating income, netOther operating income, net(80) (9) (f) (89) Other operating income, net(37) —  (37) 
Operating incomeOperating income1,201  (8) 1,193  Operating income739  (6) 733  
Interest expense, netInterest expense, net34  —  34  Interest expense, net38  —  38  
Other (income) expense, netOther (income) expense, net(81) 36  (a)(b)(e) (45) Other (income) expense, net(53) 36  (a)(b)(17) 
Income before income taxesIncome before income taxes1,248  (44) 1,204  Income before income taxes754  (42) 712  
Income tax benefit(28) (9) (a)(c)(e) (37) 
Income tax expenseIncome tax expense64  (7) (a)(b)(c)57  
Net incomeNet income$1,276  $(35) $1,241  Net income$690  $(35) $655  
Earnings per shareEarnings per shareEarnings per share
BasicBasic$2.38  $(0.06) $2.32  Basic$1.35  $(0.07) $1.28  
DilutedDiluted$2.33  $(0.07) $2.26  Diluted$1.33  $(0.07) $1.26  
Weighted-average number of shares outstandingWeighted-average number of shares outstandingWeighted-average number of shares outstanding
BasicBasic536  —  536  Basic511  —  511  
DilutedDiluted548  —  548  Diluted520  —  520  
(a) Foreign Currency Denominated Monetary Assets and Liabilities—The correction of these misstatements resulted in decreases to other (income) expense, net of $32$31 million and income tax expense of $5$4 million for the ninesix months ended SeptemberJune 30, 2018.2019.
(b) Foreign Currency Derivative Contracts—The correction of these misstatements resulted in a decreasedecreases to other (income) expense, net of $2$5 million and income tax expense of $1 million for the ninesix months ended SeptemberJune 30, 2018.2019.
(c) Equipment Leased to Customers under Operating Leases—The correction of these misstatements resulted in an increase to cost of sales of $7 million and a decrease to income tax expense of $2 million for the ninesix months ended SeptemberJune 30, 2018.2019.
(e) Translation of the Financial Position and Results of Operations of our Foreign Operations into U.S. Dollars—The correction of these misstatements resulted in decreasesa decrease to net sales of $20 million, cost of sales of $14 million, SG&A expense of $4 million, R&D expense of $1 million, other (income) expense, net of $2 million and income tax expense of $2 million for the ninesix months ended SeptemberJune 30, 2018.
(f) Income Statement Classification of Transition Services Income—The correction of these misstatements resulted in increases to SG&A expense and other operating income, net of $9 million for the nine months ended September 30, 2018.2019.


1613


Baxter International Inc.Baxter International Inc.Baxter International Inc.
Condensed Consolidated Statement of Comprehensive IncomeCondensed Consolidated Statement of Comprehensive IncomeCondensed Consolidated Statement of Comprehensive Income
(in millions)(in millions)(in millions)
Three months ended September 30, 2018Three months ended June 30, 2019
As previously reportedRestatement impactsAs restatedAs previously reportedRestatement impactsAs restated
Net incomeNet income$544  $(26) $518  Net income$343  $(30) $313  
Other comprehensive (loss) income, net of tax:
Other comprehensive income (loss), net of tax:Other comprehensive income (loss), net of tax:
Currency translation adjustmentsCurrency translation adjustments(50) 41  (9) Currency translation adjustments(78) 80   
Pension and other postretirement benefit plansPension and other postretirement benefit plans   Pension and other postretirement benefit plans13  (7)  
Hedging activitiesHedging activities —   Hedging activities(12) —  (12) 
Total other comprehensive loss, net of taxTotal other comprehensive loss, net of tax(40) 42   Total other comprehensive loss, net of tax(77) 73  (4) 
Comprehensive incomeComprehensive income$504  $16  $520  Comprehensive income$266  $43  $309  

The $26$30 million decrease to net income was driven by the items described above in the condensed consolidated statement of income for the three months ended SeptemberJune 30, 20182019 section.
The $41$80 million decrease to currency translation adjustments for the three months ended SeptemberJune 30, 20182019 is comprised of a $49$54 million decrease from the offsetting balance sheet impact of the adjustments to foreign exchange gains and losses partially offset by an $8 million increase to correct the foreign exchange rates used to translate the financial position and results of operations of our foreign operations into U.S. dollars.dollars and a $26 million decrease from the offsetting balance sheet impact of the adjustments to foreign exchange gains and losses on intra-company receivables and payables.
The $1$7 million increasedecrease to pension and other postretirement benefit plans for the three months ended SeptemberJune 30, 20182019 is a result of the correction of the foreign exchange rates used to translate the financial position and results of operations of our foreign operations into U.S. dollars.


1714



Baxter International Inc.
Condensed Consolidated Statement of Comprehensive Income
(in millions)
Nine months ended September 30, 2018
As previously reportedRestatement impactsAs restated
Net income$1,276  $(35) $1,241  
Other comprehensive (loss) income, net of tax:
Currency translation adjustments(332) 18  (314) 
Pension and other postretirement benefit plans89   94  
Hedging activities —   
Total other comprehensive loss, net of tax(235) 23  (212) 
Comprehensive income$1,041  $(12) $1,029  

Baxter International Inc.
Condensed Consolidated Statement of Comprehensive Income
(in millions)
Six months ended June 30, 2019
As previously reportedRestatement impactsAs restated
Net income$690  $(35) $655  
Other comprehensive income (loss), net of tax:
Currency translation adjustments(48) (47) (95) 
Pension and other postretirement benefit plans21  (1) 20  
Hedging activities(27) —  (27) 
Total other comprehensive loss, net of tax(54) (48) (102) 
Comprehensive income$636  $(83) $553  
The $35 million decrease to net income was driven by the items described above in the condensed consolidated statement of income for the ninesix months ended SeptemberJune 30, 20182019 section.
The $18$47 million decreaseincrease to currency translation adjustments for the ninesix months ended SeptemberJune 30, 20182019 is comprised of a $32 million decrease from the offsetting balance sheet impact of the adjustments to foreign exchange gains and losses, partially offset by a $14$78 million increase to correct the foreign exchange rates used to translate the financial position and results of operations of our foreign operations into U.S. dollars.dollars partially offset by a $31 million decrease from the offsetting balance sheet impact of the adjustments to foreign exchange gains and losses on intra-company receivables and payables.
The $5$1 million increasedecrease to pension and other postretirement benefit plans for the ninesix months ended SeptemberJune 30, 20182019 is a result of the correction of the foreign exchange rates used to translate the financial position and results of operations of our foreign operations into U.S. dollars.
15

18


Baxter International Inc.
Condensed Consolidated Statement of Changes in Equity
(in millions)
For the Three Months Ended September 30, 2018
Baxter International Inc. stockholders' equity  
Common stock shares  Common stock  Common stock shares in treasury  Common stock in treasury  Additional contributed capital  Retained earningsAccumulated other comprehensive income (loss) Total Baxter stockholders' equityNoncontrolling interests  Total equity
As previously reported
Balance as of July 1, 2018683  $683  148  $(8,485) $5,916  $14,966  $(4,199) $8,881  $(12) $8,869  
Net income—  —  —  —  —  544  —  $544  —  $544  
Other comprehensive income (loss)—  —  —  —  —  —  (40) (40) —  (40) 
Purchases of treasury stock—  —   (247) —  —  —  (247) —  (247) 
Stock issued under employee benefit plans and other—  —  (2) 93  15  (14) —  94  —  94  
Dividends declared on common stock—  —  —  —  —  (102) —  (102) —  (102) 
Changes in noncontrolling interests—  —  —  —  —  —  —  —  (5) (5) 
Balance as of September 30, 2018683  $683  150  $(8,639) $5,931  $15,394  $(4,239) $9,130  $(17) $9,113  
Restatement impacts
Balance as of July 1, 2018—  $—  —  $—  $—  $(482) $443  $(39) $—  $(39) 
Net income—  —  —  —  —  (26) —  (26) —  (26) 
Other comprehensive income (loss)—  —  —  —  —  —  42  42  —  42  
Balance as of September 30, 2018—  $—  —  $—  $—  $(508) $485  $(23) $—  $(23) 
As restated
Balance as of July 1, 2018683  $683  148  $(8,485) $5,916  $14,484  $(3,756) $8,842  $(12) $8,830  
Net income—  —  —  —  —  518  —  518  —  518  
Other comprehensive income (loss)—  —  —  —  —  —    —   
Purchases of treasury stock—  —   (247) —  —  —  (247) —  (247) 
Stock issued under employee benefit plans and other—  —  (2) 93  15  (14) —  94  —  94  
Dividends declared on common stock—  —  —  —  —  (102) —  (102) —  (102) 
Changes in noncontrolling interests—  —  —  —  —  —  —  —  (5) (5) 
Balance as of September 30, 2018683  $683  150  $(8,639) $5,931  $14,886  $(3,754) $9,107  $(17) $9,090  

Baxter International Inc.
Condensed Consolidated Statement of Changes in Equity
(in millions)
For the Three Months Ended June 30, 2019
Baxter International Inc. stockholders' equity
Common stock sharesCommon stockCommon stock shares in treasuryCommon stock in treasuryAdditional contributed capitalRetained earningsAccumulated other comprehensive income (loss)Total Baxter stockholders' equityNoncontrolling interestsTotal equity
As previously reported
Balance as of April 1, 2019683  $683  173  $(10,284) $5,839  $15,970  $(4,562) $7,646  $23  $7,669  
Net income—  —  —  —  —  343  —  343  —  343  
Other comprehensive income (loss)—  —  —  —  —  —  (77) (77) —  (77) 
Purchases of treasury stock—  —   (157) 46  —  —  (111) —  (111) 
Stock issued under employee benefit plans and other—  —  (2) 119  21  (17) —  123  —  123  
Dividends declared on common stock—  —  —  —  —  (112) —  (112) —  (112) 
Changes in noncontrolling interests—  —  —  —  —  —  —  —    
Balance as of June 30, 2019683  $683  173  $(10,322) $5,906  $16,184  $(4,639) $7,812  $24  $7,836  
Restatement impacts
Balance as of April 1, 2019—  $—  —  $—  $—  $(556) $480  $(76) $—  $(76) 
Net income—  —  —  —  —  (30) —  (30) —  (30) 
Other comprehensive income (loss)—  —  —  —  —  —  73  73  —  73  
Balance as of June 30, 2019—  $—  —  $—  $—  $(586) $553  $(33) $—  $(33) 
As restated
Balance as of April 1, 2019683  $683  173  $(10,284) $5,839  $15,414  $(4,082) $7,570  $23  $7,593  
Net income—  —  —  —  313  —  313  —  313  
Other comprehensive income (loss)—  —  —  —  —  —  (4) (4) —  (4) 
Purchases of treasury stock—  —   (157) 46  —  —  (111) —  (111) 
Stock issued under employee benefit plans and other—  —  (2) 119  21  (17) —  123  —  123  
Dividends declared on common stock—  —  —  —  —  (112) (112) —  (112) 
Changes in noncontrolling interests—  —  —  —  —  —  —  —    
Balance as of June 30, 2019683  $683  173  $(10,322) $5,906  $15,598  $(4,086) $7,779  $24  $7,803  
See descriptions of the net income and other comprehensive income impacts in the condensed consolidated statement of income and condensed consolidated statement of comprehensive income for the three months ended SeptemberJune 30, 20182019 sections above.

1916


Baxter International Inc.
Condensed Consolidated Statement of Changes in Equity
(in millions)
For the Nine Months Ended September 30, 2018
Baxter International Inc. stockholders' equity  
Common stock shares  Common stock  Common stock shares in treasury  Common stock in treasury  Additional contributed capital  Retained earningsAccumulated other comprehensive income (loss) Total Baxter stockholders' equityNoncontrolling interests  Total equity
As previously reported
Balance as of January 1, 2018683  $683  142  $(7,981) $5,940  $14,483  $(4,001) $9,124  $(8) $9,116  
Adoption of new accounting standards—  —  —  —  —  (16) (3) $(19) —  $(19) 
Net income—  —  —  —  —  1,276  —  $1,276  —  $1,276  
Other comprehensive income (loss)—  —  —  —  —  —  (235) (235) —  (235) 
Purchases of treasury stock—  —  15  (1,028) —  —  —  (1,028) —  (1,028) 
Stock issued under employee benefit plans and other—  —  (7) 370  (9) (59) —  302  —  302  
Dividends declared on common stock—  —  —  —  —  (290) —  (290) —  (290) 
Other changes in noncontrolling interests—  —  —  —  —  —  —  —  (9) (9) 
Balance as of September 30, 2018683  $683  150  $(8,639) $5,931  $15,394  $(4,239) $9,130  $(17) $9,113  
Restatement impacts
Balance as of January 1, 2018—  $—  —  $—  $—  $(469) $462  $(7) $—  $(7) 
Adoption of new accounting standards—  —  —  —  —  (4) —  (4) —  (4) 
Net income—  —  —  —  —  (35) —  (35) —  (35) 
Other comprehensive income (loss)—  —  —  —  —  —  23  23  —  23  
Balance as of September 30, 2018—  $—  —  $—  $—  $(508) $485  $(23) $—  $(23) 
As restated
Balance as of January 1, 2018683  $683  142  $(7,981) $5,940  $14,014  $(3,539) $9,117  $(8) $9,109  
Adoption of new accounting standards—  —  —  —  —  (20) (3) (23) —  (23) 
Net income—  —  —  —  —  1,241  —  1,241  —  1,241  
Other comprehensive income (loss)—  —  —  —  —  —  (212) (212) —  (212) 
Purchases of treasury stock—  —  15  (1,028) —  —  —  (1,028) —  (1,028) 
Stock issued under employee benefit plans and other—  —  (7) 370  (9) (59) —  302  —  302  
Dividends declared on common stock—  —  —  —  —  (290) —  (290) —  (290) 
Other changes in noncontrolling interests—  —  —  —  —  —  —  —  (9) (9) 
Balance as of September 30, 2018683  $683  150  $(8,639) $5,931  $14,886  $(3,754) $9,107  $(17) $9,090  

Baxter International Inc.
Condensed Consolidated Statement of Changes in Equity
(in millions)
For the Six Months Ended June 30, 2019
Baxter International Inc. stockholders' equity
Common stock sharesCommon stockCommon stock shares in treasuryCommon stock in treasuryAdditional contributed capitalRetained earningsAccumulated other comprehensive income (loss)Total Baxter stockholders' equityNoncontrolling interestsTotal equity
As previously reported
Balance as of January 1, 2019683  $683  170  $(9,989) $5,898  $15,626  $(4,424) $7,794  $22  $7,816  
Adoption of new accounting standards—  —  —  —  —  161  (161) —  —  —  
Net income—  —  —  —  —  690  —  690  —  690  
Other comprehensive income (loss)—  —  —  —  —  —  (54) (54) —  (54) 
Purchases of treasury stock—  —  10  (743) 46  —  —  (697) —  (697) 
Stock issued under employee benefit plans and other—  —  (7) 410  (38) (83) —  289  —  289  
Dividends declared on common stock—  —  —  —  —  (210) —  (210) —  (210) 
Changes in noncontrolling interests—  —  —  —  —  —  —  —    
Balance as of June 30, 2019683  $683  173  $(10,322) $5,906  $16,184  $(4,639) $7,812  $24  $7,836  
Restatement impacts
Balance as of January 1, 2019—  $—  —  $—  $—  $(551) $601  $50  $—  $50  
Net income—  —  —  —  —  (35) —  (35) —  (35) 
Other comprehensive income (loss)—  —  —  —  —  —  (48) (48) —  (48) 
Balance as of June 30, 2019—  $—  —  $—  $—  $(586) $553  $(33) $—  $(33) 
As restated
Balance as of January 1, 2019683  $683  170  $(9,989) $5,898  $15,075  $(3,823) $7,844  $22  $7,866  
Adoption of new accounting standards—  —  —  —  —  161  (161) —  —  —  
Net income—  —  —  —  —  655  —  655  —  655  
Other comprehensive income (loss)—  —  —  —  —  —  (102) (102) —  (102) 
Purchases of treasury stock—  —  10  (743) 46  —  —  (697) —  (697) 
Stock issued under employee benefit plans and other—  —  (7) 410  (38) (83) —  289  —  289  
Dividends declared on common stock—  —  —  —  —  (210) —  (210) —  (210) 
Changes in noncontrolling interests—  —  —  —  —  —  —  —    
Balance as of June 30, 2019683  $683  173  $(10,322) $5,906  $15,598  $(4,086) $7,779  $24  $7,803  
The adjustmentadjustments to the January 1, 20182019 retained earnings and accumulated other comprehensive loss represent the cumulative impacts of foreign exchange gains and losses and the translation of our financial position and results of operations for our foreign operations into U.S. dollars for the periods prior to January 1, 2018.2019. Retained earnings also includes the cumulative impacts of equipment leased to customers under operating leases and other miscellaneous adjustments for the periods prior to January 1, 2018.
20


2019.
See descriptions of the net income and other comprehensive income impacts in the condensed consolidated statement of income and condensed consolidated statement of comprehensive income for the ninesix months ended SeptemberJune 30, 20182019 sections above. Additionally, we recorded an adjustment to the opening balance of retained earnings on January 1, 2018 for the adoption of ASU No. 2016-16, which was impacted by our adjustments to equipment leased to customers under operating leases.

2117


Baxter International Inc.
Condensed Consolidated Statement of Cash Flows
(in millions)
For the Nine Months Ended September 30, 2018
As previously reportedRestatement impactsRestatement referenceAs restated
Cash flows from operations
Net income$1,276  $(35) $1,241  
Adjustments to reconcile net income to net cash from operating activities:
Depreciation and amortization594  (8) (c) 586  
Deferred income taxes(284) (7) (c)(g) (291) 
Stock compensation87  —  87  
Net periodic pension benefit and other postretirement costs31  —  31  
Other 17  (d) 23  
Changes in balance sheet items:
Accounts receivable, net(16) —  (16) 
Inventories(226) —  (226) 
Accounts payable and accrued liabilities(31) (1) (b) (32) 
Other(96)  (e) (95) 
Cash flows from operations1,341  (33) 1,308  
Cash flows from investing activities
Capital expenditures(468) 15  (c) (453) 
Acquisitions and investments, net of cash acquired(255) —  (255) 
Other investing activities, net —   
Cash flows from investing activities(715) 15  (700) 
Cash flows from financing activities
Cash dividends on common stock(274) —  (274) 
Proceeds from stock issued under employee benefit plans232  —  232  
Purchases of treasury stock(1,028) —  (1,028) 
Other financing activities, net(25) —  (25) 
Cash flows from financing activities(1,095) —  (1,095) 
Effect of foreign exchange rate changes on cash and cash equivalents(65) 12  (a)(d)(e) (53) 
Increase (decrease) in cash and cash equivalents(534) (6) (540) 
Cash and cash equivalents at beginning of period3,394   (e) 3,403  
Cash and cash equivalents at end of period$2,860  $ (e) $2,863  

Baxter International Inc.
Condensed Consolidated Statement of Cash Flows
(in millions)
For the Six Months Ended June 30, 2019
As previously reportedRestatement impactsRestatement referenceAs restated
Cash flows from operations
Net income$690  $(35) $655  
Adjustments to reconcile net income to net cash from operating activities:
Depreciation and amortization393  (8) (c)(f)385  
Deferred income taxes(55) (8) (c)(f)(63) 
Stock compensation57  —  57  
Net periodic pension benefit and other postretirement costs —   
Intangible asset impairment31  —  31  
Other34  10  (d)44  
Changes in balance sheet items:
Accounts receivable, net(60) —  (60) 
Inventories(91) —  (91) 
Accounts payable and accrued liabilities(303)  (b)(299) 
Other(86) —  (e)(f)(86) 
Cash flows from operations - continuing operations617  (37) 580  
Cash flows from operations - discontinued operations(6) —  (6) 
Cash flows from operations611  (37) 574  
Cash flows from investing activities
Capital expenditures(352) 14  (c)(338) 
Acquisitions, net of cash acquired, and investments(111) —  (111) 
Other investing activities, net —   
Cash flows from investing activities(462) 14  (448) 
Cash flows from financing activities
Issuances of debt1,661  —  1,661  
Cash dividends on common stock(198) —  (198) 
Proceeds from stock issued under employee benefit plans262  —  262  
Purchases of treasury stock(720) —  (720) 
Other financing activities, net(37) —  (37) 
Cash flows from financing activities968  —  968  
Effect of foreign exchange rate changes on cash and cash equivalents(24) 26  (a)(d)(e) 
Increase (decrease) in cash and cash equivalents1,093   1,096  
Cash and cash equivalents at beginning of period1,832   (e)1,838  
Cash and cash equivalents at end of period$2,925  $ (e)$2,934  
2218


The $35 million decrease to net income was driven by the items described above in the condensed consolidated statement of income for the ninesix months ended SeptemberJune 30, 20182019 section.

(a) Foreign Currency Denominated Monetary Assets and Liabilities—The correction of these misstatements resulted in an increase to the effect of foreign exchange rate changes on cash and cash equivalents of $35$33 million for the ninesix months ended SeptemberJune 30, 2018.2019.

(b) Foreign Currency Derivative Contracts—The correction of these misstatements resulted in a decreasean increase to changes in accounts payable and accrued liabilities of $1$4 million for the ninesix months ended SeptemberJune 30, 2019.

(c) Equipment Leased to Customers under Operating Leases—The correction of these misstatements resulted in decreases to depreciation and amortization of $8$7 million, deferred income taxes of $2 million and capital expenditures of $15$14 million for the ninesix months ended SeptemberJune 30, 2018.2019.

(d) Classification of Foreign Currency Gains and Losses in our Consolidated Statements of Cash Flows - Flows—The corrections of these misstatements resulted in a decrease to the effect of foreign exchange rate changes on cash and cash equivalents and an increase to other adjustments to reconcile net income to net cash from operating activities of $17$10 million for the ninesix months ended SeptemberJune 30, 2018.2019.

(e) Translation of the Financial Position and Results of Operations of our Foreign Operations into U.S. Dollars - Dollars—The corrections of these misstatements resulted in an increase in cash and cash equivalents at the beginning of the period of $9$6 million, at the end of the period of $3$9 million and other changes in balance sheet items of $1 million and a decrease to the effect of foreign exchange rate changes on cash and cash equivalents of $6$3 million and a decrease to other changes in balance sheet items of $1 million for the ninesix months ended SeptemberJune 30, 2018.2019.
(g)(f) Other miscellaneous adjustments - adjustments—The correction of these misstatements resulted in a decreasedecreases to depreciation and amortization of $1 million and deferred income taxes of $5$6 million and an increase to other changes in balance sheet items of $1 million for the ninesix months ended SeptemberJune 30, 2018.2019.

3. ACQUISITIONS AND OTHER ARRANGEMENTS
Seprafilm Adhesion Barrier
In the first nine months of 2019, February 2020, we acquired the rights to multiple products for an aggregate purchase price of $166 million. The purchase prices were capitalized primarily as developed-technology intangible assets and we are amortizing the assets over their estimated weighted-average useful lives of 11 years. Net sales related to these products in the first nine months of 2019 were 0t material.
Cheetah Medical, Inc.
On October 25, 2019, we acquired 100% of Cheetah Medical, Inc. (Cheetah) for total upfront cash consideration of $195 million, net of cash acquired, with the potential for additional cash consideration, up to $40 million, based on clinical and commercial milestones for which the acquisition date fair value was $18 million. Cheetah is a leading provider of hemodynamic monitoring technologies. As the acquisition was completed after September 30, 2019, our condensed consolidated financial statements do not include the financial condition or operating results of Cheetah in any of the periods presented herein. The fair value of the potential contingent consideration payments was estimated by applying a probability-weighted expected payment model for the clinical milestone and a Monte Carlo simulation model for the commercial milestone, which were then discounted to present value. The fair value measurements were based on Level 3 inputs. Refer to Note 17 for additional information regarding fair value measurements.
The following table summarizes the fair value of consideration transferred:

(in millions)
Cash consideration transferred$197 
Contingent consideration18 
Total consideration$215 
The following table summarizes the fair values of the assets acquired and liabilities assumed as of the acquisition date:
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(in millions)
Assets acquired and liabilities assumed
Cash$
Accounts receivable, net
Inventories
Prepaid expenses and other current assets
Property, plant and equipment
Goodwill111 
Other intangible assets131 
Operating lease right-of-use assets
Accounts payable and other accrued liabilities(4)
Other non-current liabilities(32)
Total assets acquired and liabilities assumed$215 
We allocated $123 million of the total consideration to the developed product rights with a weighted-average useful life of 15 years and $8 million to customer relationships with a useful life of 13 years. The fair values of the intangible assets were determined using the income approach. The discount rates used to measure the intangible assets were 11.0% for developed product rights and 10.0% for customer relationships. We consider the fair value of the intangible assets to be Level 3 measurements due to the significant estimates and assumptions used by management in establishing the estimated fair values.
The goodwill, which is not deductible for tax purposes, includes the value of potential future technologies as well as the overall strategic benefits provided to our product portfolio and is included primarily in the Americas segment.
Seprafilm Adhesion Barrier
In December 2019, we entered into a definitive agreement to acquire Seprafilm Adhesion Barrier (Seprafilm) from Sanofi. The transaction closed in February 2020 and we paid approximately $345$342 million in cash for the acquired assets, subject to a post-close adjustment.assets. Seprafilm is indicated for use in patients undergoing abdominal or pelvic laparotomy as an adjunct intended to reduce the incidence, extent and severity of postoperative adhesions between the abdominal wall and the underlying viscera such as omentum, small bowel, bladder, and stomach, and between the uterus and surrounding structures such as tubes and ovaries, large bowel, and bladder. AsWe concluded that the acquired assets met the definition of a business and accounted for the transaction as a business combination using the acquisition method of accounting.
The following table summarizes the fair values of the assets acquired as of the acquisition date:
(in millions)
Assets acquired
Inventories$18 
Goodwill28 
Other intangible assets296 
Total assets acquired$342 
In the three months ended June 30, 2020, we made immaterial measurement period adjustments to the acquired assets that had an insignificant impact on our results of operations. The valuation of the assets acquired are preliminary and measurement period adjustments may be recorded in the future as we finalize our fair value estimates. In the three and six months ended June 30, 2020, the results of operations of the acquired business have been included in our condensed consolidated statement of income since the date the business was acquired. The acquisition contributed $23 million and $36 million, respectively, of net sales for the three and six months ended June 30, 2020. Net earnings from the acquisition were not significant during the three and six months ended June 30, 2020 and included acquisition and integration costs, primarily incremental cost of sales relating to inventory fair value step-ups, of $6 million and $15 million, respectively.
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We allocated $286 million and $10 million of the total consideration to the Seprafilm developed product rights and customer relationships with useful lives of 10 and 7 years, respectively. The fair values of the intangible assets were determined using the income approach. The discount rates used to measure the developed product rights and customer relationship intangible assets were 14.8% and 11.0%, respectively. We consider the fair value of the intangible assets to be Level 3 measurements due to the significant estimates and assumptions we used in establishing the estimated fair values.
The goodwill, which is deductible for tax purposes, includes the value of the overall strategic benefits provided to our product portfolio of hemostats and sealants and is included in the Americas and APAC segments.
Other Business Combinations
We completed after Septemberother individually immaterial acquisitions in the six months ended June 30, 2019,2020 for total consideration of $13 million in cash at closing plus aggregate future potential contingent consideration of up to $12 million with an acquisition date fair value of $4 million. The acquisitions primarily resulted in the recognition of goodwill and other intangible assets.
We have not presented pro forma financial information for any of our acquisitions because their results are not material to our condensed consolidated financial statements do not include the financial condition or results of operations of Seprafilm in any of the periods presented herein. We expect that most of the purchase price will be allocated to intangible assets and we are evaluating whether this transaction will be accounted for as an asset acquisition or a business combination.statements.
Other Business Development Activities
In January 2020, we acquired the U.S. rights to an additional product for $60 million. The purchase price will bewas capitalized as a developed-technology intangible asset in the quarter endingended March 31, 2020 and will beis being amortized over its estimated useful life of 11 years.
In the six months ended June 30, 2020, we entered into distribution license arrangements for multiple products that have not yet obtained regulatory approval for upfront cash payments of $22 million. The cash paid was treated as research and development (R&D) expenses on our condensed consolidated statement of income. We could make additional payments of up to $44 million upon the achievement of certain development, regulatory or commercial milestones.
4. SUPPLEMENTAL FINANCIAL INFORMATION
Interest Expense, Net
Three months ended
September 30,
Nine months ended
September 30,
Three months ended
June 30,
Six months ended
June 30,
(in millions)(in millions)2019201820192018(in millions)2020201920202019
Interest expense, net of capitalized interestInterest expense, net of capitalized interest$28  $24  $81  $70  Interest expense, net of capitalized interest$40  $28  $70  $53  
Interest incomeInterest income(15) (13) (30) (36) Interest income(4) (8) (13) (15) 
Interest expense, netInterest expense, net$13  $11  $51  $34  Interest expense, net$36  $20  $57  $38  
Other (Income) Expense, Net
Three months ended
June 30,
Six months ended
June 30,
As RestatedAs Restated
(in millions)2020201920202019
Foreign exchange losses, net$10  $15  $21  $14  
Pension and other postretirement benefit plans(1) (16) (2) (31) 
Other, net(3)  (3) —  
Other (income) expense, net$ $ $16  $(17) 
2420


Other (Income) Expense, Net
Three months ended
September 30,
Nine months ended
September 30,
As RestatedAs Restated
(in millions)2019201820192018
Foreign exchange losses (gains), net$30  $10  $44  $(19) 
Pension and other postretirement benefit plans(17) (13) (48) (39) 
Other, net(4)  (4) 13  
Other (income) expense, net$ $(1) $(8) $(45) 
Inventories
As Restated
(in millions)(in millions)September 30,
2019
December 31,
2018
(in millions)June 30,
2020
December 31,
2019
Raw materialsRaw materials$380  $367  Raw materials$450  $377  
Work in processWork in process194  207  Work in process189  185  
Finished goodsFinished goods1,141  1,093  Finished goods1,266  1,091  
InventoriesInventories$1,715  $1,667  Inventories$1,905  $1,653  
Property, Plant and Equipment, Net
As Restated
(in millions)(in millions)September 30,
2019
December 31,
2018
(in millions)June 30,
2020
December 31,
2019
Property, plant and equipment, at costProperty, plant and equipment, at cost$10,379  $10,333  Property, plant and equipment, at cost$10,683  $10,660  
Accumulated depreciationAccumulated depreciation(5,973) (5,803) Accumulated depreciation(6,301) (6,148) 
Property, plant and equipment, netProperty, plant and equipment, net$4,406  $4,530  Property, plant and equipment, net$4,382  $4,512  
Non-Cash Operating and Investing Activities
Right-of-use operating lease assets obtained in exchange for lease obligations for the six months ended June 30, 2020 and 2019 were $35 million and $140 million, respectively. Right-of-use finance lease assets obtained in exchange for lease obligations for the six months ended June 30, 2020 were $7 million.As of June 30, 2020, we have entered into lease agreements with aggregate future lease payments of approximately $45 million for facilities that have not yet commenced.
Purchases of property, plant and equipment included in accounts payable and accrued liabilities as of SeptemberJune 30, 2020 and 2019 and 2018 was $47$42 million and $62$49 million, respectively.
5. GOODWILL AND OTHER INTANGIBLE ASSETS, NET
Goodwill
The following is a reconciliation of goodwill by business segment.
(in millions)Americas  EMEA  APAC  Total  
Balance as of December 31, 2018 (As Restated)$2,386  $393  $223  $3,002  
Currency translation and other adjustments(121) (23) (11) (155) 
Balance as of September 30, 2019$2,265  $370  $212  $2,847  
(in millions)AmericasEMEAAPACTotal
Balance as of December 31, 2019$2,428  $385  $217  $3,030  
Acquisitions31  —   38  
Currency translation adjustments(13) (2) (1) (16) 
Balance as of June 30, 2020$2,446  $383  $223  $3,052  
As of SeptemberJune 30, 2019,2020, there were no reductions in goodwill relating to impairment losses.
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Other intangible assets, net
The following is a summary of our other intangible assets.
(in millions)(in millions)Developed technology, including patentsOther amortized intangible assetsIndefinite-lived intangible assets
Total
(in millions)Developed technology, including patentsOther amortized intangible assetsIndefinite-lived intangible assets
Total
September 30, 2019
June 30, 2020June 30, 2020
Gross other intangible assetsGross other intangible assets$2,202  $447  $173  $2,822  Gross other intangible assets$2,638  $476  $179  $3,293  
Accumulated amortizationAccumulated amortization(1,188) (269) —  (1,457) Accumulated amortization(1,276) (301) —  (1,577) 
Other intangible assets, netOther intangible assets, net$1,014  $178  $173  $1,365  Other intangible assets, net$1,362  $175  $179  $1,716  
December 31, 2018 (As Restated)
December 31, 2019December 31, 2019
Gross other intangible assetsGross other intangible assets$2,135  $457  $188  $2,780  Gross other intangible assets$2,309  $464  $173  $2,946  
Accumulated amortizationAccumulated amortization(1,117) (253) —  (1,370) Accumulated amortization(1,190) (285) —  (1,475) 
Other intangible assets, netOther intangible assets, net$1,018  $204  $188  $1,410  Other intangible assets, net$1,119  $179  $173  $1,471  
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Intangible asset amortization expense was $48$56 million and $42$45 million for the three months ended SeptemberJune 30, 20192020 and 2018,2019, respectively, and $136$108 million and $127$88 million for the ninesix months ended SeptemberJune 30, 20192020 and 2018,2019, respectively.
In the second quarterquarters of 2020 and 2019, we recognized aimpairment charges of $17 million and $31 million, impairment chargerespectively, related to a developed-technology intangible assetassets due to a decline in market expectations for the related product.products. The fair value of the intangible assetassets was measured using a discounted cash flow approach and the charge ischarges are classified within cost of sales in the accompanying condensed consolidated statementstatements of income for the nine months ended September 30, 2019.income. We consider the fair value of the assetassets to be a Level 3 measurementmeasurements due to the significant estimates and assumptions we used in establishing the estimated fair value.values.

6. FINANCING ARRANGEMENTS
Debt Issuance
In May 2019,March 2020, we issued €750$750 million of 0.40%3.75% senior notes due in May 2024October 2025 and €750$500 million of 1.30%3.95% senior notes due in May 2029. WeApril 2030 (collectively, the senior notes). Pursuant to a registration rights agreement (the Registration Rights Agreement) with the initial purchasers of the senior notes, we agreed to use our commercially reasonable efforts to file a registration statement with respect to a registered offer to exchange the senior notes for new notes with terms substantially identical in all material respects to the senior notes and to have designated these debt instruments as net investment hedgessuch registration statement declared effective under the U.S. Securities Act of our European operations. Refer1933. If we fail to Note 16have such registration statement declared effective by September 17, 2021 (a registration default), the annual interest rate on the senior notes would increase by 0.25% for the 90-day period immediately following such registration default and by an additional information.
Short-term Debt
In0.25% thereafter. The maximum additional interest rate is 0.50% per annum and if a registration default is corrected, the second quartersenior notes would revert to the original interest rates. The payment of 2019, we repaid $795 millionadditional interest is the sole remedy for the holders of commercial paper and other short-term borrowings that were outstanding asthe senior notes in the event of March 31, 2019. NaN commercial paper was outstanding as of September 30, 2019 or December 31, 2018.a registration default.
Credit Facilities
In December 2019, we entered into newAs of June 30, 2020, there were no borrowings outstanding under our U.S. anddollar or Euro-denominated credit facilities. Our U.S. dollar-denominated revolving credit facility has capacity of $2.0 billion and our Euro-denominated senior revolving credit facility has a capacity of €200 million. Each of the facilities matures in 2024. As of December 31, 2019, we had €200 million ($224 million) outstanding under our Euro-denominated credit facility at a 0.91% interest rate and no borrowings outstanding under our U.S. dollar-denominated credit facility. The facilities enable us to borrow funds on an unsecured basis at variable interest rates, and contain various covenants, including a maximum net leverage ratio. Fees under the credit facilities are variable and are based on our credit ratings and the total capacity of the facility. There were no borrowings outstanding under our previous credit facilities as of September 30, 2019 or December 31, 2018.
7. LEASES
Lessee Activity
We have entered into operating and finance leases primarily for office, manufacturing and research and development (R&D) facilities, vehicles and equipment. Our leases have remaining terms from one to 16 years and some of those
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leases include options that provide us with the ability to extend the lease term for periods ranging from one to 12 years. Such options are included in the lease term when it is reasonably certain that the option will be exercised.
Certain of our leases include provisions for variable lease payments which are based on, but not limited to, maintenance, insurance, taxes, index escalations and usage-based amounts. For all asset classes, we have elected to apply a practical expedient to account for other services within lease contracts as components of the lease. We also have elected to apply a practical expedient for short-term leases whereby we do not recognize a lease liability and right-of-use asset for leases with a term of less than 12 months.
We classify our leases as operating or finance at the lease commencement date. Finance leases are generally those leases for which we will pay substantially all of the underlying asset’s fair value or will use the asset for all or a major part of its economic life, including circumstances in which we will ultimately own the asset. All other leases are operating leases. For finance leases, we recognize interest expense using the effective interest method and we recognize amortization expense on the right-of-use asset over the shorter of the lease term or the useful life of the asset. For operating leases, we recognize lease cost on a straight-line basis over the term of the lease.
Lease liabilities and right-of-use assets are recognized at the lease commencement date based on the present value of minimum lease payments over the lease term. We determine the present value of payments under a lease based on our incremental borrowing rate as of the lease commencement date. The incremental borrowing rate is equal to the rate of interest that we would have to pay to borrow on a collateralized basis over a similar term in an amount equal to the lease payments in a similar economic environment. For operating leases that commenced prior to our adoption of Topic 842, we measured the lease liabilities and right-of-use assets using our incremental borrowing rate as of January 1, 2019.
The components of lease cost for the three and nine months ended September 30, 2019 were:
(in millions)Three months ended September 30, 2019Nine months ended
September 30, 2019
Operating lease cost$30  $90  
Finance lease cost
Amortization of right-of-use assets  
Interest on lease liabilities  
Variable lease cost24  68  
Lease cost$58  $166  
The following table contains supplemental cash flow information related to leases for the nine months ended September 30, 2019:
(in millions)Nine months ended
September 30, 2019
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$89 
Operating cash flows from finance leases
Financing cash flows from finance leases
Right-of-use operating lease assets obtained in exchange for lease obligations164 
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There were no material lease transactions that we entered into but have not yet commenced as of September 30, 2019. Supplemental balance sheet information related to leases as of September 30, 2019 includes:
(in millions)September 30, 2019
Operating leases
Operating lease right-of-use assets$589 
Accounts payable and accrued liabilities$98 
Operating lease liabilities494 
Total operating lease liabilities$592 
Finance leases
Property, plant and equipment, at cost$65 
Accumulated depreciation(19)
Property, plant and equipment, net$46 
Current maturities of long-term debt and finance lease obligations$— 
Long-term debt and finance lease obligations53 
Total finance lease liabilities$53 
Lease term and discount rates as of September 30, 2019 were:
September 30, 2019
Weighted-average remaining lease term (years)
Operating leases10
Finance leases15
Weighted-average discount rate
Operating leases2.8 %
Finance leases10.5 %
Maturities of operating and finance lease liabilities as of September 30, 2019 were:
(in millions)Finance LeasesOperating Leases
2019$ $30  
2020 104  
2021 88  
2022 74  
2023 62  
Thereafter83  308  
Total minimum lease payments112  666  
Less: imputed interest(59) (74) 
Present value of lease liabilities$53  $592  
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Future minimum lease payments as of December 31, 2018 were:
As Restated
(in millions)Capital LeasesOperating Leases
2019$ $123  
2020 94  
2021 86  
2022 72  
2023 64  
Thereafter88  212  
Total minimum lease payments124  $651  
Less: imputed interest(62) 
Present value of lease liabilities$62  
Lessor Activity
We lease medical equipment, such as renal dialysis equipment and infusion pumps, to customers, primarily in conjunction with arrangements to provide consumable medical products such as dialysis therapies, intravenous (IV) fluids and inhaled anesthetics. Certain of our equipment leases are classified as sales-type leases and the remainder are operating leases. The terms of the related contracts, including the proportion of fixed versus variable payments and any options to shorten or extend the lease term, vary by customer. We allocate revenue between equipment leases and medical products based on their standalone selling prices.
The components of lease revenue for the three and nine months ended September 30, 2019 were:
(in millions)Three months ended September 30, 2019Nine months ended September 30, 2019
Sales-type lease revenue$ $14  
Operating lease revenue16  46  
Variable lease revenue23  65  
Total lease revenue$42  $125  
The components of our net investment in sales-type leases as of September 30, 2019 were:
(in millions)September 30, 2019
Minimum lease payments$83 
Unguaranteed residual values11 
Net investment in leases$94 
Our net investment in sales-type leases is classified as follows in the accompanying condensed consolidated balance sheets:
(in millions)September 30, 2019
Accounts receivable, net$36 
Other non-current assets58 
Total$94 
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Maturities of sales-type and operating leases as of September 30, 2019 were:
(in millions)Sales-type LeasesOperating Leases
2019$10  $15  
202031  61  
202125  61  
202217  58  
2023 27  
Thereafter  
Total minimum lease payments95  $227  
Less: imputed interest(12) 
Present value of minimum lease payments$83  

8. COMMITMENTS AND CONTINGENCIES
We are involved in product liability, patent, commercial, and other legal matters that arise in the normal course of our business. We record a liability when a loss is considered probable and the amount can be reasonably estimated. If the reasonable estimate of a probable loss is a range, and no amount within the range is a better estimate, the minimum amount in the range is accrued. If a loss is not probable or a probable loss cannot be reasonably estimated, no liability is recorded. As of SeptemberJune 30, 20192020 and December 31, 2018,2019, our total recorded reserves with respect to legal and environmental matters were $55$45 million and $46$56 million, respectively, and there were 0 related receivables.
We have established reserves for certain of the matters discussed below. We are not able to estimate the amount or range of any loss for certain contingencies for which there is no reserve or additional loss for matters already reserved. While our liability in connection with these claims cannot be estimated and the resolution thereof in any reporting period could have a significant impact on our results of operations and cash flows for that period, the outcome of these legal proceedings is not expected to have a material adverse effect on our consolidated financial position. While we believe that we have valid defenses in the matters set forth below, litigation is inherently uncertain, excessive verdicts do occur, and we may incur material judgments or enter into material settlements of claims.
In addition to the matters described below, we remain subject to the risk of future administrative and legal actions. With respect to governmental and regulatory matters, these actions may lead to product recalls, injunctions, and other restrictions on our operations and monetary sanctions, including significant civil or criminal penalties. With respect to intellectual property, we may be exposed to significant litigation concerning the scope of our and others’ rights. Such litigation could result in a loss of patent protection or the ability to market products, which could lead to a significant loss of sales, or otherwise materially affect future results of operations.
Environmental
We are involved as a potentially responsible party (PRP) for environmental clean-up costs at 6 Superfund sites. Under the U.S. Superfund statute and many state laws, generators of hazardous waste sent to a disposal or recycling
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site are liable for site cleanup if contaminants from that property later leak into the environment. The laws generally provide that a PRP may be held jointly and severally liable for the costs of investigating and remediating the site. Separate from the Superfund cases noted above, we are involved in an ongoing voluntary environmental remediation associated with historic operations at our Irvine, California, United States facility. As of SeptemberJune 30, 20192020 and December 31, 2018,2019, our environmental reserves, which are measured on an undiscounted basis, were $19$18 million. After considering these reserves, management is of the opinion that the outcome of these matters willis not expected to have a material adverse effect on our financial position or results of operations.
General Litigation
In November 2016, a purportedputative antitrust class action complaint seeking monetary and injunctive relief was filed in the United States District Court for the Northern District of Illinois. The complaint alleges a conspiracy among manufacturers of IV solutions to restrict output and affect pricing in connection with a shortage of such solutions. Similar parallel actions subsequently were filed. In January 2017, a single consolidated complaint covering these matters was filed in the Northern District of Illinois. We filed a motion to dismiss the consolidated complaint in
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February 2017. The court granted our motion to dismiss the consolidated complaint without prejudice in July 2018. The plaintiffs filed an amended complaint, which we moved to dismiss on September 6,November 9, 2018. We filed aThe court granted our motion to dismiss the amended complaint with prejudice on November 9, 2018.April 3, 2020. The plaintiffs did not file an appeal.
In April 2017, we became aware of a criminal investigation by the U.S. Department of Justice (DOJ), Antitrust Division and a federal grand jury in the United States District Court for the Eastern District of Pennsylvania. We and an employee received subpoenas seeking production of documents and testimony regarding the manufacturing, selling, pricing and shortages of IV solutions and containers (including saline solutions and certain other injectable medicines sold by us) and communications with competitors regarding the same. On November 30, 2018, the DOJ notified us that it had closed the investigation. The New York Attorney General has also requested that we provide information regarding business practices in the IV saline industry. We are cooperatinghave cooperated with the New York Attorney General.
In August 2019, we were named in an amended complaint filed by Fayette County, Georgia in the MDL In re: National Prescription Opiate Litigation pending in the U.S. District Court, Northern District of Ohio. The complaint alleges that multiple manufacturers and distributors of opiate products improperly marketed and diverted these products, which caused harm to Fayette County. The complaint is limited in its allegations as to Baxter and does not distinguish between injectable opiate products and orally administered opiates. We manufactured generic injectable opiate products in our facility in Cherry Hill, NJ, which we divested in 2011.
In November 2019, we and certain of our officers were named in a class action complaint captioned Ethan E. Silverman et al. v. Baxter International Inc. et al. that was filed in the United States District Court for the Northern District of Illinois. The plaintiff, who allegedly purchased shares of our common stock during the specified class period, filed this putative class action on behalf of himself and shareholders who acquired Baxter common stock between February 21, 2019 and October 23, 2019. The plaintiff alleges that we and certain officers violated Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 and Rule 10b-5 promulgated thereunder by making allegedly false and misleading statements and failing to disclose material facts relating to certain intra-company transactions undertaken for the purpose of generating foreign exchange gains or avoiding foreign exchange losses, as well as our internal controls over financial reporting. On January 29, 2020, the Court appointed Varma Mutual Pension Insurance Company and Louisiana Municipal Police Employees Retirement System as lead plaintiffs in the case. Plaintiffs filed an amended complaint on June 25, 2020 containing substantially the same allegations. In addition, we have received a stockholder request for inspection of our books and records in connection with the announcement made in our Form 8-K on October 24, 2019 that we had commenced an internal investigation into certain intra-company transactions that impacted our previously reported non-operating foreign exchange gains and losses. As initially disclosed on October 24, 2019, we also voluntarily advised the staff of the SEC of our previously disclosed internal investigation and we are continuing to cooperate with the staff of the SEC.
In March 2020, two lawsuits were filed against us in the Northern District of Illinois by plaintiffs alleging injuries as a result of exposure to ethylene oxide used in our manufacturing facility in Mountain Home, Arkansas to sterilize certain of our products. The plaintiffs seek damages, including compensatory and punitive damages in an unspecified amount, and unspecified injunctive and declaratory relief.
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Other
As previously disclosed, in 2008 we recalled our heparin sodium injection products in the United States. Following the recall, more than 1,000 lawsuits alleging that plaintiffs suffered various reactions to a heparin contaminant, in some cases resulting in fatalities, were filed. In January 2019, the last of these cases was settled. In the first nine monthshalf of 2019, following the resolution of an insurance dispute, we received cash proceeds of $39$35 million for our allocation of the insurance proceeds under a settlement and cost-sharing agreement related to the defense of the heparin product liability cases. We recognized a $37$33 million gain in connection with the resolution of the dispute with the insurer that is classified within other operating income, net on the condensed consolidated statement of income for the ninesix months ended SeptemberJune 30, 2019.
8. STOCKHOLDERS’ EQUITY
Stock Options Award Modification
In September 2017, Hurricane Maria caused damagethe first quarter of 2020, we modified the terms of stock option awards granted to 123 employees. Specifically, we extended the term for certain stock options that were scheduled to expire in the first quarter of 2020 as applicable employees were not permitted to exercise these awards due to our assetsannouncement in Puerto Rico and disrupted operations.February 2020 that our previously issued financial statements should no longer be relied upon. The stock options were extended in order to allow impacted employees to exercise their stock option awards for a brief period once we became current with our SEC reporting obligations, which occurred in March 2020. As previously disclosed,a result of the modifications, we realized $42recognized an additional $8 million of insurance recoveries in 2018 related to the damages and losses from that hurricane. In July 2019, an additional $40 million of claims were approved by our insurers and a gain was recognized within other operating income, net on the condensed consolidated statements of income forstock compensation expense during the three and nine months ended September 30, 2019. In October 2019, an additional $60 million of claims were approved by our insurers and a gain for that amount will be recognized within other operating income, net in the fourth quarter of 2019. No further insurance recoveries are expected.
March 31,


9. STOCKHOLDERS’ EQUITY 2020.
Cash Dividends
Cash dividends declared per share for the three and ninesix months ended SeptemberJune 30, 20192020 were $0.22$0.245 and $0.63,$0.465, respectively. Cash dividends declared per share for the three and ninesix months ended SeptemberJune 30, 20182019 were $0.19$0.22 and $0.54,$0.41, respectively.
Stock Repurchase Programs
In July 2012, the Board of Directors authorized the repurchase of up to $2.0 billion of our common stock. The Board of Directors increased this authority by an additional $1.5 billion in each of November 2016 and February 2018 and by an additional $2.0 billion in November 2018. During the first nine monthshalf of 2020, we did not repurchase any shares under this authority. During the first half of 2019, we repurchased 13.59.5 million shares under this authority pursuant to Rule 10b5-1 plans and otherwise. As of September 30, 2019, we recognized a liability within accounts payable and accrued liabilities of $37 million for share repurchases that settled in early October 2019. During the first nine months of 2018, we repurchased 14.9 million shares pursuant to Rule 10b5-1 plans. We had $1.1 billion$897 million remaining available under the authorization as of SeptemberJune 30, 2019.
In December 2018, we entered into a $300 million accelerated share repurchase agreement (ASR Agreement) with an investment bank. We funded the ASR Agreement with available cash. The ASR Agreement was executed pursuant to the 2012 Repurchase Authorization described above. Under the ASR Agreement, we received 3.6 million shares upon execution. Based on the volume-weighted average price of our common stock during the term of the ASR Agreement, we received an additional 0.6 million shares from the investment bank at settlement on May 7, 2019.2020.
10.9. ACCUMULATED OTHER COMPREHENSIVE INCOME
Comprehensive income includes all changes in stockholders’ equity that do not arise from transactions with stockholders, and consists of net income, currency translation adjustments (CTA), certain gains and losses from pension and other postretirement employee benefit (OPEB) plans and gains and losses on cash flow hedges and, prior to 2018, unrealized gains and losses on available-for-sale equity securities. As a result of changes in accounting guidance related to available-for-sale equity securities, the unrealized gains and losses associated with these assets are no longer recognized in AOCI beginning January 1, 2018. hedges.
The following table is a net-of-tax summary of the changes in AOCI by component for the ninesix months ended SeptemberJune 30, 20192020 and 2018.2019.
(in millions)(in millions)CTAPension and OPEB plansHedging activitiesTotal(in millions)CTAPension and OPEB plansHedging activitiesTotal
Gains (losses)Gains (losses)Gains (losses)
Balance as of December 31, 2018 (as restated)$(2,868) $(954) $(1) $(3,823) 
Adoption of new accounting standard (169) (1) (161) 
Balance as of December 31, 2019Balance as of December 31, 2019$(2,954) $(715) $(41) $(3,710) 
Other comprehensive income (loss) before reclassificationsOther comprehensive income (loss) before reclassifications(272) 20  (66) (318) Other comprehensive income (loss) before reclassifications(170)  (131) (299) 
Amounts reclassified from AOCI (a)Amounts reclassified from AOCI (a)—  17  (3) 14  Amounts reclassified from AOCI (a)—  24  (3) 21  
Net other comprehensive income (loss)(272) 37  (69) (304) 
Balance as of September 30, 2019$(3,131) $(1,086) $(71) $(4,288) 
Net other comprehensive (loss) incomeNet other comprehensive (loss) income(170) 26  (134) (278) 
Balance as of June 30, 2020Balance as of June 30, 2020$(3,124) $(689) $(175) $(3,988) 

As Restated  
(in millions)CTA  Pension and OPEB plans  Hedging activities  Available- for-sale- equity securities  Total  
Gains (losses)
Balance as of December 31, 2017$(2,545) $(987) $(10) $ $(3,539) 
Adoption of new accounting standard—  —  —  (3) (3) 
Other comprehensive income (loss) before
reclassifications
(314) 50   —  (263) 
Amounts reclassified from AOCI (a)—  44   —  51  
Net other comprehensive income (loss)(314) 94   —  (212) 
Balance as of September 30, 2018$(2,859) $(893) $(2) $—  $(3,754) 
3224


As Restated
(in millions)CTAPension and OPEB plansHedging activitiesTotal
Gains (losses)
Balance as of December 31, 2018$(2,868) $(954) $(1) $(3,823) 
Adoption of new accounting standard (169) (1) (161) 
Other comprehensive income (loss) before
reclassifications
(95)  (26) (114) 
Amounts reclassified from AOCI (a)—  13  (1) 12  
Net other comprehensive (loss) income(95) 20  (27) (102) 
Balance as of June 30, 2019$(2,954) $(1,103) $(29) $(4,086) 
(a) See table below for details about these reclassifications.
The following is a summary of the amounts reclassified from AOCI to net income during the three and ninesix months ended SeptemberJune 30, 20192020 and 2018.2019.
Amounts reclassified from AOCI (a)Amounts reclassified from AOCI (a)
(in millions)(in millions)Three months ended September 30, 2019Nine months ended September 30, 2019Location of impact in income statement(in millions)Three months ended June 30, 2020Six months ended June 30, 2020Location of impact in income statement
Amortization of pension and OPEB itemsAmortization of pension and OPEB itemsAmortization of pension and OPEB items
Amortization of net losses and prior service costs or creditsAmortization of net losses and prior service costs or credits$(8) $(23) Other income, netAmortization of net losses and prior service costs or credits$(15) $(30) Other (income) expense, net
Less: Tax effectLess: Tax effect  Income tax expenseLess: Tax effect  Income tax expense
$(4) $(17) Net of tax$(12) $(24) Net of tax
Gains on hedging activitiesGains on hedging activitiesGains on hedging activities
Foreign exchange contractsForeign exchange contracts$ $ Cost of salesForeign exchange contracts$ $ Cost of sales
Less: Tax effectLess: Tax effect—  —  Income tax expenseLess: Tax effect(1) (1) Income tax expense
$ $ Net of tax$ $ Net of tax
Total reclassifications for the periodTotal reclassifications for the period$(2) $(14) Total net of taxTotal reclassifications for the period$(8) $(21) Total net of tax

Amounts reclassified from AOCI (a)Amounts reclassified from AOCI (a)
(in millions)(in millions)Three months ended September 30, 2018Nine months ended September 30, 2018Location of impact in income statement(in millions)Three months ended June 30, 2019Six months ended June 30, 2019Location of impact in income statement
Amortization of pension and OPEB itemsAmortization of pension and OPEB itemsAmortization of pension and OPEB items
Amortization of net losses and prior service costs or creditsAmortization of net losses and prior service costs or credits$(18) $(54) Other income, netAmortization of net losses and prior service costs or credits$(7) $(15) Other (income) expense, net
Less: Tax effectLess: Tax effect 10  Income tax expenseLess: Tax effect  Income tax expense
$(14) $(44) Net of tax$(6) $(13) Net of tax
Losses on hedging activities
Gains on hedging activitiesGains on hedging activities
Foreign exchange contractsForeign exchange contracts$(1) $(11) Cost of salesForeign exchange contracts$ $ Cost of sales
Less: Tax effectLess: Tax effect  Income tax expenseLess: Tax effect—  —  Income tax expense
$—  $(7) Net of tax$ $ Net of tax
Total reclassifications for the periodTotal reclassifications for the period$(14) $(51) Total net of taxTotal reclassifications for the period$(5) $(12) Total net of tax

(a) Amounts in parentheses indicate reductions to net income.
Refer to Note 1312 for additional information regarding the amortization of pension and OPEB items and Note 1615 for additional information regarding hedging activity.
25
11.


10. REVENUES
Revenue is measured as the amount of consideration we expect to receive in exchange for transferring goods or providing services. A performance obligation is a promise in a contract to transfer a distinct good or service to the customer, and is the unit of account in the contract. A contract’s transaction price is allocated to each distinct performance obligation and recognized as revenue when, or as, the performance obligation is satisfied. Some of our contracts have multiple performance obligations. For contracts with multiple performance obligations, we allocate the contract’s transaction price to each performance obligation using our best estimate of the standalone selling price of each distinct good or service in the contract. Our global payment terms are typically between 30-90 days.
The majority of our performance obligations are satisfied at a point in time. This includes sales of our broad portfolio of essential healthcare products across our geographic segments including acute and chronic dialysis therapies; sterile IV solutions; infusion systems and devices; parenteral nutrition therapies; inhaled anesthetics; generic injectable pharmaceuticals; and surgical hemostat and sealant products. For a majority of these sales, our performance obligation is satisfied upon delivery to the customer. Shipping and handling activities are considered to be fulfillment activities and are not considered to be a separate performance obligation.
33


To a lesser extent, in all of our segments, we enter into other types of contracts including contract manufacturing arrangements, equipment leases, and certain subscription software and licensing arrangements. We recognize revenue for these arrangements over time or at a point in time depending on our evaluation of when the customer obtains control of the promised goods or services. Revenue is recognized over time when we are creating or enhancing an asset that the customer controls as the asset is created or enhanced or our performance does not create an asset with an alternative use and we have an enforceable right to payment for performance completed.
On SeptemberJune 30, 2019,2020, we had $9.0$8.0 billion of transaction price allocated to remaining performance obligations related to executed contracts with an original duration of one year or more, which are primarily included in the Americas segment. Some contracts in the United States included in this amount contain index-dependent price increases, which are not known at this time. We expect to recognize approximately 5%15% of this amount as revenue over the remainder of 2019, 20%2020, 25% in each year between 2020of 2021 and 2022, 15% in 2023 and 10% in each of 2023 and 2024 and the remaining balance thereafter.2025.
Significant Judgments
Revenues from product sales are recorded at the net sales price (transaction price), which includes estimates of variable consideration related to rebates, product returns, sales discounts and wholesaler chargebacks. These reserves are based on estimates of the amounts earned or to be claimed on the related sales and are included in accounts receivable, net and accounts payable and accrued liabilities on the condensed consolidated balance sheets. Management's estimates take into consideration historical experience, current contractual and statutory requirements, specific known market events and trends, industry data, and forecasted customer buying and payment patterns. Overall, these reserves reflect our best estimates of the amount of consideration to which we are entitled based on the terms of the contract using the expected value method. The amount of variable consideration included in the net sales price is limited to the amount thatfor which it is probable not to result inthat a significant reversal in revenue will not occur when the amount of the cumulative revenue recognized in a future period.related uncertainty is resolved. Revenue recognized during the three and ninesix months ended SeptemberJune 30, 20192020 and 20182019 related to performance obligations satisfied in prior periods was not material.
Contract Balances
The timing of revenue recognition, billings and cash collections results in the recognition of trade accounts receivable, unbilled receivables, contract assets and customer advances and deposits (contract liabilities) on our condensed consolidated balance sheets. Net trade accounts receivable was $1.7 billion and $1.8 billion as of SeptemberJune 30, 20192020 and December 31, 2018,2019, respectively.
For contract manufacturing arrangements, revenue is primarily recognized throughout the production cycle, which typically lasts up to 90 days, resulting in the recognition of contract assets until the related services are completed and the customers are billed. Additionally, for arrangements containing a performance obligation to deliver software that can be used with medical devices, we recognize revenue upon delivery of the software, which results in the recognition of contract assets when customers are billed over time, generally over one to five years. For bundled contracts involving equipment delivered up-front and consumable medical products to be delivered over time, total contract revenue is allocated between the equipment and consumable medical products. In certain of those arrangements, a contract asset is created for the difference between the amount of equipment revenue recognized upon delivery and the amount of consideration initially receivable from the customer. In those arrangements, the
26


contract asset becomes a trade account receivable as consumable medical products are provided and billed, generally over one to seven years. Our contract asset balances totaled $109$138 million as of SeptemberJune 30, 2019,2020, of which $31$30 million related to contract manufacturing services, $39$59 million related to software sales and $39$49 million related to bundled equipment and consumable medical products contracts. Our contract asset balances totaled $80$131 million as of December 31, 2018,2019, of which $33$36 million related to contract manufacturing services, and $47$43 million related to software sales.sales and $52 million related to bundled equipment and consumable medical products contracts. Contract assets are presented within accounts receivable, net ($6374 million and $50$63 million as of SeptemberJune 30, 20192020 and December 31, 2018,2019, respectively) and other non-current assets ($4664 million and $30$68 million as of SeptemberJune 30, 20192020 and December 31, 2018,2019, respectively) in the accompanying condensed consolidated balance sheets. Contract liabilities as of SeptemberJune 30, 20192020 and December 31, 20182019 were not significant.$58 million and $12 million, respectively, and were included in accounts payable and other accrued liabilities ($31 million as of June 30, 2020) and other non-current liabilities ($27 million and $12 million as of June 30, 2020 and December 31, 2019, respectively) in the accompanying condensed consolidated balance sheets.
34


Disaggregation of Net Sales
The following tables disaggregate our net sales from contracts with customers by Global Business Unit (GBU) between the U.S. and international:
Three months ended September 30,Three months ended June 30,
As Restated  As Restated
2019201820202019
(in millions)(in millions)U.S.  International  Total  U.S.  International  Total  (in millions)U.S.InternationalTotalU.S.InternationalTotal
Renal Care 1
Renal Care 1
$199  $719  $918  $209  $698  $907  
Renal Care 1
$209  $710  $919  $196  $711  $907  
Medication Delivery 2
Medication Delivery 2
461  240  701  418  234  652  
Medication Delivery 2
401  211  612  441  248  689  
Pharmaceuticals 3
Pharmaceuticals 3
223  304  527  240  278  518  
Pharmaceuticals 3
212  273  485  235  303  538  
Clinical Nutrition 4
Clinical Nutrition 4
80  139  219  80  137  217  
Clinical Nutrition 4
78  141  219  79  136  215  
Advanced Surgery 5
Advanced Surgery 5
134  82  216  122  77  199  
Advanced Surgery 5
94  74  168  143  88  231  
Acute Therapies 6
Acute Therapies 6
44  86  130  41  81  122  
Acute Therapies 6
72  114  186  44  88  132  
Other 7
Other 7
83  57  140  84  62  146  
Other 7
61  68  129  55  67  122  
Total BaxterTotal Baxter$1,224  $1,627  $2,851  $1,194  $1,567  $2,761  Total Baxter$1,127  $1,591  $2,718  $1,193  $1,641  $2,834  

Nine months ended September 30,Six months ended June 30,
As RestatedAs Restated
2019201820202019
(in millions)(in millions)U.S.InternationalTotalU.S.InternationalTotal(in millions)U.S.InternationalTotalU.S.InternationalTotal
Renal Care 1
Renal Care 1
$587  $2,092  $2,679  $609  $2,091  $2,700  
Renal Care 1
$413  $1,376  $1,789  $388  $1,373  $1,761  
Medication Delivery 2
Medication Delivery 2
1,308  716  2,024  1,280  726  2,006  
Medication Delivery 2
862  440  1,302  847  476  1,323  
Pharmaceuticals 3
Pharmaceuticals 3
690  885  1,575  745  803  1,548  
Pharmaceuticals 3
443  569  1,012  467  581  1,048  
Clinical Nutrition 4
Clinical Nutrition 4
236  403  639  243  417  660  
Clinical Nutrition 4
160  279  439  156  264  420  
Advanced Surgery 5
Advanced Surgery 5
397  249  646  339  246  585  
Advanced Surgery 5
231  161  392  263  167  430  
Acute Therapies 6
Acute Therapies 6
136  255  391  129  250  379  
Acute Therapies 6
132  210  342  92  169  261  
Other 7
Other 7
183  186  369  206  182  388  
Other 7
103  141  244  100  129  229  
Total BaxterTotal Baxter$3,537  $4,786  $8,323  $3,551  $4,715  $8,266  Total Baxter$2,344  $3,176  $5,520  $2,313  $3,159  $5,472  

1Renal Care includes sales of our peritoneal dialysis (PD), hemodialysis (HD) and additional dialysis therapies and services.
2Medication Delivery includes sales of our IVintravenous (IV) therapies, infusion pumps, administration sets and drug reconstitution devices.
3Pharmaceuticals includes sales of our premixed and oncology drug platforms, inhaled anesthesia and critical care products and
pharmacy compounding services.
4Clinical Nutrition includes sales of our parenteral nutrition (PN) therapies and related products.
5Advanced Surgery includes sales of our biological products and medical devices used in surgical procedures for hemostasis,
tissue sealing and adhesion prevention.
6Acute Therapies includes sales of our continuous renal replacement therapies (CRRT) and other organ support therapies
focused in the intensive care unit (ICU).
7Other primarily includes sales of contract manufacturing services from our pharmaceutical partnering business.
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Lease Revenue
We lease medical equipment, such as renal dialysis equipment and infusion pumps, to customers, primarily in conjunction with arrangements to provide consumable medical products such as dialysis therapies, IV fluids and inhaled anesthetics. Certain of our equipment leases are classified as sales-type leases and the remainder are operating leases. The terms of the related contracts, including the proportion of fixed versus variable payments and any options to shorten or extend the lease term, vary by customer. We allocate revenue between equipment leases and medical products based on their standalone selling prices.
The components of lease revenue for the three and six months ended June 30, 2020 were:
(in millions)Three months ended June 30, 2020Six months ended June 30, 2020
Sales-type lease revenue$10  $16  
Operating lease revenue14  28  
Variable lease revenue20  38  
Total lease revenue$44  $82  
The components of lease revenue for the three and six months ended June 30, 2019 were:
(in millions)Three months ended June 30, 2019Six months ended June 30, 2019
Sales-type lease revenue$ $11  
Operating lease revenue15  30  
Variable lease revenue21  42  
Total lease revenue$41  $83  

12.11. BUSINESS OPTIMIZATION CHARGES
In recent years, we have undertaken actions to transform our cost structure and enhance operational efficiency. These efforts include restructuring the organization, optimizing the manufacturing footprint, R&D operations and supply chain network, employing disciplined cost management, and centralizing and streamlining certain support functions. From the commencement of our business optimization activities in the second half of 2015 through SeptemberJune 30, 2019,2020, we have incurred cumulative pre-tax costs of $927 million$1.0 billion related to these actions. The costs consisted primarily of employee termination costs, implementation costs, asset impairments and accelerated depreciation. We currently expect to incur additional pre-tax costs of approximately $100$15 million through the completion of thesethe initiatives under our current program.that are currently underway. These costs will primarily include employee termination costs, implementation costs, and accelerated depreciation. ToWe continue to pursue cost savings initiatives and, to the extent further cost savings opportunities are identified, we may incur additional restructuring charges and costs to implement business optimization expenses.programs in future periods.

35


During the three and ninesix months ended SeptemberJune 30, 20192020 and 2018,2019, we recorded the following charges related to business optimization programs.
Three months ended
September 30,
Nine months ended
September 30,
Three months ended
June 30,
Six months ended
June 30,
(in millions)(in millions)2019201820192018(in millions)2020201920202019
Restructuring chargesRestructuring charges$17  $63  $94  $96  Restructuring charges$ $52  $32  $77  
Costs to implement business optimization programsCosts to implement business optimization programs10  24  32  74  Costs to implement business optimization programs 12  13  22  
Accelerated depreciationAccelerated depreciation    Accelerated depreciation—   —   
Total business optimization chargesTotal business optimization charges$28  $90  $131  $175  Total business optimization charges$13  $65  $45  $103  
For segment reporting purposes, business optimization charges are unallocated expenses.
28


Costs to implement business optimization programs for the three and ninesix months ended SeptemberJune 30, 20192020 and 2018,2019, respectively, consisted primarily of external consulting and transition costs, including employee compensation and related costs. The costs were generally included within cost of sales, selling, general and administrative (SG&A)SG&A expense and R&D expense.
For the three and ninesix months ended SeptemberJune 30, 20192020 and 2018,2019, respectively, we recognized accelerated depreciation, primarily associated with facilities to be closed. The costs were recorded within cost of sales and SG&A expense.
During the three and ninesix months ended SeptemberJune 30, 20192020 and 2018,2019, we recorded the following restructuring charges.
Three months ended September 30, 2019Three months ended June 30, 2020
(in millions)(in millions)COGSSG&AR&DTotal(in millions)COGSSG&AR&DTotal
Employee termination costsEmployee termination costs$ $ $ $ Employee termination costs$ $ $(3) $ 
Contract termination and other costsContract termination and other costs —  —   Contract termination and other costs —  —   
Asset impairmentsAsset impairments —   11  Asset impairments —  —   
Total restructuring chargesTotal restructuring charges$ $ $ $17  Total restructuring charges$ $ $(3) $ 

Three months ended September 30, 2018Three months ended June 30, 2019
(in millions)(in millions)COGSSG&AR&DTotal(in millions)COGSSG&AR&DTotal
Employee termination costsEmployee termination costs$16  $33  $ $58  Employee termination costs$ $26  $17  $49  
Contract termination costsContract termination costs—   —   Contract termination costs —  —   
Asset impairmentsAsset impairments—   —   Asset impairments —    
Total restructuring chargesTotal restructuring charges$16  $38  $ $63  Total restructuring charges$ $26  $18  $52  

Nine months ended September 30, 2019Six months ended June 30, 2020
(in millions)(in millions)COGSSG&AR&DTotal(in millions)COGSSG&AR&DTotal
Employee termination costsEmployee termination costs$ $27  $28  $62  Employee termination costs$ $19  $(2) $22  
Contract termination and other costsContract termination and other costs —  —   Contract termination and other costs —  —   
Asset impairmentsAsset impairments17    23  Asset impairments —  —   
Total restructuring chargesTotal restructuring charges$33  $28  $33  $94  Total restructuring charges$15  $19  $(2) $32  

Nine months ended September 30, 2018Six months ended June 30, 2019
(in millions)(in millions)COGSSG&AR&DTotal(in millions)COGSSG&AR&DTotal
Employee termination costsEmployee termination costs$20  $47  $19  $86  Employee termination costs$ $25  $26  $57  
Contract termination costsContract termination costs—   —   Contract termination costs —  —   
Asset impairmentsAsset impairments  —   Asset impairments10    12  
Total restructuring chargesTotal restructuring charges$21  $56  $19  $96  Total restructuring charges$24  $26  $27  $77  
36


In conjunction with our business optimization initiatives, we sold property that resulted in a gain of $17 million. This benefit is reflected within other operating income, net in our condensed consolidated statement of income for the six months ended June 30, 2020
The following table summarizes activity in the liability related to our restructuring initiatives.
(in millions)
Liability balance as of December 31, 20182019$10192  
Charges8429  
Payments(77)(41) 
Reserve adjustments(13)(5) 
Currency translation(5) 
Liability balance as of SeptemberJune 30, 20192020$9076  
Reserve adjustments primarily related to employee termination cost reserves established in prior periods.
Substantially all of our restructuring liabilities as of SeptemberJune 30, 20192020 relate to employee termination costs, with the remaining liabilities attributable to contract termination costs. Substantially all of the cash payments for those liabilities are expected to be disbursed by the end of 2020.2021.
29

13.

12. PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS
The following is a summary of net periodic benefit cost relating to our pension and OPEB plans.
Three months ended
June 30,
Six months ended
June 30,
Three months ended
September 30,
Nine months ended
September 30,
As RestatedAs Restated
(in millions)(in millions)2019201820192018(in millions)2020201920202019
Pension benefitsPension benefitsPension benefits
Service costService cost$18  $23  $56  $70  Service cost$20  $20  $41  $38  
Interest costInterest cost47  45  137  136  Interest cost23  43  47  90  
Expected return on plan assetsExpected return on plan assets(74) (78) (214) (235) Expected return on plan assets(40) (68) (81) (140) 
Amortization of net losses and prior service costsAmortization of net losses and prior service costs15  24  44  72  Amortization of net losses and prior service costs19  14  38  29  
Net periodic pension benefit costNet periodic pension benefit cost$ $14  $23  $43  Net periodic pension benefit cost$22  $ $45  $17  
OPEBOPEBOPEB
Interest costInterest cost$ $ $ $ Interest cost$ $ $ $ 
Amortization of net loss and prior service creditAmortization of net loss and prior service credit(7) (6) (21) (18) Amortization of net loss and prior service credit(4) (7) (8) (14) 
Net periodic OPEB cost$(5) $(4) $(15) $(12) 
Net periodic OPEB cost (income)Net periodic OPEB cost (income)$(3) $(5) $(6) $(10) 

As part of our continued effort to reduce pension plan obligations, we transferred approximately $2.4 billion of U.S. qualified pension plan liabilities to an insurance company through the purchase of a group annuity contract in October 2019. As a result of this transaction, we will recognize a non-cash pretax pension settlement charge of $755 million in the fourth quarter of 2019.
14.13. INCOME TAXES
Our effective income tax rate was 22.0%14.5% and (39.2)%4.0% for the three months ended SeptemberJune 30, 20192020 and 2018,2019, respectively, and 13.7%13.0% and (3.1)%8.0% for the ninesix months ended SeptemberJune 30, 20192020 and 2018,2019, respectively. Our effective income tax rate can differ from the 21% U.S. federal statutory rate due to a number of factors, including foreign rate differences, tax incentives, increases or decreases in valuation allowances and liabilities for uncertain tax positions and excess tax benefits on stock compensation awards.

For the three and six months ended SeptemberJune 30, 2019, our effective income tax rate was substantially consistent with the 21% U.S. federal statutory rate as unfavorable return-to-provision adjustments in various jurisdictions were offset by excess tax benefits on stock compensation awards. For the nine months ended September 30, 2019, the difference between our effective tax rate and the U.S. federal statutory rate was primarily attributable to excess tax benefits on stock compensation awards and the recognition of tax benefits associated with a favorable tax ruling.

For the three months ended September 30, 2018,2020, the difference between our effective income tax rate and the U.S. federal statutory rate was primarily driven by a benefit from an adjustmentattributable to the 2017 Tax Act provisional amounts as permitted by Staff Accounting Bulletin 118. Specifically, we released a $200 million valuation allowance related to our U.S. foreignfavorable geographic earnings mix and excess tax credit deferred tax assets. benefits on stock compensation awards.
For the ninethree and six months ended SeptemberJune 30, 2018,2019, the difference between
37


our effective income tax rate and the U.S. federal statutory rate was primarily attributable to the adjustment to provisional amounts related to the 2017 Tax Act, nontaxable income from the settlementrecognition of certain claimstax benefits associated with the seller of the acquired operations of Claris,a favorable tax ruling and excess tax benefits on stock compensation awards, a reduction of an uncertain tax position liability as a result of a settlement with the related taxing authority and the reversal of a valuation allowance as a result of continued profit improvements. Partially offsetting the foregoing benefits was interest on our uncertain tax position liabilities, the revaluation of Swedish net deferred tax assets due to a change in statutory rates and transfer pricing-related income tax accruals.awards.
15.14. EARNINGS PER SHARE
The numerator for both basic and diluted earnings per share (EPS) is net income.income attributable to Baxter stockholders. The denominator for basic EPS is the weighted-average number of shares outstanding during the period. The dilutive effect of outstanding stock options, restricted stock units (RSUs) and performance share units (PSUs) is reflected in the denominator for diluted EPS using the treasury stock method.
The following table is a reconciliation of basic shares to diluted shares.
Three months ended
September 30,
Nine months ended
September 30,
Three months ended
June 30,
Six months ended
June 30,
(in millions)(in millions)2019201820192018(in millions)2020201920202019
Basic sharesBasic shares511  534  510  536  Basic shares509  510  508  511  
Effect of dilutive securitiesEffect of dilutive securities 12  10  12  Effect of dilutive securities    
Diluted sharesDiluted shares520  546  520  548  Diluted shares517  519  517  520  
The effect of dilutive securities included unexercised stock options, unvested RSUs and contingently issuable shares related to granted PSUs. The computation of diluted EPS excluded 4 million and 3 million equity awards each for the three and ninesix months ended SeptemberJune 30, 2019,2020, respectively, and 34 million equity awards each for the three and ninesix months ended SeptemberJune 30, 2018,2019, respectively, because their inclusion would have had an anti-dilutive effect on diluted EPS.
30
16.


15. DERIVATIVE INSTRUMENTS AND HEDGING ACTIVITIES
We operate on a global basis and are exposed to the risk that our earnings, cash flows and equity could be adversely impacted by fluctuations in foreign exchange and interest rates. Our hedging policy attempts to manage these risks to an acceptable level based on our judgment of the appropriate trade-off between risk, opportunity and costs.
We are primarily exposed to foreign exchange risk with respect to recognized assets and liabilities, forecasted transactions and net assets denominated in the Euro, British Pound, Chinese Yuan, Korean Won, Australian Dollar, Canadian Dollar, Japanese Yen, Colombian Peso, Brazilian Real, Mexican Peso and Swedish Krona. We manage our foreign currency exposures on a consolidated basis, which allows us to net exposures and take advantage of any natural offsets. In addition, we use derivative and nonderivative instruments to further reduce the net exposure to foreign exchange risk. Gains and losses on the hedging instruments offset losses and gains on the hedged transactions and reduce the earnings and equity volatility resulting from changes in foreign exchange rates. Financial market and currency volatility may limit our ability to cost-effectively hedge these exposures.
We are also exposed to the risk that our earnings and cash flows could be adversely impacted by fluctuations in interest rates. Our policy is to manage interest costs using a mix of fixed- and floating-rate debt that we believe is appropriate.
To manage this mix in a cost-efficient manner, we periodically enter into interest rate swaps in which we agree to exchange, at specified intervals, the difference between fixed and floating interest amounts calculated by reference to an agreed-upon notional amount.
We do not hold any instruments for trading purposes and none of our outstanding derivative instruments contain credit-risk-related contingent features.
All derivative instruments are recognized as either assets or liabilities at fair value in the condensed consolidated balance sheets and are classified as short-term or long-term based on the scheduled maturity of the instrument. We designate certain of our derivatives and foreign-currency denominated debt as hedging instruments in cash flow, fair value, or net investment hedges.
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Cash Flow Hedges
We may use options, including collars and purchased options, forwards and cross-currency swaps to hedge the foreign exchange risk to earnings relating to forecasted transactions and recognized assets and liabilities. We periodically use treasury rate locks to hedge the risk to earnings associated with movements in interest rates relating to anticipated issuances of debt.
For each derivative instrument that is designated and effective as a cash flow hedge, the gain or loss on the derivative is recorded in AOCI and then recognized in earnings consistent with the underlying hedged item. Option premiums or net premiums paid are initially recorded as assets and reclassified to other comprehensive income (OCI) over the life of the option, and then recognized in earnings consistent with the underlying hedged item. Cash flow hedges are classified in cost of sales and interest expense, net, and are primarily related to forecasted third-party sales denominated in foreign currencies, forecasted intra-company sales denominated in foreign currencies, and anticipated issuances of debt, respectively.
The notional amounts of foreign exchange contracts designated as cash flow hedges were $689$618 million and $706$617 million as of SeptemberJune 30, 20192020 and December 31, 2018,2019, respectively. The maximum term over which we have cash flow hedge contracts in place related to forecasted transactions at SeptemberJune 30, 20192020 is 1512 months for foreign exchange contracts. The total notional amounts of interest rate contracts designated as cash flow hedges were $550 million and $150 million as of SeptemberJune 30, 20192020 and December 31, 2018,2019, respectively. The interest rate contracts have maturity dates in 2022 and hedge the variability in future benchmark interest payments attributable to changes in interest rates on the forecasted issuance of fixed-rate debt.
Fair Value Hedges
We periodically use interest rate swaps to convert a portion of our fixed-rate debt into variable-rate debt. These instruments hedge our earnings from changes in the fair value of debt due to fluctuations in the designated benchmark interest rate. For each derivative instrument that is designated and effective as a fair value hedge, the gain or loss on the derivative is recognized immediately to earnings, and offsets changes in fair value attributable to a particular risk, such as changes in interest rates, of the hedged item.item, which are also recognized in earnings. Fair value
31


hedges are classified in interest expense, net, as they hedge the interest rate risk associated with certain of our fixed-rate debt.
There were 0 outstanding interest rate swap contracts designated as fair value hedges as of SeptemberJune 30, 20192020 and December 31, 2018.2019.
Net Investment Hedges
In May 2017, we issued €600 million of senior notes due May 2025. In May 2019, we issued €750 million of senior notes due May 2024 and €750 million of senior notes due May 2029. We have designated these debt obligations as hedges of our net investment in our European operations and, as a result, mark to spot rate adjustments on the outstanding debt balances are recorded as a component of AOCI. As of SeptemberJune 30, 2019,2020, we had an accumulated pre-tax unrealized translation gainloss in AOCI of $41$22 million related to the Euro-denominated senior notes.
In May 2019, we entered into forward contracts designated as net investment hedges to reduce exposure to changes in currency rates on €1.2 billion of our net investment in our European operations. Those hedges were entered into in advance of the issuance of our senior notes mentioned above, were settled in the second quarter of 2019 and resulted in an insignificant loss.
Dedesignations
If it is determined that a derivative or nonderivative hedging instrument is no longer highly effective as a hedge, we discontinue hedge accounting prospectively. Gains or losses relating to terminations of effective cash flow hedges generally continue to be deferred and are recognized consistent with the loss or income recognition of the underlying hedged items. However, if it is probable that the hedged forecasted transactions will not occur, any gains or losses would be immediately reclassified from AOCI to earnings.
There were no hedge dedesignations in the first ninesix months of 20192020 or 20182019 resulting from changes in our assessment of the probability that the hedged forecasted transactions would occur.
39


If we terminate a fair value hedge, an amount equal to the cumulative fair value adjustment to the hedged item at the date of termination is amortized to earnings over the remaining term of the hedged item. There were 0 fair value hedges terminated during the first ninesix months of 2020 or 2019. In the first nine months of 2018, we terminated our interest rate fair value hedges and the cumulative fair value adjustment to the hedged item was insignificant.
If we terminateremove a net investment hedge designation, any gaingains or losslosses recognized in AOCI isare not reclassified to earnings until we sell, liquidate, or deconsolidate the foreign investments that were being hedged. In the second quarter of 2019, we dedesignated €1.2 billion of forward contracts designated as a net investment hedge of our European operations.There were no net investment hedges terminated during the first six months of 2020.
Undesignated Derivative Instruments
We use forward contracts to hedge earnings from the effects of foreign exchange relating to certain of our intra-company and third-party receivables and payables denominated in a foreign currency. These derivative instruments are generally not formally designated as hedges and the terms of these instruments generally do not exceed one month.
The total notional amount of undesignated derivative instruments was $562$822 million as of SeptemberJune 30, 20192020 and $487$619 million as of December 31, 2018.2019.
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Gains and Losses on Hedging Instruments
The following tables summarize the income statement locations and gains and losses on our hedging instruments and the classification of those gains and losses within our condensed consolidated financial statements for the three months ended SeptemberJune 30, 20192020 and 2018.2019.
Gain (loss) recognized in OCILocation of gain (loss)
in income statement
Gain (loss) reclassified from AOCI into incomeGain (loss) recognized in OCILocation of gain (loss)
in income statement
Gain (loss) reclassified from AOCI into income
(in millions)(in millions)2019201820192018(in millions)202020192020Location of gain (loss)
in income statement
2019
Cash flow hedgesCash flow hedgesCash flow hedges
Interest rate contractsInterest rate contracts$(57) $—  Interest expense, net$—  $—  Interest rate contracts$ $(23) Interest expense, net$—  $—  
Foreign exchange contractsForeign exchange contracts  Cost of sales (1) Foreign exchange contracts(7)  Cost of sales  
Net investment hedgesNet investment hedges96   Other income, net—  —  Net investment hedges(50) (36) Other (income) expense, net—  —  
TotalTotal$43  $ $ $(1) Total$(48) $(50) $ $ 

Location of gain (loss) in income statementGain (loss) recognized in incomeLocation of gain (loss) in income statementGain (loss) recognized in income
As RestatedLocation of gain (loss) in income statementAs Restated
(in millions)(in millions)20192018(in millions)20202019
Undesignated derivative instrumentsUndesignated derivative instrumentsUndesignated derivative instruments
Foreign exchange contractsForeign exchange contractsOther income, net$(4) $ Foreign exchange contractsOther (income) expense, net$13  $(4) 
The following tables summarize the income statement locations and gains and losses on our hedging instruments and the classification of those gains and losses within our condensed consolidated financial statements for the ninesix months ended SeptemberJune 30, 20192020 and 2018.2019.
Gain (loss) recognized in OCILocation of gain (loss)
in income statement
Gain (loss) reclassified from AOCI
into income
Gain (loss) recognized in OCILocation of gain (loss)
in income statement
Gain (loss) reclassified from AOCI
into income
(in millions)(in millions)2019201820192018(in millions)20202019Location of gain (loss)
in income statement
2019
Cash flow hedgesCash flow hedgesCash flow hedges
Interest rate contractsInterest rate contracts$(91) $—  Interest expense, net$—  $—  Interest rate contracts$(175) $(34) Interest expense, net$—  $—  
Foreign exchange contractsForeign exchange contracts  Cost of sales (11) Foreign exchange contracts —  Cost of sales  
Net investment hedgesNet investment hedges74  22  Other income, net—  —  Net investment hedges(1) (22) Other income, net—  —  
TotalTotal$(13) $23  $ $(11) Total$(169) $(56) $ $ 

40


Location of gain (loss)
in income statement
Gain (loss) recognized in income
As Restated
(in millions)20192018
Fair value hedges
Interest rate contractsInterest expense, net$—  $(4) 
Undesignated derivative instruments
Foreign exchange contractsOther income, net$(16) $ 
For our fair value hedges, an equal and offsetting gain of $4 million was recognized in interest expense, net as an adjustment to the underlying hedged item, fixed-rate debt, in the first nine months of 2018.
Location of gain (loss)
in income statement
Gain (loss) recognized in income
As Restated
(in millions)20202019
Undesignated derivative instruments
Foreign exchange contractsOther income, net$15  $(12) 
As of SeptemberJune 30, 2019, $52020, $4 million of deferred, net after-tax gainslosses on derivative instruments included in AOCI are expected to be recognized in earnings during the next 12 months, coinciding with when the hedged items are expected to impact earnings.
33


Derivative Assets and Liabilities
The following table summarizes the classification and fair values of derivative instruments reported in the condensed consolidated balance sheet as of SeptemberJune 30, 2019.2020.
Derivatives in asset positionsDerivatives in liability positions
(in millions)Balance sheet locationFair valueBalance sheet locationFair value
Derivative instruments designated as hedges
Interest rate contractsOther non-current assets$ Other non-current liabilities$95  
Foreign exchange contractsPrepaid expenses and other current assets24  Accounts payable and accrued liabilities 
Foreign exchange contractsOther non-current assets Other non-current liabilities—  
Total derivative instruments designated as hedges27  96  
Undesignated derivative instruments
Foreign exchange contractsPrepaid expenses and other current assets—  Accounts payable and accrued liabilities—  
Total derivative instruments$27  $96  
41


Derivatives in asset positionsDerivatives in liability positions
(in millions)Balance sheet locationFair valueBalance sheet locationFair value
Derivative instruments designated as hedges
Interest rate contractsOther non-current assets$—  Other non-current liabilities$217  
Foreign exchange contractsPrepaid expenses and other current assets13  Accounts payable and accrued liabilities 
Total derivative instruments designated as hedges13  218  
Undesignated derivative instruments
Foreign exchange contractsPrepaid expenses and other current assets Accounts payable and accrued liabilities—  
Total derivative instruments$21  $218  
The following table summarizes the classification and fair values of derivative instruments reported in the condensed consolidated balance sheet as of December 31, 2018.2019.
Derivatives in asset positionsDerivatives in liability positions
As RestatedAs RestatedDerivatives in asset positionsDerivatives in liability positions
(in millions)(in millions)Balance sheet locationFair valueBalance sheet locationFair value(in millions)Balance sheet locationFair valueBalance sheet locationFair value
Derivative instruments designated as hedgesDerivative instruments designated as hedgesDerivative instruments designated as hedges
Interest rate contractsInterest rate contractsOther non-current assets$—  Other non-current liabilities$ Interest rate contractsOther non-current assets$10  Other non-current liabilities$52  
Foreign exchange contractsForeign exchange contractsPrepaid expenses and other current assets22  Accounts payable and accrued liabilities Foreign exchange contractsPrepaid expenses and other current assets10  Accounts payable and accrued liabilities—  
Foreign exchange contractsOther non-current assets Other non-current liabilities—  
Total derivative instruments designated as hedgesTotal derivative instruments designated as hedges23   Total derivative instruments designated as hedges20  52  
Undesignated derivative instrumentsUndesignated derivative instrumentsUndesignated derivative instruments
Foreign exchange contractsForeign exchange contractsPrepaid expenses and other current assets Accounts payable and accrued liabilities Foreign exchange contractsPrepaid expenses and other current assets Accounts payable and accrued liabilities 
Total derivative instrumentsTotal derivative instruments$25  $ Total derivative instruments$21  $54  
While some of our derivatives are subject to master netting arrangements, we present our assets and liabilities related to derivative instruments on a gross basis within the condensed consolidated balance sheets. Additionally, we are not required to post collateral for any of our outstanding derivatives.
The following table provides information on our derivative positions as if they were presented on a net basis, allowing for the right of offset by counterparty.
20192018
As RestatedJune 30, 2020December 31, 2019
(in millions)(in millions)AssetLiabilityAssetLiability(in millions)AssetLiabilityAssetLiability
Gross amounts recognized in the consolidated balance sheetGross amounts recognized in the consolidated balance sheet$27  $96  $25  $ Gross amounts recognized in the consolidated balance sheet$21  $218  $21  $54  
Gross amount subject to offset in master netting arrangements not offset in the consolidated balance sheetGross amount subject to offset in master netting arrangements not offset in the consolidated balance sheet(2) (2) (3) (3) Gross amount subject to offset in master netting arrangements not offset in the consolidated balance sheet(10) (10) (11) (11) 
TotalTotal$25  $94  $22  $ Total$11  $208  $10  $43  
34


The following table presents the amounts recorded on the condensed consolidated balance sheet related to fair value hedges:
Carrying amount of hedged itemCumulative amount of fair value hedging adjustment included in the carrying amount of the hedged item (a)Carrying amount of hedged itemCumulative amount of fair value hedging adjustment included in the carrying amount of the hedged item (a)
(in millions)(in millions)Balance as of September 30, 2019Balance as of December 31, 2018Balance as of September 30, 2019Balance as of December 31, 2018(in millions)Balance as of June 30, 2020Balance as of December 31, 2019Balance as of June 30, 2020Balance as of December 31, 2019
Long-term debtLong-term debt$103  $103  $ $ Long-term debt$102  $103  $ $ 
(a) These fair value hedges were terminated prior to December 31, 2018.2019.
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17.16. FAIR VALUE MEASUREMENTS
The following tables summarize our financial instrumentsassets and liabilities that are measured at fair value on a recurring basis.
Basis of fair value measurementBasis of fair value measurement
(in millions)(in millions)Balance as of September 30, 2019Quoted prices in active markets for identical assets
(Level 1)
Significant other
observable inputs
(Level 2)
Significant
unobservable inputs
(Level 3)
(in millions)Balance as of June 30, 2020Quoted prices in active markets for identical assets
(Level 1)
Significant other
observable inputs
(Level 2)
Significant
unobservable inputs
(Level 3)
AssetsAssetsAssets
Foreign exchange contractsForeign exchange contracts$26  $—  $26  $—  Foreign exchange contracts$21  $—  $21  $—  
Interest rate contracts —   —  
Marketable equity securitiesMarketable equity securities  —  —  Marketable equity securities  —  —  
TotalTotal$31  $ $27  $—  Total$24  $ $21  $—  
LiabilitiesLiabilitiesLiabilities
Foreign exchange contractsForeign exchange contracts$ $—  $ $—  Foreign exchange contracts$ $—  $ $—  
Interest rate contractsInterest rate contracts95  —  95  —  Interest rate contracts217  —  217  —  
Contingent payments related to acquisitionsContingent payments related to acquisitions27  —  —  27  Contingent payments related to acquisitions39  —  —  39  
TotalTotal$123  $—  $96  $27  Total$257  $—  $218  $39  

As Restated
Basis of fair value measurementBasis of fair value measurement
(in millions)(in millions)Balance as of December 31, 2018Quoted prices in active markets for identical assets
(Level 1)
Significant other
observable inputs
(Level 2)
Significant
unobservable inputs
(Level 3)
(in millions)Balance as of December 31, 2019Quoted prices in active markets for identical assets
(Level 1)
Significant other
observable inputs
(Level 2)
Significant
unobservable inputs
(Level 3)
AssetsAssetsAssets
Foreign exchange contractsForeign exchange contracts$25  $—  $25  $—  Foreign exchange contracts$11  $—  $11  $—  
Interest rate contractsInterest rate contracts10  —  10  —  
Marketable equity securitiesMarketable equity securities  —  —  Marketable equity securities  —  —  
TotalTotal$28  $ $25  $—  Total$24  $ $21  $—  
LiabilitiesLiabilitiesLiabilities
Foreign exchange contractsForeign exchange contracts$ $—  $ $—  Foreign exchange contracts$ $—  $ $—  
Interest rate contractsInterest rate contracts —   —  Interest rate contracts52  —  52  —  
Contingent payments related to acquisitionsContingent payments related to acquisitions32  —  —  32  Contingent payments related to acquisitions39  —  —  39  
TotalTotal$38  $—  $ $32  Total$93  $—  $54  $39  
As of SeptemberJune 30, 20192020 and December 31, 2018,2019, cash and cash equivalents of $3.0$4.1 billion and $1.8$3.3 billion, respectively, included money market and other short-term funds of approximately $1.6$2.6 billion and $169 million,$1.7 billion, respectively, which are considered Level 2 in the fair value hierarchy.
For assets that are measured using quoted prices in active markets, the fair value is the published market price per unit multiplied by the number of units held, without consideration of transaction costs. The majority of the derivatives entered into by us are valued using internal valuation techniques as no quoted market prices exist for such instruments. The principal techniques used to value these instruments are discounted cash flow and Black-Scholes
35


models. The key inputs, which are considered observable and vary depending on the type of derivative, include contractual terms, interest rate yield curves, foreign exchange rates and volatility.
Contingent payments related to acquisitions accounted for as business combinations, which consist of milestone payments and sales-based payments, are valued using discounted cash flow techniques. The fair value of milestone payments reflects management’s expectations of probability of payment, and increases as the probability of payment increases or the expected timing of payments is accelerated. The fair value of sales-based payments is based upon probability-weighted future revenue estimates, and increases as revenue estimates increase, probability weighting of higher revenue scenarios increases or the expected timing of payment is accelerated. The following table is a reconciliation of therecurring fair value measurements that use significant unobservable inputs (Level 3), which consist of contingent payments related to acquisitions.
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Three months ended
June 30,
Six months ended
June 30,
(in millions)2020201920202019
Fair value at beginning of period$39  $31  $39  $32  
Additions—  —   —  
Change in fair value recognized in earnings—  (4) (3) (4) 
Payments—  —  (1) (1) 
Fair value at end of period$39  $27  $39  $27  
Three months ended
September 30,
Nine months ended
September 30,
(in millions)2019201820192018
Fair value at beginning of period$27  $23  $32  $ 
Additions—   —  24  
Change in fair value recognized in earnings—  —  (4) —  
Payments—  —  (1) (1) 
Fair value at end of period$27  $32  $27  $32  
Equity investments not measured at fair value are comprised of other equity investments without readily determinable fair values and were $38 million at September 30, 2019 and $41 million at December 31, 2018. These amounts are included in Other non-current assets.
Fair Values of Financial Instruments Not Measured at Fair Value
In addition to the financial instruments that we are required to recognize at fair value in the condensed consolidated balance sheets, we have certain financial instruments that are recognized at amortized cost or some basis other than fair value. For these financial instruments, the following table provides the values recognized in the condensed consolidated balance sheets and the estimated fair values as of SeptemberJune 30, 20192020 and December 31, 2018.2019.
Book valuesFair values(a)
As RestatedBook valuesFair values(a)
(in millions)(in millions)2019201820192018(in millions)2020201920202019
LiabilitiesLiabilitiesLiabilities
Short-term debtShort-term debt$—  $ $—  $ Short-term debt$ $226  $ $226  
Current maturities of long-term debt and finance lease obligationsCurrent maturities of long-term debt and finance lease obligations    Current maturities of long-term debt and finance lease obligations318  315  318  315  
Long-term debt and finance lease obligationsLong-term debt and finance lease obligations5,063  3,481  5,466  3,469  Long-term debt and finance lease obligations6,055  4,809  6,743  5,156  
(a) These fair value amounts are classified as Level 2 within the fair value hierarchy as they are estimated based on observable inputs.
The carrying value of short-term debt approximates its fair value due to the short-term maturities of the obligations. The estimated fair values of current and long-term debt were computed by multiplying price by the notional amount of the respective debt instruments. Price is calculated using the stated terms of the respective debt instrument and yield curves commensurate with our credit risk. The carrying values of other financial instruments, such as accounts receivable and accounts payable, approximate their fair values due to the short-term maturities of most of those assets and liabilities.
Equity investments not measured at fair value are comprised of other equity investments without readily determinable fair values and were $81 million at June 30, 2020 and $73 million at December 31, 2019. Those investments are included in Other non-current assets on our condensed consolidated balance sheets.
18.
17. SEGMENT INFORMATION
We manage our business based on 3 geographical segments: Americas (North and South America), EMEA (Europe, Middle East and Africa) and APAC (Asia Pacific). Our segments provide a broad portfolio of essential healthcare products, including acute and chronic dialysis therapies; sterile IV solutions; infusion systems and devices; parenteral nutrition therapies; inhaled anesthetics; generic injectable pharmaceuticals; and surgical hemostat and sealant products.
We use operating income on a segment basis to make resource allocation decisions and assess the ongoing performance of our business segments. Intersegment sales are eliminated in consolidation.
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Certain items are maintained at Corporate and are not allocated to a segment. They primarily include the majority of foreign currency hedging activities, corporate headquarters costs, certain R&D costs, certain GBU support costs, stock compensation expense, certain employee benefit plan costs, and certain gains, losses, and other charges (such as business optimization, acquisition and integration costs, intangible asset amortization and asset impairments). Our chief operating decision maker does not receive any asset information by operating segment and, accordingly, we do not report asset information by operating segment.
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Financial information for our segments is as follows.
Three months ended
September 30,
Nine months ended
September 30,
Three months ended
June 30,
Six months ended
June 30,
As RestatedAs RestatedAs RestatedAs Restated
(in millions)(in millions)2019201820192018(in millions)2020201920202019
Net sales:Net sales:Net sales:
AmericasAmericas$1,534  $1,497  $4,462  $4,459  Americas$1,407  $1,519  $2,906  $2,928  
EMEAEMEA730  707  2,179  2,180  EMEA731  742  1,485  1,449  
APACAPAC587  557  1,682  1,627  APAC580  573  1,129  1,095  
Total net salesTotal net sales$2,851  $2,761  $8,323  $8,266  Total net sales$2,718  $2,834  $5,520  $5,472  
Operating income:
Operating income:
Operating income:
AmericasAmericas$595  $624  $1,715  $1,809  Americas$489  $582  $1,033  $1,120  
EMEAEMEA162  164  465  475  EMEA159  159  320  303  
APACAPAC138  137  394  383  APAC143  136  271  256  
Total segment operating incomeTotal segment operating income$895  $925  $2,574  $2,667  Total segment operating income$791  $877  $1,624  $1,679  
The following is a reconciliation of segment operating income to income before income taxes per the condensed consolidated statements of income.
Three months ended
September 30,
Nine months ended
September 30,
Three months ended
June 30,
Six months ended
June 30,
As RestatedAs RestatedAs RestatedAs Restated
(in millions)(in millions)2019201820192018(in millions)2020201920202019
Total segment operating incomeTotal segment operating income$895  $925  $2,574  $2,667  Total segment operating income$791  $877  $1,624  $1,679  
Corporate and otherCorporate and other(392) (543) (1,338) (1,474) Corporate and other(460) (527) (884) (946) 
Total operating incomeTotal operating income503  382  1,236  1,193  Total operating income331  350  740  733  
Net interest expenseNet interest expense13  11  51  34  Net interest expense36  20  57  38  
Other (income) expense, netOther (income) expense, net (1) (8) (45) Other (income) expense, net  16  (17) 
Income before income taxesIncome before income taxes$481  $372  $1,193  $1,204  Income before income taxes$289  $326  $667  $712  
Refer to Note 1110 for additional information on Net Sales by GBU.
37
45


Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Refer to our restated financial statements as of and for the year ended December 31, 2018 included in our Annual Report on Form 10-K for the year ended December 31, 2019 (2019 Annual Report) filed on March 17, 2020 for management’s discussion and analysis of our financial condition and results of operations. The following is management’s discussion and analysis of our financial condition and results of operations for the three and ninesix months ended SeptemberJune 30, 20192020 and 2018.2019.
Restatement of Previously Issued Condensed Consolidated Financial Statements
WeAs previously disclosed, we have restated our previously issued condensed consolidated financial statements for the three and six months ended June 30, 2019 contained in this Quarterly Report on Form 10-Q. Refer to the “Explanatory Note” preceding Item 1, Financial Statements, for background on the restatement, the periods impacted, control considerations, and other information. In addition, we have restated certain previously reported financial information as of September 30, 2018 and for the three and ninesix months ended SeptemberJune 30, 20182019 in this Item 2, Management’s Discussion and Analysis of Financial Condition and Results of Operations, including but not limited to information within the Results of Operations section. See Note 2, Restatement of Previously Issued Condensed Consolidated Financial Statements, in Item 1, Financial Statements, for additional information related to the restatement, including descriptions of the misstatements and the impacts on our condensed consolidated financial statements.
RESULTS OF OPERATIONS
Our netNet income attributable to Baxter stockholders for the three and ninesix months ended SeptemberJune 30, 20192020 totaled $369$246 million, or $0.71$0.48 per diluted share, and $1.0 billion,$578 million, or $1.97$1.12 per diluted share, compared to $518$313 million, or $0.95$0.60 per diluted share, and $1.2 billion,$655 million, or $2.26$1.26 per diluted share, for the three and ninesix months ended SeptemberJune 30, 2018.2019. Net income for the three and ninesix months ended SeptemberJune 30, 20192020 included special items which decreased net income by $17$83 million and $192$176 million, respectively, or $0.03$0.16 and $0.37$0.34 per diluted share, respectively, as further discussed below. Net income for the three and ninesix months ended SeptemberJune 30, 20182019 included special items which increaseddecreased net income by $111$123 million and $37$175 million, respectively, or $0.20$0.24 and $0.06$0.34 per diluted share, respectively, as further discussed below.
4638


Special Items
The following table provides a summary of our special items and the related impact by line item on our results for the three and ninesix months ended SeptemberJune 30, 20192020 and 2018.2019.
Three months ended
September 30,
Nine months ended
September 30,
Three months ended
June 30,
Six months ended
June 30,
(in millions)(in millions)2019201820192018(in millions)2020201920202019
Gross MarginGross MarginGross Margin
Intangible asset amortization expenseIntangible asset amortization expense$(48) $(42) $(136) $(127) Intangible asset amortization expense$(56) $(45) $(108) $(88) 
Intangible asset impairment 1
—  —  (31) —  
Intangible asset impairments 1
Intangible asset impairments 1
(17) (31) (17) (31) 
Business optimization items 2
Business optimization items 2
(10) (21) (39) (30) 
Business optimization items 2
(8) (10) (18) (29) 
Acquisition and integration expenses 3
Acquisition and integration expenses 3
(8) (7) (25) (16) 
Acquisition and integration expenses 3
(4) (12) (11) (17) 
Litigation 4
—  —  —  (8) 
European medical devices regulation 5
(7) —  (17) —  
Product-related items 6
—   —   
Hurricane Maria insurance recoveries 7
—  23  —  23  
European medical devices regulation 4
European medical devices regulation 4
(8) (6) (14) (10) 
Investigation and related costs 5
Investigation and related costs 5
—  —  (3) —  
Total Special ItemsTotal Special Items$(73) $(44) $(248) $(155) Total Special Items$(93) $(104) $(171) $(175) 
Impact on Gross Margin RatioImpact on Gross Margin Ratio(2.6 pts) (1.6 pts) (3.0 pts) (1.8 pts) Impact on Gross Margin Ratio(3.4 pts)(3.7 pts)(3.1 pts)(3.2 pts)
Selling, General and Administrative (SG&A) ExpensesSelling, General and Administrative (SG&A) ExpensesSelling, General and Administrative (SG&A) Expenses
Business optimization items 2
Business optimization items 2
$10  $59  $50  $122  
Business optimization items 2
$ $32  $28  $40  
Acquisition and integration expenses 3
Acquisition and integration expenses 3
   14  
Acquisition and integration expenses 3
 —    
Litigation 4
—  —  —   
Investigation and related costs 5
Investigation and related costs 5
 —  16  —  
Total Special ItemsTotal Special Items$13  $63  $58  $138  Total Special Items$13  $32  $51  $45  
Impact on SG&A RatioImpact on SG&A Ratio0.5 pts  2.3 pts  0.7 pts  1.7 pts  Impact on SG&A Ratio0.5 pts1.1 pts1.0 pts0.8 pts
Research and Development (R&D) ExpensesResearch and Development (R&D) ExpensesResearch and Development (R&D) Expenses
Business optimization items 2
Business optimization items 2
$ $10  $42  $23  
Business optimization items 2
$(2) $23  $(1) $34  
Acquisition and integration expenses 3
Acquisition and integration expenses 3
 —   —  
Acquisition and integration expenses 3
  22   
European medical devices regulation 5
—   —   
Investigation and related costs 5
Investigation and related costs 5
—  —   —  
Total Special ItemsTotal Special Items$10  $13  $50  $26  Total Special Items$(1) $25  $22  $40  
Impact on R&D RatioImpact on R&D Ratio0.4 pts  0.5 pts  0.6 pts  0.3 pts  Impact on R&D Ratio0.0 pts0.9 pts0.4 pts0.7 pts
Other Operating Income, netOther Operating Income, net
Business optimization items 2
Business optimization items 2
$—  $—  $(17) $—  
Acquisition and integration expenses 3
Acquisition and integration expenses 3
—  (4) (3) (4) 
Insurance recoveries from a legacy product-related matter 6
Insurance recoveries from a legacy product-related matter 6
—  —  —  (33) 
Other Operating Income, net
Acquisition and integration expenses 3
$—  $—  $(4) $—  
Insurance recoveries from a legacy product-related matter 8
(4) —  (37) —  
Hurricane Maria insurance recoveries 7
(40) —  (40) —  
Claris settlement 9
—  —  —  (80) 
Total Special ItemsTotal Special Items$(44) $—  $(81) $(80) Total Special Items$—  $(4) $(20) $(37) 
Income Tax ExpenseIncome Tax ExpenseIncome Tax Expense
Tax effects of special items and impact of U.S. Tax Reform 10
$(35) $(231) $(83) $(276) 
Tax effects of special items 7
Tax effects of special items 7
$(22) $(34) $(48) $(48) 
Total Special ItemsTotal Special Items$(35) $(231) $(83) $(276) Total Special Items$(22) $(34) $(48) $(48) 
Impact on Effective Tax RateImpact on Effective Tax Rate(4.5 pts) (56.5 pts) (3.1 pts) (19.7 pts) Impact on Effective Tax Rate(1.7 pts)(5.7 pts)(2.2 pts)(3.2 pts)
Intangible asset amortization expense is identified as a special item to facilitate an evaluation of current and past operating performance and is consistent with how management and our Board of Directors assess performance. Additional special items are identified above because they are highly variable, difficult to predict and of a size that may substantially impact our reported results of operations for the period. Management believes that providing the separate impact of those items may provide a more complete understanding and facilitate a fuller analysis of our results of operations, particularly in evaluating performance from one period to another.
471In 2020 and 2019, our results included charges of $17 million and $31 million for asset impairments related to developed-technology intangible assets. Refer to Note 5 in Item 1 of this Quarterly Report on Form 10-Q for further information regarding these asset impairments.


1Our results in 2019 included a $31 million asset impairment related to a developed-technology intangible asset.2
2In 20192020 and 2018,2019, our results were impacted by costs associated with our execution of programs to optimize our organization and cost structure on a global basis. These actions included streamlining our international
39


operations, rationalizing our manufacturing facilities, reducing our general and administrative infrastructure, re-aligning certain R&D activities and cancelling certain R&D programs. Our results in 2020 included business optimization charges of $13 million in the second quarter and $45 million in the first half. Our results in 2019 included business optimization charges of $28$65 million in the thirdsecond quarter and $131$103 million in the first nine months. Our results in 2018 included business optimization chargeshalf. Additionally, we recognized a gain of $90 million in the third quarter and $175$17 million in the first nine months.half of 2020 for property we sold in conjunction with our business optimization initiatives. Refer to Note 12 within11 in Item 1 of this Quarterly Report on Form 10-Q for more information.further information regarding these charges and related liabilities.

3Our results in 20192020 included $13$9 million in the thirdsecond quarter and $37 million in the first nine monthshalf of acquisition and integration expenses. This included acquisition and integration expenses related to our acquisitions of Cheetah Medical Inc. (Cheetah) and Seprafilm of $8 million in the second quarter and $18 million in the first half and the purchase of in-process R&D assets of $1 million in the second quarter and $22 million in the first half, partially offset by the change in the estimated fair value of contingent consideration liabilities of $3 million in the first half. Our results in 2019 included $10 million in the second quarter and $24 million in the first half of acquisition and integration expenses. This included acquisition and integration expenses related to our acquisitions of Claris and the RECOTHROM and PREVELEAK products in prior periods as well asof $12 million in the 2019 acquisitionssecond quarter and $22 million in the first half and the purchase of in-process R&D assets of $2 million in the second quarter and $6 million in the first half, partially offset by a benefit related to the change in the estimated fair value of contingent consideration liabilities. liabilities of $4 million in the second quarter and first half. Refer to Note 3 in Item 1 of this Quarterly Report on Form 10-Q for further information regarding business development activities.
4Our results in 20182020 included $11$8 million in the thirdsecond quarter and $30$14 million in the first nine months of acquisition and integration expenses related to our acquisitions of Claris and the RECOTHROM and PREVELEAK products.
4Our results in the first nine months of 2018 included a charge of $10 million related to certain product litigation.
5Our results in 2019 included $7 million in the third quarter and $17 million in the first nine monthshalf of costs related to updating our quality systems and product labeling to comply with the new medical device reporting regulation and other requirements of the European Union’s regulations for medical devices that willare scheduled to become effective in 2020.2021. Our results in 20182019 included $3$6 million in the second quarter and $10 million in the first half of costs related to these requirements.
65Our results in 20182020 included a net benefitcosts of $3$2 million in the second quarter and $20 million in the first half for investigation and related costs. This included $2 million in the second quarter and $12 million in the first half of costs related to an adjustmentour investigation of foreign exchange gains and losses associated with certain intra-company transactions and related legal matters. Additionally, we recorded incremental stock compensation expense of $8 million in the first half as we extended the term of certain stock options that were scheduled to our accrualexpire in the first quarter of 2020. Refer to Notes 7 and 8 in Item 1 of this Quarterly Report on Form 10-Q for SIGMA SPECTRUM infusion pump inspectionfurther information regarding the investigation and remediation activities.stock compensation expense.
76Our results in 2019 and 2018 included benefitsa benefit of $40$33 million and $23 million, respectively, related to insurance recoveries as a result of losses incurred due to Hurricane Maria. Refer to Note 8 within Item 1 for more information.
8Our results in the third quarter and first nine months of 2019 included benefits of $4 million and $37 million, respectively,half for our allocation of insurance proceeds received pursuant to a settlement and cost-sharing arrangement for a legacy product-related matter. Refer to Note 8 within7 in Item 1 of this Quarterly Report on Form 10-Q for morefurther information.
9Our results in the first nine months of 2018 included a benefit of $80 million for the settlement of certain claims related to the acquired operations of Claris.7
10Reflected in this item is the income tax impact of the special items identified in this table. Additionally, our results in 2019 included a benefit of $16 million related to an adjustment for U.S. tax reform. Our results in 2018 included a benefit of $200 million in the third quarter and $208 million in the first nine months related to updates to the estimated impact of U.S. federal tax reform previously made in 2017. The tax effect of each adjustment is based on the jurisdiction in which the adjustment is incurred and the tax laws in effect for each such jurisdiction.
NET SALES
Three months ended
June 30,
Percent change
Three months ended
September 30,
Percent changeAs Restated
(in millions)(in millions)20192018 (as restated)At actual
currency rates
At constant currency rates(in millions)20202019At actual
currency rates
At constant currency rates
United StatesUnited States$1,224  $1,194  %%United States$1,127  $1,193  (6)%(6)%
InternationalInternational$1,627  1,567  %%International$1,591  1,641  (3)%%
Total net salesTotal net sales$2,851  $2,761  %%Total net sales$2,718  $2,834  (4)%(1)%

Six months ended
June 30,
Percent change
As Restated
(in millions)20202019At actual
currency rates
At constant currency rates
United States$2,344  $2,313  %%
International$3,176  3,159  %%
Total net sales$5,520  $5,472  %%
48
40


Nine months ended
September 30,
Percent change
(in millions)20192018 (as restated)At actual
currency rates
At constant currency rates
United States$3,537  $3,551  (0)%(0)%
International$4,786  4,715%%
Total net sales$8,323  $8,266  %%

Foreign currency unfavorably impacted net sales by 3 percentage points during the second quarter of 2020 compared to the prior-year period principally due to the strengthening of the U.S. Dollar relative to the Brazilian Real, Euro, Mexican Peso, Australian Dollar and Colombian Peso. Foreign currency unfavorably impacted net sales by 2 percentage points during the third quarterfirst half of 20192020 compared to the priorprior-year period principally due to the strengthening of the U.S. Dollar relative to the Euro, Australian Dollar, British Pound,Brazilian Real, Chinese YuanRenminbi and Colombian Peso. Foreign currency unfavorably impacted net sales by 3 percentage points during the first nine months of 2019 compared to the prior period principally due to the strengthening of the U.S. Dollar relative to the Euro, Australian Dollar, British Pound, Chinese Yuan, Colombian Peso, Brazilian Real and Canadian Dollar.
The comparisons presented at constant currency rates reflect local currency sales at the prior period’s foreign exchange rates. This measure provides information on the change in net sales assuming that foreign currency exchange rates had not changed between the prior and the current period. We believe that the non-GAAP measure of change in net sales at constant currency rates, when used in conjunction with the U.S. GAAP measure of change in net sales at actual currency rates, may provide a more complete understanding and facilitate a fuller analysis of our results of operations, particularly in evaluating performance from one period to another.
Our global operations expose us to risks associated with public health crises and epidemics/pandemics, such as the novel strain of coronavirus that recently originated in China (COVID-19). COVID-19 mayhas had, and we expect will continue to have, an adverse impact on our operations, supply chains and distribution systems and increase our expenses, including as a result of impacts associated with preventive and precautionary measures that we, other businesses and governments are taking. DueThese measures have led to theseunprecedented restrictions on, disruptions in, and other related impacts on businesses and measures, we may experience significant and unpredictable reductions or increases in demand for certain of our products as health care customers re-prioritize the treatment of patients. For example, elective surgeries are being de-prioritized which will negatively impact the usage of certain of our products, while other of our products are experiencing an increase in demand which we may not be able to meet in accordance with the customer’s desired timing.personal activities. In addition to existing travel restrictions countries may closeput in place in early 2020, governments have closed borders, imposeimposed prolonged quarantines and further restrict travel, which may significantly impact the ability of our employees to get to their places of work to produce products,continue those measures or may significantly hamper our products from moving through the supply chain. As a result, while the financial impact on us has not been significant to date, given the rapidimplement other restrictions and evolving naturerequirements in light of the virus, COVID-19 could negatively affectcontinuing spread of the pandemic and concern of a “second wave” of outbreaks. We expect that these evolving restrictions and requirements, as well as the corresponding need to adapt to new methods of conducting business remotely, will continue to have an adverse effect on our sales, and it is uncertain how COVID-19 will affect our global operations generally if these impacts persist or exacerbate over an extended period of time.business. For further discussion, refer to the Global Business Unit Net Sales Reporting section below, Item 1A. Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2019 which was filedand Part II, Item 1A. Risk Factors of this Quarterly Report on March 17, 2020.Form 10-Q.
Global Business Unit Net Sales Reporting
Our global business units (GBUs) include the following:
• Renal Care includes sales of our peritoneal dialysis (PD), hemodialysis (HD) and additional dialysis therapies and services.
• Medication Delivery includes sales of our intravenous (IV) therapies, infusion pumps, administration sets and drug reconstitution devices.
• Pharmaceuticals includes sales of our premixed and oncology drug platforms, inhaled anesthesia and critical care products and pharmacy compounding services.
• Clinical Nutrition includes sales of our parenteral nutrition (PN) therapies and related products.
• Advanced Surgery includes sales of our biological products and medical devices used in surgical procedures for hemostasis, tissue sealing and adhesion prevention.
• Acute Therapies includes sales of our continuous renal replacement therapies (CRRT) and other organ support therapies focused in the intensive care unit (ICU).
• Other primarily includes sales of contract manufacturing services from our pharmaceutical partnering business.

49


The following is a summary of net sales by GBU. We have disclosed the impact of generic competition for U.S. cyclophosphamide on our net sales to enhance comparability between periods and better identify operating trends.
Three months ended June 30,Percent change
As restated
(in millions)20202019At actual currency ratesAt constant currency rates
Renal Care$919  $907  %%
Medication Delivery612  689  (11)%(9)%
Pharmaceuticals485  538  (10)%(7)%
Clinical Nutrition219  215  %%
Advanced Surgery168  231  (27)%(27)%
Acute Therapies186  132  41 %45 %
Other129  122  %%
Total Baxter$2,718  $2,834  (4)%(1)%

Three months ended
September 30,
Percent change
(in millions)20192018 (as restated)At actual currency ratesAt constant currency rates
U.S.
cyclophosphamide(1)
Renal Care$918  $907  %%%
Medication Delivery701  652  %%%
Pharmaceuticals527  518  %%%
Clinical Nutrition219  217  %%%
Advanced Surgery216  199  %10 %%
Acute Therapies130  122  %%%
Other140  146  (4)%(2)%%
Total Baxter$2,851  $2,761  %%%
41


Nine months ended
September 30,
Percent change
(in millions)20192018 (as restated)At actual currency ratesAt constant currency rates
U.S.
cyclophosphamide(1)
Renal Care$2,679  $2,700  (1)%%%
Medication Delivery2,024  2,006  %%%
Pharmaceuticals1,575  1,548  %%(2)%
Clinical Nutrition639  660  (3)%%%
Advanced Surgery646  585  10 %13 %%
Acute Therapies391  379  %%%
Other369  388  (5)%(2)%%
Total Baxter$8,323  $8,266  %%%
(1)The amounts reflect the impact of U.S. cyclophosphamide net sales on constant currency sales growth for the current period.
Six months ended June 30,Percent change
As restated
(in millions)20202019At actual currency ratesAt constant currency rates
Renal Care$1,789  $1,761  %%
Medication Delivery1,302  1,323  (2)%%
Pharmaceuticals1,012  1,048  (3)%(1)%
Clinical Nutrition439  420  %%
Advanced Surgery392  430  (9)%(8)%
Acute Therapies342  261  31 %34 %
Other244  229  %%
Total Baxter$5,520  $5,472  %%
Foreign exchange rates negatively impacted Renal Care net sales 3% and 4% in the third quarter and first nine months of 2019, respectively. Excluding the impact of foreign exchange rates, Renal Care net sales increased during1% in the thirdsecond quarter and 2% in the first half of 2020, as compared to the prior-year periods. The increase in the second quarter and first nine months of 2019,half was driven by global patient growth in PD, partially offset by lower U.S. in-center HD sales.a 4% and 3%, respectively, adverse impact from foreign exchange rate changes, as compared to the prior-year periods. The COVID-19 pandemic contributed to the increase in demand for PD products in the current periods.
Foreign exchange rates negatively impacted Medication Delivery net sales 1%decreased 11% in the second quarter and 2% in the thirdfirst half of 2020, as compared to the prior-year periods. The decrease in the second quarter and first nine months of 2019, respectively. Excluding the impact of foreign exchange rates, Medication Delivery net sales increased during the third quarter and first nine months of 2019. The increasehalf was attributable to increased sales of our Spectrum IQ Infusion Systemprimarily driven by lower demand in the U.S. and EVO IQ Infusion System internationallysecond quarter for our infusion systems and related IV access administration sets. The year-to-date increasesets and solutions due to lower hospital admission rates and a reduction in elective surgeries due to the COVID-19 global pandemic, including the impact from shelter in place initiatives as well as patient safety concerns related to potential COVID-19 infection risk. Foreign exchange rate changes negatively impacted sales by 2%, as compared to the prior-year periods. Demand in the second quarter was partially offsetalso adversely affected by a declineincreased customer purchases of our IV administration sets and solutions late in the first quarter, compared to the prior year due to higher sales in 2018as hospitals prepared for an expected inflow of our large volume parenterals (LVPs) as customer demand increased due to industry-wide supply challenges.COVID-19 patients.
Foreign exchange rates negatively impacted Pharmaceuticals net sales 2%decreased 10% in the second quarter and 3% in the thirdfirst half of 2020, as compared to the prior-year periods. The decrease in the second quarter and first nine monthshalf of 2019, respectively. Excluding2020 was driven by lower demand for inhaled anesthesia products as a result of lower hospital admission rates and reduced elective surgeries in the impact of foreign exchange rates, Pharmaceuticals net sales increased duringsecond quarter resulting from the thirdglobal COVID-19 pandemic. Sales in the second quarter and first nine monthshalf of 2019. The increase in 2019 was due2020 were also negatively impacted by new competitive entrants for TransDerm Scop. Foreign exchange rate changes adversely impacted sales by 3% and 2%, respectively, as compared to growth inthe prior-year periods. Those impacts were partially offset by increased demand for our international pharmacy compounding sales and increased sales of ourservices along with certain generic injectables. Partially offsetting those increases were reduced sales of BREVIBLOC due to increased generic competition. Additionally, net sales in the first nine months of 2019 were negatively impacted by reduced sales of U.S. cyclophosphamide due to increased generic competition.
Foreign exchange rates negatively impacted Clinical Nutrition net sales 3% in the third quarter and first nine months of 2019, respectively. Excluding the impact of foreign exchange rates, Clinical Nutrition net sales increased during2% in the thirdsecond quarter and were flat during5% in the first nine monthshalf of 2019.2020, as compared to the prior-year periods. The increase in the thirdsecond quarter and first half of 2020 was due to the launch
50


of new products. Positive sales growth in the third quarter was offsetdriven by lower U.S. sales ofincreased demand for our PN therapies and related products, duringpartially offset by a 3% and 2%, respectively, adverse impact from foreign exchange rate changes, as compared to the prior-year periods. The COVID-19 pandemic contributed to the increases in demand for those therapies and related products in the second quarter and first six monthshalf of 2019.2020.
Foreign exchange rates negatively impacted Advanced Surgery net sales 1%decreased 27% the second quarter and 3%9% in the thirdfirst half of 2020, as compared to the prior-year periods. The decrease in the second quarter and first nine monthshalf of 2019, respectively. Excluding2020 was driven by the impact of the COVID-19 pandemic as many elective surgeries were postponed and a 0% and 1% adverse impact from foreign exchange rates, Advanced Surgeryrate changes, as compared to the prior-year periods. Partially offsetting the decreases was the acquisition of Seprafilm, which contributed $23 million and $36 million in net sales increased during the thirdsecond quarter and first nine monthshalf of 2019, primarily driven by higher sales as a result of a temporary supply disruption of a competitor.
Foreign exchange rates negatively impacted Acute Therapies net sales 2% and 4%2020, respectively. Also offsetting the decrease in the third quarterfirst half of 2020 was a benefit from increased demand for our hemostats and first nine months of 2019, respectively. Excludingsealants early in the impact of foreign exchange rates, year due, in part, to competitive supply disruptions.
Acute Therapies net sales increased during41% in the thirdsecond quarter and 31% in the first half of 2020, as compared to the prior-year periods. The increase in the second quarter and first nine months of 2019 due to higherhalf was driven by increased global demand for our CRRT systems to treat acute kidney injuries, includingpartially offset by a 4% and 3%, respectively, adverse impact from foreign exchange rate changes, as compared to the launchprior-year periods. The COVID-19 pandemic drove the increases in demand for those products in the second quarter and first half of PrisMax in several countries across the Americas, Europe and Asia.2020.
Foreign exchange rates negatively impacted Other net sales 2% and 3%increased 6% in the thirdsecond quarter and 7% in the first half of 2020, as compared to the prior-year periods. The increase in the second quarter and first nine monthshalf of 2019, respectively. Excluding the2020 was driven by increased demand for our contract
42


manufacturing services, partially offset by a 1% adverse impact offrom foreign exchange rates, Other net sales decreased duringrate changes, as compared to the third quarter and first nine months of 2019 in comparison to strong sales performance in the prior year.prior-year periods.
Gross Margin and Expense Ratios
Three months ended June 30,
Three months ended September 30,As Restated
2019% of net sales2018 (as restated)% of net sales$ change% change2020% of net sales2019% of net sales$ change% change
Gross marginGross margin$1,230  43.1 %$1,232  44.6 %$(2) (0.2)%Gross margin$1,038  38.2 %$1,153  40.7 %$(115) (10.0)%
SG&ASG&A$627  22.0 %$684  24.8 %$(57) (8.3)%SG&A$590  21.7 %$641  22.6 %$(51) (8.0)%
R&DR&D$144  5.1 %$166  6.0 %$(22) (13.3)%R&D$117  4.3 %$166  5.9 %$(49) (29.5)%

Nine months ended September 30,Six months ended June 30,
2019% of net sales2018 (as restated)% of net sales$ change% change2019% of net sales2018 (as restated)% of net sales$ change% change
Gross marginGross margin$3,463  41.6 %$3,576  43.3 %$(113) (3.2)%Gross margin$2,201  39.9 %$2,233  40.8 %$(32) (1.4)%
SG&ASG&A$1,869  22.5 %$1,993  24.1 %$(124) (6.2)%SG&A$1,218  22.1 %$1,242  22.7 %$(24) (1.9)%
R&DR&D$439  5.3 %$479  5.8 %$(40) (8.4)%R&D$263  4.8 %$295  5.4 %$(32) (10.8)%
Gross Margin
The gross margin ratio was 43.1%38.2% and 41.6%39.9% in the thirdsecond quarter and first nine monthshalf of 2019 and 44.6% and 43.3% in the third quarter and first nine months of 2018,2020, respectively. The special items identified above had an unfavorable impact of approximately 2.63.4 and 3.03.1 percentage points on the gross margin ratio in the thirdsecond quarter and first nine monthshalf of 2020, respectively. The gross margin ratio was 40.7% and 40.8% in the second quarter and first half of 2019, respectively. The special items identified above had an unfavorable impact was 1.6of approximately 3.7 and 1.83.2 percentage points on the gross margin ratio in the thirdsecond quarter and first nine monthshalf of 2018,2019, respectively. Refer to the Special Items caption above for additional detail.
Excluding the impact of the special items, the gross margin ratio decreased in the thirdsecond quarter and first nine monthshalf of 20192020 compared to the prior year due to an unfavorable product mix, as well as inventory write-downsadditional compensation costs, primarily for our manufacturing employees, and incremental logistics costs, relatingall in response to improvements at a dialyzer facility in the U.S. that experienced manufacturing issues duringCOVID-19 pandemic.
We expect the second quarter of 2019.gross margin ratio for full year 2020 to be negatively impacted by those same factors.
SG&A
The SG&A expenses ratio was 22.0%21.7% and 22.5%22.1% in the thirdsecond quarter and first nine monthshalf of 2019 and 24.8% and 24.1% in the third quarter and first nine months of 2018,2020, respectively. The special items identified above had an unfavorable impact of approximately 0.5 and 0.71.0 percentage points on the SG&A expenses ratio in the thirdsecond quarter and first nine monthshalf of 2020, respectively. The SG&A expenses ratio was 22.6% and 22.7% in the second quarter and first half of 2019, respectively. The special items identified above had an unfavorable impact was 2.3of approximately 1.1 and 1.70.8 percentage points on the SG&A expenses ratio in the thirdsecond quarter and first nine monthshalf of 2018,2019, respectively. Refer to the Special Items caption above for additional detail.
Excluding the impact of the special items, the SG&A expenses ratio decreased in the thirdsecond quarter and first nine monthshalf of 20192020 primarily due to favorable foreign currency translationlower bonus accruals under our annual employee incentive compensation plans, actions we took to restructure our cost position and focus on expense management and reduced travel and related expenses due to the COVID-19 pandemic.
R&D
The R&D expenses ratio was 4.3% and 4.8% in the second quarter and first half of 2020, respectively. The special items identified above had an unfavorable impact of approximately 0.0 and 0.4 percentage points on the R&D expenses ratio in the second quarter and first half of 2020, respectively. The R&D expenses ratio was 5.9% and 5.4% in the second quarter and first half of 2019, respectively. The special items identified above had an unfavorable impact of approximately 0.9 and 0.7 percentage points on the R&D expenses ratio in the second quarter and first half of 2019, respectively. Refer to the Special Items caption above for additional detail.
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Excluding the impact of the special items, the R&D expenses ratio decreased in the second quarter and first half of 2020 as a result of the timing of project-related expenditures compared to the prior year and actions we took to restructure our cost position and focus on expense management.
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R&D
The R&D expenses ratio was 5.1% and 5.3% in the third quarter and first nine months of 2019 and 6.0% and 5.8% in the third quarter and first nine months of 2018, respectively. The special items identified above had an unfavorable impact of approximately 0.4 and 0.6 percentage points on the R&D expenses ratio in the third quarter and first nine months of 2019, respectively. The unfavorable impact was 0.5 and 0.3 percentage points in the third quarter and first nine months of 2018, respectively. Refer to the Special Items caption above for additional detail.
Excluding the impact of the special items, R&D expenses decreased in the third quarter and first nine months of 2019 as a result of the timing of project-related expenditures compared to the prior year, actions we took to restructure our cost position and focus on expense management, and favorable foreign currency translation.
Business Optimization Items
Beginning in the second half of 2015, we have undertaken actions to transform our cost structure and enhance operational efficiency. These efforts include restructuring the organization, optimizing our manufacturing footprint, R&D operations and supply chain network, employing disciplined cost management, and centralizing and streamlining certain support functions. Through SeptemberJune 30, 2019,2020, we have incurred cumulative pre-tax costs of $927 million$1.0 billion related to these actions. The costs consisted primarily of employee termination costs, implementation costs, asset impairments, and accelerated depreciation. We currently expect to incur additional pre-tax costs of approximately $100$15 million related to thesethrough the completion of the initiatives that are currently underway, primarily related to employee termination costs and implementation costs. ToWe continue to pursue cost savings initiatives and, to the extent further cost savings opportunities are identified, we may incur additional restructuring charges and costs to implement business optimization expenses.programs in future periods. The reductions in our cost base from these actions in the aggregate are expected to provide cumulative annual pre-tax savings of approximately $1.2 billion once the remaining actions are complete. The savings from these actions will impact cost of sales, SG&A expenses, and R&D expenses. Approximately 95 percent of the expected annual pre-tax savings are expected to be realized by the end of 2019,2020, with the remainder by the end of 2023.
Other Operating Income, Net
Other operating income, net was $44 million and $81 million in the third quarter and first nine months of 2019, respectively, and $89$20 million in the first nine monthshalf of 2018.2020 as we recognized a $17 million gain on the sale of property in conjunction with our business optimization initiatives and a $3 million gain as a result of a change in the estimated fair value of contingent consideration liabilities. Other operating income, net was $4 million and $37 million in the second quarter and first half of 2019, respectively. In the thirdsecond quarter and first half of 2019, we recognized a benefit of $40$4 million related to insurance recoveries as a resultthe change in the estimated fair value of losses incurred due to Hurricane Maria.contingent consideration liabilities. In the three and nine months ended September 30,first half of 2019, we recognized gains of $4a $33 million and $37 million, respectively,gain when our share of the proceeds under a cost-sharing agreement became realizable following the resolution of a dispute with an insurer related to a legacy product-related matter. In the prior period, we settled certain claims with the seller related to the acquired operations of Claris, which resulted in a gain of $80 million, and recognized $9 million of transition services income associated with services provided in connection with our separation of Baxalta in 2015. The agreement for these services terminated as of July 1, 2018.
In October 2019, an additional $60 million of Hurricane Maria insurance claims were approved by our insurers and a gain for that amount will be recognized within other operating income, net in the fourth quarter of 2019. No further insurance recoveries are expected.
Interest Expense, Net
Interest expense, net was $13$36 million and $51$57 million in the thirdsecond quarter and first nine monthshalf of 2019,2020, respectively, and $11$20 million and $34$38 million in the thirdsecond quarter and first nine monthshalf of 2018,2019, respectively. The increase in the thirdsecond quarter and first nine monthshalf of 20192020 was primarily driven by higher average debt outstanding as a result of the March 2020 issuance of $750 million of 3.75% senior notes due October 2025 and $500 million of 3.95% senior notes due April 2030 and the May 2019 issuance of €750 million of 0.40% senior notes due May 2024 and €750 million of 1.3% senior notes due May 2029 and lower2029.
We expect that interest expense, net will increase by more than $60 million in 2020 compared to 2019 primarily due to reduced interest income as a result of lower averageinterest rates on cash balances and cash equivalents balances.higher interest expense as a result of the $1.25 billion of senior notes issued in March 2020.
Other Income,(Income) Expense, Net
Other income,(income) expense, net was an expense of $9$6 million and $16 million in the second quarter and first half of 2020, respectively, and an expense of $4 million and income of $8$17 million in the thirdsecond quarter and first nine monthshalf of 2019, respectively, and income of $1 million and $45 millionrespectively. The increase in expense in the thirdsecond quarter and first nine monthshalf of 2018, respectively. The decrease in the third quarter of 20192020 compared to the prior year was primarily due to foreign exchange net losses in the current period. The decrease in the first nine months of 2019 compared to the prior year was primarily due to foreign exchange net losses in the current year, partially offset by higherlower pension benefits inas a result of the current year and an impairmentannuitization of an investment in the prior-year period.

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We will recognize a non-cash pretaxour U.S. pension settlement charge of $755 millionplans in the fourth quarter of 2019 related to the October 2019 transfer of approximately $2.4 billion of our U.S. pension plan liabilities to an insurance company. Refer to Note 13 within Item 1 for more information.2019.

Income Taxes
Our effective income tax rate was 22.0%14.5% and (39.2)%4.0% in the thirdsecond quarter and 13.7%13.0% and (3.1)% for8.0% in the first nine monthshalf of 20192020 and 2018,2019, respectively. Our effective income tax rate can differ from the 21% U.S. federal statutory rate due to a number of factors, including foreign rate differences, tax incentives, increases or decreases in valuation allowances and liabilities for uncertain tax positions and excess tax benefits on stock compensation awards.
For the three months ended September 30, 2019, our effective income tax rate was substantially consistent with the 21% U.S. federal statutory rate as unfavorable return-to-provision adjustments in various jurisdictions were offset by excess tax benefits on stock compensation awards. For the nine months ended September 30, 2019, the difference between our effective tax rate and the U.S. federal statutory rate was primarily attributable to excess tax benefits on stock compensation awards and the recognition of tax benefits associated with a favorable tax ruling.
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For the three and six months ended SeptemberJune 30, 2018, the difference between our effective income tax rate and the U.S. federal statutory rate was primarily driven by a benefit from an adjustment to the 2017 Tax Act provisional amounts as permitted by Staff Accounting Bulletin 118. Specifically, we released a $200 million valuation allowance related to our U.S. foreign tax credit deferred tax assets. For the nine months ended September 30, 2018,2020, the difference between our effective income tax rate and the U.S. federal statutory rate was primarily attributable to nontaxable income from the settlement of certain claims with the seller of the acquired operations of Claris,favorable geographic earnings mix and excess tax benefits on stock compensation awards, an adjustment of provisional amounts relatedawards.
For the three and six months ended June 30, 2019, the difference between our effective income tax rate and the U.S. federal statutory rate was primarily attributable to the 2017 Tax Act,recognition of tax benefits associated with a reduction of an uncertainfavorable tax position liability as a result of a settlement with the related taxing authorityruling and the reversal of a valuation allowance as a result of continued profit improvements. Partially offsetting the foregoingexcess tax benefits was interest on our uncertain tax position liabilities, the revaluation of Swedish net deferred tax assets due to tax rate changes in that jurisdiction and transfer pricing-related income tax accruals.

stock compensation awards.
Segment Results
We use operating income on a segment basis to make resource allocation decisions and assess the ongoing performance of our segments. The following is a summary of significant factors impactingfinancial information for our reportable segments’ financial results.segments:
Net salesOperating income (loss)
Net sales  Operating income (loss) Three months ended
June 30,
Six months ended
June 30,
Three months ended
June 30,
Six months ended
June 30,
Three months ended September 30,Nine months ended September 30,Three months ended September 30,Nine months ended September 30,As RestatedAs RestatedAs RestatedAs Restated
(in millions)(in millions)20192018 (as restated)20192018 (as restated)20192018 (as restated)20192018 (as restated)(in millions)20202019202020192020201920202019
AmericasAmericas$1,534  $1,497  $4,462  $4,459  $595  $624  $1,715  $1,809  Americas$1,407  $1,519  $2,906  $2,928  $489  $582  $1,033  $1,120  
EMEAEMEA730  707  2,179  2,180  162  164  465  475  EMEA731  742  1,485  1,449  159  159  320  303  
APACAPAC587  557  1,682  1,627  138  137  394  383  APAC580  573  1,129  1,095  143  136  271  256  
Corporate and otherCorporate and other—  —  —  —  (392) (543) (1,338) (1,474) Corporate and other—  —  —  —  (460) (527) (884) (946) 
TotalTotal$2,851  $2,761  $8,323  $8,266  $503  $382  $1,236  $1,193  Total$2,718  $2,834  $5,520  $5,472  $331  $350  $740  $733  
Americas
Segment net sales and operating income was $595 millionwere $1.4 billion and $1,715$489 million, respectively, in the thirdsecond quarter and $2.9 billion and $1.0 billion, respectively, in the first nine monthshalf of 20192020. Segment net sales and $624 millionoperating income were $1.5 billion and $1,809$582 million, respectively, in the thirdsecond quarter and $2.9 billion and $1.1 billion, respectively, in the first half of 2019. The decreases in the second quarter and first nine monthshalf of 2018. The decrease in the third quarter of 2019 was2020 were primarily driven by lowerdecreased sales and gross margin in Pharmaceuticals. Lower salesmultiple GBUs, particularly Medication Delivery, Pharmaceuticals and gross marginAdvanced Surgery, due to the impact of the COVID-19 pandemic. The decrease was partially offset by favorable performance in Medication DeliveryAcute Therapies and Clinical Nutrition as well as the acquisition of Seprafilm.
EMEA
Segment net sales and operating income were $731 million and $159 million, respectively, in the second quarter and $1.5 billion and $320 million, respectively, in the first half of 2020. Segment net sales and operating income were $742 million and $159 million, respectively, in the second quarter of 2019 contributed to the decreaseand $1.4 billion and $303 million, respectively, in the first nine monthshalf of 2019. Partially offsettingThe change in foreign exchange rates had an adverse impact on results in 2020 as compared to 2019. On a constant currency basis, net sales increased in both the decreases in the thirdsecond quarter and first nine monthshalf of 20192020 as favorable performance in Acute Therapies, Clinical Nutrition and Renal Care was favorablepartially offset by unfavorable performance in Advanced Surgery primarily due to a temporary supply disruption of a competitor.and Medication Delivery.
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EMEAAPAC
Segment net sales and operating income was $162were $580 million and $465$143 million, respectively, in the thirdsecond quarter and first nine months of 2019$1.1 billion and $164 million and $475$271 million, respectively, in the thirdfirst half of 2020. Segment net sales and operating income were $573 million and $136 million, respectively, in the second quarter and $1.1 billion and $256 million, respectively, in the first half of 2019. The increases in the second quarter and first nine monthshalf of 2018. The decrease in the first nine months of 2019 was2020 were primarily driven by unfavorable foreign exchange rates, partially offset by increased sales and gross margin in multiple GBUs, particularly Renal Care, Acute Therapies and Pharmaceuticals.
APAC
Segment operating income was $138 million and $394 million, respectively, The acquisition of Seprafilm also positively contributed to results in the third quarter and first nine months of 2019 and $137 million and $383 million, respectively,2020. The change in the third quarter and first nine months of 2018. Resultsforeign exchange rates had an adverse impact on results in 2019 were driven by higher sales and gross margin, primarily from China and Australia, in Renal Care and Pharmaceuticals.2020 as compared to 2019.
Corporate and Other
Certain items are maintained at Corporate and are not allocated to a segment. They primarily include certain foreign currency hedging activities, corporate headquarters costs, certain R&D costs, certain GBU support costs, stock
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compensation expense, certain employee benefit plan costs, and certain gains, losses, and other charges (such as business optimization, acquisition and integration costs, intangible asset amortization and asset impairments). The operating loss in the thirdsecond quarter and first half of 20192020 was lower than the prior-year period due to lower expenses and the gain recognized in the current year related to the sale of property in connection with our business optimization charges, Hurricane Maria insurance recoveriesinitiatives and a lower R&D expense. The operating lossintangible asset impairment in the first nine months of 2019 decreased overcurrent year compared to the prior year, partially offset by the prior-year period duegain recognized when our share of the proceeds under a cost-sharing agreement became realizable following the resolution of a dispute with an insurer related to a benefit for our allocation of insurance proceeds received pursuant to a settlement and cost-sharing arrangement for a legacy product-related matter and higher investigation and related costs, acquisition and integration costs and intangible asset amortization in the current year, lower SG&A and R&D expenses in the current year, lower business optimization charges in the current year and higher Hurricane Maria insurance recoveries in the current year, partially offset by an impairment of a developed-technology intangible asset in the current year and the benefit from the Claris settlement in the prior year.
LIQUIDITY AND CAPITAL RESOURCES
The following table is a summary of the statement of cash flows for the nine-monthsix-month periods ended SeptemberJune 30, 20192020 and 2018.2019.
Six months ended June 30,
Nine months ended September 30,As Restated
(in millions)(in millions)20192018(in millions)20202019
Cash flows from operations - continuing operationsCash flows from operations - continuing operations$1,281  $1,308  Cash flows from operations - continuing operations$648  $580  
Cash flows from investing activitiesCash flows from investing activities(679) (700) Cash flows from investing activities(758) (448) 
Cash flows from financing activitiesCash flows from financing activities614  (1,095) Cash flows from financing activities909  968  
Cash Flows from Operations — Continuing Operations
In the first nine monthshalf of 2019,2020, cash provided by operating activities was $1,281$648 million, as compared to cash provided by operating activities of $1,308$580 million in the first nine monthshalf of 2018, a decrease2019, an increase of $27$68 million. The decreaseincrease was primarily due to the Claris settlement received in 2018 and the timing of customervendor payments, lower restructuring payments and vendorlower employee incentive compensation payments in the current year, partially offset by a more significant increase in inventory levels in the current year and insurance recoveries received in 2019 from a legacy product-related matter and Hurricane Maria.
In October 2019, an additional $60 million of insurance claimsWhile we did not experience significant collection issues related to Hurricane Maria were approvedour receivables during the first half of 2020, the timing of collection of our receivables may be adversely impacted by our insurers. These recoveries were collected in the fourth quarterCOVID-19 pandemic during the remainder of 2019 and no further insurance recoveries are expected.2020.
Cash Flows from Investing Activities
In the first nine monthshalf of 2019,2020, cash used for investing activities included payments for acquisitions of $186$453 million, primarily related to theSeprafilm and rights to multiple products we acquired, and capital expenditures of $505$316 million. In the first nine monthshalf of 2018,2019, cash used for investing activities included capital expenditures of $338 million and payments for acquisitions of $255$111 million, primarily related to RECOTHROM and PREVELEAK and two molecules from Celerity Pharmaceuticals, LLC, and capital expenditures of $453 million.
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In October 2019, we paid $195 million to acquire Cheetah Medical, Inc., net of cash acquired. In December 2019, we entered into a definitive agreement to acquire Seprafilm from Sanofi. The transaction closed in February 2020 and we paid approximately $345 million for the acquired assets, subject to a post-close adjustment. In January 2020, we acquired the U.S. rights to an additional product for $60 million. Refer to Note 3 within Item 1 for more information.multiple products we acquired.
Cash Flows from Financing Activities
In the first ninesix months of 2020, cash generated from financing activities included $1.2 billion of net proceeds from the issuance of $750 million of senior notes due in 2025 and $500 million of senior notes due in 2030. We will use the net proceeds from the senior notes issuances for general corporate purposes, including to strengthen our balance sheet as a precautionary measure in light of the COVID-19 pandemic. Cash generated from financing activities in the six months ended June 30, 2020 also included stock issued under employee benefit plans of $151 million and was partially offset by the repayment of borrowings under our Euro-denominated credit facility of €200 million ($225 million) and dividend payments of $223 million. In the first six months of 2019, cash generated from financing activities included $1.7 billion of net proceeds from the issuance of €750 million of senior notes due in 2024 and €750 million of senior notes due in 2029 along with stock issued under employee benefit plans of $334$262 million, partially offset by payments for stock repurchases of $1.0 billion$720 million and dividend payments of $310 million. In the first nine months of 2018, cash used for financing activities included payments for stock repurchases of $1.0 billion and dividend payments of $274 million, partially offset by the proceeds from stock issued under employee benefit plans of $232$198 million.
As authorized by the Board of Directors, we repurchase our stock depending upon our cash flows, net debt levels and market conditions. In July 2012, the Board of Directors authorized the repurchase of up to $2.0 billion of our common stock. The Board of Directors increased this authority by an additional $1.5 billion in each of November 2016 and February 2018 and by an additional $2.0 billion in November 2018. We paid $1.0 billion in cash todid not repurchase approximately 13.5 millionany shares under this authority pursuant to Rule 10b5-1 plans and otherwise in the first nine monthshalf of 20192020 and had $1.1 billion$897 million remaining available under this authorization as of SeptemberJune 30, 2019.2020.
In December 2018, we entered into a $300 million accelerated share repurchase agreement (ASR Agreement) with an investment bank. We funded the ASR Agreement with available cash. Under the ASR Agreement, we received 3.6 million shares upon execution. Based on the volume-weighted average price of our common stock during the term of the ASR Agreement, we received an additional 0.6 million shares from the investment bank at settlement on May 7, 2019.
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Credit Facilities and Access to Capital and Credit Ratings
Credit Facilities
As of SeptemberJune 30, 2019,2020, our U.S. dollar-denominated revolving credit facility and Euro-denominated senior revolving credit facility had a maximum capacity of $1.5$2.0 billion and approximately €200 million, respectively. There werewas no amountsamount outstanding under our U.S. dollar-denominated and Euro-denominated credit facilities as of SeptemberJune 30, 2019 or2020. There was €200 million ($224 million) outstanding at a 0.9% interest rate under our Euro-denominated credit facility and no amount outstanding under our U.S. dollar-denominated credit facility as of December 31, 2018, respectively.2019. As of SeptemberJune 30, 2019,2020, we were in compliance with the financial covenants in these agreements. The non-performance of any financial institution supporting either of the credit facilities would reduce the maximum capacity of these facilities by each institution’s respective commitment.
In December 2019, we entered into new U.S. and Euro-denominated revolving credit facilities. Our U.S. dollar-denominated revolving credit facility has capacity of $2.0 billion. Our Euro-denominated senior revolving credit facility has a capacity of approximately €200 million. Both facilities mature in December 2024.
Access to Capital and Credit Ratings
We intend to fund short-term and long-term obligations as they mature through cash on hand, future cash flows from operations or by issuing additional debt. We had $3.0$4.1 billion of cash and cash equivalents as of SeptemberJune 30, 2019,2020, with adequate cash available to meet operating requirements in each jurisdiction in which we operate. We invest our excess cash in money market and other funds and diversify the concentration of cash among different financial institutions.
Our ability to generate cash flows from operations, issue debt or enter into other financing arrangements on acceptable terms could be adversely affected if there is a material decline in the demand for our products or in the solvency of our customers or suppliers, deterioration in our key financial ratios or credit ratings or other significantly unfavorable changes in conditions. However, we believe we have sufficient financial flexibility to issue debt, enter into other financing arrangements and attract long-term capital on acceptable terms to support our growth objectives. Between FebruaryMarch and October 2019,July 2020, Standard & Poor’s, Fitch, and Moody’s reaffirmed our investment grade credit ratings.ratings that we disclosed in our 2019 Annual Report.
LIBOR Reform
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In 2017, the United Kingdom’s Financial Conduct Authority announced that after 2021 it would no longer compel banks to submit the rates required to calculate the London Interbank Offered Rate (LIBOR) and other interbank offered rates, which have been widely used as reference rates for various securities and financial contracts, including loans, debt and derivatives. This announcement indicates that the continuation of LIBOR on the current basis is not guaranteed after 2021. Regulators in the U.S. and other jurisdictions have been working to replace these rates with alternative reference interest rates that are supported by transactions in liquid and observable markets, such as the Secured Overnight Financing Rate (SOFR). Currently, our credit facilities and certain of our derivative instruments reference LIBOR-based rates. The discontinuation of LIBOR will require these arrangements to be modified in order to replace LIBOR with an alternative reference interest rate, which could impact our cost of funds. Our credit facilities include a provision for the determination of a successor LIBOR rate.
CRITICAL ACCOUNTING POLICIES
The preparation of financial statements in accordance with U.S. GAAP requires management to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses. A summary of our significant accounting policies is included in Note 1 to our consolidated financial statements in our 2019 Annual Report which was filed on March 17, 2020.Report. Certain of our accounting policies are considered critical, as these policies are the most important to the depiction of our financial statements and require significant, difficult or complex judgments, often employing the use of estimates about the effects of matters that are inherently uncertain. Such policies are summarized in the Management’s Discussion and Analysis of Financial Condition and Results of Operations section in our 2019 Annual Report. There have been no significant changes in the application of our critical accounting policies during the first nine monthshalf of 2019.2020.
RECENT ACCOUNTING PRONOUNCEMENTS
In June 2016, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) 2016-13, Financial Instruments - Credit Losses, which requires the measurement of expected credit losses for financial instruments held at the reporting date based on historical experience, current conditions and reasonable forecasts. The main objectiveRefer to Note 1 in Item 1 of this ASU is to provide financial statement users with more decision-usefulQuarterly Report on Form 10-Q for information about the expected credit losses on financial instruments and other commitments to extend credit held by a reporting entity at each reporting date. The standard isregarding recently adopted accounting pronouncements. There are no accounting standards issued but not yet effective for our financial statements beginning in 2020. The impact of the adoption of this ASU is not expected tothat we believe will have a material effect on our consolidated financial statements.
In August 2018, the FASB issued ASU 2018-15, Intangibles-Goodwill and Other-Internal-Use Software, which aligns 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 standard is effective for our financial statements beginning in 2020. Our policies for capitalizing implementation costs incurred in a hosting arrangement are not expected to be impacted by this ASU. However, we have historically classified those capitalized costs within property, plant and equipment, netimpact on our condensed consolidated balance sheets and as capital expenditures on our condensed consolidated statements of cash flows. Under the new ASU, those capitalized costs will be presented as other non-current assets on our condensed consolidated balance sheets and within operating cash flows on our condensed consolidated statements of cash flows. The impact of those classification changes following the adoption of this ASU are not expected to have a material effect on our consolidated financial statements.
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LEGAL CONTINGENCIES
Refer to Note 87 within Item 1 for a discussion of our legal contingencies. Upon resolution of any of these uncertainties, we may incur charges in excess of presently established liabilities. While our liability in connection with certain claims cannot be estimated with any certainty, and although the resolution in any reporting period of one or more of these matters could have a significant impact on our results of operations and cash flows for that period, the outcome of these legal proceedings is not expected to have a material adverse effect on our consolidated financial position. While we believe that we have valid defenses in these matters, litigation is inherently uncertain, excessive verdicts do occur, and we may in the future incur material judgments or enter into material settlements of claims.
CERTAIN REGULATORY MATTERS
The U.S. Food and Drug Administration (FDA) commenced an inspection of Claris’ facilities in Ahmedabad, India in July 2017, immediately prior to the closing of the Claris acquisition. FDA completed the inspection and subsequently issued a Warning Letter based on observations identified in the 2017 inspection (Claris Warning Letter).1
While FDA has not yet re-inspected the facilities, we are continuing to implement corrective and preventive actions to address FDA’s prior observations and other items identified in connection with integrating Claris into our quality systems.

While management cannot speculate on when the Claris Warning Letter will be lifted, management continues to pursue and implement other manufacturing locations, including contract manufacturing organizations, to support the production of new products for distribution in the U.S. in the meantime. As of December 31, 2019, we have secured alternative locations to produce a majority of the planned new products for distribution into the U.S.
On May 6, 2019, we received a Show Cause Notice under the Drugs & Cosmetics Act, 1940 and Rules thereunder (Show Cause Notice) from the Commissioner of the Food & Drugs Control Administration in the Gujarat State in
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Gandhinagar, India (Commissioner). The Show Cause Notice was issued regarding an April 9, 2019 inspection of our Claris facilities in Ahmedabad, India by the Commissioner. The Show Cause Notice contained a number of observations of alleged Good Manufacturing Practice related issues across a variety of areas, some of which overlap with the areas covered in the Claris 483 or the Claris Warning Letter. We responded to the Show Cause Notice and a follow up inspection occurred in July 2019. No further action has been undertaken by the Gujarat authorities.This matter resulted in a two-day suspension order for certain manufacturing operations, which occurred on March 19 and 20, 2020. This matter is now closed.
In June 2013, we received a Warning Letter from FDA regarding operations and processes at our North Cove, North Carolina and Jayuya, Puerto Rico facilities. We attended Regulatory Meetings with FDA regarding one or both of these facilities in October 2014, November 2015, July 2017, April 2018 and October 2018. The Warning Letter addresses observations related to Current Good Manufacturing Practice violations at the two facilities. The Warning Letter was closed out in September 2019.
As previously disclosed, in the fourth quarter of 2012, we received two investigative demands from the United States Attorney for the Western District of North Carolina for information regarding our quality and manufacturing practices and procedures at our North Cove facility. In January 2017, the parties resolved the matter by entering into a deferred prosecution agreement and a civil settlement whereby we agreed to pay approximately $18 million and implement certain enhanced compliance measures. In July 2019, the deferred prosecution agreement expired and, based on our fulfillment of the terms of the agreement, the court dismissed the criminal information previously filed in the case with prejudice.
1 Available online at https://www.fda.gov/ICECI/EnforcementActions/WarningLetters/ucm613538.htm
FORWARD-LOOKING INFORMATION
This quarterly report on Form 10-Q includes forward-looking statements. Use of the words “may,” “will,” “would,” “could,” “should,” “believes,” “estimates,” “projects,” “potential,” “expects,” “plans,” “seeks,” “intends,” “evaluates,” “pursues,” “anticipates,” “continues,” “designs,” “impacts,” “affects,” “forecasts,” “target,” “outlook,” “initiative,” “objective,” “designed,” “priorities,” “goal,” or the negative of those words or other similar expressions is intended to identify forward-looking statements that represent our current judgment about possible future events. These forward-looking statements may include statements with respect to accounting estimates and assumptions, impacts of the COVID-19 pandemic, litigation-related matters including outcomes, impacts of the internal investigation related to foreign exchange gains and losses and the material weakness identified as a result thereof, future regulatory filings
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and our R&D pipeline, strategic objectives, sales from new product offerings, credit exposure to foreign governments, potential developments with respect to credit ratings, investment of foreign earnings, estimates of liabilities including those related to uncertain tax positions, contingent payments, future pension plan contributions, costs, discount rates and rates of return, our exposure to financial market volatility and foreign currency and interest rate risks, potential tax liability associated with the separation of our biopharmaceuticals and medical products businesses, the impact of competition, future sales growth, business development activities (including the acquisitions of Cheetah and Seprafilm from Sanofi), business optimization initiatives, cost saving initiatives, future capital and R&D expenditures, future debt issuances, manufacturing expansion, the sufficiency of our facilities and financial flexibility, the adequacy of credit facilities, tax provisions and reserves, the effective tax rate and all other statements that do not relate to historical facts.

These forward-looking statements are based on certain assumptions and analyses made in light of our experience and perception of historical trends, current conditions, and expected future developments as well as other factors that we believe are appropriate in the circumstances. While these statements represent our judgment on what the future may hold, and we believe these judgments are reasonable, these statements are not guarantees of any events or financial results. Whether actual future results and developments will conform to expectations and predictions is subject to a number of risks and uncertainties, including the following factors, many of which are beyond our control:

failure to achieve our long-term financial improvement goals;

demand for and market acceptance risks for and competitive pressures related to new and existing products (including challenges with our ability to accurately predict these pressures and the resulting impact on customer inventory levels)levels and the impact of reduced hospital admission rates and elective surgery volumes), and the impact of those products on quality and patient safety concerns;

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product development risks, including satisfactory clinical performance, the ability to manufacture at appropriate scale, and the general unpredictability associated with the product development cycle;

our ability to finance and develop new products or enhancements on commercially acceptable terms or at all;

our ability to identify business development and growth opportunities and to successfully execute on business development strategies;

product quality or patient safety issues, leading to product recalls, withdrawals, launch delays, warning letters, import bans, sanctions, seizures, litigation, or declining sales;
product quality or patient safety issues, leading to product recalls, withdrawals, launch delays, warning letters, import bans, sanctions, seizures, litigation, or declining sales;
the impact of global economic conditions (including potential trade wars) and public health crises and epidemics, such as the novel strain of coronavirus (COVID-19), including any potential "second wave," on us and our customers and suppliers, including foreign governments in countries in which we operate;

the continuity, availability and pricing of acceptable raw materials and component supply, and the related continuity of our manufacturing and distribution;

inability to create additional production capacity in a timely manner or the occurrence of other manufacturing, sterilization or supply difficulties (including as a result of natural disaster, public health crises and epidemics/pandemics, regulatory actions or otherwise);

breaches or failures of our information technology systems or products, including by cyber-attack, data leakage, unauthorized access or theft;theft (as a result of increased remote working arrangements or otherwise);

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future actions of (or failures to act or delays in acting by) FDA, the European Medicines Agency or any other regulatory body or government authority (including the SEC, DOJ or the Attorney General of any State) that could delay, limit or suspend product development, manufacturing or sale or result in seizures, recalls, injunctions, monetary sanctions or criminal or civil liabilities, including the continued delay in lifting the warning letter at our Ahmedabad facility or proceedings related to the misstatements in previously reported non-operating income related to foreign exchange gains and losses;

the impacts of the material weakness identified as a result of the internal investigation related to foreign exchange gains and losses and our remediation efforts, including the risk that we may experience additional material weaknesses;

developments that would require the correction of additional misstatements in our previously issued financial statements;

failures with respect to our quality, compliance or ethics programs;

future actions of third parties, including third-party payers, the impact of healthcare reform and its implementation, suspension, repeal, replacement, amendment, modification and other similar actions undertaken by the United States or foreign governments, including with respect to pricing, reimbursement, taxation and rebate policies; legislation, regulation and other governmental pressures in the United States or globally, including the cost of compliance and potential penalties for purported noncompliance thereof, all of which may affect pricing, reimbursement, taxation and rebate policies of government agencies and private payers or other elements of our business, including new or amended laws, rules and regulations (such as the California Consumer Privacy Act of 2018, the European Union’s General Data Protection Regulation and proposed regulatory changes of the U.S. Department of Health and Human Services in kidney health policy and reimbursement, which may substantially change the U.S. end stage renal disease market and demand for our peritoneal dialysis products, necessitating significant multi-year capital expenditures, which are difficult to estimate in advance, for example);

the outcome of pending or future litigation, including the opioid litigation and litigation related to the investigation of foreign exchange gains and losses;
failure to achieve our long-term financial improvement goals;

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the impact of competitive products and pricing, including generic competition, drug reimportation and disruptive technologies;

global regulatory, trade and tax policies;

the ability to protect or enforce our owned or in-licensed patent or other proprietary rights (including trademarks, copyrights, trade secrets and know-how) or patents of third parties preventing or restricting our manufacture, sale or use of affected products or technology;

the impact of any goodwill or other intangible asset impairments on our operating results;

any failure by Baxalta or Shire to satisfy its obligations under the separation agreements, including the tax matters agreement, or that certain letter agreement entered into with Shire and Baxalta;

the impact of global economic conditions (including potential trade wars) and public health crises and epidemics, such as the novel strain of coronavirus that recently originated in China (COVID-19), on us and our customers and suppliers, including foreign governments in countries in which we operate;

fluctuations in foreign exchange and interest rates;

any changes in law concerning the taxation of income (whether with respect to current or future tax reform), including income earned outside the United States and potential taxes associated with the Base Erosion and Anti-Abuse Tax;

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actions by tax authorities in connection with ongoing tax audits;

loss of key employees or inability to identify and recruit new employees;

other factors identified elsewhere in this report and other filings with the SEC, including those factors described in Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2019, filed on March 17, 2020, all of which are available on our website.

Actual results may differ materially from those projected in the forward-looking statements. We do not undertake to update our forward-looking statements.
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Item 3. Quantitative and Qualitative Disclosures About Market Risk
Currency Risk
We are primarily exposed to foreign exchange risk with respect to revenues generated outside of the United States denominated in the Euro, British Pound, Chinese Yuan, Korean Won, Australian Dollar, Canadian Dollar, Japanese Yen, Colombian Peso, Brazilian Real, Mexican Peso and Swedish Krona. We manage our foreign currency exposures on a consolidated basis, which allows us to net exposures and take advantage of any natural offsets. In addition, we use derivative and nonderivative financial instruments to further reduce the net exposure to foreign exchange. Gains and losses on the hedging instruments offset losses and gains on the hedged transactions and reduce the earnings and stockholders’ equity volatility relating to foreign exchange. However, we don't hedge our entire foreign exchange exposure and are still subject to earnings and stockholders' equity volatility relating to foreign exchange risk. Financial market and currency volatility may limit our ability to cost-effectively hedge these exposures.
We use options and forwards to hedge the foreign exchange risk to earnings relating to forecasted transactions denominated in foreign currencies and recognized assets and liabilities. The maximum term over which we have cash flow hedge contracts in place related to foreign exchange risk on forecasted transactions as of SeptemberJune 30, 20192020 is 1512 months. We also enter into derivative instruments to hedge foreign exchange risk on certain intra-company and third-party receivables and payables and debt denominated in foreign currencies.
As part of our risk-management program, we perform sensitivity analyses to assess potential changes in the fair value of our foreign exchange instruments relating to hypothetical and reasonably possible near-term movements in foreign exchange rates.
A sensitivity analysis of changes in the fair value of foreign exchange option and forward contracts outstanding as of SeptemberJune 30, 2019,2020, while not predictive in nature, indicated that if the U.S. Dollar uniformly weakened by 10% against all currencies, on a net-of-tax basis, the net asset balance of $19$15 million with respect to those contracts would decreaseincrease by $23 million, resulting in a net liability position.$7 million.
The sensitivity analysis model recalculates the fair value of the foreign exchange option and forward contracts outstanding as of SeptemberJune 30, 20192020 by replacing the actual exchange rates as of SeptemberJune 30, 20192020 with exchange rates that are 10% weaker compared to the actual exchange rates for each applicable currency. All other factors are held constant. These sensitivity analyses disregard the possibility that currency exchange rates can move in opposite directions and that gains from one currency may or may not be offset by losses from another currency. The analyses also disregard the offsetting change in value of the underlying hedged transactions and balances.
Our operations in Argentina are reported using highly inflationary accounting effective July 1, 2018. Changes in the value of the Argentine Peso applied to our peso-denominated net monetary asset positions are recorded in income at the time of the change. As of SeptemberJune 30, 2019,2020, our net monetary assets denominated in Argentine Pesos are not significant.
Interest Rate and Other Risks
Refer to the caption “Interest Rate and Other Risks” in the “Financial Instrument Market Risk” section of the 2019 Annual Report filed on March 17, 2020.Report. There were no significant changes during the quarter ended SeptemberJune 30, 2019.
2020.
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Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive Officer and our Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the Exchange Act)) as of SeptemberJune 30, 2019.2020.
Based on that evaluation, our Chief Executive Officer and our Chief Financial Officer, concluded that, as of SeptemberJune 30, 2019,2020, due to the material weakness in our internal control over financial reporting described below, our disclosure controls and procedures were not effective to provide reasonable assurance that the information we are required to disclose in the reports that we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.
A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements would not be prevented or detected on a timely basis.
We did not maintain effective controls over the accounting for certain foreign exchange gains and losses. Specifically, we previously did not have controls in place to monitor and quantify the difference between the foreign exchange gains and losses that we reported and the foreign exchange gains and losses that we would have reported using exchange rates determined in accordance with U.S. GAAP. Additionally, our policies and controls related to approvals and monitoring of intra-company transactions were insufficient to prevent or detect intra-company transactions undertaken solely for the purpose of generating foreign exchange gains or avoiding losses under our historical exchange rate convention. This material weakness resulted in the restatement of our consolidated financial statements as of December 31, 2018 and for the years ended December 31, 2018 and 2017 and each of the quarterly and year-to-date periods in the year ended December 31, 2018 and the first two quarters and related year-to-date interim period in the year ended December 31, 2019. Additionally, this material weakness could result in a misstatement of the aforementioned account balances or disclosures that would result in a material misstatement to the annual or interim consolidated financial statements that would not be prevented or detected.
Remediation of the Material Weakness

Management has been implementingimplemented changes to strengthen our internal controls over the accounting for foreign exchange gains and losses. These changes are intended to address the identified material weakness and enhance our overall control environment and include the ongoing activities described below.

Exchange Rate Policy – We have discontinued the use of our historical exchange rate convention and are using the exchange rates determined in accordance with U.S. GAAP for purposes of measuring foreign currency transactions and remeasuring monetary assets and liabilities denominated in a foreign currency.
Automated Feed – We have implemented an automated feed that extracts foreign exchange rates on a daily basis from a recognized third-party exchange rate source.
Daily Rate Comparison – We have implemented a daily rate comparison control that extracts foreign exchange rates from (a) a third-party exchange rate source, (b) our treasury application, and (c) our enterprise resource planning (ERP) system and compares those rates in order to identify any potential differences and provide assurance that the correct rates were captured and are being used in our financial systems.
Intra-company Transaction Approvals – We have updated our policies to require additional approvals of intra-company transactions and implemented a requirement that such transactions be supported by a documented business purpose.
Personnel - We have made personnel changes including hiring a new treasurer from outside Baxter with more than thirty years of treasury experience and responsibility, including at four publicly traded companies. We have also hired another experienced treasury professional in a newly created director role responsible for treasury governance and controls. Additionally, we have created a treasury controller role within our accounting function and are continuing to add resources as appropriate to improve our financial reporting controls related to treasury activities.

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WhileWe have made significant progress to remediate the material weakness and have fully implemented the above remediation actions. However, while we believe that the abovethose actions will ultimately remediate the material weakness, we intend to
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continue to refine those controls and monitor their operating effectiveness for a sufficient period of time prior to reaching anya determination as to whetherthat the material weakness has been remediated.

Notwithstanding the identified material weakness, management believes that the condensed consolidated financial statements included in this Quarterly Report on Form 10-Q present fairly, in all material respects, our financial position, results of operations, and cash flows as of and for the periods presented in accordance with U.S. GAAP.
Changes in Internal Control over Financial Reporting
As previously disclosed, we are currently implementing an upgrade to our ERP software. In connection with the ERP upgrade, we are updating the processes that constitute our internal control over financial reporting, as necessary. This normal course of business ERP upgrade is being implemented to remain current with the latest release of the software.
As previously disclosed, since 2017, we have been implementing a long-term business transformation project within the finance, human resources, purchasing and information technology functions which will further centralize and standardize business processes and systems across the company.  We are transitioning some processes to our shared services centers while others have been moved to outsourced providers.  This multi-year initiative will beis being conducted in phases and includeincludes modifications to the design and operation of controls over financial reporting.
As a result of COVID-19, our global accounting and financial reporting function has shifted to a primarily work from home environment and that change was rapid. While our internal controls over financial reporting were not specifically designed for our current work from home operating environment, we believe that those internal controls are continuing to function effectively, with the exception of the material weakness identified above, while primarily being performed remotely in the current environment.
Other than as described in the twothree preceding paragraphs and in the Remediation of Material Weakness section above, there have been no changes in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the quarter ended SeptemberJune 30, 20192020 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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Review by Independent Registered Public Accounting Firm
A review of the interim condensed consolidated financial statements included in this Quarterly Report on Form 10-Q for the quarterly periodthree and six months ended SeptemberJune 30, 20192020 and 20182019 has been performed by PricewaterhouseCoopers LLP, our independent registered public accounting firm. Its report on the interim condensed consolidated financial information follows. This report is not considered a report within the meaning of Sections 7 and 11 of the Securities Act of 1933 and, therefore, the independent accountants’ liability under Section 11 does not extend to it.
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Report of Independent Registered Public Accounting Firm

To the Board of Directors and Stockholders of Baxter International Inc.

Results of Review of Interim Financial Statements

We have reviewed the condensed consolidatedbalance sheet ofBaxter International Inc. and its subsidiaries (the “Company”) as ofSeptember June 30, 2019,2020, and the related condensed consolidated statements of income, comprehensive income and changes in equity for the three-month and nine-monthsix-month periods ended SeptemberJune 30, 20192020 and 20182019 and the related condensed consolidated statements of cash flows for the nine-monthsix-month periods ended SeptemberJune 30, 20192020 and 2018,2019, including the related notes, appearing under Part I, Item 1 of this Quarterly Report on Form 10-Q (collectively referred to as the “interim financial statements”). Based on our reviews, we are not aware of any material modifications that should be made to the interim financial statements referred to above forthem to be in conformity with accounting principles generally accepted in the United States of America.

We have previously audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidatedbalance sheet of the Company as of December 31, 20182019 and the related consolidated statements of income, comprehensive income, changes in equityand cash flowsfor the year then ended (not presented herein), and in our report dated March 17, 2020, which includeda paragraph regarding the correction of a misstatementmisstatements in the 2018 and 2017 financial statements and a paragraph describing a change in the manner of accounting for leases in 2019, we expressed an unqualified opinion on those consolidated financial statements. In our opinion, the information set forth in the condensed consolidated balance sheet as of December 31, 2018,2019 is fairly stated, in all material respects, in relation to the consolidated balance sheet from which it has been derived.

Restatement of Previously Issued Interim Financial Statements

As discussed in Note 2 to the condensed consolidated financial statements, the Company has restated its condensed consolidated financial statements for the three-month and nine-monthsix-month periods ended SeptemberJune 30, 20182019 to correct misstatements.

Basis for Review Results

These interim financial statements arethe responsibility of the Company’s management. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB. We conducted our review in accordance with the standards of the PCAOB. A review of interim financial information consists principally of applying analytical procedures and making inquiries of persons responsible for financial and accounting matters. It is substantially less in scope than an audit conducted in accordance with the standards of the PCAOB, the objective of which is the expression of an opinion regarding the financial statements taken as a whole. Accordingly, we do not express such an opinion.



/s/PricewaterhouseCoopers LLP
Chicago, Illinois
March 17,July 30, 2020
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PART II. OTHER INFORMATION
Item 1. Legal Proceedings
The information in Part I, Item 1, Note 87 is incorporated herein by reference.
Item 1A. Risk Factors
Risk
The following risk factor should be read in conjunction with our risk factors describingdiscussed in the major“Risk Factors” section in our 2019 Annual Report, which could materially affect our business, financial condition or results of operations. Except as set forth below, we are not aware of any material changes to the risk factors described in our 2019 Annual Report.

We are subject to risks associated with the COVID-19 pandemic and related impacts, which have had, and we expect will continue to have, a material adverse effect on our business. The nature and extent of future impacts are highly uncertain and unpredictable.

Our global operations expose us to risks associated with public health crises, including epidemics and pandemics, such as the COVID-19 pandemic. COVID-19 has had, and we expect will continue to have, an adverse impact on our operations, supply chains and distribution systems and increase our expenses, including as a result of impacts associated with preventive and precautionary measures that we, other businesses and governments are taking. These measures have led to unprecedented restrictions on, disruptions in, and other related impacts on businesses and personal activities. In addition to travel restrictions put in place in early 2020, governments have closed borders, imposed prolonged quarantines and may continue those measures or implement other restrictions and requirements in light of the continuing spread of the pandemic and concern of a “second wave” of outbreaks. We expect that these evolving restrictions and requirements, as well as the corresponding need to adapt to new methods of conducting business remotely, will continue to have an adverse effect on our business. Risks associated with COVID-19 include, but are not limited to, the following:

We have experienced, and expect to continue to experience, significant and unpredictable reductions or increases in demand for certain of our products as healthcare customers re-prioritize the treatment of patients. Some of our products are particularly sensitive to reductions in elective medical procedures, and, as hospital systems prioritize treatment of COVID-19 patients and otherwise comply with government guidelines, many of those procedures have been suspended or postponed in our principal markets. In the second quarter of 2020, this resulted in significantly lower levels of general hospital admissions and elective surgery volumes in those markets, which negatively impacted the demand for certain of our products. It is not possible to predict the timing of a broad resumption of elective medical procedures. If patients and hospital systems continue to de-prioritize, delay or cancel these procedures, our business, financial condition and results of operations would continue to be negatively affected.

A significant number of our suppliers, manufacturers, distributors and vendors have been adversely affected by the COVID-19 pandemic, including by impacting the ability of their employees to get to their places of work and maintain the continuity of their on-site operations. These impacts could impair our ability to move our products through distribution channels to end customers, and any such delay or shortage in the supply of components or materials may result in our inability to satisfy consumer demand for our products in a timely manner or at all, which could harm our reputation, future sales and profitability.

We could experience a loss of sales and profitability due to delayed payments, reduced demand or insolvency of healthcare professionals, hospitals and other customers, and suppliers and vendors facing liquidity or other financial issues. These liquidity or other financial issues could be exacerbated if prolonged high levels of unemployment or loss of insurance coverage impact patients’ ability to access treatments that use our products and services.

COVID-19 could adversely impact our ability to retain key employees and the continued service and availability of skilled personnel necessary to run our operations, including members of our management, as well as the ability of our suppliers, manufacturers, distributors and vendors to retain their key employees. To the extent our management or other personnel are impacted in significant numbers by COVID-19 and are not available to perform their professional duties, we could experience delays in, or the suspension of, our manufacturing operations, research and development activities and other functions.

We face increased operational challenges as we continue to take measures to support and protect employee health and safety, including through office closures and the implementation of work from home policies. For
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example, remote working arrangements heighten our risks associated with information technology systems and networks, including cyber-attacks, computer viruses, malicious software, security breach, and telecommunication failures, both for systems and networks we control directly and for those that employees and third-party developers rely on to work remotely. Any failure to prevent or mitigate security breaches or cyber risks or detect, or respond adequately to, a security breach or cyber risk, or any other disruptions to our information technology systems and networks, can have adverse effects on our business can be found under Item 1A. Risk Factorsand cause reputational and financial harm. We have, like other large multi-national companies, experienced cyber incidents in the past and may experience them in the future, which have exposed and may continue to expose vulnerabilities in our Annual Report on Form 10-K forinformation technology systems. These risks are particularly heightened due to COVID-19 as cybercriminals attempt to profit from the year ended December 31, 2019 which was filed on March 17, 2020.disruptions caused by the uncertain environment.

COVID-19 and related impacts have affected and may further affect the global economy and capital markets worldwide, which, among other consequences, may restrict our access to capital, increase financing costs, adversely affect our liquidity, the perceptions of our creditworthiness, and our ability to complete acquisitions, and increase volatility in foreign currency exchange rates.

While COVID-19 has had, and we expect it to continue to have, an adverse effect on our business, financial condition or results of operations, it is uncertain how COVID-19 will affect our global operations generally if these impacts continue to persist or exacerbate over an extended period of time. Uncertainties include, but are not limited to:

The severity and duration of the pandemic, including whether there is a “second wave” caused by additional periods of increases or spikes in the number of COVID-19 cases, future mutations or outbreaks of related strains of the virus in areas in which we operate;

Evolving macroeconomic factors, including general economic uncertainty, unemployment rates, and recessionary pressures;

The continued success of measures taken by governmental authorities worldwide to stabilize the markets and support economic growth, which is unknown and may not be sufficient to address future market dislocations or avert severe and prolonged reductions in economic activity;

Unknown consequences on our business performance and initiatives stemming from the substantial investment of time and other resources to the pandemic response;

The pace of recovery when the pandemic subsides; and

The long-term impact of the pandemic on our business.

Any of the impacts discussed above could have a material adverse effect on our business, financial condition and results of operations. To the extent that COVID-19 continues to adversely affect our business, financial condition or results of operations, it may also heighten other risks described in the “Risk Factors” section in our 2019 Annual Report.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
The following table includes information about our common stock repurchases during the three-month period ended September 30, 2019.
Issuer Purchases of Equity Securities
Period
Total number of shares purchased (1)
Average price paid per share
Total number of shares purchased as part of publicly announced program(1)
Approximate dollar value of shares that may yet be purchased under the program(1)
July 1, 2019 through July 31, 2019—  $—  —  
August 1, 2019 through August 31, 2019—  $—  —  
September 1, 2019 through September 30, 20193,973,600  $87.14  3,973,600  
Total3,973,600  $87.14  3,973,600  $1,101,245,595  
(1)In July 2012, we announced that our Board of Directors authorized us to repurchase up to $2.0 billion of our common stock on the open market or in private transactions. The Board of Directors increased this authority by an additional $1.5 billion in each of November 2016 and February 2018 and by an additional $2.0 billion in November 2018. During the third quarterfirst half of 2019,2020, we repurchased 4.0 milliondid not repurchase any shares under this authority pursuant to Rule 10b5-1 plans and otherwise.plans. We had $1.1 billion$897 million remaining under this program (as amended and after giving effect to stock repurchases) as of SeptemberJune 30, 2019.2020. This program does not have an expiration date.
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Item 6. Exhibits
Exhibit Index:
Exhibit
Number
Description
10.1*
15*
31.1*
31.2*
32.1*
32.2*
101.INS*XBRL Instance Document
101.SCH*XBRL Taxonomy Extension Schema Document
101.CAL*XBRL Taxonomy Extension Calculation Linkbase Document
101.LAB*XBRL Taxonomy Extension Label Linkbase Document
101.PRE*XBRL Taxonomy Extension Presentation Linkbase Document
101.DEF*XBRL Taxonomy Extension Definition Linkbase Document

* Filed herewith.
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Signature
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 hereunto duly authorized.
BAXTER INTERNATIONAL INC.
(Registrant)
Date: March 17,July 30, 2020
By:/s/ James K. Saccaro
James K. Saccaro
Executive Vice President and Chief Financial Officer
(duly authorized officer and principal financial officer)

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