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Bausch Health
Annual Report 2018

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FY2018 Annual Report · Bausch Health
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B AU S C H  H E A LT H  C O M PA N I E S  I N C .

B U I L D I N G 
MOMENTUM

2 0 1 8  A N N UA L  R E P O R T

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B A U S C H   H E A LT H   C O M PA N I E S   I N C .

Our Vision
To Be Your Trusted 
Health Care Partner 

C O R E   VA L U E S

• Accountability
• Agility
• Courage
• Integrity
• Teamwork
• Results Orientation

Quality 
Health Care 
Outcomes

Customer
Focused

Guiding
Principles

People

Innovation

Our Mission
Improving People’s Lives 
With Our Health Care Products

Efficiency

C O M PA N Y   O V E R V I E W   

We are a global company whose mission is to improve people’s lives with our health care products. We develop, 

manufacture and market a range of branded, generic and branded generic pharmaceuticals, medical devices (contact 

lenses, intraocular lenses, ophthalmic surgical equipment, and aesthetics devices) and over-the-counter (OTC) 

products, primarily in the therapeutic areas of eye-health, gastroenterology and dermatology. We are delivering on 

our commitments as we build an innovative company dedicated to advancing global health. More information 

can be found at www.bauschhealth.com. 

FORWARD-LOOKING STATEMENTS
This annual report contains forward-looking information and statements, within the meaning of applicable securities laws (collectively, “forward-looking statements”), includ-
ing, but not limited to, statements regarding the Company’s future prospects and performance (including anticipated growth in 2019 and the expected drivers of that growth, 
and the anticipated 2019 revenue growth for our Significant Seven Products and the expected quantum of such revenue growth), the anticipated impact of the acquisition of 
certain assets of Synergy Pharmaceuticals Inc. (including Trulance®), the Company’s plans to increase investment in R&D and the expected quantum of that increased invest-
ment, anticipated product launches and the expected timing of such launches, the anticipated approval for certain of our pipeline products (including DUOBRRI™), anticipated 
timing  for  the  submission  of  certain  of  our  pipeline  products  and  R&D  programs,  and  anticipated  improvements  in  operational  efficiency.  Forward-looking  statements  may 
generally be identified by the use of the words “anticipates,” “expects,” “intends,” “plans,” “should,” “could,” “would,” “may,” “will,” “believes,” “estimates,” “potential,” “target,” 
or “continue” and variations or similar expressions, and phrases or statements that certain actions, events or results may, could, should or will be achieved, received or taken, 
or will occur or result, and similar such expressions also identify forward-looking information. These forward-looking statements, including the Company’s future performance 
and growth, are based upon the current expectations and beliefs of management and are provided for the purpose of providing additional information about such expectations 
and beliefs, and readers are cautioned that these statements may not be appropriate for other purposes. These forward-looking statements are subject to certain risks and 
uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. These risks and uncertainties include, but are not 
limited to, the risks and uncertainties discussed in the Company’s most recent annual or quarterly report and detailed from time to time in the Company’s other filings with the 
Securities  and  Exchange  Commission  and  the  Canadian  Securities  Administrators,  which  risks  and  uncertainties  are  incorporated  herein  by  reference.  In  addition,  certain 
material factors and assumptions have been applied in making these forward-looking statements, including, without limitation, the assumption that the risks and uncertainties 
outlined above will not cause actual results or events to differ materially from those described in these forward-looking statements, and additional information regarding cer-
tain of these material factors and assumptions may also be found in the Company’s filings described above. The Company believes that the material factors and assumptions 
reflected in these forward-looking statements are reasonable in the circumstances, but readers are cautioned not to place undue reliance on any of these forward-looking 
statements. These forward-looking statements speak only as of the date hereof. Bausch Health undertakes no obligation to update any of these forward-looking statements 
to reflect events or circumstances after the date of this annual report or to reflect actual outcomes, unless required by law.

T H E   B A U S C H   F O U N D A T I O N

IMPROVING LIVES 
AROUND THE WORLD

The Bausch Foundation was established in 2017 to improve the lives of people 

around the world by providing access to safe, effective medicines and by financially 

supporting health care education and causes. The Bausch Foundation is a charitable 

foundation that oversees and directs all of Bausch Health’s global charitable giving. 

The Bausch Foundation supports initiatives aimed at disease prevention, improving 

patient outcomes and lives, and education related to our core businesses. Additionally, 

it supports disaster-recovery efforts and those who need help in the communities 

where we live and work. Our goal is to direct efforts toward contributions that can 

be repeatable, gather critical mass and make important benefits within our 

therapeutic communities. 

Since its inception, the Bausch Foundation has contributed millions of 

dollars’ worth of financial and product donations to global charitable 

health organizations, including:

2 0 1 8  A n n u a l  R e p o r t

1

Fellow Shareholders,

I continue to view Bausch Health as the turnaround opportunity 

idiopathic constipation and irritable bowel syndrome with 

of a lifetime. The Company made considerable progress in 

constipation. The acquisition of the assets of Synergy will 

2018, and we are still gaining momentum, which we believe 

enhance our Salix business. We believe TRULANCE® is a natural 

will carry over into 2019 and beyond. 

complement to XIFAXAN® and, with the scale and strength of 

In the past two years, we’ve completed a number of divestitures 

to streamline operations, continued to pay down debt, resolved 

numerous key legacy issues, launched new products and 

realigned into four reporting segments. 

We also changed our name to Bausch Health Companies Inc., 

which is a logical step in our transformation. We consider 

Bausch Health to be a new company—one that develops, 

manufactures and markets a wide range of pharmaceutical, 

medical device and over-the-counter products, primarily in 

the therapeutic areas of eye health, gastroenterology and 

dermatology. The Bausch Health name not only reflects a 

long-standing dedication to innovation, but also evokes our 

mission of improving the lives of patients with our health 

care products. 

our sales footprint in GI and primary care, our Salix team will 

be able to offer physicians and patients multiple treatment 

options that span the types of irritable bowel syndrome. 

The Ortho Dermatologics business continues to stabilize as 

we remain committed to investing in new dermatology solu-

tions, including a continued focus on psoriasis, an area with 

a great unmet need. Today in the United States, there are 

approximately 7.5 million patients suffering from psoriasis, 

with as many as 260,000 new cases diagnosed each year. 

We recently moved Solta Medical, our global aesthetics 

business, into our Ortho Dermatologics segment, a shift we 

believe will enable us to better serve both our physician 

customers and patients. During 2018, Solta delivered 

exceptional growth compared to 2017. 

We see 2019 as a year of growth and a strategic pivot to 

offense—driven by several important new products, as well 

Launching new products

as debt paydown and bolt-on opportunities to enhance our 

core businesses. Looking back at 2018, there were several 

major factors that contributed to our transformation. 

Executing on our core businesses

Innovation remains critical to our future, and we anticipate 

our R&D investment to grow by approximately 10% in 2019 

versus 2018. Our focus on innovation has yielded a wide 

range of significant launches:    

•   LUMIFY™ is the only over-the-counter eye drop with low-dose 

Our two largest reporting segments continued to drive our 

brimonidine for the treatment of eye redness. Since its launch 

performance: Bausch + Lomb/International, which represented 

in May 2018, LUMIFY™ has become the number one product in 

approximately 56% of the Company’s total revenues in 

2018, and Salix, which represented approximately 21% of 

the Company’s total revenues in 2018. 

the redness reliever category with an approximately 28% 
market share2   

•  In late 2017, we launched VYZULTA®, the first and only FDA-approved 

nitric oxide-releasing agent to lower intraocular pressure in patients 

Bausch + Lomb is a fully integrated eye care business, with 

with glaucoma or ocular hypertension. VYZULTA® is now available 

extensive product portfolios in Vision Care, Surgical, Prescription 

to a majority of commercial and Part D coverage plans and was 

Ophthalmology and Consumer Health Care. Bausch + Lomb 

approved in Canada in January 2019.  

maintains a large global footprint with a major presence in 

•  In September 2018, Bausch + Lomb launched AQUALOX® daily- 

such rapidly growing emerging markets as China, Japan and 

disposable silicone hydrogel (SiHy) contact lenses in Japan.  

India. In 2018, our U.S. contact lens business outpaced the 
industry, with greater than 13% market growth1. Additionally, 

PreserVision® and Ocuvite® combined are the No. 1 brands 

and No. 1 drivers of growth in the eye vitamin category. 

Growth within our Salix gastroenterology business comes 

primarily from several key brands. The past year saw 

impressive revenue growth for XIFAXAN® (22%), RELISTOR® 

(37%) and APRISO® (13%). XIFAXAN® notably had a marked 

increase in new prescriptions written by primary care 

physicians as our 2017 investment into building a primary 

care sales team has continued to yield strong results. 

In March 2019, we acquired certain assets of Synergy 

Pharmaceuticals Inc., a biopharmaceutical company 

focused on gastrointestinal therapies. Synergy’s flagship 

product, TRULANCE®, is approved for adults with chronic 

•  To enhance our Salix business, we have engaged in multiple 

strategic partnerships that we believe will help drive long-term 

growth, including LUCEMYRA™ (our co-promotion arrangement 

with US WorldMeds, LLC), the first and only non-opioid medication 

indicated for mitigation of opioid withdrawal symptoms; DOPTELET® 

(our co-promotion arrangement with Dova Pharmaceuticals), 

the first FDA-approved drug for thrombocytopenia in chronic 

liver disease patients scheduled to undergo a procedure; and 

PLENVU® (our license arrangement with Norgine B.V.). a next- 

generation bowel cleansing preparation for colonoscopies.

•  In early 2018, we expanded our launch of SILIQ™, the lowest priced 

injectable biologic on the market for moderate-to-severe psoriasis. 

•  Ortho Dermatologics launched BRYHALI™ Lotion, a potent to 

super-potent corticosteroid for the topical treatment of plaque 

psoriasis, in November 2018.  

•  Ortho Dermatologics also launched two acne treatments in 

2018: RETIN-A MICRO® (in a new strength) and ALTRENO™. 

2                B a u s c h   H e a l t h  C o m p a n i e s  I n c .

Additionally, Bausch + Lomb ULTRA® Multifocal for Astigmatism 

resolving litigation, disputes and investigations in some 68 

contact lenses are expected to launch in mid-2019, along 

matters in 2018. Some key resolutions include the XIFAXAN® 

with an expansion of our Biotrue® ONEday daily disposable 

intellectual property litigation, which we believe, preserves 

lens parameter offerings.

We continue to be strategically focused on our pipeline by 

investing in innovation to bring new products to market, 

which in turn will enable us to continue to invest in our future. 

Some highlights include: 

market exclusivity until 2028; the Securities and Exchange 
Commission’s legacy investigation of Salix4, the Allergan 

securities litigation; and the outstanding arbitration with 

Alfasigma S.p.A., which has allowed us to continue our 

collaboration on new formulations for rifaximin.  

•   Loteprednol etabonate ophthalmic gel, 0.38% for ocular 

In 2018, we also established our Bausch Foundation, with the 

inflammation, approved by the FDA in late February 2019; 

goal of improving the lives of patients by providing access to 

•  DUOBRII™ 3, a topical lotion for the treatment of plaque psoriasis, 

safe, effective medicines and financially supporting health care 

for which we expect an FDA decision shortly. 

education and causes around the world. You will find additional 

•  Four late-stage dermatology candidates to treat acne and 

information about the foundation elsewhere in this report. 

atopic dermatitis, including one we anticipate filing in 2019; and

•  Multiple clinical programs to expand the use of rifaximin to 

reach additional patient populations.

Several products I’ve already mentioned also make up our 

Significant Seven, which are the key products we believe will 

collectively achieve more than $1 billion in annualized peak 

In closing, we anticipate further growth and improvements 

in operational efficiency, none of which would be possible 

without the contributions of our more than 21,000 talented 

and dedicated employees worldwide. We are proud that 

every day, more than 150 million people around the world 

use a Bausch Health product. 

“

Quality, innovation and new product launches remain critical to our 

future. Our investment in R&D reflects our commitment to drive 

growth through the internal development of new products.

”

sales revenue by the end of 2022. The Significant Seven are 
AQUALOX®, BRYHALI™, DUOBRII™3, LUMIFY™, RELISTOR® (for 

opioid-induced constipation), SILIQ™ and VYZULTA®. In 2019, 

revenue generated by the Significant Seven is expected to 

While there is more work to do, we are now a very different 

company—a world-class organization well-positioned to 

return to growth. 

approximately double compared to 2018.  

I’d like to commend all our employees, and our management 

Resolving legacy issues and repaying our debt

hard work and commitment is essential to our success. 

team, who are making this transformation possible. Their 

By the end of 2018, we reduced our debt by more than 

I also want to take this opportunity to thank our shareholders, 

$7.6 billion since the first quarter of 2016. We executed on 

who believe in our Company, our strategy and our ability to 

repaying more than $1 billion in debt with cash generated 

execute. Thank you for your continued confidence and support. 

from operations in 2018. In addition to dramatically reduc-

ing the amount of our debt, we successfully extended our 

Sincerely,

maturities, which have given us more flexibility to make 

strategic decisions, such as the capital investment in our 

Rochester, New York and Waterford, Ireland manufacturing 

sites to support the anticipated global demand for our 

SiHy daily contact lenses. 

Our legal team continues to make outstanding contribu-

tions, achieving dismissals or other positive outcomes in 

Joseph C. Papa

Chairman of the Board and Chief Executive Officer

1Third party data on file and internal estimates

2Retail Dollar Share for total United States (MULO) for 4 weeks ending Feb. 10, 2019, according to IRI.

3Provisional name

4Subject to approval by the U.S. District Court for the Southern District of New York

2 0 1 8  A n n u a l  R e p o r t                3

O U R   A P P R O A C H   T O

CORPORATE SOCIAL 
RESPONSIBILITY

As a global company dedicated to improving people’s lives with our health care products, we take our commitment 

to corporate social responsibility (CSR) seriously. Every day—somewhere in the world—more than 150 million people 

use a Bausch Health product, while our 21,000 employees live and work in more than 100 countries around the world. 

This means Bausch Health has a big opportunity—and an even greater responsibility—to make a difference. We have 

framed our CSR work around five key commitment areas: 

Operate with 
Integrity

Respect the 
Environment

Advance Global Health 
and Patient Care

Improve Our 
Communities

Support Employee 
Growth and Well-Being

Last year, Bausch Health published its inaugural Corporate Social Responsibility Report 

online at https://www.bauschhealth.com/Portals/25/PDF/BauschHealth-CSR-Report.pdf. 

It provides an introduction to our foundational work in each of these areas, featuring 

highlights of success stories from our operations around the globe. Beginning with the 

2019 CSR Report, we will be establishing and reporting consistently on key performance 

indicators within and across these areas. 

4                B a u s c h   H e a l t h  C o m p a n i e s  I n c .

UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 

FORM 10-K 

  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 

For the fiscal year ended December 31, 2018 
OR 

  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 

For the transition period from                                    to 

Commission file number 001-14956 
BAUSCH HEALTH COMPANIES INC. 
(Exact Name of Registrant as Specified in its Charter) 

BRITISH COLUMBIA, CANADA 
State or other jurisdiction of 
incorporation or organization 

98-0448205 
(I.R.S. Employer Identification No.) 

2150 St. Elzéar Blvd. West 
Laval, Québec 
Canada, H7L 4A8 
(Address of principal executive offices) 

Registrant’s telephone number, including area code (514) 744-6792 

Securities registered pursuant to Section 12(b) of the Act: 

Title of each class 
Common Shares, No Par Value 

Name of each exchange on which registered 
New York Stock Exchange, Toronto Stock Exchange 

Securities registered pursuant to section 12(g) of the Act: 

None 
(Title of class) 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes  No  

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes  No  

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or Section 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  No  

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive 
Data File required to be submitted and posted 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 and post such files). Yes  No  

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be 
contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this 
Form 10-K or any amendment to this Form 10-K.  

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting 
company.  See  the  definitions  of  “large  accelerated  filer,”  “accelerated  filer”  and  “smaller  reporting  company”  in  Rule  12b-2  of  the 
Exchange Act. (Check one): 

Large accelerated filer    Accelerated filer   

Non-accelerated filer    Smaller reporting company    Emerging growth company   

(Do not check if a smaller 
reporting company) 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying 
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes  No  

The aggregate market value of the common shares held by non-affiliates of the registrant as of the last business day of the registrant’s most 
recently completed second fiscal quarter was $7,208,197,000 based on the last reported sale price on the New York Stock Exchange on 
June 30, 2018. 

The number of outstanding shares of the registrant’s common stock as of February 14, 2019 was 350,993,877. 

Part III incorporates certain information by reference from the registrant’s proxy statement for the 2019 Annual Meeting of Shareholders. 
Such proxy statement will be filed no later than 120 days after the close of the registrant’s fiscal year ended December 31, 2018. 

DOCUMENTS INCORPORATED BY REFERENCE 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TABLE OF CONTENTS 

GENERAL INFORMATION 

Business 
Risk Factors 
Unresolved Staff Comments 
Properties 
Legal Proceedings 
Mine Safety Disclosures 

PART I 

PART II 

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity 
Securities 
Selected Financial Data 
Management’s Discussion and Analysis of Financial Condition and Results of Operations 
Quantitative and Qualitative Disclosures About Market Risk 
Financial Statements and Supplementary Data 
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 
Controls and Procedures 
Other Information 

PART III 
Directors, Executive Officers and Corporate Governance 
Executive Compensation 
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters 
Certain Relationships and Related Transactions, and Director Independence 
Principal Accounting Fees and Services 

PART IV 

Item 1. 
Item 1A. 
Item 1B. 
Item 2. 
Item 3. 
Item 4. 

Item 5. 

Item 6. 
Item 7. 
Item 7A. 
Item 8. 
Item 9. 
Item 9A. 
Item 9B. 

Item 10. 
Item 11. 
Item 12. 
Item 13. 
Item 14. 

Item 15. 
Item 16. 
SIGNATURES 

Exhibits and Financial Statement Schedules 
Form 10-K Summary 

Page 

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Basis of Presentation 

General 

Except where the context otherwise requires, all references in this Annual Report on Form 10-K (“Form 10-K”) to the 
“Company”, “we”, “us”, “our” or similar words or phrases are to Bausch Health Companies Inc. and its subsidiaries, taken 
together.  In  this  Form  10-K,  references  to  “$”  or  “USD”  are  to  United  States  dollars,  references  to  “€”  are  to  Euros,  and 
references to “CAD” are to Canadian dollars. Unless otherwise indicated, the statistical and financial data contained in this 
Form 10-K are presented as of December 31, 2018. 

Effective on July 13, 2018, the Company changed its corporate name from Valeant Pharmaceuticals International, Inc. to 

Bausch Health Companies Inc. 

Trademarks 

The  following  words  are  some  of  the  trademarks  in  our  Company’s  trademark  portfolio  and  are  the  subject  of  either 
registration, or application for registration, in one or more of Canada, the United States of America (the “U.S.”) or certain 
other jurisdictions: ACANYA®, AERGEL®, AKREOS®, ALDARA®, ALREX®, ALTRENO™, AMMONUL®, AMYTAL®, 
APLENZIN®,  APRISO®,  AQUALOX®,  ARESTIN®,  ARTELAC®,  ATIVAN®,  ATRALIN®,  B&L®,  B+L®,  BAUSCH  & 
LOMB®, BAUSCH + LOMB®, BAUSCH + LOMB ULTRA®, BAUSCH HEALTH™, BAUSCH HEALTH COMPANIES™, 
BEPREVE®,  BESIVANCE®,  BIOTRUE®,  BOSTON®,  BRYHALITM,  CARAC®,  CARDIZEM®,  CLEAR  +  BRILLIANT®, 
CLINDAGEL®,  COLD-FX®,  COMFORTMOIST®,  CRYSTALENS®,  CUPRIMINE®,  DIASTAT®,  DUOBRII™, 
EDECRIN®,  ENVISTA®,  GLUMETZA®,  IPRIVASK®,  ISTALOL®,  JUBLIA®,  LIPOSONIX®,  LOTEMAX®,  LUMIFY®, 
LUZU®,  MEDICIS®,  MEPHYTON®,  MESTINON®,  MIGRANAL®,  MINOCIN®,  MOISTURESEAL®,  MYSOLINE®, 
NEUTRASAL®,  OCUVITE®,  ONEXTON®,  OPTICALIGN®,  ORTHO  DERMATOLOGICS®,  PRESERVISION®, 
PROLENSA®,  PUREVISION®,  RELISTOR®,  RENU®,  RENU  MULTIPLUS®,  RETIN-A®,  RETIN-A  MICRO®,  SALIX®, 
SCLERALFIL®,  SECONAL  SODIUM™,  SHOWER  TO  SHOWER®,  SILIQ™,  SILSOFT®,  SOFLENS®,  SOLODYN®, 
SOLTA  MEDICAL®,  STELLARIS®,  STELLARIS  ELITE™,  STORZ®,  SYNERGETICS®,  SYPRINE®,  TARGRETIN®, 
TASMAR®,  THERMAGE®,  THERMAGE  FLX®,  TRULIGN®,  UCERIS®,  VALEANT®,  VANOS®,  VICTUS®, 
VIRAZOLE®, VITESSE®, VYZULTA®, XENAZINE®, ZEGERID®, ZELAPAR®, ZIANA®, and ZYLET®. 

In  addition  to  the  trademarks  previously  noted,  we  have  filed  trademark  applications  and/or  obtained  trademark 
registrations for many of our other trademarks in the U.S., Canada and in other jurisdictions and have implemented, on an 
ongoing basis, a trademark protection program for new trademarks. 

WELLBUTRIN®, WELLBUTRIN XL® and ZOVIRAX® are trademarks of GlaxoSmithKline LLC and are used by us 
under license. ELIDEL® and XERESE® are registered trademarks of Meda Pharma SARL and are used by us under license. 
EMERADE® is a registered trademark of Medeca Pharma AB and is used by us under license. DEFLUX® and SOLESTA® 
are registered trademarks of Nestlé Skin Health S.A. and are used by us under license. ISUPREL® and NITROPRESS® are 
registered trademarks of Hospira, Inc. and are used by us under license. XIFAXAN® is a registered trademark of Alfasigma 
S.P.A. and is used by us under license. PEPCID® is a brand of McNeil Consumer Pharmaceuticals and is used by us under 
license.  MOVIPREP®  is  a  registered  trademark  of  Velinor  AG  and  is  used  by  us  under  license.  PLENVU®  is  a  registered 
trademark of the Norgine group of companies and is used by us under license. LOCOID® is a registered trademark of Leo 
Pharma A/S and is used by us under license. LUCEMYRATM is a trademark of US Worldmeds, LLC and is used by us under 
license. DOPTELET® is a trademark of AkaRx, Inc. and is used by us under license. 

Forward-Looking Statements 

Caution  regarding  forward-looking  information  and  statements  and  “Safe-Harbor”  statements  under  the  U.S.  Private 

Securities Litigation Reform Act of 1995 and applicable Canadian securities laws: 

To  the  extent  any  statements  made  in  this  Form  10-K  contain  information  that  is  not  historical,  these  statements  are 
forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of 
the Securities Exchange Act of 1934, as amended, and may be forward-looking information within the meaning defined under 
applicable Canadian securities laws (collectively, “forward-looking statements”). 

These forward-looking statements relate to, among other things: our business strategy, business plans and prospects and 
forecasts  and  changes  thereto;  product  pipeline,  prospective  products  and  product  approvals,  product  development  and 
future  performance  and  results  of  current  and  anticipated  products;  anticipated  revenues  for  our  products,  including  the 
Significant Seven; anticipated growth in our Ortho Dermatologics business; expected R&D and marketing spend, including 
in connection with the promotion of the Significant Seven; our expected primary cash and working capital requirements for 

ii 

2019 and beyond; the Company’s plans for continued improvement in operational efficiency and the anticipated impact of 
such plans; our liquidity and our ability to satisfy our debt maturities as they become due; our ability to reduce debt levels; 
the impact of our distribution, fulfillment and other third-party arrangements; proposed pricing actions; exposure to foreign 
currency  exchange  rate  changes  and  interest  rate  changes;  the  outcome  of  contingencies,  such  as  litigation,  subpoenas, 
investigations,  reviews,  audits  and  regulatory  proceedings;  the  anticipated  impact  of  the  adoption  of  new  accounting 
standards; general market conditions; our expectations regarding our financial performance, including revenues, expenses, 
gross margins and income taxes; our ability to meet the financial and other covenants contained in our Fourth Amended and 
Restated  Credit  and  Guaranty  Agreement  (the  “Restated  Credit  Agreement”),  and  indentures;  and  our  impairment 
assessments, including the assumptions used therein and the results thereof. 

Forward-looking statements can generally be identified by the use of words such as “believe”, “anticipate”, “expect”, 
“intend”,  “estimate”,  “plan”,  “continue”,  “will”,  “may”,  “could”,  “would”,  “should”,  “target”,  “potential”, 
“opportunity”, “designed”, “create”, “predict”, “project”, “forecast”, “seek”, “ongoing” or “increase” and variations or 
other  similar  expressions.  In  addition,  any  statements  that  refer  to  expectations,  intentions,  projections  or  other 
characterizations of future events or circumstances are forward-looking statements. These forward-looking statements may 
not be appropriate for other purposes. Although we have previously indicated certain of these statements set out herein, all of 
the statements in this Form 10-K that contain forward-looking statements are qualified by these cautionary statements. These 
statements  are  based  upon  the  current  expectations  and  beliefs  of  management.  Although  we  believe  that  the  expectations 
reflected  in  such  forward-looking  statements  are  reasonable,  such  statements  involve  risks  and  uncertainties,  and  undue 
reliance  should  not  be  placed  on  such  statements.  Certain  material  factors  or  assumptions  are  applied  in  making  such 
forward-looking statements, including, but not limited to, factors and assumptions regarding the items previously outlined, 
those factors, risks and uncertainties outlined below and the assumption that none of these factors, risks and uncertainties 
will  cause  actual  results  or  events  to  differ  materially  from  those  described  in  such  forward-looking  statements.  Actual 
results may differ materially from those expressed or implied in such statements. Important factors, risks and uncertainties 
that could cause actual results to differ materially from these expectations include, among other things, the following: 

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the  expense,  timing  and  outcome  of  legal  and  governmental  proceedings,  investigations  and  information  requests 
relating  to,  among  other  matters,  our  past  distribution,  marketing,  pricing,  disclosure  and  accounting  practices 
(including with respect to our former relationship with Philidor Rx Services, LLC (“Philidor”)), including pending 
investigations by the U.S. Attorney’s Office for the District of Massachusetts and the U.S. Attorney’s Office for the 
Southern  District  of  New  York,  the  pending  investigations  by  the  U.S.  Securities  and  Exchange  Commission  (the 
“SEC”) of the Company, the investigation order issued by the Company from the Autorité des marchés financiers 
(the  “AMF”)  (the  Company’s  principal  securities  regulator  in  Canada),  a  number  of  pending  putative  securities 
class  action  litigations  in  the  U.S.  (including  related  opt-out  actions)  and  Canada  (including  related  opt-out 
actions) and purported class actions under the federal RICO statute and other claims, investigations or proceedings 
that may be initiated or that may be asserted; 

potential additional litigation and regulatory investigations (and any costs, expenses, use of resources, diversion of 
management time and efforts, liability and damages that may result therefrom), negative publicity and reputational 
harm on our Company, products and business that may result from the past and ongoing public scrutiny of our past 
distribution,  marketing,  pricing,  disclosure  and  accounting  practices  and  from  our  former  relationship  with 
Philidor; 

the  past  and  ongoing  scrutiny  of  our  legacy  business  practices,  including  with  respect  to  pricing  (including  the 
investigations  by  the  U.S.  Attorney’s  Offices  for  the  District  of  Massachusetts  and  the  Southern  District  of  New 
York),  and  any  pricing  controls  or  price  adjustments  that  may  be  sought  or  imposed  on  our  products  as  a  result 
thereof; 

pricing decisions that we have implemented, or may in the future elect to implement, whether as a result of recent 
scrutiny  or  otherwise,  such  as  the  Patient  Access  and  Pricing  Committee’s  commitment  that  the  average  annual 
price increase for our branded prescription pharmaceutical products will be set at no greater than single digits, or 
any  future  pricing  actions  we  may  take  following  review  by  our  Patient  Access  and  Pricing  Committee  (which  is 
responsible for the pricing of our drugs); 

legislative or policy efforts, including those that may be introduced and passed by the U.S. Congress, designed to 
reduce  patient  out-of-pocket  costs  for  medicines,  which  could  result  in  new  mandatory  rebates  and  discounts  or 
other pricing restrictions, controls or regulations (including mandatory price reductions); 

ongoing  oversight  and  review  of  our  products  and  facilities  by  regulatory  and  governmental  agencies,  including 
periodic audits by the U.S. Food and Drug Administration (the “FDA”) and the results thereof; 

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actions by the FDA or other regulatory authorities with respect to our products or facilities; 

our substantial debt (and potential additional future indebtedness) and current and future debt service obligations, 
our ability to reduce our outstanding debt levels and the resulting impact on our financial condition, cash flows and 
results of operations; 

our ability to meet the financial and other covenants contained in our Restated Credit Agreement, indentures and 
other current or future debt agreements and the limitations, restrictions and prohibitions such covenants impose or 
may  impose  on  the  way  we  conduct  our  business,  including  prohibitions  on  incurring  additional  debt  if  certain 
financial  covenants  are  not  met,  limitations  on  the  amount  of  additional  debt  we  are  able  to  incur  where  not 
prohibited, and restrictions on our ability to make certain investments and other restricted payments; 

any default under the terms of our senior notes indentures or Restated Credit Agreement and our ability, if any, to 
cure or obtain waivers of such default; 

any  delay  in  the  filing  of  any  future  financial  statements  or  other  filings  and  any  default  under  the  terms  of  our 
senior notes indentures or Restated Credit Agreement as a result of such delays; 

any downgrade by rating agencies in our credit ratings, which may impact, among other things, our ability to raise 
debt and the cost of capital for additional debt issuances; 

any reductions in, or changes in the assumptions used in, our forecasts for 2019 or beyond, which could lead to, 
among  other  things:  (i)  a  failure  to  meet  the  financial  and/or  other  covenants  contained  in  our  Restated  Credit 
Agreement and/or indentures and/or (ii) impairment in the goodwill associated with certain of our reporting units or 
impairment  charges  related  to  certain  of  our  products  or  other  intangible  assets,  which  impairments  could  be 
material; 

changes in the assumptions used in connection with our impairment analyses or assessments, which would lead to a 
change  in  such  impairment  analyses  and  assessments  and  which  could  result  in  an  impairment  in  the  goodwill 
associated  with  any  of  our  reporting  units  or  impairment  charges  related  to  certain  of  our  products  or  other 
intangible assets; 

any additional divestitures of our assets or businesses and our ability to successfully complete any such divestitures 
on commercially reasonable terms and on a timely basis, or at all, and the impact of any such divestitures on our 
Company, including the reduction in the size or scope of our business or market share, loss of revenue, any loss on 
sale, including any resultant write-downs of goodwill, or any adverse tax consequences suffered as a result of any 
such divestitures; 

the  uncertainties  associated  with  the  acquisition  and  launch  of  new  products,  including,  but  not  limited  to,  our 
ability to provide the time, resources, expertise and costs required for the commercial launch of new products, the 
acceptance  and  demand  for  new  pharmaceutical  products,  and  the  impact  of  competitive  products  and  pricing, 
which could lead to material impairment charges; 

our ability to retain, motivate and recruit executives and other key employees; 

our ability to implement effective succession planning for our executives and key employees; 

factors  impacting  our  ability  to  achieve  anticipated  growth  in  our  Ortho  Dermatologics  business,  including  the 
approval  of  pending  and  pipeline  products  (and  the  timing  of  such  approvals),  expected  geographic  expansion, 
changes in estimates on market potential for dermatology products and continued investment in and success of our 
sales force; 

factors  impacting  our  ability  to  achieve  anticipated  revenues  for  our  Significant  Seven  products,  including  the 
approval  of  pending products  in  the  Significant Seven  (and  the  timing of  such approvals),  changes  in  anticipated 
marketing spend on such products and launch of competing products; 

the challenges and difficulties associated with managing a large complex business, which has, in the past, grown 
rapidly; 

our ability to compete against companies that are larger and have greater financial, technical and human resources 
than we do, as well as other competitive factors, such as technological advances achieved, patents obtained and new 
products introduced by our competitors; 

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our  ability  to  effectively  operate,  stabilize  and  grow  our  businesses  in  light  of  the  challenges  that  the  Company 
currently faces, including with respect to its substantial debt, pending investigations and legal proceedings, scrutiny 
of  our  past  pricing,  distribution  and  other  practices,  reputational  harm  and  limitations  on  the  way  we  conduct 
business imposed by the covenants in our Restated Credit Agreement, indentures and the agreements governing our 
other indebtedness; 

the extent to which our products are reimbursed by government authorities, pharmacy benefit managers (“PBMs”) 
and other third-party payors; the impact our distribution, pricing and other practices (including as it relates to our 
current relationship with Walgreen Co. (“Walgreens”)) may have on the decisions of such government authorities, 
PBMs  and  other  third-party  payors  to  reimburse  our  products;  and  the  impact  of  obtaining  or  maintaining  such 
reimbursement on the price and sales of our products; 

the  inclusion  of  our  products  on  formularies  or  our  ability  to  achieve  favorable  formulary  status,  as  well  as  the 
impact on the price and sales of our products in connection therewith; 

our eligibility for benefits under tax treaties and the continued availability of low effective tax rates for the business 
profits of certain of our subsidiaries; 

the  actions  of  our  third-party  partners  or  service  providers  of  research,  development,  manufacturing,  marketing, 
distribution or other services, including their compliance with applicable laws and contracts, which actions may be 
beyond  our  control  or  influence,  and  the  impact  of  such  actions  on  our  Company,  including  the  impact  to  the 
Company  of  our  former  relationship  with  Philidor  and  any  alleged  legal  or  contractual  non-compliance  by 
Philidor; 

the risks associated with the international scope of our operations, including our presence in emerging markets and 
the  challenges  we  face  when  entering  and  operating  in  new  and  different  geographic  markets  (including  the 
challenges  created  by  new  and  different  regulatory  regimes  in  such  countries  and  the  need  to  comply  with 
applicable anti-bribery and economic sanctions laws and regulations); 

adverse global economic conditions and credit markets and foreign currency exchange uncertainty and volatility in 
certain of the countries in which we do business; 

the impact of the recently signed United States-Mexico-Canada Agreement (“USMCA”) and any potential changes 
to other trade agreements; 

the final outcome and impact of Brexit negotiations; 

the potentially escalating trade conflict between the United States and China; 

our ability to obtain, maintain and license sufficient intellectual property rights over our products and enforce and 
defend against challenges to such intellectual property; 

the introduction of generic, biosimilar or other competitors of our branded products and other products, including 
the introduction of products that compete against our products that do not have patent or data exclusivity rights; 

our ability  to  identify,  finance,  acquire,  close  and  integrate  acquisition targets  successfully  and  on a  timely  basis 
and  the  difficulties,  challenges,  time  and  resources  associated  with  the  integration  of  acquired  companies, 
businesses and products; 

the  expense,  timing  and  outcome  of  pending  or  future  legal  and  governmental  proceedings,  arbitrations, 
investigations,  subpoenas,  tax  and  other  regulatory  audits,  reviews  and  regulatory  proceedings  against  us  or 
relating to us and settlements thereof; 

our  ability  to  negotiate  the  terms  of  or  obtain  court  approval  for  the  settlement  of  certain  legal  and  regulatory 
proceedings; 

our ability to obtain components, raw materials or finished products supplied by third parties (some of which may 
be single-sourced) and other manufacturing and related supply difficulties, interruptions and delays; 

the disruption of delivery of our products and the routine flow of manufactured goods; 

economic  factors  over  which  the  Company  has  no  control,  including  changes  in  inflation,  interest  rates,  foreign 
currency rates, and the potential effect of such factors on revenues, expenses and resulting margins; 

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interest rate risks associated with our floating rate debt borrowings; 

our ability to effectively distribute our products and the effectiveness and success of our distribution arrangements, 
including the impact of our arrangements with Walgreens; 

our  ability  to  effectively  promote  our  own  products  and  those  of  our  co-promotion  partners,  such  as  Doptelet® 
(Dova Pharmaceuticals, Inc.) and LucemyraTM (US WorldMeds, LLC); 

the success of our fulfillment arrangements with Walgreens, including market acceptance of, or market reaction to, 
such  arrangements  (including  by  customers,  doctors,  patients,  PBMs,  third-party  payors  and  governmental 
agencies),  the  continued  compliance  of  such  arrangements  with  applicable  laws,  and  our  ability  to  successfully 
negotiate any improvements to our arrangements with Walgreens; 

our  ability  to  secure  and  maintain  third-party  research,  development,  manufacturing,  licensing,  marketing  or 
distribution arrangements; 

the  risk  that  our  products  could  cause,  or  be  alleged  to  cause,  personal  injury  and  adverse  effects,  leading  to 
potential lawsuits, product liability claims and damages and/or recalls or withdrawals of products from the market; 

the  mandatory  or  voluntary  recall  or  withdrawal  of  our  products  from  the  market  and  the  costs  associated 
therewith; 

the availability of, and our ability to obtain and maintain, adequate insurance coverage and/or our ability to cover 
or insure against the total amount of the claims and liabilities we face, whether through third-party insurance or 
self-insurance; 

the difficulty in predicting the expense, timing and outcome within our legal and regulatory environment, including 
with respect to approvals by the FDA, Health Canada and similar agencies in other countries, legal and regulatory 
proceedings and settlements thereof, the protection afforded by our patents and other intellectual and proprietary 
property, successful generic challenges to our products and infringement or alleged infringement of the intellectual 
property of others; 

the results of continuing safety and efficacy studies by industry and government agencies; 

the  success  of  preclinical  and  clinical  trials  for  our  drug  development  pipeline  or  delays  in  clinical  trials  that 
adversely  impact  the  timely  commercialization  of  our  pipeline  products,  as  well  as  other  factors  impacting  the 
commercial success of our products, which could lead to material impairment charges; 

the  results  of  management  reviews  of  our  research  and  development  portfolio  (including  following  the  receipt  of 
clinical  results  or  feedback  from  the  FDA  or  other  regulatory  authorities),  which  could  result  in  terminations  of 
specific projects which, in turn, could lead to material impairment charges; 

the seasonality of sales of certain of our products; 

declines in the pricing and sales volume of certain of our products that are distributed or marketed by third parties, 
over which we have no or limited control; 

compliance  by  the  Company  or  our  third  party  partners  and  service  providers  (over  whom  we  may  have  limited 
influence), or the failure of our Company or these third parties to comply, with health care “fraud and abuse” laws 
and  other  extensive  regulation  of  our  marketing,  promotional  and  business  practices  (including  with  respect  to 
pricing),  worldwide  anti-bribery  laws  (including  the  U.S.  Foreign  Corrupt  Practices  Act  and  the  Canadian 
Corruption  of  Foreign  Public  Officials  Act),  worldwide  economic  sanctions  and/or  export  laws,  worldwide 
environmental laws and regulation and privacy and security regulations; 

the  impacts  of  the  Patient  Protection  and  Affordable  Care  Act,  as  amended  by  the  Health  Care  and  Education 
Reconciliation Act of 2010 (the “Health Care Reform Act”) and potential amendment thereof and other legislative 
and  regulatory  health  care  reforms  in  the  countries  in  which  we  operate,  including  with  respect  to  recent 
government inquiries on pricing; 

the  impact of any  changes  in or  reforms  to  the  legislation,  laws, rules,  regulation and guidance  that apply  to  the 
Company  and  its  business  and  products  or  the  enactment  of  any  new  or  proposed  legislation,  laws,  rules, 
regulations or guidance that will impact or apply to the Company or its businesses or products; 

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the impact of changes in federal laws and policy under consideration by the Trump administration and Congress, 
including the effect that such changes will have on fiscal and tax policies, the potential revision of all or portions of 
the  Health  Care  Reform  Act,  international  trade  agreements  and  policies  and  policy  efforts  designed  to  reduce 
patient  out-of-pocket  costs  for  medicines  (which  could  result  in  new  mandatory  rebates  and  discounts  or  other 
pricing restrictions); 

illegal distribution or sale of counterfeit versions of our products; and 

interruptions, breakdowns or breaches in our information technology systems. 

Additional  information  about  these  factors  and  about  the  material  factors  or  assumptions  underlying  such  forward-
looking statements may be found elsewhere in this Form 10-K, under Item 1A. “Risk Factors” and in the Company’s other 
filings  with  the  SEC  and  the  Canadian  Securities  Administrators  (the  “CSA”).  When  relying  on  our  forward-looking 
statements  to  make  decisions  with  respect  to  the  Company,  investors  and  others  should  carefully  consider  the  foregoing 
factors and other uncertainties and potential events. These forward-looking statements speak only as of the date made. We 
undertake no obligation to update or revise any of these forward-looking statements to reflect events or circumstances after 
the date of this Form 10-K or to reflect actual outcomes, except as required by law. We caution that, as it is not possible to 
predict  or  identify  all  relevant  factors  that  may  impact  forward-looking  statements,  the  foregoing  list  of  important  factors 
that may affect future results is not exhaustive and should not be considered a complete statement of all potential risks and 
uncertainties. 

vii 

Item 1.  Business 

PART I 

Biovail Corporation (“Biovail”) was formed under the Business Corporations Act (Ontario) on February 18, 2000, as a 
result  of  the  amalgamation  of  TXM  Corporation  and  Biovail  Corporation  International.  Biovail  was  continued  under  the 
Canada Business Corporations Act effective June 29, 2005. In connection with the acquisition of Valeant Pharmaceuticals 
International in September 2010, Biovail was renamed “Valeant Pharmaceuticals International, Inc.” 

Effective  August  9,  2013,  we  continued  from  the  federal  jurisdiction  of  Canada  to  the  Province  of  British  Columbia, 
meaning  that  we  became  a  company  registered  under  the  laws  of  the  Province  of  British  Columbia  as  if  we  had  been 
incorporated under the laws of the Province of British Columbia. As a result of this continuance, our legal domicile became 
the Province of British Columbia, the Canada Business Corporations Act ceased to apply to us and we became subject to the 
British Columbia Business Corporations Act. 

Effective on July 13, 2018, the Company changed its corporate name from Valeant Pharmaceuticals International, Inc. to 

Bausch Health Companies Inc. 

Introduction 

We  are  a  global  company  whose  mission  is  to  improve  people’s  lives  with  our  health  care  products.  We  develop, 
manufacture and market, primarily in the therapeutic areas of eye-health, gastroenterology (“GI”) and dermatology, a broad 
range  of:  (i)  branded  pharmaceuticals,  (ii)  generic  and  branded  generic  pharmaceuticals,  (iii)  over-the-counter  (“OTC”) 
products and (iv) medical devices (contact lenses, intraocular lenses, ophthalmic surgical equipment and aesthetics devices) 
products. 

Our portfolio of products falls into four operating and reportable segments: (i) Bausch + Lomb/International, (ii) Salix, 

(iii) Ortho Dermatologics and (iv) Diversified Products. 

•  The  Bausch  +  Lomb/International  segment  consists  of:  (i)  sales  in  the  U.S.  of  pharmaceutical  products,  OTC 
products and medical device products, primarily comprised of Bausch + Lomb products, with a focus on the Vision 
Care,  Surgical,  Consumer  and  Ophthalmology  Rx  products  and  (ii)  with  the  exception  of  sales  of  Solta  products, 
sales  in  Canada,  Europe,  Asia,  Australia,  Latin  America,  Africa  and  the  Middle  East  of  branded  pharmaceutical 
products,  branded  generic  pharmaceutical  products,  OTC  products,  medical  device  products  and  Bausch  +  Lomb 
products. 

•  The Salix segment consists of sales in the U.S. of GI products. 

•  The  Ortho  Dermatologics  segment  consists  of:  (i)  sales  in  the  U.S.  of  Ortho  Dermatologics  (dermatological) 

products and (ii) global sales of Solta medical aesthetic devices. 

•  The  Diversified  Products  segment  consists  of  sales:  (i)  in  the  U.S.  of  pharmaceutical  products  in  the  areas  of 
neurology  and  certain  other  therapeutic  classes,  (ii)  in  the  U.S.  of  generic  products,  (iii)  in  the  U.S.  of  dentistry 
products and (iv) of certain other businesses divested during 2017 that were not core to the Company’s operations, 
including  the  Company’s  equity  interests  in  Dendreon  Pharmaceuticals  LLC  (“Dendreon”)  (June  28,  2017)  and 
Sprout  Pharmaceuticals,  Inc.  (“Sprout”)  (December  20,  2017).  As  a  result  of  the  divestitures  of  Dendreon  and 
Sprout, the Company exited the oncology and women’s health businesses, respectively. 

For additional discussion of our reportable segments, see the discussion in Item 1 “Business - Segment Information” and 
Note  22,  “SEGMENT  INFORMATION”  to  our  audited  Consolidated  Financial  Statements  for  further  details  on  these 
reportable segments. 

Business Strategy 

Our  strategy  is  to focus  our business  on  core  therapeutic classes  that offer  attractive growth  opportunities. Within our 
chosen therapeutic classes, we prioritize durable products which we believe have the potential for strong operating margins 
and evidence of growth opportunities. We have found and continue to believe there is significant opportunity in the: (i) eye-
health,  (ii)  GI  and  (iii)  dermatology  businesses.  We  believe  our  existing  portfolio,  commercial  footprint  and  pipeline  of 
product  development  projects  position  us  to  successfully  compete  in  these  markets  and  provide  us  with  the  greatest 
opportunity to build value for our shareholders. We identify these businesses as “core”, meaning that we believe we are best 
positioned to grow and develop them. 

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objectives  and  the  loss  of  exclusivity  for  certain  products  in  our  Diversified  Products  segment,  a  greater  portion  of  our 
revenues are now driven by our core businesses. In 2018, 2017 and 2016, our Bausch + Lomb, GI and dermatology revenues 
collectively  represented  approximately  71%,  67%  and  63%  of  our  total  revenues,  respectively.  The  increase  in  this 
percentage over this period demonstrates our commitment and the effectiveness of our business strategy in these businesses. 

We  believe  we  have  a  well-established  product  portfolio  that  is  diversified  within  our  core  businesses  and  provides  a 
sustainable revenue stream to fund our operations. Our continued success is dependent upon our ability to continually refresh 
our pipeline and bring new product solutions to the market that meet changing demands and replace other products that have 
lost momentum. We have a robust pipeline that we believe not only provides for the next generation of our existing products, 
but  is  also  poised  to  bring  new  and  innovative  solutions  to  market.  Our  research  and  development  (“R&D”)  organization 
focuses on the development of products through clinical trials and as of December 31, 2018, included approximately 1,200 
dedicated R&D and quality assurance employees in 23 R&D facilities. 

Our  pipeline  of  R&D  projects  includes  certain  products  we  have  dubbed  our  “Significant  Seven”,  which  are  products 
recently  launched  or  expected  to  launch  in  the  near  future  pending  completion  of  testing  and  receipt  of  approval  from  the 
U.S.  Food  and  Drug  Administration  (the  “FDA”).  These  Significant  Seven  products  are:  (i)  Bryhali™  (Ortho 
Dermatologics),  (ii)  Duobrii™  (provisional  name)  (Ortho  Dermatologics),  (iii)  Lumify®  (Bausch  +  Lomb),  (iv)  Relistor® 
(Salix), (v) SiHy Daily (Bausch + Lomb), (vi) Siliq™ (Ortho Dermatologics) and (vii) Vyzulta® (Bausch + Lomb). Although 
revenues associated with our Significant Seven products are currently not material, we believe the prospects for this group are 
substantial. 

Although we primarily rely on our R&D organization to build-out and refresh our product portfolio, to supplement those 
efforts we continually seek out opportunities, such as co-promotions and strategic acquisitions, to leverage our commercial 
footprint, particularly our sales force, by strategically aligning ourselves with other innovative product solutions that, when 
coupled with our existing product portfolio, address specific needs in the market. 

Segment Information 

Our revenues for 2018, 2017 and 2016 were $8,380 million, $8,724 million and $9,674 million, respectively. We have 
approximately  1,500  products  in  our  portfolio  of  products,  which  fall  into  four  reportable  segments:  (i)  Bausch  + 
Lomb/International, (ii) Salix, (iii) Ortho Dermatologics and (iv) Diversified Products. Comparative segment information for 
2018,  2017  and  2016  is  presented  in  Note  22,  “SEGMENT  INFORMATION”  to  our  audited  Consolidated  Financial 
Statements. 

Bausch + Lomb/International 

Revenues for our Bausch + Lomb/International segment for 2018, 2017 and 2016 were $4,664 million, $4,795 million 
and $4,857 million, respectively. Our Bausch + Lomb/International segment includes our Global Bausch + Lomb eye-health 
business  and  our  International  Rx  business.  Our  Global  Bausch  +  Lomb  eye-health  business  includes  our  Vision  Care, 
Surgical, Consumer and Ophthalmology Rx products, which in aggregate accounted for approximately 43%, 41% and 37% 
of our Company’s revenues for 2018, 2017 and 2016, respectively. Our International Rx business, with the exception of our 
Solta  business,  includes  sales  in  Canada,  Europe,  Asia,  Australia,  Latin  America,  Africa  and  the  Middle  East  of  branded 
pharmaceutical products, branded generic pharmaceutical products, OTC products and medical device products. 

Our Bausch + Lomb business is a fully integrated eye-health business, which we believe is critical to maintaining our 
position in the global eye-health market. As a fully integrated eye-health business with a 165-year legacy, Bausch + Lomb 
has an established line of contact lenses, intraocular lenses and other medical devices, surgical systems and devices, vitamin 
and mineral supplements, lens care products, prescription eye-medications and other consumer products that positions us to 
compete in all areas of the eye-health market. 

As part of our Global Bausch + Lomb business strategy, we continually look for key trends in the eye-health market to 
meet changing consumer/patient needs and identify areas for investment and growth. We continue to see increased demand 
for  new  eye-health  products  that  address  conditions  brought  on  by  factors  such  as  increased  screen  time,  lack  of  outdoor 
activities and academic pressures, as well as conditions brought on by an aging population (as more and more baby-boomers 
in the U.S. are reaching the age of 65). To supplement our well-established Bausch + Lomb product lines, we continue to 
identify for development new products tailored to address these key trends which we develop internally with our own R&D 
team to generate organic growth. Recent product launches include Biotrue® ONEday daily disposable contact lenses, the next 
generation of Bausch + Lomb ULTRA® contact lenses, SiHy Daily contact lenses, Lumify® (an eye redness treatment) and 
Vyzulta® (a pressure lowering eye drop for patients with angle glaucoma or ocular hypertension). 

2 

Our principal products in the Global Bausch + Lomb business include: 

Vision Care 

• 

• 

SofLens® Daily Disposable Contact Lenses use ComfortMoist® Technology (a combination of thin lens design and 
moisture-rich packaging solution) and High Definition Optics™ which is an aspheric design that reduces spherical 
aberration over a range of powers, especially in low light. 

PureVision®  is  a  silicone  hydrogel  frequent  replacement  contact  lens  using  AerGel®  technology  lens  material  to 
allow  natural  levels  of  oxygen  to  reach  the  eye  as  well  as  resist  protein  buildup.  The  lens  also  incorporates  an 
aspheric optical design that reduces spherical aberration. 

•  Biotrue® ONEday daily disposable contact lenses are made of a unique material that works like the eye to form a 
dehydration barrier. The lens maintains over 98% of its moisture for up to 16 hours, it matches the water content of 
the cornea at 78%, and allows for the oxygen a healthy eye needs. 

•  Biotrue® ONEday for Astigmatism is a daily disposable contact lens for astigmatic patients. The Biotrue® ONEday 
lenses  incorporates  Surface  Active  Technology™  to  provide  a  dehydration  barrier.  The  Biotrue®  ONEday  for 
Astigmatism also includes evolved peri-ballast geometry to deliver stability and comfort for the astigmatic patient. 
We launched this product in December 2016 and launched the complete extended power range in 2017. 

•  Bausch  +  Lomb  ULTRA®  is  a  silicone  hydrogel  frequent  replacement  contact  lens  that  uses  the  proprietary 
MoistureSeal® technology which allows the contact lens to retain 95% of moisture after 16 hours of wear, limiting 
lens dryness and resulting symptoms. 

•  Bausch  +  Lomb ULTRA®  for  Astigmatism  is  a  monthly planned  replacement  contact  lens for  astigmatic  patients. 
The Bausch + Lomb ULTRA® for Astigmatism lens was developed using the proprietary MoistureSeal® technology. 
In  addition,  the  Bausch  +  Lomb  ULTRA®  for  Astigmatism  lens  integrates  an  OpticAlign™  design  engineered  for 
lens stability and to promote a successful wearing experience for the astigmatic patient. We launched this product 
and the extended power range for this product throughout 2017. 

•  Bausch + Lomb ULTRA® for Presbyopia is a monthly planned replacement contact lens for presbyopic patients. The 
Bausch  +  Lomb  ULTRA®  for  Presbyopia  lens  was  developed  using  the  proprietary  MoistureSeal®  technology.  In 
addition,  the  Bausch  +  Lomb  ULTRA®  for  Presbyopia  lens  integrates  a  3  zone  progressive  design  for  near, 
intermediate and distance vision. We launched expanded parameters of this product throughout 2017. 

Surgical 

•  The  Stellaris  Elite™  Vision  Enhancement  System  is  our  next  generation  phacoemulsification  cataract  platform, 
which offers new innovations, as well as the opportunity to add upgrades and enhancements every one to two years. 
Stellaris Elite™ is the first phacoemulsification platform on the market to offer Adaptive Fluidics™, which combines 
aspiration control with predictive infusion management to create a responsive and controlled surgical environment 
for efficient cataract lens removal. Our Stellaris Elite™ Vision Enhancement System was launched in April 2017. 

•  Vitesse®  is  a  hypersonic  vitrectomy  system  for  the  removal  of  the  vitreous  humor  gel  that  fills  the  eye  cavity  to 
provide better access to the retina and allow for a variety of repairs, including the removal of scar tissue, laser repair 
of retinal detachments and treatment of macular holes. Available exclusively on the Stellaris Elite™ system, Vitesse® 
liquefies  tissue  in  a  highly-localized  zone  at  the  edge  of  the  port  to  increase  the  level  of  surgical  control  and 
precision to vitrectomies. We launched Vitesse® on a limited basis in October 2017. 

•  A portfolio of ophthalmic surgical products, including: (i) intraocular lenses such as Akreos®, enVista®, Crystalens® 
and Trulign®, (ii) a suite of surgical instruments including Storz® and Synergetics® and (iii) surgical equipment for 
cataract,  refractive,  and  vitreoretinal  surgery,  such  as  Stellaris®  PC,  a  vitreoretinal  and  cataract  surgery  system, 
VersaVIT2.0 for vitreoretinal surgery and the VICTUS® femtosecond laser for cataract surgery. 

Consumer 

• 

PreserVision®  AREDS  2  is  an  eye  vitamin  formula  for  those  with  moderate-to-advanced  age-related  macular 
degeneration. 

•  Ocuvite® is a vitamin and mineral supplement for the eye that contains lutein (an antioxidant carotenoid), a nutrient 

that supports macular health by helping filter harmful blue light. 

3 

•  Bausch  +  Lomb  Renu®  Advanced  Formula  multi-purpose  solution  was  launched  in  2017  and  is  a  novel  soft  and 

silicone hydrogel contact lenses solution that makes use of three disinfectants and two moisture agents. 

•  Biotrue®  multi-purpose  solution  helps  prevent  certain  tear  proteins  from  denaturing  and  fights  germs  for  healthy 
contact  lens  wear.  Biotrue®  multi-purpose  solution  uses  a  lubricant  found  in  eyes  and  is  pH  balanced  to  match 
healthy tears. 

•  Lumify®  (brimonidine  tartrate  ophthalmic  solution,  0.025%)  is  an  OTC  eye  drop  developed  as  an  ocular  redness 

reliever. Lumify® was launched in May 2018. 

•  Boston® solution is a specialty cleansing solution design for gas permeable contact lenses. 

•  Bausch  +  Lomb  ScleralFil®  solution  is  a  novel  contact  lens  care  solution  launched  in  2017  that  makes  use  of  a 

preservative free buffered saline solution for use with the insertion of scleral lenses. 

Ophthalmology Rx 

•  Lotemax®  Gel  is  a  topical  corticosteroid  indicated  for  the  treatment  of  inflammation  and  pain  following  ocular 
surgery.  This  formulation  is  a  technology  that  allows  the  drug  to  adhere  to  the  ocular  surface  and  offers  dose 
uniformity, which eliminates the need to shake the product in order to ensure the drug is in suspension. The product 
contains a low concentration of preservative and two known moisturizers. 

•  Vyzulta® (latanoprostene bunod ophthalmic solution, 0.024%) is an intraocular pressure lowering single-agent eye 
drop dosed once daily for patients with open angle glaucoma or ocular hypertension and was launched in December 
2017. 

Salix 

The Salix segment consists of sales in the U.S. of gastrointestinal or GI products and includes Xifaxan® which accounted 
for  approximately  14%,  11%  and  10%  of  our  total  revenues  for  2018,  2017  and  2016,  respectively.  Salix  revenues  were 
$1,749 million, $1,566 million and $1,530 million for 2018, 2017 and 2016, respectively. 

As  part of our  acquisition of  Salix  Pharmaceutical,  Ltd.  in 2015, we  acquired  the  intellectual  property  to  a number  of 
products which have provided us with year over year revenue growth, particularly the intellectual properties behind Xifaxan® 
for irritable bowel syndrome with diarrhea (“IBS-D”) and Relistor® for opioid induced constipation (“OIC”). Recognizing the 
growth  opportunities  in  these  products,  we  initiated  a  significant  sales  force  expansion  program  in  December  2016  to 
aggressively reach out to potential primary care physician (“PCP”) prescribers of Xifaxan® and Relistor® tablets. This sales 
force expansion program met our objectives as revenues from our Xifaxan® and Relistor® products increased approximately 
22% and 37%, respectively, in 2018 when compared to 2017. 

Because  we  strongly  believe  in  our  Xifaxan®  and  Relistor®  business  models,  we  have  taken  initiatives  to  further 
capitalize  on  the  value  of  the  infrastructure  we  built  around  these  products.  For  instance,  in  order  to  continue  to  generate 
growth  in  these  products,  we  continue  to  directly  invest  in  next  generation  formulations  of  Xifaxan®  and  rifaximin,  the 
principal semi-synthetic antibiotic used in our Xifaxan® product. In addition to one R&D program in progress, we have three 
other R&D programs planned to start in 2019 for next generation formulations of Xifaxan® and rifaximin which address new 
indications. 

In  addition  to  driving  growth  through  internal  R&D  development  opportunities,  we  strive  to  access  other  products 
outside  our  existing  Salix  business  that  allow  us  to  leverage  our  existing  GI  sales  force,  supply  channel  and  distribution 
channel to bring about growth through co-promotion and acquisition. For instance, in the second half of 2018, we entered 
into  agreements  with  Dova  Pharmaceuticals,  Inc.  to  co-promote  Doptelet®,  a  new  treatment  of  thrombocytopenia  in  adult 
patients with chronic liver disease, and with US WorldMeds, LLC to co-promote Lucemyra™, a non-opioid medication for 
the mitigation of withdrawal symptoms to facilitate abrupt discontinuation of opioids. We are also pursuing the acquisition of 
Synergy Pharmaceuticals Inc. (“Synergy”) as the “stalking horse” bidder in a bankruptcy court supervised auction and sale 
process  expected  to  be  completed  in  March  2019.  If  successful,  we  will  acquire  certain  assets  of  Synergy  including  its 
worldwide rights to the Trulance® (plecanatide) product, a once-daily tablet for adults with chronic idiopathic constipation 
and  irritable  bowel  syndrome  with  constipation.  We  believe  these  co-promotion  and  acquisition  opportunities  will  be 
accretive  to  our  business  by  providing  us  access  to  products  that  are  a  natural  pairing  to  either  our  Xifaxan®  or  Relistor® 
businesses, allowing us to effectively leverage our existing infrastructure and generate growth. 

4 

Our principal products in the Salix segment (including products of our third-party co-promotion partners) include: 

•  Xifaxan® which includes: (i) tablets indicated for the treatment of IBS-D in adults and for the reduction in risk of 
overt hepatic encephalopathy recurrence in adults and (ii) tablets indicated for the treatment of travelers’ diarrhea 
caused by noninvasive strains of Escherichia coli in patients 12 years of age and older. 

•  Relistor®  (methylnaltrexone)  is  given  to  adults  who  use  narcotic  medicine  to  treat  severe  chronic  pain  that  is  not 

caused by cancer to prevent constipation without reducing the pain-relieving effects of the narcotic. 

•  Apriso® is an aminosalicylate anti-inflammatory drug used to treat ulcerative colitis, proctitis and proctosigmoiditis. 

Apriso is also used to prevent the symptoms of ulcerative colitis from recurring. 

•  Glumetza®  (metformin  hydrochloride)  extended  release  tablets  are  indicated  as  an  adjunct  to  diet  and  exercise  to 

improve glycemic control in adults with type 2 diabetes mellitus. 

• 

Plenvu® is a novel, lower-volume polyethylene glycol-based bowel preparation developed to help provide complete 
bowel cleansing, with an additional focus on the ascending colon. Plenvu® was launched in September 2018. 

•  Doptelet® (avatrombopag) is a new treatment of thrombocytopenia in adult patients with chronic liver disease whom 
are scheduled to undergo a procedure, which we are co-promoting through a partnership with Dova Pharmaceuticals, 
Inc. 

•  Lucemyra™ (lofexidine) is a non-opioid medication for the mitigation of withdrawal symptoms to facilitate abrupt 
discontinuation of opioids in adults, which we are co-promoting through a partnership with US WorldMeds, LLC. 

Ortho Dermatologics 

The  Ortho  Dermatologics  segment  consists  of:  (i)  sales  in  the  U.S.  of  Ortho  Dermatologics  (dermatological  products) 
and (ii) global sales of Solta medical dermatological devices. Ortho Dermatologics revenues were $625 million, $725 million 
and $949 million for 2018, 2017 and 2016, respectively. 

In  2017,  we  retained  a  proven  leadership  team  of  experienced  dermatology  sales  professionals  and  marketers  and 
rebranded  our  dermatology  business  as  Ortho  Dermatologics,  as  part  of  a  larger  rebranding  initiative  for  our  dermatology 
business. In January 2018, the leadership team increased our Ortho Dermatologics sales force by more than 25% in support 
of  our  growth  initiatives  for  our  Ortho  Dermatologics  business.  We  believe  the  additional  sales  force  is  vital  to  meet  the 
demand  we  expect  from  our  recently  launched  products  and  those  we  expect  to  launch  in  the  near  term,  pending  FDA 
approval. 

We  have  made  significant  investments  to  build  out  our  psoriasis  and  acne  product  portfolios,  which  are  the  markets 
within dermatology where we see the greatest opportunities, with a focus on topical gel and lotion products over injectable 
biologics.  We  continue  to  support  and  develop  injectable  biologics;  however,  we  believe  some  patients  prefer  topical 
products as an alternative delivery method to injectable biologics. Further, as topical products can, in many cases, defer the 
use of injectable biologics and need not be administered by a certified biologic physician, a topical product is usually more 
cost-effective  and  better  supported  by  managed  care  payors  over  its  alternative  injectable  biologic  product.  Therefore,  we 
believe topical products represent significant innovation for physicians, payors and patients, and as the preferred choice of 
treatment, have the potential to drive greater volumes, generate better margins and will ultimately be a key contributing factor 
of our Ortho Dermatologics business. 

In  addition  to  our  established  and  in  development  product  lines,  we  also  look  to  gain  access  to  other  dermatology 
products  through  strategic  licensing  agreements.  We  believe  this  allows  us  to  leverage  our  experienced  dermatology  sales 
leadership  team  and  our  recently  expanded  Ortho  Dermatologics  sales  force  to  drive  growth  in  our  Ortho  Dermatologics 
business. 

Our principal products in the Ortho Dermatologics segment include: 

•  Targretin® (bexarotene) capsules and gel are prescription medicines used to treat the skin problems arising from the 

disease cutaneous T-cell lymphoma, or CTCL, in patients who have not responded well to other treatments. 

•  Bryhali™  was  launched  in November  2018  and  is  a  novel  product  that  contains  a  unique,  lower  concentration  of 

halobetasol propionate for the treatment of moderate-to-severe psoriasis. 

5 

• 

• 

Jublia® (efinaconazole 10% topical solution) is a topical azole approved for the treatment of onychomycosis of the 
toenails (toenail fungus). 

Siliq™ was  launched  in  the U.S.  in  2017  and  is  an IL-17  receptor blocker  monoclonal  antibody for patients with 
moderate-to-severe plaque psoriasis. 

•  Elidel® is used to treat certain skin conditions such as eczema (atopic dermatitis), which is an allergic-type condition 

that causes red, irritated and itchy skin. 

•  Zovirax® is an antiviral prescription medicine that is used to treat cold sores on the lips and around the mouth only, 
in patients 12 years of age and older with normal immune systems. Applied directly to the infected area, Zovirax® 
stops the cold sore virus from multiplying by fighting the virus itself. 

•  Altreno™  (tretinoin  0.05%)  was  launched  in  the  U.S.  in  October  2018  and  is  a  lotion  approved  for  the  topical 

treatment of acne vulgaris in patients 9 years of age and older. 

•  An Acne franchise, which includes Solodyn®, a prescription oral antibiotic approved to treat only the red, pus-filled 
pimples of moderate to severe acne in patients 12 years of age and older, as well as Retin-A®, Ziana®, Clindagel®, 
Acanya®,  Atralin®,  and  Onexton®  Gel,  a  fixed  combination  1.2%  clindamycin  phosphate  and  3.75%  benzoyl 
peroxide  medication  for  the  once-daily  treatment  of  comedonal  (non-inflammatory)  and  inflammatory  acne  in 
patients 12 years of age and older. 

•  Medical  device  systems  for  aesthetic  applications,  including  the  Thermage®,  that  provides  non-invasive  treatment 

options using radiofrequency energy for skin tightening. 

Diversified Products 

The Diversified Products segment consists of sales: (i) in the U.S. of pharmaceutical products in the areas of neurology 
and  certain  other  therapeutic  classes,  (ii)  in  the  U.S.  of  generic  products,  (iii)  in  the  U.S.  of  dentistry  products  and  (iv)  of 
certain  other  businesses  divested  during  2017  that  were  not  core  to  the  Company’s  operations,  including  the  Company’s 
equity interests in Dendreon (June 28, 2017) and Sprout (December 20, 2017). As a result of the divestitures of Dendreon and 
Sprout, the Company exited the oncology and women’s health businesses, respectively. Diversified Products revenues were 
$1,342  million,  $1,638  million  and  $2,338  million  for  2018,  2017  and  2016,  respectively.  Our  principal  products  in  this 
segment include: 

Pharmaceutical 

•  Wellbutrin  XL®  is  an  extended  release  formulation  of  bupropion  indicated  for  the  treatment  of  major  depressive 

disorder in adults. 

•  Cuprimine® is a treatment for Wilson’s disease (a condition in which high levels of copper in the body cause damage 
to the liver, brain, and other organs), cystinuria (a condition which leads to cystine stones in the kidneys) and for 
patients with severe rheumatoid arthritis who have failed to respond to an adequate trial of conventional therapy. 

•  Migranal® (dihydroergotamine mesylate) Nasal Spray is used to treat an active migraine headache with or without 

aura. 

•  Ativan®  (lorazepam)  is  indicated  for  the  management  of  anxiety  disorders  or  for  the  short-term  relief  of  the 

symptoms of anxiety or anxiety associated with depressive symptoms. 

•  Xenazine® is indicated for the treatment of chorea associated with Huntington’s disease. In the U.S., Xenazine® is 

distributed for us by Lundbeck LLC under an exclusive marketing, distribution and supply agreement. 

• 

Syprine® is a treatment for Wilson’s disease in patients who cannot take the medication known as penicillamine. 

•  Aplenzin®  (bupropion  hydrobromide  extended  release  tablets)  is  indicated  for  the  treatment  of  major  depressive 
disorder,  and  for  the  prevention  of  seasonal  major  depressive  episodes  in  patients  with  a  diagnosis  of  seasonal 
affective disorder. 

• 

Isuprel® (Isoproterenol hydrochloride) injections is indicated for: (i) mild or transient episodes of heart block that do 
not require electric shock or pacemaker therapy, (ii) for serious episodes of heart block and Adams-Stokes attacks 
(except when caused by ventricular tachycardia or fibrillation), (iii) for use in cardiac arrest until electric shock or 
pacemaker therapy, the treatments of choice, is available and (iv) for bronchospasm occurring during anesthesia. 

6 

Generics 

•  Diastat® (diazepam rectal gel) is a gel formulation of diazepam intended for rectal administration for certain patients 
with  epilepsy  who  are  already  taking  antiepileptic  medications,  and  who  require  occasional  use  of  diazepam  to 
control bouts of increased seizure activity. 

•  Uceris®  (budesonide)  extended  release  tablets  are  a  prescription  corticosteroid  medicine  used  to  help  get  mild  to 

moderate ulcerative colitis under control (induce remission). 

•  Zegerid® is used to treat certain stomach and esophagus problems (such as acid reflux and ulcers) by decreasing the 

amount of acid your stomach makes. It belongs to a class of drugs known as proton pump inhibitors. 

Dentistry 

•  Arestin®  (minocycline  hydrochloride)  is  a  subgingival  sustained-release  antibiotic.  Arestin®  is  indicated  as  an 
adjunct  to  scaling  and  root  planing  (“SRP”)  procedures  for  reduction  of  pocket  depth  in  patients  with  adult 
periodontitis. Arestin® may be used as part of a periodontal maintenance program, which includes good oral hygiene 
and SRP. 

•  NeutraSal® is indicated for dryness of the mouth (hyposalivation, xerostomia) and dryness of the oral mucosa due to 

drugs that suppress salivary secretion. 

Research and Development 

Our R&D organization focuses on the development of products through clinical trials. Currently, we have over 250 R&D 
projects in our pipeline. As of December 31, 2018, approximately 1,200 dedicated R&D and quality assurance employees in 
23 R&D facilities were involved in our R&D efforts. 

Our  R&D  expenses  for  2018,  2017  and  2016,  were  $413  million,  $361  million  and  $421  million,  respectively.  R&D 
expenses as a percentage of revenue were 5% in 2018 as compared to 4% in 2017 and 4% in 2016. As part of our turnaround, 
we removed projects related to divested businesses and rebalanced our portfolio to better align with our long-term plans and 
focus  on  core  businesses.  Our  investment  in  R&D  reflects  our  commitment  to  drive  organic  growth  through  internal 
development  of  new  products,  a  pillar  of  our  new  strategy,  and  also  reflects  our  investment  in  our  Significant  Seven  as 
previously discussed. 

For  more  information  regarding  our  products  in  clinical  development,  see  Item  7  “Management’s  Discussion  and 

Analysis of Financial Condition and Results of Operations — Overview — Our Transformation” of this Form 10-K. 

Trademarks, Patents and Proprietary Rights 

We  rely  on  a  combination  of  contractual  provisions,  confidentiality  policies  and  procedures  and  patent,  trademark, 
copyright  and  trade  secrecy  laws  to  protect  the  proprietary  aspects  of  our  technology  and  business.  Our  policy  is  to 
vigorously protect, enforce and defend our rights to our intellectual property and proprietary rights, as appropriate. See Item 
1A  “Risk  Factors”  of  this  Form  10-K  for  additional  information  on  the  risks  associated  with  our  intellectual  property  and 
proprietary rights. 

Trademarks 

We  believe  that  trademark  protection  is  an  important  part  of  establishing  product  and  brand  recognition.  We  own  or 
license  a  number  of  registered  trademarks  and  trademark  applications  in  the  U.S.,  Canada  and  in  various  other  countries 
throughout the world. U.S. federal registrations for trademarks remain in force for 10 years and may be renewed every 10 
years after issuance, provided the mark is still being used in commerce. Trademark registrations in Canada currently remain 
in  force  for  15  years  and  may  be  renewed  every  15  years  after  issuance,  provided  that,  as  in  the  case  of  U.S.  federal 
trademark registrations, the mark is still being used in commerce. Other countries generally have similar but varying terms 
and renewal policies with respect to trademarks registered in those countries. 

Data and Patent Exclusivity 

For  certain  of  our  products,  we  rely  on  a  combination  of  regulatory  and  patent  rights  to  protect  the  value  of  our 

investment in the development of these products. 

7 

A patent is the grant of a property right which allows its holder to exclude others from, among other things, selling the 
subject  invention  in,  or  importing  such  invention  into,  the jurisdiction  that granted  the  patent.  In  the  U.S.,  Canada and  the 
European Union (“EU”), generally patents expire 20 years from the date of application. We have obtained, acquired or in-
licensed  a  number  of  patents  and  patent  applications  covering  key  aspects  of  certain  of  our  principal  products.  In  the 
aggregate, our patents are of material importance to our business taken as a whole. 

In the U.S., the Hatch-Waxman Act provides non-patent regulatory exclusivity for five years from the date of the first 
FDA approval of a new drug compound in a New Drug Application (“NDA”). The FDA, with one exception, is prohibited 
during those five years from accepting for filing a generic, or Abbreviated New Drug Application (“ANDA”), that references 
the  NDA.  In  reference  to  the  foregoing  exception,  if  a  patent  is  indexed  in  the  FDA  Orange  Book  for  the  new  drug 
compound, a generic may file an ANDA four years from the NDA approval date if it also files a Paragraph IV Certification 
with  the  FDA  challenging  the  patent.  Protection  under  the  Hatch-Waxman  Act  will  not  prevent  the  filing  or  approval  of 
another full NDA. However, the NDA applicant would be required to conduct its own pre-clinical and adequate and well-
controlled clinical trials to independently demonstrate safety and effectiveness. 

A similar data exclusivity scheme exists in the EU, whereby only the pioneer drug company can use data obtained at the 
pioneer’s  expense  for  up  to  eight  years  from  the  date  of  the  first  approval  of  a  drug  by  the  European  Medicines  Agency 
(“EMA”) and no generic drug can be marketed for ten years from the approval of the innovator product. Under both the U.S. 
and the EU data exclusivity programs, products without patent protection can be marketed by others so long as they repeat 
the clinical trials necessary to show safety and efficacy. 

In the U.S., the Biologics Price Competition and Innovation Act (“BPCIA”) allows companies to seek FDA approval to 
manufacture  and  sell  biosimilar  or  interchangeable  versions  of  brand  name  biological  products.  Due  to  the  size  and 
complexity  of  biological  products,  as  compared  to  small  molecule  drugs,  a  biosimilar  must  be  “highly  similar”  to  the 
reference  product  with  “no  clinically  meaningful  differences”  in  safety,  purity  and  potency  between  the  two.  The  BPCIA 
provides  reference  product  sponsors  with  12  years  (potential  for  6  additional  months  of  pediatric  exclusivity)  of  market 
exclusivity, but unlike the Hatch-Waxman Act which covers small molecules, it does not require reference product sponsors 
to  list  patents  in  an  Orange  Book  equivalent  and  does  not  include  an  automatic  30-month  stay  of  FDA  approval  upon  the 
timely filing of a lawsuit. The BPCIA, however, does provide pre-litigation procedures for the parties to follow, including 
identification  of  relevant  patents  and  each  party’s  basis  for  infringement  and  invalidity.  A  biosimilar  patent  application 
cannot be filed until four years after the reference product is first licensed and a biosimilar cannot be launched, at the earliest 
(assumes no patent litigation or an adverse decision on all patents), until the expiration of the twelve years of data exclusivity 
from the approval of the reference product. 

Under the Orphan Drug Act, the FDA may designate a product as an orphan drug if it is a drug intended to treat a disease 
or condition that affects populations of fewer than 200,000 individuals in the U.S. or a disease whose incidence rates number 
more than 200,000 where the sponsor establishes that it does not realistically anticipate that its product sales will be sufficient 
to  recover  its  costs.  The  sponsor  that  obtains  the  first  marketing  approval  for  a  designated  orphan  drug  for  a  given  rare 
disease is eligible to receive marketing exclusivity for use of that drug for the orphan indication for a period of seven years. 

In  Canada,  the  Patented  Medicines  (Notice  of  Compliance)  Regulations  (“PM(NOC)  Regulations”)  create  a  regime 
analogous to the U.S. Hatch-Waxman Act, and link the regulatory approval process for generic and biosimilar drugs to the 
adjudication of innovator patent rights. To be eligible for protection under the PM(NOC) Regulations, patents must first be 
listed on the Patent Register in connection with an innovator’s drug submission to Health Canada. A generic or biosimilar 
manufacturer  must  then  provide  notice  to  the  innovator  of  its  plans  to  market  a  drug  that  it  compared  to  the  innovator’s 
patented drug in the Health Canada approval process. Within 45 days of receiving such a notice of allegation, an innovator 
drug  company  may  commence  patent  infringement  proceedings  against  the  generic  or  biosimilar  manufacturer.  The 
commencement  of  an  action  by  the  innovator  under  the  PM(NOC)  Regulations  may  stay  Health  Canada’s  regulatory 
approval of the generic or biosimilar drug for a period of 24 months. 

Canada also employs a data exclusivity regime for innovative drugs that provides an eight-year period of data protection 
from  the  date  of  market  approval  by  Health  Canada.  An  additional  six  months  of  data  exclusivity  is  provided  for  drugs 
studied in clinical trials relating to use in pediatric populations. Drug submissions seeking approval based on a comparison to 
an  innovative  drug  cannot  be  filed  during  the  first  six  years  of  the  data  exclusivity  period.  Generic  or  biosimilar  drug 
submissions remain on hold until expiry of the innovator’s data protection term, unless the innovative product is a patented 
drug  subject  to  further  protection  under  the  PM(NOC)  Regulations.  Canada  has  no  distinct  drug  submission  process  for 
biosimilar or orphan drug products. 

8 

Proprietary Know-How 

We also rely upon unpatented proprietary know-how, trade secrets and technological innovation in the development and 
manufacture  of  many  of  our  principal  products.  We  protect  our  proprietary  rights  through  a  variety  of  methods,  including 
confidentiality and non-disclosure agreements and proprietary information agreements with vendors, employees, consultants 
and others who may have access to proprietary information. 

Government Regulations 

Government  authorities  in  the  U.S.,  at  the  federal,  state  and  local  level,  in  Canada,  in  the  EU  and  in  other  countries 
extensively  regulate,  among  other  things,  the  research,  development,  testing,  approval,  manufacturing,  labeling,  post-
approval  monitoring  and  reporting,  packaging,  advertising  and  promotion,  storage,  distribution,  marketing  and  export  and 
import  of  pharmaceutical  products  and  medical  devices.  As  such,  our  products  and  product  candidates  are  subject  to 
extensive  regulation  both  before  and  after  approval.  The  process  of  obtaining  regulatory  approvals  and  the  subsequent 
compliance  with  applicable  federal,  state,  local  and  foreign  statutes  and  regulations  require  the  expenditure  of  substantial 
time and financial resources. Failure to comply with these regulations could result in, among other things, warning letters, 
civil penalties, delays in approving or refusal to approve a product candidate, product recall, product seizure, interruption of 
production, operating restrictions, suspension or withdrawal of product approval, injunctions or criminal prosecution. 

Prior to human use, FDA approval (drugs (in the form of an NDA or ANDA for generic equivalents), biologics (in the 
form of a Biologics License Application (“BLA”)) and some medical devices) or marketing clearance (other devices) must be 
obtained  in  the  U.S.,  approval  by  Health  Canada  must  be  obtained  in  Canada,  EMA  approval  (drugs)  or  a  CE  Marking 
(devices) must be obtained for countries that are part of the EU and approval must be obtained from comparable agencies in 
other countries prior to manufacturing or marketing new pharmaceutical products or medical devices. Generally, preclinical 
studies and clinical trials of the products must first be conducted and the results submitted to the applicable regulatory agency 
(such as the FDA) for approval. 

Regulation  by  other  federal  agencies,  such  as  the  Drug  Enforcement  Administration  (“DEA”),  and  state  and  local 
authorities  in  the  U.S.,  and  by  comparable  agencies  in  certain  foreign  countries,  is  also  required.  In  the  U.S.,  the  Federal 
Trade  Commission  (the  “FTC”),  the  FDA  and  state  and  local  authorities  regulate  the  advertising  of  medical  devices, 
prescription drugs, OTC drugs and cosmetics. The Federal Food, Drug and Cosmetic  Act, as amended and the regulations 
promulgated  thereunder,  and  other  federal  and  state  statutes  and  regulations,  govern,  among  other  things,  the  testing, 
manufacture, safety, effectiveness, labeling, storage, record keeping, approval, sale, distribution, advertising and promotion 
of our products. The FDA requires a Boxed Warning (sometimes referred to as a “Black Box” Warning) for products that 
have  shown  a  significant  risk  of  severe  or  life-threatening  adverse  events  and  similar  warnings  are  also  required  to  be 
displayed on the product in certain other jurisdictions. 

Manufacturers of pharmaceutical products and medical devices are required to comply with manufacturing regulations, 
including  current  good  manufacturing  practices  and  quality  system  management  requirements,  enforced  by  the  FDA  and 
Health  Canada,  in  the  U.S.  and  Canada  respectively,  and  similar  regulations  enforced  by  regulatory  agencies  in  other 
countries and we face annual audits of our facilities and plants and those of our contract manufacturers by the FDA and such 
other  regulatory  agencies. In addition, we  are  subject  to  price  control  restrictions on our pharmaceutical  products  in  many 
countries in which we operate. 

We are also subject to extensive U.S. federal and state health care marketing and fraud and abuse regulations, such as the 
federal False Claims Act, federal and provincial marketing regulation in Canada and similar regulations in foreign countries 
in which we may conduct our business. The federal False Claims Act imposes civil and criminal liability on individuals or 
entities who submit (or cause the submission of) false or fraudulent claims for payment to the government. The U.S. federal 
Anti-Kickback Statute prohibits persons or entities from knowingly and willfully soliciting, receiving, offering or providing 
remuneration,  directly  or  indirectly,  to  induce  either  the  referral  of  an  individual,  or  the  furnishing,  recommending,  or 
arranging for a good or service, for which payment  may  be made under a federal or state health care program such as the 
Medicare  and  Medicaid  programs.  Some  state  anti-kickback  laws  also  prohibit  such  conduct  where  commercial  insurance, 
rather  than  federal  or  state,  programs  are  involved.  Due  to  recent  legislative  changes,  violations  of  the  U.S.  federal  Anti-
Kickback Statute also carry potential federal False Claims Act liability. In addition, in the U.S. and Canada, companies may 
not promote drugs or medical devices for “off-label” uses - that is, uses that are not described in the product’s labeling and 
that differ from those that were approved or cleared by the FDA or Health Canada, respectively - and “off-label promotion” 
in the U.S. has also formed the predicate for False Claims Act liability resulting in significant financial settlements. These 
and other laws and regulations, rules and policies may significantly impact the manner in which we are permitted to market 
our products. If our operations are found to be in violation of any of these laws, regulations, rules or policies or any other law 
or governmental regulation, or if interpretations of the foregoing change, we may be subject to civil and criminal penalties, 
damages, fines, exclusion from the Medicare and Medicaid programs and the curtailment or restructuring of our operations. 

9 

We may also be subject to various privacy and security regulations, including, but not limited to, the Health Insurance 
Portability and Accountability Act of 1996, as amended by the Health Information Technology for Economic and Clinical 
Health Act of 2009 (collectively, “HIPAA”). HIPAA mandates, among other things, the adoption of uniform standards for 
the  electronic  exchange  of  information  in  common  health  care  transactions  (e.g.,  health  care  claims  information  and  plan 
eligibility,  referral  certification  and  authorization,  claims  status,  plan  enrollment,  coordination  of  benefits  and  related 
information), as well as standards relating to the privacy and security of individually identifiable health information. These 
standards require the adoption of administrative, physical and technical safeguards to protect such information. In addition, 
many states have enacted comparable laws addressing the privacy and security of health information, some of which are more 
stringent than HIPAA. Complying with these laws involves costs to our business, and failure to comply with these laws can 
result in the imposition of significant civil and criminal penalties. 

Successful commercialization of our products may depend, in part, on the availability of governmental and third-party 
payor  reimbursement  for  the  cost  of  our  products.  Third-party  payors  may  include  government  health  administration 
authorities,  private  health  insurers  and  other  organizations.  In  the  U.S.,  the  E.U.  and  other  significant  or  potentially 
significant markets for our products and product candidates, government authorities and third-party payors are increasingly 
attempting to limit or regulate the price of medical products and services, which has resulted in lower average realized prices. 
In the U.S., these pressures can arise from rules and practices of managed care groups, judicial decisions and governmental 
laws  and  regulations  related  to  Medicare,  Medicaid  and  health  care  reform,  pharmaceutical  reimbursement  policies  and 
pricing in general. In particular, sales of our products may be subject to discounts from list price and rebate obligations, as 
well  as  formulary  coverage  decisions  impacting  or  limiting  the  types  of  patients  for  whom  coverage  will  be  provided. 
Various U.S. health care and other laws regulate our interactions with government agencies, private insurance companies and 
other  third-party  payors  regarding  coverage  and  reimbursement  for  our  products.  Failure  to  comply  with  these  laws  could 
subject  us  to  civil,  criminal  and  administrative  sanctions.  In  countries  outside  the  U.S.,  the  success  of  our  products  may 
depend,  at  least  in  part,  on  obtaining  and  maintaining  government  reimbursement  because,  in  many  countries,  patients  are 
unlikely to use prescription drugs that are not reimbursed by their governments. In addition, negotiating prices with certain 
governmental  authorities  for  newly  developed  products  can  delay  commercialization.  In  Canada  and  many  international 
markets, governments control the prices of prescription pharmaceuticals, including through the implementation of reference 
pricing,  price  cuts,  rebates,  revenue-related  taxes,  tenders  and  profit  control,  and  they  expect  prices  of  prescription 
pharmaceuticals to decline over the life of the product or as volumes increase. 

See Item 1A “Risk Factors” of this Form 10-K for additional information on the risks associated with these regulations 

and related matters. 

Environmental and Other Regulation 

Our facilities and operations are subject to federal, state and local environmental and occupational health and safety laws 
and regulations in both the U.S. and countries outside the U.S. (including Canada), including those governing the discharges 
of substances into the air, water and land, the handling treatment, storage and disposal of hazardous substances and wastes, 
wastewater  and  solid  waste,  the  cleanup  of  contaminated  properties  and  other  environmental  matters.  Certain  of  our 
development and manufacturing activities involve the use of hazardous substances. We believe we are in compliance in all 
material respects with applicable environmental and occupational health and safety laws and regulations. We are not aware of 
any pending environmental or and occupational health and safety litigation or significant liabilities that are likely to have a 
material adverse effect on our financial position. We cannot assure, however, that environmental liabilities relating to us or 
facilities owned, leased or operated by us will not develop in the future, and we cannot predict whether any such liabilities, if 
they  were  to  develop,  would  require  significant  expenditures  on  our  part.  In  addition,  we  are  unable  to  predict  what 
environmental or and occupational health and safety legislation or regulations may be adopted or enacted in the future. See 
Item 1A “Risk Factors” of this Form 10-K for additional information. 

Customers and Marketing 

In 2018 the U.S. and Puerto Rico accounted for 60% of our total revenue. No other country accounted for more than 5%. 
See Note 22, “SEGMENT INFORMATION” to our audited Consolidated Financial Statements for revenues by geographic area. 

Customers that accounted for 10% or more of our total revenue for 2018, 2017 and 2016 are as follows: 

AmerisourceBergen Corporation ......................................................................    
McKesson Corporation .....................................................................................    
Cardinal Health, Inc. .........................................................................................    

2018 

2017 

2016 

18%   
18%   
13%   

15%   
19%   
13%   

13% 
21% 
15% 

10 

 
 
 
 
 
 
 
 
 
We  currently  promote  our  pharmaceutical  products  to  physicians,  hospitals,  pharmacies  and  wholesalers  through  our 
own sales force and sell through wholesalers. In some markets, we additionally sell directly to physicians, hospitals and large 
drug  store  chains  and  we  sell  through  distributors  in  countries  where  we  do  not  have  our  own  sales  staff.  As  part  of  our 
marketing program for pharmaceuticals, we use direct to customer advertising, direct mailings, advertise in trade and medical 
periodicals, exhibit products at medical conventions and sponsor medical education symposia. 

Competition 

Competitive Landscape for Products and Products in Development 

The pharmaceutical and medical device industries are highly competitive. Our competitors include specialty and other 
large  pharmaceutical  companies,  medical  device  companies,  biotechnology  companies,  OTC  companies  and  generic 
manufacturers,  in  the  U.S.,  Canada,  Europe,  Asia,  Latin  America,  Middle  East,  Africa  and  in  other  countries  in which  we 
market  our  products.  The  dermatology  competitive  landscape  is  highly  fragmented,  with  a  large  number  of  mid-size  and 
smaller companies competing in both the prescription sector and the OTC and cosmeceutical sectors. With respect to the GI 
market,  generic  entrants  continue  to  capture  significant  share  for  treatment  of  many  GI  conditions.  In  the  area  of  irritable 
bowel syndrome (“IBS”) and OIC, competitors have recently launched new competing products, which should increase the 
size  of  these markets  and  intensify  competition. The  market for  Bausch  + Lomb products  is very  competitive,  both  across 
product categories and geographies. In addition to larger diversified pharmaceutical and medical device companies, we face 
competition in the eye-health market from mid-size and smaller, regional and entrepreneurial companies with fewer products 
in niche areas or regions. 

Our competitors are pursuing the development and/or acquisition of pharmaceuticals, medical devices and OTC products 
that target the same diseases and conditions that we are targeting in dermatology, GI, eye-health and other therapeutic areas. 
Academic and other research and development institutions may also develop products or technologies that compete with our 
products,  which  technologies  and  products  may  be  acquired  or  licensed  by  our  competitors.  These  competitors  may  have 
greater  financial,  R&D  or  marketing  resources  than  we  do.  If  competitors  introduce  new  products,  delivery  systems  or 
processes  with  therapeutic  or  cost  advantages,  our  products  can  be  subject  to  progressive  price  reductions  or  decreased 
volume of sales, or both. Most new products that we introduce must compete with other products already on the market or 
products that are later developed by competitors. 

We  sell  a  broad  range  of  products,  and  competitive  factors  vary  by  product  line  and  geographic  area  in  which  the 
products are sold. The principal methods of competition for our products include quality, efficacy, market acceptance, price, 
and marketing and promotional efforts. 

Generic Competition and Loss of Exclusivity 

We face increased competition from manufacturers of generic pharmaceutical products when patents covering certain of 
our  currently  marketed  products  expire  or  are  successfully  challenged  or  when  the  regulatory  exclusivity  for  our  products 
expires  or  is  otherwise  lost.  Generic  versions  are  generally  significantly  less  expensive  than  branded  versions,  and,  where 
available,  may  be  required  to  be  utilized  before  or  in  preference  to  the  branded  version  under  third-party  reimbursement 
programs, or substituted by pharmacies. Accordingly, when a branded product loses its market exclusivity, it normally faces 
intense price competition from generic forms of the product. To successfully compete for business with managed care and 
pharmacy benefits management organizations, we must often demonstrate that our products offer not only medical benefits, 
but also cost advantages as compared with other forms of care. 

For  details  regarding  products  that  are  facing  generic  competition,  products  that  are  potentially  facing  generic 
competition, the corresponding potential revenue impact and infringement proceedings we initiated against potential generic 
competition,  see  Item  7  “Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations  — 
Overview — Our Transformation” of this Form 10-K. See Note 20, “LEGAL PROCEEDINGS” to our audited Consolidated 
Financial Statements for further details regarding certain infringement proceedings. See Item 1A “Risk Factors” of this Form 
10-K for additional information on our competition risks. 

Manufacturing 

We currently operate approximately 38 manufacturing plants worldwide. All of our manufacturing facilities that require 

certification from the FDA, Health Canada or foreign agencies have obtained such approval. 

We  also  subcontract  the  manufacturing  of  certain  of  our  products,  including  products  manufactured  under  the  rights 
acquired from other pharmaceutical companies. Products representing approximately 40% of our product sales for 2018 are 
produced in total, or in part, by third-party manufacturers under manufacturing arrangements. 

11 

In  some  cases,  the  principal  raw  materials,  including  active  pharmaceutical  ingredient,  used  by  us  (or  our  third-party 
manufacturers) for our various products are purchased in the open market or are otherwise available from several sources. 
However,  some  of  the  active  pharmaceutical  ingredients  and  other  raw  materials  used  in  our  products  and  some  of  the 
finished products themselves are currently only available from a single source; or others may in the future become available 
from  only  one  source.  For  example,  with  respect  to  some  of  our  largest  or  most  significant  products,  the  supply  of  the 
finished  product  for  each  of  our  Siliq™,  Vyzulta®,  SofLens®,  Wellbutrin  XL®,  Ocuvite®,  PreserVision®,  Renu®,  Isuprel®, 
Xenazine®, Uceris® tablet, Relistor® Oral and PureVision® products are only available from a single source and the supply of 
active pharmaceutical ingredient for each of our Siliq™, Isuprel®, Xenazine®, Relistor® Oral and Uceris® tablet products are 
also  only  available  from  a  single  source.  Any  disruption  in  the  supply  of  any  such  single-sourced  active  pharmaceutical 
ingredient,  other  raw  material  or  finished  product  or  an  increase  in  the  cost  of  such  materials  or  products  could  adversely 
impact our ability to manufacture or sell such products, the ability of our third-party manufacturers to supply us with such 
products,  or  our  profitability.  We  attempt  to  manage  the  risks  associated  with  reliance  on  single  sources  of  active 
pharmaceutical  ingredient,  other  raw  materials  or  finished  products  by  carrying  additional  inventories  or,  where  possible, 
developing second sources of supply. See Item 1A “Risk Factors” of this Form 10-K for additional information on the risks 
associated with our manufacturing arrangements. 

Employees 

As of December 31, 2018, we had approximately 21,100 employees. These employees included approximately 10,900 in 
production,  7,400  in  sales  and  marketing,  1,600  in  general  and  administrative  positions  and  1,200  in  R&D.  Collective 
bargaining exists for some employees in a number of countries in which we do business. We consider our relations with our 
employees to be good and have not experienced any work stoppages, slowdowns or other serious labor problems that have 
materially impeded our business operations. 

Product Liability Insurance 

Since March 31, 2014, we have self-insured substantially all of our product liability risk for claims arising after that date. 
In  the  future,  we  will  continue  to  re-evaluate  our  decision  to  self-insure  and  may  purchase  additional  product  liability 
insurance to cover product liability risk. See Item 1A “Risk Factors” of this Form 10-K for additional information. 

Seasonality of Business 

Historically, revenues from our business tend to be weighted toward the second half of the year. Sales in the first quarter 
tend to be lower as patient co-pays and deductibles reset at the beginning of each year. Sales in the fourth quarter tend to be 
higher based on consumer and customer purchasing patterns associated with health care reimbursement programs. However, 
there are no assurances that these historical trends will continue in the future. 

Geographic Areas 

A significant portion of our revenues is generated from operations or otherwise earned outside the U.S. and Canada. All 
of our foreign operations are subject to risks inherent in conducting business abroad, including price and currency exchange 
controls,  fluctuations  in  the  relative  values  of  currencies,  political  and  economic  instability  and  restrictive  governmental 
actions including possible nationalization or expropriation. Changes in the relative values of currencies may materially affect 
our results of operations. For a discussion of these risks, see Item 1A “Risk Factors” of this Form 10-K. 

See Note 22, “SEGMENT INFORMATION” to our audited Consolidated Financial Statements for revenues and long-

lived assets by geographic area. 

A portion of our revenue and income was earned in Ireland and Luxembourg, which have low tax rates. See Item 1A 

“Risk Factors” of this Form 10-K relating to tax rates. 

Available Information 

Our  Internet  address  is  www.bauschhealth.com.  We  post  links  on  our  website  to  the  following  filings  as  soon  as 
reasonably  practicable  after  they  are  electronically  filed  or  furnished  to  the  SEC:  annual  reports  on  Form  10-K,  quarterly 
reports  on  Form  10-Q,  current  reports  on  Form  8-K  and  any  amendment  to  those  reports  filed  or  furnished  pursuant  to 
Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended. All such filings are available through our website 
free  of  charge.  The  information  on  our  Internet  website  is  not  incorporated  by  reference  into  this  Form  10-K  or  our  other 
securities filings and is not a part of such filings. 

12 

We are also required to file reports and other information with the securities commissions in all provinces in Canada. 
You are invited to read and copy any reports, statements or other information, other than confidential filings, that we file with 
the provincial securities commissions. These filings are also electronically available from the Canadian System for Electronic 
Document  Analysis  and  Retrieval  (“SEDAR”)  (http://www.sedar.com),  the  Canadian  equivalent  of  the  SEC’s  electronic 
document gathering and retrieval system. 

Our  filings  may  also  be  read  and  copied  at  the  SEC’s  Public  Reference  Room  at  100  F  Street,  N.E.,  Room  1580, 
Washington, DC 20549. Information on the operation of the Public Reference Room may be obtained by calling the SEC at 
1-800-SEC-0330. The SEC also maintains an Internet website at www.sec.gov that contains reports, proxy and information 
statements, and other information regarding issuers, including us, that file electronically with the SEC. 

Item 1A.  Risk Factors 

Our  business,  financial  condition,  cash  flows  and  results  of  operations  are  subject  to  various  risks  and  uncertainties. 
You should carefully consider the risks and uncertainties described below, together with all of the other information in this 
Form 10-K, including those risks set forth under the heading entitled “Forward-Looking Statements” and in other documents 
that we file with the SEC and the CSA, before making any investment decision with respect to our common shares or debt 
securities. If any of the risks or uncertainties actually occur or develop, our business, financial condition, cash flows, results 
of  operations  and/or  future  growth  prospects  could  change,  and  such  change  could  be  materially  adverse.  Under  these 
circumstances, the market value of our common shares and/or debt securities could decline, and you could lose all or part of 
your investment in our common shares and/or debt securities. 

Legal and Reputational Risks 

We  are  the  subject  of  a  number  of  ongoing  legal  proceedings,  investigations  and  inquiries  respecting  certain  of  our 
historical  distribution,  marketing,  pricing,  disclosure  and  accounting  practices,  including  our  former  relationship  with 
Philidor,  which  have  had  and  could  continue  to  have  a  material  adverse  effect  on  our  reputation,  business,  financial 
condition, cash flows and results of operations, could result in additional claims and material liabilities, and could cause 
the market value of our common shares and/or debt securities to decline. 

We have been or are currently the subject of a number of ongoing legal proceedings and investigations and inquiries by 
governmental agencies, including, but not limited to, the following: (i) investigations by the U.S. Attorney’s Offices for the 
District of Massachusetts and the Southern District of New York relating to certain matters, including our patient assistance 
programs (including financial support provided to patients), our former relationship with Philidor and other pharmacies, our 
accounting  treatment  for  sales  by  specialty  pharmacies,  information  provided  to  the  Centers  for  Medicare  and  Medicaid 
Services, our pricing (including discounts and rebates), marketing and distribution of our products, our compliance program, 
and  employee  compensation;  (ii)  the  investigation  by  the  SEC  of  the  Company  relating  to  certain  matters,  including  our 
former relationship with Philidor, our accounting practices and policies and our public disclosures; (iii) an investigation by 
the  State  of  North  Carolina  Department  of  Justice  relating  to  certain  matters,  including  the  production,  marketing, 
distribution, sale and pricing of, and patient assistance programs covering, our Nitropress®, Isuprel® and Cuprimine® products 
and  our  pricing  decisions  for  certain  of  our  other  products;  (iv)  an  investigation  order  from  the  Autorité  des  marches 
financiers (the “AMF”) (our principal securities regulator in Canada) relating to certain matters, including with respect to our 
former  relationship  with  Philidor  and  our  accounting  practices  and  policies;  (v)  an  investigation  by  the  State  of  Texas 
concerning various price reporting matters relating to the State’s Medicaid program for certain B&L products; (vi) a number 
of  pending  putative  class  action  securities  litigations  in  the  U.S.  (including  related  opt-out  actions)  and  Canada  (including 
related  opt-out  actions)  have  been  instituted,  the  allegations  of  which  relate  to,  among  other  things,  allegedly  false  and 
misleading statements by the Company and/or failures to disclose information about our business and prospects, including 
relating to drug pricing, our policies and accounting practices, our use of specialty pharmacies, and our former relationship 
with Philidor and (vii) purported class actions under the federal RICO statute on behalf of third-party payors arising out of 
our pricing and use of specialty pharmacies, and our former relationship with Philidor. In addition, we could, in the future, 
face  additional  legal  proceedings  and  investigations  and  inquiries  by  governmental  agencies  relating  to  these  or  similar 
matters.  Philidor  and  certain  of  its  executives  and  employees  are  also  subject  to  disputes  with  third-party  payors  and 
governmental investigations related to Philidor’s business practices and relationship with the Company which may result in 
claims  being  asserted  against  the  Company.  For  more  information  regarding  legal  proceedings,  see  Note  20,  “LEGAL 
PROCEEDINGS” to our audited Consolidated Financial Statements. 

We are unable to predict how long such proceedings, investigations and inquiries will continue, but we anticipate that we 
will  continue  to  incur  significant  costs  in  connection  with  some  or  all  of  these  matters  and  that  some  or  all  of  these 
proceedings,  investigations  and  inquiries  will  result  in  a  substantial  distraction  of  management’s  time,  regardless  of  the 
outcome.  Some  or  all  of  these  proceedings,  investigations  and  inquiries  may  result  in  damages,  fines,  penalties,  consent 
orders or other administrative sanctions (including exclusion from federal programs) against the Company and/or certain of 

13 

our officers, or in changes to our business practices, which, in turn, may result in or may contribute to an inability by us to 
meet  the  financial  covenant  contained  in  our  Restated  Credit  Agreement.  Furthermore,  publicity  surrounding  these 
proceedings, investigations and inquiries or any enforcement action as a result thereof, even if ultimately resolved favorably 
for  us  could  result  in  additional  investigations  and  legal  proceedings.  As  a  result,  these  proceedings,  investigations  and 
inquiries  could  have  a  material  adverse  effect  on  our  reputation,  business,  financial  condition,  cash  flows  and  results  of 
operations and could cause the market value of our common shares and/or debt securities to decline. 

Our historical business practices, including with respect to past pricing practices, are under scrutiny. Any changes to our 
practices  relating  to  pricing  or  the  current  prices  of  products,  whether  imposed,  legislated  or  voluntary,  could  have  a 
material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of  operations  and  could  cause  the 
market value of our common shares and/or debt securities to decline. 

We are under scrutiny with respect to our business historical practices (including with respect to past pricing practices), 
including investigations by the U.S. Attorney’s Offices for the District of Massachusetts and the Southern District of New 
York, the State of North Carolina Department of Justice, various purported class action suits against us in the U.S. (including 
related opt-out actions) and Canada (including related opt-out actions) and purported class actions under the federal RICO 
statute  on  behalf  of  third-party  payors.  We  are  unable  to  predict  how  such  proceedings,  investigations  and  inquiries  will 
impact our current business practices, including with respect to pricing, or the prices of our products, including whether we 
will  be  required  to  impose  pricing  freezes  or  controls,  pricing  reductions  (including  on  a  retroactive  basis)  or  other  price 
regulation for some or all of our products. 

In addition, in recent years, in the U.S., state and federal governments have considered implementing legislation that would 
control or regulate the prices of drugs, and the new administration has expressed support for lowering the cost of drug prices. 
Other countries have announced or implemented measures on pricing, including suspensions on price increases, prospective and 
possibly  retroactive  price  reductions  and  other  recoupments.  These  measures  and  proposed  measures  vary  by  country.  These 
measures and these proposed measures and legislation, if  implemented, could lead to  impairment of  certain of our intangible 
assets which could be significant, and/or could have a material adverse effect on our business, financial condition, cash flows 
and results of operations and could cause the market value of our common shares and/or debt securities to decline. 

We are involved in various other legal and governmental proceedings that are uncertain, costly and time-consuming and 
could have a material adverse effect on our business, financial condition, cash flows and results of operations and could 
cause the market value of our common shares and/or debt securities to decline. 

We are involved in a number of other legal and governmental proceedings and may be involved in additional litigation in 
the future. These proceedings are complex and extended and occupy the resources of our management and employees. These 
proceedings  are  also  costly  to  prosecute  and  defend  and  may  involve  substantial  awards  or  damages  payable  by  us  if  not 
found in our favor. We may also be required to pay substantial amounts or grant certain rights on unfavorable terms in order 
to  settle  such  proceedings.  Defending  against  or  settling  such  claims  and  any  unfavorable  legal  decisions,  settlements  or 
orders  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of  operations  and 
could cause the market value of our common shares and/or debt securities to decline. For more information regarding legal 
proceedings, see Note 20, “LEGAL PROCEEDINGS” to our audited Consolidated Financial Statements. 

For example, the pharmaceutical industry, and our Company in particular, has been the focus of both private payor and 
governmental  concern  regarding  pricing  of  pharmaceutical  products.  Related  actions,  including  Congressional  and  other 
governmental investigations and litigation, are costly and time-consuming, and adverse resolution of such actions or changes 
in  our  business  practices,  such  as  our  approach  to  the  pricing  of  our  pharmaceutical  products,  could  adversely  affect  our 
business, financial condition, cash flows and results of operations and could cause the market value of our common shares 
and/or debt securities to decline. 

Further,  the  pharmaceutical  and  medical  device  industries  historically  have  generated  substantial  litigation  concerning 
the manufacture, use and sale of products and we expect this litigation activity to continue. As a result, we expect that patents 
related to our products will be routinely challenged, and the validity or enforceability of our patents may not be upheld. In 
order to protect or enforce patent rights, we may initiate litigation against third parties. Our patents may also be challenged in 
administrative proceedings in the United States Patent and Trademark Office and patent offices outside of the United States. 
If we are not successful in defending an attack on our patents and maintaining exclusive rights to market one or more of our 
products still under patent protection, we could lose a significant portion of sales in a very short period. We may also become 
subject  to  infringement  claims  by  third  parties  and  may  have  to  defend  against  charges  that  we  infringed  or  otherwise 
violated  patents  or  the  intellectual  property  or  proprietary  rights  of  third  parties.  If  we  infringe  or  otherwise  violate  the 
intellectual property rights of others, we could lose our right to develop, manufacture or sell products, including our generic 
products, or could be required to pay monetary damages or royalties to license proprietary rights from third parties, which 
could be substantial. 

14 

In  addition,  in  the  U.S.,  it  has  become  increasingly  common  for  patent  infringement  actions  to  prompt  claims  that 
antitrust laws have been violated during the prosecution of the patent or during litigation involving the defense of that patent. 
Such  claims  by  direct  and  indirect  purchasers  and  other  payers  are  typically  filed  as  class  actions.  The  relief  sought  may 
include treble damages and restitution claims. Similarly, antitrust claims may be brought by government entities or private 
parties  following  settlement  of  patent  litigation,  alleging  that  such  settlements  are  anti-competitive  and  in  violation  of 
antitrust  laws.  In  the  U.S.  and  Europe,  regulatory  authorities  have  continued  to  challenge  as  anti-competitive  so-called 
“reverse payment” settlements between branded and generic drug manufacturers. We may also be subject to other antitrust 
litigation  involving  competition  claims  unrelated  to  patent  infringement  and  prosecution.  For  example,  we  are  currently 
defending  a  class  action  complaint  alleging  that  defendants  engaged  in  an  anticompetitive  scheme  to  eliminate  price 
competition on certain contact lens lines through the use of unilateral pricing policies. For more information regarding legal 
proceedings,  see  Note  20,  “LEGAL  PROCEEDINGS”  to  our  audited  Consolidated  Financial  Statements.  A  successful 
antitrust  claim  by  a  private  party  or  government  entity  against  us  could  have  a  material  adverse  effect  on  our  business, 
financial condition, cash flows and results of operations and could cause the market value of our common shares and/or debt 
securities to decline. 

We depend on third parties to meet their contractual, legal, regulatory, and other obligations. 

We  rely  on  distributors,  suppliers,  contract  research  organizations,  vendors,  service  providers,  business  partners  and 
other  third  parties  to  research,  develop,  manufacture,  distribute,  market  and  sell  our  products,  as  well  as  perform  other 
services  relating  to  our  business.  We  rely  on  these  third  parties  to  meet  their  contractual,  legal,  regulatory  and  other 
obligations. A failure to maintain these relationships or poor performance by these third parties could negatively impact our 
business. In addition, we cannot guarantee that the contractual terms and protections and compliance controls, policies and 
procedures  we  have  put  in  place  will  be  sufficient  to  ensure  that  such  third  parties  will  meet  their  legal,  contractual  and 
regulatory  obligations  or  that  these  terms,  controls,  policies,  procedures  and  other  protections  will  protect  us  from  acts 
committed  by our  agents,  contractors,  distributors,  suppliers,  service providers or  business partners that  violate  contractual 
obligations or the laws or regulations of the jurisdictions in which we operate, including matters respecting anti-corruption, 
fraud,  kickbacks  and  false  claims,  pricing,  sales  and  marketing  practices,  privacy  laws  and  other  legal  obligations.  Any 
failure of such third parties to meet these legal, contractual and regulatory obligations or any improper actions by such third 
parties or even allegations of such non-compliance or actions could damage our reputation, adversely impact our ability to 
conduct  business  in  certain  markets  and  subject  us  to  civil  or  criminal  legal  proceedings  and  regulatory  investigations, 
monetary and non-monetary damages and penalties and could cause us to incur significant legal and investigatory fees and, 
as a result, could have a material adverse effect on our business, financial condition, cash flows and results of operations and 
could cause the market value of our common shares and/or debt securities to decline. For example, the allegations about the 
activities of Philidor and our former relationship with Philidor have resulted in a number of investigations, inquiries and legal 
proceedings against us, which may damage our reputation and result in damages, fines, penalties or administrative sanctions 
against the Company and/or certain of our officers. For more information regarding legal proceedings, see Note 20, “LEGAL 
PROCEEDINGS” to our audited Consolidated Financial Statements. 

If  our  products  cause,  or  are  alleged  to  cause,  serious  or  widespread  personal  injury,  we  may  have  to  withdraw  those 
products from the market and/or incur significant costs, including payment of substantial sums in damages, and we may 
be subject to exposure relating to product liability claims. In addition, our product liability self-insurance program may 
not be adequate to cover future losses. 

We face an inherent business risk of exposure to significant product liability and other claims in the event that the use of 
our products caused, or is alleged to have caused, adverse effects. For example, we have been named as a defendant (along 
with  other  entities)  in  certain  lawsuits  in  the  United  States  and  Canada  in  which  the  plaintiffs  have  made  certain  product 
liability  claims  respecting  Shower  to  Shower®  (a  product  we  acquired  in  2012).  For  more  information  regarding  legal 
proceedings,  see  Note  20,  “LEGAL  PROCEEDINGS”  to  our  audited  Consolidated  Financial  Statements.  These  and  other 
product liability proceedings may be costly to prosecute and defend and may involve substantial awards or damages payable 
by us if not found in our favor. 

Furthermore, our products may cause, or may appear to have caused, adverse side effects (including death) or potentially 
dangerous drug interactions that we may not learn about or understand fully until the drug has been administered to patients 
for  some  time.  The  withdrawal  of  a  product  following  complaints  and/or  incurring  significant  costs,  including  the 
requirement  to  pay  substantial  damages  in  personal  injury  cases  or  product  liability  cases,  could  have  a  material  adverse 
effect  on  our  business,  financial  condition,  cash  flows  and  results  of  operations  and  could  cause  the  market  value  of  our 
common shares and/or debt securities to decline. 

In addition, since March 31, 2014, we have self-insured substantially all of our product liability risk for claims arising 
after  that  date. We  periodically  evaluate  and  adjust our  claims  reserves to  reflect  trends  in our  own  experience,  as well  as 
industry trends. However, historical loss trends may not be adequate to cover future losses, as historical trends may not be 

15 

indicative  of  future  losses.  If  ultimate  results  exceed  our  estimates,  this  would  result  in  losses  in  excess  of  our  reserved 
amounts. If we were required to pay a significant amount on account of these liabilities for which we self-insure, this could 
have a material adverse effect on our business, financial condition, cash flows and results of operations and could cause the 
market value of our common shares and/or debt securities to decline. 

Our marketing, promotional and business practices, as well as the manner in which sales forces interact with purchasers, 
prescribers and patients, are subject to extensive regulation and any material failure to comply could result in significant 
sanctions against us. 

The  marketing,  promotional  and  business  practices  of  pharmaceutical  and  medical  device  companies,  as  well  as  the 
manner  in  which  companies’  in-house  or  third-party  sales  forces  interact  with  purchasers,  prescribers,  and  patients,  are 
subject  to  extensive  regulation,  enforcement  of  which  may  result  in  the  imposition  of  civil  and/or  criminal  penalties, 
injunctions, and/or limitations on marketing practice for some of our products and/or pricing restrictions or mandated price 
reductions for some of our products. Many companies, including us, have been the subject of claims related to these practices 
asserted by federal authorities. These claims have resulted in fines and other consequences, such as entering into corporate 
integrity agreements with the U.S. government. Companies may not promote drugs for “off-label” uses-that is, uses that are 
not  described  in  the  product’s  labeling  and  that  differ  from  those  approved  by  the  FDA,  Health  Canada,  EMA  or  other 
applicable  regulatory  agencies.  A  company  that  is  found  to  have  improperly  promoted  off-label  uses  may  be  subject  to 
significant liability, including civil and administrative remedies (such as entering into corporate integrity agreements with the 
U.S.  government),  as  well  as  criminal  sanctions.  In  addition,  management’s  attention  could  be  diverted  from  our  business 
operations and our reputation could be damaged. For more information regarding legal proceedings, see Note 20, “LEGAL 
PROCEEDINGS” to our audited Consolidated Financial Statements. 

Debt-related Risks 

Our  Restated Credit  Agreement  and  the  indentures  governing our  senior  notes  impose  restrictive  covenants on us.  Our 
failure to comply with these covenants could trigger events, which could result in the acceleration of the related debt, a 
cross-default or cross-acceleration to other debt, foreclosure upon any collateral securing the debt and termination of any 
commitments to lend, each of which would have a material adverse effect on our business, financial condition, cash flows 
and results of operations and would cause the market value of our common shares and/or securities to decline and could 
lead to bankruptcy or liquidation. 

Our Restated Credit Agreement and the various indentures governing our senior notes contain covenants that restrict the 
way  we  conduct  business  and  require  us  to  satisfy  certain  financial  tests  in  order  to  incur  debt  or  take  other  actions. 
Additionally, our Restated Credit Agreement contains a financial covenant that, for example, require us to maintain a certain 
financial ratio at fiscal quarter end. 

The Company’s Restated Credit Agreement contains a specified quarterly financial maintenance covenant (consisting of 
a  first  lien  leverage  ratio).  As  of  December  31,  2018,  we  were  in  compliance  with  this  financial  maintenance  covenant. 
However, we can make no assurance that we will be able to comply with the restrictive covenants contained in the Restated 
Credit  Agreement  and  indentures  in  the  future.  Based  on our  current forecast  for  the  next  twelve  months from  the  date  of 
issuance of this Form 10-K, we expect to remain in compliance with this financial maintenance covenant and meet our debt 
obligations  over  that  same  period.  In  the  event  that  we  perform  below  our  forecasted  levels,  we  will  implement  certain 
additional  cost-efficiency  initiatives,  such  as  rationalization of  selling,  general  and  administrative  expenses  (“SG&A”)  and 
R&D spend, which would allow us to continue to comply with the financial maintenance covenant. We may consider taking 
other  actions,  including  divesting  other  businesses,  refinancing  debt  and/or  negotiating  with  the  applicable  lenders  for  an 
amendment or modification to such covenant, as deemed appropriate; however, we cannot guarantee that such actions would 
be achieved. If we perform below our forecasted levels and the actions referenced above are not effective, we would fail to 
comply  with  our  financial  maintenance  covenant.  In  that  instance,  we  would  be  in  default,  and  our  lenders  would  be 
permitted  to  accelerate  our  debt  unless  we  could  obtain  an  amendment.  If  our  debt  was  accelerated,  we  would  not  have 
sufficient  funds  to  repay  our  debt  absent  a  refinancing,  and  we  cannot  provide  assurance  that  we  will  be  able  to  obtain  a 
refinancing. 

Our inability to comply with the covenants in our debt instruments could lead to a default or an event of default under the 
terms thereof, for which we may need to seek relief from our lenders and noteholders in order to waive the associated default 
or event of default and avoid a potential acceleration of the related indebtedness or cross-default or cross-acceleration to other 
debt. There can be no assurance that we would be able to obtain such relief on commercially reasonable terms or otherwise 
and we may be required to incur significant additional costs. In addition, the lenders under our Restated Credit Agreement 
and holders of our senior notes may impose additional operating and financial restrictions on us as a condition to granting any 
such waiver. If an event of default is not cured or is not otherwise waived, a majority of lenders in principal amount under 

16 

our Restated Credit Agreement or the trustee or holders of at least 25% in principal amount of a series of our senior notes 
may accelerate the maturity of the related debt under these agreements, foreclose upon any collateral securing the debt and 
terminate any commitments to lend, any of which would have a material adverse effect on our business, financial condition, 
cash flows and results of operations and would cause the market value of our securities to decline. Furthermore, under these 
circumstances, we may not have sufficient funds or other resources to satisfy all of our obligations and we may be unable to 
obtain alternative financing on terms acceptable to us or at all. In such circumstances, we could be forced into bankruptcy or 
liquidation and, as a result, investors could lose all or a portion of their investment in our securities. 

To service our debt, we will be required to generate a significant amount of cash. Our ability to generate cash depends on 
a number of factors, some of which are beyond our control, and any failure to meet our debt obligations would have a 
material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of  operations  and  could  cause  the 
market value of our common shares and/or debt securities to decline. 

We have a significant amount of indebtedness. For details regarding our debt and the maturity dates thereof, see Note 11, 
“FINANCING  ARRANGEMENTS”  to  our  audited  Consolidated  Financial  Statements.  Our  ability  to  satisfy  our  debt 
obligations will depend principally upon our future operating performance. As a result, prevailing economic conditions and 
financial, business and other factors, many of which are beyond our control, may affect our ability to make payments on our 
debt.  If  we  do  not  generate  sufficient  cash  flow  to  satisfy  our  debt  obligations,  we  may  have  to  undertake  alternative 
financing  plans,  such  as  refinancing  or  restructuring  our  debt,  selling  assets,  reducing  or  delaying  capital  investments  or 
seeking to raise additional capital. Alternatively, as we have done in the past, we may also elect to refinance certain of our 
debt, for example, to extend maturities. Our ability to restructure or refinance our debt will depend on the capital markets and 
our financial condition at such time. If we are unable to access the capital markets, whether because of the condition of those 
capital markets or our own financial condition or reputation within such capital markets, we may be unable to refinance our 
debt.  In  addition,  any  refinancing  of  our  debt  could  be  at  higher  interest  rates  and  may  require  us  to  comply  with  more 
onerous covenants, which could further restrict our business operations. Further, given our capital structure, any refinancing 
of our senior unsecured debt may be with secured debt, thereby increasing our first lien and/or secured leverage ratios. Our 
inability  to  generate  sufficient  cash  flow  to  satisfy  our  debt  obligations  or  to  refinance  our  obligations  on  commercially 
reasonable terms, or at all, could have a material adverse effect on our business, financial condition, cash flows and results of 
operations and could cause the market value of our common shares and/or debt securities to decline. 

Repayment of our indebtedness is dependent on the generation of cash flow by our subsidiaries and their ability to make 
such  cash  available  to  us,  by  dividend,  debt  repayment  or  otherwise.  Our  subsidiaries  may  not  be  able  to,  or  may  not  be 
permitted to, make distributions to enable us to make payments in respect of our indebtedness. Each subsidiary is a distinct 
legal entity and, under certain circumstances, legal and contractual restrictions may limit our ability to obtain cash from our 
subsidiaries.  Certain  non-guarantor  subsidiaries  include  non-U.S.  subsidiaries  that  may  be  prohibited  by  law  or  other 
regulations  from  distributing  funds  to  us  and/or  we  may  be  subject  to  payment  of  taxes  and  withholdings  on  such 
distributions. In the event that we do not receive distributions from our subsidiaries or receive cash via services rendered and 
intellectual property licensed, we may be unable to make required principal and interest payments on our indebtedness. 

Our ability to continue to reduce our indebtedness will depend upon factors including our future operating performance, 
our ability to access the capital markets to refinance existing debt and prevailing economic conditions and financial, business 
and  other  factors,  many  of  which  are  beyond  our  control.  We  can  provide  no  assurance  of  the  amount  by  which  we  will 
reduce our debt, if at all. In addition, servicing our debt will result in a reduction in the amount of our cash flow available for 
other purposes, including operating costs and capital expenditures that could improve our competitive position and results of 
operations. 

We have incurred significant indebtedness, which restricts the manner in which we conduct business. 

We have incurred significant indebtedness, including in connection with our prior acquisitions. We may incur additional 
long-term  debt  and  working  capital  lines  of  credit  to  meet  future  financing  needs,  subject  to  certain  restrictions  and 
prohibitions under the agreements governing our indebtedness, which would increase our total debt. This additional debt may 
be substantial and some of this indebtedness may be secured. 

The agreements governing our indebtedness contain restrictive covenants which impose certain limitations on the way 
we  conduct  our  business,  including  limitations  on  the  amount  of  additional  debt  we  are  able  to  incur,  prohibitions  on 
incurring additional debt if a certain financial covenant is not met and restrictions on our ability to make certain investments 
and other restricted payments. Any additional debt, to the extent we are able to incur it, may further restrict the manner in 
which we conduct business. Such restrictions, prohibitions and limitations could impact our ability to implement elements of 
our strategy, including in the following ways: 

17 

• 

our  flexibility  to  plan  for,  or  react  to,  competitive  challenges  in  our  business  and  the  pharmaceutical  and 
medical device industries may be compromised; 

•  we may be put at a competitive disadvantage relative to competitors that do not have as much debt as we have, 

and competitors that may be in a more favorable position to access additional capital resources; 
our ability to make acquisitions and execute business development activities through acquisitions will be limited 
and may, in future years, continue to be limited; and 
our ability to resolve regulatory and litigation matters may be limited. 

• 

• 

In  the  past,  our  credit  ratings  have  been  downgraded.  Any  further  downgrade  in  our  corporate  credit  ratings  or  other 

credit ratings may increase our cost of borrowing and may negatively impact our ability to raise additional debt capital. 

We are exposed to risks related to interest rates. 

Our  senior  secured  credit  facilities  bear  interest  based  on  U.S.  dollar  London  Interbank  Offering  Rates  or  U.S.  Prime 
Rate, or Federal Funds effective rate (for U.S. dollar loans) and Canadian Prime Rate or Canada Bankers’ Acceptance Rate 
(for Canadian dollar loans). Thus, a change in the short-term interest rate environment (especially a material change) could 
have an adverse effect on our business, financial condition, cash flows and results of operations (which adverse effect could 
be material) and could cause the market value of our common shares and/or debt securities to decline. As of December 31, 
2018, we did not have any outstanding interest rate swap contracts. 

In July 2017, the head of the United Kingdom Financial Conduct Authority announced the desire to phase out the use of 
LIBOR by the end of 2021. If LIBOR ceases to exist, we may need to renegotiate our senior secured credit facilities that bear 
interest based on LIBOR or to endeavor, with the administrative agent thereunder, to amend the credit facilities to substitute 
LIBOR  with  an  alternative  rate  of  interest  that  gives  due  consideration  to  the  then-prevailing  market  convention  for 
syndicated  loans  in  the  U.S.,  subject  to  notice  to  all  lenders  and  the  absence  of  objection  by  the  “required  lenders.”  Any 
change in accordance with the aforementioned procedures, or the conversion of loans to base rate or U.S. prime rate loans, 
could  have  an  adverse  impact  on  our  cost  of  capital.  Currently,  there  is  no  definitive  information  regarding  the  future 
utilization of LIBOR or of any particular replacement rate. As such, the potential effect of any such event on our business, 
financial condition, cash flows and results of operations cannot yet be determined. 

Employment-related Risks 

The loss of the services of, or our inability to recruit, retain, motivate, our executives and other key employees could have 
a material adverse effect on our business, financial condition, cash flows and results of operations and could cause the 
market value of our common shares and/or debt securities to decline. 

We must continue to retain and motivate our executives and other key employees, and to recruit other executives and 
employees, in order to strengthen our management team and workforce. Our ability to retain or recruit executive and other 
key employees may be hindered or delayed by, among other things, competition from other employers who may be able to 
offer more attractive compensation packages or the reputational challenges the Company faces as a result of historical issues 
and may in the future continue to face. A failure by us to retain, motivate and recruit executives and other key employees or 
the  unanticipated  loss  of  the  services  of  any  of  these  executives  or  key  employees  for  any  reason,  whether  temporary  or 
permanent,  could  create  disruptions  in  our  business,  could  cause  concerns  and  instability  for  management  and  employees, 
current and potential customers, credit rating agencies and other third parties with whom we do business and our shareholders 
and debt holders and could cause concern regarding our ability to execute our business strategy or to manage operations in 
the manner previously conducted and, as a result, could have a material adverse effect on our business, financial condition, 
cash flows and results of operations and could cause the market value of our common shares and/or debt securities to decline. 
Furthermore, as a result of any failure to retain, or loss of, any executives or key employees, we may experience increased 
costs in order to identify and recruit a suitable replacement in a timely manner (and, even if we are able to hire a qualified 
successor, the search process and transition period may be difficult to manage and result in additional periods of uncertainty), 
which  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of  operations  and 
could  cause  the  market  value  of  our  common  shares  and/or  debt  securities  to  decline.  In  addition,  once  identified  and 
recruited, the transition of new executives and key employees may be difficult to manage and we cannot guarantee that new 
executives  and  employees  will  efficiently  transition  into  their  roles  or  ultimately  be  successful  in  their  roles.  Finally,  as  a 
result of changes in our executives and key employees, there may be changes in the way we conduct our business, as well as 
changes to our business strategy. We cannot predict what these changes may involve or the timing of any such changes and 
how  they  will  impact  our  product  sales,  revenue,  business,  financial  condition,  cash  flows  or  results  of  operation,  but  any 
such changes could have a material adverse effect on our business, financial condition, cash flows and results of operations 
and could cause the market value of our common shares and/or debt securities to decline. Any of these factors could have a 
material adverse effect on our business, financial condition, cash flows and results of operations and could cause the market 
value of our common shares and/or debt securities to decline. 

18 

Tax-related Risks 

Our effective tax rates may increase. 

We have operations in various countries that have differing tax laws and rates. Our tax reporting is supported by current 
domestic tax laws in the countries in which we operate and the application of tax treaties between the various countries in 
which we operate. Our income tax reporting is subject to audit by domestic and foreign authorities. Our effective tax rate may 
change from year to year based on changes in the mix of activities and income earned among the different jurisdictions in 
which we operate; changes in tax laws in these jurisdictions; changes in the tax treaties between various countries in which 
we operate; changes in our eligibility for benefits under those tax treaties; and changes in the estimated values of deferred tax 
assets and liabilities. Tax laws, regulations, and administrative practices in various jurisdictions may be subject to significant 
change,  with  or  without  notice,  due  to  economic,  political,  and  other  conditions,  and  significant  judgment  is  required  in 
evaluating and estimating our provision and accruals for these taxes. Such changes could result in a substantial increase in the 
effective tax rate on all or a portion of our income. 

On December 22, 2017, the Tax Cuts and Jobs Act (the “Tax Act”) significantly revised U.S. federal corporate income 
tax law by, among other things, reducing the U.S. federal corporate income tax rate to 21%, limiting the tax deduction for 
interest  expense  to  30%  of  adjusted  earnings,  allowing  immediate  expensing  for  certain  new  investments,  implementing  a 
modified territorial tax system that includes a one-time transition tax on deemed repatriated earnings of foreign subsidiaries, 
imposing an additional U.S. tax on certain non-U.S. subsidiaries’ earnings which are considered to be Global Intangible Low 
Taxed Income (referred to as “GILTI”) and imposing an alternative “base erosion and anti-abuse tax” (“BEAT”) on domestic 
corporations that make deductible payments to foreign related persons in excess of specified amounts, and, effective for net 
operating  losses  (“NOLs”)  arising  in  taxable  years  beginning  after  December  31,  2017,  eliminating  net  operating  loss 
carrybacks, permitting indefinite net operating loss carryforwards, and limiting the use of net operating loss carryforwards to 
80% of current year taxable income. 

There are a number of uncertainties and ambiguities as to the interpretation and application of many of the provisions in 
the Tax Act, including the provisions relating to the modified territorial tax system, the one-time transition tax and the BEAT. 
While the U.S. Treasury Department and the Internal Revenue Service have issued proposed and final regulations and other 
guidance on certain provisions in the Tax Act that address certain of these uncertainties and ambiguities, there are still no 
final regulations or other definitive guidance on many provisions in the Tax Act. In the absence of guidance on these issues, 
we  will  use  what  we  believe  are  reasonable  interpretations  and  assumptions  in  interpreting  and  applying  the  Tax  Act  for 
purposes  of  determining  our  cash  tax  liabilities  and  results  of  operations,  which  may  change  as  we  receive  additional 
clarification and implementation guidance and as the interpretation of the Tax Act evolves over time. It is possible that the 
Internal Revenue Service could issue subsequent guidance or take positions on audit that differ from the interpretations and 
assumptions  that  we  previously  made,  which  could  have  a  material  adverse  effect  on  our  cash  tax  liabilities,  results  of 
operations and financial condition. 

Our provision for income taxes is based on certain estimates and assumptions made by management. Our consolidated 
income tax rate is affected by the amount of pre-tax income earned in our various operating jurisdictions, the availability of 
benefits  under  tax  treaties,  and  the  rates  of  taxes  payable  in  respect  of  that  income.  We  enter  into  many  transactions  and 
arrangements  in  the ordinary  course of business  in respect  of which  the  tax  treatment  is  not  entirely  certain. We  therefore 
make  estimates  and judgments  based on our knowledge  and  understanding  of  applicable  tax  laws  and  tax  treaties, and  the 
application  of those  tax  laws  and  tax  treaties  to  our business,  in  determining  our  consolidated  tax provision.  For example, 
certain countries could seek to tax a greater share of income than we will allocate to our business in such countries. The final 
outcome of any audits by taxation authorities may differ from the estimates and assumptions that we may use in determining 
our consolidated tax provisions and accruals. This could result in a material adverse effect on our consolidated income tax 
provision, financial condition and the net income for the period in which such determinations are made. 

Our  deferred  tax  liabilities,  deferred  tax  assets  and  any  related  valuation  allowances  are  affected  by  events  and 
transactions  arising  in  the  ordinary  course of business,  acquisitions  of  assets  and  businesses,  and non-recurring  items.  The 
assessment  of  the  appropriate  amount  of  a  valuation  allowance  against  the  deferred  tax  assets  is  dependent  upon  several 
factors,  including  estimates  of  the  realization  of  deferred  income  tax  assets,  which  realization  will  be  primarily  based  on 
future  taxable  income,  including  the  reversal  of  existing  taxable  temporary  differences.  Significant  judgment  is  applied  to 
determine  the  appropriate  amount  of  valuation  allowance  to  record.  Changes  in  the  amount  of  any  valuation  allowance 
required could materially increase or decrease our provision for income taxes in a given period. 

See Note 17, “INCOME TAXES” to our audited Consolidated Financial Statements. 

19 

Risks Relating to Intellectual Property and Exclusivity 

Products representing a significant amount of our revenue are not protected by patent or marketing or data exclusivity 
rights or are nearing the end of their exclusivity period. In addition, we have faced generic competition in the past and 
expect to face additional generic competition in the future. Competitors (including generic and biosimilar competitors) of 
our  products  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of 
operations and could cause the market value of our common shares and/or debt securities to decline. 

A significant number of the products we sell either: (i) have no meaningful exclusivity protection via patent or marketing 
or data  exclusivity  rights or (ii)  are  protected  by patents or  regulatory  exclusivity  periods  that will  be  expiring  in  the  near 
future.  These  products  represent  a  significant  amount  of  our  revenues  (See  Item  1  “Business  -  Competition  -  Generic 
Competition” in this Form 10-K for a list of some of these products). Without exclusivity protection, competitors (including 
generics  and  biosimilars)  face  fewer  barriers  in  introducing  competing  products.  Upon  the  expiration  or  loss  of  patent 
exclusivity  or  regulatory  exclusivity  for  our  products  or  otherwise  upon  the  introduction  of  generic,  biosimilar  or  other 
competitors (which may be sold at significantly lower prices than our products), we could lose a significant portion of sales 
and  market  share  of  that  product  in  a  very  short  period  and,  as  a  result,  our  revenues  could  be  lower.  In  addition,  the 
introduction of generic and biosimilar competitors may have a significant downward pressure on the pricing of our branded 
products which compete with such generics and biosimilars. Where we have the rights, we may elect to launch an authorized 
generic  of  such  product  (either  ourselves  or  through  a  third  party)  prior  to,  upon  or  following  generic  entry,  which  may 
mitigate  the  anticipated  decrease  in  product  sales;  however,  even  with  the  launch  of  an  authorized  generic,  the  decline  in 
product  sales  of  such  product  would  still  be  expected  to  be  significant,  and  the  effect  on  our  future  revenues  could  be 
material. The introduction of competing products (including generic products and biosimilars) could have a material adverse 
effect  on  our  business,  financial  condition,  cash  flows  and  results  of  operations  and  could  cause  the  market  value  of  our 
common shares and/or debt securities to decline. 

We  may  fail  to  obtain,  maintain,  license,  enforce  or  defend  the  intellectual  property  rights  required  to  conduct  our 
business,  which  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of 
operations and could cause the market value of our common shares and/or debt securities to decline. 

We strive to acquire, maintain and defend patent, trademark and other intellectual property protections over our products 
and the processes used to manufacture these products. However, we may not be successful in obtaining such protections, or 
the patent, trademark and intellectual property rights we do obtain may not be sufficient in breadth and scope to fully protect 
our products or prevent competing products, or such patent and intellectual property rights may be susceptible to third-party 
challenges, which could result in the loss of such intellectual property rights or the narrowing of scope of protection afforded 
by  such  rights.  Our  intellectual  property  rights  may  also  be  circumvented  by  third  parties.  The  failure  to  obtain,  maintain, 
enforce or defend such intellectual property rights, for any reason, could allow third parties to manufacture and sell products 
that compete with our products or may impact our ability to develop, manufacture and market our own products, which could 
have a material adverse effect on our business, financial condition, cash flows and results of operations and could cause the 
market value of our common shares and/or debt securities to decline. 

For  certain  of  our  products  and  manufacturing  processes,  we  rely  on  trade  secrets  and  other  proprietary  information, 
which we seek to protect, in part, by confidentiality and nondisclosure agreements with our employees, consultants, advisors 
and partners. We also attempt to enter into agreements whereby such employees, consultants, advisors and partners assign to 
us  the  rights  in  any  intellectual  property  they  develop.  These  agreements  may  not  effectively  prevent  disclosure  or 
misappropriation of such information and disputes may still arise with respect to the ownership of intellectual property. In 
addition,  third  parties  may  independently  develop  the  same  or  similar  proprietary  information.  The  disclosure  of  such 
proprietary information or the loss of such intellectual property rights may impact our ability to develop, manufacture and 
market our own products or may assist competitors in the development, manufacture and sale of competing products, which 
could have a material adverse effect on our revenues, financial condition, cash flows or results of operations and could cause 
the market value of our common shares and/or debt securities to decline. 

For  a  number  of  our  commercialized  products  and  pipeline  products,  including  Xifaxan®,  Siliq™,  Lumify®,  Plenvu®, 
Vyzulta®, Relistor® and Jublia®, we rely on licenses to patents and other technologies, know-how and proprietary rights held 
by  third  parties.  Any  loss,  expiration,  termination  or  suspension  of  our  rights  to  such  licensed  intellectual  property  would 
result  in  our  inability  to  continue  to  develop,  manufacture  and  market  our  products  or  product  candidates  and,  as  a  result, 
could have a material adverse effect on our business, financial condition, cash flows and results of operations and could cause 
the  market  value  of  our  common  shares  and/or  debt  securities  to  decline.  In  the  future,  we  may  also  need  to  obtain  such 
licenses  from  third  parties  to  develop,  manufacture,  market  or  continue  to  manufacture  or  market  our  products.  If  we  are 
unable to timely obtain these licenses on commercially reasonable terms, our ability to develop, manufacture and market our 
products may be inhibited or prevented, which could have a material adverse effect on our business, financial condition, cash 
flows and results of operations and could cause the market value of our common shares and/or debt securities to decline. 

20 

Competitive Risks 

We  operate  in  extremely  competitive  industries.  If  competitors  develop  or  acquire  more  effective  or  less  costly 
pharmaceutical  products  or  medical  devices  for  our  target  indications,  it  could  have  a  material  adverse  effect  on  our 
business,  financial  condition,  cash  flows  and  results  of  operations  and  could  cause  the  market  value  of  our  common 
shares and/or debt securities to decline. 

The pharmaceutical and medical device industries are extremely competitive. Our success and future growth depend, in 
part,  on  our  ability  to  develop,  license  or  acquire  products  that  are  more  effective  than  those  of  our  competitors  or  that 
incorporate  the  latest  technologies  and  our  ability  to  effectively  manufacture  and  market  those  products.  Many  of  our 
competitors, particularly larger pharmaceutical and medical device companies, have substantially greater financial, technical 
and  human  resources  than  we  do.  Many  of  our  competitors  spend  significantly  more  on  research  and  development  related 
activities than we do. Others may succeed in developing or acquiring products and technologies that are more effective, more 
advanced or less costly than those currently marketed or proposed for development by us. In addition, academic institutions, 
government agencies and other public and private organizations conducting research may seek patent protection with respect 
to  potentially  competitive  products  and  may  also  establish  exclusive  collaborative  or  licensing  relationships  with  our 
competitors. These competitors and the introduction of competing products (that may be more effective or less costly than 
our  products)  could  make  our  products  less  competitive  or  obsolete,  which  could  have  a  material  adverse  effect  on  our 
business, financial condition, cash flows and results of operations and could cause the market value of our common shares 
and/or debt securities to decline. 

Risks Relating to Our Business Strategy 

We have made commitments and public statements with respect to the cessation of or limitation on pricing increases for 
certain of our products. These pricing decisions could have a material adverse effect on our business, financial condition, 
cash flows and  results  of operations and  could  cause  the  market  value  of our  common  shares  and/or debt  securities  to 
decline. 

In May 2016, we formed a new Patient Access and Pricing Committee responsible for the pricing of our drugs. The new 
committee’s first action was a recommendation, which we implemented, for an enhanced rebate program to all hospitals in 
the U.S. to reduce the price of our Nitropress® and Isuprel® products. In addition, the Patient Access and Pricing Committee 
made a commitment that the average annual price increase for our branded prescription pharmaceutical products will be set at 
no greater than single digits and below the 5-year weighted average of the increases within the branded biopharmaceutical 
industry and, in August 2018, further committed that it will not increase prices on our U.S. branded prescription drugs for the 
remainder of 2018. All future pricing actions will be subject to review by the Patient Access and Pricing Committee and we 
expect  that  the  Patient  Access  and  Pricing  Committee  will  implement  or  recommend  additional  price  changes  and/or  new 
programs to enhance patient access to our drugs. 

At this time,  we cannot predict what specific pricing changes the committee will  make nor can we predict what other 
changes in our business practices we may implement with respect to pricing (such as imposing limits or prohibitions on the 
amount of pricing increases we may take on certain of our products or taking retroactive or future price reductions). We also 
cannot predict the impact such pricing decisions or changes will or would have on our business. However, any such changes 
could have a material adverse effect on our business, financial condition, cash flows and results of operations and could cause 
the market value of our common shares and/or debt securities to decline. 

For example, any pricing changes and programs could affect the average realized prices for our products and may have a 
significant impact on our revenue trends. In addition, limiting or eliminating price increases on certain of our products will 
result in fewer or lower price  appreciation credits from certain of our wholesalers. Price appreciation credits are generated 
when we increase a product’s wholesaler acquisition cost (“WAC”) under our contracts with certain wholesalers. Under such 
contracts,  we are  entitled  to credits  from  such wholesalers  for  the  impact  of  that WAC  increase on inventory  currently  on 
hand at the wholesalers. Such credits, which can be significant, are used to offset against the total distribution service fees we 
pay on all of our products to each wholesaler. As a result, to the extent we decide to cease or limit price increases, we will 
have  fewer  or  lower  price  appreciation  credits  to  use  to  offset  against  our  distribution  fees  owing  to  these  wholesalers.  In 
addition,  under  certain  of  our  agreements  with  our  wholesaler  customers,  we  have  price  protection  or  price  depreciation 
provisions, pursuant to which we have agreed to adjust the value of any on-hand or in-transit inventory with such customers 
in the event we reduce the price of any of our products. As a result, to the extent we reduce the WAC price for any of our 
products, we may owe a payment to such customers (or such customers may earn a credit to be offset against any amounts 
owing to us) equal to the amount of such inventory multiplied by the difference between the price at which they acquired the 
product inventory and the new reduced price. 

21 

In prior years, we have undertaken a number of divestitures or certain of our assets and business. We may, in the future, 
seek  to  divest  additional  asset  and/or  businesses,  some  of  which  may  be  material  and/or  transformative,  which  could 
adversely affect our business, prospects and opportunities for growth. 

Over the last few years, we have completed a number of divestitures of our assets, products or businesses that were not 
considered core to our ongoing operations or the needs of our primary-customer base, including the divestitures of our Obagi 
Medical  Products  business,  our  iNova  Pharmaceuticals  business,  our  Dendreon  Pharmaceuticals  subsidiary,  our  Sprout 
Pharmaceuticals  subsidiary  and  the  CeraVe®,  AcneFree™  and  AMBI®  skincare  brands.  We  may,  in  the  future,  seek  to 
complete additional divestitures. 

Each  of  these  divestitures  has  been  time-consuming  and  has  diverted  management’s  attention.  As  a  result  of  these 
divestitures  (and  others  we  may  in  the  future  complete),  we  may  experience  lower  revenue  and  lower  cash  flows  from 
operations. In addition, as was the case with our sale of our Sprout Pharmaceuticals subsidiary, we may recognize a loss on 
sale  in  connection  with  such  divestitures.  We  may  also  suffer  adverse  tax  consequences  as  a  result  of  such  divestitures, 
including capital gains tax or the accelerated use of NOLs or other attributes. Furthermore, divesting certain of our businesses 
or assets may require us to incur restructuring charges, and we may not be able to achieve the cost savings that we expect 
from any such restructuring efforts or divestitures. Any such divestiture could reduce the size or scope of our business, our 
market share in particular markets, our opportunities with respect to certain markets, products or therapeutic categories or our 
ability to compete in certain markets and therapeutic categories. Furthermore, we will be required to use the net proceeds (or 
substantial portions thereof) from certain asset sales to repay the term loans under the Restated Credit Agreement, subject to 
certain reinvestment rights. 

In addition, should we seek to divest other of our assets and business, we may be unable to dispose of such businesses 
and  assets  on  satisfactory  or  commercially  reasonable  terms  within  our  anticipated  timeline.  In  addition,  our  ability  to 
identify, enter into and/or consummate divestitures may be limited by competition we face from other companies in pursuing 
similar transactions in the pharmaceutical industry. Any divestiture or other disposition we pursue, whether we are able to 
complete it or not, may be complex, time consuming and expensive, may divert the management’s attention, have a negative 
impact  on  our  customer  relationships,  cause  us  to  incur  costs  associated  with  maintaining  the  business  of  the  targeted 
divestiture during the disposition process and also to incur costs of closing and disposing the affected business or transferring 
the  operations  of  the  business  to  other  facilities.  The  divestiture  process  may  also  further  expose  us  to  operational 
inefficiencies. In addition, if such transactions are not completed for any reason, the market price of our common shares may 
reflect  a  market  assumption that  such  transactions will  occur,  and  a failure  to  complete  such  transactions  could result  in  a 
negative perception by the market of us generally and a decline in the market price of our common shares. 

As  a  result  of  these  factors,  any  divestiture  (whether  or  not  completed)  could  have  a  material  adverse  effect  on  our 
business, financial condition, cash flows and results of operations and could cause the market value of our common shares 
and/or debt securities to decline. 

As part of our business strategy, we may seek to identify and acquire certain assets, products and businesses. 

Historically,  part  of  our  business  strategy  included  acquiring  and  integrating  complementary  businesses,  products, 
technologies or other assets. We anticipate that, as part of our current business strategy, we again seek to complete certain 
acquisitions of assets, products and businesses, including by way of in-license arrangements, although not at the volume and 
pace that we did historically. Acquisitions or similar arrangements may be complex, time consuming and expensive. We may 
not  consummate  some  negotiations  for  acquisitions  or  other  arrangements,  which  could  result  in  significant  diversion  of 
management and other employee time, as well as substantial out-of-pocket costs. In addition, there are a number of risks and 
uncertainties relating to our closing transactions. If such transactions are not completed for any reason, we will be subject to 
several risks, including the following: (i) the market price of our common shares may reflect a market assumption that such 
transactions will occur, and a failure to complete such transactions could result in a negative perception by the market of us 
generally and a decline in the market price of our common shares; and (ii) many costs relating to such transactions may be 
payable by us whether or not such transactions are completed. 

If an acquisition is consummated, the integration of the acquired business, product or other assets into our Company may 
also be complex and time-consuming and, if such businesses, products and assets are not successfully integrated, we may not 
achieve  the  anticipated benefits, cost-savings or  growth opportunities.  Potential  difficulties  that  may  be  encountered in  the 
integration process include the following: integrating personnel, operations and systems, while maintaining focus on selling 
and  promoting  existing  and  newly-acquired  products;  coordinating  geographically  dispersed  organizations;  distracting 
management  and  employees  from  operations;  retaining  existing  customers  and  attracting  new  customers;  maintaining  the 
business  relationships  the  acquired  company  has  established,  including  with  health  care  providers;  and  managing 
inefficiencies associated with integrating the operations of the Company. 

22 

Furthermore, we may incur restructuring and integration costs and a number of non-recurring transaction costs associated 
with  these  acquisitions,  combining  the  operations  of  the  Company  and  the  acquired  company  and  achieving  desired 
synergies. These fees and costs may be substantial. Non-recurring transaction costs include, but are not limited to, fees paid 
to legal, financial and accounting advisors, filing fees and printing costs. Additional unanticipated costs may be incurred in 
the integration of the businesses of the Company and the acquired company. There can be no assurance that the elimination 
of certain duplicative costs, as well as the realization of other efficiencies related to the integration of the acquired business, 
will  offset  the  incremental  transaction-related  costs  over  time.  Therefore,  any  net  benefit  may  not  be  achieved  in  the  near 
term, the long term or at all. 

Finally,  these  acquisitions  and  other  arrangements,  even  if  successfully  integrated,  may  fail  to  further  our  business 
strategy as anticipated or to achieve anticipated benefits and success, expose us to increased competition or challenges with 
respect to our products or geographic markets, and expose us to additional liabilities associated with an acquired business, 
product, technology or other asset or arrangement. Any one of these challenges or risks could impair our ability to realize any 
benefit from our acquisition or arrangement after we have expended resources on them. 

Commercialization Risks 

Our approved products may not achieve or maintain expected levels of market acceptance. 

Even  if  we  are  able  to  obtain  and  maintain  regulatory  approvals  for  our  pharmaceutical  and  medical  device  products, 
generic or branded, the success of these products is dependent upon achieving and maintaining market acceptance. Launching 
and  commercializing products  is  time  consuming,  expensive  and unpredictable.  The  commercial  launch of  a  product  takes 
significant  time,  resources,  personnel  and  expertise, which  we  may  not  have  in  sufficient  levels  to  achieve  success,  and  is 
subject to various market conditions, some of which may be beyond our control. There can be no assurance that we will be 
able to, either by ourselves or in collaboration with our partners or through our licensees or distributors, successfully launch 
and commercialize new products or gain market acceptance for such products. New product candidates that appear promising 
in  development  may  fail  to  reach  the  market  or  may  have  only  limited  or  no  commercial  success.  While  we  have  been 
successful in launching some of our products, we may not achieve the same level of success with respect to all of our new 
products.  Our  inability  to  successfully  launch  our  new  products  may  negatively  impact  the  commercial  success  of  such 
product, which could have a material adverse effect on our business, financial condition, cash flows and results of operations 
and could cause the market value of our common shares and/or debt securities to decline. Our inability to successfully launch 
our new products could also lead to material impairment charges. 

Levels of market acceptance for our new products could be impacted by several factors, some of which are not within 

our control, including but not limited to the following: 

• 
• 
• 
• 
• 

• 
• 
• 
• 
• 
• 
• 
• 

safety, efficacy, convenience and cost-effectiveness of our products compared to products of our competitors; 
scope of approved uses and marketing approval; 
availability of patent or regulatory exclusivity; 
timing of market approvals and market entry; 
ongoing regulatory obligations following approval, such as the requirement to conduct a Risk Evaluation and 
Mitigation Strategy (“REMS”) programs; 
any restrictions or “black box” warnings required on the labeling of such products; 
availability of alternative products from our competitors; 
acceptance of the price of our products; 
effectiveness of our sales forces and promotional efforts; 
the level of reimbursement of our products; 
acceptance of our products on government and private formularies; 
ability to market our products effectively at the retail level or in the appropriate setting of care; and 
the reputation of our products. 

Further, the market perception and reputation of our products and their safety and efficacy are important to our business 
and  the  continued  acceptance  of  our  products.  Any  negative  publicity  about  our  products,  such  as  the  discovery  of  safety 
issues  with  our  products,  adverse  events  involving  our  products,  or  even  public  rumors  about  such  events,  could  have  a 
material adverse effect on our business, financial condition, cash flows or results of operation or could cause the market value 
of  our  common  shares  and/or  debt  securities  to  decline.  In  addition,  the  discovery  of  significant  problems  with  a  product 
similar to one of our products that implicate (or are perceived to implicate) an entire class of products or the withdrawal or 
recall of such similar products could have a material adverse effect on sales of our products. Accordingly, new data about our 
products, or products similar to our products, could cause us reputational harm and could negatively impact demand for our 
products due to real or perceived side effects or uncertainty regarding safety or efficacy and, in some cases, could result in 
product withdrawal. 

23 

If our products fail to gain, or lose, market acceptance, our revenues would be adversely impacted and we may be required 
to  take  material  impairment  charges,  all  of which  could  have  a  material  adverse  effect  on our business,  financial  condition, 
cash flows and results of operations and could cause the market value of our common shares and/or debt securities to decline. 

For  certain  of  our  products,  we  depend  on  reimbursement  from  governmental  and  other  third-party  payors  and  a 
reduction in reimbursement could reduce our product sales and revenue. In addition, failure to be included in formularies 
developed  by  managed  care  organizations  and  coverage  by  other  organizations  may  negatively  impact  the  utilization  of 
our  products,  which  could  harm  our  market  share  and  could  have  a  material  adverse  effect  on  our  business,  financial 
condition,  cash  flows  and  results  of  operations  and  could  cause  the  market  value  of  our  common  shares  and/or  debt 
securities to decline. 

Sales of certain of our products are dependent, in part, on the availability and extent of reimbursement from government 
health administration authorities, private health insurers, pharmacy benefit managers and other organizations of the costs of 
our  products  and  the  continued  reimbursement  and  coverage  of  our  products  in  such  programs.  Changes  in  government 
regulations  or  private  third-party  payors’  reimbursement  policies  may  reduce  reimbursement  for  our  products.  In  addition, 
such third-party payors may otherwise make the decision to reduce reimbursement of some or all our products or fail to cover 
some  or  all  our  products  in  such  programs  or  assert  that  reimbursements  were  not  in  accordance  with  applicable 
requirements.  For  example,  these  decisions  may  be  based  on  the  price  of  our  products  or  our  current  or  former  pricing 
practices and decisions. Any reduction or elimination of such reimbursement or coverage could result in a negative impact on 
the utilization of our products and, as a result, could have a material adverse effect on our business, financial condition, cash 
flows and results of operations and could cause the market value of our common shares and/or debt securities to decline. 

Managed care organizations and other third-party payors try to negotiate the pricing of medical services and products to 
control their costs. Managed care organizations and pharmacy benefit managers typically develop formularies to reduce their 
cost for medications. Formularies can be based on the prices and therapeutic benefits of the available products. Due to their 
lower costs, generic products are often favored. The breadth of the products covered by formularies varies considerably from 
one managed care organization to another, and many formularies include alternative and competitive products for treatment 
of  particular  medical  conditions.  Failure  to  be  included  in  such  formularies  or  to  achieve  favorable  formulary  status  may 
negatively  impact  the  utilization  and  market  share  of  our  products.  If  our  products  are  not  included  within  an  adequate 
number  of  formularies  or  adequate  reimbursement  levels  are  not  provided,  or  if  those  policies  increasingly  favor  generic 
products, this could have a material adverse effect on our business, financial condition, cash flows and results of operations 
and could cause the market value of our common shares and/or debt securities to decline. 

Our fulfillment arrangements with Walgreens may not be successful. 

At the beginning of 2016, we launched a brand fulfillment arrangement with Walgreen Co. (“Walgreens”), pursuant to 
which we have made certain of our dermatology and ophthalmology products available to eligible patients through a patient 
access and co-pay program available at Walgreens U.S. retail pharmacy locations, as well as participating independent retail 
pharmacies.  We  have,  in  the  past,  experienced  certain  operational  and  other  issues  respecting  this  arrangement,  including 
lower than anticipated average realized prices associated with these products through this arrangement. We cannot guarantee 
this arrangement will continue to be successful in the future, nor can we guarantee that additional operational issues will not 
be  encountered, nor  can  we guarantee  that we will  be  able  to  successfully  negotiate  with Walgreens any  improvements or 
amendments  to  this  arrangement  we  identify  as  necessary  or  desired.  In  addition,  we  cannot  predict  how  the  market, 
including  customers,  doctors,  patients,  pharmacy  benefit  managers  and  third-party  payors,  or  governmental  agencies,  will 
continue to react to these arrangements and programs. If this arrangement or program fails, if they do not achieve sufficient 
success  and  market  acceptance,  if  we  face  retaliation  from  third  parties  as  a  result  of  this  arrangement  and  program  (for 
example,  in  the  form  of  limitations  on  or  exclusions  from  the  reimbursement  of  our  products)  or  if  any  part  of  this 
arrangement is found to be non-compliant with applicable law or regulations, this could have a material adverse effect on our 
business, financial condition, cash flows and results of operations and could cause the market value of our common shares 
and/or debt securities to decline. 

Risks Relating to the International Scope of our Business 

Our business, financial condition, cash flows and results of operations are subject to risks arising from the international 
scope of our operations. 

We  conduct  a  significant  portion  of  our  business  outside  the  U.S.  and  Canada  and  may,  in  the  future,  expand  our 
operations into new countries, including emerging markets. We sell our pharmaceutical and medical device products in many 
countries  around  the  world.  All  of  our  foreign  operations  are  subject  to  risks  inherent  in  conducting  business  abroad, 
including, among other things: 

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difficulties in coordinating and managing foreign operations, including ensuring that foreign operations comply 
with foreign laws as well as Canadian and U.S. laws applicable to Canadian companies with U.S. and foreign 
operations,  such  as  export  and  sanctions  laws  and  the  U.S.  Foreign  Corrupt  Practices  Act  (“FCPA”),  the 
Canadian Corruption of Foreign Public Officials Act, and other applicable worldwide anti-bribery laws; 
price and currency exchange controls; 
restrictions on the repatriation of funds; 
scarcity  of  hard  currency,  including  the  U.S.  dollar,  which  may  require  a  transfer  or  loan  of  funds  to  the 
operations in such countries, which they may not be able to repay on a timely basis; 
political and economic instability; 
compliance with multiple regulatory regimes; 
compliance with economic sanctions laws and other laws that apply to our activities in the countries where we 
operate; 
less established legal and regulatory regimes in certain jurisdictions, including as relates to enforcement of anti-
bribery and anti-corruption laws and the reliability of the judicial systems; 
differing degrees of protection for intellectual property; 
unexpected  changes  in  foreign  regulatory  requirements,  including  quality  standards  and  other  certification 
requirements; 
new export license requirements; 
adverse changes in tariff and trade protection measures; 
differing labor regulations; 
potentially negative consequences from changes in or interpretations of tax laws; 
restrictive governmental actions; 
possible nationalization or expropriation; 
credit market uncertainty; 
differing  local  practices,  customs  and  cultures,  some  of  which  may  not  align  or  comply  with  our  Company 
practices and policies or U.S. laws and regulations; 
difficulties with licensees, contract counterparties, or other commercial partners; and 
differing local product preferences and product requirements. 

As a result of changes to U.S. policy, there may be changes to existing trade agreements and greater restrictions on trade 
generally.  On  November  30,  2018,  the  United  States,  Canada  and  Mexico  signed  the  United  States-Mexico-Canada 
Agreement (“USMCA”) as an overhaul and update to the North American Free Trade Agreement. The USMCA is subject to 
ratifications  by  the  legislative  bodies  of  all  three  signatory  countries.  It  is  difficult  to  anticipate  the  full  impact  of  this 
agreement on our business, financial condition, cash flows and results of operations. 

Notwithstanding the USMCA, support for protectionism and rising anti-globalization sentiment in the United States and 
other countries may slow global growth. In particular, a protracted and wide-ranging trade conflict between the United States 
and China could adversely affect global economic growth. Concerns also remain around the social, political and economic 
impacts of the changing political landscape in Europe, including the final outcome of Brexit (as defined below) negotiations. 
In addition, there are growing concerns over an economic slowdown in emerging markets in light of capital outflows in favor 
of  developed  markets  and  expected  interest  rate  increases.  Broader  geopolitical  tensions  remained  high  amongst  the  U.S., 
Russia, China, and across the Middle East. 

Given  the  international  scope  of  our  operations,  any  of  the  above  factors,  including  tariffs,  trade  wars  and  other 
governmental  actions,  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of 
operations and could cause the market value of our common shares and/or debt securities to decline. 

Similarly, adverse economic conditions impacting our customers in these countries or uncertainty about global economic 
conditions could cause purchases of our products to decline, which would adversely affect our revenues and operating results. 
Moreover,  our  projected  revenues  and  operating  results  are  based  on  assumptions  concerning  certain  levels  of  customer 
spending.  Any  failure  to  attain  our  projected  revenues  and  operating  results  as  a  result  of  adverse  economic  or  market 
conditions could have a material adverse effect on our business, financial condition, cash flows and results of operations and 
could cause the market value of our common shares and/or debt securities to decline. 

Due  to  the  large  portion  of  our  business  conducted  in  currency  other  than  U.S.  dollars,  we  have  significant  foreign 
currency risk. 

We  face  foreign  currency  exposure  on  the  translation  into  U.S.  dollars  of  the  financial  results  of  our  operations  in 
Europe,  Canada,  Latin  America,  Asia,  Africa  and  the  Middle  East  and  other  regions.  Where  possible,  we  manage  foreign 
currency risk by managing same currency revenue in relation to same currency expenses. We face foreign currency exposure 

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in  those  countries  where  we  have  revenue  denominated  in  the  local  foreign  currency  and  expenses  denominated  in  other 
currencies.  Both  favorable  and  unfavorable  foreign  currency  impacts  to  our  foreign  currency-denominated  operating 
expenses are mitigated to a certain extent by the natural, opposite impact on our foreign currency-denominated revenue. In 
addition,  the  repurchase  of  our  U.S.  dollar  denominated  debt  may  result  in  foreign  exchange  gains  or  losses  for  Canadian 
income tax purposes. One half of any foreign exchange gains or losses will be included in our Canadian taxable income. Any 
foreign exchange gain will result in a corresponding reduction in our available Canadian tax attributes. 

In addition, in November 2016, as a result of the Egyptian government’s decision to float the Egyptian pound and un-peg 
it to the U.S. Dollar, the Egyptian pound was significantly devalued. Our exposure to the Egyptian pound is primarily with 
respect  to  Amoun  Pharmaceutical  Company  S.A.E.,  which  we  acquired  in  October  2015,  and  which  represented 
approximately  2% of our total 2018 and 2017 revenues. Further strengthening of the U.S. dollar and/or the devaluation of 
other countries’ currencies could have a negative impact on our reported international revenue. 

Development and Regulatory Risks 

The successful development of our pipeline products is highly uncertain and requires significant expenditures and time. 
In addition, obtaining necessary government approvals is time-consuming and not assured. The failure to commercialize 
certain of our pipeline products could have a material adverse effect on our business, financial condition, cash flows and 
results of operations and could cause the market value of our common shares and/or debt securities to decline. 

We  currently  have  a  number  of  pipeline  products  in  development.  We  and  our  development  partners,  as  applicable, 
conduct  extensive  preclinical  studies  and  clinical  trials  to  demonstrate  the  safety  and  efficacy  in  humans  of  our  pipeline 
products in order to obtain regulatory approval for the sale of our pipeline products. Preclinical studies and clinical trials are 
expensive, complex, can take many years and have uncertain outcomes. None of, or only a small number of, our research and 
development programs may actually result in the commercialization of a product. We will not be able to commercialize our 
pipeline  products  if  preclinical  studies  do  not  produce  successful  results  or  if  clinical  trials  do  not  demonstrate  safety  and 
efficacy in humans. While we expect significant revenues from our Significant Seven, there is no evidence we will get FDA 
approval for all of these products. Furthermore, success in preclinical studies or early-stage clinical trials does not ensure that 
later  stage  clinical  trials  will  be  successful  nor  does  it  ensure  that  regulatory  approval  for  the  product  candidate  will  be 
obtained.  In  addition,  the  process  for  the  completion  of  pre-clinical  and  clinical  trials  is  lengthy  and  may  be  subject  to  a 
number  of  delays  for  various  reasons,  which  would  delay  the  commercialization  of  any  successful  product.  If  our 
development projects are not successful or are significantly delayed, we may not recover our substantial investments in the 
pipeline product and our failure to bring these pipeline products to market on a timely basis, or at all, could have a material 
adverse effect on our business, financial condition, cash flows and results of operations and could cause the market value of 
our common shares and/or debt securities to decline. 

In  addition,  FDA  and  Health  Canada  approval  must  be  obtained  in  the  U.S.  and  Canada,  respectively,  EMA  approval 
(drugs)  and  CE  Marking  (devices)  must  be  obtained  in  countries  in  the  EU  and  similar  approvals  must  be  obtained  from 
comparable  agencies  in  other  countries,  prior  to  marketing  or  manufacturing  new  pharmaceutical  and  medical  device 
products for use by humans. Obtaining such regulatory approvals for new products and devices and manufacturing processes 
can take a number of years and involves the expenditure of substantial resources. Even if such products appear promising in 
development stages, regulatory approval may not be achieved and no assurance can be given that we will obtain approval in 
those  countries  where  we  wish  to  commercialize  such  products.  Nor  can  any  assurance  be  given  that  if  such  approval  is 
secured,  the  approved  labeling  will  not  have  significant  labeling  limitations,  including  limitations  on  the  indications  for 
which we can market a product, or require onerous risk management programs. Furthermore, from time to time, changes to 
the applicable legislation or regulations may be introduced that change these review and approval processes for our products, 
which changes may make it more difficult and costly to obtain or maintain regulatory approvals. 

Our marketed drugs will be subject to ongoing regulatory review. 

Following initial regulatory approval of any products, we or our partners may develop or acquire, we will be subject to 
continuing  regulatory  review  by  various  government  authorities  in  those  countries  where  our  products  are  marketed  or 
intended  to  be  marketed,  including  the  review  of  adverse  drug  events  and  clinical  results  that  are  reported  after  product 
candidates become commercially available. In addition, we are subject to ongoing audits and investigations of our facilities 
and products by the FDA, as well as other regulatory agencies in and outside the U.S. 

If we fail to comply with the regulatory requirements in those countries where our products are sold, we could lose our 
marketing  approvals  or  be  subject  to  fines  or  other  sanctions.  Also,  as  a  condition  to  granting  marketing  approval  of  a 
product, the applicable regulatory agencies may require a company to conduct additional clinical trials or remediate Current 
Good  Manufacturing  Practice  (“CGMP”)  issues,  the  results  of  which  could  result  in  the  subsequent  loss  of  marketing 
approval, changes in product labeling or new or increased concerns about side effects or efficacy of a product. 

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In May 2017, the European Commission published the Medical Device Regulation (MDR) 2017/745, which replaced the 
Medical  Device  Directive  (MDD).  Pursuant  to  the  terms  of  the  new  regulations,  in  order  to  continue  to  market  medical 
device products in the EU, such products must achieve compliance with these new regulations and be re-registered in the EU 
within  a  specified  transition  period,  which,  for  a  portion  of  products,  will  end  as  early  as  May  26,  2020.  These  new 
regulations  impact  all  of  our  existing  and  pipeline  medical  device  products  being  sold  in  the  EU  for  which  we  are  legal 
manufacturer and/or distributor, including contact lens, lens care, eye-health, aesthetic and surgical areas, as well as certain of 
our  products  outside  the  EU,  which  rely  on  the  EU  registration  to  support  registration  in  those  other  countries.  These 
products, in the aggregate, account for a meaningful portion of our net revenue in this region. While we are working to ensure 
compliance with these new regulations for all impacted products, we may not be able to achieve compliance for all products 
within  the  applicable  transition  period.  If  we  fail  to  achieve  compliance,  we  will  not  be  able  to  market  and  sell  the  non-
compliant  products  in  the  EU,  nor  will  we  be  able  to  rely  on  the  non-compliant  registration  for  such  products  in  regions 
outside of the EU, which could have a material adverse effect on our business, financial condition, cash flows and results of 
operations in the EU and, possibly, on a consolidated basis, and could cause the market value of our common shares and/or 
debt securities to decline. 

In addition, incidents of adverse drug reactions, unintended side effects or misuse relating to our products could result in 
additional  regulatory  controls  or  restrictions,  or  even  lead  to  the  regulatory  authority  requiring  us  to  withdraw  the  product 
from the market. Further, if faced with these incidents of adverse drug reactions, unintended side effects or misuse relating to 
our  products,  we  may  elect  to  voluntarily  implement  a  recall  or  market  withdrawal  of  our  product.  A  recall  or  market 
withdrawal, whether voluntary or required by a regulatory authority, may involve significant costs to us, potential disruptions 
in the supply of our products to our customers and reputational harm to our products and business, all of which could harm 
our ability to market our products and could have a material adverse effect on our business, financial condition, cash flows 
and results of operations and could cause the market value of our common shares and/or debt securities to decline. 

The  United  Kingdom’s  exit  from  the  European  Union  may  impact  the  development  and  the  regulatory  approval  and 
review of our products. 

On June 23, 2016, the United Kingdom held a referendum on its membership in the European Union, in which United 
Kingdom voters approved an exit from the European Union (“Brexit”). On March 29, 2017, the United Kingdom formally 
notified the European Council pursuant to Article 50 of the Treaty of Lisbon of its intention to leave the European Union. 
Since a significant proportion of the United Kingdom’s regulatory framework is derived from European Union directives and 
regulations, Brexit could materially impact the regulatory regime with respect to the approval of our products in the United 
Kingdom. Following the Brexit vote, the European Union decided to move the European Medicines Agency’s headquarters 
from  the  United  Kingdom  to  the  Netherlands,  which  could  result  in  disruptions  and  delays  in  new  drug  approvals  in  the 
European Union. In addition, we could face new regulatory costs and challenges that could have a material adverse effect on 
our business, financial condition, cash flows and results of operations. While the United Kingdom is currently expected to 
leave  the  European  Union  on  March  29,  2019,  uncertainty  remains  as  to  the  exact  timing  and  process.  Until  Brexit 
negotiations are completed, it is difficult to anticipate Brexit’s potential impact. 

Manufacturing and Supply Risks 

If  we  or  our  third-party  manufacturers  are  unable  to  manufacture  our  products  or  the  manufacturing  process  is 
interrupted  due  to  failure  to  comply  with  regulations  or  for  other  reasons,  the  interruption  of  the  manufacture  of  our 
products  could  adversely  affect  our  business.  Other  manufacturing  and  supply  difficulties  or  delays  may  also  have  a 
material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of  operations  and  could  cause  the 
market value of our common shares and/or debt securities to decline. 

Our  manufacturing  facilities  and  those  of  our  contract  manufacturers  must  be  inspected  and  found  to  be  in  full 
compliance  with  CGMP,  quality  system  management  requirements  or  similar  standards  before  approval  for  marketing. 
Compliance with CGMP regulations requires the dedication of substantial resources and requires significant expenditures. In 
addition, while we attempt to build in certain contractual obligations on our third party manufacturers, we may not be able to 
ensure that such third-parties comply with these obligations. Our failure or that of our contract manufacturers to comply with 
CGMP  regulations,  quality  system  management  requirements  or  similar  regulations  outside  of  the  U.S.  could  result  in 
enforcement action by the FDA or its foreign counterparts, including, but not limited to, warning letters, fines, injunctions, 
civil or criminal penalties, recall or seizure of products, total or partial suspension of production or importation, suspension or 
withdrawal  of  regulatory  approval  for  approved  or  in-market  products,  refusal  of  the  government  to  renew  marketing 
applications  or  approve  pending  applications  or  supplements,  refusal  of  certificates  for  export  to  foreign  jurisdictions, 
suspension  of  ongoing  clinical  trials,  imposition  of  new  manufacturing  requirements,  closure  of  facilities  and  criminal 
prosecution.  These  enforcement  actions  could  lead  to  a  delay  or  suspension  in  production,  which  could  have  a  material 
adverse effect on our competitive position, business, financial condition, results of operations and cash flows. 

27 

In  addition,  our  manufacturing  and  other  processes  use  complicated  and  sophisticated  equipment,  which  sometimes 
requires  a  significant  amount  of  time  to  obtain  and  install.  Manufacturing  complexity,  testing  requirements  and  safety  and 
security  processes  combine  to  increase  the  overall  difficulty  of  manufacturing  these  products  and  resolving  manufacturing 
problems  that  we  may  encounter.  Although  we  endeavor  to  properly  maintain  our  equipment  (and  require  our  contract 
manufacturers  to  properly  maintain  their  equipment),  including  through  on-site  quality  control  and  experienced 
manufacturing  supervision,  and  have  key  spare  parts  on  hand,  our  business  could  suffer  if  certain  manufacturing  or  other 
equipment, or all or a portion of our or their facilities, were to become inoperable for a period of time. We could experience 
substantial  production  delays  or  inventory  shortages  in  the  event  of  any  such  occurrence  until  we  or  they  repair  such 
equipment or facility or we or they build or locate replacement equipment or a replacement facility, as applicable, and seek to 
obtain necessary regulatory approvals for such replacement. Any interruption in our manufacture of products could adversely 
affect  the  sales  of  our  current  products  or  introduction  of  new  products  and  could  have  a  material  adverse  effect  on  our 
business, financial condition, cash flows and results of operations and could cause the market value of our common shares 
and/or debt securities to decline. 

The supply of our products to our customers (or, in some case, supply from our contract manufacturers to us) is subject 
to  and  dependent  upon  the  use  of  transportation  services.  Disruption  of  transportation  services  (including  as  a  result  of 
weather  conditions)  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of 
operations  and  could  cause  the  market  value  of  our  common  shares  and/or  debt  securities  to  decline.  In  addition,  any 
prolonged  disruption  in  the  operations  of  our  existing  distribution  facilities,  whether  due  to  technical,  labor  or  other 
difficulties, weather conditions, equipment malfunction, contamination, failure to follow specific protocols and procedures, 
destruction  of  or  damage  to  any  facility  or  other  reasons,  could  have  a  material  adverse  effect  on  our  business,  financial 
condition, cash flows and results of operations and could cause the market value of our common shares and/or debt securities 
to decline. 

For some of our finished products and raw materials, we obtain supply from one or a limited number of sources. If we are 
unable  to  obtain  components  or  raw  materials,  or  products  supplied  by  third  parties,  our  ability  to  manufacture  and 
deliver  our  products  to  the  market  would  be  impeded,  which  could  have  a  material  adverse  effect  on  our  business, 
financial condition, cash flows and results of operations and could cause the market value of our common shares and/or 
debt securities to decline. 

Some  components  and  raw  materials  used  in  our  manufactured  products,  and  some  finished  products  sold  by  us,  are 
currently available only from one or a limited number of domestic or foreign suppliers. For example, with respect to some of 
our  largest  or  most  significant  products,  the  supply  of  the  finished  product  for  each  of  our  Siliq™,  Vyzulta®,  SofLens®, 
Wellbutrin  XL®,  Ocuvite®,  PreserVision®,  Renu®,  Isuprel®,  Xenazine®,  Uceris®  tablet,  Relistor®  Oral  and  PureVision® 
products are only available from a single source and the supply of active pharmaceutical ingredient for each of our Siliq™, 
Isuprel®, Xenazine®, Relistor® Oral and Uceris® tablet products are also only available from a single source. In the event an 
existing supplier fails to supply product on a timely basis and/or in the requested amount, supplies product that fails to meet 
regulatory  requirements,  becomes  unavailable  through  business  interruption  or  financial  insolvency  or  loses  its  regulatory 
status as an approved source or we are unable to renew current supply agreements when such agreements expire and we do 
not have a second supplier, we may be unable to obtain the required components, raw materials or products on a timely basis 
or at commercially reasonable prices. We attempt to mitigate these risks by maintaining safety stock of these products, but 
such safety stock may not be sufficient. In addition, in some cases, only a single source of active pharmaceutical ingredient is 
identified in filings with regulatory agencies, including the FDA, and cannot be changed without prior regulatory approval, 
which  would  involve  time  and  expense  to  us.  A  prolonged  interruption  in  the  supply  of  a  single-sourced  raw  material, 
including the active pharmaceutical ingredient, or single-sourced finished product could have a material adverse effect on our 
business, financial condition, cash flows and results of operations and could cause the market value of our common shares 
and/or debt securities to decline. In addition, these third-party manufacturers may have the ability to increase the supply price 
payable by us for the manufacture and supply of our products, in some cases without our consent. 

As a result, our dependence upon others to manufacture our products may adversely affect our profit margins and our 
ability  to  obtain  approval  for  and  produce  our  products  on  a  timely  and  competitive  basis,  which  could  have  a  material 
adverse effect on our business, financial condition, cash flows and results of operations and could cause the market value of 
our common shares and/or debt securities to decline. 

28 

Risks Relating to Specific Legislation and Regulations 

We are subject to various laws and regulations, including “fraud and abuse” laws, anti-bribery laws, environmental laws 
and privacy and security regulations, and a failure to comply with such laws and regulations or prevail in any litigation 
related to noncompliance could have a material adverse effect on our business, financial condition, cash flows and results 
of operations and could cause the market value of our common shares and/or debt securities to decline. 

Pharmaceutical and medical device companies have faced lawsuits and investigations pertaining to violations of health 
care “fraud and abuse” laws, such as the federal False Claims Act, the federal Anti-Kickback Statute (“AKS”) and other state 
and federal laws and regulations. The AKS prohibits, among other things, knowingly and willfully offering, paying, soliciting 
or receiving remuneration to induce or in return for purchasing, leasing, ordering or arranging for the purchase, lease or order 
of  any  health  care  item  or  service  reimbursable  under  federally  financed  health  care  programs.  This  statute  has  been 
interpreted  to  apply  to  arrangements  between  pharmaceutical  or  medical  device  manufacturers,  on  the  one  hand,  and 
prescribers, purchasers, formulary managers and other health care related professionals, on the other hand. More generally, 
the  federal  False  Claims  Act,  among  other  things,  prohibits  any  person  from  knowingly  presenting,  or  causing  to  be 
presented,  a  false  claim  for  payment  to  the  federal  government.  Pharmaceutical  and  medical  device  companies  have  been 
prosecuted or faced civil liability under these laws for a variety of alleged promotional and marketing activities, including 
engaging in off-label promotion that caused claims to be submitted for non-covered off-label uses. If we are in violation of 
any of these requirements or any such actions are instituted against us, and we are not successful in defending ourselves or 
asserting our rights, this could have a significant impact on our business, including the imposition of significant criminal and 
civil  fines  and  penalties,  exclusion  from  federal  health  care  programs  or  other  sanctions,  including  consent  orders  or 
corporate integrity agreements. 

We also face increasingly strict and numerous data privacy and security laws and regulations in the U.S. and in other 
countries, the violation of which could result in fines and other sanctions. These laws and regulations change frequently and 
can conflict with one another. The interpretation and application of certain laws and regulation, such as the European Union’s 
General Data Protection Regulation, is unclear at this time. It is possible that the scope and requirements of these laws and 
regulations  may  be  interpreted  or  applied  in  a  manner  that  is  inconsistent  with  our  understanding,  our  current  or  future 
practices  or  other  legal  requirements.  In  addition,  the  U.S.  Department  of  Health  and  Human  Services  Office  of  Inspector 
General  recommends,  and  increasingly  states  require  pharmaceutical  companies  to  have  comprehensive  compliance 
programs. In addition, the Physician Payment Sunshine Act enacted in 2010 imposes reporting and disclosure requirements 
on  device  and  drug  manufacturers  for  any  “transfer  of  value”  made  or  distributed  to  prescribers  and  other  health  care 
providers.  Failure  to  submit  this  required  information  may  result  in  significant  civil  monetary  penalties.  While  we  have 
developed  corporate  compliance  programs  based  on  what  we  believe  to  be  current  best  practices,  we  cannot  provide 
assurance  that  we  or  our  employees  or  agents  are  or  will  be  in  compliance  with  all  applicable  federal,  state  or  foreign 
regulations and laws. If we are in violation of any of these requirements or any such actions are instituted against us, and we 
are  not  successful  in  defending  ourselves  or  asserting  our  rights,  those  actions  could  have  a  significant  impact  on  our 
business,  including  the  imposition  of  significant  criminal  and  civil  fines  and  penalties,  exclusion  from  federal  health  care 
programs or other sanctions, including consent orders or corporate integrity agreements. 

The  U.S.  FCPA  and  similar  worldwide  anti-bribery  laws  generally  prohibit  companies  and  their  intermediaries  from 
making improper payments to officials for the purpose of obtaining or retaining business. Our policies mandate compliance 
with these anti-bribery laws. We operate in many parts of the world that have experienced governmental corruption and in 
certain circumstances, strict compliance with anti-bribery laws may conflict with local customs and practices or may require 
us to interact with doctors and hospitals, some of which may be state controlled, in a manner that is different than in the U.S. 
and Canada. We cannot provide assurance that our internal control policies and procedures will protect us from reckless or 
criminal acts committed by our employees or agents. Violations of these laws, or allegations of such violations, could disrupt 
our business and result in criminal or civil penalties or remedial measures, any of which could have a material adverse effect 
on our business, financial condition, cash flows and results of operations and could cause the market value of our common 
shares and/or debt securities to decline. 

We are subject to laws and regulations concerning the environment, safety matters, regulation of chemicals and product 
safety in the countries where we manufacture and sell our products or otherwise operate our business. These requirements 
include, among other matters, regulation of the handling, manufacture, transportation, storage, use and disposal of materials, 
including the discharge of pollutants into the environment. In the normal course of our business, hazardous substances may 
be released into the environment, which could cause environmental or property damage or personal injuries, and which could 
subject us to remediation obligations regarding contaminated soil and groundwater or potential liability for damage claims. 
Under  certain  laws,  we  may  be  required  to  remediate  contamination  at  certain  of  our  properties  regardless  of  whether  the 
contamination was caused by us or by previous occupants of the property or by others and at third-party sites where we send 
waste.  In  recent  years,  the  operations  of  all  companies  have  become  subject  to  increasingly  stringent  legislation  and 

29 

regulation related to occupational safety and health, product registration and environmental protection. Such legislation and 
regulations  are  complex  and  constantly  changing,  and  future  changes  in  laws  or  regulations  may  require  us  to  install 
additional controls for certain of our emission sources, undertake changes in our manufacturing processes or remediate soil or 
groundwater contamination at facilities where such cleanup is not currently required. 

We  are  also  subject  to various  data privacy  and  security  laws  and  regulations  specific  to  sensitive  health  information, 
including HIPAA. HIPAA mandates, among other things, the adoption of uniform standards for the electronic exchange of 
information in common health care transactions (e.g., health care claims information and plan eligibility, referral certification 
and  authorization,  claims  status,  plan  enrollment,  coordination  of  benefits  and  related  information),  as  well  as  standards 
relating  to  the  privacy  and  security  of  individually  identifiable  health  information,  which  require  the  adoption  of 
administrative,  physical  and  technical  safeguards  to  protect  such  information.  In  addition,  many  states  have  enacted 
comparable laws addressing the privacy and security of health information, some of which are more stringent than HIPAA. 
Failure  to  comply  with  these  laws  can  result  in  the  imposition  of  significant  civil  and  criminal  penalties.  The  costs  of 
compliance  with  these  laws  and  the  potential  liability  associated  with  the  failure  to  comply  with  these  laws  could  have  a 
material adverse effect on our business, financial condition, cash flows and results of operations and could cause the market 
value of our common shares and/or debt securities to decline. 

We are also subject to U.S. federal laws regarding reporting and payment obligations with respect to our participation in 
federal health care programs, including Medicare and Medicaid. Because our processes for calculating applicable government 
prices  and  the  judgments  involved  in  making  these  calculations  involve  subjective  decisions  and  complex  methodologies, 
these  calculations  are  subject  to  risk  of  errors  and  differing  interpretations.  In  addition,  they  are  subject  to  review  and 
challenge  by  the  applicable  governmental  agencies,  and  it  is  possible  that  such  reviews  could  result  in  changes  that  could 
have material adverse legal, regulatory, or economic consequences. 

Legislative or regulatory reform of the health care system may affect our ability to sell our products profitably and could 
have a material adverse effect on our business, financial condition, cash flows and results of operations and could cause 
the market value of our common shares and/or debt securities to decline. 

In the U.S. and certain foreign jurisdictions, there have been a number of legislative and regulatory proposals to change 
the  health  care  system  in  ways  that  could  impact  our  ability  to  sell  our  products  profitably.  The  Patient  Protection  and 
Affordable  Care  Act,  as  amended  by  the  Health  Care  Reform  Act  may  affect  the  operational  results  of  companies  in  the 
pharmaceutical and medical device industries, including the Company and other health care related industries, by imposing 
on  them  additional  costs.  Effective  January  1,  2010,  the  Health  Care  Reform  Act  increased  the  minimum  Medicaid  drug 
rebates for pharmaceutical companies, expanded the 340B drug discount program, and made changes to affect the Medicare 
Part  D  coverage  gap,  or  “donut  hole.”  The  law  also  revised  the  definition  of  “average  manufacturer  price”  for  reporting 
purposes,  which  may  affect  the  amount  of  our  Medicaid  drug  rebates  to  states.  Beginning  in  2011,  the  law  imposed  a 
significant annual fee on companies that manufacture or import branded prescription drug products. The law also imposed an 
annual  tax  on  manufacturers  of  certain  medical  devices.  The  tax  was  deferred  until  January  1,  2020.  More  recently,  the 
Bipartisan Budget Act of 2018 amended the Patient Protection and Affordable Care Act, effective January 1, 2019, to close 
the  donut  hole  in  most  Medicare  drug  plans.  In  addition,  in  April  2018,  the  Centers  for  Medicare  &  Medicaid  Services 
published a final rule that gives states greater flexibility in setting benchmarks for insurers in the individual and small group 
marketplaces, which may have the effect of relaxing the essential health benefits required under the Patient Protection and 
Affordable Care Act for plans sold through such marketplaces. 

Although efforts at replacing the Health Care Reform Act have stalled in Congress, there could still be changes to this 
legislation in the near term. We cannot predict what those changes will be or when they will take effect, and we could face 
additional risks arising from such changes or changed interpretations of our obligations under the legislation. Because of this 
continued uncertainty, including the potential for further legal challenges or repeal of that legislation, we cannot quantify or 
predict with any certainty the likely impact of the Health Care Reform Act or its repeal on our business model, prospects, 
financial  condition  or  results  of  operations,  in  particular  on  the  pricing,  coverage  or  reimbursement  of  any  of  our  product 
candidates that may receive marketing approval. Additionally, policy efforts designed specifically to reduce patient out-of-
pocket  costs  for  medicines  could  result  in  new  mandatory  rebates  and  discounts  or  other  pricing  restrictions.  Legislative 
efforts  relating  to  drug  pricing,  the  cost  of  prescription  drugs  under  Medicare,  the  relationship  between  pricing  and 
manufacturer patient programs,  and government  program  reimbursement  methodologies for drugs have been proposed  and 
considered at the U.S. federal and state level. At the federal level, the administration’s budget proposal for fiscal year 2019 
contains  further  drug  price  control  measures  that  could  be  enacted  during  the  2019  budget  process  or  in  other  future 
legislation, including, for example, measures to permit Medicare Part D plans to negotiate the price of certain drugs under 
Medicare Part B, to allow some states to negotiate drug prices under Medicaid and to eliminate cost sharing for generic drugs 
for  low-income  patients.  While  any  proposed  measures  will  require  authorization  through  additional  legislation  to  become 
effective, Congress and the administration have each indicated an intent to continue to seek new legislative or administrative 

30 

measures  to  control  drug  costs.  At  the  state  level,  legislatures  have  increasingly  passed  legislation  and  implemented 
regulations  designed  to  control  pharmaceutical  product  pricing,  including  price  or  patient  reimbursement  constraints, 
discounts,  restrictions  on  certain  product  access  and  marketing  cost  disclosure  and  transparency  measures,  and,  in  some 
cases, designed to encourage importation from other countries and bulk purchasing. We also anticipate that Congress, state 
legislatures, and third-party payors may continue to review and assess alternative health care delivery and payment systems 
and may in the future propose and adopt legislation or policy changes or implementations effecting additional fundamental 
changes  in  the  health  care  delivery  system.  We  cannot  provide  assurance  as  to  the  ultimate  content,  timing,  or  effect  of 
changes, nor is it possible at this time to estimate the impact of any such potential legislation. 

The Health Care Reform Act and further changes to health care laws or regulatory framework that reduce our revenues 
or increase our costs could also have a material adverse effect on our business, financial condition, cash flows and results of 
operations and could cause the market value of our common shares and/or debt securities to decline. 

Other Risks 

We have significant goodwill and other intangible assets and potential impairment of goodwill and other intangibles may 
have a significant adverse impact on our profitability. 

Goodwill and intangible assets represent a significant portion of our total assets. Finite-lived intangible assets are subject 
to an impairment analysis whenever events or changes in circumstances indicate the carrying amount of the asset may not be 
recoverable. Goodwill and indefinite-lived intangible assets are tested for impairment annually, or more frequently if events 
or changes in circumstances indicate that the asset may be impaired. If impairment exists, we would be required to take an 
impairment charge with respect to the impaired asset. 

For example, in 2018, 2017 and 2016, we recognized impairments to finite-lived and indefinite-lived intangible assets of 
$568 million, $714 million and $422 million, respectively. These asset impairments were primarily attributable to: (i) assets 
being classified as held for sale and (ii) revisions in sales forecasts associated with discontinuances, generic competition and 
other market forces. In addition to impairments to finite-lived and indefinite-lived intangible assets, in 2018, 2017 and 2016, 
we  recognized  goodwill  impairments  of  $2,322  million,  $312  million  and  $1,077  million,  respectively.  These  goodwill 
impairments were primarily the result of: (i) the adoption of new accounting guidance in 2018, (ii) revisions to forecasts to 
certain reporting units and (iii) realignments to our reporting units. 

As of October 1, 2018, the date of the Company’s annual impairment testing, the fair value of each reporting unit with 
associated goodwill  exceeded  its  carrying  value  by  more  than 15%. If  market  conditions  deteriorate, or  if  the  Company  is 
unable to execute its strategies, it may be necessary to record impairment charges in the future. 

See  Note  6,  “FAIR  VALUE  MEASUREMENTS”  and  Note  9,  “INTANGIBLE  ASSETS  AND  GOODWILL”  to  our 

audited Consolidated Financial Statements for further information on these impairment charges. 

Events giving rise to impairment are difficult to predict, including the uncertainties associated with the launch of new 
products,  and  are  an  inherent  risk  in  the  pharmaceutical  and  medical  device  industries.  As  a  result  of  the  significance  of 
goodwill  and  intangible  assets,  our  financial  condition  and  results  of  operations  in  a  future  period  could  be  negatively 
impacted  should  such  an  impairment  of  goodwill  or  intangible  assets  occur,  which  could  cause  the  market  value  of  our 
common shares and/or debt securities to decline. We may be required to take additional impairment charges in the future and 
such impairment charges may be material. 

We  have  become  increasingly  dependent  on  information  technology  and  any  breakdown,  interruption  or  breach  of  our 
information technology systems could subject us to liability or interrupt the operation of our business, which could have a 
material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of  operations  and  could  cause  the 
market value of our common shares and/or debt securities to decline. 

We  are  increasingly  dependent  upon  our  information  technology  systems  and  infrastructure,  as  well  as  those  of  third 
parties with whom we interact, in connection with the conduct of our business, including the collection, storage, processing 
and transmission of sensitive, non-public information. We must constantly update our information technology infrastructure 
and we cannot provide assurance that various current information technology systems on which we depend will continue to 
meet  our  current  and  future  business  needs  or  adequately  safeguard  our  operations.  Furthermore,  modification,  upgrade  or 
replacement of such systems may be costly. 

31 

Due to the size and complexity of these systems, any breakdown, interruption, corruption or unauthorized access to or 
cyber-attack  on  these  systems  could  create  system  disruptions,  shutdowns  or  unauthorized  disclosure  of  confidential 
information.  Cyber-attacks  are  increasing  in  frequency,  sophistication  and  intensity.  Cyber-attacks  could  include  the 
deployment  of  harmful  malware,  denial-of-service  attacks,  worms,  social  engineering  and  other  means  to  affect  service 
reliability  or  threaten  data  confidentiality,  integrity  or  availability.  Techniques  used  in  these  attacks  change frequently  and 
may  be  difficult  to  detect  for  periods  of  time.  We  have  established  (i)  physical,  electronic  and  organizational  measures  to 
safeguard  and  secure  our  systems  to  prevent  a  data  compromise,  (ii)  policies  and  procedures  designed  to  provide  for  the 
timely investigation of cybersecurity incidents and the timely disclosure of cybersecurity incidents consistent with our legal 
and  contractual  obligations  and  (iii)  safeguards  against  insider  trading  of  directors,  officers  and  other  corporate  insiders 
between  the period of  investigation and  the  public disclosure  of  such  an  incident. We  also rely  on  commercially  available 
systems,  software,  tools  and  monitoring  to  provide  security  for  the  processing,  transmission  and  storage  of  digital 
information. While we attempt to take appropriate security and cybersecurity measures to protect our data and information 
technology  systems  and  to  prevent  breakdowns,  unauthorized  breaches  and  cyber-attacks,  we  cannot  guarantee  that  these 
measures will be successful and that these breakdowns and breaches in, or attacks on, our systems and data will be prevented. 
Such breakdowns, breaches in, or attacks on, our systems and data or public perception that we have suffered a cybersecurity 
incident or breakdown may cause business interruption and could have a material adverse effect on our business, financial 
condition,  cash  flows  and  results  of  operations,  damage  our  reputation  with  customers,  employees  and  third-  parties  with 
whom we do business and cause the market value of our common shares and/or debt securities to decline, and we may suffer 
financial damage or other loss, including fines or criminal penalties because of lost or misappropriated information. While we 
maintain  insurance  against  these  risks,  this  insurance  may  not  be  sufficient  to  cover  the  financial,  legal,  business  or 
reputational losses that may result from a cybersecurity incident or other interruption to our information technology systems. 

In addition, we provide confidential, proprietary and personal information to third parties when necessary to pursue our 
business objectives. While we obtain assurances that these third parties will protect this information and, where appropriate, 
monitor the protections employed by these third parties, there is a risk that the confidentiality of data held by third parties 
may  be  compromised.  If  personal  information  of  our  customers  or  employees  is  misappropriated,  our  reputation  with  our 
customers and employees may be injured, resulting in loss of business and/or morale, and we may incur costs to remediate 
possible  injury  to  our  customers  and  employees  or be  required  to pay fines or  take other  action with respect  to judicial  or 
regulatory actions arising out of such incidents. 

Our operating results and financial condition may fluctuate. 

Our operating results and financial condition may fluctuate from quarter to quarter for a number of reasons. In addition, 
our  stock  price  is  volatile.  The  following  events  or  occurrences,  among  others,  could  cause  fluctuations  in  our  financial 
performance and/or stock price from period to period: 

• 
• 
• 
• 
• 

development and launch of new competitive products; 
the timing and receipt of FDA approvals or lack of approvals; 
costs related to business development transactions; 
changes in the amount we spend to promote our products; 
delays  between  our  expenditures  to  acquire  new  products,  technologies  or  businesses  and  the  generation  of 
revenues from those acquired products, technologies or businesses; 
changes in treatment practices of physicians that currently prescribe certain of our products; 
increases in the cost of raw materials used to manufacture our products; 
FDA regulatory actions relating to our manufacturers; 

• 
• 
• 
•  manufacturing and supply interruptions; 
our responses to price competition; 
• 
new legislation that would control or regulate the prices of drugs; 
• 
a protracted and wide-ranging trade conflict between the United States and China; 
• 
expenditures as a result of legal actions (and settlements thereof), including the defense of our patents and other 
• 
intellectual property; 

•  market acceptance of our products; 
• 
• 
• 
• 
• 
• 
• 

the timing of wholesaler and distributor purchases and success of our wholesaler and distributor arrangements; 
general economic and industry conditions, including potential fluctuations in interest rates; 
changes in seasonality of demand for certain of our products; 
foreign currency exchange rate fluctuations; 
changes to, or the confidence in, our business strategy; 
changes to, or the confidence in, our management; and 
expectations for future growth. 

32 

As  a  result,  we  believe  that  quarter-to-quarter  comparisons  of  results  from  operations,  or  any  other  similar  period-to-
period  comparisons,  should  not  be  construed  as  reliable  indicators  of  our  future  performance.  In  any  quarterly  period,  our 
results may be below the expectations of market analysts and investors, which could cause the market value of our common 
shares and/or debt securities to decline. 

The restatement of our previously issued financial statements was time-consuming and expensive and could expose us to 
additional risks that could have a material adverse effect on our business, financial condition, cash flows and results of 
operations and could cause the market value of our common shares and/or debt securities to decline. 

We restated our previously issued audited Consolidated Financial Statements for the year ended December 31, 2014 and 
the unaudited financial information for the quarters ended December 31, 2014 and March 31, 2015. This restatement and the 
review  of  the  misstatements  that  necessitated  the  restatement  was  time  consuming  and  expensive  and  could  expose  us  to 
potential claims and additional risks that could have a material adverse effect on our business, financial condition, cash flows 
and  results  of  operations  and  could  cause  the  market  value  of  our  common  shares  and/or  debt  securities  to  decline.  In 
particular, we could be subject to further shareholder litigation and additional governmental investigations and proceedings in 
connection with the restatements or related other matters. If we do not prevail in any such proceedings, we could be required 
to  pay  substantial  damages  or  settlement  costs.  In  addition,  although  the  remediation  of  the  material  weaknesses  in  our 
internal  control  over  financial  reporting  that  contributed  to  the  material  misstatements  in  the  Consolidated  Financial 
Statements previously described has been completed, if our remedial measures were insufficient to properly and fully address 
the material weaknesses, or if additional material weaknesses in our internal controls are discovered or occur in the future, it 
may materially adversely affect our ability to report our financial condition and results of operations in a timely and accurate 
manner and there will continue to be an increased risk of future misstatements. 

We have entered into distribution agreements with other companies to distribute certain of our products at supply prices 
based on net sales. Declines in the pricing and/or volume, over which we have no or limited control, of such products, and 
therefore the amounts paid to us, could have a material adverse effect on our business, financial condition, cash flows and 
results of operations and could cause the market value of our common shares and/or debt securities to decline. 

Certain of our products are the subject of third-party distribution or sublicense agreements, pursuant to which we may 
manufacture and sell products to other companies, which distribute such products in return for a royalty or a supply price, in 
both cases which are often based on net sales. Our ability to control pricing and volume of these products may be limited and, 
in some cases, these companies make all distribution and pricing decisions independently of us. If the pricing or volume of 
such  products  declines,  our  revenues  would  be  adversely  impacted  which  could  have  a  material  adverse  effect  on  our 
business, financial condition, cash flows and results of operations and could cause the market value of our common shares 
and/or debt securities to decline. 

The illegal distribution and sale of counterfeit versions of our products may reduce demand for our products or have a 
negative impact on the reputation of our products, which could have a material adverse effect on our business, financial 
condition,  cash  flows  and  results  of  operations  and  could  cause  the  market  value  of  our  common  shares  and/or  debt 
securities to decline. 

Third parties may illegally distribute and sell counterfeit versions of our products, which do not meet or adhere to the 
rigorous  quality,  safety,  manufacturing,  storage  and  handling  standards  and  regulations  that  apply  to  our  products.  The 
prevalence  of  counterfeit  products  is  a  growing  industry-wide  issue  due  to  the  widespread  use  of  the  Internet,  which  has 
greatly facilitated the ease by which counterfeit products can be advertised, purchased and delivered. The discovery of safety 
or efficacy issues, adverse events or even death or personal injury associated with or caused by counterfeit products may be 
attributed to our products and may cause reputational harm to our products or the Company. We may not be able to detect or, 
if detected, prevent or prohibit the sale of such counterfeit products. As a result, the illegal sale or distribution of counterfeit 
products may negatively impact the demand for and sales of our products, which could have a material adverse effect on our 
business, financial condition, cash flows and results of operations and could cause the market value of our common shares 
and/or debt securities to decline. 

Our revenues and profits could be reduced by imports from countries where our products are available at lower prices. 

Prices for our products are based on local market economics and competition and differ from country to country. Our 
sales in countries with relatively higher prices may be reduced if products can be imported into those or other countries from 
lower price markets. If this happens with our products, our revenues and profits may be adversely affected, which could have 
a material adverse effect on our business, financial condition, cash flows and results of operations and could cause the market 
value of our common shares and/or debt securities to decline. 

33 

Our  policies  regarding  returns,  allowances  and  chargebacks,  and  marketing  programs  adopted  by  wholesalers,  may 
reduce our revenues in future fiscal periods. 

We  provide  certain  rebates,  allowances,  chargebacks  and  other  credits  to  our  customers  with  respect  to  certain  of  our 
products. For example, we make payments or give credits to certain wholesalers for the difference between the invoice price 
paid  to  us  by  our  wholesaler  customer  for  a  particular  product  and  the  negotiated  price  that  such  wholesaler  sells  such 
products to its hospitals, group purchasing organizations, pharmacies or other retail customers. We also give certain of our 
customers  credits  on our  products  that  such  customers  hold  in  inventory  after we have  decreased  the WAC  prices  of  such 
products, such credit being for the difference between the old and new price. In addition, we also implement and maintain 
returns  policies,  pursuant  to  which  our  customers  may  return  product  to  us  in  certain  circumstances  in  return  for  a  credit. 
Although  we  establish  reserves  based  on  our  prior  experience,  wholesaler  data,  then-current  on-hand  inventory,  our  best 
estimates of the impact that these policies may have in subsequent periods and certain other considerations, we cannot ensure 
that  our  reserves  are  adequate  or  that  actual  product  returns,  rebates,  allowances  and  chargebacks  will  not  exceed  our 
estimates,  which  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  cash  flows  and  results  of 
operations and could cause the market value of our common shares and/or debt securities to decline. 

We may experience declines in sales volumes or prices of certain of our products as the result of the concentration of sales 
to wholesalers and the continuing trend towards consolidation of such wholesalers and other customer groups and this 
could have a material adverse effect on our business, financial condition, cash flows and results of operations and could 
cause the market value of our common shares and/or debt securities to decline. 

For  certain  of  our  products,  a  significant  portion  of  our  sales  are  to  a  relatively  small  number  of  customers.  If  our 
relationship  with  one  or  more  of  such  customers  is  disrupted  or  changes  adversely  or  if  one  or  more  of  such  customers 
experience financial difficulty or other material adverse changes in their businesses, it could materially and adversely affect 
our sales and financial results, which could have a material adverse effect on our business, financial condition, cash flows and 
results of operations and could cause the market value of our common shares and/or debt securities to decline. 

In addition, wholesalers and retail drug chains have undergone, and are continuing to undergo, significant consolidation. 
This consolidation may result in these groups gaining additional purchasing leverage and consequently increasing the product 
pricing pressures facing our business. The result of these developments could have a material adverse effect on our business, 
financial condition, cash flows and results of operations and could cause the market value of our common shares and/or debt 
securities to decline. 

We  have  various  indemnity  agreements  and  indemnity  arrangements  in  place,  which  may  result  in  an  obligation  to 
indemnify or reimburse the relevant counterparty, which amounts may be material. 

All directors and/or officers of the Company, and each of its various subsidiary entities, are indemnified by the Company 
in  respect  of  their  service  as  directors  and/or  officers,  subject  to  certain  restrictions.  We  have  purchased  directors’  and 
officers’  liability  insurance  to  mitigate  the  cost  of  any  potential  future  lawsuits  or  actions.  The  maximum  amount  of  any 
potential future payment cannot be reasonably estimated but could have a material adverse effect on the Company. 

In the normal course of business, we have entered or may enter into agreements that include indemnities in favor of third 
parties,  such  as  purchase  and  sale  agreements,  license  agreements,  engagement  letters  with  advisors  and  consultants  and 
various product  and  service  agreements.  These  indemnification  arrangements  may  require  us  to  compensate  counterparties 
for losses incurred by the counterparties as a result of breaches in representations, covenants and warranties provided by us or 
as  a  result  of  litigation  or  other  third-party  claims  or  statutory  sanctions  that  may  be  suffered  by  the  counterparties  as  a 
consequence  of  the  relevant  transaction.  In  some  instances,  the  terms  of  these  indemnities  are  not  explicitly  defined.  We, 
whenever  possible,  try  to  limit  this  potential  liability  within  the  particular  agreement  or  contract,  but  due  to  the 
unpredictability of future events the maximum amount of any potential reimbursement cannot be reasonably estimated, but 
could have a material adverse effect on the Company. 

Item 1B.  Unresolved Staff Comments 

None. 

Item 2.  Properties 

We  own  and  lease  a  number  of  important  properties.  Our  headquarters  and  one  of  our  manufacturing  facilities  are 
located in Laval, Quebec. We own several manufacturing facilities throughout the U.S. We also own or have an interest in 
manufacturing  plants  or  other  properties  outside  the  U.S.,  including  in  Canada,  Mexico,  and  certain  countries  in  Europe, 
North Africa, Asia and South America. 

34 

We  consider  our  facilities  to  be  in  satisfactory  condition  and  suitable  for  their  intended  use,  although  some  limited 
investments to improve our manufacturing and other related facilities are contemplated, based on the needs and requirements 
of  our  business.  Our  administrative,  marketing,  research/laboratory,  distribution  and  warehousing  facilities  are  located  in 
various  parts  of  the  world.  We  co-locate  our  R&D  activities  with  our  manufacturing  at  the  plant  level  in  a  number  of 
facilities.  Our  scientists,  engineers,  quality  control  and  manufacturing  technicians  work  side-by-side  in  designing  and 
manufacturing products that fit the needs and requirements of our customers, regulators and business units. 

We believe that we have sufficient facilities to conduct our operations during 2019. Our facilities in aggregate are over 

12 million square feet and include, among others, the following list of principal properties by segment: 

Location 
Corporate & Administration 

Purpose 

Laval, Quebec, Canada .............  

Corporate headquarters, R&D, manufacturing and 

Bridgewater, New Jersey(1) .......    Administration 

Bausch + Lomb/International 

warehouse facility 

Jelenia Gora, Poland .................    Offices, R&D, manufacturing and warehouse facility 
Rochester, New York ...............    Offices, R&D and manufacturing facility 
San Juan del Rio, Mexico .........    Offices and manufacturing facility 
El Obour City, Egypt ................    Offices, R&D, manufacturing and warehouse facility 
Waterford, Ireland ....................    R&D and manufacturing facility 
Greenville, South Carolina .......    Distribution facility 
Jinan, China ..............................    Offices and manufacturing facility 
Rzeszow, Poland ......................    Offices, R&D, manufacturing and warehouse facility 
Berlin, Germany .......................    Manufacturing, distribution and office facility 
Greenville, South Carolina .......    Manufacturing and distribution facility 
Chattanooga, Tennessee ...........    Distribution facility 
Tampa, Florida .........................    R&D and manufacturing facility 
Porto Alegre, Brazil ..................    Offices, manufacturing and warehouse facility 
Belgrade, Serbia .......................    Offices and manufacturing facility 
Mexico City, Mexico ................    Offices and manufacturing facility 
Aubenas, France .......................    Offices, manufacturing and warehouse facility 
St. Louis, Missouri ...................    Manufacturing facility 
Cuautitlan Izcalli, Mexico ........    R&D and manufacturing facility 
Myslowice, Poland ...................    Warehouse facility 
Macherio, Italy .........................    Offices, R&D, manufacturing and warehouse facility 
Lynchburg, Virginia .................    Distribution facility 
Beijing, China...........................    Warehouse facility and distribution 
Clearwater, Florida ...................    Manufacturing facility 

Salix 

Owned 
or 
Leased 

Approximate 
Square 
Footage 

  Owned  
Leased  

  Owned  
  Owned  
  Owned  
  Owned  
  Owned  
Leased  
  Owned  
  Owned  
  Owned  
  Owned  
Leased  
  Owned  
  Owned  
  Owned  
  Owned  
  Owned  
  Owned  
Leased  
Leased  
  Owned  
  Owned  
Leased  
  Owned  

337,000  
310,000  

1,570,000  
966,000  
853,000  
628,000  
500,000  
432,000  
420,000  
380,000  
339,000  
321,000  
320,000  
176,000  
165,000  
162,000  
158,000  
148,000  
140,000  
139,000  
136,000  
119,000  
116,000  
110,000  
102,000  

Steinbach, Manitoba, Canada ...    Offices, manufacturing and warehouse facility 

  Owned  

241,000  

(1)  —  A  lease  for  a  second  building  in  Bridgewater,  New  Jersey  was  signed  in  2015  and  was  not  included  in  the  square 
footage shown in the table above as the Company never occupied the second building. In 2016, the Company concluded that 
it would not occupy the second building and recognized the appropriate charge for all future rents due, net of the anticipated 
sub-let income associated with the second building. 

Item 3.  Legal Proceedings 

See  Note  20,  “LEGAL  PROCEEDINGS”  to  our  audited  Consolidated  Financial  Statements  for  details  on  legal 

proceedings. 

Item 4.  Mine Safety Disclosures 

Not applicable. 

35 

 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
Item 5.  Market  for  Registrant’s  Common  Equity,  Related  Stockholder  Matters  and  Issuer  Purchases  of  Equity 

PART II 

Securities 

Market Information 

Our  common  shares  are  traded  on  the  New  York  Stock  Exchange  (“NYSE”)  and  on  the  Toronto  Stock  Exchange 
(“TSX”) under the symbol “BHC”. The following table sets forth the high and low the market price of our common shares on 
the NYSE and TSX during the periods indicated.  

2018 

First quarter ............................................................................   
Second quarter ........................................................................   
Third quarter ...........................................................................   
Fourth quarter .........................................................................   

2017 

First quarter ............................................................................   
Second quarter ........................................................................   
Third quarter ...........................................................................   
Fourth quarter .........................................................................   

Sources: NYSE.com, TSX Historical Data Access 

Market Price Volatility of Common Shares 

NYSE in USD 

High 

Low 

TSX in CAD 

High 

Low 

24.43 
27.79 
25.88 
28.45 

17.55 
18.25 
18.17 
22.81 

14.44 
14.96 
20.38 
17.20 

10.35 
8.31 
12.89 
10.94 

30.56 
36.02 
33.44 
36.52 

23.14 
23.75 
22.69 
29.28 

18.62 
19.36 
26.83 
23.60 

13.82 
11.20 
15.83 
14.01 

Market  prices  for  the  securities  of  pharmaceutical,  medical  devices  and  biotechnology  companies,  including  our 
securities, have  historically  been highly  volatile,  and  the  market  has  experienced significant  price  and volume  fluctuations 
that are unrelated to the operating performance of particular companies. Factors such as fluctuations in our operating results, 
the aftermath of public announcements by us or by others about us, changes in our executive management, changes in our 
business  strategy,  concern  as  to  the  safety  of  drugs  and  medical  devices,  the  commencement  or  outcome  of  legal  or 
governmental  proceedings,  changes  in our ability  to  access  credit  markets,  changes  in  the  cost of  capital,  investigations  or 
inquiries,  and  general  market  conditions  can  have  an  adverse  effect  on  the  market  price  of  our  common  shares  and  other 
securities. For example, during 2015 and 2016, we experienced significant fluctuations and decreases in the market price of 
our common shares as a result of, among other things, legal and governmental proceedings and investigations with respect to 
certain  of  our  distribution,  marketing,  pricing,  disclosure  and  accounting  practices,  rising  interest  rates  and  certain  public 
allegations made by short sellers and other third parties relating to certain of these matters. See Item 1A “Risk Factors” of 
this Form 10-K for additional information. 

Holders 

The approximate number of holders of record of our common shares as of February 14, 2019 was 1,885. 

36 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Performance Graph 

The  following  graph  compares  the  cumulative  total  return  on  a  $100  investment  on  January  1,  2014,  assuming 
reinvestment of all dividends, in: (i) our common shares, (ii) the S&P 500 Index, (iii) the S&P/TSX Composite Index and 
(iv) a composite peer group of 12 major U.S. based pharmaceutical companies for the five years ended December 31, 2018. 
The composite peer group of 12 major U.S.-based pharmaceutical companies consists of Allergan PLC, Amgen Inc., Biogen 
Inc.,  Bristol-Myers  Squibb  Co,  Celgene  Corp,  Danaher  Corp,  Eli  Lilly  and  Co,  Gilead  Sciences  Inc.,  Mylan  NV,  Perrigo 
Company PLC, Shire PLC and Vertex Pharmaceuticals Inc. 

Bausch Health Companies Inc. .............    
S&P 500 ................................................    
S&P/TSX Composite ............................    
Peer Group ............................................    

$ 
$ 
$ 
$ 

100 
100 
100 
100 

$ 
$ 
$ 
$ 

122 
114 
111 
130 

$ 
$ 
$ 
$ 

87 
115 
101 
140 

$ 
$ 
$ 
$ 

12 
129 
123 
118 

$ 
$ 
$ 
$ 

18 
157 
134 
128 

$ 
$ 
$ 
$ 

16 
150 
122 
126 

2013 

2014 

2015 

2016 

2017 

2018 

Dividends 

No dividends were declared or paid in 2018, 2017 or 2016. While our Board of Directors will review our dividend policy 
periodically, we currently do not intend to pay any cash dividends in the foreseeable future. In addition, our Restated Credit 
Agreement  and 
the  payment  of  dividends.  See  Note  11,  “FINANCING 
ARRANGEMENTS” to our audited Consolidated Financial Statements for further details regarding these restrictions. 

include  restrictions  on 

indentures 

Restrictions on Share Ownership by Non-Canadians 

There are no limitations under the laws of Canada or in our organizational documents on the right of foreigners to hold 
or  vote  securities  of  our  Company,  except  that  the  Investment  Canada  Act  (Canada)  (the  “Investment  Canada  Act”)  may 
require review and approval by the Minister of Innovation, Science and Economic Development (Canada) (the “Minister”) of 
an acquisition of “control” of our Company by a “non-Canadian”. 

Investment Canada Act 

An acquisition of control of a Canadian business by a non-Canadian is either reviewable (a “Reviewable Transaction”), 
in which case it is subject to both a reporting obligation and an approval process, or notifiable, in which case it is subject to 
only a reporting obligation. In the case of a Reviewable Transaction, the non-Canadian acquirer must submit an application 
for review with the prescribed information. The Minister is then required to determine whether the Reviewable Transaction is 
likely to be of net benefit to Canada, taking into account the assessment factors specified in the Investment Canada Act and 
any written undertakings that may have been given by the non-Canadian acquirer. 

37 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Investment Canada Act provides that any investment by a non-Canadian in a Canadian business, even where control 
has not been acquired, can be reviewed on grounds of whether it may be injurious to national security. Where an investment 
is determined to be injurious to national security, Cabinet can prohibit closing or, if closed, can order the investor to divest 
control. Short of a prohibition or divestment order, Cabinet can impose terms or conditions on the investment or can require 
the investor to provide binding undertakings to remove the national security concern. 

Competition Act 

Part  IX  of  the  Competition  Act  (Canada)  (the  “Competition  Act”)  requires  that  a  pre-merger  notification  filing  be 
submitted to the Commissioner of Competition (the “Commissioner”) in respect of certain classes of merger transactions that 
exceed  certain  prescribed  thresholds.  If  a  proposed  transaction  exceeds  such  thresholds,  subject  to  certain  exceptions,  the 
notification filing must be submitted to the Commissioner and the statutory waiting period must expire or be terminated early 
or waived by the Commissioner before the transaction can be completed. 

All  mergers,  regardless  of  whether  they  are  subject  to  Part  IX  of  the  Competition  Act,  are  subject  to  the  substantive 
mergers  provisions under Section 92  of  the Competition Act.  In particular,  the  Commissioner  may  challenge  a  transaction 
before  the  Competition  Tribunal  where  the  transaction  prevents  or  lessens,  or  is  likely  to  prevent  or  lessen,  competition 
substantially in a market. The Commissioner may not make an application to the Competition Tribunal under Section 92 of 
the Competition Act more than one year after the merger has been substantially completed. 

Exchange Controls 

Canada has no system of exchange controls. There are no Canadian restrictions on the repatriation of capital or earnings 
of a Canadian public company to non-resident investors. There are no laws in Canada or exchange restrictions affecting the 
remittance  of  dividends,  profits,  interest,  royalties  and  other  payments  to  non-resident  holders  of  our  securities,  except  as 
discussed in “Taxation” below. 

Taxation 

Canadian Federal Income Taxation 

The following discussion is a summary of the principal Canadian federal income tax considerations generally applicable 
to a holder of our common shares who, at all relevant times, for purposes of the Income Tax Act (Canada) and the Income 
Tax Regulations (collectively, the “Canadian Tax Act”) deals at arm’s-length with, and is not affiliated with, our Company, 
beneficially owns its common shares as capital property, does not use or hold and is not deemed to use or hold such common 
shares  in  carrying  on  a  business  in  Canada,  does  not  with  respect  to  common  shares  enter  into  a  “derivative  forward 
agreement” as defined in the Income Tax Act, and who, at all relevant times, for purposes of the application of the Canadian 
Tax Act and the Canada-U.S. Income Tax Convention (1980, as amended) (the “U.S. Treaty”), is resident in the U.S., is not, 
and is not deemed to be, resident in Canada and is eligible for benefits under the U.S. Treaty (a “U.S. Holder”). Special rules, 
which are not discussed in the summary, may apply to a non-resident holder that is an insurer that carries on an insurance 
business in Canada and elsewhere or that is an “authorized foreign bank” as defined in the Canadian Tax Act. 

The U.S. Treaty includes limitation on benefits rules that restrict the ability of certain persons who are resident in the 
U.S. to claim any or all benefits under the U.S. Treaty. Furthermore, limited liability companies (“LLCs”) that are not taxed 
as  corporations  pursuant  to  the  provisions  of  the  U.S.  Internal  Revenue  Code  of  1986,  as  amended  (the  “Code”)  do  not 
generally qualify as resident in the U.S. for purposes of the U.S. Treaty. Under the U.S. Treaty, a resident of the U.S. who is a 
member  of  such  an  LLC  and  is  otherwise  eligible  for  benefits  under  the  U.S.  Treaty  may  generally  be  entitled  to  claim 
benefits under the U.S. Treaty in respect of income, profits or gains derived through the LLC. Residents of the U.S. should 
consult their own tax advisors with respect to their eligibility for benefits under the U.S. Treaty, having regard to these rules. 

This summary is based upon the current provisions of the U.S. Treaty and the Canadian Tax Act and our understanding 
of the current administrative policies and assessing practices of the Canada Revenue Agency published in writing prior to the 
date  hereof.  This  summary  takes  into  account  all  specific  proposals  to  amend  the  U.S.  Treaty  and  the  Canadian  Tax  Act 
publicly  announced  by  or  on  behalf  of  the  Minister  of  Finance  (Canada)  prior  to  the  date  hereof.  This  summary  does  not 
otherwise  take  into  account  or  anticipate  changes  in  law  or  administrative  policies  and  assessing  practices,  whether  by 
judicial,  regulatory,  administrative  or  legislative  decision  or  action,  nor  does  it  take  into  account  provincial,  territorial  or 
foreign tax legislation or considerations, which may differ from those discussed herein. 

38 

This summary is of a general nature only and is not intended to be, nor should it be construed to be, legal or tax 
advice generally or to any particular holder. Holders should consult their own tax advisors with respect to their own 
particular circumstances. 

Gains on Disposition of Common Shares 

In general, a U.S. Holder will not be subject to tax under the Canadian Tax Act on capital gains arising on the disposition 
of such holder’s common shares unless the common shares are “taxable Canadian property” to the U.S. Holder and are not 
“treaty-protected property”. 

As long as the common shares are then listed on a “designated stock exchange”, which currently includes the NYSE and 
TSX,  the common  shares  generally will  not  constitute  taxable  Canadian property of  a U.S. Holder,  unless: (a)  at  any  time 
during the 60-month period preceding the disposition, the U.S. Holder, persons not dealing at arm’s length with such U.S. 
Holder or the U.S. Holder together with all such persons, owned 25% or more of the issued shares of any class or series of 
the capital stock of the Company and more than 50% of the fair market value of the common shares was derived, directly or 
indirectly, from any combination of: (i) real or immoveable property situated in Canada, (ii) “Canadian resource property” (as 
such term is defined in the Canadian Tax Act), (iii) “timber resource property” (as such term is defined in the Canadian Tax 
Act) or (iv) options in respect of, or interests in, or for civil law rights in, any such properties whether or not the property 
exists or the common shares are otherwise deemed to be taxable Canadian property. 

Common shares will be treaty-protected property where the U.S. Holder is exempt from income tax under the Canadian 
Tax  Act  on  the  disposition  of  common  shares  because  of  the  U.S.  Treaty.  Common  shares  owned  by  a  U.S.  Holder  will 
generally  be  treaty-protected property  where  the  value of the  common  shares  is not derived  principally  from  real  property 
situated in Canada, as defined in the U.S. Treaty. 

Dividends on Common Shares 

Dividends  paid  or  credited  on  the  common  shares  or  deemed  to  be  paid  or  credited  on  the  common  shares  to  a  U.S. 
Holder  that  is  the  beneficial  owner  of  such  dividends  will  generally  be  subject  to  non-resident  withholding  tax  under  the 
Canadian Tax Act and the U.S. Treaty at the rate of: (a) 5% of the amounts paid or credited if the U.S. Holder is a company 
that owns (or is deemed to own) at least 10% of our voting stock or (b) 15% of the amounts paid or credited in all other cases. 
The rate of withholding under the Canadian Tax Act in respect of dividends paid to non-residents of Canada is 25% where no 
tax treaty applies. 

Securities Authorized for Issuance under Equity Compensation Plans 

Information required under this Item will be included in our definitive proxy statement for the 2019 Annual Meeting of 
Shareholders expected to be filed with the SEC no later than 120 days after the end of the fiscal year covered by this Form 
10-K (the “2019 Proxy Statement”), and such required information is incorporated herein by reference. 

Purchases of Equity Securities by the Company and Affiliated Purchases 

There were no purchases of equity securities by the Company during the fourth quarter of the year ended December 31, 

2018. 

39 

Item 6.  Selected Financial Data 

The following tables of selected consolidated financial data of our Company have been prepared in accordance with U.S. 
generally accepted accounting principles (“GAAP”). The data is qualified by reference to, and should be read in conjunction 
with our audited Consolidated Financial Statements and related notes thereto prepared in accordance with U.S. GAAP. See 
Item 15 “Exhibits and Financial Statement Schedules” and the discussion in Item 7 “Management’s Discussion and Analysis 
of Financial Condition and Results of Operations” to this Form 10-K.  

(in millions, except per share data) 
Consolidated operating data: 
Revenues .............................................................  
Operating (loss) income ......................................  
Net (loss) income attributable to Bausch  

Health Companies Inc. ....................................  

(Loss) earnings per share attributable to  

Bausch Health Companies Inc. 
Basic ................................................................  
Diluted .............................................................  
Cash dividends declared per share ......................  

(in millions) 
Consolidated balance sheet information: 
Cash and cash equivalents ..................................  
Working capital ..................................................  
Total assets .........................................................  
Long-term debt, including current portion ..........  
Common shares ..................................................  
Bausch Health Companies Inc. shareholders’ 

equity ...............................................................  

Number of common shares issued and 

2018 

Years Ended December 31, 
2016 

2015 

2017 

2014 

$ 
$ 

$ 

$ 
$ 
$ 

$ 
$ 
$ 
$ 
$ 

$ 

$ 
8,380 
(2,384)  $ 

8,724 
102 

(4,148)  $ 

2,404 

(11.81)  $ 
(11.81)  $ 
$ 
— 

6.86 
6.83 
— 

$ 
$ 

$ 

$ 
$ 
$ 

$ 
9,674 
(566)  $ 

10,447 
1,527 

$ 
$ 

8,206 
2,001 

(2,409)  $ 

(292)  $ 

881 

(6.94)  $ 
(6.94)  $ 
$ 
— 

(0.85)  $ 
(0.85)  $ 
$ 
— 

2.63 
2.58 
— 

2018 

2017 

At December 31, 
2016 

2015 

2014 

721 
375 
32,492 
24,305 
10,121 

2,733 

$ 
$ 
$ 
$ 
$ 

$ 

720 
478 
37,497 
25,444 
10,090 

5,849 

$ 
$ 
$ 
$ 
$ 

$ 

542 
1,468 
43,529 
29,846 
10,038 

3,152 

$ 
$ 
$ 
$ 
$ 

$ 

597 
194 
48,965 
31,088 
9,897 

5,910 

$ 
$ 
$ 
$ 
$ 

$ 

323 
1,423 
26,305 
15,229 
8,349 

5,279 

outstanding ......................................................  

349.9 

348.7 

347.8 

342.9 

334.4 

The following are the significant items affecting the comparability of the selected financial information for the periods 

presented: 

Acquisitions  -  The  Company  completed  a  series  of  mergers  and  acquisitions,  the  most  significant,  of  which,  were  the 
acquisition of Amoun Pharmaceutical Company S.A.E. (October 19, 2015) and the acquisition of Salix Pharmaceuticals, Ltd. 
(the “Salix Acquisition”) (April 1, 2015). The assets, liabilities and results of operations of these and other acquisitions are 
included in the reported amounts effective upon the respective acquisition dates. 

Divestitures - In order to better focus on our core businesses, we have divested businesses that were not considered core 
to our ongoing operations or the needs of our primary-customer base. The most significant of these divestitures included the 
divestitures  of  the  Obagi  Medical  Products,  Inc.  business  (November  9,  2017),  the  iNova  Pharmaceuticals  business 
(September  29,  2017),  the  Company’s  equity  interest  in  Dendreon  Pharmaceuticals  LLC  (June  28,  2017),  the  Company’s 
equity interests in Sprout Pharmaceuticals, Inc. (“Sprout”) (December 20, 2017) and the Company’s interests in the CeraVe®, 
AcneFree™ and AMBI® skincare brands (March 3, 2017). The assets, liabilities and results of operations of these and other 
divestitures  and  discontinuances  are  included  in  the  reported  amounts  through  the  date  of  the  respective  divestiture  and 
discontinuance  dates.  See  Note  4,  “DIVESTITURES”  to  our  audited  Consolidated  Financial  Statements  for  additional 
information. 

Restructuring and  Integration  Costs - In  connection with  certain  acquisitions previously  noted,  the Company  incurred 
cost-rationalization and integration initiatives in order to capture operating synergies, which generated cost savings across the 
Company.  In  2018,  2017,  2016,  2015  and  2014,  Restructuring  and  integration  costs  were  $22  million,  $52  million,  $132 
million, $362 million and $382 million, respectively. See Note 5, “RESTRUCTURING AND INTEGRATION COSTS” to 
our audited Consolidated Financial Statements for additional information. 

40 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Goodwill Impairments - In 2018, 2017, 2016, 2015 and 2014, Operating (loss) income included Goodwill impairments 
of  $2,322  million,  $312  million,  $1,077  million,  $0  and  $0,  respectively.  These  goodwill  impairments  were  primarily  the 
result of: (i) the adoption of new accounting guidance in 2018, (ii) revisions to forecasts to certain reporting units and (iii) 
realignments to our reporting units. See Note 9, “INTANGIBLE ASSETS AND GOODWILL” to our audited Consolidated 
Financial Statements for additional information. 

Asset Impairments - In 2018, 2017, 2016, 2015 and 2014, Operating (loss) income included Asset impairments of $568 
million,  $714  million,  $422  million,  $304  million  and  $145  million,  respectively.  These  asset  impairments  were  primarily 
attributable to: (i) assets being classified as held for sale and (ii) revisions in sales forecasts associated with discontinuances, 
generic competition and other market forces. 

Net Gains on Sales of Assets - In 2017, Operating (loss) income included the net gains on sales of assets of $580 million 
related  to  the  2017  divestitures  previously  discussed.  In  2014,  Operating  (loss)  income  included  the  net  gains  on  sales  of 
assets of $251 million, primarily driven by a $324 million gain related to the divestiture of facial aesthetic fillers and toxins. 

Benefit from Income Taxes - In 2017, Net (loss) income attributable to Bausch Health Companies Inc. included non-cash 
deferred income tax benefits of approximately $4,145 million related to: (i) adjustments to previously recorded outside basis 
differences as a result of the Company’s internal corporate restructuring and (ii) the accounting for the U.S. Tax Cuts and 
Jobs Act of 2017. 

Debt  Issuance,  Refinancing,  Interest  Expense,  and  Loss  on  Extinguishment  of  Debt  -  We  completed  a  series  of 
transactions which allowed us to obtain the necessary financing to fund the acquisitions previously discussed and refinance 
certain of our debt arrangements under our Senior Secured Credit Facilities and our Senior Unsecured Notes to extend the 
maturities of the refinanced debt. See Note 11, “FINANCING ARRANGEMENTS” to our audited Consolidated Financial 
Statements  for  additional  information.  These  transactions  impacted  Net  (loss)  income  attributable  to  Bausch  Health 
Companies Inc. for the periods presented as follows: 

• 

• 

Interest Expense in 2018, 2017, 2016, 2015 and 2014 was $1,685 million, $1,840 million, $1,836 million, $1,563 
million  and  $971  million,  respectively.  The  increase  in  interest  expense  over  the  years  2014  through  2017  is 
reflective  of  the  additional  debt  obtained  to  finance  the  acquisitions  previously  discussed  and,  to  a  lesser  extent, 
increases in the stated rates of interest for our debt obligations. The decrease in interest expense in the year 2018 as 
compared to 2017 reflects: (i) lower principal amounts of outstanding debt as during 2017 and 2016 the Company 
repaid (net of additional borrowings) over $5,800 million of debt and (ii) lower amortization and write-offs of debt 
discounts and deferred financing costs. 
Loss on extinguishment of debt in 2018, 2017, 2016, 2015 and 2014 was $119 million, $122 million, $0, $20 million 
and  $130  million,  respectively,  and  was  incurred  in  connection  with  the  repayments  and  refinancing  of  our  debt 
obligations. 

•  Weighted average stated rate of interest as of December 31, 2018, 2017, 2016, 2015 and 2014 was 6.23%, 6.07%, 

5.75%, 5.10% and 5.20%, respectively. 

41 

Item 7.  Management’s Discussion and Analysis of Financial Condition and Results of Operations 

INTRODUCTION 

This  “Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations”  has  been  updated 
through February 20, 2019 and should be read in conjunction with the audited Consolidated Financial Statements and the 
related notes  thereto  included  elsewhere  in  this  Annual  Report  on  Form  10-K. Additional  company  information,  including 
this  Form  10-K,  is  available  on  SEDAR  at  www.sedar.com  and  on  the  U.S.  Securities  and  Exchange  Commission  (the 
”SEC”) website at www.sec.gov. All currency amounts are expressed in U.S. dollars, unless otherwise noted. 

OVERVIEW 

Bausch Health Companies Inc. (“we”, “us”, “our” or the “Company”) is a global company whose mission is to improve 
people’s lives with our health care products. We develop, manufacture and market, primarily in the therapeutic areas of eye-
health,  gastroenterology  (“GI”)  and  dermatology,  a  broad  range  of:  (i)  branded  pharmaceuticals,  (ii)  generic  and  branded 
generic pharmaceuticals, (iii) over-the-counter (“OTC”) products and (iv) medical devices (contact lenses, intraocular lenses, 
ophthalmic surgical equipment and aesthetics devices) products. 

We generated revenues for 2018, 2017 and 2016, of $8,380 million, $8,724 million and $9,674 million, respectively. Our 
portfolio of products falls into four operating and reportable segments: (i) Bausch + Lomb/International, (ii) Salix, (iii) Ortho 
Dermatologics and (iv) Diversified Products. 

•  The  Bausch  +  Lomb/International  segment  consists  of:  (i)  sales  in  the  U.S.  of  pharmaceutical  products,  OTC 
products and medical device products, primarily comprised of Bausch + Lomb products, with a focus on the Vision 
Care,  Surgical,  Consumer  and  Ophthalmology  Rx  products  and  (ii)  with  the  exception  of  sales  of  Solta  products, 
sales  in  Canada,  Europe,  Asia,  Australia,  Latin  America,  Africa  and  the  Middle  East  of  branded  pharmaceutical 
products,  branded  generic  pharmaceutical  products,  OTC  products,  medical  device  products  and  Bausch  +  Lomb 
products. 

•  The Salix segment consists of sales in the U.S. of GI products. 

•  The  Ortho  Dermatologics  segment  consists  of:  (i)  sales  in  the  U.S.  of  Ortho  Dermatologics  (dermatological) 

products and (ii) global sales of Solta medical aesthetic devices. 

•  The  Diversified  Products  segment  consists  of  sales:  (i)  in  the  U.S.  of  pharmaceutical  products  in  the  areas  of 
neurology  and  certain  other  therapeutic  classes,  (ii)  in  the  U.S.  of  generic  products,  (iii)  in  the  U.S.  of  dentistry 
products and (iv) of certain other businesses divested during 2017 that were not core to the Company’s operations, 
including  the  Company’s  equity  interests  in  Dendreon  Pharmaceuticals  LLC  (“Dendreon”)  (June  28,  2017)  and 
Sprout  Pharmaceuticals,  Inc.  (“Sprout”)  (December  20,  2017).  As  a  result  of  the  divestitures  of  Dendreon  and 
Sprout, the Company exited the oncology and women’s health businesses, respectively. 

For additional discussion of our reportable segments, see the discussion in Item 1 “Business - Segment Information” and 
Note  22,  “SEGMENT  INFORMATION”  to  our  audited  Consolidated  Financial  Statements  for  further  details  on  these 
reportable segments. 

We have focused our research and development (“R&D”) to advance development programs that we believe will drive 
growth, while creating efficiencies in our R&D efforts and expenses. These R&D projects include certain products we have 
dubbed  our  “Significant  Seven”,  which  are  products  recently  launched  or  expected  to  launch  in  the  near  future  pending 
completion of testing and receipt of approval from the U.S. Food and Drug Administration (the “FDA”). These Significant 
Seven  products  are:  (i)  Bryhali™  (Ortho  Dermatologics),  (ii)  Duobrii™  (provisional  name)  (Ortho  Dermatologics),  (iii) 
Lumify® (Bausch + Lomb), (iv) Relistor® (Salix), (v) SiHy Daily (Bausch + Lomb), (vi) Siliq™ (Ortho Dermatologics) and 
(vii) Vyzulta® (Bausch + Lomb). As outlined later in this discussion, although revenues associated with our Significant Seven 
products are currently not material, we believe the prospects for this group are substantial. 

Our Transformation 

In response to changing business dynamics within our Company, we recognized the need to change our focus in order to 
build a world-class health care organization. In 2016, we retained a new executive team which immediately implemented a 
multi-year  plan  to  stabilize,  turnaround  and  transform  the  Company.  As  we  continue  to  work  through  our  plan  to  build  a 
world-class  health  care  organization,  the  Company  has  made  changes  to  its  leadership,  product  focus,  infrastructure, 
geographic footprint and capital structure. We outline some of these changes below. 

42 

We also evaluated our corporate name and searched for a name that we believe more accurately represents the full scope 
of the Company today as we continue to build an innovative company, striving to improve the health of patients globally. 
Therefore,  effective  July  13,  2018,  the  Company  changed  its  corporate  name  from  Valeant  Pharmaceuticals  International, 
Inc. to Bausch Health Companies Inc. We believe our new name more accurately represents the Company today and reflects 
our visions to build a world-class health care organization. 

Stabilize 

In 2016, the new executive team: (i) identified and retained a new leadership team, (ii) enhanced the Company’s focus 
on core assets, which enabled the Company to recruit and retain stronger talent for its sales initiatives and (iii) realigned the 
Company’s  operations  to  improve  transparency  and  operational  efficiency  and  better  support  the  Company’s  sales  force. 
Once in place, the new leadership team began executing on the turnaround phase of the multi-year action plan and delivering 
on  commitments  to  narrow  the  Company’s  activities  to  our  core  businesses  where  we  believe  we  have  an  existing  and 
sustainable competitive edge and to identify opportunities to improve operational efficiencies and our capital structure. 

Turnaround 

Throughout  2017  and  2018,  the  Company  has  executed  and  continues  to  execute  on  its  commitments  to  stabilize  and 
turnaround our business. During this time, we believe we: (i) have better defined our core businesses, (ii) made measurable 
progress in improving our capital structure and (iii) have been aggressively addressing and resolving certain legacy matters to 
eliminate disruptions to our operations. 

Focus on Core Businesses 

As part of our turnaround, we narrowed our operating focus to our core businesses. We believe this strategy has reduced 
complexity in our operations and maximized the value of our eye-health, GI and dermatology businesses. In order to focus 
our efforts, we performed a review of our portfolio of assets within these core businesses to identify those products where we 
believe we have, and can maintain, a competitive advantage and we continue to define and shape our operations and business 
strategies around these assets. 

Once we committed to our core businesses, we began analyzing the strategic alternatives for business units and assets 
that fall outside our definition of “core”. In order to focus on our objectives, we began divesting businesses and assets, which, 
in  each  case,  were  not  aligned  with  our  core  business  objectives.  This  not  only  allowed  us  to  better  focus  our  internal 
resources on our eye-health, GI and dermatology businesses, but also provided us with significant sources of capital, which 
we used to reduce our debt and improve our capital structure. 

As  a  result  of  the  focus  on  our  core  businesses  and  the  divestitures  of  businesses  not  aligned  with  our  core  business 
objectives, and reduced sales of products in our Diversified Products segment due to the loss of exclusivity, a greater portion 
of our revenues are now driven by our core businesses. In 2018, 2017 and 2016, our Bausch + Lomb (eye-health), Salix (GI) 
and  Ortho  Dermatologics  (dermatology)  revenues  collectively  represented  approximately  71%,  67%  and  63%  of  our  total 
revenues, respectively. The increase in this percentage over this period demonstrates our convictions in these businesses. 

Begin Redirecting the Allocation of Capital to Drive Growth 

The ranking of our business units during 2016 changed our view as to how to allocate capital across our activities. In 
support of our core activities, our leadership team aggressively reallocated resources to: (i) promote our core businesses, (ii) 
make  strategic  investments  in  our  infrastructure  and  (iii)  direct  R&D  to  our  eye-health,  GI  and  dermatology  businesses  to 
drive growth organically. The outcome of this process allows us to better drive value in our product portfolio and generate 
operational efficiencies. 

Promotion of our Core Businesses - To position the Company to drive the value of our core assets, we made a number of 

leadership changes and took steps to increase our promotional and sales force efforts, particularly in our GI business. 

In  support  of  our  GI  business,  we  initiated  a  significant  sales  force  expansion  program  in  December  2016  to  reach 
potential primary care physician (“PCP”) prescribers of Xifaxan® for irritable bowel syndrome with diarrhea (“IBS-D”) and 
Relistor® tablets for opioid induced constipation (“OIC”). In the first quarter of 2017, we hired approximately 250 trained and 
experienced  sales  force  representatives  and  managers  to  create,  bolster  and  sustain  deep  relationships  with  PCPs.  With 
approximately 70% of IBS-D patients initially presenting symptoms to a PCP, we believe that the dedicated PCP sales force 
is  better  positioned  to  reach  more  patients  in  need  of  IBS-D  treatment.  In  addition,  we  have  expanded  our  dedicated  pain 
sales  representatives  to  strengthen  our  position  in  the  OIC  market.  The  investment  in  these  additional  sales  resources, 
including  an  increase  in  associated  promotional  costs,  was  in  excess  of  $50  million  during  2017;  these  investments  were 

43 

essential  and  strategic  as  they  have  allowed  us  to  capitalize  on  the  potential  of  our  Xifaxan®  and  Relistor®  franchises. 
Revenues  from  our  Xifaxan®  and  Relistor®  franchises  increased  approximately  22%  and  37%,  respectively,  in  2018  when 
compared to 2017. 

Continued Investment in Emerging Markets - In October 2018, we acquired the 40% minority interests of Medpharma 
Pharmaceutical and Chemical Industries LLC (“Medpharma”) for $18 million, thereby completing the planned acquisition of 
this  joint  venture.  Medpharma  formulates,  manufactures  and  distributes  certain  branded  generic  pharmaceuticals  and  non-
patented generic pharmaceuticals for the Company and third parties. In 2014, we entered into the Medpharma joint venture to 
provide the Company with a presence in the United Arab Emirates (“UAE”). The completion of this acquisition provides us 
with full control over the business activities of Medpharma and allows us to wholly benefit from the allocation of additional 
Company resources and the growth, if any, in the UAE and the surrounding region. 

Strategic Investments in our Infrastructure - In support of our core businesses, we have and continue to make strategic 
investments in our infrastructure, the most significant of which are at our Waterford facility in Ireland, our Rochester facility 
in New York, and our Greenville facility in South Carolina. 

To  meet  the  forecasted demand  for our  Biotrue®  ONEday  lenses,  in July  2017, we placed  into service  a $175  million 
multi-year strategic expansion project of the Waterford facility. The emphasis of the expansion project was to: (i) develop 
new technology to manufacture, automatically inspect and package contact lenses, (ii) bring that technology to full validation 
and (iii) increase the size of the Waterford facility. As a result of the increased production capacity and in support of our core 
eye-health  business,  we  added  approximately  300  production  employees  since  the  project’s  inception,  bringing  total 
headcount to approximately 1,350 employees, and succeeded in increasing production, which in 2017 was over 30% higher 
than it was in 2015 at the facility. We continue to invest in this facility, spending approximately $5 million during 2018 and 
budgeting an additional $16 million through June 2020. 

In order to address the expected global demand for our Bausch + Lomb ULTRA® contact lens, in December 2017, we 
completed a multi-year, $200 million strategic upgrade to our Rochester facility. The upgrade increased production capacity 
in support of our Bausch + Lomb Ultra® and SiHy Daily AQUALOXTM product lines and better supports the production of 
other well established contact lenses such as our PureVision®, PureVision®2 (SVS, Toric, and Multifocal), SofLens® 38 and 
SilSoft®. In connection with the increased production capacity, we added approximately 120 production employees since the 
project’s  inception,  bringing  total  headcount  to  approximately  1,000  employees,  and  continue  to  make  investments  to 
enhance  our  production  technologies  and  capacity  at  the  facility.  These  enhancements  to  our  production  technologies  and 
capacity led, in part, to the validation of SiHy Daily production at the Rochester facility and the successful launch of SiHy 
Daily AQUALOXTM lenses in Japan in September 2018. 

Additionally, in November 2018, we announced strategic expansion projects that will add multiple production lines to 
our Waterford  and  Rochester  facilities  in  order  to  support  our strategic  investments  in  eye-health  and  meet  the  anticipated 
global  demand  for  our  SiHy  Daily  contact  lenses,  one  of  our  Significant  Seven  products.  These  expansion  projects  are 
expected to be completed in 2022 and increase our combined headcount at these sites by more than 200 employees. 

To support the growth of our Biotrue® lens care product lines, in May 2018, we placed into service a new production line 
in our Bausch + Lomb Greenville, South Carolina manufacturing facility, where we produce a substantial portion of our lens 
care product lines. The new production line has been validated to produce contact lens solutions for our Biotrue®, Renu® and 
Sensitive  Eyes®  brands  and  replaces  one  of  the  facility’s  original  1983  production  lines  that  had  limitations  in  product 
configurations. Planned and in development for more than two years, the new production line cost $25 million, has a capacity 
ranging  between  40  million  and  50  million  bottles  annually  and  is  expected  to  generate  additional  sustainable  operational 
efficiencies through 2019. 

We believe the investments in our Waterford, Rochester and Greenville facilities and related expansion of labor forces 

further demonstrates the growth potential we see in our Bausch + Lomb products and our eye-health business. 

Direct  R&D  Investment  to  our  Bausch  +  Lomb,  GI  and  Dermatology  Businesses  to  Drive  Growth  -  Our  R&D 
organization focuses on the development of products through clinical trials. As of December 31, 2018, approximately 1,200 
dedicated R&D and quality assurance employees in 23 R&D facilities were involved in our R&D efforts. 

Our R&D expenses for 2018, 2017 and 2016, were $413 million, $361 million and $421 million, respectively, and was 
approximately 5% as a percentage of revenue for 2018 as opposed to approximately 4% for 2017 and 4% for 2016. As part of 
our turnaround, we removed projects related to divested businesses and rebalanced our portfolio to better align with our long-
term plans and focus on core businesses. Our investment in R&D reflects our commitment to drive organic growth through 

44 

internal  development  of  new  products,  a  pillar  of  our  new  strategy.  We  have  over  250  projects  in  our  global  pipeline  and 
anticipate submitting approximately 120 of those projects for regulatory approval in 2019 and 2020. 

Core assets that have received a significant portion of our R&D investment in current and prior periods are listed below. 

•  Dermatology -  Duobrii™ (provisional name), under development  as Internal Development  Project  (“IDP”)  118,  is  the 
first and only topical lotion that contains a unique combination of halobetasol propionate and tazarotene for the treatment 
of moderate-to-severe plaque psoriasis in adults. Halobetasol propionate and tazarotene are each approved to treat plaque 
psoriasis  when  used  separately,  but  are  limited  in  duration  of  use.  Halobetasol  propionate  may  be  used  for  up  to  two 
weeks and tazarotene may be limited due to irritation. Based on existing data from clinical studies, the combination of 
these  ingredients  in  Duobrii™  (provisional  name)  with  a  dual  mechanism  of  action,  potentially  allows  for  expanded 
duration of use, with reduced adverse events. On June 18, 2018, we announced that we received a Complete Response 
Letter (“CRL”) from the FDA to our New Drug Application (“NDA”) for Duobrii™ (provisional name). The CRL did 
not specify any deficiencies related to the clinical efficacy or safety of Duobrii™ (provisional name) and did not identify 
issues  with  our  Chemistry,  Manufacturing  and  Controls  processes.  The  CRL  only  noted  questions  regarding 
pharmacokinetic data. Working to resolve this matter expeditiously, we met with the FDA to understand the additional 
data  requirements.  We  resubmitted  our  NDA,  and  on  August  29,  2018,  we  announced  that  the  FDA  accepted  the 
application as a Class 2 resubmission, with a Prescription Drug User Fee Act (“PDUFA”) action date of February 15, 
2019. On February 15, 2019 we announced that the FDA is still finalizing its review and would be unable to meet the 
PDUFA action date. We expect a decision from the FDA in the near future. 

•  Dermatology - Bryhali™ is a novel product that contains a unique, lower concentration of halobetasol propionate for the 
treatment of moderate-to-severe psoriasis which is FDA approved for 8 weeks of use. The FDA has previously approved 
halobetasol  propionate  to  treat  plaque  psoriasis,  but  limited  in  duration  of  use.  We  launched  Bryhali™  in  November 
2018. 

•  Dermatology  -  We  are  planning  to  expand  the  indication  for  Bryhali™  (halobetasol  propionate  lotion  0.01%)  from 
plaque psoriasis to corticosteroid responsive dermatoses (IDP-133). A Phase 3 study is planned to start in the second half 
of 2019. 

•  Dermatology - IDP-131 is a new chemical entity, KP-470, for the topical treatment of psoriasis. On February 27, 2018, 
we announced that we entered into an exclusive license agreement with Kaken Pharmaceutical Co., Ltd. to develop and 
commercialize the compound. Early proof of concept studies are planned for the first half of 2019. If approved by the 
FDA, KP-470 could represent a novel drug with an alternative mechanism of action in the topical treatment of psoriasis. 

•  Bausch  +  Lomb  -  Bausch  +  Lomb  ULTRA®  for  Astigmatism  is  a  monthly  planned  replacement  contact  lens  for 
astigmatic  patients.  The  Bausch  +  Lomb  ULTRA®  for  Astigmatism  lens  was  developed  using  the  proprietary 
MoistureSeal®  technology.  In  addition,  the  Bausch  +  Lomb  ULTRA®  for  Astigmatism  lens  integrates  an  OpticAlign® 
design engineered for lens stability and to promote a successful wearing experience for the astigmatic patient. In 2017, 
we  launched  this  product  and  the  extended  power  range  for  this  product.  In  2018,  we  launched  the  Bausch  +  Lomb 
ULTRA® for Astigmatism -2.75 cylinder expanded SKU range. 

•  Dermatology  -  On  July  27,  2017,  we  launched  Siliq™  in  the  U.S.  Siliq™  is  an  IL-17  receptor  blocker  monoclonal 
antibody biologic for treatment of moderate-to-severe plaque psoriasis, which we estimate to be an over $5,000 million 
market in the U.S. The FDA approved the Biologics License Application for Siliq™ injection for subcutaneous use for 
the  treatment  of  moderate-to-severe  plaque  psoriasis  in  adult  patients  who  are  candidates  for  systemic  therapy  or 
phototherapy  and  have  failed  to  respond  or  have  lost  response  to  other  systemic  therapies.  Siliq™  has  a  Black  Box 
Warning for the risks in patients with a history of suicidal thoughts or behavior and was approved with a Risk Evaluation 
and Mitigation Strategy involving a one-time enrollment for physicians and one-time informed consent for patients. 

•  Bausch  +  Lomb  -  Vyzulta®  (latanoprostene  bunod  ophthalmic  solution,  0.024%)  is  an  intraocular  pressure  lowering 
single-agent eye drop dosed once daily for patients with open angle glaucoma or ocular hypertension and was launched 
in December 2017. 

•  Bausch  +  Lomb  -  SiHy  Daily  AQUALOXTM  is  a  silicone  hydrogel  daily  disposable  contact  lens  designed  to  provide 
clear  vision  throughout  the  day.  Product  validation  was  completed  in  June  2018  and  SiHy  Daily  AQUALOXTM  was 
launched in Japan in September 2018. 

•  Dermatology -  IDP-126  is  an  acne product with  a fixed  combination  of benzoyl peroxide,  clindamycin phosphate  and 

adapalene, currently in Phase 2 testing. 

45 

•  Bausch  +  Lomb  -  Lumify®  (brimonidine  tartrate  ophthalmic  solution,  0.025%)  is  an  OTC  eye  drop  developed  as  an 

ocular redness reliever. Lumify® was approved by the FDA in December 2017 and launched in May 2018. 

•  Gastrointestinal  -  We  have  initiated  a  Phase  2  study  for  the  treatment  of  overt  hepatic  encephalopathy  with  a  new 
formulation of rifaximin, which we acquired as part of our acquisition of Salix Pharmaceuticals, Ltd. in April 2015 (the 
“Salix Acquisition”). We are also planning to use this same formulation of rifaximin in a Phase 2 study for the treatment 
of small intestinal bacterial overgrowth or SIBO. That study is scheduled to start in the second half of 2019. 

•  Gastrointestinal  -  We  plan  to  initiate  a  Phase  3  study  for  the  treatment  of  postoperative  Crohns  disease  using  a  novel 

rifaximin extended release formulation. The study is scheduled to start in the first half of 2019. 

•  Gastrointestinal  -  We  plan  to  initiate  a  Phase  2  study  evaluating  Xifaxan®  550mg  tablets  for  the  prevention  of 

complications of decompensation cirrhosis. The study is scheduled to start in the first half of 2019. 

•  Dermatology  -  On  August  23,  2018,  the  FDA  approved  Altreno™  (tretinoin  0.05%)  lotion,  indicated  for  the  topical 
treatment  of  acne vulgaris  in  patients  9  years of  age  and older. Altreno™  is  the first tretinoin  formulation  in a  lotion, 
approved for patients 9 years of age and older. We launched Altreno™ in the U.S. in October 2018. 

•  Dermatology  -  IDP-120  is  an  acne  product  with  a  fixed  combination  of  mutually  incompatible  ingredients;  benzoyl 

peroxide and tretinoin. Phase 3 clinical studies are ongoing. 

•  Dermatology - IDP-123 is an acne product containing lower concentration of tazarotene in a lotion form to help reduce 
irritation while maintaining efficacy. We have completed Phase 3 testing and plan to file an NDA with the FDA in the 
first half of 2019. 

•  Dermatology  -  IDP-124  is  a  topical  lotion  product  designed  to  treat  moderate  to  severe  atopic  dermatitis,  with 

pimecrolimus, currently in Phase 3 testing. 

•  Dermatology - IDP-135 is a topical retinoid product in development. We are seeking guidance from the FDA to develop 

this product for OTC use for the treatment of acne. The guidance meeting is targeted for the first half of 2019. 

•  Gastrointestinal  -  On  September 11, 2018, we  announced  the  launch of Plenvu®  in  the  U.S. We  license  Plenvu® from 
Norgine B.V. Plenvu® is a novel, lower-volume polyethylene glycol-based bowel preparation developed to help provide 
complete bowel cleansing, with an additional focus on the ascending colon. 

•  Bausch + Lomb - In April 2017, we launched our Stellaris Elite™ Vision Enhancement System. The Stellaris Elite™ 
Vision Enhancement System is our next generation phacoemulsification cataract platform, which offers new innovations, 
as  well  as  the  opportunity  to  add  upgrades  and  enhancements  every  one  to  two  years.  Stellaris  Elite™  is  the  first 
phacoemulsification  platform  on  the  market  to  offer  Adaptive  Fluidics™,  which  combines  aspiration  control  with 
predictive  infusion  management  to  create  a  responsive  and  controlled  surgical  environment  for  efficient  cataract  lens 
removal. 

•  Bausch + Lomb - Vitesse® is a hypersonic vitrectomy system for the removal of the vitreous humor gel that fills the eye 
cavity to provide better access to the retina and allows for a variety of repairs, including the removal of scar tissue, laser 
repair  of  retinal  detachments  and  treatment  of  macular  holes.  Available  exclusively  on  the  Stellaris  EliteTM  system, 
Vitesse® liquefies tissue in a highly-localized zone at the edge of the port to increase the level of surgical control and 
precision to vitrectomies. We launched this product on a limited basis in October 2017. 

•  Dermatology  -  Next  Generation  Thermage  FLX®  is  a  fourth-generation  non-invasive  treatment  option  using  a 
radiofrequency  platform  designed  to  optimize  key  functional  characteristics  and  improve  patient  outcomes.  On 
September 22, 2017, we received 510(k) clearance from the FDA and launched this product in the United States. During 
2018,  Next  Generation  Thermage  FLX®  was  launched  in  Hong  Kong,  Japan,  Korea,  China,  Thailand,  Vietnam,  and 
Australia as part of our Solta medical aesthetic devices portfolio. 

•  Bausch + Lomb - On May 1, 2018, we received Premarket Approval from the FDA for, and subsequently launched, 7-

day extended wear for our Bausch + Lomb ULTRA® monthly planned replacement contact lenses. 

•  Bausch  +  Lomb  -  Bausch  +  Lomb  ULTRA®  for  Presbyopia  is  a  monthly  planned  replacement  contact  lens  for 
presbyopic  patients.  The  Bausch  +  Lomb  ULTRA®  for  Presbyopia  lens  was  developed  using  the  proprietary 
MoistureSeal® technology. In addition, the Bausch + Lomb ULTRA® for Presbyopia lens integrates a 3 zone progressive 
design for near, intermediate and distance vision. We launched expanded parameters of this product throughout 2017. 

46 

•  Bausch  +  Lomb  -  Biotrue®  ONEday  for  Astigmatism  is  a  daily  disposable  contact  lens  for  astigmatic  patients.  The 
Biotrue®  ONEday  lenses  incorporate  Surface  Active  TechnologyTM  to  provide  a  dehydration  barrier.  The  Biotrue® 
ONEday for Astigmatism also includes evolved peri-ballast geometry to deliver stability and comfort for the astigmatic 
patient. We launched this product in December 2016 and launched an extended power range in 2017. During 2018, we 
launched a further extended power range for this product. 

•  Bausch  +  Lomb  -  We  are  developing  a  new  Ophthalmic  Viscosurgical  Device  product,  with  a  formulation  to  protect 
corneal endothelium during phacoemulsification process during a cataract surgery and to help chamber maintenance and 
lubrication during interocular lens delivery. In April 2018, we initiated an investigative device exemption (“IDE”) study 
for this product and completed enrollment in December 2018. 

•  Dermatology - Traser™ is an energy-based platform device with significant versatility and power capabilities to address 
various dermatological conditions, including vascular and pigmented lesions. We are planning to launch this product in 
the second half of 2022 as part of our Solta business. 

•  Bausch + Lomb - Loteprednol Gel 0.38% is a new formulation for the treatment of post-operative ocular inflammation 
and  pain.  The  FDA  has  accepted  for  review  our  NDA  for  Loteprednol  Gel  0.38%  and  set  a  PDUFA  action  date  of 
February  25,  2019.  If  approved,  the  product  would  be  the  lowest  concentrated  loteprednol  ophthalmic  corticosteroid 
indicated for the treatment of post-operative inflammation and pain following ocular surgery in the U.S. 

•  Bausch  +  Lomb  -  enVista®  Trifocal  intraocular  lens  is  an  innovative  lens  design,  for  which  we  have  initiated  an  IDE 

study for this product in May 2018. 

•  Bausch + Lomb - enVista® Toric intraocular lens received FDA approval in June 2018 and was launched in July 2018. 

•  Bausch  +  Lomb  -  We  are  developing  a  preloaded  intraocular  lens  injector  platform  for  enVista  interocular  lens.  The 

Premarket Approval application was submitted to the FDA in July 2018. 

•  Bausch + Lomb - An ULTRA® Multifocal for Astigmatism lens combining the benefits of our ULTRA® for Presbyopia 
design with our ULTRA® for Astigmatism OpticAlign™ design engineered for lens stability for presbyopic/astigmatic 
patients. We received FDA approval for this product in November 2018. 

•  Bausch  +  Lomb  -  Renu®  Advanced  Multi-Purpose  Solution  (“MPS”)  contains  a  triple  disinfectant  system  that  kills 
99.9% of germs, and has a dual surfactant system that provides up to 20 hours of moisture. Renu Advanced MPS is FDA 
cleared  with  indications  for  use  to  condition,  clean,  remove  protein,  disinfectant,  rinse  and  store  soft  contact  lenses 
including those composed of silicone hydrogels. Renu Advanced MPS has gained global regulatory approvals in Korea, 
India, Mexico, Indonesia, Malaysia and Singapore. 

•  Bausch  +  Lomb  -  Custom  soft  contact  lens  (Ultra  buttons)  is  a  latheable  silicone  hydrogel  button  for  custom  soft 
specialty lenses including; Sphere, Toric, Multifocal, Toric Multifocal and irregular corneas. FDA approval is expected 
in May 2020. 

•  Bausch  +  Lomb  -  Zen™  Multifocal  Scleral  Lens  for  presbyopia  exclusively  available  with  Zenlens™  and  Zen™  RC 
scleral lenses and will allow eye care professionals to fit presbyopic patients with irregular and regular corneas and those 
with ocular surface disease, such as dry eye. The Zen™ multifocal Scleral Lens incorporates decentered optics, enabling 
the near power to be positioned over the visual axis. This product was launched during the first quarter of 2019. 

•  Bausch + Lomb - Tangible® Hydra-PEG® is a high-water polymer coating that is bonded to the surface of a contact lens 
and designed to address contact lens discomfort and dry eye. Tangible® Hydra-PEG® coating technology in combination 
with our Boston® materials and Zenlens™ family of scleral lenses will help eye care professionals provide a better lens 
wearing  experience  for  their  patients  with  challenging  vision  needs.  We  plan  to  launch  this  product  during  the  first 
quarter of 2019. 

Improve Capital Structure 

We have made measurable progress in improving our capital structure by: (i) reducing our debt through repayments and 
(ii) extending the maturities of debt through refinancing. Using the net cash proceeds from divestitures of non-core assets, 
cash generated from operations and cash generated from tighter working capital  management, we repaid (net of additional 
borrowings) over $6,800 million of long-term debt since the beginning of 2016, in the aggregate. 

47 

Divestitures  -  During  2017,  we  divested  businesses  and  assets  not  aligned  with  our  core  business  objectives,  which 
simplified our operating model and generated over $3,200 million of net cash proceeds that we used to improve our capital 
structure,  the  most  significant  of  which  were  the  divestitures  of  the  Company’s  interests  in  the  CeraVe®,  AcneFree™  and 
AMBI®  skincare  brands  (the  “Skincare  Sale”)  (March  3,  2017),  the  iNova  Pharmaceuticals  business  (the  “iNova  Sale”) 
(September  29,  2017),  the  Company’s  equity  interest  in  Dendreon  Pharmaceuticals  LLC  (the  “Dendreon  Sale”)  (June  28, 
2017) and the Obagi Medical Products, Inc. business (the “Obagi Sale”) (November 9, 2017). 

Debt Repayments - During 2017 and 2016, we repaid (net of additional borrowings) over $5,800 million of long-term 
debt  using  the  net  cash  proceeds  from  divestitures  of  non-core  assets,  cash  generated  from  operations  and  cash  generated 
from tighter working capital management. During 2018, we repaid: (i) $206 million of our Series F Tranche B Term Loan 
Facility, (ii) $200 million of our 5.625% Senior Unsecured Notes due 2021 (the “December 2021 Unsecured Notes”), (iii) 
$171 million of our June 2025 Term Loan B Facility (as defined below), (iv) $125 million of our 7.50% Senior Unsecured 
Notes  due  2021  (the  “July  2021  Unsecured  Notes”),  (v)  $104  million  of  our  6.375%  October  2020  Unsecured  Notes  (the 
“6.375%  October  2020  Unsecured  Notes”),  (vi)  the  remaining  $71  million  of  outstanding  principal  amount  of  our  7.00% 
Senior Unsecured Notes Due 2020, (vii) $19 million of our November 2025 Term Loan B Facility (as defined below) and 
(viii)  $175  million  (net  of  additional  borrowings)  of  amounts  outstanding  under  our  revolving  credit  facilities.  These 
repayments during 2018 were funded with cash on hand and reduced our outstanding debt obligations by more than $1,000 
million. 

2017  Transactions  -  In  March,  October,  November  and  December  of  2017,  we  accessed  the  credit  markets  and 
completed  a  series  of  transactions,  whereby  we  extended  over  $9,500  million  in  aggregate  maturities  of  certain  debt 
obligations due to mature in April 2018 through April 2022, out to March 2022 through December 2025. As part of these 
transactions we also extended commitments under our revolving credit facility, originally set to expire in April 2018, out to 
April  2020.  The  impacts  of  these  transactions  were  discussed  in  prior  filings  and  are  fully  disclosed  in  Note  11, 
“FINANCING ARRANGEMENTS” to our audited Consolidated Financial Statements. 

2018 Refinancing Transactions - In March, June and November 2018, we accessed the credit markets and completed a 
series of transactions, whereby we extended approximately $8,300 million in aggregate maturities of certain debt obligations 
due to mature in March 2020 through July 2022, out to June 2025 through January 2027. As part of these transactions we 
obtained  less  stringent  loan  financial  maintenance  covenants  under  our  Senior  Secured  Credit  Facilities  and  extended  the 
availability  of  our  revolving  credit  facility  by  more  than  three  years  by  replacing  our  previously  existing  revolving  credit 
facility due in April 2020 with a revolving credit facility of $1,225 million due in June 2023 (the “2023 Revolving Credit 
Facility”). These transactions in 2018 were as follows: 

On  March  26,  2018,  Bausch  Health  Americas,  Inc.  (“BHA”)  (formerly  Valeant  Pharmaceuticals  International)  issued 
$1,500  million  aggregate  principal  amount  of  9.25%  Senior  Unsecured  Notes  due  April  2026  (the  “April  2026  Unsecured 
Notes”) in a private placement, the net proceeds of which, along with cash on hand, were used to repurchase $1,500 million 
in  aggregate  principal  amount  of  unsecured  notes  which  consisted  of:  (i)  $1,017  million  of  our  5.375%  Senior  Unsecured 
Notes due March 2020 (the “March 2020 Unsecured Notes”), (ii) $411 million of our 6.375% October 2020 Unsecured Notes 
and (iii) $72 million of our 6.75% Senior Unsecured Notes due 2021 (the “August 2021 Unsecured Notes”) (collectively, the 
“March 2018 Refinancing Transactions”). All fees and expenses associated with these transactions were paid with cash on 
hand. 

On  June  1,  2018,  the  Company  entered  into  a  Restatement  Agreement  in  respect  of  a  Fourth  Amended  and  Restated 
Credit and Guaranty Agreement (the “Restated Credit Agreement”). The Restated Credit Agreement amended and restated in 
full  the  Third  Amended  Credit  Agreement  (as  defined  below).  The  Restated  Credit  Agreement:  (i)  replaced  our  revolving 
credit facility of $1,250 million due in April 2020 with the 2023 Revolving Credit Facility of $1,225 million and (ii) replaced 
the Series F Tranche B Term Loan Facility principal amount outstanding of $3,315 million with the seven year Tranche B 
Term Loan Facility of $4,565 million (the “June 2025 Term Loan B Facility”) borrowed by BHA. 

In June 2018, using the net proceeds from the June 2025 Term Loan B Facility, the net proceeds from the issuance of 
$750  million  in  aggregate  principal  amount  of  8.50%  Senior  Unsecured  Notes  due  January  2027  (the  “January  2027 
Unsecured  Notes”)  by  BHA  and  cash  on  hand,  the  Company  prepaid  the  remaining  outstanding  principal  amounts  of:  (i) 
$691 million of the March 2020 Unsecured Notes, (ii) $578 million of the August 2021 Unsecured Notes, (iii) $550 million 
of the 7.25% Senior Unsecured Notes due July 2022 (the “July 2022 Unsecured Notes”) and (iv) $146 million of the 6.375% 
October  2020  Unsecured  Notes  (collectively,  the  6.375%  October  2020  Unsecured  Notes,  March  2020  Unsecured  Notes, 
August 2021 Unsecured Notes and July 2022 Unsecured Notes, being the “June 2018 Unsecured Refinanced Debt”). 

On November 27, 2018, the Company entered into the First Incremental Amendment to the Restated Credit Agreement 
which provided an additional seven year Tranche B Term Loan Facility of $1,500 million (the “November 2025 Term Loan 

48 

B Facility”). The net proceeds and cash on hand were used to repurchase $1,483 million in aggregate principal amount of the 
July  2021  Unsecured  Notes  in  a  tender  offer.  On  December  27,  2018,  the  Company  redeemed  the  remaining  outstanding 
principal amount of $17 million of the July 2021 Unsecured Notes using cash on hand. 

As a result of prepayments and a series of refinancing transactions during 2018, we have extended the maturities of a 
substantial portion of our long-term debt, providing us with additional liquidity and greater flexibility to execute our business 
plans. The table below summarizes our debt portfolio as of December 31, 2018 and 2017. 

Maturity 

Principal 
Amount 

2018 

2017 

Net of 
Discounts 
and Issuance 
Costs 

Principal 
Amount 

Net of 
Discounts 
and Issuance 
Costs 

June 2023 

$ 

75 

$ 

75 

$ 

250  

$ 

250 

(in millions) 
Senior Secured Credit Facilities: 

Revolving Credit Facilities ............. 
Series F Tranche B Term Loan 

Facility ........................................ 
June 2025 Term Loan B Facility .... 
November 2025 Term Loan B 

  April 2022 
June 2025 

Facility ........................................ 

  November 2025  

Senior Secured Notes: 

6.50% Secured Notes ..................... 
7.00% Secured Notes ..................... 
5.50% Secured Notes ..................... 

  March 2022 
  March 2024 
  November 2025  

Senior Unsecured Notes: 

5.375% ........................................... 
7.00% ............................................. 
6.375% ........................................... 
7.50% ............................................. 
6.75% ............................................. 
5.625% ........................................... 
7.25% ............................................. 
9.25% ............................................. 
8.50% ............................................. 
All other Senior Unsecured  

Notes ...........................................

Other .................................................. 
Total long-term debt and other .......... 

  March 2020 
  October 2020   
  October 2020   
July 2021 
  August 2021   
  December 2021  
July 2022 
  April 2026 

January 2027   
March 2023 
through 
December 2025  
Various 

— 
4,394 

1,481 

1,250 
2,000 
1,750 

— 
— 
— 
— 
— 
700 
— 
1,500 
750 

— 
4,269 

1,456 

1,239 
1,979 
1,730 

— 
— 
— 
— 
— 
697 
— 
1,482 
738 

3,521  
—  

—  

1,250  
2,000  
1,750  

1,708  
71  
661  
1,625  
650  
900  
550  
—  
—  

3,420 
— 

— 

1,235 
1,975 
1,729 

1,699 
71 
656 
1,615 
648 
896 
545 
— 
— 

10,720 
12 
$  24,632 

$ 

10,628 
12 
24,305 

10,801  
15  
$  25,752  

$ 

10,690 
15 
25,444 

The  weighted  average  stated  interest  rate  of  the  Company’s  outstanding  debt  as  of  December  31,  2018  and  2017  was 

6.23% and 6.07%, respectively. 

The aforementioned repayments and refinancings have also had an impact on our cash requirements for principal debt 
repayment over the next five years. The scheduled principal repayments of our debt obligations as of December 31, 2018 as 
compared with December 31, 2017 were as follows: 

(in millions) 
2018 ............................................................................................................................... 
2019 ............................................................................................................................... 
2020 ............................................................................................................................... 
2021 ............................................................................................................................... 
2022 ............................................................................................................................... 
2023 ............................................................................................................................... 
Thereafter ....................................................................................................................... 

December 31, 
2018 

December 31, 
2017 

$ 

$ 

— 
228 
303 
1,003 
1,553 
6,348 
15,197 
24,632 

$ 

$ 

209 
— 
2,690 
3,175 
5,115 
6,051 
8,512 
25,752 

49 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See Note 11, “FINANCING ARRANGEMENTS” to our audited Consolidated Financial Statements for further details 
and “Management’s Discussion and Analysis - Liquidity and Capital Resources: Long-term Debt” for additional discussion 
of these matters. Cash requirements for future debt repayments including interest can be found in “Management’s Discussion 
and Analysis - Off-Balance Sheet Arrangements and Contractual Obligations.” 

Address Legacy Legal Matters 

The Company was burdened with addressing certain ongoing legal matters, some of which were inherited as part of the 
acquisitions we completed in 2015 and prior. In order to better focus on our core activities and simplify our operations, we 
have  been  vigorously  addressing  many  of  these  matters,  and,  during  2018,  we  achieved  dismissals  and  other  positive 
outcomes  in  approximately  70  litigations,  disputes  and  investigations,  as  we  continue  to  actively  address  others.  This 
included: (i) a win in the Cosmo (Uceris®) arbitration, (ii) a partial win in the Relistor® (injectable) ANDA case on validity in 
the  Company’s  favor  protecting  the  product  to  at  least  April  2024,  (iii)  a  settlement  resolving  the  Solodyn®  antitrust 
litigations,  (iv)  a  settlement  with  the  California  Department  of  Insurance  to  resolve  the  matter  relating  to  our  terminated 
relationship  with  Philidor,  (v)  a  settlement  on  the  Mimetogen  litigation,  (vi)  a  settlement  in  the  Allergan  litigation,  (vii)  a 
settlement in the Xifaxan® patent litigation, (viii) a settlement with the SEC relating to the Salix investigation of 2014 with 
no monetary penalty against the Company or Salix Ltd. and (ix) a settlement in the Arbitration with Alfasigma S.p.A. 

The  significant  matters  are  discussed  in  detail  in  Note  20,  “LEGAL  PROCEEDINGS”  to  our  audited  Consolidated 

Financial Statements and include: 

Uceris® Arbitration - Beginning in December 2016, we were involved in an arbitration respecting our Uceris® extended 
release  tablets,  which  had  been  commenced  by  Cosmo  Technologies  Ltd.  and  Cosmo  Technologies  III  Ltd.  (collectively, 
“Cosmo”),  the  licensor  of  certain  intellectual  property  rights  in,  and  supplier  of,  that  Uceris®  product.  In  the  arbitration, 
Cosmo alleged breach of contract with respect to certain terms of the license agreement and sought a declaration that both the 
license  agreement  and  a  supply  agreement  had  been  terminated.  On  April  12,  2018,  the  Arbitral  Tribunal  issued  a  ruling 
rejecting Cosmo’s claims; accordingly, both the license agreement and supply agreement remain in effect. Additionally, the 
Arbitral Tribunal ordered Cosmo to pay the entirety of the Company’s legal costs of approximately $3 million, which Cosmo 
has  paid.  The  parties  subsequently  informed  the  Tribunal  and  the  International  Chamber  of  Commerce  (“ICC”)  that  the 
remaining issues in the arbitration have been resolved, and, accordingly, the case has been dismissed. 

Solodyn®  Antitrust  Class  Actions  -  Beginning  in  July  2013,  we  were  named  as  co-defendants  in  a  number  of  civil 
antitrust class action suits alleging that the defendants engaged in an anticompetitive scheme to exclude competition from the 
market for minocycline hydrochloride extended release tablets, a prescription drug for the treatment of acne marketed by our 
subsidiary,  Medicis  Pharmaceutical  Corporation,  under  the  brand  name  Solodyn®.  The  plaintiffs  sought  declaratory  and 
injunctive relief and, where applicable, treble, multiple, punitive and/or other damages, including attorneys’ fees. In February 
2018, we agreed to resolve the class action litigation with the End-Payor and Direct Purchaser classes for an amount of $58 
million and have resolved related litigation with opt-out retailers for additional consideration. On July 18, 2018, the Court 
granted approval of these settlements with the End-Payor and Direct Purchaser classes. All amounts in settlement of these 
matters were paid during the first quarter of 2018. 

Investigation by the California Department of Insurance - On or about September 16, 2016, the Company received an 
investigative subpoena from the California Department of Insurance. The materials requested include documents concerning 
the Company’s former relationship with Philidor and certain California-based pharmacies, the marketing and distribution of 
its  products  in  California,  the  billing of  insurers  for  its  products being  used by  California  residents, and other  matters. On 
May  1,  2018,  the  Company  and  the  California  Department  of  Insurance  signed  an  agreement  to  resolve  this  investigation, 
with the Company making a payment to the California Department of Insurance in the amount of approximately $2 million, 
with no admission of facts or liability by the Company. 

Allergan Litigation - On December 28, 2017, all parties agreed to settle the Allergan shareholder class actions for a total 
of $290 million. The complaints had asserted violations of Section 14(e) of the Exchange Act and rules promulgated by the 
SEC  thereunder  and  Section  20A  of  the  Exchange  Act  by  the  Company  and  the  other  defendants,  as  well  as  violations  of 
Section  20(a)  of  the  Exchange  Act  by  certain  defendants,  and  had  sought,  among  other  relief,  money  damages,  equitable 
relief, and attorneys’ fees and costs. The settlement was approved by the Court in a hearing held June 12, 2018. Under the 
terms of the settlement, the Company is responsible for paying $96 million, or 33% of the settlement amount. We made this 
payment in January 2018. We are pursuing recovery of the settlement amount and the costs of defense under our insurance 
policies, although recovery is not assured. 

50 

Xifaxan®  Patent  Litigation  -  The  Company  initiated  litigation  alleging  infringement  by  Actavis  Laboratories  FL,  Inc. 
(“Actavis”) which filed an ANDA for a generic version of the Company’s Xifaxan® (rifaximin) 550 mg tablets. In February 
2016,  the  Company  received  a  Notice  of  Paragraph  IV  Certification  Actavis,  in  which  Actavis  asserted  that  certain  U.S. 
patents,  owned  or  licensed  by  certain  subsidiaries  of  the  Company  for  Xifaxan®  550  mg  tablets,  were  either  invalid, 
unenforceable  and/or  would  not  be  infringed  by  the  commercial  manufacture,  use  or  sale  of  Actavis’  generic  version  of 
Xifaxan®  (rifaximin)  550  mg  tablets,  for  which  it  filed  an  ANDA.  On  March  23,  2016,  the  Company  initiated  litigation 
against Actavis which alleged infringement by Actavis of one or more claims of each of the Xifaxan® patents. 

On  September  12,  2018,  we  announced  that  we  had  agreed  to  resolve  all  outstanding  intellectual  property  litigation 
regarding Actavis’ ANDA. The parties have agreed to dismiss all litigation related to Xifaxan®, and all intellectual property 
protecting Xifaxan® will remain intact and enforceable. We will not make any financial payments or other transfers of value 
as part of the agreement and Actavis acknowledges the validity of the Xifaxan® patents. In addition, under the terms of the 
agreement, beginning January 1, 2028, Actavis will have the option to: (1) market a royalty-free generic version of Xifaxan® 
tablets,  550  mg,  should  it  receive  approval  from  the  FDA  on  its  ANDA,  or  (2)  market  an  authorized  generic  version  of 
Xifaxan®  tablets,  550  mg,  in  which  case  we  will  receive  a  share  of  the  economics  from  Actavis  on  its  sales  of  such  an 
authorized generic. Actavis will be able to commence such marketing earlier if another generic rifaximin product is granted 
approval and such other generic rifaximin product begins to be sold or distributed before January 1, 2028. 

Salix  SEC  Investigation  -  In  the  fourth  quarter  of  2014,  the  SEC  commenced  a  formal  investigation  into  alleged 
securities law violations by Salix Ltd. The investigation related to certain disclosures made prior to the Salix Acquisition by 
Salix  Ltd.  and  its  then-chief  financial  officer  relating  to  the  amounts  of  Salix  Ltd.  drugs  held  in  inventory  by  certain 
wholesaler customers. On September 28, 2018, we reached a settlement of the relevant charges with the SEC, which remains 
subject to approval by the U.S. District Court for the Southern District of New York. Salix Ltd. did not admit or deny the 
SEC’s allegations. No monetary penalty against the Company or Salix Ltd. was assessed by the terms of the settlement. As a 
result,  we  recorded  a  favorable  adjustment  of  $40  million  reflecting  the  reversal  of  the  contingent  liability  assumed  in 
connection with the Salix Acquisition. 

Arbitration with Alfasigma S.p.A. (“Alfasigma”) - In July 2016, Alfasigma commenced arbitration against the Company 
and its subsidiary, Salix Inc., pursuant to which Alfasigma made certain allegations respecting a development project for a 
formulation  of  the  rifaximin  compound  that  was  being  conducted  under  the  terms  of  the  Amended  and  Restated  License 
Agreement between Alfasigma and Salix Inc. On October 25, 2018, Alfasigma, the Company and Salix Inc. entered into a 
settlement  agreement,  pursuant  to  which  the  parties  released  each  other  from  all  of  the  claims  raised  in  the  arbitration.  In 
connection with the settlement, the parties requested a dismissal of the arbitration on a with prejudice basis, which the ICC 
has granted. 

Address Regulatory Matters 

In the normal course of business, our products, devices and facilities are the subject of ongoing oversight and review, by 
regulatory and governmental agencies, including general, for cause and pre-approval inspections by the FDA. In 2016, FDA 
inspections of our Rochester, New York and Tampa, Florida facilities resulted in observations that we needed to address as 
we  disclosed  in  previous  filings.  As  we  disclosed  in  previous  filings,  in  2017,  we  resolved  these  matters  with  the  FDA. 
Following the resolution of these matters and the completion of U.S. FDA inspections of our other facilities going back to 
February 2017, all of our facilities were in good compliance standing with the FDA. 

In August 2018, the FDA conducted its annual inspection of the Tampa Florida facility. The FDA inspection resulted in 
an  Official  Action  Indicated  (“OAI”)  of  the  Goods  Manufacturing  Practices  (“GMP”)  of  our  Tampa  Florida  facility.  The 
findings of this inspection does not impact our ability to manufacture and deliver products to the U.S. and approved foreign 
markets. Following the inspection, we provided the FDA with a comprehensive response which was accepted by the FDA. 
On December 17, 2018 we met with the FDA at which time the FDA pledged to work with us to expedite the reversal of the 
OAI status to Voluntary Action Indicated (“VAI”) status or better. The FDA completed the verification of actions promised 
in our responses during a re-inspection of the Tampa Florida facility during the period January 22, 2019 through January 30, 
2019.  The  inspection  was  closed  successfully  without  any  observation.  We  expect  the  FDA  to  revert  the  OAI  compliance 
status of the Tampa Florida facility to VAI or better imminently. 

As of the date of this filing, with the exception of the Tampa Florida facility, all of our facilities are rated as either No 
Action Indicated (or NAI, where there was no Form 483 observation) or VAI (where there was a Form 483 with one or more 
observations). In the case of the VAI inspection outcome, the FDA has accepted our responses to the issues cited in the Form 
483, which will be verified when the agency makes its next inspection of those specific facilities. (A Form 483 is issued at 
the  end  of  each  inspection  when  FDA  investigators  have  observed  any  condition  that  in  their  judgment  may  constitute 
violations of CGMP.) 

51 

Patient Access and Pricing Committee and New Pricing Actions 

Improving  patient  access  to  our  products,  as  well  as  making  them  more  affordable,  is  an  important  element  of  our 
turnaround.  In  May  2016,  we  formed  the  Patient  Access  and  Pricing  Committee  responsible  for  setting,  changing  and 
monitoring  the  pricing  of  our  branded  products  to  ensure  launch  prices  and  price  changes  are  assessed  and  implemented 
across  channels  with  a  focus  on  patient  accessibility  and  affordability  while  maintaining  profitability.  Since  that  time,  the 
Patient  Access  and  Pricing  Committee  has  been  committed  to  limiting  the  average  annual  price  increase  for  our  branded 
prescription  pharmaceutical  products  to no greater  than  single  digits  and  reaffirmed  this  commitment  for  2019. We  expect 
that  the  Patient  Access  and  Pricing  Committee  will  continue  to  implement  or  recommend  additional  price  changes  and/or 
new  programs  in  line  with  this  commitment  to  enhance  patient  access  to  our  drugs.  These  pricing  changes  and  programs 
could affect the average realized pricing for our products and may have a significant impact on our revenue trends. 

Walgreens Fulfillment Arrangements 

In the beginning of 2016, we launched a brand fulfillment arrangement with Walgreen Co. (“Walgreens”) and extended 
these  programs  to  additional  participating  independent  retail  pharmacies.  Under  the  terms  of  the  brand  fulfillment 
arrangement,  we  made  available  certain  of  our  products  to  eligible  patients  through  a  patient  access  and  co-pay  program 
available at Walgreens U.S. retail pharmacy locations, as well as participating independent retail pharmacies. The program 
under this 20-year agreement initially covers certain of our dermatology products, including Jublia®, Luzu®, Solodyn®, Retin-
A Micro® Gel 0.08% and 0.06%, Onexton® and Acanya® Gel, certain of our ophthalmology products, including Vyzulta®, 
Besivance®, Lotemax®, Alrex®, Prolensa®, Bepreve® and Zylet®. The Company continues to explore options to modify the 
Walgreens arrangement to improve the distribution and sales of our products. 

Transform 

With  our  business  objectives  now  set  and  our  leadership  team  in  place,  we  have  begun  to  move  toward  our 

transformation. 

Increase the Focus of our Pipeline 

We are constantly challenged by the dynamics of our industry to innovate and bring new products to market. Now that 
we have divested certain businesses where we saw limited growth opportunities, we can be more aggressive in redirecting 
our R&D spend and other corporate investments narrowly focused to innovate within our core businesses where we believe 
we can be most profitable and where we aim to be an industry leader. 

We believe that we have a well-established product portfolio that is diversified within our core businesses and provides a 
sustainable revenue stream to fund our operations. However, the success of our transformation is also dependent upon our 
ability to continually refresh our pipeline, to provide a rotation of product launches that meet new and changing demands and 
replace other products that have lost momentum. We believe we have a robust pipeline that not only provides for the next 
generation of our existing products, but is also poised to bring new products to market. 

During 2018, we launched and/or relaunched innovative products, across multiple countries that contributed to organic 
growth in most of our core businesses and we currently have over 250 R&D projects in our global pipeline. These products 
and R&D projects include the products we have dubbed our “Significant Seven”, which were products recently launched or 
which  we  expect  to  launch  pending  completion  of  testing  and  receipt  of  approval  from  the  FDA. These  Significant  Seven 
products  are:  (i)  Bryhali™  (Ortho  Dermatologics),  (ii)  Duobrii™  (provisional  name)  (Ortho  Dermatologics),  (iii)  Lumify® 
(Bausch  +  Lomb),  (iv)  Relistor®  (Salix),  (v)  SiHy  Daily  (Bausch  +  Lomb),  (vi)  Siliq™  (Ortho  Dermatologics)  and  (vii) 
Vyzulta® (Bausch + Lomb). Descriptions of these products and relevant launch dates and/or stages of testing were previously 
discussed.  Revenues for  our Significant Seven were greater  than $150 million  and  approximately  $75  million  in 2018  and 
2017,  respectively;  however,  we  believe  the  prospects  for  this  group  of  products  to  be  substantial  and  anticipate  devoting 
significant marketing efforts toward their promotion. We believe that the strength of these launches and the impact of these 
products on their respective markets will demonstrate the effectiveness of our pipeline and R&D strategies and inspire further 
innovation in our businesses. 

Leveraging our Salix Brands 

As previously discussed, in December 2016, we initiated a significant GI sales force expansion program in support of our 
Xifaxan®  for  IBS-D  and  Relistor®  tablets  for  OIC  products.  This  initiative  provided  us  with  positive  results,  as  we 
experienced consistent growth in demand for these products throughout the balance of 2017 and 2018. Revenues from our 
Xifaxan®  and  Relistor®  franchises  increased  approximately  22%  and  37%,  respectively,  in  2018  when  compared  to  2017. 

52 

These results encouraged us to seek out ways to bring out further value through leveraging our existing sales force and in the 
second half of 2018, we identified certain opportunities. 

Because  we  strongly  believe  in  our  Xifaxan®  and  Relistor®  business  models,  we  have  taken  initiatives  to  further 
capitalize on the value of the infrastructure we have built around these products. For instance, in order to continue to generate 
growth, we continue to directly invest in next generation formulations of Xifaxan® and rifaximin, the principal semi-synthetic 
antibiotic  used  in our Xifaxan®  product. In  addition  to one  R&D program  in  process, we have  three other  R&D programs 
planned to start in 2019 for next generation formulations of Xifaxan® and rifaximin which address new indications. 

In  addition  to  driving  organic  growth  through  internal  R&D  development  opportunities,  we  strive  to  access  other 
products  outside  our  existing  Salix  business  that  allow  us  to  leverage  our  existing  GI  sales  force,  supply  channel  and 
distribution channel to bring about growth through co-promotion and acquisition. For instance, in the second half of 2018, we 
entered into agreements with Dova Pharmaceuticals, Inc. to co-promote Doptelet®, a new treatment of thrombocytopenia in 
adult patients with chronic liver disease, and with US WorldMeds, LLC to co-promote Lucemyra™, a non-opioid medication 
for  the  mitigation  of  withdrawal  symptoms  to  facilitate  abrupt  discontinuation  of  opioids.  We  are  also  pursuing  the 
acquisition  of  Synergy  Pharmaceuticals  Inc.  (“Synergy”)  as  the  “stalking  horse”  bidder  in  a  bankruptcy  court  supervised 
auction and sale process expected to be completed in March 2019. If successful, we will acquire certain assets of Synergy, 
including its worldwide rights to the Trulance® (plecanatide) product, a once-daily tablet for adults with chronic idiopathic 
constipation  and  irritable  bowel  syndrome  with  constipation.  We  believe  that  these  co-promotion  and  acquisition 
opportunities  will  be  accretive  to  our  business  by  providing  us  access  to  products  that  are  a  natural  pairing  to  either  our 
Xifaxan® or Relistor® businesses, allowing us to effectively leverage our existing infrastructure and generate growth. 

Refocus the Ortho Dermatologics Business 

In support of our Ortho Dermatologics business and the opportunities we see for growth in this business, we continue to 
allocate  resources  and  make  additional  investments  in  this  business  to  recruit  and  retain  talent  and  focus  on  our  core 
dermatology portfolio of products. 

During 2017, we began the turnaround of our dermatology business by taking a number of actions which we believe will 
help our efforts to stabilize our dermatology business, which included: (i) rebranding our dermatology business, (ii) recruiting 
a new experienced leadership team, (iii) making significant investment in the dermatology pipeline, (iv) adjusting the size of 
the  dermatology  sales  force  and  (v)  reorganizing  that  sales  force  around  roughly  150  territories,  as  we  work  to  rebuild 
relationships with prescribers of our products. 

Recruit and Retain Talent - In 2017, we identified and retained a proven leadership team of experienced dermatology 
sales professionals and marketers. In January 2018, the leadership team, encouraged by the success of our 2016 GI sales force 
expansion program, increased our Ortho Dermatologics sales force by more than 25% in support of our growth initiatives for 
our  Ortho  Dermatologics  business.  We  believe  the  additional  sales  force  is  vital  to  meet  the  demand  we  expect  from  our 
recently launched products and those we expect to launch in the near term, pending FDA approval. We continue to monitor 
our pipeline for other near term launches that we believe will create opportunity needs in our other core businesses requiring 
us to make additional investment in our sales force to retain people for additional leadership and sales force roles. 

Investment in Core Dermatology Portfolio - We have made significant investments to build out our psoriasis and acne 
product portfolios, which are the markets within dermatology where we see the greatest opportunities, with a focus on topical 
gel  and  lotion  products  over  injectable  biologics.  We  continue  to  support  and  develop  injectable  biologics;  however,  we 
believe  some  patients  prefer  topical  products  as  an  alternative  delivery  method  to  injectable  biologics.  Further,  as  topical 
products  can,  in  many  cases,  defer  the  use  of  injectable  biologics  and  need  not  be  administered  by  a  certified  biologic 
physician, a topical product is usually more cost-effective and better supported by managed care payors over its alternative 
injectable biologic product. Therefore, we believe topical products represent significant innovation for physicians, payors and 
patients, and as the preferred choice of treatment, have the potential to drive greater volumes, generate better margins and 
will ultimately be a key contributing factor of our Ortho Dermatologics business. 

Psoriasis - As the number of reported cases of psoriasis in the U.S. has increased, we believe there is a need to make 
further  investments  in  this  market  in  order  to  maximize  our  opportunity  and  supplement  our  current  psoriasis  product 
portfolio. We have filed NDAs for several new topical psoriasis products, including Bryhali™ (launched November 2018) 
and DuobriiTM (provisional name), which we expect to launch in the near term pending FDA approval. On June 18, 2018, we 
announced that we received a CRL from the FDA to our NDA for DuobriiTM (provisional name). The CRL did not specify 
any deficiencies related to the clinical efficacy or safety of DuobriiTM (provisional name) and did not identify issues with our 
Chemistry, Manufacturing and Controls processes. The CRL only noted questions regarding pharmacokinetic data. Working 
to resolve this matter expeditiously, we met with the FDA to understand the additional data requirements. We resubmitted 
our NDA, and on August 29, 2018, we announced that the FDA accepted the application as a Class 2 resubmission, with a 

53 

PDUFA action date of February 15, 2019. On February 15, 2019 we announced that the FDA is still finalizing its review and 
would  be  unable  to  meet  the  PDUFA  action  date.  We  expect  a  decision  from  the  FDA  in  the  near  future.  We  expect  that 
Bryhali™ and DuobriiTM (provisional name), if approved by the FDA, will line up well with our existing topical portfolio of 
psoriasis  treatments  and,  supplemented  by  our  injectable  biologic  products  such  as  SiliqTM  launched  in  July  2017,  will 
provide a diverse choice of psoriasis treatments to doctors and patients. In addition, on February 27, 2018, we announced that 
we entered into an exclusive license agreement with Kaken Pharmaceutical Co., Ltd. to develop and commercialize products 
containing  a  new  chemical  entity,  KP-470,  for  the  topical  treatment  of  psoriasis.  Early  proof  of  concept  studies  are  now 
planned  for  the  first  half  of  2019.  If  approved  by  the  FDA,  KP-470  could  represent  a  novel  drug  with  an  alternative 
mechanism of action in the topical treatment of psoriasis. 

Acne - In support of our established acne product portfolio, we have been developing several products, which includes 
Retin-A Micro® 0.06% (launched in January 2018) and other products in various stages of development, such as AltrenoTM, 
the  first  lotion  (rather  than  a  gel  or  cream)  product  containing  tretinoin  for  the  treatment  of  acne.  The  FDA  has  approved 
AltrenoTM in August 2018 and AltrenoTM was launched in the United States in October 2018. In addition to Retin-A Micro® 
0.06%  and  AltrenoTM,  we  have  three  other  unique  acne  projects  in  earlier  stages  of  development  that,  if  approved  by  the 
FDA, we believe will further innovate and advance the treatment of acne. 

Bolstered  by  the  new  product  opportunities  we  are  creating  in  our  psoriasis  and  acne  product  lines,  our  experienced 
dermatology sales leadership team and our increased sales force, we believe we have set the groundwork for the potential to 
achieve growth in our Ortho Dermatologics business over the next five years. 

Continue to Manage Our Capital Structure 

As  previously  outlined,  we  completed  a  series  of  transactions  that  reduced  our  debt  levels  and  improved  our  capital 
structure. As a result of prepayments and a series of refinancing transactions during 2017 and 2018, we have extended the 
maturities  of  a  substantial  portion  of  our  long-term  debt  beyond  2023,  providing  us  with  additional  liquidity  and  greater 
flexibility  to  execute  our  business  plans.  Our  reduced  debt  levels  and  improved  debt  portfolio  will  translate  to  lower 
repayments of principal over the next five years, which, in turn, will permit more cash flows to be directed toward developing 
our core assets and repay additional debt amounts. In addition, as a result of the changes in our debt portfolio, approximately 
76% of our debt is fixed rate debt as of December 31, 2018, as compared to approximately 65% as of January 1, 2017. 

We continue to monitor our capital structure and to evaluate other opportunities to simplify our business and improve our 
capital  structure  giving  us  the  ability  to  better  focus  on  our  core  businesses.  While  we  anticipate  focusing  any  future 
divestiture  activities  on  non-core  assets,  consistent  with  our  duties  to  our  shareholders  and  other  stakeholders,  we  will 
consider  dispositions  in  core  areas  that  we  believe  represent  attractive  opportunities  for  the  Company.  Also,  the  Company 
regularly evaluates market conditions, its liquidity profile and various financing alternatives for opportunities to enhance its 
capital structure. If the Company determines that conditions are favorable, the Company may refinance or repurchase existing 
debt or issue additional debt, equity or equity-linked securities. 

Managing Generic Competition and Loss of Exclusivity 

Certain of our products face the expiration of their patent or regulatory exclusivity in 2019 or in later years, following 
which we anticipate generic competition of these products. In addition, in certain cases, as a result of negotiated settlements 
of  some  of  our  patent  infringement  proceedings  against  generic  competitors,  we  have  granted  licenses  to  such  generic 
companies, which will permit them to enter the market with their generic products prior to the expiration of our applicable 
patent or regulatory exclusivity. Finally, for certain of our products that lost patent or regulatory exclusivity in prior years, we 
anticipate  that  generic  competitors  may  launch  in  2019  or  in  later  years.  Following  a  loss  of  exclusivity  of  and/or  generic 
competition  for  a  product,  we  would  anticipate  that  product  sales  for  such  product  would  decrease  significantly  shortly 
following  the  loss  of  exclusivity  or  entry  of  a  generic  competitor.  Where  we  have  the  rights,  we  may  elect  to  launch  an 
authorized generic of such product (either ourselves or through a third party) prior to, upon or following generic entry, which 
may  mitigate the anticipated decrease in product sales; however, even with launch of an authorized generic, the decline in 
product  sales  of  such  product  would  still  be  expected  to  be  significant,  and  the  effect  on  our  future  revenues  could  be 
material. 

A number of our products already face generic competition. Prior to and during 2018, in the U.S., these products include, 
among  others,  Ammonul®,  Benzaclin®,  Bupap®,  Edecrin®,  Elidel®,  Glumetza®,  Istalol®,  Isuprel®,  Locoid®  Lotion, 
Mephyton®,  Nitropress®,  Syprine®,  Virazole®,  Uceris®  Tablet,  Wellbutrin  XL®,  Xenazine®  and  Zegerid®.  In  Canada,  these 
products include, among others, Glumetza®, Sublinox® and Wellbutrin® XL. 

54 

Based  on  current  patent  expiration  dates,  settlement  agreements  and/or  competitive  information,  we  believe  our  key 
products  facing  potential  loss  of  exclusivity  and/or  generic  competition  in  the  U.S.  during  the  years  2019  through  2023 
include,  but  are  not  limited  to,  Apriso®,  Clindagel®,  Cuprimine®,  Lotemax®  Gel,  Lotemax®  Suspension,  Migranal®, 
Noritate®, Onexton®, PreserVision®, Prolensa®, Targretin® Gel, Xerese®, Zovirax® cream and certain other products subject 
to settlement agreements. Aggregate revenues from key products that we believe will face potential loss of exclusivity and/or 
generic  competition  in  the  U.S.  during:  (i)  2019  represented  8%  and  8%;  (ii)  2020  represented  2%  and  2%;  (iii)  2021 
represented  4%  and  4%;  (iv)  2022  represented  less  than  1%  and  1%;  and  (v)  2023  represented  2%  and  2%  of  our  U.S., 
Mexico and Puerto Rico revenues for 2018 and 2017, respectively. These dates may change based on, among other things, 
successful challenge to our patents, settlement of existing or future patent litigation and at-risk generic launches. 

In addition, for a number of our products (including Apriso®, Uceris®, Relistor® and Jublia® in the U.S. and Glumetza® in 
Canada), we have commenced (or anticipate commencing) infringement proceedings against potential generic competitors in 
the  U.S.  and  Canada.  If  we  are  not  successful  in  these  proceedings,  we  may  face  increased  generic  competition  for  these 
products. 

Xifaxan®  Patent  Litigation  -  As  previously  discussed,  on  March  23,  2016,  the  Company  initiated  litigation  against 
Actavis  which  alleged  infringement  by  Actavis  of  one  or  more  claims  of  each  of  the  Xifaxan®  patents.  On  September  12, 
2018,  we  announced  that  we  reached  an  agreement  with  Actavis  which  resolved  the  existing  litigation  and  eliminated  the 
pending challenges to our intellectual property protecting Xifaxan® (rifaximin) 550 mg tablets. As part of the agreement, the 
parties have agreed to dismiss all litigation related to Xifaxan® (rifaximin), Actavis acknowledges the validity of the licensed 
patents for Xifaxan® (rifaximin) 550 mg tablets and all intellectual property protecting Xifaxan® (rifaximin) 550 mg tablets 
will  remain  intact  and  enforceable  until  expiry  in  2029.  The  agreement  also  grants  Actavis  a  non-exclusive  license  to  the 
intellectual property relating to Xifaxan® (rifaximin) 550 mg tablets in the United States beginning January 1, 2028 (or earlier 
under certain circumstances). The Company will not make any financial payments or other transfers of value as part of the 
agreement. In addition, under the terms of the agreement, beginning January 1, 2028 (or earlier under certain circumstances), 
Actavis  will  have  the  option  to:  (1)  market  a  royalty-free  generic  version  of  Xifaxan®  tablets,  550  mg,  should  it  receive 
approval from the FDA on its ANDA, or (2) market an authorized generic version of Xifaxan® tablets, 550 mg, in which case, 
we will receive a share of the economics from Actavis on its sales of such an authorized generic. 

Generic  Competition  to  Uceris®  -  In  July  2018,  a  generic  competitor  launched  a  product  which  will  directly  compete 
with our Uceris® Tablet product. The ultimate impact of this generic competitor on our future revenues cannot be predicted; 
however, Uceris® Tablet revenues for the six months ended June 30, 2018 were approximately $70 million and for the full 
years 2018, 2017 and 2016 were approximately $84 million, $134 million and $156 million, respectively. As disclosed in our 
prior  filings,  the  Company  initiated  various  infringement  proceedings  against  this  and  other  generic  competitors.  The 
Company  continues  to  believe  that  its  Uceris®  Tablet-related  patents  are  enforceable  and  is  proceeding  in  the  ongoing 
litigation between the Company and the generic competitor; however, the ultimate outcome of the matter is not predictable. 

Generic  Competition  to  Jublia®  -  On  June 6, 2018,  the U.S.  Patent  and Trial  Appeal Board  completed  its  inter  partes 
review  for  an  Orange  Book-listed  patent  covering  Jublia®  and  issued  a  written  determination  invalidating  such  patent. 
Although the Company is not aware of any imminent launches of a generic competitor to Jublia®, the ultimate impact of this 
decision on our future revenues cannot be predicted. Jublia® revenues for the nine months ended September 30, 2018 were 
approximately $62 million and for the full years 2018, 2017 and 2016 were approximately $89 million, $96 million and $140 
million,  respectively.  The  Company  continues  to  believe  that  the  Jublia®-related  patent  is  valid  and  enforceable  and,  on 
August 7, 2018, an appeal of this decision was filed. The ultimate outcome of this matter is not predictable. Jublia® continues 
to  be  covered  by  seven  remaining  Orange  Book-listed  patents  owned  by  the  Company,  which  expire  in  the  years  2028 
through 2034. In August and September 2018, we received notices of the filing of a number of ANDAs with paragraph IV 
certification, and have timely filed patent infringement suits against these ANDA filers. 

See Note 20, “LEGAL PROCEEDINGS” to our audited Consolidated Financial Statements for further details regarding 

certain infringement proceedings. 

The risks of generic competition are a fact of the health care industry and are not specific to our operations or product 
portfolio.  These  risks  are  not  avoidable,  but  we  believe  they  are  manageable.  To  manage  these  risks,  our  leadership  team 
continually  evaluates  the  impact  that  generic  competition  may  have  on  future  profitability  and  operations.  In  addition  to 
aggressively  defending  the  Company’s  patents  and  other  intellectual  property,  our  leadership  team  makes  operational  and 
investment  decisions  regarding  these  products  and  businesses  at  risk,  not  the  least  of  which  are  decisions  regarding  our 
pipeline. Our leadership team actively manages the Company’s pipeline in order to identify what we believe are the proper 
projects  to  pursue.  Innovative  and  realizable  projects  aligned  with  our  core  businesses  that  are  expected  to  provide 
incremental  and  sustainable  revenues  and  growth  into  the  future.  We  believe  that  our  current  pipeline  is  strong  enough  to 

55 

meet these objectives and provide future sources of revenues, in our core businesses, sufficient enough to sustain our growth 
and corporate health as other products in our established portfolio face generic competition and lose momentum. 

We  believe  that  we  have  a  well-established  product  portfolio  that  is  diversified  within  our  core  businesses.  We  also 
believe that we have a robust pipeline that not only provides for the next generation of our existing products, but also brings 
new  solutions  into  the  market.  Revenues  for  our  Significant  Seven  were  greater  than  $150  million  and  approximately  $75 
million in 2018 and 2017, respectively, as several of these products have only recently been launched and others are yet to be 
launched. However, we believe the potential revenues for our Significant Seven to be substantial. 

See Item 1A “Risk Factors” of this Form 10-K for additional information on our competition risks. 

Business Trends 

In  addition  to  the  acquisition  and  divestiture  actions  previously  outlined,  the  following  events  have  affected  and  are 

expected to affect our business trends: 

U.S. Health Care Reform 

The  U.S.  federal  and  state  governments  continue  to  propose  and  pass  legislation  designed  to  regulate  the  health  care 
industry.  In  March  2010,  the  Patient  Protection  and  Affordable  Care  Act  (the  “ACA”)  was  enacted  in  the  U.S.  The  ACA 
contains  several  provisions  that  impact  our  business,  including:  (i)  an  increase  in  the  minimum  Medicaid  rebate  to  states 
participating  in  the  Medicaid  program,  (ii)  the  extension  of  the  Medicaid  rebates  to  Managed  Care  Organizations  that 
dispense  drugs  to  Medicaid  beneficiaries,  (iii)  the  expansion  of  the  340(B)  Public  Health  Services  drug  pricing  program, 
which provides outpatient drugs at reduced rates, to include additional hospitals, clinics and health care centers and (iv) a fee 
payable to the federal government based on our prior-calendar-year share relative to other companies of branded prescription 
drug sales to specified government programs. 

In addition, in 2013: (i) federal subsidies began to be phased in for brand-name prescription drugs filled in the Medicare 
Part D cover gap and (ii) the law requires the medical device industry to subsidize health care reform in the form of a 2.3% 
excise tax on U.S. sales of most medical devices. However, the Consolidated Appropriations Act, 2016 (Pub. L. 114-113), 
signed into law on December 18, 2015, included a two-year moratorium on the medical device excise tax. On January 22, 
2018,  with  the  passage  of  continuing  appropriations  through  February  8,  2018  (HR  195),  the  moratorium  on  the  medical 
device  excise  tax  was  further  extended  until  January  1,  2020.  The  ACA  also  included  provisions  designed  to  increase  the 
number of Americans covered by health insurance. In 2014, the ACA’s private health insurance exchanges began to operate. 
The  ACA  also  allows  states  to  expand  Medicaid  coverage  with  most  of  the  expansion’s  cost  paid  for  by  the  federal 
government. 

For  2018,  2017  and  2016,  we  incurred  costs  of  $36  million,  $48  million  and  $36  million,  respectively,  related  to  the 
annual fee assessed on prescription drug manufacturers and importers that sell branded prescription drugs to specified U.S. 
government programs (e.g., Medicare and Medicaid). For 2018, 2017 and 2016, we also incurred costs of $90 million, $106 
million and $128 million, respectively, on Medicare Part D utilization incurred by beneficiaries whose prescription drug costs 
cause them to be subject to the Medicare Part D coverage gap (i.e., the “donut hole”). 

On July 28, 2014, the U.S. Internal Revenue Service issued final regulations related to the branded pharmaceutical drug 
annual  fee  pursuant  to  the  ACA.  Under  the  final  regulations,  an  entity’s  obligation  to  pay  the  annual  fee  is  triggered  by 
qualifying  sales  in  the  current  year,  rather  than  the  liability  being  triggered  upon  the  first  qualifying  sale  of  the  following 
year. We adopted this guidance in the third quarter of 2014, and it did not have a material impact on our financial position or 
results of operations. 

The financial impact of the ACA will be affected by certain additional developments over the next few years, including 
pending implementation guidance and certain health care reform proposals. Additionally, policy efforts designed specifically 
to  reduce  patient  out-of-pocket  costs  for  medicines  could  result  in  new  mandatory  rebates  and  discounts  or  other  pricing 
restrictions. Also, it is possible, as discussed further below, that under the current administration, legislation will be passed by 
Congress repealing the ACA in whole or in part. Adoption of legislation at the federal or state level could materially affect 
demand for, or pricing of, our products. 

In  2018,  we  faced  uncertainties  due  to  federal  legislative  and  administrative  efforts  to  repeal,  substantially  modify  or 
invalidate some or all of the provisions of the ACA. However, we believe there is low likelihood of repeal of the ACA, given 
the recent failure of the Senate’s multiple attempts to repeal various combinations of ACA provisions. There is no assurance 
that any replacement or administrative modifications of the ACA will not adversely affect our business and financial results, 

56 

particularly if the replacing legislation reduces incentives for employer-sponsored insurance coverage, and we cannot predict 
how future federal or state legislative or administrative changes relating to the reform will affect our business. 

Other legislative efforts relating to drug pricing have been proposed and considered at the U.S. federal and state level. 
We  also  anticipate  that  Congress,  state  legislatures  and  third-party  payors  may  continue  to  review  and  assess  alternative 
health  care  delivery  and  payment  systems  and  may  in  the  future  propose  and  adopt  legislation  or  policy  changes  or 
implementations affecting additional fundamental changes in the health care delivery system. 

U.S. Tax Reform 

On  December  22,  2017,  the  Tax  Cuts  and  Jobs  Act  of  2017  (the  “Tax  Act”)  was  signed  into  law  which  includes  a 
number of changes to existing U.S. tax laws, most notably a reduction in the U.S. corporate federal statutory tax rate from 
35%  to  21%  for  tax  years  beginning  after  December  31,  2017.  The  Tax  Act  also  implemented  a  modified  territorial  tax 
system  that  includes  a  one-time  transition  tax  on  the  accumulated  previously  untaxed  earnings  of  foreign  subsidiaries  (the 
“Transition Toll Tax”) equal to 15.5% (reinvested in liquid assets) or 8% (reinvested in non-liquid assets). At the taxpayer’s 
election, the Transition Toll Tax can be paid over an eight-year period without interest, beginning in 2018. The Company has 
elected to use a portion of its U.S. NOLs to offset the transition toll tax. 

The Tax Act also included two new U.S. tax base erosion provisions: (i) the base-erosion and anti-abuse tax (“BEAT”) 
and (ii) the global intangible low-taxed income (“GILTI”). BEAT provides a minimum tax on U.S. tax deductible payments 
made to related foreign parties after December 31, 2017. GILTI requires a U.S. entity to include in its U.S. taxable income 
the earnings of certain foreign subsidiaries in excess of an allowable return on each foreign subsidiary’s depreciable tangible 
assets.  Accounting  guidance  provides  that  the  impacts  of  this  provision  can  be  included  in  the  consolidated  financial 
statements either by recording the impacts in the period in which GILTI has been incurred or by adjusting deferred tax assets 
or liabilities in the period of enactment related to basis differences expected to reverse as a result of the GILTI provisions in 
future years. The Company has elected to provide for the GILTI tax in the period in which it is incurred and, therefore, the 
2017 benefit for income taxes did not include a provision for GILTI. Further, as the BEAT tax is a period cost and was not in 
effect until after December 31, 2017, there was no provision required in 2017. 

As  part  of  the  Tax  Act,  the  Company’s  U.S.  interest  expense  is  subject  to  limitation  rules  which  limit  U.S.  interest 
expense  to  30%  of  adjusted  taxable  income,  defined  similar  to  EBITDA  through  2021  and  EBIT  thereafter.  Disallowed 
interest  can  be  carried  forward  indefinitely  and  any  unused  interest  deduction  assessed  for  recoverability.  The  Company 
considered  such  provisions  in  the  2018  annual  estimated  effective  rate  assessment  and  expects  to  fully  utilize  any  interest 
carry forwards in future periods. 

In December 2017, the SEC issued guidance in situations where the accounting for certain elements of the Tax Act could 
not be completed prior to the release of an entity’s financial statements. At the time of releasing our financial statements for 
the year ended December 31, 2017, the Tax Act was only recently passed and full guidance associated with its impacts was 
not  yet  provided  from  the  relevant  state  and  federal  jurisdictions.  As  such,  and  as  provided  by  the  guidance  issued  by  the 
SEC, we used all available information at that time to form appropriate accounting estimates for certain elements of the Tax 
Act, but we did not make any estimates for other elements of the Tax Act as to which further guidance was necessary in order 
for us to estimate the impact of those elements. 

During  the  fourth  quarter  of  2018,  the  Company  completed  its  full  assessment  and  finalized  its  Benefit  from  income 
taxes  for  the  year  2017,  including  the  Transition  Toll  Tax,  in  accordance  with  guidance  issued  by  accounting  regulatory 
bodies,  the  U.S.  Internal  Revenue  Service  and  state  and  local  governments.  As  part  of  its  full  assessment,  the  Company 
assessed  the  impact  of  the Tax  Act  on  its  tax  filings  for  the  year  2017  which were  completed  during  the fourth quarter  of 
2018. Differences between the provisional net income tax benefit provided in 2017 attributable to the Tax Act and the net 
income tax benefit as finalized were included in our Benefit from income taxes for the year ended December 31, 2018 and 
were  not  material  to  our  Net  loss  for  the  year  ended  December  31,  2018  and  any  of  its  interim  periods.  At  this  time 
management is unable to estimate the impact, if any, of any future regulations. 

We  have  provided  for  income  taxes,  including  the  impacts  of  the  Tax  Act,  in  accordance  with  guidance  issued  by 
accounting  regulatory  bodies,  the  U.S.  Internal  Revenue  Service  and  state  and  local  governments  through  the  date  of  this 
filing. Additional  guidance  and  interpretations  can be  expected  and  such  guidance,  if any,  could  impact  our future  results. 
While  management  continues  to  monitor  these  matters,  the  ultimate  impact,  if  any,  as  a  result  of  the  application  of  any 
guidance issued in the future cannot be determined at this time. 

See  Note  2,  “SIGNIFICANT  ACCOUNTING  POLICIES”  and  Note  17,  “INCOME  TAXES”  to  our  audited 

Consolidated Financial Statements, as well as the sub-heading “Income Taxes” below, for further details. 

57 

SELECTED FINANCIAL INFORMATION 

Organic Revenues and Organic Growth Rates 

Organic  growth,  a  non-GAAP  metric,  is  defined  as  a  change  on  a  period-over-period  basis  in  revenues  on  a  constant 
currency basis (if applicable) excluding the impact of recent acquisitions, divestitures and discontinuations. Organic revenue 
growth is growth in GAAP Revenue (its most directly comparable GAAP financial measure), adjusted for certain items, of 
businesses that have been owned for one or more years. The Company uses organic revenue and organic revenue growth to 
assess performance of its reportable segments, and the Company in total, without the impact of foreign currency exchange 
fluctuations and recent acquisitions, divestitures and product discontinuations. The Company believes that such measures are 
useful to investors as they provide a supplemental period-to-period comparison. 

Organic  revenue  growth  reflects  adjustments  for:  (i)  the  impact  of  period-over-period  changes  in  foreign  currency 
exchange rates on revenues and (ii) the revenues associated with acquisitions, divestitures and discontinuations of businesses 
divested and/or discontinued. These adjustments are determined as follows: 

Foreign currency exchange rates: Although changes in foreign currency exchange rates are part of our business, they are 
not within management’s control. Changes in foreign currency exchange rates, however, can mask positive or negative trends 
in  the  underlying  business  performance.  The  impact  for  changes  in  foreign  currency  exchange  rates  is  determined  as  the 
difference  in  the  current  period  reported  revenues  at  their  current  period  currency  exchange  rates  and  the  current  period 
reported revenues revalued using the monthly average currency exchange rates during the comparable prior period. 

Acquisitions, divestitures and discontinuations: In order to present period-over-period organic revenues (non-GAAP) on 
a  comparable  basis,  revenues  associated  with  acquisitions,  divestitures  and  discontinuations  are  adjusted  to  include  only 
revenues  from  those  businesses  and  assets  owned  during  both  periods.  Accordingly,  organic  revenue  (non-GAAP)  growth 
excludes  from  the  current  period,  all  revenues  attributable  to  each  acquisition  for  twelve  months  subsequent  to  the  day  of 
acquisition,  as  there  are  no  revenues  from  those  businesses  and  assets  included  in  the  comparable  prior  period.  Organic 
revenue  (non-GAAP)  growth  excludes  from  the  prior  period  (but  not  the  current  period),  all  revenues  attributable  to  each 
divestiture  and  discontinuance  during  the  twelve  months  prior  to  the  day  of  divestiture  or  discontinuance,  as  there  are  no 
revenues from those businesses and assets included in the comparable current period. 

Please refer to the tables of organic revenues (non-GAAP) and organic revenue growth rates presented in the subsequent 
section titled “Reportable Segment Revenues and Profits” for a reconciliation of GAAP revenues to organic revenues (non-
GAAP). 

The following table provides selected financial information for each of the last three years:  

(in millions, except per share data) 
Revenues .............................................................. 
Operating (loss) income ....................................... 
Loss before benefit from income taxes ................ 
Net (loss) income ................................................. 
Net (loss) income attributable to Bausch  

Health Companies Inc. ..................................... 

(Loss) earnings per share attributable to  

Bausch Health Companies Inc. 
Basic ................................................................. 
Diluted .............................................................. 

$ 
$ 
$ 
$ 

$ 

$ 
$ 

Financial Performance 

Summary of 2018 Compared with 2017 

Years Ended December 31, 

Change 

2018 

2017 

2016 

2017 to 
2018 

2016 to 
2017 

8,380 
$ 
(2,384)  $ 
(4,154)  $ 
(4,144)  $ 

$ 
8,724 
$ 
102 
(1,741)  $ 
$ 
2,404 

9,674 
$ 
(566)  $ 
(2,435)  $ 
(2,408)  $ 

(344)  $ 
(2,486)  $ 
(2,413)  $ 
(6,548)  $ 

(950) 
668 
694 
4,812 

(4,148)  $ 

2,404 

$ 

(2,409)  $ 

(6,552)  $ 

4,813 

(11.81)  $ 
(11.81)  $ 

6.86 
6.83 

$ 
$ 

(6.94)  $ 
(6.94)  $ 

(18.67)  $ 
(18.64)  $ 

13.80 
13.77 

Our revenue for 2018 and 2017 was $8,380 million and $8,724 million, respectively, a decrease of $344 million, or 4%. 
The  decrease  was  primarily  driven  by:  (i)  the  impact  of  2017  divestitures  and  discontinuations  and  (ii)  lower  volumes 
primarily as a result of the loss of exclusivity for a number of products in our Diversified Products and Ortho Dermatologics 
segments  which  were  partially  offset  by  higher  volumes  in  our  Bausch  +  Lomb/International  segment.  These  decreases  in 
Revenue were partially offset by: (i) higher gross selling prices, (ii) lower sales deductions and (iii) the favorable effect of 
foreign currencies, primarily in Europe and Asia. 

58 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating loss for 2018 was $2,384 million, as compared to operating income for 2017 of $102 million, a decrease of 

$2,486 million. Our operating loss for 2018 compared to our operating income for 2017 reflects, among other factors: 

• 

• 

• 

• 

• 

• 

• 

• 

• 

a decrease in contribution (product sales revenue less cost of goods sold, exclusive of amortization and impairments 
of  intangible  assets)  of  $127  million.  The  decrease  was  primarily  driven  by  the  impact  of  2017  divestitures  and 
discontinuations, partially offset by: (i) higher gross selling prices, (ii) lower sales deductions, (iii) lower third-party 
royalty costs and (iv) the favorable effect of foreign currencies; 

a  decrease  in  Selling,  general,  and  administrative  expenses  (“SG&A”)  of  $109  million,  primarily  attributable  to: 
(i) the  impact  of  2017  divestitures  and  discontinuations,  (ii)  a  decrease  in  legal  expenses  as  we  resolved  certain 
legacy  legal  issues  and  (iii)  a  decrease  in  bad  debt  expense.  The  decrease  was  partially  offset  by:  (i)  higher 
advertising and promotion expenses, (ii) higher compensation costs and (iii) the unfavorable impact of the effect of 
foreign currencies; 

an increase in R&D of $52 million; 

a decrease in Amortization of intangible assets of $46 million, primarily attributable to: (i) the impact of the change 
in  the  estimated  useful  life  of  the  Xifaxan®-related  intangible  assets  made  in  September  2018  to  reflect 
management’s  changes  in  assumptions,  (ii)  lower  amortization  as  a  result  of  impairments  to  intangible  assets  and 
divestitures and (iii) discontinuances of product lines during 2017 as the Company focuses on its core assets. These 
decreases were partially offset by the impact of changes in estimates made in 2017 to reduce the remaining useful 
lives of certain products and the Salix brand name to reflect management’s changes in assumptions; 

an  increase  in Goodwill  impairments  of  $2,010  million.  In  2018,  we recognized Goodwill  impairments  of  $2,322 
million in connection with: (i) impairment to the goodwill of our Salix reporting unit recognized upon adopting new 
accounting guidance at January 1, 2018, (ii) impairment to the goodwill of the Ortho Dermatologics reporting unit 
due to unforeseen changes in business dynamics and (iii) impairment to the goodwill of the Dentistry reporting unit 
as  a  result  of  revised  forecasts  due  to  changing  market  conditions  during  the  three  months  ended  December  31, 
2018. In 2017, we recognized Goodwill impairments of $312 million in connection with a change in reporting unit 
during the three months ended September 30, 2017; 

a decrease in Asset impairments of $146 million, as a result of Asset impairments of $714 million, recognized in 
2017,  primarily  related  to  the  Sprout  and  Obagi  businesses  being  classified  as  held  for  sale,  compared  to  Asset 
impairments of $568 million, in 2018, that were primarily due to decreases in forecasted sales for the Uceris® Tablet 
product and other product lines due to generic competition; 

an increase in Acquisition-related contingent consideration of $280 million as a result of a fair value adjustments in 
2017 which reflected a decrease in forecasted sales for specific products, including Addyi®; 

a  decrease  in  net  gains  on  sales  of  businesses  and  other  assets  of  $586  million.  In  order  to  improve  our  capital 
structure and simplify our operations, during 2017, we divested certain businesses and assets not aligned with our 
core business objectives.  Included  in Other  (income)  expense, net  is  the  net  loss on  sales  of businesses  and  other 
assets  of $6  million  for 2018  as  compared  to  the net gain on  sales  of businesses  and other  assets $580  million  in 
2017; and 

a decrease in Litigation and other matters of $253 million. Included in Other (income) expense, net are net favorable 
adjustments to Litigation and other matters of $27 million for 2018, primarily associated with a favorable adjustment 
related  to  the  Salix  SEC  litigation  as  compared  to  net  charges  of  $226  million  in  2017,  primarily  associated  with 
estimated  settlements  of  the  Allergan  shareholder  class  actions  litigation  and  Solodyn®  antitrust  class  actions 
litigation and the partial summary judgment related to the Mimetogen Pharmaceuticals litigation. 

Operating loss for 2018 of $2,384 million and Operating income for 2017 of $102 million includes non-cash charges for 
Depreciation and amortization of intangible assets of $2,819 million and $2,858 million, Asset impairments of $568 million 
and $714 million and Share-based compensation of $87 million and $87 million, respectively. 

Our Loss before benefit from income taxes for 2018 and 2017 was $4,154 million and $1,741 million, respectively, an 
increase  of  $2,413  million.  The  increase  in  our  Loss  before  benefit  from  income  taxes  is  primarily  attributable  to:  (i)  the 
decrease  in  our  operating  results  of  $2,486  million  previously  discussed  and  (ii)  an  unfavorable  net  change  in  Foreign 
exchange and other of $84 million. These changes in Loss before benefit from income taxes were partially offset by: (i) a 
decrease in Interest expense of $155 million as a result of lower principal amounts of outstanding debt partially offset by the 
effect of higher interest rates during 2018 and (ii) the decrease in the Loss on extinguishment of debt of $3 million. 

59 

Net  loss  attributable  to  Bausch  Health  Companies  Inc.  for  2018  was  $4,148  million  as  compared  to  Net  income 
attributable to Bausch Health Companies Inc. for 2017 of $2,404 million, a decrease of $6,552 million. The decrease in our 
results was primarily due to: (i) the decrease in the Benefit from income taxes of $4,135 million which in 2017 included non-
cash income tax benefits related to the Company’s internal corporate restructuring and the accounting for the Tax Act and (ii) 
the increase in Loss before benefit from income taxes of $2,413 million previously described. 

Summary of 2017 Compared with 2016 

Our revenue for 2017 and 2016 was $8,724 million and $9,674 million, respectively, a decrease of $950 million, or 10%. 
The decrease was driven by divestitures and discontinuations and lower volumes in: (i) our Diversified Products segment as a 
result of  the  loss  of  exclusivity  for  a  number  of products,  (ii) our Ortho  Dermatologics  segment  as  a  result  of  challenging 
market dynamics in dermatology and (iii) to a lesser extent, our Salix segment. Revenues were also negatively affected, to a 
lesser  extent,  by  foreign  exchange.  These  decreases  were  partially  offset  by  increased  volumes  in  our  Bausch  +  Lomb  / 
International segment, primarily driven by the U.S. Bausch + Lomb Consumer business, and increased international pricing 
in our Bausch + Lomb / International segment. The changes in our segment revenues and segment profits are discussed in 
detail in the section titled “Reportable Segment Revenues and Profits”. 

Operating  income  for 2017 was $102  million,  as  compared  to operating  loss for 2016  of $566  million,  an  increase  of 

$668 million. Our operating income for 2017 compared to our operating loss for 2016 reflects, among other factors: 

• 

• 

• 

• 

• 

• 

• 

• 

• 

a decrease in contribution (product sales revenue less cost of goods sold, exclusive of amortization and impairments 
of intangible assets) of $875 million, primarily driven by: (i) lower volumes and (ii) the impact of divestitures and 
discontinuances; 

a  decrease  in  SG&A  of  $228  million,  primarily  attributable  to:  (i)  a  net  decrease  in  advertising  and  promotion 
expenses, (ii) higher severance and other benefits in 2016 associated with exiting executives and on-boarding a new 
executive  team  and  other  key  employees,  (iii)  termination  benefits  associated  with  our  former  Chief  Executive 
Officer in 2016 and (iv) the impact of divestitures. These factors were partially offset by an increase in professional 
fees; 

a decrease in R&D of $60 million due to the year over year phasing as we completed the R&D investment in Siliq™ 
and  other  newly  launched  products  requiring  investment  in  the  prior  year,  removed  projects  related  to  divested 
businesses and rebalanced our portfolio to better focus on its core assets; 

an increase in Amortization of intangible assets of $17 million, driven by the impact of changes in estimates made in 
2017  to  reduce  the  remaining  useful  lives  of  certain  products  and  the  Salix  brand  name  to  reflect  management’s 
changes  in  assumptions,  partially  offset  by  lower  amortization  as  a  result  of  impairments  to  intangible  assets  and 
divestitures and discontinuances of product lines during 2017 and 2016, as the Company focuses on its core assets; 

a  decrease  in  Goodwill  impairments  of  $765  million.  In  2016,  we  recognized  Goodwill  impairments  of  $1,077 
million  primarily  in  connection  with  the  realignment  of  our  operating  segment  structure  during  the  three  months 
ended  September  30,  2016.  In  2017,  we  recognized  Goodwill  impairments  of  $312  million  in  connection  with  a 
change in reporting unit during the three months ended September 30, 2017; 

an increase in Asset impairments of $292 million, primarily related to the Sprout and Obagi businesses; 

a decrease in Restructuring and integration costs of $80 million as the integration of acquisitions in 2015 and prior is 
substantially complete; 

a decrease in Acquisition-related contingent consideration of $276 million, primarily due to a fair value adjustment 
of $312 million reflecting a decrease in forecasted sales for the Addyi® product prior to the sale of Sprout, which 
impacted the expected future royalty payments; and 

an increase in Other income, net of $426 million, primarily due to the increase in net gains on sales of businesses 
and other assets of $574 million, partially offset by higher charges for accruals for Litigation and other matters of 
$167 million. 

Operating income for 2017 of $102 million and Operating loss for 2016 of $566 million includes non-cash charges for 
Depreciation and amortization of intangible assets of $2,858 million and $2,866 million, Asset impairments of $714 million 
and $422 million and Share-based compensation of $87 million and $165 million, respectively. 

60 

Our Loss before benefit from  income taxes for 2017 and 2016 was $1,741 million and $2,435 million, respectively, a 
decrease  of  $694  million.  The  decrease  in  our  Loss  before  benefit  from  income  taxes  is  primarily  attributable  to:  (i)  the 
increase in Operating income of $668 million previously discussed and (ii) a favorable net change in Foreign exchange and 
other  of  $148  million.  These  changes  in  Loss  before  benefit  from  income  taxes  were  partially  offset  by  the  Loss  on 
extinguishment of debt of $122 million in 2017. 

Net  income  attributable  to  Bausch  Health  Companies  Inc.  for  2017  was  $2,404  million  as  compared  to  Net  loss 
attributable to Bausch Health Companies Inc. for 2016 of $2,409 million, an increase of $4,813 million. The increase in Net 
income attributable to Bausch Health Companies Inc. was primarily due to: (i) the increase in the Benefit from income taxes 
of  $4,118  million  which  in  2017  includes  non-cash  income  tax  benefits  related  to  the  Company’s  internal  corporate 
restructuring  and  the  accounting  for  the  Tax  Act  and  (ii)  the  decrease  in  Loss  before  benefit  from  income  taxes  of  $694 
million previously described. 

RESULTS OF OPERATIONS 

Our results for each of the last three years were as follows: 

(in millions, except per share data) 
Revenues 
Product sales ........................................................ 
Other revenues ..................................................... 

Expenses 
Cost of goods sold (excluding amortization  

and impairments of intangible assets) .............. 
Cost of other revenues ......................................... 
Selling, general and administrative ...................... 
Research and development .................................. 
Amortization of intangible assets......................... 
Goodwill impairments ......................................... 
Asset impairments ............................................... 
Restructuring and integration costs ...................... 
Acquired in-process research and  

development costs ............................................ 
Acquisition-related contingent consideration ...... 
Other (income) expense, net ................................ 

Operating (loss) income ....................................... 
Interest income..................................................... 
Interest expense ................................................... 
Loss on extinguishment of debt ........................... 
Foreign exchange and other ................................. 
Loss before benefit from income taxes ................ 
Benefit from income taxes ................................... 
Net (loss) income ................................................. 
Net income attributable to noncontrolling 

interest .............................................................. 

Net (loss) income attributable to Bausch  

Years Ended December 31, 

Change 

2018 

2017 

2016 

2017 to 
2018 

2016 to 
2017 

$ 

$ 

8,271 
109 
8,380 

$ 

8,595  
129  
8,724  

9,536  
138  
9,674  

$ 

(324)  $ 
(20) 
(344) 

2,309 
42 
2,473 
413 
2,644 
2,322 
568 
22 

1 
(9) 
(21) 
10,764 
(2,384) 
11 
(1,685) 
(119) 
23 
(4,154) 
10 
(4,144) 

2,506  
42  
2,582  
361  
2,690  
312  
714  
52  

5  
(289 ) 
(353 ) 
8,622  
102  
12  
(1,840 ) 
(122 ) 
107  
(1,741 ) 
4,145  
2,404  

2,572  
39  
2,810  
421  
2,673  
1,077  
422  
132  

34  
(13 ) 
73  
10,240  
(566 ) 
8  
(1,836 ) 
—  
(41 ) 
(2,435 ) 
27  
(2,408 ) 

(197) 
— 
(109) 
52 
(46) 
2,010 
(146) 
(30) 

(4) 
280 
332 
2,142 
(2,486) 
(1) 
155 
3 
(84) 
(2,413) 
(4,135) 
(6,548) 

(941) 
(9) 
(950) 

(66) 
3 
(228) 
(60) 
17 
(765) 
292 
(80) 

(29) 
(276) 
(426) 
(1,618) 
668 
4 
(4) 
(122) 
148 
694 
4,118 
4,812 

(4) 

—  

(1 ) 

(4) 

1 

Health Companies Inc. ..................................... 

$ 

(4,148)  $ 

2,404  

$ 

(2,409 )  $ 

(6,552)  $ 

4,813 

61 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
2018 Compared with 2017 

Revenues 

Our  revenues  are  primarily  generated  from  product  sales  that  consist  of:  (i)  branded  pharmaceuticals,  (ii)  generic  and 
branded generic pharmaceuticals, (iii) OTC products and (iv) medical devices (contact lenses, intraocular lenses, ophthalmic 
surgical equipment and aesthetics devices). Other revenues include alliance and service revenue from the licensing and co-
promotion of products and contract service revenue primarily in the areas of dermatology and topical medication. Contract 
service  revenue  is  derived  primarily  from  contract  manufacturing  for  third  parties  and  is  not  material.  See  Note  22, 
“SEGMENT  INFORMATION”  to  our  audited  Consolidated  Financial  Statements  for  the  disaggregation  of  revenue  which 
depicts how the nature, amount, timing and uncertainty of revenue and cash flows are affected by the economic factors of 
each category of customer contracts. 

Our revenue was $8,380 million and $8,724 million for 2018 and 2017, respectively, a decrease of $344 million, or 4%. 
The decrease was primarily driven by: (i) the impact of 2017 divestitures and discontinuations of $541 million, (ii) the net 
decrease in volume of $100 million, primarily as a result of the loss of exclusivity for a number of products in our Diversified 
Products  and  Ortho  Dermatologics  segments  which  were  partially  offset  by  higher  volumes  in  our  Bausch  + 
Lomb/International segment and (iii) the decrease in other revenues of $17 million. These decreases in revenue were partially 
offset  by:  (i)  higher  gross  selling  prices  of  $226  million,  (ii)  lower  sales  deductions  of  $70  million  and  (iii)  the  favorable 
effect of foreign currencies of $18 million, primarily in Europe and Asia. 

Our segment revenues and segment profits are discussed in detail in the subsequent section titled “Reportable Segment 

Revenues and Profits”. 

Cash Discounts and Allowances, Chargebacks and Distribution Fees 

As is customary in the pharmaceutical industry, gross product sales are subject to a variety of deductions in arriving at 
net  product  sales.  Provisions  for  these  deductions  are  recognized  concurrently  with  the  recognition  of  gross  product  sales. 
These  provisions  include  cash  discounts  and  allowances,  chargebacks,  and  distribution  fees,  which  are  paid  or  credited  to 
direct  customers,  as  well  as  rebates  and  returns,  which  can  be  paid  or  credited  to  direct  and  indirect  customers.  Price 
appreciation  credits  are  generated  when  we  increase  a  product’s  wholesaler  acquisition  cost  (“WAC”)  under  our  contracts 
with certain wholesalers. Under such contracts, we are entitled to credits from such wholesalers for the impact of that WAC 
increase on inventory on hand at the wholesalers. In wholesaler contracts, such credits are offset against the total distribution 
service fees we pay on all of our products to each such wholesaler. In addition, some payor contracts require discounting if a 
price increase or series of price increases in a contract period exceeds a negotiated threshold. Provision balances relating to 
amounts  payable  to  direct  customers  are  netted  against  trade  receivables  and  balances  relating  to  indirect  customers  are 
included in accrued liabilities. 

We actively manage these offerings, focusing on the incremental costs of our patient assistance programs, the level of 
discounting  to  non-retail  accounts  and  identifying  opportunities  to  minimize  product  returns.  We  also  concentrate  on 
managing our relationships with our payors and wholesalers, reviewing the ranges of our offerings and being disciplined as to 
the amount and type of incentives we negotiate. Provisions recorded to reduce gross product sales to net product sales and 
revenues for the years ended December 31, 2018 and 2017 were as follows:  

Years Ended December 31, 

(in millions) 
Gross product sales ..................................................................... 
Provisions to reduce gross product sales to net product sales 

Discounts and allowances ....................................................... 
Returns .................................................................................... 
Rebates .................................................................................... 
Chargebacks ............................................................................ 
Distribution service fees .......................................................... 

Net product sales ......................................................................... 

$ 

62 

2018 

Amount   
14,158  

$ 

2017 

Pct. 

100 %  $ 

Amount   
14,825 

865  
293  
2,551  
1,966  
212  
5,887  
8,271  

6 % 
2 % 
18 % 
14 % 
2 % 
42 % 
58 %  $ 

829 
423 
2,545 
2,145 
288 
6,230 
8,595 

Pct. 

100% 

6% 
3% 
17% 
14% 
2% 
42% 
58% 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash discounts and allowances, returns, rebates, chargebacks and distribution fees as a percentage of gross product sales 

were 42% and 42% in 2018 and 2017, respectively, primarily driven by: 

• 

• 

• 

• 

• 

discounts and allowances as a percentage of gross product sales were unchanged as higher sales and discount and 
allowance rates associated with Migranal® AG, Tobramycin CD and Xenazine® AG and the launch of Diastat® AG 
were offset by lower sales and discount and allowance rates for Zegerid® AG, Metrogel® AG and Isuprel®; 

returns  as  a  percentage  of  gross  product  sales  was  lower  primarily  due  to  lower  sales  and  lower  return  rates 
associated  with  certain  products,  primarily  Nitropress®  which  was  impacted  by  multiple  generics  in  2017, 
Glumetza® SLX, Mephyton® and Relistor® SLX partially offset by higher return rates for Edecrin® and Solodyn®; 

rebates  as  a  percentage  of  gross  product  sales  were  higher  primarily  due  to  increased  sales  of  products  that  carry 
higher  contractual  rebates  and  co-pay  assistance  programs,  including  the  impact  of  incremental  rebates  from 
contractual  price  increase  limitations.  The  comparisons  were  impacted  primarily  by  higher  provisions  for  rebates 
and the co-pay assistance programs for promoted products, such as Apriso®, Xifaxan®, Prolensa® and Elidel®. These 
increases  were  offset  by  decreases  in  rebates  for  Solodyn®,  Jublia®,  Carac®,  Mephyton®,  Acanya®,  Syprine®, 
Glumetza® SLX and other products, primarily caused by declines in year over year volume, in part, due to generic 
competition to certain products; 

chargebacks as a percentage of gross product sales were unchanged. Decreases in chargebacks were due to: (i) better 
management of contractual terms of certain non-retail classes of trade products, such as Zegerid®, Glumetza® SLX, 
Retina®,  Apriso®  and  Tobramycin  CD  and  other  drugs  in  part  due  to  generic  competition,  (ii)  lower  volumes  of 
Isuprel®  and  Syprine®  primarily  the  result  of  generic  competition,  (iii)  chargebacks  in  2017  associated  with 
Provenge®,  which  was  divested  with  the  Dendreon  Sale  on  June  28,  2017  and  (iv)  lower  utilization  by  the  U.S. 
government of certain products such as Minocin®. The decreases in chargebacks as a percentage of gross product 
sales were offset by higher sales of certain generic products, such as Targretin® AG, and certain branded drugs, such 
as Nifedipine® and Ofloxacin®; and 

distribution service fees as a percentage of gross product sales were lower as the impact of: (i) better contract terms 
with our distributors, (ii) lower volumes of certain branded products with higher distribution fees, such as Isuprel®, 
Glumetza® SLX, Uceris® Tablets, Syprine®, Mephyton®, and other branded products primarily the result of generic 
competition  and  (iii)  higher  appreciation  credits  were  offset  by  higher  volumes  of  certain  branded  products  with 
higher distribution fees, such as Xifaxan®, Apriso® and other branded products. Price appreciation credits are offset 
against the distribution service fees we pay wholesalers and were $31 million and $21 million for 2018 and 2017, 
respectively. 

Operating Expenses 

Cost of Goods Sold (exclusive of amortization and impairments of intangible assets) 

Cost of goods sold primarily includes: manufacturing and packaging; the cost of products we purchase from third parties; 
royalty  payments  we  make  to  third  parties;  depreciation  of  manufacturing  facilities  and  equipment;  and  lower  of  cost  or 
market adjustments to inventories. Cost of goods sold excludes the amortization and impairments of intangible assets. 

Cost of goods sold was $2,309 million and $2,506 million for 2018 and 2017, respectively, a decrease of $197 million, 
or 8%. The decrease was primarily driven by: (i) the impact of 2017 divestitures and discontinuations, (ii) lower third-party 
royalty costs and (iii) the favorable impact of foreign currencies. 

Cost  of  goods  sold  as  a  percentage  of  revenue  was  28%  and  29%  for  2018  and  2017,  respectively,  a  decrease  of  1 
percentage point. The decrease was primarily driven by: (i) higher gross selling prices, (ii) lower sales deductions, (iii) the 
favorable result of the impact of 2017 divestitures and discontinuations, which historically reported lower gross margins than 
our core businesses and (iv) lower third-party royalty costs. The decrease in Cost of goods sold as a percentage of revenue 
was partially offset by the unfavorable change in our remaining product mix as a greater percentage of our revenue in 2018 
was attributable to the Bausch + Lomb/International segment, which generally has lower gross margins than our remaining 
product portfolio. 

Our segment revenues and segment profits are discussed in detail in the subsequent section titled “Reportable Segment 

Revenues and Profits”. 

63 

Selling, General and Administrative Expenses 

SG&A  expenses  primarily  include:  employee  compensation  associated  with  sales  and  marketing,  finance,  legal, 
information technology, human resources and other administrative functions; certain outside legal fees and consultancy costs; 
product  promotion  expenses;  overhead  and  occupancy  costs;  depreciation  of  corporate  facilities  and  equipment;  and  other 
general and administrative costs. 

SG&A was $2,473 million and $2,582 million for 2018 and 2017, respectively, a decrease of $109 million, or 4%. The 
decrease was primarily driven by: (i) the impact of 2017 divestitures and discontinuations, (ii) a decrease in legal expenses as 
we resolved certain legacy legal issues in late 2017 and throughout 2018 as previously discussed and (iii) a decrease in bad 
debt expense. The decrease was partially offset by: (i) higher advertising and promotion expenses, primarily associated with 
our launch of Lumify®, (ii) higher compensation costs and (iii) the unfavorable impact of the effect of foreign currencies. 

Research and Development Expenses 

Included  in  Research  and  development  are  costs  related  to  our  product  development  and  quality  assurance  programs. 
Expenses related to product development include: employee compensation costs; overhead and occupancy costs; depreciation 
of research and development facilities and equipment; clinical trial costs; clinical manufacturing and scale-up costs; and other 
third-party development costs. Quality assurance are the costs incurred to meet evolving customer and regulatory standards 
and  include:  employee  compensation  costs;  overhead  and  occupancy  costs;  amortization  of  software;  and  other  third-party 
costs. 

R&D expenses were $413 million and $361 million for 2018 and 2017, respectively, an increase of $52 million, or 14%. 
R&D expenses as a percentage of revenue was approximately 5% and 4% for 2018 and 2017, respectively, an increase of 1 
percentage point. 

Amortization of Intangible Assets 

Intangible assets with finite lives are amortized using the straight-line method over their estimated useful lives, generally 

2 to 20 years. 

Amortization of intangible assets was $2,644 million and $2,690 million for 2018 and 2017, respectively, a decrease of 
$46 million, or 2%. The decrease is driven by: (i) the impact of the change in the estimated useful life of the Xifaxan®-related 
intangible  assets,  (ii)  lower  amortization  as  a  result  of  impairments  to  intangible  assets  and  divestitures  and  (iii) 
discontinuances of product lines during 2017 as the Company focuses on its core assets. These decreases were partially offset 
by the impact of changes in the estimated useful lives of certain products and the Salix brand name in the third and fourth 
quarters of 2017 to reflect management’s changes in assumptions. Management continually assesses the useful lives related 
to  the  Company’s  long-lived assets  to reflect  the  most  current  assumptions. As  a  result, the useful  lives of  certain product 
brands, with an aggregate carrying value of $7,618 million as of December 31, 2017, were revised from an average of seven 
years  to  four  years,  primarily  due  to  each  product  expected  to  lose  its  exclusivity.  In  addition,  the  useful  life  of  the  Salix 
brand, with a carrying value of $569 million as of December 31, 2017, was revised from seventeen years to ten years due to 
revisions  in  the  forecasted  sales  of  its  product  portfolio.  These  2017  changes  in  useful  lives  resulted  in  an  increase  in 
amortization in 2018. Effective September 12, 2018, the Company changed the estimated useful life of its Xifaxan®-related 
intangible  assets  due  to  the  positive  impact  of  the  agreement  between  the  Company  and  Actavis  resolving  the  intellectual 
property litigation regarding Xifaxan® tablets, 550 mg. As a result, the useful life of the Xifaxan®-related intangible assets, 
with a carrying value of $4,848 million as of December 31, 2018, was extended from 2024 to January 1, 2028. 

Goodwill Impairments 

Goodwill is not amortized but is tested for impairment at least annually at the reporting unit level. A reporting unit is the 
same as, or one level below, an operating segment. The fair value of a reporting unit refers to the price that would be received 
to sell the unit as a whole in an orderly transaction between market participants. The Company estimates the fair values of all 
reporting units using a discounted cash flow model which utilizes Level 3 unobservable inputs. 

Goodwill impairments was $2,322 million and $312 million for 2018 and 2017, respectively. 

2018 Adoption of New Accounting Guidance for Goodwill Impairment Testing 

In  January 2017,  the FASB issued guidance  which  simplifies  the subsequent  measurement  of goodwill  by eliminating 
“Step 2” from the goodwill impairment test. Instead, goodwill impairment is measured as the amount by which a reporting 
unit’s carrying value exceeds its fair value. The FASB also eliminated the requirements for any reporting unit with a zero or 
negative carrying amount to perform a qualitative assessment. The Company elected to early adopt this guidance effective 
January 1, 2018. 

64 

Upon adopting the new guidance, the Company tested goodwill for impairment and determined that the carrying value of 
the  Salix  reporting  unit  exceeded  its  fair  value.  As  a  result  of  the  adoption  of  new  accounting  guidance,  the  Company 
recognized a goodwill impairment of $1,970 million associated with the Salix reporting unit. 

As of October 1, 2017, the date of the 2017 annual impairment test, the fair value of the Ortho Dermatologics reporting 
unit exceeded its carrying value. However, at January 1, 2018, the carrying value of the Ortho Dermatologics reporting unit 
exceeded  its  fair  value.  Unforeseen  changes  in  the  business  dynamics  of  the  Ortho  Dermatologics  reporting  unit,  such  as: 
(i) changes in the dermatology sector, (ii) increased pricing pressures from third-party payors and (iii) additional risks to the 
exclusivity of certain products. In response to these adverse business indicators, the Company reduced its near and long term 
financial  projections  for  the  Ortho  Dermatologics  reporting  unit.  As  a  result  of  the  reductions  in  the  near  and  long  term 
financial projections, the carrying value of the Ortho Dermatologics reporting unit exceeded its fair value at January 1, 2018 
and the Company recognized a goodwill impairment of $243 million. 

2018 Realignment of Segment Structure 

In  the  second  quarter  of  2018,  the  Company  began  operating  in  the  following  reportable  segments:  (i)  Bausch  + 
Lomb/International segment, (ii) Salix segment, (iii) Ortho Dermatologics segment and (iv) Diversified Products segment. As 
the  second  quarter  realignment  of  the  segment  structure  did  not  change  the  reporting  units,  there  was  no  triggering  event 
which would require the Company to test goodwill for impairment. 

2018 Annual Goodwill Impairment Test 

The  Company  conducted  its  annual  goodwill  impairment  test  as  of  October  1,  2018  and  determined  that  the  carrying 
value of the Dentistry reporting unit exceeded its fair value and, as a result, the Company recognized a goodwill impairment 
of  $109  million  for  the  Dentistry  reporting  unit,  representing  the  full  amount  of  goodwill  for  the  reporting  unit.  Changing 
market  conditions  such  as:  (i)  an  increasing  competitive  environment  and  (ii)  increasing  pricing  pressures  negatively 
impacted the reporting unit’s operating results. The Company is taking steps to address these changing market and business 
conditions. 

The  Company’s  remaining  reporting  units  passed  the  goodwill  impairment  test  as  the  estimated  fair  value  of  each 
reporting unit exceeded its carrying value at the date of testing and, therefore, there was no impairment to goodwill for any 
reporting unit other than the Dentistry reporting unit. In order to evaluate the sensitivity of its fair value calculations on the 
goodwill impairment test, the Company compared the carrying value of each reporting unit to its fair value as of October 1, 
2018, the date of testing. As of October 1, 2018, the fair value of each reporting unit with associated goodwill exceeded its 
carrying value by more than 15%. If market conditions deteriorate, or if the Company is unable to execute its strategies, it 
may  be  necessary  to  record  impairment  charges  in  the  future.  The  Company  will  continue  to  perform  qualitative  interim 
assessments of the carrying value and fair value of the Ortho Dermatologics reporting unit on a quarterly basis to determine if 
impairment testing of goodwill will be warranted. 

If  market  conditions  deteriorate,  or  if  the  Company  is  unable  to  execute  its  strategies,  it  may  be  necessary  to  record 

impairment charges in the future. 

September 30, 2017 

During the three months ended September 30, 2017, the Sprout business was classified as held for sale. As the Sprout 
business represented only a portion of the former Branded Rx reporting unit, we assessed the remaining reporting unit for 
impairment and determined the carrying value of the remaining reporting unit exceeded its fair value. After completing step 
two of the impairment testing, the Company determined and recorded a goodwill impairment charge of $312 million during 
the three months ended September 30, 2017. 

See Note 9, “INTANGIBLE ASSETS AND GOODWILL” to our audited Consolidated Financial Statements for further 

details related to our goodwill impairment analysis. 

Asset Impairments 

Long-lived assets with finite lives are tested for impairment whenever events or changes in circumstances indicate that 
the carrying value of an asset may not be recoverable. The Company continues to monitor the recoverability of its finite-lived 
intangible assets and tests the intangible assets for impairment if indicators of impairment are present. 

Asset impairments were $568 million and $714 million for 2018 and 2017, respectively a decrease of $146 million. 

65 

Asset  impairments  for  2018  included  impairments  of:  (i)  $348  million  reflecting  decreases  in  forecasted  sales  for  the 
Uceris® Tablet product and other product lines due to generic competition, (ii) $132 million reflecting decreases in forecasted 
sales for the Arestin® product in our Dentistry reporting unit and other product lines due to changing market conditions, (iii) 
$55 million, in aggregate, related to certain product/patent assets associated with the discontinuance of specific product lines 
not aligned with the focus of the Company’s core businesses, (iv) $28 million to Acquired IPR&D not in service related to a 
certain product and (v) $5 million related to assets being classified as held for sale. 

Asset impairments for 2017 included impairments of: (i) $351 million related to the Sprout business being classified as 
held for sale, (ii) $151 million reflecting decreases in forecasted sales for other product lines, (iii) $114 million to other assets 
classified  as held for  sale, primarily  related  to  the  Obagi business, (iv) $95  million,  in  aggregate,  to certain product/patent 
assets associated with the discontinuance of specific product lines not aligned with the focus of the Company’s core business 
and (v) $3 million related to acquired IPR&D. 

See Note 4, “DIVESTITURES” and Note 9, “INTANGIBLE ASSETS AND GOODWILL” to our audited Consolidated 

Financial Statements regarding further details related to our intangible assets. 

Restructuring and Integration Costs 

Restructuring  and  integration  costs  were  $22  million  and  $52  million  for  2018  and  2017,  respectively.  We  have 
substantially  completed  the  integration  of  the  businesses  acquired  prior  to  2016.  The  Company  continues  to  evaluate 
opportunities to streamline its operations and identify additional cost savings globally. Although a specific plan does not exist 
at this time, the Company may identify and take additional exit and cost-rationalization restructuring actions in the future, the 
costs of which could be material. 

See Note 5, “RESTRUCTURING AND INTEGRATION COSTS” to our audited Consolidated Financial Statements for 

further details regarding these actions. 

Acquisition-Related Contingent Consideration 

Acquisition-related contingent consideration primarily consists of potential milestone payments and royalty obligations 
associated with businesses  and  assets we  acquired  in  the past. These obligations  are  recorded  in  the  Consolidated Balance 
Sheets at their estimated fair values at the acquisition date, in accordance with the acquisition method of accounting. The fair 
value  of  the  acquisition-related  contingent  consideration  is  remeasured  each  reporting  period,  with  changes  in  fair  value 
recorded  in  the  Consolidated  Statements  of  Operations.  The  fair  value  measurement  is  based  on  significant  inputs  not 
observable in the market and thus represents a Level 3 measurement as defined in fair value measurement accounting. 

Acquisition-related  contingent  consideration  was  a  net  gain  of  $9  million  for  2018  and  included  net  fair  value 
adjustments due to changes in estimates of expected future royalty payments of $33 million, which included net fair value 
adjustments  the  expected  future  royalty  payments  for  a  specific product,  partially  offset  by  accretion  for  the  time  value  of 
money of $24 million. 

Acquisition-related  contingent  consideration  was  a  net  gain  of  $289  million  for  2017  which  included:  (i)  a  fair  value 
adjustment  of  $312  million  reflecting  a  decrease  in  forecasted  sales  for  the  Addyi®  product,  which  impacted  the  expected 
future  payments  and  (ii)  net  fair  value  adjustments  due  to  changes  in  estimates  of  other  expected  future  payments  of  $31 
million. These net gains were partially offset by accretion for the time value of money of $54 million. 

See Note 6, “FAIR VALUE MEASUREMENTS” to our audited Consolidated Financial Statements for further details. 

Other (income) expense, net 

Other (income) expense, net for 2018 and 2017 consists of the following: 

(in millions) 
Gain on the Skincare Sale ............................................................................................................ 
Gain on the iNova Sale ................................................................................................................ 
Gain on the Dendreon Sale .......................................................................................................... 
Loss on the Sprout Sale ............................................................................................................... 
Net loss (gain) on other sales of assets ........................................................................................ 
Litigation and other matters ......................................................................................................... 
Other, net ..................................................................................................................................... 
Other (income) expense, net ........................................................................................................ 

$ 

$ 

2018 

2017 

$ 

— 
— 
— 
— 
6 
(27) 
— 
(21)  $ 

(309) 
(309) 
(97) 
98 
37 
226 
1 
(353) 

66 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In 2018, Litigation and other matters includes a favorable adjustment of $40 million related to the Salix SEC litigation. 
In  2017,  Litigation  and  other  matters  includes:  (i)  $96  million  related  to  the  settlement  of  the  Allergan  shareholder  class 
actions, (ii) $93 million related to the settlement of the Solodyn® antitrust class actions litigation and (iii) $20 million related 
to the Mimetogen Pharmaceuticals litigation. 

Litigation  and  other  matters  includes  other  amounts  provided  for  certain  matters  discussed  in  Note  20,  “LEGAL 

PROCEEDINGS” to our audited Consolidated Financial Statements. 

Non-Operating Income and Expense 

Interest Expense 

Interest expense primarily consists of interest payments due and amortization of debt discounts and deferred financing 
costs  on  indebtedness  under  our  credit  facilities  and  notes.  Interest  expense  was  $1,685  million  and  $1,840  million  and 
included non-cash amortization and write-offs of debt discounts and deferred financing costs of $79 million and $151 million 
for  2018  and  2017,  respectively.  The  decrease  in  interest  expense  is  primarily  due  to:  (i)  lower  principal  amounts  of 
outstanding  long  term  debt  and  (ii)  lower  amortization  and  write-offs  of  debt  discounts  and  deferred  financing  costs. 
Prepayments  of  long  term  debt  were  lower  during  2018  as  compared  to  2017,  and  resulted  in  lower  acceleration  of 
amortization and write-offs of debt discounts and deferred financing costs during 2018 as compared to 2017. These decreases 
in  interest  expense  were  partially  offset  by  higher  interest  rates  associated  with  the  refinancing  transactions  that  occurred 
during 2017 and the March 2018 Refinancing Transactions. The weighted average stated rate of interest as of December 31, 
2018 and 2017 was 6.23% and 6.07%, respectively. 

See Note 11, “FINANCING ARRANGEMENTS” to our audited Consolidated Financial Statements for further details. 

Loss on Extinguishment of Debt 

Loss on extinguishment of debt represents the differences between the amounts paid to settle extinguished debts and the 
carrying value of the related extinguished debt. Loss on extinguishment of debt was $119 million and $122 million for 2018 
and 2017, associated with a series of transactions which allowed us to refinance portions of our debt arrangements. 

See Note 11, “FINANCING ARRANGEMENTS” to our audited Consolidated Financial Statements for further details. 

Foreign Exchange and Other 

Foreign  exchange  and  other  was  a  net  gain  of  $23  million  and  $107  million  for  2018  and  2017,  respectively,  an 
unfavorable net change of $84 million. Foreign exchange gains/losses include translation gains/losses on intercompany loans, 
primarily on euro-denominated intercompany loans. 

Income Taxes 

Income  taxes  are  accounted  for  under  the  liability  method.  Deferred  tax  assets  and  liabilities  are  recognized  for  the 
differences between the financial statement and income tax bases of assets and liabilities, and for operating losses and tax 
credit carryforwards. Deferred tax assets for outside basis differences in investments in subsidiaries are only recognized if the 
difference will be realized in the foreseeable future. As a result of the Tax Act, our deferred tax assets and liabilities were re-
measured to reflect the reduction in the U.S. corporate income tax rate from 35% to 21%. Benefit from income taxes was $10 
million and $4,145 million for 2018 and 2017, respectively, a decrease of $4,135 million which is primarily attributable to 
certain non-cash income tax benefits related to the Company’s internal corporate restructuring and the accounting for the Tax 
Act during 2017 which did not repeat in 2018. 

Our consolidated foreign rate differential reflects the net total tax cost or benefit on income earned or losses incurred in 
jurisdictions outside of Canada as compared to the net total tax cost or benefit of such income (on a jurisdictional basis) at the 
Canadian statutory rate of 26.9%. Tax costs below the Canadian statutory rate generate a beneficial foreign rate differential as 
do tax benefits generated in jurisdictions where the statutory tax rate exceeds the Canadian statutory tax rate. The net total 
foreign rate differentials generated in each jurisdiction in which we operate is not expected to bear a direct relationship to the 
net total amount of foreign income (or loss) earned outside of Canada. 

In 2018, our effective tax rate differed from the Canadian statutory tax rate of 26.9% primarily due to: (i) the recording 
of valuation allowance on entities for which no tax benefit of losses is expected, (ii) a charge related to the non-deductibility 
of goodwill impairments, (iii) a benefit related to internal integrations and restructurings and (iv) a benefit generated from our 
annualized mix of earnings by jurisdiction. 

67 

In  2017,  our  effective  tax  rate  differed  from  the  Canadian  statutory  tax  rate  of  26.9%  primarily  due  to:  (i)  a  benefit 
related  to  internal  integrations  and  restructurings,  (ii)  a  benefit  related  to  the  Tax  Act,  (iii)  a  benefit  generated  from  our 
annualized  mix  of  earnings  by  jurisdiction,  (iv)  a  benefit  from  the  sale  of  divested  businesses  and  (v)  the  recording  of 
valuation allowance on entities for which no tax benefit of losses is expected. 

On December 22, 2017, the Tax Act was signed into law and includes a number of changes in the U.S. tax law. In 2017, 
our Benefit from income taxes included provisional net tax benefits of $975 million attributable to the Tax Act for: (i) the re-
measurement of certain deferred tax assets and liabilities based on the rates at which they are expected to reverse in the future 
of $774 million, (ii) the one-time Transition Toll Tax of $88 million and (iii) the decrease in deferred tax assets attributable to 
certain  legal  accruals,  the  deductibility  of  which  is  uncertain  for  U.S.  federal  income  tax  purposes,  of  $10  million.  We 
provisionally utilized NOLs to offset the provisionally determined $88 million Transition Toll Tax and therefore no amount 
was  recorded  as  payable.  The  Company  has  previously  provided  for  residual  U.S.  federal  income  tax  on  its  outside  basis 
differences in certain foreign subsidiaries which, due to the Tax Act, are no longer taxable. As such, our residual U.S. federal 
income tax liability of $299 million prior to the law change was reversed and we recognized a deferred tax benefit of $299 
million in the fourth quarter of 2017. 

During 2018, we completed our full assessment and finalized the accounting for the impact of the Tax Act. Differences 
between the provisional net income tax benefits provided in 2017 attributable to the Tax Act and the net income tax benefits 
as finalized are included in our Benefit from income taxes for the year ended December 31, 2018 and were not material to our 
results for the year ended December 31, 2018. Although we have completed our assessment and finalized our accounting for 
the  impact  of  the  Tax  Act,  we  will  monitor  guidance  issued  in  the  future  and  assess  the  impact,  if  any,  on  the  amounts 
provided. 

In  2017,  the  Company  liquidated  its  top  U.S.  subsidiary  (Biovail  Americas  Corp.)  (“BAC”)  in  a  taxable  transaction, 
resulting in a taxable loss which was of a character that would offset certain gains from internal restructurings and third-party 
divestitures,  the  excess  of which was,  under  U.S.  tax  law,  able  to be carried  back  to offset  previously  recognized gains  in 
2016,  2015  and  2014.  This  carryback  resulted  in  an  increase  in  the  Company’s  deferred  tax  asset  for  NOLs  previously 
utilized against such gains. In 2017, as a result of this taxable transaction, the Company recognized a net income tax benefit 
of approximately $400 million primarily related to the carryback of losses. 

We record a valuation allowance against our deferred tax assets to reduce their net carrying value to an amount that we 
believe  is  more  likely  than  not  to  be  realized.  In  determining  our  deferred  tax  asset  valuation  allowance,  we  estimate  our 
ability to utilize future sources of income to realize the benefits of our temporary income tax differences including: (i) NOL 
carryforwards  in  each  jurisdiction,  primarily  in  Canada,  the  U.S.  and  Ireland,  (ii)  research  and  development  tax  credit 
carryforwards,  (iii)  scientific  research  and  experimental  development  pool  carryforwards  and  (iv)  investment  tax  credit 
carryforwards. When we establish/increase or reduce/decrease the valuation allowance, the provision for income taxes will 
increase  or  decrease,  respectively,  in  the  period  such  determination  is  made.  Our  valuation  allowance  against  deferred  tax 
assets as of December 31, 2018 and 2017 was $2,913 million and $2,001 million, respectively, an increase of $912 million. 
The  increase  in  our  valuation  allowance  was  primarily  driven  by:  (i)  the  transfer  of  certain  intangible  assets  from  foreign 
subsidiaries to Canadian subsidiaries as part of the internal restructurings discussed above and (ii) additional NOLs generated 
during 2018 which could not be used to reduce income taxes payable. 

See Note 17, “INCOME TAXES” to our audited Consolidated Financial Statements for further details regarding income 

taxes. 

Reportable Segment Revenues and Profits 

Our portfolio of products falls into four operating and reportable segments: (i) Bausch + Lomb/International, (ii) Salix, 

(iii) Ortho Dermatologics and (iv) Diversified Products. 

The following is a brief description of our segments: 

•  The  Bausch  +  Lomb/International  segment  consists  of:  (i)  sales  in  the  U.S.  of  pharmaceutical  products,  OTC 
products and medical device products, primarily comprised of Bausch + Lomb products, with a focus on the Vision 
Care,  Surgical,  Consumer  and  Ophthalmology  Rx  products  and  (ii)  with  the  exception  of  sales  of  Solta  products, 
sales  in  Canada,  Europe,  Asia,  Australia,  Latin  America,  Africa  and  the  Middle  East  of  branded  pharmaceutical 
products,  branded  generic  pharmaceutical  products,  OTC  products,  medical  device  products  and  Bausch  +  Lomb 
products. 

•  The Salix segment consists of sales in the U.S. of GI products. 

68 

•  The  Ortho  Dermatologics  segment  consists  of:  (i)  sales  in  the  U.S.  of  Ortho  Dermatologics  (dermatological) 

products and (ii) global sales of Solta medical aesthetic devices. 

•  The  Diversified  Products  segment  consists  of  sales:  (i)  in  the  U.S.  of  pharmaceutical  products  in  the  areas  of 
neurology  and  certain  other  therapeutic  classes,  (ii)  in  the  U.S.  of  generic  products,  (iii)  in  the  U.S.  of  dentistry 
products and (iv) of certain other businesses divested during 2017 that were not core to the Company’s operations, 
including the Company’s equity interests in Dendreon (June 28, 2017) and Sprout (December 20, 2017). As a result 
of  the  divestitures  of  Dendreon  and  Sprout,  the  Company  exited  the  oncology  and  women’s  health  businesses, 
respectively. 

Segment profit is based on operating income after the elimination of intercompany transactions (including transactions 
with  any  consolidated  variable  interest  entities).  Certain  costs,  such  as  amortization  and  impairments  of  intangible  assets, 
goodwill  impairments,  certain  R&D  expenses  not  specific  to  the  Company’s  active  portfolio,  acquired  in-process  research 
and development costs, restructuring, integration and acquisition-related costs and other (income) expense are not included in 
the measure of segment profit, as management excludes these items in assessing financial performance. In addition, a portion 
of share-based compensation, representing the difference between actual and budgeted expense, is not allocated to segments. 
See  Note  22,  “SEGMENT  INFORMATION”  to  our  audited  Consolidated  Financial  Statements  for  a  reconciliation  of 
segment profit to Loss before benefit from income taxes. 

The following  table presents  segment  revenues,  segment  revenues  as  a percentage  of total  revenues and  the  year over 
year changes in segment revenues for 2018 and 2017. The following table also presents segment profits, segment profits as a 
percentage of segment revenues and the year over year changes in segment profits for 2018 and 2017.  

(in millions) 
Segment Revenue 

Bausch + Lomb/International ..... 
Salix ........................................... 
Ortho Dermatologics .................. 
Diversified Products ................... 
Total revenues ............................ 

Segment Profits / Segment Profit 

Margins 
Bausch + Lomb/International ..... 
Salix ........................................... 
Ortho Dermatologics .................. 
Diversified Products ................... 
Total segment profit ................... 

Years Ended December 31, 

2018 

2017 

Change 
2017 to 2018 

Amount   

Pct. 

Amount   

Pct. 

Amount 

Pct. 

$ 

$ 

$ 

$ 

4,664 
1,749 
625 
1,342 
8,380 

1,330 
1,149 
265 
1,004 
3,748 

56%  $ 
21%   
7%   
16%   
100%  $ 

4,795  
1,566  
725  
1,638  
8,724  

29%  $ 
66%   
42%   
75%   
45%  $ 

1,412  
935  
336  
1,112  
3,795  

55%  $ 
18%   
8%   
19%   
100%  $ 

29%  $ 
60%   
46%   
68%   
44%  $ 

(131) 
183 
(100) 
(296) 
(344) 

(82) 
214 
(71) 
(108) 
(47) 

(3)% 
12% 
(14)% 
(18)% 
(4)% 

(6)% 
23% 
(21)% 
(10)% 
(1)% 

The following table presents organic revenue (Non-GAAP) and the year over year changes in organic revenue for 2018 
and  2017  by  segment.  Organic  revenues  and  organic  growth  rates  are  defined  in  the  previous  section  titled  “Selected 
Financial Information”. 

Year Ended December 31, 2018 

Year ended December 31, 2017 

  Revenue 

as 
Reported 

  Changes in 
Exchange 
Rates 

(in millions) 
Bausch + 

Organic 
Revenue 
(Non-GAAP) 

  Revenue 

as 
Reported 

Divested 
Revenues 

Organic 
Revenue 
(Non-GAAP) 

Change in 

  Organic Revenue  
Pct.   
  Amount  

Lomb/International ...  $ 

Salix .............................. 
Ortho Dermatologics .... 
Diversified Products ..... 
Total .............................  $ 

4,664  $ 
1,749 
625 
1,342 
8,380  $ 

(18)  $ 
— 
— 
— 
(18)  $ 

4,646  $ 
1,749 
625 
1,342 
8,362  $ 

4,795  $ 
1,566 
725 
1,638 
8,724  $ 

(312 )  $ 
(3 ) 
(5 ) 
(221 ) 
(541 )  $ 

4,483  $ 
1,563 
720 
1,417 
8,183  $ 

163 
186 
(95) 
(75) 
179 

4% 
12% 
(13)% 
(5)% 
2% 

69 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Bausch + Lomb/International Segment: 

Bausch + Lomb/International Segment Revenue 

The Bausch + Lomb/International segment has a diversified product line with no single product group representing 10% 
or  more  of  its  segment  product  sales.  The  Bausch  +  Lomb/International  segment  revenue  was  $4,664  million  and  $4,795 
million for 2018 and 2017, respectively, a decrease of $131 million, or 3%. The decrease was driven by: (i) the impact of 
2017 divestitures and discontinuations of $312 million, which includes the Skincare Sale (March 3, 2017) and the iNova Sale 
(September 29, 2017) and (ii) a decrease in average realized pricing of $19 million primarily driven by our Global Vision 
Care business. The decrease was partially offset by: (i) an increase in volume across our global eye-health businesses of $178 
million  primarily  driven  by  our  Global  Vision  Care  and  Global  Consumer  businesses,  (ii)  the  favorable  effect  of  foreign 
currencies of $18 million primarily attributable to European and Asian currencies and (iii) an increase in other revenues of $4 
million. The increase in volume in our Global Vision Care business was primarily attributable to our Biotrue® ONEday and 
Ultra®  product  lines.  The  increase  in  volume  in  our  Global  Consumer  business  was  primarily  attributable  to  the  launch of 
Lumify® and sales of Preservision®. 

Bausch + Lomb/International Segment Profit 

The  Bausch  +  Lomb/International  segment  profit  was  $1,330  million  and  $1,412  million  for  2018  and  2017, 
respectively,  a  decrease  of  $82  million,  or  6%.  The  decrease  was  driven  by:  (i)  the  impact  of  2017  divestitures  and 
discontinuations,  (ii)  an  increase  in  selling,  advertising  and  promotion  expenses  in  support  of  the  launch  of  products, 
primarily our launch of Lumify® and (iii) a decrease in average realized pricing as previously discussed. The decrease was 
partially offset by: (i) the increase in contribution as a result of the increase in volume as previously discussed, (ii) the net 
favorable effect of foreign currencies and (iii) a decrease in legal expenses. 

Salix Segment: 

Salix Segment Revenue 

The  Salix segment  includes the  Xifaxan®  product  line,  which  accounted  for  approximately  68%  and  63%  of  the Salix 
segment product sales and approximately 14% and 11% of the Company’s product sales for 2018 and 2017, respectively. No 
other  single  product  group  represents  10%  or  more  of  the  Salix  segment  product  sales.  The  Salix  segment  revenue  was 
$1,749 million and $1,566 million for 2018 and 2017, respectively, an increase of $183 million, or 12%. The increase is due 
to an increase in average realized pricing of $208 million as a result of higher gross selling prices mainly from Xifaxan® and 
lower sales deductions primarily attributable to Glumetza® and Xifaxan®. The increase was partially offset by: (i) decreases in 
volume of $18 million, (ii) decreases in other revenues of $4 million and (iii) the impact of discontinuations of $3 million. 
The net decrease in volume of $18 million was primarily attributable to the impact of generic competition as certain products 
lost exclusivity including Uceris®, Glumetza® and Zegerid®, which was partially offset by increased demand for Xifaxan®. 

Salix Segment Profit 

The  Salix  segment  profit  was  $1,149  million  and  $935  million  for  2018  and  2017,  respectively,  an  increase  of  $214 
million, or 23%. The increase includes: (i) the increase in contribution as a result of the increase in revenue, as previously 
discussed, and lower third-party royalty costs and (ii) a decrease in bad debt expense. 

Ortho Dermatologics Segment: 

Ortho Dermatologics Segment Revenue 

The  Ortho  Dermatologics  segment  revenue  was  $625  million  and  $725  million  for  2018  and  2017,  respectively,  a 
decrease of $100 million, or 14%. The decrease was driven by: (i) a decrease in volume of $96 million, (ii) the decrease in 
other revenues of $18 million and (iii) the impact of 2017 divestitures and discontinuations of $5 million. The decrease in 
volume  is  primarily  due  to:  (i)  the  impact  of  generic  competition  as  certain  products  lost  exclusivity,  including  certain 
strengths  of  Solodyn®,  (ii)  decreased  demand  for  Jublia®  and  Targretin®  and  (iii)  a  decrease  in  royalty  revenue  associated 
with certain partnerships partially offset by the impact on volume from the launches of SiliqTM (July 2017), Retin-A Micro® 
0.06%  (January  2018)  and  BryhaliTM  (November  2018).  The  decrease  in  volume  was  partially  offset  by  an  increase  in 
average  realized  pricing  of  $19  million  as  a  result  of  higher  gross  selling  prices  and  lower  sales  deductions  primarily 
attributable to Targretin® and Zovirax®. 

70 

Ortho Dermatologics Segment Profit 

The Ortho Dermatologics segment profit was $265 million and $336 million for 2018 and 2017, respectively, a decrease 
of  $71  million,  or  21%.  The  decrease  includes:  (i)  a  decrease  in  contribution  primarily  due  to  the  decrease  in  revenue,  as 
previously discussed and (ii) higher compensation expenses. These decreases were partially offset by decreases in: (i) legal 
expenses, (ii) advertising and promotion expenses and (iii) bad debt expense. 

Diversified Products Segment: 

Diversified Products Segment Revenue 

The following table displays the Diversified Products segment revenues by product and product revenues as a percentage 

of segment revenue for 2018 and 2017.  

Years Ended December 31, 
2017 

2018 

Change 
2017 to 2018 

(in millions) 
Wellbutrin® Franchise................................. 
Arestin® ...................................................... 
Cuprimine® ................................................. 
Migranal® Franchise ................................... 
Ativan® ....................................................... 
Aplenzin® .................................................... 
Xenazine® Franchise ................................... 
Syprine® ...................................................... 
Mephyton® Franchise .................................. 
Isuprel® ....................................................... 
Other product revenues ............................... 
Other revenues ............................................ 
Total U.S. Diversified revenues .................. 

Amount  
252 
$ 
96 
88 
62 
54 
54 
52 
47 
37 
36 
548 
16 
$  1,342 

Pct. 

Amount   
235 
111 
78 
58 
60 
31 
122 
91 
52 
105 
681 
14 
1,638 

19%  $ 
7%   
6%   
5%   
4%   
4%   
4%   
3%   
3%   
3%   
41%   
1%   
100%  $ 

Pct. 

Amount  
17 
(15) 
10 
4 
(6) 
23 
(70) 
(44) 
(15) 
(69) 
(133) 
2 
(296) 

14%  $ 
7%   
5%   
3%   
4%   
2%   
7%   
6%   
3%   
6%   
42%   
1%   
100%  $ 

Pct.   

7% 
(14)% 
13% 
7% 
(10)% 
74% 
(57)% 
(48)% 
(29)% 
(66)% 
(20)% 
14% 
(18)% 

The  Diversified  Products  segment  revenue  was  $1,342  million  and  $1,638  million  for  2018  and  2017,  respectively,  a 
decrease  of  $296  million,  or  18%.  The  decrease  was  primarily  driven  by:  (i)  the  impact  of  2017  divestitures  and 
discontinuations of $221 million, which includes the Dendreon Sale (June 28, 2017), the Obagi Sale (November 9, 2017) and 
the Sprout Sale (December 20, 2017) and (ii) a decrease in volume of $164 million. The decrease in volume was primarily 
attributable to the impact of generic competition as certain products lost exclusivity, including Isuprel®, Xenazine®, Syprine® 
and Mephyton®. These decreases in volume were partially offset by increased volumes in our Generics business, primarily 
due to the launches of Diastat® AG and Uceris® AG products. The net decrease in volume was partially offset by: (i) a net 
increase  in  average  realized  pricing  of  $88  million  as  a  result  of  higher  gross  selling  prices  and  lower  sales  deductions 
primarily  associated  with  our  Neurology  and  Other  business  partially  offset  by  a  decrease  in  average  realized  pricing  of 
Arestin® in our Dentistry business and (ii) an increase in other revenues of $1 million. 

Diversified Products Segment Profit 

The  Diversified  Products  segment  profit  was  $1,004  million  and  $1,112  million  for  2018  and  2017,  respectively,  a 
decrease of $108 million, or 10%. The decrease was primarily driven by the decrease in contribution as a result of: (i) the 
impact of 2017 divestitures and discontinuations and (ii) the decrease in volume, as previously discussed, partially offset by 
lower third-party royalty costs. 

2017 Compared with 2016 

Revenues 

Our revenue was $8,724 million and $9,674 million for 2017 and 2016, respectively, a decrease of $950 million, or 10%. 
The decrease was primarily driven by: (i) the impact of divestitures and discontinuations of $459 million and (ii) a decline in 
revenues of $403 million primarily due to lower volumes associated with: (a) our Diversified Products segment as a result of 
the  loss  of  exclusivity  for  a  number  of  products,  (b)  our  Ortho  Dermatologics  segment  as  a  result  of  challenging  market 
dynamics in dermatology and (c) to a lesser extent, our Salix segment, partially offset by increased volumes in our Bausch + 
Lomb / International segment, primarily driven by the U.S. Bausch + Lomb Consumer business and increased international 
pricing  in  our  Bausch  +  Lomb  /  International  segment  and  Salix  segment  and  (iii)  the  unfavorable  impact  of  foreign 
currencies of $78 million which is primarily attributable to the Egyptian pound. 

71 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our segment revenues and segment profits are discussed in detail in the subsequent section titled “Reportable Segment 

Revenues and Profits”. 

Cash Discounts and Allowances, Chargebacks and Distribution Fees 

(in millions) 
Gross product sales ................................................................................. 
Provisions to reduce gross product sales to net product sales 

Discounts and allowances ................................................................... 
Returns ................................................................................................ 
Rebates ................................................................................................ 
Chargebacks ........................................................................................ 
Distribution service fees ...................................................................... 

Net product sales ..................................................................................... 

$ 

Years Ended December 31, 
2017 

2016 

Amount   
$  14,825 

Pct. 

Amount  
100%  $  16,047 

Pct. 

100 % 

829 
423 
2,545 
2,145 
288 
6,230 
8,595 

6%   
789 
3%   
460 
17%   
2,521 
14%   
2,318 
2%   
423 
6,511 
42%   
58%  $  9,536 

5 % 
3 % 
16 % 
14 % 
3 % 
41 % 
59 % 

Cash discounts and allowances, returns, rebates, chargebacks and distribution fees as a percentage of gross product sales 

were 42% and 41% in 2017 and 2016, respectively, an increase of 1% primarily driven by: 

• 

• 

• 

• 

an  increase  in  discounts  and  allowances  as  a  percentage  of  product  sales  primarily  associated  with  the  generic 
release of Glumetza® AG partially offset by lower sales of Zegerid® AG due to generic competition; 

returns  as  a  percentage  of  gross  product  sales  was  unchanged  as  higher  return  rates  for  products  with  generic 
launches in 2017, such as Nitropress® and Glumetza®, were substantially offset by decreases from lower year over 
year sales and return rates associated with certain products, primarily Zegerid® AG which was launched in 2016, and 
Retin® AG which was impacted by multiple generics in 2016; 

rebates  as  a  percentage  of  product  sales  was  higher  as  increased  sales  of  products  that  carry  higher  contractual 
rebates  and  co-pay  assistance  programs,  including  the  impact  of  gross  price  increases  where  customers  receive 
incremental  rebates  based  on  contractual  price  increase  limitations.  The  comparisons  were  impacted  primarily  by 
higher  provisions  for  rebates  and  the  co-pay  assistance  programs  for  promoted  products,  such  as  Xifaxan®, 
Wellbutrin®  and  Apriso®.  These  increases  were  offset  by  decreases  in  rebates  for  Glumetza®,  Solodyn®,  Jublia®, 
Carac®, Ziana® and other products as generic competition caused a decline in volume year over year; 

chargebacks  as  a  percentage  of  gross  product  sales  was  unchanged  as  increases  in  chargebacks  from  higher  year 
over  year  sales  of  certain  generic  drugs  such  as  Glumetza®  AG,  Targretin®  AG  and  Xenazine®  AG  and  certain 
branded  drugs  such  as  Nifedical™,  Xifaxan®  and  Ofloxacin  were  substantially  offset  by  decreases  in  chargebacks 
associated  with:  (i)  lower  utilization  by  the  U.S.  government  of  certain  products  such  as  Minocin®,  Ativan®  and 
Mysoline®, (ii) lower year over year sales of Zegerid® AG, Nitropress® and Anusol™ and other drugs due to generic 
competition and Provenge® which was divested with the Dendreon Sale and (iii) better contract pricing as a result of 
the Company’s pricing discipline. During much of 2016, the Company was subject to higher chargeback rates as a 
result of its 2015 pricing strategies. As a result of corrective actions taken by the Company, and its continued pricing 
discipline during 2016, the previous chargeback rates, which were substantial, are no longer effective during 2017; 
and 

• 

a decrease in distribution service fees as a percentage of gross product sales due in part to higher offsetting price 
appreciation credits and better contract terms with our distributors. Price appreciation credits are offset against the 
distribution service fees we pay wholesalers and were $21 million and $13 million for 2017 and 2016, respectively. 

Operating Expenses 

Cost of Goods Sold (exclusive of amortization and impairments of intangible assets) 

Cost of goods sold was $2,506 million and $2,572 million in 2017 and 2016, respectively, a decrease of $66 million, or 
3%.  The  decrease  was  primarily  driven  by:  (i)  lower  volumes  from  revenues,  (ii)  the  impact  of  divestitures  and 
discontinuations, (iii) lower amortization of acquisition accounting adjustments related to inventories of $38 million and (iv) 
the  favorable  impact  of  foreign  currencies  of  $22  million.  These  decreases  were  partially  offset  by:  (i)  an  increase  of  $21 
million in certain maintenance costs and (ii) higher third-party royalty costs on certain drugs. 

72 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
Effective July 1, 2017, we began classifying certain maintenance costs as costs of sales which in previous periods were 
included in R&D expenses. The costs incurred for the period July 1, 2017 through December 31, 2017 was $21 million. No 
adjustments were made to prior periods based on materiality. 

Cost  of  goods  sold  as  a  percentage  of  revenue  was  29%  and  27%  for  2017  and  2016,  respectively,  an  increase  of  2 
percentage points and was primarily driven by an unfavorable change in our product mix. In 2017, a greater percentage of our 
revenue  was  attributable  to  the  Bausch  +  Lomb/International  segment,  which  generally  has  lower  gross  margins  than  our 
remaining  product  portfolio.  The  shift  toward  a  lower  gross  margin  is  also  partly  due  to  the  loss  of  exclusivity  across  our 
portfolio. These increases in costs of goods sold as a percentage of product sales revenue were partially offset by acquisition 
accounting adjustments related to inventories expensed in 2016 of $38 million. Our segment revenues and segment profits are 
discussed in detail in the subsequent section titled “Reportable Segment Revenues and Profits”. 

Selling, General and Administrative Expenses 

SG&A was $2,582 million and $2,810 million for 2017 and 2016, respectively, a decrease of $228 million, or 8%. The 
decrease was primarily driven by: (i) a net decrease in advertising and promotion expenses, primarily driven by decreases in 
direct  to  consumer  advertising  in  support  of  our  Jublia®,  Xifaxan®,  Bausch  +  Lomb  ULTRA®  contact  lenses  and  other 
branded products, (ii) a net decrease in compensation expense as we incurred higher personnel costs in 2016 resulting from 
changes in our senior management team and employee retention costs, (iii) termination benefits associated with our former 
Chief Executive Officer in 2016 consisting of: (a) the pro-rata vesting of performance-based restricted stock units (“RSUs”) 
(no  shares  were  issued  on  vesting  of  these  performance-based  RSUs  because  the  associated  market-based  performance 
condition was not attained), (b) a cash severance payment and (c) a pro-rata annual cash bonus, (iv) lower expenses due to the 
impact of divestitures, (v) the favorable impact of foreign currencies and (vi) a net decrease in third-party consulting fees. 
These factors were partially offset by an increase in professional fees incurred in connection with: (i) legal and governmental 
proceedings,  investigations  and  information  requests  relating  to,  among  other  matters,  our  distribution,  marketing,  pricing, 
disclosure and accounting practices, (ii) the execution on our key initiatives and (iii) other ongoing corporate and business 
matters. 

Research and Development Expenses 

R&D expenses were $361 million and $421 million for 2017 and 2016, respectively, a decrease of $60 million, or 14%. 
The decrease was primarily due to: (i) the year over year phasing as we completed the R&D investment in Siliq™ and other 
newly  launched  products  requiring  investment  in  the  prior  year,  removed  projects  related  to  divested  businesses  and 
rebalanced  our  portfolio  to  better  focus  on  its  core  assets  as  this  is  not  representative  of  our  current  product  development 
activities and (ii) $21 million of certain maintenance costs classified as cost of sales in 2017 that in previous periods were 
included in R&D expenses as previously discussed. 

Although R&D expenses in 2017 were lower when compared to 2016 by $60 million, R&D expenses as a percentage of 
revenue  was  approximately  4%  in  2017  and  2016  and  demonstrates  our  consistent  commitment  to  our  investment  in  our 
R&D  strategy.  The  decrease  in  dollars  spent  in  2017  is  attributable  to  year  over  year  phasing  as  we  completed  the  R&D 
investment  in  SiliqTM  and  other  recently  launched  products  requiring  investment  in  2016,  removed  projects  related  to 
businesses divested in 2017 and rebalanced our portfolio to better align with our long-term plans and focus on our Bausch + 
Lomb, GI and dermatology businesses. 

Amortization of Intangible Assets 

Amortization of intangible assets was $2,690 million and $2,673 million for 2017 and 2016, respectively, an increase of 
$17  million,  or  1%.  The  increase  in  amortization  is  driven  by  changes  to  the  estimated  remaining  useful  lives  of  certain 
products and the Salix brand name, partially offset by lower amortization as a result of impairments to intangible assets and 
divestitures  and  discontinuances  of  product  lines  during  2017  and  2016  as  the  Company  focuses  on  its  core  assets. 
Management  continually  assesses  the  useful  lives  related  to  the  Company’s  long-lived  assets  to  reflect  the  most  current 
assumptions.  In  review  of  the  Company’s  finite-lived  intangible  assets,  management  revised  the  estimated  useful  lives  of 
certain intangible assets in the third and fourth quarters of 2017. As a result, the useful lives of certain product brands, with 
an aggregate carrying value of $7,618 million as of December 31, 2017, were revised from an average of seven years to four 
years,  primarily  due  to  each  product  expected  to  lose  its  exclusivity.  In  addition,  the  useful  life  of  the  Salix  brand,  with  a 
carrying value of $569 million as of December 31, 2017, was revised from seventeen years to ten years due to revisions in the 
forecasted sales of its product portfolio. 

73 

Goodwill Impairments 

Goodwill impairments was $312 million and $1,077 million for 2017 and 2016, respectively. 

During the three months ended September 30, 2017, the Sprout business was classified as held for sale. As the Sprout 
business  represented  only  a  portion  of  a  reporting  unit  of  our  former  Branded  Rx  segment,  we  assessed  the  remaining 
reporting unit for impairment and determined and recorded a goodwill impairment charge of $312 million during the three 
months ended September 30, 2017. 

Commencing in the three months ended September 30, 2016 through the first quarter of 2018, the Company operated in 
three  operating  segments:  (i)  Bausch  +  Lomb/International,  (ii)  Branded  Rx  and  (iii)  U.S.  Diversified  Products.  The 
realignment of the segment structure in 2016 resulted in changes in the Company’s reporting units. In the third and fourth 
quarter of 2016, goodwill impairment testing was performed under the former reporting unit structure immediately prior to 
the change and under the then-current reporting unit structure immediately subsequent to the change. 

Under  the  former  (pre-2016  realignment)  reporting  unit  structure,  the  fair  value  of  each  reporting  unit  exceeded  its 
carrying value by more than 15%, except for the former U.S. reporting unit whose carrying value exceeded its fair value by 
2%. As a result, the Company proceeded to perform step two of the goodwill impairment test for the former U.S. reporting 
unit  and  determined  that  the  carrying  value  of  the  unit’s  goodwill  exceeded  its  implied  fair  value,  which  resulted  in  a 
goodwill  impairment  charge  of  $905  million,  as  adjusted  through  December  31,  2016.  The  goodwill  impairment  was 
primarily  driven  by  changes  to  the  Company’s  forecasted  performance,  which  resulted  in  a  lower  fair  value  of  the  U.S. 
businesses, mainly the Salix business. 

Under the then-current reporting unit structure, the carrying value of the Salix reporting unit exceeded its fair value, as 
updates to the unit’s forecast resulted in a lower estimated fair value for the business. As a result, the Company proceeded to 
perform step two of the goodwill impairment test for the Salix reporting unit and determined that the carrying value of the 
unit’s goodwill exceeded its implied fair value, which resulted in a goodwill impairment charge of $172 million, as adjusted 
through December 31, 2016. 

See Note 9, “INTANGIBLE ASSETS AND GOODWILL” to our audited Consolidated Financial Statements for further 

details related to our goodwill impairment analysis. 

Asset Impairments 

Asset impairments were $714 million and $422 million for 2017 and 2016, respectively, an increase of $292 million. 

Asset impairments for 2017 included impairments of: (i) $351 million related to the Sprout business being classified as 
held for sale, (ii) $151 million reflecting decreases in forecasted sales for other product lines, (iii) $114 million to other assets 
classified  as held for  sale, primarily  related  to  the  Obagi business, (iv) $95  million,  in  aggregate,  to certain product/patent 
assets associated with the discontinuance of specific product lines not aligned with the focus of the Company’s core business 
and (v) $3 million related to acquired IPR&D. 

Asset impairments for 2016 included impairments of: (i) $221 million related to the divestiture of Ruconest®, (ii) $88 
million  related  to  other  assets  classified  as  held  for  sale,  (iii)  $74  million  related  to  other  asset  impairments  which  were 
individually not material, (iv) $25 million related to IBS ChekTM due to a decrease in forecasted sales and (v) $14 million 
related to acquired IPR&D. 

See Note 4, “DIVESTITURES” and Note 9, “INTANGIBLE ASSETS AND GOODWILL” to our audited Consolidated 

Financial Statements regarding further details related to our intangible assets. 

Restructuring and Integration Costs 

Restructuring  and  integration  costs  were  $52  million  and  $132  million  for  2017  and  2016,  respectively.  We  have 
substantially  completed  the  integration  of  the  businesses  acquired  prior  to  2016.  The  Company  continues  to  evaluate 
opportunities  to  streamline  its  operations  and  identify  additional  cost  savings  globally  and  the  Company  may  identify  and 
take additional exit and cost-rationalization restructuring actions in the future, the costs of which could be material. 

See Note 5, “RESTRUCTURING AND INTEGRATION COSTS” to our audited Consolidated Financial Statements for 

further details regarding these actions. 

74 

Acquired In-Process Research and Development Costs 

Acquired in-process research and development costs were $5 million and $34 million for 2017 and 2016, respectively. 

Acquired in-process research and development costs in 2016 were primarily related to a $25 million license payment. 

Acquisition-Related Contingent Consideration 

Acquisition-related  contingent  consideration  was  a  net  gain  of  $289  million  for  2017  which  included:  (i)  a  fair  value 
adjustment  of  $312  million  reflecting  a  decrease  in  forecasted  sales  for  the  Addyi®  product,  which  impacted  the  expected 
future  payments  and  (ii)  net  fair  value  adjustments  due  to  changes  in  estimates  of  other  expected  future  payments  of  $31 
million. These net gains were partially offset by accretion for the time value of money of $54 million. 

Acquisition-related  contingent  consideration  was  a  net  gain  of  $13  million  for  2016,  which  included  net  fair  value 

adjustments of $105 million which, were partially offset by accretion for the time value of money of $92 million. 

See Note 6, “FAIR VALUE MEASUREMENTS” to our audited Consolidated Financial Statements for further details. 

Other (income) expense, net 

Other (income) expense, net for 2017 and 2016 consists of the following: 

(in millions) 
Gain on the Skincare Sale ............................................................................................................ 
Gain on the iNova Sale ................................................................................................................ 
Gain on the Dendreon Sale .......................................................................................................... 
Loss on the Sprout Sale ............................................................................................................... 
Net loss (gain) on other sales of assets ........................................................................................ 
Litigation and other matters ......................................................................................................... 
Other, net ..................................................................................................................................... 
Other (income) expense, net ........................................................................................................ 

$ 

$ 

2017 

2016 

(309)  $ 
(309) 
(97) 
98 
37 
226 
1 
(353)  $ 

— 
— 
— 
— 
(6) 
59 
20 
73 

In 2017, Litigation and other matters includes: (i) $96 million related to the settlement of the Allergan shareholder class 
actions, (ii) $93 million related to the settlement of the Solodyn® antitrust class actions litigation and (iii) $20 million related 
to the Mimetogen Pharmaceuticals litigation. In 2016, Litigation and other matters includes: (i) an unfavorable adjustment of 
$90 million from the proposed settlement of the Salix securities litigation and (ii) a favorable adjustment of $39 million from 
the settlement of the investigation into Salix’s pre-acquisition sales and promotional practices for the Xifaxan®, Relistor® and 
Apriso®  products.  Net  gain  on  other  sales  of  assets  includes:  (i)  a  gain  of  $20  million  from  an  amendment  to  a  license 
agreement  terminating  the  Company’s  right  to  develop  and  commercialize  brodalumab  in  Europe  and  (ii)  a  loss  of  $22 
million from the divestiture of Ruconest®. 

Litigation  and  other  matters  includes  other  amounts  provided  for  certain  matters  discussed  in  Note  20,  “LEGAL 

PROCEEDINGS” to our audited Consolidated Financial Statements. 

Non-Operating Income and Expense 

Interest Expense 

Interest  expense  was  $1,840  million  and  $1,836  million  and  included  non-cash  amortization  and  write-offs  of  debt 
discounts  and  deferred  financing  costs  of  $151  million  and  $118  million  for  2017  and  2016,  respectively.  The  increase  in 
interest expense is primarily due to: (i) higher amortization and write-offs of debt discounts and deferred financing costs and 
(ii) higher interest rates associated with the refinancing transactions that occurred during 2017 and amendments made in 2016 
to  our  Third  Amended  Credit  Agreement  (as  defined  below).  Prepayments  of  long  term  debt  were  higher  in  2017  as 
compared to 2016, and resulted in higher acceleration of amortization and write-offs of debt discounts and deferred financing 
costs during 2017 as compared to 2016. These increases were partially offset by a decrease in interest expense as a result of 
lower principal amounts of outstanding long term debt. The weighted average stated rate of interest as of December 31, 2017 
and 2016 was 6.07% and 5.75%, respectively. 

See Note 11, “FINANCING ARRANGEMENTS” to our audited Consolidated Financial Statements for further details. 

75 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Loss on Extinguishment of Debt 

Loss  on  extinguishment  of  debt  was  $122  million  for  2017.  In  March  2017,  October  2017,  November  2017  and 
December 2017, we completed a series of transactions which allowed us to refinance a portion of our debt arrangements. In 
August  2017,  we  repurchased  the  remaining  $500  million  of  our  August  2018  Unsecured  Notes.  Losses  representing  the 
differences between the amounts paid to settle the extinguished debts and the carrying value of the extinguished debts (the 
debts’ stated principal net of unamortized debt discount and debt issuance costs) were recognized. 

See Note 11, “FINANCING ARRANGEMENTS” to our audited Consolidated Financial Statements for further details. 

Foreign Exchange and Other 

Foreign exchange and other was a net gain of $107 million for 2017 and includes: (i) a foreign exchange gain related to a 
euro-denominated  intercompany  loan  and  (ii)  net  foreign  exchange  gains  related  to  intercompany  transactions  within  our 
European operations. 

Foreign exchange and other was a net loss of $41 million for 2016 and includes: (i) a foreign exchange loss related to a 
euro-denominated  intercompany  loan  and  (ii)  net  foreign  exchange  losses  related  to  intercompany  transactions  within  our 
European operations. 

Income Taxes 

Benefit from income taxes was $4,145 million and $27 million for 2017 and 2016, respectively. 

As previously discussed, in 2017, our effective tax rate differed from the Canadian statutory tax rate of 26.9% primarily 
due to: (i) a benefit related to internal integrations and restructurings, (ii) a benefit related to U.S. tax law changes enacted in 
December 2017, (iii) a benefit generated from our annualized mix of earnings by jurisdiction, (iv) a benefit from the sale of 
divested businesses and (v) the recording of valuation allowance on entities for which no tax benefit of losses is expected. 

In  2016,  our  effective  tax  rate  differed  from  the  Canadian  statutory  tax  rate  of  26.9%  primarily  due  to:  (i)  a  benefit 
related to internal integrations and restructurings, (ii) a charge for the impact of non-deductible goodwill impairment, (iii) a 
benefit for the effect of valuation allowance on our tax attribute carryforwards in Canada, (iv) benefit of intra-entity transfers 
including the amortization of intangibles for tax purposes (these include a charge for internal restructuring) and (v) a benefit 
from income earned in jurisdictions with a lower statutory rate than in Canada. 

See Note 17, “INCOME TAXES” to our audited Consolidated Financial Statements for further details regarding income 

taxes. 

Reportable Segment Revenues and Profits 

The following table presents segment revenues, segment revenues as a percentage of total revenues, and the year over 
year changes in segment revenues for 2017 and 2016. The following table also presents segment profits, segment profits as a 
percentage of segment revenues and the year over year changes in segment profits for 2017 and 2016.  

(in millions) 
Segment Revenue 

Bausch + Lomb/International .. 
Salix ........................................ 
Ortho Dermatologics ............... 
Diversified Products ................ 
Total revenues ......................... 

Segment Profits / Segment 

Profit Margins 
Bausch + Lomb/International .. 
Salix ........................................ 
Ortho Dermatologics ............... 
Diversified Products ................ 
Total segment profit ................ 

Years Ended December 31, 

2017 

2016 

Change 
2016 to 2017 

Amount   

Pct. 

Amount   

Pct. 

Amount   

Pct. 

$ 

$ 

$ 

$ 

4,795 
1,566 
725 
1,638 
8,724 

1,412 
935 
336 
1,112 
3,795 

55%  $ 
18%   
8%   
19%   
100%  $ 

4,857 
1,530 
949 
2,338 
9,674 

1,456 
946 
408 
1,712 
4,522 

29%  $ 
60%   
46%   
68%   
44%  $ 

76 

50%  $ 
16%   
10%   
24%   
100%  $ 

30%  $ 
62%   
43%   
73%   
47%  $ 

(62) 
36 
(224) 
(700) 
(950) 

(44) 
(11) 
(72) 
(600) 
(727) 

(1)% 
2% 
(24)% 
(30)% 
(10)% 

(3)% 
(1)% 
(18)% 
(35)% 
(16)% 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table presents organic revenue (Non-GAAP) and the year over year changes in organic revenue for 2017 
and 2016 by segment. Organic revenue and organic growth rates are defined in the previous section titled “Selected Financial 
Information”. 

Year Ended December 31, 2017 

Year Ended December 31, 2016 

  Changes 

  Revenues 

Revenue 
as 
Reported 

in 
Exchange 
Rates 

Organic 
Revenue 
(Non-GAAP) 

Revenue 
as 
Reported 

of 
Businesses 
Divested 

(in millions) 
Bausch + 

Organic 
Revenue 
(Non-GAAP) 

Change in 

  Organic Revenue  
Pct.   
  Amount  

Lomb/International ..  $ 

Salix ............................. 
Ortho Dermatologics ... 
Diversified Products .... 
Total ............................  $ 

4,795   $ 
1,566  
725  
1,638  
8,724   $ 

78   $ 
—  
—  
—  
78   $ 

4,873  $ 
1,566 
725 
1,638 
8,802  $ 

4,857  $ 
1,530 
949 
2,338 
9,674  $ 

(240 )  $ 
(32 ) 
(3 ) 
(184 ) 
(459 )  $ 

4,617   $ 
1,498  
946  
2,154  
9,215   $ 

256 
68 
(221) 
(516) 
(413) 

6% 
5% 
(23)% 
(24)% 
(4)% 

Bausch + Lomb/International Segment: 

Bausch + Lomb/International Segment Revenue 

The  Bausch  +  Lomb/International  segment  revenue  was  $4,795  million  and  $4,857  million  for  2017  and  2016, 
respectively, a decrease of $62 million, or 1%. The decrease was primarily driven by: (i) the impact of the Skincare Sale, the 
iNova Sale and other divestitures and discontinuations of $240 million and (ii) the unfavorable impact of foreign currencies 
of $78 million, which includes the unfavorable impact from the Egyptian pound of $138 million. 

These factors were partially offset by: (i) an increase in volume of $139 million primarily driven by the U.S. Bausch + 
Lomb  Consumer  and  international  businesses  and,  to  a  lesser  extent,  the  U.S.  Bausch  +  Lomb  Vision  Care  and  Surgical 
businesses  and  (ii)  an  increase  in  average  realized  pricing  of  $121  million,  primarily  in  Egypt  in  order  to  offset  the 
unfavorable impact of foreign exchange due to the Egyptian pound devaluation. 

Bausch + Lomb/International Segment Profit 

The  Bausch  +  Lomb/International  segment  profit  was  $1,412  million  and  $1,456  million  for  2017  and  2016, 
respectively, a decrease of $44 million, or 3%. The decrease was primarily driven by: (i) the decrease in contribution from the 
impact  of  the  Skincare  Sale,  the  iNova  Sale  and  other  divestitures  and  discontinuations  of  $151  million  and  (ii)  the 
unfavorable impact of foreign currencies on our business of $40 million, primarily due to the Egyptian pound. 

These  factors  were  partially  offset  by:  (i)  an  increase  in  contribution  as  a  result  of  increases  in  volume  and  average 
realized pricing as previously discussed and (ii) a decrease in operating expenses (excluding amortization and impairments of 
intangible assets) of $27 million primarily in advertising and promotion expenses, including expenses eliminated as a result 
of the Skincare Sale, the iNova Sale and other divestitures and discontinuances. 

Salix Segment: 

Salix Segment Revenue 

The Salix segment revenue was $1,566 million and $1,530 million for 2017 and 2016, respectively, an increase of $36 
million,  or  2%.  The  increase  includes  an  increase  in  average  realized  pricing  of  $138  million  primarily  driven  by: 
(i) increased  wholesale  selling  prices  and  (ii)  lower  discounts  2017  when  compared  to  2016.  As  previously  discussed  in 
“Cash  Discounts  and  Allowances,  Chargebacks  and  Distribution  Fees,”  as  a  result  of  corrective  actions  taken  by  the 
Company, and its continued pricing discipline during 2016, chargeback rates within the Salix segment were lower in 2017 
when compared to 2016. 

These factors were partially  offset  by:  (i)  a  decrease  in  volume  of  $70 million  primarily  driven by:  (a)  lower  demand 
most  notably  with  our  Glumetza®  and  Uceris®  products  attributable  to  competition  and  the  increase  in  high  deductible 
medical  plans  and  (b)  generic  competition  as  certain  products  lost  exclusivity,  such  as  our  Zegerid®  product  and  (ii)  the 
impact from the divestiture of Ruconest® and other divestitures of approximately $32 million. 

77 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
  
 
  
 
 
 
 
Salix Segment Profit 

The Salix segment profit was $935 million and $946 million for 2017 and 2016, respectively, a decrease of $11 million, 
or 1%. The decrease was primarily driven by a decrease in contribution from: (i) the lower volumes previously discussed, (ii) 
increase  in  selling  expenses associated  with our  sales force  expansion program  and (iii)  the  impact  from  the divestiture of 
Ruconest® of approximately $27 million. 

These  factors  were  partially  offset  by:  (i)  lower  advertising  and  promotion  expenses  and  (ii)  acquisition  accounting 

adjustments related to inventories expensed in 2016 of $30 million. 

Ortho Dermatologics Segment: 

Ortho Dermatologics Segment Revenue 

The  Ortho  Dermatologics  segment  revenue  was  $725  million  and  $949  million  for  2017  and  2016,  respectively,  a 
decrease of $224 million, or 24%. The decrease was primarily driven by: (i) a decrease in volume of $211 million primarily 
driven  by:  (a)  our  Jublia®  product,  and,  to  a  lesser  extent,  our  Solodyn®  product,  which  have  experienced  lower  volumes 
since the change in our fulfillment model, (b) generic competition as certain products lost exclusivity, such as our Carac®, 
Targretin® and Ziana® products and (c) reduced patient access by third-party payors to certain legacy dermatology products, 
(ii)  the  decrease  in  average  realized  pricing  of  $8  million  and  (iii)  the  decrease  from  the  impact  of  divestitures  and 
discontinuations of $3 million. 

Ortho Dermatologics Segment Profit 

The Ortho Dermatologics segment profit was $336 million and $408 million for 2017 and 2016, respectively, a decrease 
of  $72  million,  or  18%.  The  decrease  was  primarily  driven  by  a  decrease  in  contribution  from  lower  volume  and  average 
realized pricing as previously discussed. These factors were partially offset by the decrease in operating expenses primarily 
related to lower selling and advertising and promotion expenses. 

Diversified Products Segment: 

Diversified Products Segment Revenue 

The  following  table  displays  the  U.S.  Diversified  Products  segment  revenues  in  U.S.  dollars  by  product  and  product 

revenues as a percentage of segment revenue for 2017 and 2016.  

Years Ended December 31, 

2017 

2016 

Change 
2016 to 2017 

(in millions) 
 Wellbutrin® Franchise(1)............. 
 Provenge® .................................. 
 Xenazine® Franchise(1) ............... 
 Arestin® ..................................... 
 Isuprel® ...................................... 
 Syprine® ..................................... 
 Cuprimine® ................................ 
 Ativan® ...................................... 
 Migranal® Franchise (1) .............. 
 Mephyton® Franchise(1) .............. 
 Other product revenues .............. 
 Other revenues ........................... 
 Total Diversified Products 

$ 

Amount   
235 
164 
122 
111 
105 
91 
78 
60 
58 
52 
548 
14 

Pct. 

Amount   
279 
303 
166 
142 
178 
88 
104 
41 
66 
56 
897 
18 

14%  $ 
10%   
7%   
7%   
6%   
6%   
5%   
4%   
4%   
3%   
33%   
1%   

Pct. 

Amount   
(44) 
(139) 
(44) 
(31) 
(73) 
3 
(26) 
19 
(8) 
(4) 
(349) 
(4) 

12%  $ 
13%   
7%   
6%   
8%   
4%   
4%   
2%   
3%   
2%   
38%   
1%   

Pct. 

(16 )% 
(46 )% 
(27 )% 
(22 )% 
(41 )% 
3 % 
(25 )% 
46 % 
(12 )% 
(7 )% 
(39 )% 
(22 )% 

revenues ................................... 

$ 

1,638 

100%  $ 

2,338 

100%  $ 

(700) 

(30 )% 

1 

2017  and  2016  product  revenues  have  been  recast  to  include  international  revenues  and  other  products  within  the 
franchise. 

78 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
The  Diversified  Products  segment  revenue  was  $1,638  million  and  $2,338  million  for  2017  and  2016,  respectively,  a 
decrease of $700 million, or 30%. The decrease was primarily driven by: (i) a decrease in volume of $354 million, (ii) the 
impact  of  the  Dendreon  Sale  and  other  divestitures  and  discontinuations  of  $184  million  and  (iii)  a  decrease  in  average 
realized  pricing  of  $158  million.  Dendreon’s  only  commercialized  product,  Provenge®,  is  an  autologous  cellular 
immunotherapy  (vaccine)  for  prostate  cancer  treatment  approved by  the  FDA  in April  2010. With  this  sale  completed, we 
have  exited  the  oncology  business,  which  was  not  core  to  our  objectives.  The  decrease  in  volumes  and  average  realized 
pricing  is  primarily  driven  by  generic  competition  to  certain  products,  such  as  Nitropress®,  Isuprel®,  Xenazine®  and 
Wellbutrin® in our neurology business unit and the Zegerid® AG in our generics business unit. 

Diversified Products Segment Profit 

The  Diversified  Products  segment  profit  was  $1,112  million  and  $1,712  million  for  2017  and  2016,  respectively,  a 
decrease  of  $600  million,  or  35%.  The  decrease  was  primarily  driven  by  the  decrease  in  contribution  as  a  result  of  the 
decreases  in volumes  and  average realized pricing  as previously  discussed  and  the  impact  of  the Dendreon Sale  and other 
divestitures and discontinuations. 

LIQUIDITY AND CAPITAL RESOURCES 

Cash Flows 

Summarized cash flow information for the years ended December 31, 2018, 2017 and 2016 is as follows:  

(in millions) 
Net (loss) income ..................................................  
Adjustments to reconcile net (loss) income  

to net cash provided by operating activities ......  
Changes in operating assets and liabilities ............  
Net cash provided by operating activities .............  
Net cash (used in) provided by investing 

activities ............................................................  
Net cash used in financing activities .....................  
Effect of exchange rate changes on cash  

and cash equivalents ..........................................  

Net (decrease) increase in cash and cash 

equivalents and restricted cash ..........................  

Cash and cash equivalents and restricted cash, 

beginning of year ...............................................  

Cash and cash equivalents and restricted cash, 

Years Ended December 31, 

Change 

2018 

2017 

2016 

2017 to 
2018 

2016 to 
2017 

$ 

(4,144)  $ 

2,404 

$ 

(2,408)  $ 

(6,548)  $ 

4,812 

5,627 
18 
1,501 

(196) 
(1,353) 

(26) 

(74) 

797 

(958) 
844 
2,290 

2,887 
(4,963) 

41 

255 

542 

4,605 
(110) 
2,087 

(125) 
(1,963) 

(54) 

(55) 

597 

6,585 
(826) 
(789) 

(3,083) 
3,610 

(67) 

(329) 

255 

(5,563) 
954 
203 

3,012 
(3,000) 

95 

310 

(55) 

end of year .........................................................  

$ 

723 

$ 

797 

$ 

542 

$ 

(74)  $ 

255 

Operating Activities 

Net  cash  provided  by  operating  activities  was  $1,501  million  and  $2,290  million  in  2018  and  2017,  respectively,  a 
decrease  of  $789  million,  or  34%.  The  decrease  was  primarily  attributable  to:  (i)  the  favorable  impact  of  changes  in  our 
operating  assets  and  liabilities  in  2017  discussed  below  which  did  not  repeat  in  2018  and  (ii)  higher  payments  (net  of 
insurance proceeds) of legal settlements in 2018. Payments of accrued legal settlements were $224 million, primarily related 
to the settlement of the Allergan shareholder class actions and Solodyn® antitrust class actions litigations, and $221 million, 
primarily  related  to  the  settlement  of  the  legacy  Salix  securities  class  action  litigation,  and  Insurance  proceeds  for  legal 
settlements were $0 and $60 million for 2018 and 2017, respectively. 

Net  cash  provided  by  operating  activities  was  $2,290  million  and  $2,087  million  for  2017  and  2016,  respectively,  an 
increase of $203 million, or 10%. The increase was primarily attributable to the favorable impact of changes in our operating 
assets  and  liabilities  in  2017  discussed  below  which  did  not  occur  in  2016  partially  offset  by  higher  payments  (net  of 
insurance proceeds) of legal settlements in 2017. Payments of accrued legal settlements were $221 million and $69 million 
and Insurance proceeds for legal settlements were $60 million and $0 for 2017 and 2016, respectively. 

79 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The favorable impact of changes in our operating assets and liabilities in 2017 was primarily attributable to: (i) better 
working capital management and (ii) the timing of the collection of trade receivables attributable to our fulfillment agreement 
with Walgreens in resolution of certain 2016 billing issues. As a result of our focus on our core businesses and divestitures of 
non-core businesses, we reduced our inventory days and working capital days during 2017. In 2017, we also simplified our 
supply chain by reducing the number of manufacturing sites and discontinued more than 1,900 stock keeping units or SKUs. 
These  operational  improvements  generated  over  $800  million  of  additional  cash  from  changes  in  working  capital  during 
2017.  Although  we  continually  drive  for  operational  excellence  across  our  organization,  at  this  time  we  believe  we  have 
right-sized the Company’s working capital to a level that fits our business size and needs. 

Investing Activities 

Net cash (used in) provided by investing activities was $(196) million, $2,887 million and $(125) million and included 
payments  for:  (i)  purchases  of  property,  plant  and  equipment  of  $157  million,  $171  million  and  $235  million  and 
(ii) acquisitions of intangible assets and other assets previously acquired of $78 million, $165 million and $56 million, for the 
years 2018, 2017 and 2016, respectively. In 2017, net cash provided by investing activities included the net proceeds from 
sales of non-core assets of $3,253 million, as previously discussed, which were substantially used to reduce the Company’s 
debt obligations. 

Financing Activities 

Net cash used in financing activities during 2018, 2017 and 2016 was primarily driven by repayments of long-term debt 

in execution of leadership’s commitment to improve the Company’s capital structure. 

Net  cash  used  in  financing  activities  during  2018  was  $1,353  million  and  included  repayments  of  long-term  debt  of 
$10,101  million  consisting  of:  (i)  repayments  of  term  loans  under  our  Senior  Secured  Credit  Facilities  of  $3,711  million, 
(ii) repayments  of  principal  amounts  due  under  our  Senior  Notes  of  $5,465  million,  (iii)  refinancing  $500  million  of 
outstanding amounts under our 2020 Revolving Credit Facility with our 2023 Revolving Credit Facility and (iv) repayments 
of our revolving credit facilities of $425 million. Issuance of long-term debt, net of discounts for 2018 was $8,944 million 
and included: (i) the net proceeds of: (a) $4,507 million from the issuance of $4,565 million in principal amount of June 2025 
Term Loan B Facility, (b) $1,480 million from the issuance of $1,500 million in principal amount of April 2026 Unsecured 
Notes (c) $1,476 million from the issuance of $1,500 million in principal amount of November 2025 Term Loan B Facility 
and  (d)  $738  million  from  the  issuance  of  $750  million  in  principal  amount  of  January  2027  Unsecured  Notes, 
(ii) refinancing  $500  million  of  outstanding  amounts  under  our  2020  Revolving  Credit  Facility  with  our  2023  Revolving 
Credit Facility and (iii) $250 million of borrowings under our revolving credit facilities. The net proceeds from the Issuance 
of long-term debt, net of discounts in 2018 is further reduced by $7 million in payments we made in 2018 for issuance costs 
associated with senior notes issued during 2017. Payments for costs associated with the refinancing of certain debt was $102 
million for 2018. 

Net  cash  used  in  financing  activities  during  2017  was  $4,963  million  and  included  repayments  of  long-term  debt  of 
$14,203  million  consisting  of:  (i)  repayments  of  term  loans  under  our  Senior  Secured  Credit  Facilities  of  $9,478  million, 
(ii) repayments of Senior Unsecured Notes of $4,100 million and (iii) repayments of amounts due under our revolving credit 
facility of $625 million. These repayments were funded with: (i) the net proceeds from the sales of non-core assets, including 
the Skincare Sale, the Dendreon Sale, the iNova Sale and the Obagi Sale, (ii) net proceeds of $9,424 million from the 2017 
Refinancing Transactions and (iii) cash on hand. Payments for costs associated with the refinancing of certain debt was $110 
million for 2017. 

Net  cash  used  in  financing  activities  during  2016  was  $1,963  million  and  included  repayments  of  long-term  debt  of 
$2,436 million consisting of: (i) repayments of term loans under our Senior Secured Credit Facilities of $1,841 million and 
(ii) repayments of amounts due under our revolving credit facility of $595 million. Other uses of cash by financing activities 
included: (i) payment of deferred consideration of $500 million in connection with an acquisition, (ii) payments of contingent 
consideration  of  $123  million,  including  $50  million  in  connection  with  the  FDA  approval  of  Relistor®  tablets  and 
(iii) payments of $97 million in connection with certain amendments to our Senior Secured Credit Facilities. Repayments of 
long-term debt in 2016 were funded with: (i) borrowings under our revolving credit facility of $1,220 million, (ii) proceeds 
from the sale of non-core assets and (iii) cash on hand. 

See Note 11, “FINANCING ARRANGEMENTS” to our audited Consolidated Financial Statements for further details 

regarding the financing activities previously described. 

80 

Liquidity and Debt 

Future Sources of Liquidity 

Our primary  sources of  liquidity  are  our  cash  and  cash  equivalents,  cash  collected  from  customers,  funds  as  available 
from  our  revolving  credit  facility,  issuances  of  long-term  debt  and  issuances  of  equity  and  equity-linked  securities.  We 
believe these sources will be sufficient to meet our current liquidity needs for the next twelve months. 

The  Company  regularly  evaluates  market  conditions,  its  liquidity  profile,  and  various  financing  alternatives  for 
opportunities  to  enhance  its  capital  structure.  If  opportunities  are  favorable,  the  Company  may  refinance  or  repurchase 
existing debt or issue equity or equity-linked securities. We believe our existing cash and cash generated from operations will 
be sufficient to service our debt obligations in the years 2019 through 2020. 

Long-term Debt 

Long-term  debt,  net  of  unamortized  discounts  and  finance  costs  was  $24,305  million  and  $25,444  million  as  of 
December  31,  2018  and  December  31,  2017,  respectively.  Aggregate  contractual  principal  amounts  due  under  our  debt 
obligations were $24,632 million and $25,752 million as of December 31, 2018 and 2017, respectively, a decrease of $1,120 
million. 

In March, June and November 2018, we accessed the credit markets and completed a series of transactions, whereby we 
extended  approximately  $8,300  million  in  aggregate  maturities  of  certain  debt  obligations  due  to  mature  in  March  2020 
through  July  2022,  out  to  June  2025  through  January  2027.  As  part  of  these  transactions  we  obtained  less  stringent  loan 
financial  maintenance  covenants  under  our  Senior  Secured  Credit  Facilities  and  extended  the  availability  of  our  revolving 
credit facility by more than three years by replacing our previously existing revolving credit facility due in April 2020 with 
the 2023 Revolving Credit Facility of $1,225 million. 

Debt  repayments - During 2018, we repaid:  (i)  $206  million  of  our  Series  F  Tranche B  Term  Loan Facility,  (ii) $200 
million of our December 2021 Unsecured Notes, (iii) $171 million of our June 2025 Term Loan B Facility, (iv) $125 million 
of our July 2021 Unsecured Notes, (v) $104 million of our 6.375% October 2020 Unsecured Notes, (vi) the remaining $71 
million of outstanding principal amount of our 7.00% Senior Unsecured Notes Due 2020, (vii) $19 million of our November 
2025 Term Loan B Facility and (viii) $175 million (net of additional borrowings) of amounts outstanding under our revolving 
credit facilities. These repayments during 2018 were funded with cash on hand and reduced our outstanding debt obligations 
by more than $1,000 million. 

2018 Refinancing Transactions 

On March 26, 2018, BHA issued $1,500 million aggregate principal amount of April 2026 Unsecured Notes in a private 
placement, the net proceeds of which, along with cash on hand, were used to repurchase $1,500 million in aggregate principal 
amount of unsecured notes which consisted of: (i) $1,017 million in principal amount of our existing March 2020 Unsecured 
Notes, (ii) $411 million in principal amount of our existing 6.375% October 2020 Unsecured Notes and (iii) $72 million in 
principal  amount  of  our  existing  August  2021  Unsecured  Notes.  All  fees  and  expenses  associated  with  these  transactions 
were paid with cash on hand. 

On June 1, 2018, the Company entered into the Restated Credit Agreement. The Restated Credit Agreement amended 
and restated in full the Third Amended Credit Agreement (as defined below). The Restated Credit Agreement replaced the 
2020 Revolving Credit Facility with the 2023 Revolving Credit Facility of $1,225 million and replaced the Series F Tranche 
B Term Loan Facility principal amount outstanding of $3,315 million with the June 2025 Term Loan B Facility of $4,565 
million. 

In June 2018, using the net proceeds from the June 2025 Term Loan B Facility, the net proceeds from the issuance of 
$750  million  of  the  January  2027  Unsecured  Notes  by  BHA  and  cash  on  hand,  the  Company  prepaid  the  remaining 
outstanding principal amounts of: (i) $691 million of the March 2020 Unsecured Notes, (ii) $578 million of the August 2021 
Unsecured  Notes,  (iii) $550 million of  the July  2022  Unsecured Notes and  (iv) $146 million of  the 6.375%  October 2020 
Unsecured Notes. 

On November 27, 2018, the Company entered into the First Incremental Amendment to the Restated Credit Agreement 
which provided the November 2025 Term Loan B Facility of $1,500 million. The net proceeds and cash on hand were used 
to repurchase $1,483 million in outstanding principal amount of July 2021 Unsecured Notes in a tender offer. On December 
27,  2018,  the  Company  redeemed  the  remaining  outstanding  principal  amount  of  $17  million  of  the  July  2021  Unsecured 
Notes using cash on hand. 

81 

The  aforementioned  repayments,  refinancings  and  other  changes  in  our  debt  portfolio  completed  during  2018  have 
lowered  our  cash  requirements  for  principal  debt  repayment  over  the  next  five  years.  The  mandatory  scheduled  principal 
repayments of our debt obligations as of December 31, 2018 and 2017 were as follows: 

(in millions) 
2018 .................................................................................................................................. 
2019 .................................................................................................................................. 
2020 .................................................................................................................................. 
2021 .................................................................................................................................. 
2022 .................................................................................................................................. 
2023 .................................................................................................................................. 
Thereafter .......................................................................................................................... 

December 31, 
2018 

December 31, 
2017 

$ 

$ 

— 
228 
303 
1,003 
1,553 
6,348 
15,197 
24,632 

$ 

$ 

209  
—  
2,690  
3,175  
5,115  
6,051  
8,512  
25,752  

See Note 11, “FINANCING ARRANGEMENTS” to our audited Consolidated Financial Statements and “Management’s 

Discussion and Analysis - Liquidity and Capital Resources: Long-term Debt” for further details. 

The weighted average stated rate of interest as of December 31, 2018 and 2017 was 6.23% and 6.07%, respectively. 

Senior Secured Credit Facilities 

On February 13, 2012, the Company and certain of its subsidiaries as guarantors entered into the “Senior Secured Credit 
Facilities”  under  the  Company’s  Third  Amended  and  Restated  Credit  and  Guaranty  Agreement,  as  amended  (the  “Third 
Amended Credit Agreement”) with a syndicate of financial institutions and investors. 

On June 1, 2018, the Company entered into the Restated Credit Agreement, effectuating the Restated Credit Agreement 

which amended and restated in full the Company’s Third Amended Credit Agreement. 

On November 27, 2018, the Company entered into the First Incremental Amendment to the Restated Credit Agreement 

which provided the November 2025 Term Loan B Facility of $1,500 million. 

As  of  December  31,  2018,  the  Company  had  $75  million  of  outstanding  borrowings,  $169  million  of  issued  and 

outstanding letters of credit, and remaining availability of $981 million under its 2023 Revolving Credit Facility. 

Current Description of Senior Secured Credit Facilities 

Borrowings under the Senior Secured Credit Facilities in U.S. dollars bear interest at a rate per annum equal to, at the 
Company’s  option,  either:  (i)  a  base  rate  determined  by  reference  to  the  higher  of:  (a)  the  prime  rate  (as  defined  in  the 
Restated Credit Agreement), (b) the federal funds effective rate plus 1/2 of 1.00% or (c) the eurocurrency rate (as defined in 
the Restated Credit Agreement) for a period of one month plus 1.00% (or if such eurocurrency rate shall not be ascertainable, 
1.00%) or (ii) a eurocurrency rate determined by reference to the costs of funds for U.S. dollar deposits for the interest period 
relevant to such borrowing adjusted for certain additional costs (provided however, that the eurocurrency rate shall at no time 
be less than zero), in each case plus an applicable margin. 

Borrowings  under  the  2023  Revolving  Credit  Facility  in  Euros  bear  interest  at  a  eurocurrency  rate  determined  by 
reference to the costs of funds for Euro deposits for the interest period relevant to such borrowing (provided however, that the 
eurocurrency rate shall at no time be less than 0.00% per annum), plus an applicable margin. 

Borrowings under the 2023 Revolving Credit Facility in Canadian dollars bear interest at a rate per annum equal to, at 
the Company’s option, either (a) a prime rate determined by reference to the higher of: (1) the rate of interest last quoted by 
The Wall Street Journal as the “Canadian Prime Rate” or, if The Wall Street Journal ceases to quote such rate, the highest per 
annum  interest  rate  published  by  the  Bank  of  Canada  as  its  prime  rate  and  (2)  the  1  month  BA  rate  (as  defined  below) 
calculated daily plus 1.00% (provided however, that the prime rate shall at no time be less than 0.00%) or (b) the bankers’ 
acceptance rate for Canadian dollar deposits in the Toronto interbank market (the “BA rate”) for the interest period relevant 
to such borrowing (provided however, that the BA rate shall at no time be less than 0.00% per annum), in each case plus an 
applicable margin. 

82 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
Subject to certain exceptions and customary baskets set forth in the Restated Credit Agreement, the Company is required 
to  make  mandatory  prepayments  of  the  loans  under  the  Senior  Secured  Credit  Facilities  under  certain  circumstances, 
including  from:  (i)  100%  of  the  net  cash  proceeds  of  insurance  and  condemnation  proceeds  for  property  or  asset  losses 
(subject to reinvestment rights and net proceeds threshold), (ii) 100% of the net cash proceeds from the incurrence of debt 
(other than permitted debt as described in the Restated Credit Agreement), (iii) 50% of Consolidated Excess Cash Flow (as 
defined in the Restated Credit Agreement) subject to decrease based on leverage ratios and subject to a threshold amount and 
(iv) 100% of net cash proceeds from asset sales (subject to reinvestment rights). These mandatory prepayments may be used 
to satisfy future amortization. 

The  applicable  interest  rate  margins  for  the  June  2025  Term  Loan  B  Facility  and  the  November  2025  Term  Loan  B 
Facility  are  2.00%  and  1.75%,  respectively,  with  respect  to  base  rate  and  prime  rate  borrowings  and  3.00%  and  2.75%, 
respectively, with respect to eurocurrency rate and bankers’ acceptance rate borrowings. As of December 31, 2018, the stated 
rate of interest on the Company’s borrowings under the June 2025 Term Loan B Facility and the November 2025 Term Loan 
B Facility was 5.38% and 5.13% per annum, respectively. 

The  amortization  rate  for both  the June 2025  Term  Loan B  Facility  and  the  November  2025  Term  Loan  B  Facility  is 
5.00% per annum. The Company may direct that prepayments be applied to such amortization payments in order of maturity. 
As of December 31, 2018, the remaining mandatory quarterly amortization payments for the Senior Secured Credit Facilities 
were $1,857 million through November 27, 2025. 

The  applicable  interest  rate  margins  for  borrowings  under  the  2023  Revolving  Credit  Facility  are  1.50%-2.00%  with 
respect to base rate or prime rate borrowings and 2.50%-3.00% with respect to eurocurrency rate or bankers’ acceptance rate 
borrowings. As of December 31, 2018, the stated rate of interest on the 2023 Revolving Credit Facility was 5.38% per annum. 
In  addition,  the  Company  is  required  to  pay  commitment  fees  of  0.25%  -  0.50%  per  annum  with  respect  to  the  unutilized 
commitments under the 2023 Revolving Credit Facility, payable quarterly in arrears. The Company also is required to pay: (i) 
letter of credit fees on the maximum amount available to be drawn under all outstanding letters of credit in an amount equal to 
the applicable margin on eurocurrency rate borrowings under the 2023 Revolving Credit Facility on a per annum basis, payable 
quarterly in arrears, (ii) customary fronting fees for the issuance of letters of credit and (iii) agency fees. 

The  Restated  Credit  Agreement  permits  the  incurrence  of  $1,000  million  of  incremental  credit  facility  borrowings, 
subject  to  customary  terms  and  conditions,  as  well  as  the  incurrence  of  additional  incremental  credit  facility  borrowings 
subject to, in the case of secured debt, a secured leverage ratio of not greater than 3.50:1.00, and, in the case of unsecured 
debt, a total leverage ratio of not greater than 6.50:1.00 or an interest coverage ratio of not less than 2.00:1.00. 

Senior Secured Notes 

The Senior Secured Notes are guaranteed by each of the Company’s subsidiaries that is a guarantor under the Restated 
Credit Agreement and existing Senior Unsecured Notes (together, the “Note Guarantors”). The Senior Secured Notes and the 
guarantees related thereto are senior obligations and are secured, subject to permitted liens and certain other exceptions, by 
the same first priority liens that secure the Company’s obligations under the Restated Credit Agreement under the terms of 
the indenture governing the Senior Secured Notes. 

The Senior  Secured Notes  and  the  guarantees  rank  equally  in  right of repayment  with  all  of  the  Company’s  and Note 
Guarantors’ respective existing and future unsubordinated indebtedness and senior to the Company’s and Note Guarantors’ 
respective future subordinated indebtedness. The Senior Secured Notes and the guarantees related thereto are effectively pari 
passu with the Company’s and the Note Guarantors’ respective existing and future indebtedness secured by a first priority 
lien on the collateral securing the Senior Secured Notes and effectively senior to the Company’s and the Note Guarantors’ 
respective  existing  and  future  indebtedness  that  is  unsecured,  including  the  existing  Senior  Unsecured  Notes,  or  that  is 
secured  by  junior  liens,  in  each  case  to  the  extent  of  the  value  of  the  collateral.  In  addition,  the  Senior  Secured  Notes  are 
structurally subordinated to: (i) all liabilities of any of the Company’s subsidiaries that do not guarantee the Senior Secured 
Notes and (ii) any of the Company’s debt that is secured by assets that are not collateral. 

Upon the occurrence of a change in control (as defined in the indentures governing the Senior Secured Notes), unless the 
Company has exercised its right to redeem all of the notes of a series, holders of the Senior Secured Notes may require the 
Company to repurchase such holder’s notes, in whole or in part, at a purchase price equal to 101% of the principal amount 
thereof plus accrued and unpaid interest. 

83 

Senior Unsecured Notes 

The Senior Unsecured Notes issued by the Company are the Company’s senior unsecured obligations and are jointly and 
severally  guaranteed  on  a  senior  unsecured  basis  by  each  of  its  subsidiaries  that  is  a  guarantor  under  the  Senior  Secured 
Credit Facilities. The Senior Unsecured Notes issued by the Company’s subsidiary are senior unsecured obligations of the 
Company and are jointly and severally guaranteed on a senior unsecured basis by the Company and each of its subsidiaries 
that is a guarantor under the Senior Secured Credit Facilities. Future subsidiaries of the Company, if any, may be required to 
guarantee the Senior Unsecured Notes. 

If  the  Company  experiences  a  change  in  control,  the  Company  may  be  required  to  make  an  offer  to  repurchase  each 
series of Senior Unsecured Notes, in whole or in part, at a purchase price equal to 101% of the aggregate principal amount of 
the Senior Unsecured Notes repurchased, plus accrued and unpaid interest. 

9.25% Senior Unsecured Notes due 2026 - March 2018 Refinancing Transactions 

On  March  26,  2018,  BHA  issued  $1,500  million  in  aggregate  principal  amount  of  April  2026  Unsecured  Notes  in  a 
private placement, the net proceeds of which, along with cash on hand, were used to repurchase $1,500 million in aggregate 
principal amount of unsecured notes which consisted of: (i) $1,017 million in principal amount of the March 2020 Unsecured 
Notes, (ii) $411 million in principal amount of the 6.375% October 2020 Unsecured Notes and (iii) $72 million in principal 
amount  of  the  August  2021  Unsecured  Notes.  During  May  2018,  BHA  redeemed  an  additional  $104  million  in  principal 
amount of 6.375% October 2020 Unsecured Notes using cash on hand. The April 2026 Unsecured Notes accrue interest at 
the rate of 9.25% per year, payable semi-annually in arrears on each of April 1 and October 1. 

BHA may redeem all or a portion of the April 2026 Unsecured Notes at any time prior to April 1, 2022, at a price equal 
to 100% of the principal amount thereof, plus accrued and unpaid interest, if any, to the date of redemption, plus a “make-
whole”  premium.  In  addition,  at  any  time  prior  to  April  1,  2021,  BHA  may  redeem  up  to  40%  of  the  aggregate  principal 
amount of the outstanding April 2026 Unsecured Notes with the net proceeds of certain equity offerings at the redemption 
price set forth in the April 2026 Unsecured Notes indenture. On or after April 1, 2022, BHA may redeem all or a portion of 
the April 2026 Unsecured Notes at the applicable redemption prices set forth in the April 2026 Unsecured Notes indenture, 
plus accrued and unpaid interest to the date of redemption. 

8.50% Senior Unsecured Notes due 2027 - June 2018 Refinancing Transactions 

As part of the June 2018 Refinancing Transactions, BHA issued $750 million in aggregate principal amount of January 
2027 Unsecured Notes in a private placement, the proceeds of which, when combined with the remaining net proceeds from 
the June 2025 Term Loan B Facility and cash on hand, were used to redeem the June 2018 Unsecured Refinanced Debt at its 
aggregate redemption price. The January 2027 Unsecured Notes accrue interest at the rate of 8.50% per year, payable semi-
annually in arrears on each of January 31 and July 31. 

BHA may redeem all or a portion of the January 2027 Unsecured Notes at any time prior to July 31, 2022, at a price 
equal  to  100%  of  the  principal  amount  thereof,  plus  accrued  and  unpaid  interest,  if  any,  to  the  date  of  redemption,  plus  a 
“make-whole”  premium.  In  addition,  at  any  time  prior  to  July  31,  2021,  BHA  may  redeem  up  to  40%  of  the  aggregate 
principal amount of the outstanding January 2027 Unsecured Notes with the net proceeds of certain equity offerings at the 
redemption price set forth in the January 2027 Unsecured Notes indenture. On or after July 31, 2022, BHA may redeem all or 
a portion of the January 2027 Unsecured Notes at the applicable redemption prices set forth in the January 2027 Unsecured 
Notes indenture, plus accrued and unpaid interest to the date of redemption. 

Remaining Senior Unsecured Notes 

In addition to the repurchases and refinancings of Senior Unsecured Notes discussed above, during 2018, we repurchased 
the remaining outstanding principal amount of $1,625 million of our July 2021 Unsecured Notes as follows: (i) $125 million 
on  October  26,  2018  using  cash  on  hand,  (ii)  $1,483  million  on  November  27,  2018  using  the  net  proceeds  from  the 
November 2025 Term Loan B Facility in a tender offer and (iii) $17 million on December 27, 2018 using cash on hand. 

The aggregate principal amount and aggregate principal amount net of discounts of our other Senior Unsecured Notes as 

of December 31, 2018 were $11,420 million and $11,325 million, respectively, and had limited activity during 2018. 

84 

Covenant Compliance 

Any  inability  to  comply  with  the  financial  maintenance  covenant  under  the  terms  of  our  Restated  Credit  Agreement, 
Senior  Secured  Notes  indentures  or  Senior  Unsecured  Notes  indentures  could  lead  to  a  default  or  an  event  of  default  for 
which  we  may  need  to  seek  relief  from  our  lenders  and  noteholders  in  order  to  waive  the  associated  default  or  event  of 
default  and  avoid  a  potential  acceleration  of  the  related  indebtedness  or  cross-default  or  cross-acceleration  to  other  debt. 
There can be no assurance that we would be able to obtain such relief on commercially reasonable terms or otherwise and we 
may be required to incur significant additional costs. In addition, the lenders under our Restated Credit Agreement, holders of 
our  Senior  Secured  Notes  and  holders  of  our  Senior  Unsecured  Notes  may  impose  additional  operating  and  financial 
restrictions on us as a condition to granting any such waiver. 

During  2017  and  2018,  the  Company  completed  several  actions  which  included  using  cash  flows  from  operations  to 
repay  debt  and  refinancing  debt  with  near  term  maturities.  These  actions  have  reduced  the  Company’s  debt  balance  and 
positively affected the Company’s ability to comply with its financial maintenance covenant. As of December 31, 2018, the 
Company was in compliance with the financial maintenance covenant related to its outstanding debt. The Company, based on 
its current forecast for the next twelve months from the date of issuance of this Form 10-K, expects to remain in compliance 
with the financial maintenance covenant and meet its debt service obligations over that same period. 

The Company continues to take steps to improve its operating results to ensure continual compliance with its financial 
maintenance covenant and take other actions to reduce its debt levels to align with the Company’s long term strategy. We 
may consider taking other actions, including divesting other businesses, refinancing debt and issuing equity or equity-linked 
securities as deemed appropriate, to provide additional coverage in complying with the financial maintenance covenant and 
meeting its debt service obligations. 

The Senior Notes and Secured Notes are guaranteed by a substantial portion of the Company’s subsidiaries. On a non-
consolidated basis, the non-guarantor subsidiaries had total assets of $2,954 million and $3,247 million and total liabilities of 
$1,264  million  and  $1,367  million  as  of  December  31,  2018  and  2017,  respectively,  and  revenues  of  $1,689  million  and 
$1,657  million  and  operating  income  of  $174  million  and  $149  million  for  years  ended  December  31,  2018  and  2017, 
respectively. 

Credit Ratings 

In November 2018, Moody’s upgraded our credit ratings and revised our outlook to Stable from Positive. As of February 
20, 2019, the credit ratings and outlook from Moody’s, Standard & Poor’s and Fitch for certain outstanding obligations of the 
Company were as follows: 

Rating Agency 
Moody’s .................... 
Standard & Poor’s ..... 
Fitch .......................... 

Corporate Rating   
B2 
B 
B- 

Senior Secured Rating  
Ba2 
BB- 
BB- 

Senior Unsecured Rating  
B3 
B- 
B- 

Outlook 
Stable 
Stable 
Stable 

Any  downgrade  in  our  corporate  credit  ratings  or  other  credit  ratings  may  increase  our  cost  of  borrowing  and  may 

negatively impact our ability to raise additional debt capital. 

OFF-BALANCE SHEET ARRANGEMENTS AND CONTRACTUAL OBLIGATIONS 

We  have  no  off-balance  sheet  arrangements  that  have  a  material  current  effect  or  that  are  reasonably  likely  to  have  a 

material future effect on our results of operations, financial condition, capital expenditures, liquidity, or capital resources. 

The following table summarizes our contractual obligations as of December 31, 2018 for the periods presented:  

(in millions) 
Long-term debt obligations, including interest ...  
Operating lease obligations .................................  
Purchase obligations ...........................................  
Total contractual obligations ..............................  

Total 

2019 

2020 and 
2021 

2022 and 
2023 

$ 

$ 

33,757 
419 
690 
34,866 

$ 

$ 

1,777 
78 
416 
2,271 

$ 

$ 

4,382 
104 
173 
4,659 

$ 

$ 

10,538 
71 
93 
10,702 

Thereafter  
17,060 
$ 
166 
8 
17,234 

$ 

Purchase obligations consist of agreements to purchase goods and services that are enforceable and legally binding and 
include  obligations  for  minimum  inventory  and  capital  expenditures,  and  outsourced  information  technology,  product 
promotion and clinical research services. 

85 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The table of contractual obligations excludes payments for: (i) contingent milestone payments to third parties as part of 
certain development, collaboration and license agreements and (ii) acquisition-related contingent consideration. See Note 21, 
“COMMITMENTS  AND  CONTINGENCIES”  and  Note  6,  “FAIR  VALUE  MEASUREMENTS”  to  our  audited 
Consolidated Financial Statements for further details related to these contingent payments. 

The table of contractual obligations excludes payments for uncertain tax positions totaling $345 million as of December 

31, 2018 because a reliable estimate of the period in which uncertain tax positions will be payable, if ever, cannot be made. 

Other Future Cash Requirements 

Our  other  future  cash  requirements  relate  to  working  capital,  capital  expenditures,  business  development  transactions 
(contingent consideration), restructuring and integration, benefit obligations and litigation settlements. In addition, we may 
use  cash  to  enter  into  licensing  arrangements  and/or  to  make  strategic  acquisitions,  although  we  have  made  minimal 
acquisitions since 2015 and expect the volume and size of acquisitions to be low for the foreseeable future. 

In  addition  to  our  working  capital  requirements  and  other  amounts  presented  in  the  contractual  obligations  table 

presented above, we expect our primary cash requirements for 2019 to include: 

•  Debt  repayments-We  may,  under  certain  circumstances,  elect  to  make  additional  principal  repayments  during  2019. 
Further, in the ordinary course of business, we may borrow and repay amounts under our Revolving Credit Facility to 
meet business needs; 

•  Capital  expenditures-We  expect  to  make  payments  of  approximately  $275  million  for  property,  plant  and  equipment 

during 2019, of which there were $44 million in committed amounts as of December 31, 2018; 

•  Contingent  consideration  payments-We  expect  to  make  contingent  consideration  and  other  approval/sales-based 

milestone payments of $44 million during 2019; 

•  Restructuring  and  integration  payments-We  expect  to  make  payments  of  $19  million  during  2019  for  employee 
separation  costs  and  lease  termination  obligations  associated  with  restructuring  and  integration  actions  we  have  taken 
through December 31, 2018; and 

•  Benefit  obligations-We  expect  to  make  payments  under  our  pension  and  postretirement  obligations  of  $2  million,  $7 
million and $5 million to the U.S. pension benefit plan, the non-U.S. pension benefit plans and the U.S. postretirement 
benefit  plan,  respectively  during  2019.  See  Note  12,  “PENSION  AND  POSTRETIREMENT  EMPLOYEE  BENEFIT 
PLANS” to our audited interim Consolidated Financial Statements for further details of our benefit obligations. 

Acquisition Agreement for Synergy Pharmaceuticals Inc. - As previously discussed, on December 12, 2018, we entered 
into  an  agreement  to  acquire  certain  assets  of  Synergy  in  a  transaction  valued  at  approximately  $200  million  plus  certain 
assumed  liabilities.  Under  the  terms  of  the  agreement,  the  Company  will  serve  as  the  “stalking  horse”  bidder  in  a  court-
supervised auction and sale process pursuant to Section 363 of the Bankruptcy Code, which is expected to be completed in 
March 2019. Completion of this transaction is subject to other parties having an opportunity to submit competing bids (which 
may be superior to the Company’s), bankruptcy court approval and other customary closing conditions. If the Company’s bid 
is successful, among the assets to be acquired are the worldwide rights to the Trulance® (plecanatide) product; a once-daily 
tablet for adults with chronic idiopathic constipation and irritable bowel syndrome with constipation. 

We continue to evaluate opportunities to improve our operating results and may initiate additional cost savings programs 
to streamline our operations and eliminate redundant processes and expenses. These cost savings programs may include, but 
are not limited to: (i) reducing headcount, (ii) eliminating real estate costs associated with unused or under-utilized facilities 
and (iii) implementing contribution margin improvement and other cost reduction initiatives. The expenses associated with 
the implementation of these cost savings programs could be material and may impact our cash flows. 

In the ordinary course of business, the Company is involved in litigation, claims, government inquiries, investigations, 
charges  and  proceedings.  See  Note  20,  “LEGAL  PROCEEDINGS”  to  our  audited  Consolidated  Financial  Statements  for 
further  details  of  these  matters.  Our  ability  to  successfully  defend  the  Company  against  pending  and  future  litigation  may 
impact cash flows. 

OUTSTANDING SHARE DATA 

Our common shares are listed on the TSX and the NYSE under the ticker symbol “BHC”. 

At February 14, 2019, we had 350,993,877 issued and outstanding common shares. In addition, as of February 14, 2019, 
we had 5,883,077 stock options and 5,053,653 time-based RSUs that each represent the right of a holder to receive one of the 
Company’s common shares, and 1,464,669 performance-based RSUs that represent the right of a holder to receive a number 
of  the  Company’s  common shares up  to  a specified  maximum.  A  maximum  of  2,862,147  common  shares  could be  issued 
upon vesting of the performance-based RSUs outstanding. 

86 

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK 

Our  business  and  financial  results  are  affected  by  fluctuations  in  world  financial  markets,  including  the  impacts  of 
foreign currency exchange rate and interest rate movements. We evaluate our exposure to such risks on an ongoing basis, and 
seek  ways  to  manage  these  risks  to  an  acceptable  level,  based  on  management’s  judgment  of  the  appropriate  trade-off 
between risk, opportunity and cost. We may use derivative financial instruments from time to time as a risk management tool 
and not for trading or speculative purposes. Currently, we do not hold any market risk sensitive instruments whose value is 
subject to market price risk. 

Inflation; Seasonality 

We are subject to price control restrictions on our pharmaceutical products in a number of countries in which we now 

operate. As a result, our ability to raise prices in a timely fashion in anticipation of inflation may be limited in some markets. 

Historically, revenues from our business tend to be weighted toward the second half of the year. Sales in the first quarter 
tend to be lower as patient co-pays and deductibles reset at the beginning of each year. Sales in the fourth quarter tend to be 
higher based on consumer and customer purchasing patterns associated with health care reimbursement programs. However, 
there are no assurances that these historical trends will continue in the future. 

Foreign Currency Risk 

In the year ended December 31, 2018, a majority of our revenue  and expense activities and capital expenditures were 
denominated  in  U.S.  dollars.  We  have  exposure  to  multiple  foreign  currencies,  including,  among  others,  the  Euro,  Polish 
zloty, Chinese yuan, Canadian dollar and Mexican peso. Our operations are subject to risks inherent in conducting business 
abroad,  including  price  and  currency  exchange  controls  and  fluctuations  in  the  relative  values  of  currencies.  In  November 
2016,  as  a  result  of  the  Egyptian  government’s  decision  to  float  the  Egyptian  pound  and  un-peg  it  to  the  U.S.  Dollar,  the 
Egyptian  pound  was  significantly  devalued.  Our  exposure  to  the  Egyptian  pound  is  primarily  with  respect  to  Amoun 
Pharmaceutical Company S.A.E., which we acquired in October 2015, and which represented approximately 2% of our total 
2018 and 2017 revenues. In addition, to the extent that we require, as a source of debt repayment, earnings and cash flows 
from some of our operations located in foreign countries, we are subject to risk of changes in the value of the U.S. dollar, 
relative to all other currencies in which we operate, which may materially affect our results of operations. Where possible, we 
manage  foreign  currency  risk  by  managing  same  currency  revenues  in  relation  to  same  currency  expenses.  Further 
strengthening of the U.S. dollar and/or further devaluation of foreign currencies will have a negative impact on our reported 
revenue  and  reported  results.  As  of  December  31,  2018,  a  1%  change  in  foreign  currency  exchange  rates  would  have 
impacted our shareholders’ equity by approximately $31 million. 

As of December 31, 2018, the unrealized foreign exchange loss on the translation of the remaining principal amount of 
the  senior  notes  was  $1,229  million,  for  Canadian  income  tax  purposes.  Additionally,  as  of  December  31,  2018,  the 
unrealized  foreign  exchange  gain  on  certain  intercompany  balances  was  equal  to  $63  million.  One-half  of  any  realized 
foreign  exchange  gain  or  loss  will  be  included  in  our  Canadian  taxable  income.  Any  resulting  gain  will  result  in  a 
corresponding reduction in our available Canadian Losses, Scientific Research and Experimental Development Pool, and/or 
Investment  Tax  Credit  carryforward  balances.  However,  the  repayment  of  the  senior  notes  and  the  intercompany  loans 
denominated in U.S. dollars does not result in a foreign exchange gain or loss being recognized in our Consolidated Financial 
Statements, as these statements are prepared in U.S. dollars. 

Interest Rate Risk 

We  currently  do  not  hold  financial  instruments  for  speculative  purposes.  Our  financial  assets  are  not  subject  to 
significant interest rate risk due to their short duration. The primary objective of our policy for the investment of temporary 
cash surpluses is the protection of principal, and accordingly, we generally invest in high quality, money market investments 
and time deposits with varying maturities, but typically less than three months. As it is our intent and policy to hold these 
investments until maturity, we do not have a material exposure to interest rate risk. 

As of December 31, 2018, we had $16,962  million and $5,950 million principal amount of issued fixed rate debt and 
variable  rate  debt,  respectively,  that  requires  U.S.  dollar  repayment,  as  well  as  €1,500  million  principal  amount  of  issued 
fixed rate debt that requires repayment in Euros. The estimated fair value of our issued fixed rate debt as of December 31, 
2018, including the foreign currency denominated debt, was $17,712 million. If interest rates were to increase by 100 basis-
points, the fair value of our long-term debt would decrease by approximately $810 million. If interest rates were to decrease 
by 100 basis-points, the fair value of our long-term debt would increase by approximately $797 million. We are subject to 
interest rate risk on our variable rate debt as changes in interest rates could adversely affect earnings and cash flows. A 100 

87 

basis-points increase in interest rates, based on 3-month LIBOR, would have an annualized pre-tax effect of approximately 
$60  million  in  our  Consolidated  Statements  of  Operations  and  Consolidated  Statements  of  Cash  Flows,  based  on  current 
outstanding  borrowings  and  effective  interest  rates  on  our  variable  rate  debt.  While  our  variable-rate  debt  may  impact 
earnings and cash flows as interest rates change, it is not subject to changes in fair value. 

CRITICAL ACCOUNTING POLICIES AND ESTIMATES 

Critical  accounting  policies  and  estimates  are  those  policies  and  estimates  that  are  most  important  and  material  to  the 
preparation  of  our  Consolidated  Financial  Statements,  and  which  require  management’s  most  subjective  and  complex 
judgments due to the need to select policies from among alternatives available, and to make estimates about matters that are 
inherently uncertain. We base our estimates on historical experience and other factors that we believe to be reasonable under 
the circumstances. On an ongoing basis, we review our estimates to ensure that these estimates appropriately reflect changes 
in our business and new information as it becomes available. If historical experience and other factors we use to make these 
estimates  do  not  reasonably  reflect  future  activity,  our  results  of  operations  and  financial  condition  could  be  materially 
impacted. 

Revenue Recognition 

In May 2014, the FASB issued guidance on recognizing revenue from contracts with customers. The core principle of 
the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an 
amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. In 
applying  the  revenue  model  to  contracts  within  its  scope,  an  entity  will:  (i)  identify  the  contract(s)  with  a  customer,  (ii) 
identify the performance obligations in the contract, (iii) determine the transaction price, (iv) allocate the transaction price to 
the  performance  obligations  in  the  contract  and  (v)  recognize  revenue  when  (or  as)  the  entity  satisfies  a  performance 
obligation.  In  addition  to  these  provisions,  the  new  standard  provides  implementation  guidance  on  several  other  topics, 
including the accounting for certain revenue-related costs, as well as enhanced disclosure requirements. The new guidance 
requires  entities  to  disclose  both  quantitative  and  qualitative  information  that  enables  users  of  financial  statements  to 
understand the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. 

The Company adopted this guidance effective January 1, 2018 using the modified retrospective approach, and therefore, 
revenue reported for the years 2017 and 2016 have not been restated. Based upon review of customer contracts, the Company 
concluded  the  implementation  of  the  new  guidance  did  not  have  a  material  quantitative  impact  on  its  2018  Consolidated 
Financial Statements as the timing of revenue recognition for product sales did not significantly change. The new guidance 
did however result in additional disclosures as to the nature, amounts, and concentrations of revenue. 

Product Sales Provisions 

The following table presents the activity and ending balances for our product sales provisions for each of the last three 

years.  

(in millions) 
Reserve balance, January 1, 

2016 .......................................... 
Current year provision ................. 
Payments or credits ...................... 
Reserve balance, December 31, 

2016 .......................................... 
Current year provision ................. 
Payments or credits ...................... 
Reserve balance, December 31, 

2017 .......................................... 
Current year provision ................. 
Payments or credits ...................... 
Reserve balance, December 31, 

Discounts 
and 
Allowances  

$ 

103 
789 
(768) 

124 
829 
(786) 

167 
865 
(857) 

Returns   Rebates   Chargebacks  

$ 

627 
460 
(379) 

$ 

902 
2,521 
(2,526) 

$ 

708 
423 
(268) 

863 
293 
(343) 

897 
2,545 
(2,348) 

1,094 
2,551 
(2,621) 

271 
2,318 
(2,316) 

273 
2,145 
(2,144) 

274 
1,966 
(2,031) 

Distribution 
Fees 

Total   

$ 

112 
423 
(338) 

$  2,015 
6,511 
(6,327) 

197 
288 
(337) 

148 
212 
(197) 

2,199 
6,230 
(5,883) 

2,546 
5,887 
(6,049) 

2018 .......................................... 

$ 

175 

$ 

813 

$  1,024 

$ 

209 

$ 

163 

$  2,384 

88 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Included in Rebates in the table above are cooperative advertising credits due to customers of approximately $26 million 
as of December 31, 2018, which are reflected as a reduction of Trade accounts receivable, net in the Consolidated Balance 
Sheets. 

The  development  and  application  of  the  critical  accounting  policies  associated  with  the  new  revenue  recognition 
guidance, including the policies associated with each of the above product sales provisions, are discussed in more detail in 
Note 2, “SIGNIFICANT ACCOUNTING POLICIES”. 

Other Revenues 

We generate alliance revenue and service revenue from the licensing of products and from contract services mainly in 
the areas of dermatology and topical medication. Contract service revenue is derived primarily from contract manufacturing 
for third parties. 

Acquisitions 

We  have  completed  several  acquisitions  of  companies,  as  well  as  acquisitions  of  certain  assets  of  companies.  To 
determine  whether  such  acquisitions  qualify  as  business  combinations  or  asset  acquisitions,  we  make  certain  judgments, 
which include assessment of the inputs, processes and outputs associated with the acquired set of activities. If we determine 
that the acquisition consists of inputs, as well as processes that when applied to those inputs have the ability to create outputs, 
the acquisition is determined to be a business combination. In instances where the acquired set of activities does not include 
all  of  the  inputs  and  processes  used  by  the  seller  in  operating  the  business,  we  make  judgments  as  to  whether  market 
participants would be capable of acquiring the business and continuing to produce outputs, for example, by integrating the 
business  with  their  own  inputs  and  processes.  If  we  conclude  that  market  participants  would  have  this  capability,  the 
acquisition is determined to be a business combination. 

In  a  business  combination,  we  account  for  acquired  businesses  using  the  acquisition  method  of  accounting,  which 
requires that assets acquired and liabilities assumed be recorded at fair value, with limited exceptions. The judgments made in 
determining the estimated fair value assigned to each class of asset acquired and liability assumed can materially impact our 
results  of  operations.  As  part  of  our  valuation  procedures,  we  typically  consult  an  independent  advisor.  There  are  several 
methods that can be used to determine fair value. For intangible assets, we typically use an excess earnings or relief from 
royalty method. The excess earnings method starts with a forecast of the net cash flows expected to be generated by the asset 
over its estimated useful life. These cash flows are then adjusted to present value by applying an appropriate discount rate 
that reflects the risk factors associated with the cash flow streams. Some of the more significant estimates and assumptions 
inherent in the excess earnings method include: 

• 

• 

• 

• 

the amount and timing of projected future cash flows, adjusted for the probability of technical success of products in 
the IPR&D stage; 

the amount and timing of projected costs to develop IPR&D into commercially viable products; 

the discount rate selected to measure the risks inherent in the future cash flows; and 

an assessment of the asset’s life-cycle and the competitive trends impacting the asset, including consideration of any 
technical, legal, regulatory, or economic barriers to entry. 

The relief from royalty method involves estimating the amount of notional royalty income that could be generated if the 
intangible asset was licensed to a third party. The fair value of the intangible asset is the net present value of the prospective 
stream of the notional royalty income that would be generated over the expected useful life of the intangible asset. Values 
derived using the relief from royalty method are based on royalty rates observed for comparable intangible assets. 

We believe the fair values assigned to the assets acquired and liabilities assumed are based on reasonable assumptions. 
However, these assumptions may be incomplete or inaccurate, and unanticipated events and circumstances may occur. Any 
changes  resulting  from  facts  and  circumstances  that  existed  as  of  the  acquisition  dates  may  result  in  adjustments  to  the 
provisional amounts recognized at the acquisition dates. These changes could be significant. We finalize these amounts no 
later than one year from the respective acquisition dates. 

89 

Determining the useful life of an intangible asset also requires judgment, as different types of intangible assets will have 
different useful lives and certain assets may even be considered to have indefinite useful lives. Useful life is the period over 
which the intangible asset is expected to contribute directly or indirectly to our future cash flows. We determine the useful 
lives of intangible assets based on a number of factors, such as legal, regulatory, or contractual provisions that may limit the 
useful  life,  and  the  effects  of  obsolescence,  anticipated  demand,  existence  or  absence  of  competition  and  other  economic 
factors.  We  determined  that  the  B&L  corporate  trademark  has  an  indefinite  useful  life  as  there  are  no  legal,  regulatory, 
contractual, competitive, economic, or other factors that limit the useful life of this intangible asset. 

Acquisition-Related Contingent Consideration 

Some of the business combinations that we have consummated include contingent consideration to be potentially paid 
based upon the occurrence of future events, such as sales performance and the achievement of certain future development, 
regulatory  and  sales  milestones.  Acquisition-related  contingent  consideration  associated  with  a  business  combination  is 
initially  recognized  at  fair  value  and  remeasured  each  reporting  period,  with  changes  in  fair  value  recorded  in  the 
Consolidated Statements of Operations. The estimates of fair value involve the use of acceptable valuation methods, such as 
probability-weighted  discounted  cash  flow  analysis  and  Monte  Carlo  Simulation,  and  contain  uncertainties  as  they  require 
assumptions  about  the  likelihood  of  achieving  specified  milestone  criteria,  projections  of  future  financial  performance  and 
assumed  discount  rates.  Changes  in  the  fair  value  of  the  acquisition-related  contingent  consideration  result  from  several 
factors including changes in the timing and amount of revenue estimates, changes in probability assumptions with respect to 
the likelihood of achieving specified milestone criteria and changes in discount rates. A change in any of these assumptions 
could produce a different fair value, which could have a material impact on our results of operations. At December 31, 2018, 
the  fair  value  measurements  of  acquisition-related  contingent  consideration  were  determined  using  risk-adjusted  discount 
rates ranging from 5% to 25%. 

Intangible Assets 

We  evaluate  potential  impairments  of  amortizable  intangible  assets  acquired  through  asset  acquisitions  or  business 
combinations if events or changes in circumstances indicate that the carrying amounts of these assets may not be recoverable. 
Our evaluation is based on an assessment of potential indicators of impairment, such as: 

• 

• 

• 

an adverse change in legal factors or in the business climate that could affect the value of an asset. For example, a 
successful challenge of our patent rights resulting in earlier than expected generic competition; 

an  adverse  change  in  the  extent  or  manner  in  which  an  asset  is  used  or  is  expected  to  be  used.  For  example,  a 
decision  not  to  pursue  a  product  line-extension  strategy  to  enhance  an  existing  product  due  to  changes  in  market 
conditions and/or technological advances; or 

current or forecasted reductions in revenue, operating income, or cash flows associated with the use of an asset. For 
example, the introduction of a competing product that results in a significant loss of market share. 

Impairment  exists  when  the  carrying  value  of  the  asset  exceeds  the  related  estimated  undiscounted  future  cash  flows 
expected  to  be  derived  from  the  asset.  If  impairment  exists,  the  carrying  value  of  the  asset  is  adjusted  to  its  fair  value.  A 
discounted  cash  flow  analysis  is  typically  used  to  determine  an  asset’s  fair  value,  using  estimates  and  assumptions  that 
market participants would apply. Some of the estimates and assumptions inherent in a discounted cash flow model include 
the amount and timing of the projected future cash flows, and the discount rate used to reflect the risks inherent in the future 
cash  flows.  A  change  in  any  of  these  estimates  and  assumptions  could  produce  a  different  fair  value,  which  could  have  a 
material  impact  on  our  results  of  operations.  In  addition,  an  intangible  asset’s  expected  useful  life  can  increase  estimation 
risk, as longer-lived assets necessarily require longer-term cash flow forecasts, which for some of our intangible assets can be 
up to 20 years. In connection with an impairment evaluation, we also reassess the remaining useful life of the intangible asset 
and modify it, as appropriate. 

Management continually assesses the useful lives of the Company’s long-lived assets. In 2017 and 2018, management 
revised the estimated useful lives of certain intangible assets in connection with market events and changes in assumptions. 
In 2017, the useful lives of certain product brands, with an aggregate carrying value of $7,618 million as of December 31, 
2017,  were  revised  to  take  into  consideration,  among  other  factors,  various  scenarios  related  to  the  date  each  product  is 
anticipated to lose its exclusivity and the resulting potential changes in the forecasted sales. In addition, the useful life of the 
Salix Brand, with a carrying value of $569 million as of December 31, 2017, was revised from seventeen years to ten years to 
reflect a number of possible scenarios related to forecasted sales of its product portfolio. 

90 

Effective September 12, 2018, the Company changed the estimated useful life of its Xifaxan®-related intangible assets 
due to the positive impact of the agreement between the Company and Actavis resolving the intellectual property litigation 
regarding Xifaxan® tablets, 550 mg. As discussed in further detail in Note 20, “LEGAL PROCEEDINGS”, the parties have 
agreed  to  dismiss  all  litigation  related  to  Xifaxan®  tablets,  550  mg  and  all  intellectual  property  protecting  Xifaxan®  will 
remain intact and enforceable. As a result, the useful life of the Xifaxan® related intangible assets was extended from 2024 to 
January  1,  2028.  This  change  in  the  estimated  useful  life  is  considered  a  change  in  accounting  estimate  and  will  result  in 
changes  to  the  Company’s  amortization  expense  prospectively.  As  of  December  31,  2018,  the  net  carrying  value  of  the 
Xifaxan® related intangible assets was $4,848 million. 

Indefinite-lived  intangible  assets,  including  IPR&D  and  the  B&L  corporate  trademark,  are  tested  for  impairment 
annually,  or  more  frequently  if  events  or  changes  in  circumstances  between  annual  tests  indicate  that  the  asset  may  be 
impaired.  Impairment  losses  on  indefinite-lived  intangible  assets  are recognized based  solely  on  a comparison of  their  fair 
value to carrying value, without consideration of any recoverability test. In particular, we will continue to monitor closely the 
progression of our R&D programs as their likelihood of success is contingent upon the achievement of future milestones. See 
Item  7  “Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations  —  Overview  —  Key 
Initiatives  —  Internal  Capital  Allocation  and  Operating  Efficiencies”  for  additional  information  regarding  our  R&D 
programs. 

Goodwill 

Goodwill is not amortized but is tested for impairment at least annually as of October 1st at the reporting unit level. A 
reporting unit is the same as, or one level below, an operating segment. The fair value of a reporting unit refers to the price 
that  would  be  received  to  sell  the  unit  as  a  whole  in  an  orderly  transaction  between  market  participants.  The  Company 
estimates the fair values of all reporting units using a discounted cash flow model which utilizes Level 3 unobservable inputs. 

The discounted cash flow method relies on assumptions regarding revenue growth rates, gross profit, projected working 
capital requirements, selling, general and administrative expenses, research and development expenses, business restructuring 
costs, capital expenditures, income tax rates, discount rates and terminal growth rates. To estimate fair value, the Company 
discounts  the  forecasted  cash  flows  of  each  reporting  unit.  The  discount  rate  the  Company  uses  represents  the  estimated 
weighted average cost of capital, which reflects the overall level of inherent risk involved in its reporting unit operations and 
the rate of return a market participant would expect to earn. To estimate cash flows beyond the final year of its model, the 
Company  estimates  a  terminal  value  by  applying  an  in perpetuity  growth  assumption and discount  factor  to determine  the 
reporting unit’s terminal value. The Company incorporates the present value of the resulting terminal value into its estimate 
of fair value. 

The Company forecasted cash flows for each of its reporting units and took into consideration economic conditions and 
trends, estimated future operating results, management’s and a market participant’s view of growth rates and product lives, 
and  anticipated  future  economic  conditions.  Revenue  growth  rates  inherent  in  these  forecasts  were  based  on  input  from 
internal  and  external  market  research  that compare  factors  such  as growth  in  global economies,  recent  industry  trends  and 
product life-cycles. Macroeconomic factors such as changes in economies, changes in the competitive landscape including 
the unexpected loss of exclusivity to the Company’s product portfolio, changes in government legislation, product life-cycles, 
industry  consolidations  and  other  changes  beyond  the  Company’s  control  could  have  a  positive  or  negative  impact  on 
achieving its targets. Accordingly, if market conditions deteriorate, or if the Company is unable to execute its strategies, it 
may be necessary to record impairment charges in the future. 

In  January 2017,  the FASB issued guidance  which  simplifies  the subsequent  measurement  of goodwill  by eliminating 
“Step 2” from the goodwill impairment test. Instead, goodwill impairment is measured as the amount by which a reporting 
unit’s carrying value exceeds its fair value. The FASB also eliminated the requirements for any reporting unit with a zero or 
negative carrying amount to perform a qualitative assessment. The guidance is effective for annual periods beginning after 
December 15, 2019, and interim periods within those annual periods, with early adoption permitted. The Company elected to 
early adopt this guidance effective January 1, 2018. 

Upon adopting the new guidance, the Company tested goodwill for impairment and determined that the carrying value of 
the  Salix  reporting  unit  exceeded  its  fair  value.  As  a  result  of  the  adoption  of  new  accounting  guidance,  the  Company 
recognized a goodwill impairment of $1,970 million associated with the Salix reporting unit. 

91 

2018 Annual Goodwill Impairment Test 

The  Company  conducted  its  annual  goodwill  impairment  test  as  of  October  1,  2018  and  determined  that  the  carrying 
value of the Dentistry reporting unit exceeded its fair value and, as a result, the Company recognized a goodwill impairment 
of  $109  million  for  the  Dentistry  reporting  unit,  representing  the  full  amount  of  goodwill  for  the  reporting  unit.  Changing 
market  conditions  such  as:  (i)  an  increasing  competitive  environment  and  (ii)  increasing  pricing  pressures  negatively 
impacted the reporting unit’s operating results. The Company is taking steps to address these changing market and business 
conditions. 

The  Company’s  remaining  reporting  units  passed  the  goodwill  impairment  test  as  the  estimated  fair  value  of  each 
reporting unit exceeded its carrying value at the date of testing and, therefore, there was no impairment to goodwill for any 
reporting unit other than the Dentistry reporting unit. In order to evaluate the sensitivity of its fair value calculations on the 
goodwill impairment test, the Company compared the carrying value of each reporting unit to its fair value as of October 1, 
2018, the date of testing. As of October 1, 2018, the fair value of each reporting unit with associated goodwill exceeded its 
carrying value by more than 15%. If market conditions deteriorate, or if the Company is unable to execute its strategies, it 
may  be  necessary  to  record  impairment  charges  in  the  future.  The  Company  will  continue  to  perform  qualitative  interim 
assessments of the carrying value and fair value of the Ortho Dermatologics reporting unit on a quarterly basis to determine if 
impairment testing of goodwill will be warranted. 

As previously discussed the Company estimated the fair value of each reporting unit using an income approach which 
values  the  unit  based  on  the  future  cash  flows  expected  from  that  reporting  unit.  Future  cash  flows  are  based  on  forward-
looking  information  regarding  market  share  and  costs  for  each  reporting  unit  and  are  discounted  using  an  appropriate 
discount rate. Future discounted cash flows can be affected by changes in industry or market conditions or the rate and extent 
to which anticipated synergies or cost savings are realized with newly acquired entities. The Company performed its annual 
impairment test as of October 1, 2018, utilizing long-term growth rates for its reporting units ranging from 1.0% to 3.0% and 
discount rates applied to the estimated cash flows ranging from 7.5% to 14.0% in estimation of fair value. To estimate cash 
flows  beyond  the  final  year  of  its  model,  the  Company  estimates  a  terminal  value  by  applying  an  in  perpetuity  growth 
assumption and discount factor to determine the reporting unit’s terminal value. 

See Note 9, “INTANGIBLE ASSETS AND GOODWILL” to our audited Consolidated Financial Statements for further 

details on the goodwill impairments recognized in 2018 and 2017. 

Contingencies 

In  the  normal  course  of  business,  we  are  subject  to  loss  contingencies,  such  as  claims  and  assessments  arising  from 
litigation and other legal proceedings, contractual indemnities, product and environmental liabilities and tax matters. Other 
than loss contingencies that are assumed in business combinations for which we can reliably estimate the fair value, we are 
required to accrue for such loss contingencies if it is probable that the outcome will be unfavorable and if the amount of the 
loss can be reasonably estimated. We evaluate our exposure to loss based on the progress of each contingency, experience in 
similar  contingencies  and  consultation  with  our  legal  counsel.  We  re-evaluate  all  contingencies  as  additional  information 
becomes  available.  Given  the  uncertainties  inherent  in  complex  litigation  and  other  contingencies,  these  evaluations  can 
involve  significant  judgment  about  future  events.  The  ultimate  outcome  of  any  litigation  or  other  contingency  may  be 
material  to  our  results  of  operations,  financial  condition  and  cash  flows.  See  Note  20,  “LEGAL  PROCEEDINGS”  to  our 
audited Consolidated Financial Statements for further details regarding our current legal proceedings. 

Income Taxes 

We have operations in various countries that have differing tax laws and rates. Our tax structure is supported by current 
domestic tax laws in the countries in which we operate and the application of tax treaties between the various countries in 
which we operate. Our income tax reporting is subject to audit by domestic and foreign tax authorities. Our effective tax rate 
may  change  from  year  to  year  based  on  changes  in  the  mix  of  activities  and  income  earned  under  our  intercompany 
arrangements among the different jurisdictions in which we operate, changes in tax laws in these jurisdictions, changes in tax 
treaties  between  various  countries  in  which  we  operate,  changes  in  our  eligibility  for  benefits  under  those  tax  treaties  and 
changes in the estimated values of deferred tax assets and liabilities. Such changes could result in an increase in the effective 
tax rate on all or a portion of our income and/or any of our subsidiaries. 

Our  provision  for  income  taxes  is  based  on  a  number  of  estimates  and  assumptions  made  by  management.  Our 
consolidated  income  tax  rate  is  affected  by  the  amount  of  income  earned  in  our  various  operating  jurisdictions,  the 
availability  of  benefits  under  tax  treaties  and  the  rates  of  taxes  payable  in  respect  of  that  income.  We  enter  into  many 
transactions and arrangements in the ordinary course of business in which the tax treatment is not entirely certain. We must 

92 

therefore make estimates and judgments based on our knowledge and understanding of applicable tax laws and tax treaties, 
and  the  application  of  those  tax  laws  and  tax  treaties  to  our  business,  in  determining  our  consolidated  tax  provision.  For 
example, certain countries could seek to tax a greater share of income than has been provided for by us. The final outcome of 
any  audits  by  taxation  authorities  may  differ  from  the  estimates  and  assumptions  we  have  used  in  determining  our 
consolidated  income  tax  provisions  and  accruals.  This  could  result  in  a  material  effect  on  our  consolidated  income  tax 
provision, results of operations, and financial condition for the period in which such determinations are made. 

Our income tax returns are subject to audit in various jurisdictions. Existing and future audits by, or other disputes with, 
tax authorities may not be resolved favorably for us and could have a material adverse effect on our reported effective tax rate 
and after-tax cash flows. We record liabilities for uncertain tax positions, which involve significant management judgment. 
New laws and new interpretations of laws and rulings by tax authorities may affect the liability for uncertain tax positions. 
Due  to  the  subjectivity  and  complex  nature  of  the  underlying  issues,  actual  payments  or  assessments  may  differ  from  our 
estimates. To the extent that our estimates differ from amounts eventually assessed and paid our income and cash flows may 
be materially and adversely affected. 

We assess whether it is more likely than not that we will realize the tax benefits associated with our deferred tax assets 
and establish a valuation allowance for assets that are not expected to result in a realized tax benefit. A significant amount of 
judgment is used in this process, including preparation of forecasts of future taxable income and evaluation of tax planning 
initiatives. If we revise these forecasts or determine that certain planning events will not occur, an adjustment to the valuation 
allowance will be made to tax expense in the period such determination is made. 

For the year ended December 31, 2017, the Company provided for income taxes, including the impacts of the Tax Act, in 
accordance  with  the  accounting  guidance  issued  through  the  date  of  issuance  of  its  audited  Consolidated  Financial 
Statements. In accordance with that accounting guidance, the Company had provisionally provided for the income tax effects 
of the Tax Act as of December 31, 2017. The Company’s Benefit from income taxes for the year 2017 included provisional 
net  tax  benefits  of  $975  million  attributable  to  the  Tax  Act  for:  (i)  the  re-measurement  of  certain  deferred  tax  assets  and 
liabilities based on the rates at which they are expected to reverse in the future of $774 million, (ii) the one-time Transition 
Toll Tax of $88 million and (iii) the decrease in deferred tax assets attributable to certain legal accruals, the deductibility of 
which  is  uncertain  for  U.S.  federal  income  tax  purposes,  of  $10  million.  We  provisionally  utilized  NOLs  to  offset  the 
provisionally determined $88 million Transition Toll Tax and therefore no amount was recorded as payable. The Company 
has previously provided for residual U.S. federal income tax on its outside basis differences in certain foreign subsidiaries 
which, due to the Tax Act, are no longer taxable. As such, our residual U.S. federal income tax liability of $299 million prior 
to the law change was reversed and we recognized a deferred tax benefit of $299 million in the fourth quarter of 2017. 

The  provisional  amounts  included  in  the  Company’s  Benefit  from  income  taxes  for  the  year  2017,  including  the 
Transition Toll Tax, were finalized during the three months ended December 31, 2018. In finalizing the Benefit from income 
taxes  for  the  year  2017,  the  Company  considered  the  guidance  issued  by  accounting  regulatory  bodies,  the  U.S.  Internal 
Revenue Service, state and local governments, and the proposed regulations regarding the one-time Transition Toll Tax on 
the pre-2018 earnings of certain non-U.S. subsidiaries issued by the U.S. Treasury Department on August 1, 2018. As part of 
its full assessment, the Company also assessed the impact of the Tax Act on the Company’s tax filings for the year 2017. 
Differences between the provisional net income tax benefits provided in 2017 attributable to the Tax Act of $975 million, as 
previously disclosed, and the benefit for income taxes as finalized are included in the Benefit from income taxes for the year 
ended December 31, 2018 and were not material to the Company’s financial results for the year ended December 31, 2018. 
Although  the  Company  has  completed  its  full  assessment  and  finalized  its  accounting  for  the  impact  of  the  Tax  Act,  the 
Company will monitor guidance issued in the future and assess the impact, if any, on the amounts provided. 

Share-Based Compensation 

We recognize employee share-based compensation, including grants of stock options and RSUs, at estimated fair value. 
As there is no  market for trading our employee stock options, we use the Black-Scholes option-pricing model to calculate 
stock option fair values, which requires certain assumptions related to the expected life of the stock option, future stock price 
volatility, risk-free interest rate and dividend yield. The expected life of the stock option is based on historical exercise and 
forfeiture  patterns.  The  expected  volatility  of  our  common  stock  is  estimated  by  using  implied  volatility  in  market  traded 
options. The risk-free interest rate is based on the rate at the time of grant for U.S. Treasury bonds with a remaining term 
equal  to  the  expected  life  of  the  stock  option.  Dividend  yield  is  based  on  the  stock  option’s  exercise  price  and  expected 
annual dividend rate at the time of grant. Changes to any of these assumptions, or the use of a different option-pricing model, 
such  as  the  lattice  model,  could  produce  a  different  fair  value  for  share-based  compensation  expense,  which  could  have  a 
material impact on our results of operations. 

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We determine the fair value of each RSU granted based on the trading price of our common shares on the date of grant, 
unless the vesting of the RSU is conditional on the attainment of any applicable performance goals based on total shareholder 
return,  in  which  case  we  use  a  Monte  Carlo  simulation  model.  The  Monte  Carlo  simulation  model  utilizes  multiple  input 
variables to estimate the probability that the performance condition will be achieved. Changes to any of these inputs could 
materially affect the measurement of the fair value of the performance-based RSUs. 

We  also  have  performance-based  RSUs  that  vest  upon  attainment  of  certain  performance  targets.  We  recognize  the 
expense associated with these performance-based RSUs based on the number of RSUs we expect to vest, which is estimated 
by comparing our latest forecast to the applicable performance targets. If RSUs do not vest as a result of a determination that 
the  prescribed  performance  goals  failed  to  be  attained,  then  no  expense  would  be  recognized  and  any  expense  previously 
recognized for the RSUs would be reversed upon such determination. 

NEW ACCOUNTING STANDARDS 

Information regarding the recently issued new accounting guidance (adopted and not adopted as of December 31, 2018) 

is contained in Note 2, “SIGNIFICANT ACCOUNTING POLICIES” to our audited Consolidated Financial Statements. 

FORWARD-LOOKING STATEMENTS 

Caution  regarding  forward-looking  information  and  statements  and  “Safe-Harbor”  statements  under  the  U.S.  Private 

Securities Litigation Reform Act of 1995 and applicable Canadian securities laws: 

To  the  extent  any  statements  made  in  this  Form  10-K  contain  information  that  is  not  historical,  these  statements  are 
forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E 
of the Securities Exchange Act of 1934, as amended, and may be forward-looking information within the meaning defined 
under applicable Canadian securities laws (collectively, “forward-looking statements”). 

These forward-looking statements relate to, among other things: our business strategy, business plans and prospects and 
forecasts and changes thereto; product pipeline, prospective products and product approvals, product development and future 
performance and results of current and anticipated products; anticipated revenues for our products, including the Significant 
Seven;  anticipated  growth  in  our  Ortho  Dermatologics  business;  expected  R&D  and  marketing  spend,  including  in 
connection  with  the  promotion  of  the  Significant  Seven;  our  expected  primary  cash  and  working  capital  requirements  for 
2019 and beyond; the Company’s plans for continued improvement in operational efficiency and the anticipated impact of 
such plans; our liquidity and our ability to satisfy our debt maturities as they become due; our ability to reduce debt levels; 
the impact of our distribution, fulfillment and other third-party arrangements; proposed pricing actions; exposure to foreign 
currency  exchange  rate  changes  and  interest  rate  changes;  the  outcome  of  contingencies,  such  as  litigation,  subpoenas, 
investigations,  reviews,  audits  and  regulatory  proceedings;  the  anticipated  impact  of  the  adoption  of  new  accounting 
standards;  general  market  conditions;  our  expectations  regarding  our  financial  performance,  including  revenues,  expenses, 
gross margins and income taxes; our ability to meet the financial and other covenants contained in our Fourth Amended and 
Restated  Credit  and  Guaranty  Agreement  (the  “Restated  Credit  Agreement”),  and  indentures;  and  our  impairment 
assessments, including the assumptions used therein and the results thereof. 

Forward-looking  statements  can  generally  be  identified  by  the  use  of  words  such  as  “believe”,  “anticipate”,  “expect”, 
“intend”,  “estimate”,  “plan”,  “continue”,  “will”,  “may”,  “could”,  “would”,  “should”,  “target”,  “potential”,  “opportunity”, 
“designed”,  “create”,  “predict”,  “project”,  “forecast”,  “seek”,  “ongoing”  or  “increase”  and  variations  or  other  similar 
expressions. In addition, any statements that refer to expectations, intentions, projections or other characterizations of future 
events or circumstances are forward-looking statements. These forward-looking statements may not be appropriate for other 
purposes. Although we have previously indicated certain of these statements set out herein, all of the statements in this Form 
10-K that contain forward-looking statements are qualified by these cautionary statements. These statements are based upon 
the  current  expectations  and  beliefs  of  management.  Although  we  believe  that  the  expectations  reflected  in  such  forward-
looking statements are reasonable, such statements involve risks and uncertainties, and undue reliance should not be placed 
on  such  statements.  Certain  material  factors  or  assumptions  are  applied  in  making  such  forward-looking  statements, 
including,  but  not  limited  to,  factors  and  assumptions  regarding  the  items  previously  outlined,  those  factors,  risks  and 
uncertainties outlined below and the assumption that none of these factors, risks and uncertainties will cause actual results or 
events to differ materially from those described in such forward-looking statements. Actual results may differ materially from 
those  expressed  or  implied  in  such  statements.  Important  factors,  risks  and  uncertainties  that  could  cause  actual  results  to 
differ materially from these expectations include, among other things, the following: 

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the  expense,  timing  and  outcome  of  legal  and  governmental  proceedings,  investigations  and  information  requests 
relating  to,  among  other  matters,  our  past  distribution,  marketing,  pricing,  disclosure  and  accounting  practices 
(including with respect to our former relationship with Philidor Rx Services, LLC (“Philidor”)), including pending 
investigations by the U.S. Attorney’s Office for the District of Massachusetts and the U.S. Attorney’s Office for the 
Southern District of New York, the pending investigations by the U.S. Securities and Exchange Commission (the 
“SEC”) of the Company, the investigation order issued by the Company from the Autorité des marchés financiers 
(the “AMF”) (the Company’s principal securities regulator in Canada), a number of pending putative securities class 
action litigations in the U.S. (including related opt-out actions) and Canada (including related opt-out actions) and 
purported class actions under the federal RICO statute and other claims, investigations or proceedings that may be 
initiated or that may be asserted; 

potential additional litigation and regulatory investigations (and any costs, expenses, use of resources, diversion of 
management time and efforts, liability and damages that may result therefrom), negative publicity and reputational 
harm on our Company, products and business that may result from the past and ongoing public scrutiny of our past 
distribution, marketing, pricing, disclosure and accounting practices and from our former relationship with Philidor; 

the  past  and  ongoing  scrutiny  of  our  legacy  business  practices,  including  with  respect  to  pricing  (including  the 
investigations  by  the  U.S.  Attorney’s  Offices  for  the  District  of  Massachusetts  and  the  Southern  District  of  New 
York),  and  any  pricing  controls  or  price  adjustments  that  may  be  sought  or  imposed  on  our  products  as  a  result 
thereof; 

pricing decisions that we have implemented, or may in the future elect to implement, whether as a result of recent 
scrutiny or otherwise, such as the Patient Access and Pricing Committee’s commitment that the average annual price 
increase  for  our  branded  prescription  pharmaceutical  products  will  be  set  at  no  greater  than  single  digits,  or  any 
future  pricing  actions  we  may  take  following  review  by  our  Patient  Access  and  Pricing  Committee  (which  is 
responsible for the pricing of our drugs); 

legislative or policy efforts, including those that may be introduced and passed by the U.S. Congress, designed to 
reduce  patient  out-of-pocket  costs  for  medicines,  which  could  result  in  new  mandatory  rebates  and  discounts  or 
other pricing restrictions, controls or regulations (including mandatory price reductions); 

ongoing  oversight  and  review  of  our  products  and  facilities  by  regulatory  and  governmental  agencies,  including 
periodic audits by the U.S. Food and Drug Administration (the “FDA”) and the results thereof; 

actions by the FDA or other regulatory authorities with respect to our products or facilities; 

our  substantial  debt (and potential  additional  future  indebtedness)  and  current  and  future debt  service  obligations, 
our ability to reduce our outstanding debt levels and the resulting impact on our financial condition, cash flows and 
results of operations; 

our  ability  to  meet  the  financial  and  other  covenants  contained  in  our  Restated  Credit  Agreement,  indentures  and 
other current or future debt agreements and the limitations, restrictions and prohibitions such covenants impose or 
may  impose  on  the  way  we  conduct  our  business,  including  prohibitions  on  incurring  additional  debt  if  certain 
financial  covenants  are  not  met,  limitations  on  the  amount  of  additional  debt  we  are  able  to  incur  where  not 
prohibited, and restrictions on our ability to make certain investments and other restricted payments; 

any default under the terms of our senior notes indentures or Restated Credit Agreement and our ability, if any, to 
cure or obtain waivers of such default; 

any  delay  in  the  filing  of  any  future  financial  statements  or  other  filings  and  any  default  under  the  terms  of  our 
senior notes indentures or Restated Credit Agreement as a result of such delays; 

any downgrade by rating agencies in our credit ratings, which may impact, among other things, our ability to raise 
debt and the cost of capital for additional debt issuances; 

any  reductions  in,  or  changes  in  the  assumptions  used  in,  our  forecasts  for  2019  or  beyond,  which  could  lead  to, 
among  other  things:  (i)  a  failure  to  meet  the  financial  and/or  other  covenants  contained  in  our  Restated  Credit 
Agreement and/or indentures and/or (ii) impairment in the goodwill associated with certain of our reporting units or 
impairment  charges  related  to  certain  of  our  products  or  other  intangible  assets,  which  impairments  could  be 
material; 

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changes in the assumptions used in connection with our impairment analyses or assessments, which would lead to a 
change  in  such  impairment  analyses  and  assessments  and  which  could  result  in  an  impairment  in  the  goodwill 
associated  with  any  of  our  reporting  units  or  impairment  charges  related  to  certain  of  our  products  or  other 
intangible assets; 

any additional divestitures of our assets or businesses and our ability to successfully complete any such divestitures 
on commercially reasonable terms and on a timely basis, or at all, and the impact of any such divestitures on our 
Company, including the reduction in the size or scope of our business or market share, loss of revenue, any loss on 
sale, including any resultant write-downs of goodwill, or any adverse tax consequences suffered as a result of any 
such divestitures; 

the uncertainties associated with the acquisition and launch of new products, including, but not limited to, our ability 
to  provide  the  time,  resources,  expertise  and  costs  required  for  the  commercial  launch  of  new  products,  the 
acceptance and demand for new pharmaceutical products, and the impact of competitive products and pricing, which 
could lead to material impairment charges; 

our ability to retain, motivate and recruit executives and other key employees; 

our ability to implement effective succession planning for our executives and key employees; 

factors  impacting  our  ability  to  achieve  anticipated  growth  in  our  Ortho  Dermatologics  business,  including  the 
approval  of  pending  and  pipeline  products  (and  the  timing  of  such  approvals),  expected  geographic  expansion, 
changes in estimates on market potential for dermatology products and continued investment in and success of our 
sales force; 

factors  impacting  our  ability  to  achieve  anticipated  revenues  for  our  Significant  Seven  products,  including  the 
approval  of  pending  products  in  the  Significant  Seven  (and  the  timing  of  such  approvals),  changes  in  anticipated 
marketing spend on such products and launch of competing products; 

the  challenges  and  difficulties  associated  with  managing  a  large  complex  business,  which  has,  in  the  past,  grown 
rapidly; 

our ability to compete against companies that are larger and have greater financial, technical and human resources 
than we do, as well as other competitive factors, such as technological advances achieved, patents obtained and new 
products introduced by our competitors; 

our  ability  to  effectively  operate,  stabilize  and  grow  our  businesses  in  light  of  the  challenges  that  the  Company 
currently faces, including with respect to its substantial debt, pending investigations and legal proceedings, scrutiny 
of  our  past  pricing,  distribution  and  other  practices,  reputational  harm  and  limitations  on  the  way  we  conduct 
business imposed by the covenants in our Restated Credit Agreement, indentures and the agreements governing our 
other indebtedness; 

the extent to which our products are reimbursed by government authorities, pharmacy benefit managers (“PBMs”) 
and other third-party payors; the impact our distribution, pricing and other practices (including as it relates to our 
current relationship with Walgreen Co. (“Walgreens”)) may have on the decisions of such government authorities, 
PBMs  and  other  third-party  payors  to  reimburse  our  products;  and  the  impact  of  obtaining  or  maintaining  such 
reimbursement on the price and sales of our products; 

the  inclusion  of  our  products  on  formularies  or  our  ability  to  achieve  favorable  formulary  status,  as  well  as  the 
impact on the price and sales of our products in connection therewith; 

our eligibility for benefits under tax treaties and the continued availability of low effective tax rates for the business 
profits of certain of our subsidiaries; 

the  actions  of  our  third-party  partners  or  service  providers  of  research,  development,  manufacturing,  marketing, 
distribution or other services, including their compliance with applicable laws and contracts, which actions may be 
beyond  our  control  or  influence,  and  the  impact  of  such  actions  on  our  Company,  including  the  impact  to  the 
Company of our former relationship with Philidor and any alleged legal or contractual non-compliance by Philidor; 

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the risks associated with the international scope of our operations, including our presence in emerging markets and 
the  challenges  we  face  when  entering  and  operating  in  new  and  different  geographic  markets  (including  the 
challenges created by new and different regulatory regimes in such countries and the need to comply with applicable 
anti-bribery and economic sanctions laws and regulations); 

adverse global economic conditions and credit markets and foreign currency exchange uncertainty and volatility in 
certain of the countries in which we do business; 

the impact of the recently signed United States-Mexico-Canada Agreement (“USMCA”) and any potential changes 
to other trade agreements; 

the final outcome and impact of Brexit negotiations; 

the potentially escalating trade conflict between the United States and China; 

our ability to obtain, maintain and license sufficient intellectual property rights over our products and enforce and 
defend against challenges to such intellectual property; 

the introduction of generic, biosimilar or other competitors of our branded products and other products, including 
the introduction of products that compete against our products that do not have patent or data exclusivity rights; 

our ability to identify, finance, acquire, close and integrate acquisition targets successfully and on a timely basis and 
the difficulties, challenges, time and resources associated with the integration of acquired companies, businesses and 
products; 

the  expense,  timing  and  outcome  of  pending  or  future  legal  and  governmental  proceedings,  arbitrations, 
investigations, subpoenas, tax and other regulatory audits, reviews and regulatory proceedings against us or relating 
to us and settlements thereof; 

our  ability  to  negotiate  the  terms  of  or  obtain  court  approval  for  the  settlement  of  certain  legal  and  regulatory 
proceedings; 

our ability to obtain components, raw materials or finished products supplied by third parties (some of which may be 
single-sourced) and other manufacturing and related supply difficulties, interruptions and delays; 

the disruption of delivery of our products and the routine flow of manufactured goods; 

economic  factors  over  which  the  Company  has  no  control,  including  changes  in  inflation,  interest  rates,  foreign 
currency rates, and the potential effect of such factors on revenues, expenses and resulting margins; 

interest rate risks associated with our floating rate debt borrowings; 

our ability to effectively distribute our products and the effectiveness and success of our distribution arrangements, 
including the impact of our arrangements with Walgreens; 

our ability to effectively promote our own products and those of our co-promotion partners, such as Doptelet® (Dova 
Pharmaceuticals, Inc.) and LucemyraTM (US WorldMeds, LLC); 

the success of our fulfillment arrangements with Walgreens, including market acceptance of, or market reaction to, 
such  arrangements  (including  by  customers,  doctors,  patients,  PBMs,  third-party  payors  and  governmental 
agencies),  the  continued  compliance  of  such  arrangements  with  applicable  laws,  and  our  ability  to  successfully 
negotiate any improvements to our arrangements with Walgreens; 

our  ability  to  secure  and  maintain  third-party  research,  development,  manufacturing,  licensing,  marketing  or 
distribution arrangements; 

the risk that our products could cause, or be alleged to cause, personal injury and adverse effects, leading to potential 
lawsuits, product liability claims and damages and/or recalls or withdrawals of products from the market; 

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the availability of, and our ability to obtain and maintain, adequate insurance coverage and/or our ability to cover or 
insure against the total amount of the claims and liabilities we face, whether through third-party insurance or self-
insurance; 

the difficulty in predicting the expense, timing and outcome within our legal and regulatory environment, including 
with respect to approvals by the FDA, Health Canada and similar agencies in other countries, legal and regulatory 
proceedings  and  settlements  thereof,  the  protection  afforded  by  our  patents  and  other  intellectual  and  proprietary 
property, successful generic challenges to our products and infringement or alleged infringement of the intellectual 
property of others; 

the results of continuing safety and efficacy studies by industry and government agencies; 

the  success  of  preclinical  and  clinical  trials  for  our  drug  development  pipeline  or  delays  in  clinical  trials  that 
adversely  impact  the  timely  commercialization  of  our  pipeline  products,  as  well  as  other  factors  impacting  the 
commercial success of our products, which could lead to material impairment charges; 

the  results  of  management  reviews  of  our  research  and  development  portfolio  (including  following  the  receipt  of 
clinical  results  or  feedback  from  the  FDA  or  other  regulatory  authorities),  which  could  result  in  terminations  of 
specific projects which, in turn, could lead to material impairment charges; 

the seasonality of sales of certain of our products; 

declines in the pricing and sales volume of certain of our products that are distributed or marketed by third parties, 
over which we have no or limited control; 

compliance  by  the  Company  or  our  third  party  partners  and  service  providers  (over  whom  we  may  have  limited 
influence), or the failure of our Company or these third parties to comply, with health care “fraud and abuse” laws 
and  other  extensive  regulation  of  our  marketing,  promotional  and  business  practices  (including  with  respect  to 
pricing),  worldwide  anti-bribery  laws  (including  the  U.S.  Foreign  Corrupt  Practices  Act  and  the  Canadian 
Corruption  of  Foreign  Public  Officials  Act),  worldwide  economic  sanctions  and/or  export  laws,  worldwide 
environmental laws and regulation and privacy and security regulations; 

the  impacts  of  the  Patient  Protection  and  Affordable  Care  Act,  as  amended  by  the  Health  Care  and  Education 
Reconciliation Act of 2010 (the “Health Care Reform Act”) and potential amendment thereof and other legislative 
and regulatory health care reforms in the countries in which we operate, including with respect to recent government 
inquiries on pricing; 

the  impact  of  any  changes  in  or  reforms  to  the  legislation,  laws,  rules,  regulation  and  guidance  that  apply  to  the 
Company and its business and products or the enactment of any new or proposed legislation, laws, rules, regulations 
or guidance that will impact or apply to the Company or its businesses or products; 

the  impact  of changes  in  federal  laws  and policy  under  consideration by  the  Trump  administration  and  Congress, 
including the effect that such changes will have on fiscal and tax policies, the potential revision of all or portions of 
the  Health  Care  Reform  Act,  international  trade  agreements  and  policies  and  policy  efforts  designed  to  reduce 
patient  out-of-pocket  costs  for  medicines  (which  could  result  in  new  mandatory  rebates  and  discounts  or  other 
pricing restrictions); 

illegal distribution or sale of counterfeit versions of our products; and 

interruptions, breakdowns or breaches in our information technology systems. 

Additional  information  about  these  factors  and  about  the  material  factors  or  assumptions  underlying  such  forward-
looking statements may be found elsewhere in this Form 10-K, under Item 1A. “Risk Factors” and in the Company’s other 
filings  with  the  SEC  and  the  Canadian  Securities  Administrators  (the  “CSA”).  When  relying  on  our  forward-looking 
statements  to  make  decisions  with  respect  to  the  Company,  investors  and  others  should  carefully  consider  the  foregoing 
factors and other uncertainties and potential events. These forward-looking statements speak only as of the date made. We 
undertake no obligation to update or revise any of these forward-looking statements to reflect events or circumstances after 
the date of this Form 10-K or to reflect actual outcomes, except as required by law. We caution that, as it is not possible to 
predict or identify all relevant factors that may impact forward-looking statements, the foregoing list of important factors that 
may  affect  future  results  is  not  exhaustive  and  should  not  be  considered  a  complete  statement  of  all  potential  risks  and 
uncertainties. 

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Item 7A.  Quantitative and Qualitative Disclosures About Market Risk 

Information  relating  to  quantitative  and  qualitative  disclosures  about  market  risk  is  detailed  in  Item  7  “Management’s 
Discussion and Analysis of Financial Condition and Results of Operations — Quantitative and Qualitative Disclosures About 
Market Risk” and is incorporated herein by reference. 

Item 8.  Financial Statements and Supplementary Data 

The information required by this Item is contained in the financial statements set forth in Item 15 “Exhibits and Financial 

Statement Schedules” as part of this Form 10-K and is incorporated herein by reference. 

Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 

Not applicable. 

Item 9A.  Controls and Procedures 

Evaluation of Disclosure Controls and Procedures 

The  Company’s  management,  with  the  participation  of  the  Company’s  Chief  Executive  Officer  and  Chief  Financial 
Officer, has evaluated the effectiveness of the Company’s 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  December  31,  2018. 
Based  on  that  evaluation,  the  Company’s  Chief  Executive  Officer  and  the  Company’s  Chief  Financial  Officer  have 
concluded  that  as  of  December  31,  2018,  the  Company’s  disclosure  controls  and  procedures  were  effective  to  provide 
reasonable assurance that the information required to be disclosed by the Company in the reports that it files or submits 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 management as appropriate to allow timely decisions 
regarding required disclosure. 

Management’s Annual Report on Internal Control Over Financial Reporting 

The  Company’s  management  is  responsible  for  establishing  and  maintaining  adequate  internal  control  over  financial 
reporting as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act. The Company’s internal control over financial 
reporting  is  a  process  designed  to  provide  reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the 
preparation of financial statements for external purposes in accordance with generally accepted accounting principles. 

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements. 
Also,  projections  of  any  evaluation  of  effectiveness  to  future  periods  are  subject  to  the  risk  that  controls  may  become 
inadequate  because  of  changes  in  conditions,  or  that  the  degree  of  compliance  with  the  policies  or  procedures  may 
deteriorate. 

Under the supervision and with the participation of management, including the Company’s Chief Executive Officer and 
the Company’s Chief Financial Officer, the Company conducted an evaluation of the effectiveness of its internal control over 
financial reporting as of December 31, 2018 based on the framework described in Internal Control - Integrated Framework 
(2013)  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission.  Based  on  that  evaluation, 
management has concluded that the Company maintained effective internal control over financial reporting as of December 
31, 2018. 

The effectiveness of the Company’s internal control over financial reporting as of December 31, 2018 has been audited 
by PricewaterhouseCoopers LLP, an independent registered public accounting firm, as stated in their report which appears 
herein. 

Changes in Internal Control over Financial Reporting 

There have not been any changes in the Company’s 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 last fiscal quarter of 2018 that have materially affected, or 
are reasonably likely to materially affect, the Company’s internal control over financial reporting. 

Item 9B.  Other Information 

None. 

99 

Item 10.  Directors, Executive Officers and Corporate Governance 

PART III 

Information required under this Item is incorporated herein by reference from information included in the 2019 Proxy 

Statement. 

The Board of Directors has adopted a Code of Ethics that applies to our Chief Executive Officer, Chief Financial Officer, 
the  principal  accounting  officer,  controller,  and  all  vice  presidents  and  above  in  the  finance  department  of  the  Company 
worldwide. A copy of the Code of Ethics can be found as an annex to our Standards of Business Conduct, which is located on 
our website at: www.bauschhealth.com. We intend to satisfy the SEC disclosure requirements regarding amendments to, or 
waivers from, any provisions of our Code of Ethics on our website. 

Item 11.  Executive Compensation 

Information  required  under  this  Item  relating  to  executive  compensation  is  incorporated  herein  by  reference  from 

information included in the 2019 Proxy Statement. 

Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters 

Information required under this Item relating to securities authorized for issuance under equity compensation plans and 
to  security  ownership  of  certain  beneficial  owners  and  management  is  incorporated  herein  by  reference  from  information 
included in the 2019 Proxy Statement. 

Item 13.  Certain Relationships and Related Transactions, and Director Independence 

Information  required  under  this  Item  relating  to  certain  relationships  and  transactions  with  related  parties  and  about 

director independence is incorporated herein by reference from information included in the 2019 Proxy Statement. 

Item 14.  Principal Accounting Fees and Services 

Information required under this Item relating to the fees for professional services rendered by our independent auditors in 

2018 and 2017 is incorporated herein by reference from information included in the 2019 Proxy Statement. 

100 

Item 15.  Exhibits and Financial Statement Schedules 

(a)  Documents filed as a part of the report: 

PART IV 

(1)  The consolidated financial statements required to be filed in the Annual Report on Form 10-K are listed on page F-1 

hereof. 

(2)  Schedule II — Valuation and Qualifying Accounts. 

SCHEDULE II — VALUATION AND QUALIFYING ACCOUNTS 

(in millions) 
Year ended December 31, 2018 

Balance at 
Beginning 
of Year   

Charged to 
Costs and 
Expenses   

Charged to 
Other 

Accounts    Deductions  

Balance at 
End of 
Year 

Allowance for doubtful accounts ................ 
Deferred tax asset valuation allowance ...... 

Year ended December 31, 2017 

Allowance for doubtful accounts ................ 
Deferred tax asset valuation allowance ...... 

Year ended December 31, 2016 

Allowance for doubtful accounts ................ 
Deferred tax asset valuation allowance ...... 

$ 
$ 

$ 
$ 

$ 
$ 

97 
2,001 

80 
1,857 

67 
1,367 

$ 
$ 

$ 
$ 

$ 
$ 

4  
870  

33  
221  

57  
627  

$ 
$ 

$ 
$ 

$ 
$ 

(4)  $ 
$ 
42 

4 

$ 
(77)  $ 

(22)  $ 
(137)  $ 

(50)  $ 
$ 
— 

(20)  $ 
$ 
— 

(22)  $ 
$ 
— 

47 
2,913 

97 
2,001 

80 
1,857 

With  respect  to  the  deferred  tax  valuation  allowance,  the  amounts  in  2016,  2017  and  2018  charged  to  other  accounts 

primarily relates to foreign currency fluctuations on debt. 

(3)  Exhibits 

Item 16.  Form 10-K Summary 

None. 

101 

 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
Exhibit 
Number  Exhibit Description 
3.1 

INDEX TO EXHIBITS 

3.2 

3.3 

3.4 

3.5 

4.1 

4.2 

4.3 

4.4 

4.5 

4.6 

4.7 

4.8 

4.9 

Certificate  of  Continuation,  dated  August  9,  2013,  originally  filed  as  Exhibit  3.1  to  the  Company’s  Current
Report on Form 8-K filed on August 13, 2013, which is incorporated by reference herein. 
Notice  of  Articles  of  Valeant  Pharmaceuticals  International,  Inc.,  dated  August  9,  2013,  originally  filed  as
Exhibit 3.2 to the Company’s Current Report on Form 8-K filed on August 13, 2013, which is incorporated by
reference herein. 
Articles of Valeant Pharmaceuticals International, Inc., dated August 8, 2013, originally filed as Exhibit 3.3 to
the  Company’s  Current  Report  on  Form  8-K  filed  on  August  13,  2013,  which  is  incorporated  by  reference
herein. 
Notice of Articles of Bausch Health Companies Inc., as of July 16, 2018, originally filed as Exhibit 3.1 to the 
Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 16, 2018,
which is incorporated by reference herein. 
Articles of Bausch Health Companies Inc., as of July 13, 2018, originally filed as Exhibit 3.2 to the Company’s 
Current  Report  on  Form  8-K  filed  with  the  Securities  and  Exchange  Commission  on  July  16,  2018,  which  is
incorporated by reference herein. 
Indenture,  dated  as  of  December  2,  2013,  between  Valeant  Pharmaceuticals  International,  Inc.,  the  guarantors
named therein and the Bank of New York Mellon Trust Company, N.A., as trustee, governing the 5.625% Senior
Notes due 2021, originally filed as Exhibit 4.1 to the Company’s Current Report on Form 8-K filed on December 
2, 2013, which is incorporated by reference herein. 
Indenture,  dated  as  of  January  30,  2015,  between  Valeant  Pharmaceuticals  International,  Inc.,  the  guarantors
named therein and the Bank of New York Mellon Trust Company, N.A., as trustee, governing the 5.50% Senior
Notes due 2023, originally filed as Exhibit 4.1 to the Company’s Current Report on Form 8-K filed on January 
30, 2015, which is incorporated by reference herein. 
Indenture, dated as of March 27, 2015 (the “VRX Escrow Corp Indenture”), between VRX Escrow Corp., the
Bank of New York Mellon Trust Company, N.A., as trustee, registrar and US paying agent, and The Bank of
New York  Mellon,  acting  through  its  London branch,  as  the Euro paying  agent,  governing  the  5.375%  Senior
Notes  due  2020  (the  “2020  Notes”),  the  5.875%  Senior  Notes  due  2023  (the  “May  2023  Notes”),  the  4.50%
Senior  Notes  due  2023  (the  “Euro  Notes”)  and  the  6.125%  Senior  Notes  due  2025  (the  “2025  Notes”  and
together with the 2020 Notes, the May 2023 Notes and the Euro Notes, the “Notes”), originally filed as Exhibit
4.1 to the Company’s Current Report on Form 8-K filed on March 27, 2015, which is incorporated by reference
herein. 
First Supplemental Indenture to the VRX Escrow Corp Indenture, dated as of March 27, 2015, between Valeant
Pharmaceuticals  International,  Inc.,  the  guarantors  named  therein  and  the  Bank  of  New  York  Mellon  Trust
Company, N.A., as trustee, governing the Notes, originally filed as Exhibit 4.2 to the Company’s Current Report
on Form 8-K filed on March 27, 2015, which is incorporated by reference herein. 
Indenture, dated as of March 21, 2017, by and among Valeant Pharmaceuticals International, Inc., the guarantors
party thereto, The Bank of New York Mellon, as trustee and the notes collateral agents party thereto, governing
the  6.50%  Senior  Secured  Notes  due  2022  and  the  7.00%  Senior  Secured  Notes  due  2024,  originally  filed  as
Exhibit 4.1 to the Company’s Current Report on Form 8-K filed on March 21, 2017, which is incorporated by
reference herein. 
Indenture,  dated  as  of  October  17,  2017,  by  and  among  Valeant  Pharmaceuticals  International,  Inc.,  the
guarantors party thereto, The Bank of New York Mellon, as trustee and the notes collateral agents party thereto, 
governing the 5.50% Senior Secured Notes due 2025, originally filed as Exhibit 4.1 to the Company’s Current 
Report on Form 8-K filed on October 17, 2017, which is incorporated by reference herein. 
Indenture,  dated  as  of  December  18,  2017,  by  and  among  Valeant  Pharmaceuticals  International,  Inc.,  the
guarantors party thereto and The Bank of New York Mellon, as trustee, governing the 9.00% Senior Notes due
2025, originally filed as Exhibit 4.1 to the Company’s Current Report on Form 8-K filed on December 18, 2017,
which is incorporated by reference herein. 
Indenture,  dated  as  of  March  26,  2018,  by  and  among  Valeant  Pharmaceuticals  International,  Valeant
Pharmaceuticals  International,  Inc.,  the  other  guarantors  party  thereto  and  The  Bank  of  New  York  Mellon,  as
trustee, originally filed as Exhibit 4.1 to the Company’s Current Report on Form 8-K filed on March 27, 2018, 
which is incorporated by reference herein. 
Indenture,  dated  as  of  June  1,  2018,  by  and  among  Valeant  Pharmaceuticals  International,  Valeant
Pharmaceuticals  international,  Inc.,  the  other  guarantors  party  thereto  and  The  Bank  of  New  York  Mellon,  as
trustee, originally filed as Exhibit 4.1 to the Company’s Current Report on Form 8-K filed on June 1, 2018. 

102 

 
4.10 

10.1 

10.2 

10.3 

10.4 

10.5 

10.6 

10.7 

10.8 

10.9 

10.10 

10.11 

10.12 

10.13 

10.14 

10.15 

10.16 

Form  of  Common  Share  Certificate  of  Bausch  Health  Companies  Inc.,  originally  filed  as  Exhibit  4.1  to  the 
Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 16, 2018,
which is incorporated by reference herein. 
Valeant Pharmaceuticals International, Inc. Amended and Restated 2014 Omnibus Incentive Plan, effective as of
April 30, 2018, originally filed as Exhibit A to the Company’s Management Proxy Circular and Proxy Statement
on Schedule 14A filed on March 21, 2018, which is incorporated by reference herein.† 
Form of Matching Restricted Stock Unit Agreement (Matching Units) under the Bausch Health Companies Inc.
Amended  and  Restated  2014  Omnibus  Incentive  Plan,  originally  filed  as  Exhibit  10.4  to  the  Company’s 
Quarterly Report on Form 10-Q filed on August 7, 2018, which is incorporated by reference herein. † 
Valeant Pharmaceuticals International, Inc. 2014 Omnibus Incentive Plan (the “2014 Omnibus Incentive Plan”), 
as approved by the shareholders on May 20, 2014, originally filed as Exhibit B to the Company’s Management 
Proxy Circular and Proxy Statement on Schedule 14A filed with the Securities and Exchange Commission on
April 22, 2014, which is incorporated by reference herein.† 
Form  of  Share  Unit  Grant  Agreement  (Performance  Vesting)  (Performance  Restricted  Share  Units),  under  the
2014 Omnibus Incentive Plan, originally filed as Exhibit 10.2 to the Company’s Annual Report on Form 10-K 
for  the  fiscal  year  ended  December  31,  2017  filed  on  February  28,  2018,  which  is  incorporated  by  reference
herein.† 
Form of Stock Option Grant Agreement (Nonstatutory Stock Options), under the 2014 Omnibus Incentive Plan,
originally  filed  as  Exhibit  10.3  to  the  Company’s  Annual  Report  on  Form  10-K  for  the  fiscal  year  ended 
December 31, 2017 filed on February 28, 2018, which is incorporated by reference herein.† 
Form of Restricted Stock Unit Award Agreement (Restricted Stock Units), under the 2014 Omnibus Incentive
Plan, originally filed as Exhibit 10.4 to the Company’s Annual Report on Form 10-K for the fiscal year ended 
December 31, 2017 filed on February 28, 2018, which is incorporated by reference herein.† 
Form of Retention Restricted Stock Unit Award Agreement, under the 2014 Omnibus Incentive Plan, originally 
filed  as  Exhibit  10.5  to  the  Company’s  Annual  Report  on  Form  10-K  for  the  fiscal  year  ended  December  31,
2017 filed on February 28, 2018, which is incorporated by reference herein.† 
Form of Director Restricted Share Units Award Agreement (Annual Grants), under the 2014 Omnibus Incentive
Plan, originally filed as Exhibit 10.6 to the Company’s Annual Report on Form 10-K for the fiscal year ended 
December 31, 2017 filed on February 28, 2018, which is incorporated by reference herein. † 
Form  of  Share  Unit  Grant  Agreement  (Performance  Vesting)  (Performance  Restricted  Share  Units),  under  the
2014 Omnibus Incentive Plan, originally filed as Exhibit 10.16 to the Company’s Annual Report on Form 10-K 
for the fiscal year ended December 31, 2016 filed on March 1, 2017, which is incorporated by reference herein.† 
Form of Stock Option Grant Agreement (Nonstatutory Stock Options), under the 2014 Omnibus Incentive Plan,
originally  filed  as  Exhibit  10.17  to  the  Company’s  Annual  Report  on  Form  10-K  for  the  fiscal  year  ended 
December 31, 2016 filed on March 1, 2017, which is incorporated by reference herein.† 
Form of Restricted Stock Unit Award Agreement (Restricted Stock Units), under the 2014 Omnibus Incentive
Plan, originally filed as Exhibit 10.18 to the Company’s Annual Report on Form 10-K for the fiscal year ended 
December 31, 2016 filed on March 1, 2017, which is incorporated by reference herein. † 
Form  of  Make-Whole  Award  Agreement  (Restricted  Stock  Units),  under  the  2014  Omnibus  Incentive  Plan,
originally  filed  as  Exhibit  10.19  to  the  Company’s  Annual  Report  on  Form  10-K  for  the  fiscal  year  ended 
December 31, 2016 filed on March 1, 2017, which is incorporated by reference herein.† 
Form of 2018 Share Unit Grant Agreement (Performance Vesting) (Performance Restricted Share Units), under
the 2014 Omnibus Incentive Plan, originally filed as Exhibit 10.11 to the Company’s Annual Report on Form
10-K  for  the  fiscal  year  ended  December  31,  2017  filed  on  February  28,  2018,  which  is  incorporated  by
reference herein.† 
Form  of  2018  Restricted  Stock  Unit  Agreement,  under  the  2014  Omnibus  Incentive  Plan,  originally  filed  as
Exhibit 10.12 to the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2017 filed 
on February 28, 2018, which is incorporated by reference herein.† 
Form of 2018 Stock Option Grant Agreement (Nonstatutory Stock Options), under the 2014 Omnibus Incentive
Plan, originally filed as Exhibit 10.13 to the Company’s Annual Report on Form 10-K for the fiscal year ended 
December 31, 2017 filed on February 28, 2018, which is incorporated by reference herein.† 
Valeant Pharmaceuticals International, Inc. 2011 Omnibus Incentive Plan (the “2011 Omnibus Incentive Plan”), 
effective as of April 6, 2011, as amended on and approved by the shareholders on May 16, 2011, originally filed 
as Annex A to the Company’s Management Proxy Circular and Proxy Statement on Schedule 14A filed with the 
Securities and Exchange Commission on April 14, 2011, as amended by the Supplement dated May 10, 2011 to 
the  Company’s  Management  Proxy  Circular  and  Proxy  Statement  filed  with  the  Securities  and  Exchange
Commission on May 10, 2011, which is incorporated by reference herein.† 

103 

 
10.17 

10.18 

10.19 

10.20 

10.21 

10.22 

10.23 

10.24 

10.25* 

10.26 

10.27 

10.28* 

10.29 

10.30 

10.31 

10.32* 

21.1* 
23.1* 
31.1* 
31.2* 

Form of Stock Option Grant Agreement under the 2011 Omnibus Incentive Plan, originally filed as Exhibit 10.2 
to the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2011 filed on February 
28, 2012, which is incorporated by reference herein.† 
Valeant Pharmaceuticals International, Inc. Directors Share Unit Plan, effective May 16, 2011, originally filed as 
Exhibit 10.6 to the Company’s Quarterly Report on Form 10-Q for the fiscal quarter ended June 30, 2011 filed 
on August 8, 2011, which is incorporated by reference herein.† 
Employment Agreement between Valeant Pharmaceuticals International, Inc. and Joseph C. Papa, dated as of 
April 25, 2016, originally filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on April 27, 
2016, which is incorporated by reference herein.† 
Employment Agreement, dated as of August 17, 2016, between Valeant Pharmaceuticals International, Inc. and 
Paul S. Herendeen, originally filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on 
August 23, 2016, which is incorporated by reference herein.† 
Employment  Agreement  between  Valeant  Pharmaceuticals  International,  Inc.  and  Christina  Ackermann,  dated
July 8, 2016, originally filed as Exhibit 10.23 to the Company’s Annual Report on Form 10-K for the fiscal year 
ended December 31, 2016 filed on March 1, 2017, which is incorporated by reference herein.† 
Employment  Agreement  between  Valeant  Pharmaceuticals  International,  Inc.  and  William  Humphries,  dated
December  1,  2016,  originally  filed  as  Exhibit  10.20  to  the  Company’s  Annual  Report  on  Form  10-K  for  the 
fiscal year ended December 31, 2017 filed on February 28, 2018, which is incorporated by reference herein.† 
Employment Agreement between Valeant Pharmaceuticals International, Inc. and Thomas Appio, dated March
23, 2017, originally filed as Exhibit 10.21 to the Company’s Annual Report on Form  10-K for the fiscal year 
ended December 31, 2017 filed on February 28, 2018, which is incorporated by reference herein.† 
First Incremental Amendment, dated as of November 27, 2018, to the Fourth Amended and Restated Credit and
Guaranty  Agreement,  by  and  among  Bausch  Health  Companies  Inc.,  Valeant  Pharmaceuticals  International,
certain  subsidiaries  of  Bausch  Health  Companies  Inc.  as  guarantors,  each  of  the  financial  institutions  named
therein as lenders and issuing banks and Barclays Bank PLC, as Administrative Agent, originally filed as Exhibit
10.1  to  the  Company’s  Current  Report  on  Form  8-K  filed  on  November  27,  2018,  which  is  incorporated  by
reference herein and which First Incremental Amendment appends, as an exhibit thereto, a copy of such Fourth
Amended and Restated Credit and Guaranty Agreement, as amended to date. 
Amended and Restated Supply Agreement dated October 25, 2018 among Salix Pharmaceuticals, Inc., Valeant
Pharmaceuticals Ireland Limited, Valeant Pharmaceuticals Luxembourg s.à r.l. and Alfasigma S.p.A.** 
Amended and Restated License Agreement dated August 6, 2012 by and between Alfa Wassermann S.p.A. and 
Salix Pharmaceuticals, Inc., originally filed as Exhibit 10.95 to Salix’s Quarterly Report on Form 10-Q for the 
quarter ended September 30, 2012 filed on November 8, 2012, which is incorporated by reference herein. 
Letter  Amendment  dated  September  5,  2012  by  and  between  Alfa  Wassermann  S.p.A.  and  Salix
Pharmaceuticals,  Inc.,  originally  filed  as  Exhibit  10.100  to  Salix’s  Quarterly  Report  on  Form  10-Q  for  the 
quarter ended September 30, 2012 filed on November 8, 2012, which is incorporated by reference herein. 
Amendment  No.  2  to  the  Amended  and  Restated  License  Agreement  dated  October  25,  2018  among  Salix
Pharmaceuticals,  Inc.,  Valeant  Pharmaceuticals  Ireland  Limited,  Valeant  Pharmaceuticals  Luxembourg  s.à  r.l. 
and Alfasigma S.p.A.** 
Trademark License Agreement (Alfa to Salix) dated August 6, 2012 by and between Alfa Wassermann Hungary
Kft. and Salix Pharmaceuticals, Inc., originally filed as Exhibit 10.98 to Salix’s Quarterly Report on Form 10-Q 
for the quarter ended September 30, 2012 filed on November 8, 2012, which is incorporated by reference herein. 
License Agreement dated June 22, 2006 between Cedars-Sinai Medical Center and Salix Pharmaceuticals, Inc.,
originally  filed  as  Exhibit  10.55  to  Salix’s  Current  Report  on  Form  8-K  filed  on  July  5,  2006,  which  is
incorporated by reference herein. 
Restatement Agreement, dated as of June 1, 2018, among Valeant Pharmaceuticals International, Inc., Valeant
Pharmaceuticals International, certain subsidiaries of Valeant Pharmaceuticals International, Inc. as guarantors,
each  of  the  financial  institutions  named  therein  as  lenders  and  issuing  banks  and  Barclays  Bank  PLC,  as
Administrative Agent, originally filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed with 
the Securities and Exchange Commission on June 1, 2018, which is incorporated by reference herein. 
Amended and Restated Asset Purchase Agreement dated January 4, 2019 among Bausch Health Companies Inc.,
Bausch Health Ireland Limited, Synergy Pharmaceuticals Inc. and Synergy Advanced Pharmaceuticals, Inc. †† 
Subsidiaries of Valeant Pharmaceuticals International, Inc. 
Consent of PricewaterhouseCoopers LLP. 
Certification of the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 
Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 

104 

 
32.1* 

32.2* 

Certificate of the Chief Executive Officer of Valeant Pharmaceuticals International, Inc. pursuant to 18 U.S.C. 
§ 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. 
Certificate  of  the  Chief  Financial  Officer of Valeant  Pharmaceuticals  International, Inc. pursuant  to 18 U.S.C. 
§ 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. 

*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. 

**  Portions  of  this  exhibit  have  been  omitted  pursuant  to  an  application  for  confidential  treatment.  Such  information  has 

been omitted and filed separately with the SEC. 

†  Management contract or compensatory plan or arrangement. 

††  One or more exhibits or schedules to this exhibit have been omitted pursuant to Item 601(b)(2) of Regulation S-K. We 

undertake to furnish supplementally a copy of any omitted exhibit or schedule to the SEC upon request. 

105 

 
 
 
 
Pursuant  to  the  requirements  of  Section  13  or  15(d)  of  the  Securities  Exchange  Act  of  1934,  the  registrant  has  duly 

caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. 

SIGNATURES 

Date: February 20, 2019 

BAUSCH HEALTH COMPANIES INC. 
(Registrant) 

By: /s/ JOSEPH C. PAPA 
Joseph C. Papa 
Chief Executive Officer 
(Principal Executive Officer and  
Chairman of the Board) 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following 

persons on behalf of the registrant and in the capacities and on the dates indicated. 

Signature 

/s/ JOSEPH C. PAPA 
Joseph C. Papa 

Title 

Date 

Chief Executive Officer and Chairman of the Board 

  February 20, 2019 

/s/ PAUL S. HERENDEEN 
Paul S. Herendeen 

Executive Vice President and Chief Financial Officer  
(Principal Financial Officer) 

  February 20, 2019 

/s/ SAM ELDESSOUKY 
Sam Eldessouky 

Senior Vice President, Controller and  

  February 20, 2019 

  Chief Accounting Officer (Principal Accounting Officer) 

/s/ RICHARD U. DESCHUTTER 
Richard U. DeSchutter 

/s/ D. ROBERT HALE 
D. Robert Hale 

/s/ ARGERIS N. KARABELAS 
Argeris N. Karabelas 

/s/ SARAH B. KAVANAGH 
Sarah B. Kavanagh 

/s/ JOHN PAULSON 
John Paulson 

/s/ ROBERT N. POWER 
Robert N. Power 

/s/ RUSSEL C. ROBERTSON 
Russel C. Robertson 

/s/ THOMAS W. ROSS, SR. 
Thomas W. Ross, Sr. 

/s/ ANDREW C. VON ESCHENBACH   
Andrew C. von Eschenbach 

/s/ AMY B. WECHSLER 
Amy B. Wechsler 

Director 

Director 

Director 

Director 

Director 

Director 

Director 

Director 

Director 

Director 

106 

  February 20, 2019 

  February 20, 2019 

  February 20, 2019 

  February 20, 2019 

  February 20, 2019 

  February 20, 2019 

  February 20, 2019 

  February 20, 2019 

  February 20, 2019 

  February 20, 2019 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BAUSCH HEALTH COMPANIES INC. 

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS 

Report of Management on Financial Statements 
Report of Independent Registered Public Accounting Firm 
Consolidated Balance Sheets as of December 31, 2018 and 2017 
Consolidated Statements of Operations for the years ended December 31, 2018, 2017 and 2016 
Consolidated Statements of Comprehensive (Loss) Income for the years ended December 31, 2018, 2017 and 2016 
Consolidated Statements of Shareholders’ Equity for the years ended December 31, 2018, 2017 and 2016 
Consolidated Statements of Cash Flows for the years ended December 31, 2018, 2017 and 2016 
Notes to Consolidated Financial Statements 

Page 
F-2 
F-3 
F-5 
F-6 
F-7 
F-8 
F-9 
F-10 

F-1 

 
 
REPORT OF MANAGEMENT ON FINANCIAL STATEMENTS 

The  Company’s  management  is  responsible  for  preparing  the  accompanying  consolidated  financial  statements  in 
conformity  with  United  States  generally  accepted  accounting  principles  (“U.S.  GAAP”).  In  preparing  these  consolidated 
financial statements, management selects appropriate accounting policies and uses its judgment and best estimates to report 
events and transactions as they occur. Management has determined such amounts on a reasonable basis in order to ensure that 
the consolidated financial statements are presented fairly, in all material respects. Financial information included throughout 
this Annual Report is prepared on a basis consistent with that of the accompanying consolidated financial statements. 

PricewaterhouseCoopers LLP has been engaged by the Company to audit the consolidated financial statements. 

The Board of Directors is responsible for ensuring that management fulfills its responsibility for financial reporting and 
is ultimately responsible for reviewing and approving the consolidated financial statements. The Board of Directors carries 
out this responsibility principally through its Audit and Risk Committee. The members of the Audit and Risk Committee are 
outside  Directors.  The  Audit  and  Risk  Committee  considers,  for  review  by  the  Board  of  Directors  and  approval  by  the 
shareholders,  the  engagement  or  reappointment  of  the  external  auditors.  PricewaterhouseCoopers  LLP  has  full  and  free 
access to the Audit and Risk Committee. 

/s/ JOSEPH C. PAPA 
Joseph C. Papa 
Chief Executive Officer 

February 20, 2019 

/s/ PAUL S. HERENDEEN 
Paul S. Herendeen 
Executive Vice President and 
Chief Financial Officer 

F-2 

 
 
 
 
 
 
 
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

To the Board of Directors and Shareholders of Bausch Health Companies Inc. 

Opinions on the Financial Statements and Internal Control over Financial Reporting 

We have audited the accompanying consolidated balance sheets of Bausch Health Companies Inc. and its subsidiaries (the 
“Company”) as of December 31, 2018 and 2017, and the related consolidated statements of operations, comprehensive (loss) 
income, shareholders’ equity and cash flows for each of the three years in the period ended December 31, 2018, including the 
related notes, and schedule of valuation and qualifying accounts for each of the three years in the period ended December 31, 
2018 appearing under Item 15(a)(2) (collectively referred to as the “consolidated financial statements”). We also have audited 
the Company’s internal control over financial reporting as of December 31, 2018, based on criteria established in Internal 
Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission 
(COSO). 

In  our  opinion,  the  consolidated  financial  statements  referred  to  above  present  fairly,  in  all  material  respects,  the  financial 
position of the Company as of December 31, 2018 and 2017, and the results of its operations and its cash flows for each of 
the three years in the period ended December 31, 2018 in conformity with accounting principles generally accepted in the 
United States of America. Also in our opinion, the Company maintained, in all material respects, effective internal control 
over financial reporting as of December 31, 2018, based on criteria established in Internal Control - Integrated Framework 
(2013) issued by the COSO. 

Change in Accounting Principles 

As discussed in Note 2 to the consolidated financial statements, the Company changed the manner in which it accounts for 
income taxes and the manner in which it accounts for goodwill in 2018. 

Basis for Opinions 

The  Company’s  management  is  responsible  for  these  consolidated  financial  statements,  for  maintaining  effective  internal 
control  over  financial  reporting,  and  for  its  assessment  of  the  effectiveness  of  internal  control  over  financial  reporting, 
included  in  Management’s  Annual  Report  on  Internal  Control  Over  Financial  Reporting  appearing  under  Item  9A.  Our 
responsibility  is  to  express  opinions  on  the  Company’s  consolidated  financial  statements  and  on  the  Company’s  internal 
control over  financial reporting  based  on our  audits. 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 audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform 
the  audits  to  obtain  reasonable  assurance  about  whether  the  consolidated  financial  statements  are  free  of  material 
misstatement, whether due to error or fraud, and whether effective internal control over financial reporting was maintained in 
all material respects. 

Our  audits  of  the  consolidated  financial  statements  included  performing  procedures  to  assess  the  risks  of  material 
misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond 
to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the 
consolidated  financial  statements.  Our  audits  also  included  evaluating  the  accounting  principles  used  and  significant 
estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. Our 
audit  of  internal  control  over  financial  reporting  included  obtaining  an  understanding  of  internal  control  over  financial 
reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness 
of internal control based on the assessed risk. Our audits also included performing such other procedures as we considered 
necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions. 

F-3 

Definition and Limitations of Internal Control over Financial Reporting 

A  company’s  internal  control  over  financial  reporting  is  a  process  designed  to  provide  reasonable  assurance  regarding  the 
reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally 
accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures 
that  (i)  pertain  to  the  maintenance  of  records  that,  in  reasonable  detail,  accurately  and  fairly  reflect  the  transactions  and 
dispositions  of  the  assets  of  the  company;  (ii)  provide  reasonable  assurance  that  transactions  are  recorded  as  necessary  to 
permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and 
expenditures  of  the  company  are  being  made  only  in  accordance  with  authorizations  of  management  and  directors  of  the 
company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or 
disposition of the company’s assets that could have a material effect on the financial statements. 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, 
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate 
because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. 

/s/ PricewaterhouseCoopers LLP 

Florham Park, New Jersey 
February 20, 2019 

We have served as the Company’s auditor since 2012. 

F-4 

BAUSCH HEALTH COMPANIES INC. 
CONSOLIDATED BALANCE SHEETS 
(in millions, except share amounts) 

Assets 
Current assets: 

Cash and cash equivalents ........................................................................................................ 
Restricted cash .......................................................................................................................... 
Trade receivables, net ............................................................................................................... 
Inventories, net ......................................................................................................................... 
Prepaid expenses and other current assets ................................................................................ 
Total current assets ............................................................................................................... 
Property, plant and equipment, net .............................................................................................. 
Intangible assets, net .................................................................................................................... 
Goodwill ...................................................................................................................................... 
Deferred tax assets, net ................................................................................................................ 
Other non-current assets .............................................................................................................. 
Total assets ............................................................................................................................ 

Liabilities 
Current liabilities: 

Accounts payable ..................................................................................................................... 
Accrued and other current liabilities ........................................................................................ 
Current portion of long-term debt and other ............................................................................ 
Total current liabilities .......................................................................................................... 
Acquisition-related contingent consideration .............................................................................. 
Non-current portion of long-term debt ........................................................................................ 
Deferred tax liabilities, net ........................................................................................................... 
Other non-current liabilities ......................................................................................................... 
Total liabilities ...................................................................................................................... 

Commitments and contingencies (Notes 20 and 21) 
Equity 
Common shares, no par value, unlimited shares authorized, 349,871,102 and 348,708,567 

issued and outstanding at December 31, 2018 and 2017, respectively ..................................... 
Additional paid-in capital ............................................................................................................ 
Accumulated deficit ..................................................................................................................... 
Accumulated other comprehensive loss ....................................................................................... 
Total Bausch Health Companies Inc. shareholders’ equity .................................................. 
Noncontrolling interest ................................................................................................................ 
Total equity ........................................................................................................................... 
Total liabilities and equity .................................................................................................... 

On behalf of the Board: 

December 31, 

2018 

2017 

$ 

$ 

$ 

721 
2 
1,865 
934 
689 
4,211 
1,353 
12,001 
13,142 
1,676 
109 
32,492 

411 
3,197 
228 
3,836 
298 
24,077 
885 
581 
29,677 

$ 

$ 

$ 

720 
77 
2,130 
1,048 
771 
4,746 
1,403 
15,211 
15,593 
433 
111 
37,497 

365 
3,694 
209 
4,268 
344 
25,235 
1,180 
526 
31,553 

10,121 
413 
(5,664) 
(2,137) 
2,733 
82 
2,815 
32,492 

$ 

10,090 
380 
(2,725) 
(1,896) 
5,849 
95 
5,944 
37,497 

$ 

/s/ JOSEPH C. PAPA 
Joseph C. Papa 
Chief Executive Officer 

/s/ RUSSEL C. ROBERTSON 
Russel C. Robertson 
Chairperson, Audit and Risk Committee 

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

F-5 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BAUSCH HEALTH COMPANIES INC. 
CONSOLIDATED STATEMENTS OF OPERATIONS 
(in millions, except per share amounts) 

Years Ended December 31, 
2017 

2016 

2018 

Revenues 
Product sales ........................................................................................................ 
Other revenues ..................................................................................................... 

$ 

Expenses 
Cost of goods sold (excluding amortization and impairments  

of intangible assets) .......................................................................................... 
Cost of other revenues ......................................................................................... 
Selling, general and administrative ...................................................................... 
Research and development .................................................................................. 
Amortization of intangible assets......................................................................... 
Goodwill impairments ......................................................................................... 
Asset impairments ............................................................................................... 
Restructuring and integration costs ...................................................................... 
Acquired in-process research and development costs .......................................... 
Acquisition-related contingent consideration ...................................................... 
Other (income) expense, net ................................................................................ 

Operating (loss) income ....................................................................................... 
Interest income..................................................................................................... 
Interest expense ................................................................................................... 
Loss on extinguishment of debt ........................................................................... 
Foreign exchange and other ................................................................................. 
Loss before benefit from income taxes ................................................................ 
Benefit from income taxes ................................................................................... 
Net (loss) income ................................................................................................. 
Net income attributable to noncontrolling interest............................................... 
Net (loss) income attributable to Bausch Health Companies Inc. ................. 
(Loss) earnings per share attributable to Bausch Health Companies Inc. 

Basic ................................................................................................................. 
Diluted .............................................................................................................. 

$ 

$ 
$ 

$ 

8,271 
109 
8,380 

$ 

8,595 
129 
8,724 

9,536 
138 
9,674 

2,309 
42 
2,473 
413 
2,644 
2,322 
568 
22 
1 
(9) 
(21) 
10,764 
(2,384) 
11 
(1,685) 
(119) 
23 
(4,154) 
10 
(4,144) 
(4) 
(4,148)  $ 

2,506 
42 
2,582 
361 
2,690 
312 
714 
52 
5 
(289) 
(353) 
8,622 
102 
12 
(1,840) 
(122) 
107 
(1,741) 
4,145 
2,404 
— 
2,404 

(11.81)  $ 
(11.81)  $ 

6.86 
6.83 

$ 

$ 
$ 

2,572 
39 
2,810 
421 
2,673 
1,077 
422 
132 
34 
(13) 
73 
10,240 
(566) 
8 
(1,836) 
— 
(41) 
(2,435) 
27 
(2,408) 
(1) 
(2,409) 

(6.94) 
(6.94) 

Weighted-average common shares 

Basic ................................................................................................................. 
Diluted .............................................................................................................. 

351.3 
351.3 

350.2 
351.8 

347.3 
347.3 

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

F-6 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BAUSCH HEALTH COMPANIES INC. 
CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME 
(in millions) 

Net (loss) income ................................................................................................. 
Other comprehensive (loss) income 
Foreign currency translation adjustment .............................................................. 
Net unrealized holding loss on sale of assets and businesses: 

Arising in period ............................................................................................... 
Reclassification to net (loss) income ................................................................ 

Pension and postretirement benefit plan adjustments: 

Newly established prior service credit ............................................................. 
Net actuarial (loss) gain arising during the year ............................................... 
Amortization of prior service credit ................................................................. 
Amortization or settlement recognition of net gain .......................................... 
Income tax benefit (expense) ........................................................................... 
Foreign currency impact ................................................................................... 
Net pension and postretirement benefit plan adjustments ............................. 
Other comprehensive (loss) income ..................................................................... 
Comprehensive (loss) income .............................................................................. 
Comprehensive (income) loss attributable to noncontrolling interest.................. 
Comprehensive (loss) income attributable to Bausch Health Companies Inc. .... 

$ 

Years Ended December 31, 
2017 

2016 

2018 

$ 

(4,144)  $ 

2,404 

$ 

(2,408) 

(237) 

— 
— 
(237) 

— 
(7) 
(4) 
1 
3 
— 
(7) 
(244) 
(4,388) 
(1) 
(4,389)  $ 

202 

(26) 
26 
202 

— 
20 
(4) 
2 
(4) 
1 
15 
217 
2,621 
(4) 
2,617 

$ 

(548) 

— 
— 
(548) 

6 
(32) 
(3) 
1 
4 
1 
(23) 
(571) 
(2,979) 
4 
(2,975) 

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

F-7 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BAUSCH HEALTH COMPANIES INC. 
CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY 
(in millions) 

Bausch Health Companies Inc. Shareholders’ Equity 

  Common Shares   
  Shares    Amount   

Additional 
Paid-In 
Capital 

Accumulated 
Deficit 

  Accumulated 
Other 
Comprehensive 
Loss 

  Bausch Health 
Companies Inc. 
Shareholders’ 
Equity 

Balance, January 1, 2016 ...............    342.9  $  9,897  $ 
Effect of application of new 

305  $ 

(2,750)  $ 

(1,542)  $ 

5,910  $ 

—   

—   

30   

accounting standard: Share-
based payments ............................    —   

Common shares issued under share-

based compensation  
plans .............................................   

4.9   
Share-based compensation ...............    —   
Employee withholding taxes  

141   
—   

related to share-based awards ......    —   

—   

Noncontrolling interest 

—   
distributions ..................................    —   
—   
Net (loss) income..............................    —   
Other comprehensive loss ................    —   
—   
Balance, December 31, 2016 ..........    347.8    10,038   
Common shares issued under share-

based compensation  
plans .............................................   

0.9   
Share-based compensation ...............    —   
Employee withholding taxes  

52   
—   

related to share-based awards ......    —   

—   

Acquisition of noncontrolling 

interest ..........................................    —   

—   

Noncontrolling interest 

—   
distributions ..................................    —   
—   
Net income........................................    —   
Other comprehensive income ...........    —   
—   
Balance, December 31, 2017 ..........    348.7    10,090   
Effect of application of new 

accounting standard: Income 
taxes (see Note 2) .........................    —   

Common shares issued under share-

based compensation  
plans .............................................   

1.2   
Share-based compensation ...............    —   
Employee withholding taxes  

31   
—   

related to share-based awards ......    —   

—   

Acquisition of noncontrolling 

interest ..........................................    —   

—   

Noncontrolling interest 

distributions ..................................    —   
Net (loss) income..............................    —   
Other comprehensive loss ................    —   
Balance, December 31, 2018 ..........    349.9  $  10,121  $ 

—   
—   
—   

Noncontrolling 
Interest 

Total 
Equity 
119  $  6,029  

—   

—   
—   

—   

—   
—   
(566)   
(2,108)   

—   
—   

—   

(1)   

—   
—   
213   
(1,896)   

30   

—   

30  

33   
165   

(11)   

—   
(2,409)   
(566)   
3,152   

—   
87   

(4)   

(3)   

—   
2,404   
213   
5,849   

—   
—   

33  
165  

—   

(11 ) 

(9)   
1   
(5)   
106   

(9 ) 
(2,408 ) 
(571 ) 
3,258  

—   
—   

—   

(6)   

(9)   
—   
4   
95   

—  
87  

(4 ) 

(9 ) 

(9 ) 
2,404  
217  
5,944  

(108)  
165   

(11)  

—   
—   
—   
351   

(52)  
87   

(4)  

(2)  

—   
—   
—   
380   

—   
—   

—   

—   
(2,409)   
—   
(5,129)   

—   
—   

—   

—   

—   
2,404   
—   
(2,725)   

—   

—   

1,209   

—   

1,209   

—   

1,209  

(29)  
87   

(10)  

(15)  

—   
—   
—   
413  $ 

—   
—   

—   

—   

—   
—   

—   

—   

2   
87   

(10)   

(15)   

—   
(4,148)   
—   

(5,664)  $ 

—   
—   
(241)   
(2,137)  $ 

—   
(4,148)   
(241)   
2,733  $ 

—   
—   

2  
87  

—   

(10 ) 

(3)   

(18 ) 

(11 ) 
(11)   
(4,144 ) 
4   
(3)   
(244 ) 
82  $  2,815  

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

F-8 

 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
  
BAUSCH HEALTH COMPANIES INC. 
CONSOLIDATED STATEMENTS OF CASH FLOWS 
(in millions)  

Years Ended December 31, 
2017 

2016 

2018 

Cash Flows From Operating Activities 
Net (loss) income .............................................................................................................. 
Adjustments to reconcile net (loss) income to net cash provided by operating activities:  
Depreciation and amortization of intangible assets ....................................................... 
Amortization and write-off of debt discounts and debt issuance costs .......................... 
Asset impairments ......................................................................................................... 
Goodwill impairment .................................................................................................... 
Acquisition accounting adjustment on inventory sold .................................................. 
Acquisition-related contingent consideration ................................................................ 
Allowances for losses on trade receivables and inventories .......................................... 
Deferred income taxes .................................................................................................. 
Loss (gain) on disposal of assets and businesses........................................................... 
(Reductions) additions to accrued legal settlements ..................................................... 
Insurance proceeds for legal settlement ........................................................................ 
Payments of accrued legal settlements .......................................................................... 
Share-based compensation ............................................................................................ 
Foreign exchange (gain) loss ........................................................................................ 
Loss on extinguishment of debt .................................................................................... 
Payments of contingent consideration adjustments, including accretion ...................... 
Other ............................................................................................................................. 
Changes in operating assets and liabilities: 

Trade receivables ...................................................................................................... 
Inventories ................................................................................................................ 
Prepaid expenses and other current assets ................................................................. 
Accounts payable, accrued and other liabilities ........................................................ 
Net cash provided by operating activities ......................................................................... 
Cash Flows From Investing Activities 
Acquisition of businesses, net of cash acquired ................................................................ 
Acquisition of intangible assets and other assets .............................................................. 
Purchases of property, plant and equipment ..................................................................... 
Purchases of marketable securities ................................................................................... 
Proceeds from sale of marketable securities ..................................................................... 
Proceeds from sale of assets and businesses, net of costs to sell ....................................... 
Reduction of cash due to deconsolidation ......................................................................... 
Other ................................................................................................................................. 
Net cash (used in) provided by investing activities ........................................................... 
Cash Flows From Financing Activities 
Issuance of long-term debt, net of discounts ..................................................................... 
Repayments of long-term debt .......................................................................................... 
Borrowings of short-term debt .......................................................................................... 
Repayments of short-term debt ......................................................................................... 
Proceeds from exercise of stock options ........................................................................... 
Payment of employee withholding tax upon vesting of share-based awards .................... 
Payments of contingent consideration .............................................................................. 
Payments of deferred consideration .................................................................................. 
Payments of financing costs ............................................................................................. 
Other ................................................................................................................................. 
Net cash used in financing activities ................................................................................. 
Effect of exchange rate changes on cash and cash equivalents ......................................... 
Net (decrease) increase in cash and cash equivalents and restricted cash ......................... 
Cash and cash equivalents and restricted cash, beginning of year .................................... 
Cash and cash equivalents and restricted cash, end of year ........................................ 

Cash and cash equivalents, end of year ............................................................................. 
Restricted cash, end of year .............................................................................................. 
Cash and cash equivalents and restricted cash, end of year ........................................ 

$ 

(4,144) 

$ 

2,404 

$ 

(2,408) 

2,819 
79 
568 
2,322 
— 
(9) 
69 
(144) 
6 
(27) 
— 
(224) 
87 
(19) 
119 
(2) 
(17) 

216 
(5) 
(72) 
(121) 
1,501 

5 
(78) 
(157) 
(7) 
7 
34 
— 
— 
(196) 

8,944 
(10,101) 
— 
(3) 
2 
(10) 
(37) 
(18) 
(102) 
(28) 
(1,353) 
(26) 
(74) 
797 
723 

721 
2 
723 

$ 

$ 

$ 

2,858 
151 
714 
312 
— 
(289) 
119 
(4,386) 
(579) 
226 
60 
(221) 
87 
(106) 
122 
(4) 
(22) 

417 
7 
33 
387 
2,290 

— 
(165) 
(171) 
(7) 
2 
3,253 
— 
(25) 
2,887 

9,424 
(14,203) 
1 
(8) 
— 
(4) 
(45) 
— 
(110) 
(18) 
(4,963) 
41 
255 
542 
797 

720 
77 
797 

$ 

$ 

$ 

2,866 
118 
422 
1,077 
38 
(13) 
174 
(236) 
(8) 
59 
— 
(69) 
165 
14 
— 
(28) 
26 

(34) 
(164) 
232 
(144) 
2,087 

(19) 
(56) 
(235) 
(1) 
17 
199 
(30) 
— 
(125) 

1,220 
(2,436) 
3 
(3) 
33 
(11) 
(123) 
(540) 
(97) 
(9) 
(1,963) 
(54) 
(55) 
597 
542 

542 
— 
542 

$ 

$ 

$ 

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

F-9 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
BAUSCH HEALTH COMPANIES INC. 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 

1.  DESCRIPTION OF BUSINESS 

Bausch  Health  Companies  Inc.  (the  “Company”),  formerly  known  as  Valeant  Pharmaceuticals  International,  Inc.,  is  a 
multinational, specialty pharmaceutical and medical device company that develops, manufactures and markets a broad 
range of branded, generic and branded generic pharmaceuticals, over-the-counter (“OTC”) products and medical devices 
(contact lenses, intraocular lenses, ophthalmic surgical equipment and aesthetics devices) which are marketed directly or 
indirectly in over 90 countries. Effective August 9, 2013, the Company continued from the federal jurisdiction of Canada 
to  the  Province  of  British  Columbia,  meaning  that  the  Company  became  a  company  registered  under  the  laws  of  the 
Province of British Columbia as if it had been incorporated under the laws of the Province of British Columbia. As a 
result  of  this  continuance,  the  legal  domicile  of  the  Company  became  the  Province  of  British  Columbia,  the  Canada 
Business Corporations Act ceased to apply to the Company and the Company became subject to the British Columbia 
Business Corporations Act. 

2.  SIGNIFICANT ACCOUNTING POLICIES 

Basis of Presentation and Use of Estimates 

The  Consolidated  Financial  Statements  have  been  prepared  by  the  Company  in  United  States  (“U.S.”)  dollars  and  in 
accordance  with  U.S.  generally  accepted  accounting  principles  (“U.S.  GAAP”),  applied  on  a  consistent  basis.  In 
preparing  the  Company’s  Consolidated  Financial  Statements,  management  is  required  to  make  estimates  and 
assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at 
the  date  of  the  financial  statements  and  the  reported  amounts  of  revenues  and  expenses  during  the  reporting  periods. 
Significant estimates made by management include: provisions for product returns, rebates, chargebacks, discounts and 
allowances and distribution fees paid to certain wholesalers; useful lives of amortizable intangible assets and property, 
plant  and  equipment;  expected  future  cash  flows  used  in  evaluating  intangible  assets  for  impairment,  assessing 
compliance with debt covenants and making going concern assessments; reporting unit fair values for testing goodwill 
for impairment and allocating goodwill to new reporting unit structure on a relative fair value basis; provisions for loss 
contingencies;  provisions  for  income  taxes,  uncertain  tax  positions  and  realizability  of  deferred  tax  assets;  and  the 
recognition  of  the  fair  value  of  assets  and  liabilities  acquired  in  a  business  combination,  including  the  fair  value  of 
contingent  consideration.  Under  certain  product  manufacturing  and  supply  agreements,  management  uses  information 
from the Company’s commercialization counterparties to arrive at estimates for future returns, rebates and chargebacks. 

On an ongoing basis, management reviews its estimates to ensure that these estimates appropriately reflect changes in the 
Company’s  business  and  new  information  as  it  becomes  available.  If  historical  experience  and  other  factors  used  by 
management  to  make  these  estimates  do  not  reasonably  reflect  future  activity,  the  Company’s  Consolidated  Financial 
Statements could be materially impacted. 

Principles of Consolidation 

The  Consolidated  Financial  Statements  include  the  accounts  of  the  Company  and  those  of  its  subsidiaries  and  any 
variable interest entities (“VIEs”) for which the Company is the primary beneficiary. All intercompany transactions and 
balances have been eliminated. 

Acquisitions 

Acquired businesses are accounted for using the acquisition method of accounting, which requires that assets acquired 
and liabilities assumed be recorded at fair value, with limited exceptions. Transaction costs and costs to restructure the 
acquired  company  are  expensed  as  incurred.  The  operating  results  of  the  acquired  business  are  reflected  in  the 
Consolidated  Financial  Statements  after  the  date  of  acquisition.  Acquired  in-process  research  and  development 
(“IPR&D”) is recognized at fair value and initially characterized as an indefinite-lived intangible asset, irrespective of 
whether the acquired IPR&D has an alternative future use. If the acquired net assets do not constitute a business under 
the  acquisition  method  of  accounting,  the  transaction  is  accounted  for  as  an  asset  acquisition  and  no  goodwill  is 
recognized. In an asset acquisition, the amount allocated to acquired IPR&D with no alternative future use is charged to 
expense at the acquisition date. 

F-10 

Fair Value of Financial Instruments 

The  estimated  fair  values  of  cash  and  cash  equivalents,  trade  receivables,  accounts  payable  and  accrued  liabilities 
approximate  their  carrying  values  due  to  their  short  maturity  periods.  The  fair  value  of  acquisition-related  contingent 
consideration is based on estimated discounted future cash flows or Monte Carlo Simulation analyses and assessment of 
the probability of occurrence of potential future events. 

Cash and Cash Equivalents 

Cash and cash equivalents consist of highly liquid investments with maturities of three months or less when purchased. 

Concentrations of Credit Risk 

Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily 
of cash and cash equivalents, marketable securities and trade receivables. 

The  Company  invests  its  excess  cash  in  high-quality,  money  market  instruments  and  term  deposits  with  varying 
maturities,  but  typically  less  than  three  months.  The  Company’s  cash  and  cash  equivalents  are  invested  in  various 
investment grade institutional money market accounts and bank term deposits. Cash deposited at banks may exceed the 
amount of insurance provided on such deposits. Generally, these cash deposits may be redeemed upon demand and are 
maintained with financial institutions with reputable credit and therefore bear minimal credit risk. The Company seeks to 
mitigate  such  risks  by  spreading  its  risk  across  multiple  counterparties  and  monitoring  the  risk  profiles  of  these 
counterparties. 

The  Company’s  trade  receivables  primarily  represent  amounts  due  from  wholesale  distributors,  retail  pharmacies, 
government entities and group purchasing organizations. Outside of the U.S., concentrations of credit risk with respect to 
trade  receivables,  which  are  typically  unsecured,  are  limited  due  to  the  number  of  customers  using  the  Company’s 
products, as well as their dispersion across many different geographic regions. The Company performs periodic credit 
evaluations  of  customers  and  does  not  require  collateral.  The  Company  monitors  economic  conditions,  including 
volatility associated with international economies, and related impacts on the relevant financial markets and its business, 
especially in light of sovereign credit issues. The credit and economic conditions within Portugal, Greece, among other 
members  of  the  European  Union,  Brazil,  Egypt,  Argentina,  Turkey  and  Ukraine  have  been  weak  in  recent  years.  In 
November 2016, as a result of the Egyptian government’s decision to float the Egyptian pound and un-peg it to the U.S. 
Dollar, the Egyptian pound was significantly devalued. The Company’s exposure to the Egyptian pound is with respect 
to the Amoun Pharmaceutical Company S.A.E. business acquired in October 2015, which represented approximately 2% 
of the Company’s revenue in each of the years 2018, 2017 and 2016 total revenues. These conditions have increased, and 
may  continue  to  increase,  the  average  length  of  time  that  it  takes  to  collect  on  the  Company’s  trade  receivables 
outstanding in these countries. 

An  allowance  for  doubtful  accounts  is  maintained  for  potential  credit  losses  based  on  the  aging  of  trade  receivables, 
historical  bad  debts  experience  and  changes  in  customer  payment  patterns.  Trade  receivable  balances  are  written  off 
against  the  allowance  when  it  is  deemed  probable  that  the  receivable  will  not  be  collected.  Trade  receivables,  net  are 
stated  net  of  reserves  for  sales  returns  and  allowances  and  provisions  for  doubtful  accounts  of  $47  million  and  $97 
million as of December 31, 2018 and 2017, respectively. 

As of December 31, 2018, the Company’s three largest U.S. wholesaler customers accounted for approximately 39% of 
net trade receivables. In addition, as of December 31, 2018 and 2017, the Company’s net trade receivable balance from 
Greece,  Portugal,  Ukraine,  Turkey,  Egypt,  Argentina  and  Brazil  amounted  to  $110  million  and  $230  million, 
respectively, the majority of which is current or less than 90 days past due. The portion of the net trade receivable from 
these countries that is past due more than 90 days amounted to $2 million, as of December 31, 2018, a portion of which 
is comprised of public hospitals. Based on analysis of bad debt experience and assessment of historical payment patterns 
for  such  customers,  the  Company has  established  a  reserve  covering  approximately  half  of  the  balance  past  due  more 
than 90 days for such countries. The Company has not experienced any significant losses from uncollectible accounts in 
the three-year period ended December 31, 2018. 

Inventories 

Inventories  comprise  raw  materials,  work  in  process  and  finished  goods,  which  are  valued  at  the  lower  of  cost  or  net 
realizable value, on a first-in, first-out basis. The cost value for work in process and finished goods inventories includes 
materials, direct labor and an allocation of overheads. 

F-11 

The Company evaluates the carrying value of inventories on a regular basis, taking into account such factors as historical 
and anticipated future sales compared with quantities on hand, the price the Company expects to obtain for products in 
their respective markets compared with historical cost and the remaining shelf life of goods on hand. 

Property, Plant and Equipment 

Property,  plant  and  equipment  are  reported  at  cost,  less  accumulated  depreciation.  Costs  incurred  on  assets  under 
construction  are  capitalized  as  construction  in  progress.  Depreciation  is  calculated  using  the  straight-line  method, 
commencing when the assets become available for productive use, based on the following estimated useful lives:  

Land improvements .....................................................  
Buildings and improvements .......................................  
Machinery and equipment ...........................................  
Other equipment ..........................................................  
Equipment on operating lease ......................................  
Leasehold improvements and capital leases ................  

15 - 30 years 
Up to 40 years 
3 - 20 years 
3 - 10 years 
Up to 5 years 
Lesser of term of lease or 10 years 

Intangible Assets 

Intangible assets are reported at cost, less accumulated amortization and impairments. Intangible assets with finite lives 
are amortized over their estimated useful lives. Amortization is calculated primarily using the straight-line method based 
on the following estimated useful lives: 

Product brands .............................................................  
Corporate brands .........................................................  
Product rights ..............................................................  
Partner relationships ....................................................  
Out-licensed technology and other ..............................  

2 - 20 years 
7 - 20 years 
3 - 15 years 
7 - 9 years 
8 - 10 years 

Divestitures of Products 

The  net  of  the  proceeds  on  the  divestiture  of  products  and  the  carrying  amount  of  the  related  assets  is  recorded  as  a 
gain/loss on sale within Other (income) expense, net. Any contingent payments that are potentially due to the Company 
as a result of these divestitures are recorded when realizable. 

IPR&D 

The fair value of IPR&D acquired through a business combination is capitalized as an indefinite-lived intangible asset 
until the completion or abandonment of the related research and development activities. When the related research and 
development is completed, the asset will be assigned a useful life and amortized. IPR&D assets are tested for impairment 
at least annually or when triggering events are identified. 

The fair value of an IPR&D intangible asset is typically determined using an income approach. This approach starts with 
a forecast of the net cash flows expected to be generated by the asset over its estimated useful life. The net cash flows 
reflect  the  asset’s  stage  of  completion,  the  probability  of  technical  success,  the  projected  costs  to  complete,  expected 
market competition and an assessment of the asset’s life-cycle. The net cash flows are then adjusted to present value by 
applying an appropriate discount rate that reflects the risk factors associated with the expected cash flow streams. 

Impairment of Long-Lived Assets 

Long-lived assets with finite lives are tested for impairment whenever events or changes in circumstances indicate that 
the  carrying  value  of  an  asset  may  not  be  recoverable.  If  indicators  of  impairment  are  present,  the  asset  is  tested  for 
recoverability  by  comparing  the  carrying  value  of  the  asset  to  the  related  estimated  undiscounted  future  cash  flows 
expected to be derived from  the asset. If the expected undiscounted cash flows are less than the carrying value of the 
asset, then the asset is considered to be impaired and its carrying value is written down to fair value, based on the related 
estimated discounted future cash flows. 

Indefinite-lived  intangible  assets,  which  includes  acquired  IPR&D  and  the  corporate  trademark  acquired  in  the 
acquisition of Bausch & Lomb Holdings Incorporated (the ‘‘B&L Trademark’’), are tested for impairment annually or 
more  frequently  if  events  or  changes  in  circumstances  between  annual  tests  indicate  that  the  asset  may  be  impaired. 
Impairment losses on indefinite-lived intangible assets are recognized based solely on a comparison of the fair value of 
the asset to its carrying value. 

F-12 

 
 
 
 
Goodwill 

Goodwill is recorded with the acquisition of a business and is calculated as the difference between the acquisition date 
fair  value  of  the  consideration  transferred  and  the  values  assigned  to  the  assets  acquired  and  liabilities  assumed. 
Goodwill is not amortized but is tested for impairment at least annually as of October 1st at the reporting unit level. A 
reporting unit is the same as, or one level below, an operating segment. 

An interim goodwill impairment test in advance of the annual impairment assessment may be required if events occur 
that indicate an impairment might be present. For example, a substantial decline in the Company’s market capitalization, 
changes in reportable segments, unexpected adverse business conditions, economic factors and unanticipated competitive 
activities may signal that an interim impairment test is needed. Accordingly, among other factors, the Company monitors 
changes  in  its  share  price  between  annual  impairment  tests.  The  Company  considers  a  decline  in  its  share  price  that 
corresponds to an overall deterioration in stock market conditions to be less of an indicator of goodwill impairment than 
a  unilateral  decline  in  its  share  price  reflecting  adverse  changes  in  its  underlying  operating  performance,  cash  flows, 
financial condition and/or liquidity. In the event that the Company’s market capitalization does decline below its book 
value, the Company would consider the length and severity of the decline and the reason for the decline when assessing 
whether potential goodwill impairment exists. The Company believes that short-term fluctuations in share prices may not 
necessarily reflect underlying values. 

Prior to January 1, 2018, the goodwill impairment test consisted of two steps. In step one, the Company compared the 
carrying value of each reporting unit to its fair value. In step two, if the carrying value of a reporting unit exceeded its 
fair value, the Company would measure goodwill impairment as the excess of the carrying value of the reporting unit’s 
goodwill over the fair value of its goodwill, if any. The fair value of goodwill was derived as the excess of the fair value 
of the reporting unit over the fair value of the reporting unit’s identifiable assets and liabilities. 

Effective January 1, 2018, the Company elected to early adopt guidance issued by the Financial Accounting Standards 
Board (“FASB”) which simplified the subsequent measurement of goodwill by eliminating “Step 2” from the goodwill 
impairment  test.  Instead,  as  of  January  1,  2018  and  all  subsequent  periods,  goodwill  impairment  is  measured  as  the 
amount by which a reporting unit’s carrying value exceeds its fair value. 

Debt Discounts, Issuance Costs and Deferred Financing Costs 

Debt  discounts  and  issuance  costs  are  presented  in  the  Consolidated  Balance  Sheets  as  a  direct  deduction  from  the 
carrying amount of the related debt and are amortized, using the effective interest method, as interest expense over the 
contractual lives of the related credit facilities or notes. Deferred financing costs associated with revolving credit facility 
arrangements are included in the balances of Prepaid expenses and other current assets and Other non-current assets in 
the Consolidated Balance Sheets and are amortized as interest expense over the contractual life of the related revolving 
credit facility. 

Foreign Currency Translation 

The assets and liabilities of the Company’s foreign operations having a functional currency other than the U.S. dollar are 
translated into U.S. dollars at the exchange rate prevailing at the balance sheet date, and at the average exchange rate for 
the  reporting  period  for  revenue  and  expense  accounts.  The  cumulative  foreign  currency  translation  adjustment  is 
recorded as a component of accumulated other comprehensive loss in shareholders’ equity. 

Foreign currency exchange gains and losses on transactions occurring in a currency other than an operation’s functional 
currency are recognized in Net (loss) income. 

Revenue Recognition 

As discussed under the caption “Adoption of New Accounting Standards” to this Note 2, effective January 1, 2018, the 
Company  adopted  guidance  issued  by  the  FASB  regarding  recognizing  revenue  from  contracts  with  customers.  Based 
upon review of current customer contracts, the Company concluded the implementation of the new guidance did not have 
a material quantitative impact on its Consolidated Financial Statements as the timing of revenue recognition for product 
sales  did  not  significantly  change.  The  Company  adopted  this  guidance  using  the  modified  retrospective  approach,  and 
therefore, revenue reported for the years 2017 and 2016 have not been restated. Although the new guidance did result in 
additional disclosures as to the nature, amounts and concentrations of revenue, it did not have a material impact on the 
Company’s significant accounting policies. The revenue recognition policies as enumerated below reflect the Company’s 
accounting  policies  effective  January  1,  2018,  which  did  not  have  a  materially  different  financial  statement  result  than 
what the results would have been under the previous accounting policies for revenue recognition. 

F-13 

The  Company’s  revenues  are  primarily  generated  from  product  sales  that  consist  of:  (i)  branded  pharmaceuticals, 
(ii) generic and branded generic pharmaceuticals, (iii) OTC products and (iv) medical devices (contact lenses, intraocular 
lenses, ophthalmic surgical equipment and aesthetics devices). Other revenues include alliance and service revenue from 
the  licensing  and  co-promotion  of  products  and  contract  service  revenue  primarily  in  the  areas  of  dermatology  and 
topical medication. Contract service revenue is derived primarily from contract manufacturing for third parties and is not 
material. See Note 22, “SEGMENT INFORMATION” for the disaggregation of revenue which depicts how the nature, 
amount,  timing  and  uncertainty  of  revenue  and  cash  flows  are  affected  by  the  economic  factors  of  each  category  of 
customer contracts. 

The Company recognizes revenue when the customer obtains control of promised goods or services and in an amount 
that  reflects  the  consideration  to  which  the  Company  expects  to  be  entitled  to  receive  in  exchange  for  those  goods  or 
services. To achieve this core principle, the Company applies the five-step revenue model to contracts within its scope: 
(i) identify the contract(s) with a customer, (ii) identify the performance obligations in the contract, (iii) determine the 
transaction  price,  (iv)  allocate  the  transaction  price  to  the  performance  obligations  in  the  contract  and  (v)  recognize 
revenue when (or as) the entity satisfies a performance obligation. 

Product Sales 

A contract with the Company’s customers exists for each product sale. Where a contract with a customer contains more 
than  one  performance  obligation,  the  Company  allocates  the  transaction  price  to  each  distinct  performance  obligation 
based  on  its  relative  standalone  selling  price.  The  transaction  price  is  adjusted  for  variable  consideration  which  is 
discussed  further  below.  The  Company  generally  recognizes  revenue  for  product  sales  at  a  point  in  time,  when  the 
customer obtains control of the products. 

Product Sales Provisions 

As is customary in the pharmaceutical industry, gross product sales are subject to a variety of deductions in arriving at 
reported net product sales. The transaction price for product sales is typically adjusted for variable consideration, which 
may be in the form of cash discounts, allowances, returns, rebates, chargebacks and distribution fees paid to customers. 
Provisions  for  variable  consideration  are  established  to  reflect  the  Company’s  best  estimates  of  the  amount  of 
consideration to which it is entitled based on the terms of the contract. The amount of variable consideration included in 
the transaction price may be constrained, and is included in the net sales price only to the extent that it is probable that a 
significant reversal in the amount of the cumulative revenue recognized will not occur in the future period. 

Provisions for these deductions are recorded concurrently with the recognition of gross product sales revenue and include 
cash discounts and allowances, chargebacks, and distribution fees, which are paid to direct customers, as well as rebates 
and  returns,  which  can  be  paid  to  direct  and  indirect  customers.  Returns  provision  balances  and  volume  discounts  to 
direct customers are included in Accrued and other current liabilities. All other provisions related to direct customers are 
included in Trade receivables, net, while provision balances related to indirect customers are included in Accrued and 
other current liabilities. 

The following table presents the activity and ending balances of the Company’s variable consideration provisions for the 
year ended December 31, 2018. 

(in millions) 
Reserve balance, January 1, 

Allowances    Returns 

  Rebates 

  Chargebacks   

Discounts 
and 

Distribution 
Fees 

  Total 

2018 ........................................  $ 

Current period provision ............ 
Payments and credits ................. 
Reserve balance, December 31, 

167  $ 
865 
(857) 

863 
293 
(343) 

$  1,094 
2,551 
(2,621) 

$ 

274  $ 

1,966 
(2,031) 

148 
212 
(197) 

$  2,546 
5,887 
(6,049) 

2018 ........................................  $ 

175  $ 

813 

$  1,024 

$ 

209  $ 

163 

$  2,384 

Included in Rebates in the table above are cooperative advertising credits due to customers of approximately $26 million 
as  of  December  31,  2018,  which  are  reflected  as  a  reduction  of  Trade  accounts  receivable,  net  in  the  Consolidated 
Balance Sheets. 

F-14 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Company continually monitors its variable consideration provisions and evaluates the estimates used as additional 
information  becomes  available.  Adjustments  will  be  made  to  these  provisions  periodically  to  reflect  new  facts  and 
circumstances  that  may  indicate  that  historical  experience  may  not  be  indicative  of  current  and/or  future  results.  The 
Company is required to make subjective judgments based primarily on its evaluation of current market conditions and 
trade inventory levels related to the Company’s products. This evaluation may result in an increase or decrease in the 
experience rate  that  is  applied  to  current  and  future  sales,  or  an  adjustment  related  to past  sales, or both. If  the  actual 
amounts paid vary from the Company’s estimates, the Company adjusts these estimates, which would affect net product 
revenue  and  earnings  in  the  period  such  variance  becomes  known.  The  Company  applies  this  method  consistently  for 
contracts  with  similar  characteristics.  The  following  describes  the  major  sources  of  variable  consideration  in  the 
Company’s  customer  arrangements  and  the  methodology,  estimates  and  judgments  applied  to  estimate  each  type  of 
variable consideration. 

Cash Discounts and Allowances 

Cash discounts are offered for prompt payment and allowances for volume purchases. Provisions for cash discounts are 
estimated at the time of sale and recorded as direct reductions to trade receivables and revenue. Management estimates 
the provisions for cash discounts and allowances based on contractual sales terms with customers, an analysis of unpaid 
invoices and historical payment experience. Estimated cash discounts and allowances have historically been predictable 
and less subjective, due to the limited number of assumptions involved, the consistency of historical experience and the 
fact that these amounts are generally settled within one month of incurring the liability. 

Returns 

Consistent with industry practice, customers are generally allowed to return products within a specified period of time 
before and after its expiration date, excluding European businesses which generally do not provide a right of return. The 
returns provision is estimated utilizing historical sales and return rates over the period during which customers have a 
right of return, taking into account available information on competitive products and contract changes. The information 
utilized to estimate the returns provision includes: (i) historical return and exchange levels, (ii) external data with respect 
to  inventory  levels  in  the  wholesale  distribution  channel,  (iii)  external  data  with  respect  to  prescription  demand  for 
products, (iv) remaining shelf lives of products at the date of sale and (v) estimated returns liability to be processed by 
year of sale based on an analysis of lot information related to actual historical returns. 

In determining the estimate for returns, management is required to make certain assumptions regarding the timing of the 
introduction of new products and the potential of these products to capture market share. In addition, certain assumptions 
with respect to the extent and pattern of decline associated with generic competition are necessary. These assumptions 
are  formulated  using  market  data  for  similar  products,  past  experience  and  other  available  information.  These 
assumptions  are  continually  reassessed,  and  changes  to  the  estimates  and  assumptions  are  made  as  new  information 
becomes available. A change of 1% in the estimated return rates would have impacted the Company’s pre-tax earnings 
by approximately $86 million for the year ended December 31, 2018. 

The estimate for returns may be impacted by a number of factors, but the principal factor relates to the inventory levels 
in  the  distribution  channel.  When  management  becomes  aware  of  an  increase  in  such  inventory  levels,  it  considers 
whether the increase may be temporary or other-than-temporary. Temporary increases in wholesaler inventory levels will 
not differ from original estimates of provision for returns. Other-than-temporary increases in wholesaler inventory levels, 
however, may be an indication that future product returns could be higher than originally anticipated, and, as a result, 
estimates for returns may need to be adjusted. Factors that suggest increases in wholesaler inventory levels are temporary 
include:  (i)  recently  implemented  or  announced  price  increases  for  certain  products,  (ii)  new  product  launches  or 
expanded indications for existing products and (iii) timing of purchases by wholesale customers. Conversely, factors that 
suggest  increases  in  wholesaler  inventory  levels  are  other-than-temporary  include:  (i)  declining  sales  trends  based  on 
prescription  demand,  (ii)  introduction  of  new  products  or  generic  competition,  (iii)  increasing  price  competition  from 
generic  competitors  and  (iv)  changes  to  the  U.S.  National  Drug  Codes  (“NDC”)  of  products.  Changes  in  the  NDC  of 
products  could  result  in  a  period  of  higher  returns  related  to  products  with  the  old  NDC,  as  U.S.  customers  generally 
permit only one NDC per product for identification and tracking within their inventory systems. 

Rebates and Chargebacks 

Product  sales  made  under  governmental  and  managed-care  pricing  programs  in  the  U.S.  are  subject  to  rebates.  The 
Company participates in state government-managed Medicaid programs, as well as certain other qualifying federal and 
state  government  programs  whereby  rebates  are  provided  to  participating  government  entities.  Medicaid  rebates  are 
generally  billed  45  days  after  the  quarter,  but  can  be  billed  up  to  270  days  after  the  quarter  in  which  the  product  is 

F-15 

dispensed to the Medicaid participant. As a result, the Medicaid rebate reserve includes an estimate of outstanding claims 
for end-customer sales that occurred, but for which the related claim has not been billed and/or paid, and an estimate for 
future  claims  that  will  be  made  when  inventory  in  the  distribution  channel  is  sold  through  to  plan  participants.  The 
calculation  of  the  Medicaid  rebate  reserve  also  requires  other  estimates,  such  as  estimates  of  sales  mix,  to  determine 
which sales are subject to rebates and the amount of such rebates. A change of 1% in the volume of product sold through 
to Medicaid plan participants would have impacted the Company’s pre-tax earnings by approximately $87 million for the 
year ended December 31, 2018. Quarterly, the Medicaid rebate reserve is adjusted based on actual claims paid. Due to 
the delay in billing, adjustments to actual claims paid may incorporate revisions of that reserve for several periods. 

Managed  Care  rebates  relate  to  contractual  agreements  to  sell  products  to  managed  care  organizations  and  pharmacy 
benefit managers at contractual rebate percentages in exchange for volume and/or market share. 

Chargebacks relate to contractual agreements to sell products to government agencies, group purchasing organizations 
and other indirect customers at contractual prices that are lower than the list prices the Company charges wholesalers. 
When these group purchasing organizations or other indirect customers purchase products through wholesalers at these 
reduced prices, the wholesaler charges the Company for the difference between the prices they paid the Company and 
the prices at which they sold the products to the indirect customers. 

In  estimating  provisions  for  rebates  and  chargebacks,  management  considers  relevant  statutes  with  respect  to 
governmental  pricing  programs  and  contractual  sales  terms  with  managed-care  providers  and  group  purchasing 
organizations.  Management  estimates  the  amount  of  product  sales  subject  to  these  programs  based  on  historical 
utilization  levels.  Changes  in  the  level  of  utilization  of  products  through  private  or  public  benefit  plans  and  group 
purchasing  organizations  will  affect  the  amount  of  rebates  and  chargebacks  that  the  Company  is  obligated  to  pay. 
Management continually updates these factors based on new contractual or statutory requirements, and any significant 
changes in sales trends that may impact the percentage of products subject to rebates or chargebacks. 

The amount of Managed Care, Medicaid and other rebates and chargebacks has become more significant as a result of a 
combination of deeper discounts due to the price increases implemented in each of the last three years, changes in the 
Company’s  product  portfolio  due  to  recent  acquisitions  and  increased  Medicaid  utilization  due  to  expansion  of 
government  funding  for  these  programs.  Management’s  estimate  for  rebates  and  chargebacks  may  be  impacted  by  a 
number of factors, but the principal factor relates to the level of inventory in the distribution channel. 

Rebate provisions are based on factors such as timing and terms of plans under contract, time to process rebates, product 
pricing, sales volumes, amount of inventory in the distribution channel and prescription trends. Adjustments to actual for 
the years ended December 31, 2018 and 2017 were not material to the Company’s revenues or earnings. 

Patient  Co-Pay  Assistance  programs,  Consumer  Rebates  and  Loyalty  Programs  are  rebates  offered  on  many  of  the 
Company’s products. Patient Co-Pay Assistance Programs are patient discount programs offered in the form of coupon 
cards  or  point  of  sale  discounts,  with  which  patients  receive  certain  discounts  off  their  prescription  at  participating 
pharmacies,  as  defined  by  the  specific  product  program.  An  accrual  for  these  programs  is  established,  equal  to 
management’s  estimate  of  the  discount,  rebate  and  loyalty  incentives  attributable  to  a  sale.  That  estimate  is  based  on 
historical  experience  and  other  relevant  factors.  The  accrual  is  adjusted  throughout  each  quarter  based  on  actual 
experience and changes in other factors, if any. 

Distribution Fees 

The Company sells product primarily to wholesalers, and in some instances to large pharmacy chains such as CVS and 
Wal-Mart. The Company has Distribution Services Agreements (“DSAs”) with several large wholesale customers such 
as McKesson Corporation, AmerisourceBergen Corporation, Cardinal Health, Inc. and McKesson Specialty. Under the 
DSAs, the wholesalers agree to provide services, and the Company pays the contracted DSA distribution service fees for 
these  services  based  on  product  volumes.  Additionally,  price  appreciation  credits  are  generated  when  the  Company 
increases  a  product’s  wholesaler  acquisition  cost  (“WAC”)  under  contracts  with  certain  wholesalers.  Under  such 
contracts, the Company is entitled to credits from such wholesalers for the impact of that WAC increase on inventory 
currently on hand at the wholesalers. Such credits are offset against the total distribution service fees paid to each such 
wholesaler. The variable consideration associated with price appreciation credits is reflected in the transaction price of 
products  sold  when  it  is  determined  to  be  probable  that  a  significant  reversal  will  not  occur.  Net  revenue  from  price 
appreciation credits for the year ended December 31, 2018 was $31 million and is a reduction of distribution fees in the 
variable consideration provisions table above. 

F-16 

Contract Assets and Contract Liabilities 

There  are  no  contract  assets  for  any  period  presented.  Contract  liabilities  consist  of  deferred  revenue,  the  balance  of 
which is not material to any period presented. 

Sales Commissions 

The  Company  expenses  sales  commissions  when  incurred  because  the  amortization  period  would  have  been  less  than 
one year. Sales commissions are included in selling, general and administrative expenses. 

Financing Component 

The  Company  has  elected  not  to  adjust  consideration  for  the  effects  of  a  significant  financing  component  when  the 
period between the transfer of a promised good or service to the customer and when the customer pays for that good or 
service will be one year or less. The Company’s global payment terms are generally between thirty to ninety days. 

Research and Development Expenses 

Costs  related  to  internal  research  and  development  programs,  including  costs  associated  with  the  development  of 
acquired  IPR&D,  are  expensed  as  goods  are  delivered  or  services  are  performed.  Under  certain  research  and 
development arrangements with third parties, the Company may be required to make payments that are contingent on the 
achievement  of  specific  developmental,  regulatory  and/or  commercial  milestones.  Milestone  payments  made  to  third 
parties before a product receives regulatory approval, but after the milestone is determined to be probable, are expensed 
and included in Research and development expenses. Milestone payments made to third parties after regulatory approval 
is received are capitalized and amortized over the estimated useful life of the approved product. 

Amounts  due  from  third  parties  as  reimbursement  of  development  activities  conducted  under  certain  research  and 
development arrangements are recognized as a reduction of Research and development expenses. 

Legal Costs 

Legal fees and other costs related to litigation and other legal proceedings or services are expensed as incurred and are 
included in Selling, general and administrative expenses. Certain legal costs associated with acquisitions are included in 
Acquisition-related  costs,  and  certain  legal  costs  associated  with  divestitures,  legal  settlements  and  other  business 
development  activities  are  included  in Other (income)  expense, net  or Gain on  investments, net,  as  appropriate.  Legal 
costs  expensed  are  reported  net  of  expected  insurance  recoveries.  A  claim  for  insurance  recovery  is  recognized  when 
realization becomes probable. 

Advertising Costs 

Advertising costs comprise product samples, print media, promotional materials and television advertising. Advertising 
costs related to new product launches are expensed on the first use of the advertisement. Included in Selling, general and 
administrative expenses are advertising costs of $481 million, $462 million and $564 million, for 2018, 2017 and 2016, 
respectively. 

Share-Based Compensation 

The  Company  recognizes  all  share-based  payments  to  employees,  including  grants  of  employee  stock  options  and 
restricted share units (“RSUs”), at estimated fair value. The Company amortizes the fair value of stock option or RSU 
grants  on  a  straight-line  basis  over  the  requisite  service  period  of  the  individual  stock  option  or  RSU  grant,  which 
generally equals the vesting period. Stock option and RSU forfeitures are estimated at the time of grant and revised, if 
necessary, in subsequent periods if actual forfeitures differ from those estimates. Share-based compensation is recorded 
in Research and development expenses, Selling, general and administrative expenses and Other (income) expense, net, as 
appropriate. 

Acquisition-Related Contingent Consideration 

Acquisition-related  contingent  consideration,  which  primarily  consists  of  potential  milestone  payments  and  royalty 
obligations,  is  recorded  in  the  Consolidated  Balance  Sheets  at  its  acquisition  date  estimated  fair  value,  in  accordance 
with  the  acquisition  method  of  accounting.  The  fair  value  of  the  acquisition-related  contingent  consideration  is 
remeasured each reporting period, with changes in fair value recorded in the Consolidated Statements of Operations. The 
fair  value  measurement  is  based  on  significant  inputs  not  observable  in  the  market  and  thus  represents  a  Level  3 
measurement as defined in fair value measurement accounting. 

F-17 

Interest Expense 

Interest expense includes standby fees and the amortization of debt discounts and deferred financing costs. Interest costs 
are expensed as incurred, except to the extent such interest is related to construction in progress, in which case interest is 
capitalized. 

Capitalized  interest  related  to  construction  in  progress  as  of  December  31,  2018  and  2017  was  $34  million  and  $32 
million, respectively, and is included in Property, plant and equipment, net. 

Income Taxes 

Income  taxes  are  accounted  for  under  the  liability  method.  Deferred  tax  assets  and  liabilities  are  recognized  for  the 
temporary differences between the financial statement and income tax bases of assets and liabilities, and for operating 
losses and tax credit carryforwards. A valuation allowance is provided for the portion of deferred tax assets that is more 
likely than not to remain unrealized. Deferred tax assets and liabilities are measured using enacted tax rates and laws. 
Deferred tax assets for outside basis differences in investments in subsidiaries are only recognized if the difference will 
be realized in the foreseeable future. 

The tax benefit from an uncertain tax position is recognized only if it is more likely than not that the tax position will be 
sustained upon examination by the appropriate taxing authority, based on the technical merits of the position. The tax 
benefits  recognized  from  such  position  are  measured  based  on  the  amount  for  which  there  is  a  greater  than  50% 
likelihood  of  being  realized  upon  settlement.  Liabilities  associated  with  uncertain  tax  positions  are  classified  as  long-
term  unless  expected  to  be  paid  within  one  year.  Interest  and  penalties  related  to  uncertain  tax  positions,  if  any,  are 
recorded in the provision for income taxes and classified with the related liability on the consolidated balance sheets. 

In accordance with recently issued accounting guidance, the Company has provided for the income tax effects of the Tax 
Cuts  and  Jobs  Act  (the  “Tax  Act”)  which  was  enacted  on  December  22,  2017.  The  Company  has  finalized  the 
provisional amounts during the year ended December 31, 2018. 

Earnings Per Share 

Basic (Loss) earnings per share attributable to Bausch Health Companies Inc. is calculated by dividing Net (loss) income 
attributable to Bausch Health Companies Inc. by the weighted-average number of common shares outstanding during the 
reporting  period.  Diluted  (Loss)  earnings  per  share  attributable  to  Bausch  Health  Companies  Inc.  is  calculated  by 
dividing Net (loss) income attributable to Bausch Health Companies Inc. by the weighted-average number of common 
shares outstanding during the reporting period after giving effect to dilutive potential common shares for stock options 
and RSUs, determined using the treasury stock method. 

Comprehensive Income 

Comprehensive  (loss)  income  comprises  Net  (loss)  income  and  Other  comprehensive  (loss)  income.  Other 
comprehensive (loss) income includes items such as foreign currency translation adjustments, unrealized holding gains 
and  losses  on  available-for-sale  and  other  investments  and  certain  pension  and  other  postretirement  benefit  plan 
adjustments. Accumulated other comprehensive loss is recorded as a component of shareholders’ equity. 

Contingencies 

In the normal course of business, the Company is subject to loss contingencies, such as claims and assessments arising 
from  litigation  and  other  legal  proceedings,  contractual  indemnities,  product  and  environmental  liabilities,  and  tax 
matters.  Accruals  for  loss  contingencies  are  recorded  when  the  Company  determines  that  it  is  both  probable  that  a 
liability has been incurred and the amount of loss can be reasonably estimated. If the estimate of the amount of the loss is 
a range and some amount within the range appears to be a better estimate than any other amount within the range, that 
amount is accrued as a liability. If no amount within the range is a better estimate than any other amount, the minimum 
amount of the range is accrued as a liability. These accruals are adjusted periodically as assessments change or additional 
information becomes available. 

If no accrual is made for a loss contingency because the amount of loss cannot be reasonably estimated, the Company 
will disclose contingent liabilities when there is at least a reasonable possibility that a loss or an additional loss may have 
been incurred. 

F-18 

Employee Benefit Plans 

The  Company  sponsors  various  retirement  and  pension  plans,  including  defined  benefit  pension  plans,  defined 
contribution plans and a participatory defined benefit postretirement plan. The determination of defined benefit pension 
and postretirement plan obligations and their associated expenses requires the use of actuarial valuations to estimate the 
benefits employees earn while working, as well as the present value of those benefits. Net actuarial gains and losses that 
exceed  10  percent  of  the  greater  of  the  plan’s  projected  benefit  obligations  or  the  market-related  value  of  assets  are 
amortized  to  earnings  over  the  shorter  of  the  estimated  average  future  service  period  of  the  plan  participants  (or  the 
estimated average future lifetime of the plan participants if the majority of plan participants are inactive) or the period 
until any anticipated final plan settlements. 

Adoption of New Accounting Standards 

In May 2014, the FASB issued guidance on recognizing revenue from contracts with customers. The core principle of 
the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers 
in  an  amount  that  reflects  the  consideration  to  which  the  entity  expects  to  be  entitled  in  exchange  for  those  goods  or 
services. In  applying  the revenue  model  to  contracts within  its  scope,  an  entity  will:  (i)  identify  the contract(s) with  a 
customer, (ii) identify the performance obligations in the contract, (iii) determine the transaction price, (iv) allocate the 
transaction price to the performance obligations in the contract and (v) recognize revenue when (or as) the entity satisfies 
a performance obligation. In addition to these provisions, the new standard provides implementation guidance on several 
other topics, including the accounting for certain revenue-related costs, as well as enhanced disclosure requirements. The 
new  guidance  requires  entities  to  disclose  both  quantitative  and  qualitative  information  that  enables  users  of  financial 
statements  to  understand  the  nature,  amount,  timing  and  uncertainty  of  revenue  and  cash  flows  arising  from  contracts 
with  customers.  In  March  2016,  the  FASB  issued  an  amendment  to  clarify  the  implementation  guidance  around 
considerations whether an entity is a principal or an agent, impacting whether an entity reports revenue on a gross or net 
basis. In April 2016, the FASB issued an amendment to clarify guidance on identifying performance obligations and the 
implementation guidance on licensing. The guidance is effective for annual reporting periods beginning after December 
15, 2017. Entities had the option of using either a full retrospective or a modified retrospective approach to adopt the 
guidance. 

The  Company  completed  its  detailed  assessment  and  training  program  for  its  personnel.  Pursuant  to  the  detailed 
assessment  program,  the  Company  reviewed  its  revenue  arrangements  and  assessed  the  differences  in  accounting  for 
such contracts under the new guidance as compared with prior revenue accounting guidance. 

The Company adopted this guidance effective January 1, 2018 using the modified retrospective approach, and therefore, 
revenue  reported  for  the  years  2017  and  2016  have  not  been  restated.  Based  upon  review  of  customer  contracts,  the 
Company  concluded  the  implementation  of  the  new  guidance  did  not  have  a  material  quantitative  impact  on  its  2018 
Consolidated Financial Statements as the timing of revenue recognition for product sales did not significantly change. 
The new guidance did however result in additional disclosures as to the nature, amounts, and concentrations of revenue. 
See “Revenue Recognition” discussed in this Note 2 and Note 22, “SEGMENT INFORMATION” for additional details 
and the application of this guidance. 

In October 2016, the FASB issued guidance requiring an entity to recognize the income tax consequences of an intra-
entity transfer of an asset other than inventory when the transfer occurs, rather than when the asset has been sold to an 
outside  party.  This  guidance  was  effective  for  the  Company  January  1,  2018  and  was  applied  using  a  modified 
retrospective  approach  through  a  cumulative-effect  adjustment  to  accumulated  deficit  and deferred  income  taxes  as  of 
the  effective  date.  The  Company  recorded  a  net  cumulative-effect  adjustment  of  $1,209  million  to  increase  deferred 
income  tax  assets  and decrease  the opening  balance of  Accumulated  deficit  for  the  income  tax  consequences  deferred 
from past intra-entity transfers involving assets other than inventory. 

In January 2017, the FASB issued guidance which clarifies the definition of a business with the objective of assisting 
with evaluating whether transactions should be accounted for as acquisitions (or disposals) of assets or businesses. The 
Company prospectively applied the new definition to all transactions effective January 1, 2018. 

In  January 2017,  the FASB issued guidance  which  simplifies  the subsequent  measurement  of goodwill  by eliminating 
“Step  2”  from  the  goodwill  impairment  test.  Instead,  goodwill  impairment  is  measured  as  the  amount  by  which  a 
reporting unit’s carrying value exceeds its fair value. The FASB also eliminated the requirements for any reporting unit 
with a zero or negative carrying amount to perform a qualitative assessment. The guidance is effective for annual periods 
beginning after December 15, 2019, and interim periods within those annual periods, with early adoption permitted. The 
Company elected to early adopt this guidance effective January 1, 2018. The Company tested goodwill for impairment 

F-19 

upon adopting this guidance and recognized impairment charges of $2,213 million, related to its Salix reporting unit and 
Ortho Dermatologics reporting unit at January 1, 2018. See Note 9, “INTANGIBLE ASSETS AND GOODWILL” for 
additional details and the application of this guidance. 

Recently Issued Accounting Standards, Not Adopted as of December 31, 2018 

In  February  2016,  the  FASB  issued  guidance  on  lease  accounting  to  increase  transparency  and  comparability  among 
organizations  that  lease  buildings,  equipment  and  other  assets  by  requiring  the  recognition  of  lease  assets  and  lease 
liabilities on the balance sheet. Consistent with the current lease accounting standard, leases will continue to be classified 
as finance leases or operating leases. The classification is determined based on whether the risks and rewards, as well as 
substantive  control,  have  been  transferred  to  the  Company  and  its  determination  will  govern  the  pattern  of  lease  cost 
recognition.  Finance  leases  will  be  accounted  for  in  substantially  the  same  manner  as  capital  leases  are  accounted  for 
under current U.S. GAAP. Operating leases will be accounted for (both in the statement of operations and statement of 
cash flows) in a manner consistent with operating leases under existing U.S. GAAP. However, as it relates to the balance 
sheet,  lessees  will  recognize  lease  liabilities  based  upon  the  present  value  of  remaining  lease  payments  and 
corresponding right of use lease assets for operating leases with limited exception. The new guidance will also require 
lessees and lessors to provide additional qualitative and quantitative disclosures to help financial statement users assess 
the amount, timing and uncertainty of cash flows arising from leases. 

The  new  guidance  is  effective  for  annual  reporting  periods  beginning  after  December  15,  2018.  Early  application  is 
permitted. The Company has adopted the standard on January 1, 2019, and is electing to apply the modified retrospective 
approach to recognize a cumulative-effect adjustment to accumulated deficit at the adoption date. The Company also has 
elected the available practical expedients upon adoption. The Company has updated its systems, processes and controls 
to track, record and account for its lease portfolio. The Company has implemented a third-party software tool to assist in 
complying with the new standard. The Company is in the process of completing an analysis of the Company’s existing 
lease  arrangements  including  the  Company’s  assessment  of  the  impact  that  embedded  leases  within  the  Company’s 
service arrangements will have on the Consolidated Balance Sheets. 

The inclusion of lease-related assets and liabilities will have a material impact on the Consolidated Balance Sheets. As of 
December  31,  2018,  the  Company  had  undiscounted  future  minimum  lease  payments  of  approximately  $419  million 
under the Company’s portfolio of non-cancelable operating leases primarily relating to facilities, vehicles and equipment. 
The final right-of-use and lease liability to be recorded under the new guidance will be discounted and is not expected to 
have  a  material  impact  on  the  Consolidated  Statements  of  Operations.  The  accounting  for  capital  leases  will  remain 
substantially unchanged under the new standard. Additionally, the new standard will not have a material impact on the 
Company’s lessor activities. 

In  June  2016,  the  FASB  issued  guidance  on  the  impairment  of  financial  instruments  requiring  an  impairment  model 
based  on  expected  losses  rather  than  incurred  losses.  Under  this  guidance,  an  entity  recognizes  as  an  allowance  its 
estimate of expected credit losses. The guidance is effective for annual periods beginning after December 15, 2019, and 
interim periods within those annual periods. Early adoption is permitted for annual periods beginning after December 15, 
2018,  and  interim  periods  within  those  annual  periods.  The  Company  is  evaluating  the  impact  of  adoption  of  this 
guidance on its financial position, results of operations and cash flows. 

In  August  2018,  the  FASB  issued  guidance  modifying  the  disclosure  requirements  for  fair  value  measurement.  The 
guidance is effective for annual periods beginning after December 15, 2019. The Company is permitted to early adopt 
any removed or modified disclosures upon issuance of this update and delay adoption of the additional disclosures until 
the effective date. The Company is evaluating the impact of adoption of this guidance on its disclosures. 

In August 2018, the FASB issued guidance modifying the disclosure requirements for employers that sponsor defined 
benefit  pension  or  other postretirement  plans.  The guidance  is effective for  annual  periods  ending  after  December  15, 
2020,  with  early  adoption  permitted.  The  Company  is  evaluating  the  impact  of  adoption  of  this  guidance  on  its 
disclosures. 

In August 2018, the FASB issued guidance aligning the requirements for capitalizing implementation costs incurred in a 
hosting  arrangement  that  is  a  service  contract  with  the  requirements  for  capitalizing  implementation  costs  incurred  to 
develop or obtain internal-use software. The guidance is effective for annual periods beginning after December 15, 2019, 
and interim periods within those fiscal years with early adoption permitted. The Company will early adopt this guidance 
prospectively for all implementation costs incurred after January 1, 2019. 

F-20 

3.  ACQUISITIONS 

Acquisition Agreement for Synergy Pharmaceuticals Inc. 

On December 12, 2018, the Company entered into an agreement to acquire certain assets of Synergy Pharmaceuticals 
Inc. (“Synergy”) in a transaction valued at approximately $200 million plus certain assumed liabilities. Under the terms 
of the agreement, the Company will serve as the “stalking horse” bidder in a court-supervised auction and sale process 
pursuant to Section 363 of the Bankruptcy Code, which is expected to be completed in March 2019. Completion of this 
transaction  is  subject  to  other  parties  having  an  opportunity  to  submit  competing  bids  (which  may  be  superior  to  the 
Company’s),  bankruptcy  court  approval  and  other  customary  closing  conditions.  If  the  Company’s  bid  is  successful, 
among the assets to be acquired are the worldwide rights to the Trulance® (plecanatide) product; a once-daily tablet for 
adults with chronic idiopathic constipation and irritable bowel syndrome with constipation. 

Noncontrolling Interest in Medpharma 

On  October  16,  2018,  using  cash  on  hand,  the  Company  acquired  the  40%  noncontrolling  interest  of  Medpharma 
Pharmaceutical & Chemical Industries LLC (“Medpharma”) for $18 million. The difference between the carrying value 
and  the  price  paid  for  the  noncontrolling  interest  in  Medpharma  of  $15  million,  is  a  reduction  of  additional  paid-in 
capital. 

There  were  no  other  material  business  combinations  in  2018,  2017  or  2016.  The  measurement  period  for  all  other 
acquisitions has closed. 

Licensing Agreement 

On February 21, 2017, EyeGate Pharmaceuticals, Inc. (“EyeGate”) granted a subsidiary of the Company the exclusive 
worldwide licensing rights to manufacture and sell the EyeGate® II Delivery System and EGP-437 combination product 
candidate  for  the  treatment  of  post-operative  pain  and  inflammation  in  ocular  surgery  patients.  EyeGate  will  be 
responsible for the continued development of this product candidate in the U.S. for the treatment of post-operative pain 
and inflammation in ocular surgery patients, and all associated costs. The Company has the right to further develop the 
product  in  the  field  outside  of  the  U.S.  at  its  cost.  In  connection  with  the  licensing  agreement,  the  Company  paid  an 
initial license fee of $4 million during the three months ended March 31, 2017 and is obligated to make future payments 
of: (i) up to $34 million upon the achievement of certain development and regulatory milestones, of which $3 million has 
been  paid,  (ii)  up  to  $65  million  upon  the  achievement  of  certain  sales-based  milestones  and  (iii)  royalties.  Based  on 
early stage of development of the asset, and lack of acquired significant inputs, the Company concluded this was an asset 
acquisition. 

On December 14, 2018, the Company issued a notice voluntarily terminating certain licensing agreements dated July 9, 
2015 and February 21, 2017 as discussed above, with EyeGate effective March 14, 2019. Following the termination of 
these  agreements  on  March  14,  2019,  the  Company  will  relinquish  all  rights  to  the  EyeGate®  II  Delivery  System  and 
EGP-437  combination  product.  During  the  three  months  ended  September  30,  2018,  the  Company  fully  impaired  the 
EyeGate® II Delivery System and EGP-437 combination product intangible assets and reduced the carrying value of the 
contingent consideration liabilities associated with these licensing agreements to zero. As of December 31, 2018, future 
payments, if any, to reimburse EyeGate for certain out-of-pocket costs incurred in connection with development work 
pursuant to its licensing agreements with EyeGate will not be material. 

4.  DIVESTITURES 

The  Company  did  not  make any  material  divestitures  during 2018.  During 2017  and  2016,  the  Company has  divested 
certain businesses and assets, which, in each case, was not aligned with its core business objectives. 

2017 

CeraVe®, AcneFree™ and AMBI® skincare brands 

On  March  3,  2017,  the  Company  completed  the  sale  of  its  interests  in  the  CeraVe®,  AcneFree™  and  AMBI®  skincare 
brands for $1,300  million  in  cash  (the  “Skincare Sale”). The  CeraVe®, AcneFree™  and AMBI®  skincare business was 
part of the Bausch + Lomb/International segment and was reclassified as held for sale as of December 31, 2016. Included 
in Other (income) expense, net for the year ended December 31, 2017 is the Gain on the Skincare Sale of $309 million, 
as adjusted. 

F-21 

Dendreon Pharmaceuticals LLC 

On June 28, 2017, the Company completed the sale of all outstanding equity interests in Dendreon Pharmaceuticals LLC 
(formerly  Dendreon  Pharmaceuticals,  Inc.) (“Dendreon”) for  $845  million  in  cash  (the  “Dendreon  Sale”),  as  adjusted. 
Dendreon was part of the former Branded Rx segment and was reclassified as held for sale as of December 31, 2016. 
Included in Other (income) expense, net for the year ended December 31, 2017 is the Gain on the Dendreon Sale of $97 
million, as adjusted. 

iNova Pharmaceuticals 

On  September  29,  2017,  the  Company  completed  the  sale  of  its  Australian-based  iNova  Pharmaceuticals  (“iNova”) 
business  for  $938  million  in  cash  (the  “iNova  Sale”),  as  adjusted.  iNova  markets  a  diversified  portfolio  of  weight 
management,  pain  management,  cardiology  and  cough  and  cold  prescription  and  OTC  products  in  more  than  15 
countries, with leading market positions in Australia and South Africa, as well as an established platform in Asia. The 
Company will continue to operate in these geographies through the Bausch + Lomb franchise. The iNova business was 
part of the Bausch + Lomb/International segment and was reclassified as held for sale as of December 31, 2016. Included 
in Other (income) expense, net for the year ended December 31, 2017 is the Gain on the iNova Sale of $309 million, as 
adjusted. 

Obagi Medical Products, Inc. 

On November 9, 2017, certain of the Company’s affiliates completed the sale its Obagi Medical Products, Inc. (“Obagi”) 
business for $190 million in cash (the “Obagi Sale”). Obagi is a global specialty skin care pharmaceutical business with 
products focused on premature skin aging, skin damage, hyperpigmentation, acne and sun damage which are primarily 
available through dermatologists, plastic surgeons and other skin care professionals. The Obagi business was part of the 
former U.S. Diversified Products segment and was reclassified as held for sale as of March 31, 2017. The carrying value 
of  the  Obagi  business,  including  associated goodwill,  was adjusted  to  its estimated  fair  value  less  costs  to  sell  and  an 
impairment of $103 million was recognized in Asset impairments in the Consolidated Statement of Operations. Included 
in Other (income) expense, net for the year ended December 31, 2017 is a $13 million loss related to this transaction. 

Sprout Pharmaceuticals, Inc. 

On December 20, 2017, the Company completed the sale of Sprout to a buyer affiliated with certain former shareholders 
of Sprout (the “Sprout Sale”), in exchange for a 6% royalty on global sales of Addyi® (flibanserin 100 mg) beginning 
June  2019.  In  connection  with  the  completion  of  the  Sprout  Sale,  the  terms  of  the  October  2015  merger  agreement 
relating to the Company’s acquisition of Sprout were amended to terminate the Company’s ongoing obligation to make 
future  royalty  payments  associated  with  the  Addyi®  product,  as  well  as  certain  related  provisions  (including  the 
obligation to make certain marketing and other expenditures). In connection with the completion of the Sprout Sale, the 
litigation against the Company, initiated on behalf of the former shareholders of Sprout, which disputed the Company’s 
compliance  with  certain  contractual  terms  of  that  same  merger  agreement  with  respect  to  the  use  of  certain  diligent 
efforts to develop and commercialize the Addyi® product (including a disputed contractual term with respect to the spend 
of no less than $200 million in certain expenditures), was dismissed with prejudice. In connection with the completion of 
the  Sprout  Sale,  the  Company  issued  the  buyer  a  five-year  $25  million  loan  for  initial  operating  expenses.  Addyi®,  a 
once-daily, non-hormonal tablet approved for the treatment of acquired, generalized hypoactive sexual desire disorder in 
premenopausal women, is Sprout’s only approved and commercialized product. Sprout was part of the former Branded 
Rx segment and was reclassified as held for sale as of September 30, 2017. The carrying value of the Sprout business, 
including associated goodwill, was adjusted to its estimated fair value less costs to sell and a $351 million impairment 
was recognized in Asset impairments in the year ended December 31, 2017. Upon consummation of the transaction, a 
loss of $98 million was recognized in Other (income) expense, net. The Company will recognize the agreed upon 6% 
royalty  of  global  sales  of  Addyi®  beginning  in  June  2019  as  these  royalties  become  due,  as  the  Company  does  not 
recognize contingent payments until such amounts are realizable. 

2016 

Portfolio of Neurology Medical Device Products 

On  April  1,  2016,  the  Company  completed  the  sale  of  a  portfolio  of  neurology  medical  device  products,  including 
product rights and related fixed assets, for an upfront payment and a milestone payment. These assets were included in 
the Bausch + Lomb /International segment and a nominal loss on sale in the second quarter of 2016 was recorded. 

F-22 

Ruconest® 

On December 7, 2016, the Company completed the sale of all North American commercialization rights to Ruconest® 
(recombinant  human  C1  esterase  inhibitor)  for  up  to  $125  million  in  consideration,  consisting  of  $60  million  paid  at 
closing  and  future  sales-based  milestone  payments  of  up  to  $65  million.  These  assets  were  included  in  the  former 
Branded Rx segment and were reclassified as held for sale in the second quarter of 2016. At that time, the assets were 
written  down  to  the  fair  value  of  the  expected  consideration  and  a  loss  of  $199  million  was  recorded  in  Asset 
impairments in the Consolidated Statement of Operations. Upon consummation of the transaction on December 7, 2016, 
a  loss  of  $22  million  was  recognized  in  Other  expense  (income)  in  the  year  ended  December  31,  2016  Consolidated 
Statement of Operations, representing the estimated fair value of the contingent consideration associated with the sale as 
the Company does not recognize contingent payments until such amounts are realizable. Through December 31, 2018, 
$20 million of sales-based milestones have been achieved. 

Paragon Holdings I, Inc. 

On November 9, 2016, the Company completed the sale of Paragon Holdings I, Inc. In connection with the divestiture, 
the Company recognized a loss of $19 million in the third quarter of 2016, when the assets of the divested business were 
classified as held for sale. 

5.  RESTRUCTURING AND INTEGRATION COSTS 

In connection with acquisitions prior to 2016, the Company implemented cost-rationalization and integration initiatives 
to capture operating synergies and generate cost savings. These measures included: (i) workforce reductions company-
wide  and  other  organizational  changes,  (ii)  closing  of  duplicative  facilities  and  other  site  rationalization  actions 
company-wide,  including  research  and  development  facilities,  sales  offices  and  corporate  facilities,  (iii)  leveraging 
research and development spend and (iv) procurement savings. Cost-rationalization and integration initiatives relating to 
the acquisition of Salix Pharmaceuticals, Ltd. (“Salix Ltd.”) in April 2015 (the “Salix Acquisition”) were substantially 
completed by mid-2016 and are included in the amounts listed below. The remaining liability associated with all cost-
rationalization and integration initiatives as of December 31, 2018 was $27 million. 

During the year ended December 31, 2018, the Company incurred $22 million of restructuring and integration-related 
costs.  These  costs  included:  (i)  $11  million  of  severance  costs,  (ii)  $10  million  of  facility  closure  costs  and  (iii)  $1 
million of other costs. The Company made payments of $33 million during 2018. 

During the year ended December 31, 2017, the Company incurred $52 million of restructuring and integration-related 
costs. These costs included: (i) $16 million of integration consulting, transition service and other costs, (ii) $16 million of 
severance costs and (iii) $20 million of facility closure costs. The Company made payments of $85 million during 2017. 

During the year ended December 31, 2016, the Company incurred $132 million of restructuring and integration costs. 
These costs included: (i) $90 million of integration consulting, duplicate labor, transition service and other costs, (ii) $22 
million  of  severance  costs,  (iii)  $19  million  of  facility  closure  costs  and  (iv)  $1  million  of  other  costs.  These  costs 
primarily related to integration and restructuring costs for other smaller acquisitions. The Company made payments of 
$121 million during 2016. 

The  Company  continues  to  evaluate  opportunities  to  improve  its  operating  results  and  may  initiate  additional  cost 
savings programs to streamline its operations and eliminate redundant processes and expenses. The expenses associated 
with  the  implementation  of  these  cost  savings  programs  could  be  material  and  may  include,  but  are  not  limited  to, 
expenses  associated  with:  (i)  reducing  headcount,  (ii)  eliminating  real  estate  costs  associated  with  unused  or  under-
utilized facilities and (iii) implementing contribution margin improvement and other cost reduction initiatives. 

6.  FAIR VALUE MEASUREMENTS 

Fair value measurements are estimated based on valuation techniques and inputs categorized as follows: 

•  Level 1 — Quoted prices in active markets for identical assets or liabilities; 

•  Level 2 — Observable inputs other than Level 1 prices, such as quoted prices for similar assets or liabilities, or other 
inputs  that  are  observable  or  can  be  corroborated  by  observable  market  data  for  substantially  the  full  term  of  the 
assets or liabilities; and 

F-23 

•  Level 3 — Unobservable inputs that are supported by little or no market activity and that are financial instruments 
whose values are determined using discounted cash flow methodologies, pricing models, or similar techniques, as 
well as instruments for which the determination of fair value requires significant judgment or estimation. 

If  the  inputs  used  to  measure  the  financial  assets  and  liabilities  fall  within  more  than  one  level  described  above,  the 
categorization is based on the lowest level input that is significant to the fair value measurement of the instrument. 

Assets and Liabilities Measured at Fair Value on a Recurring Basis 

The  following  fair  value  hierarchy  table  presents  the  components  and  classification  of  the  Company’s  financial  assets 
and liabilities measured at fair value on a recurring basis as of December 31, 2018 and 2017:  

2018 

2017 

Quoted 
Prices 
in Active 
Markets for 
Identical 
Assets 
(Level 1) 

Significant 
Other 
Observable 
Inputs 
(Level 2) 

Significant 
Unobservable 
Inputs 
(Level 3) 

Carrying 
Value 

Quoted 
Prices 
in Active 
Markets for 
Identical 
Assets 
(Level 1) 

Significant 
Other 
Observable 
Inputs 
(Level 2) 

Significant 
Unobservable 
Inputs 
(Level 3) 

(in millions) 
Assets: 

Carrying 
Value 

Cash equivalents .......   $ 
Restricted cash ..........   $ 

197  $ 
2  $ 

166  $ 
2  $ 

31  $ 
—  $ 

—  $ 
—  $ 

265  $ 
77  $ 

230  $ 
77  $ 

35  $ 
—  $ 

— 
— 

Liabilities: 

Acquisition-related 

contingent 
consideration .........   $ 

339  $ 

—  $ 

—  $ 

339  $ 

387  $ 

—  $ 

—  $ 

387 

As  of  December  31,  2017,  Restricted  cash  of  $77  million  was  deposited  with  a  bank  as  collateral  to  secure  a  bank 
guarantee for the benefit of the Australian Government in connection with the notice of assessment received on August 
8, 2017 from the Australian Taxation Office, as discussed in Note 17, “INCOME TAXES”. On January 9, 2018, the cash 
collateral of $77 million of Restricted cash was returned to the Company in exchange for a $77 million letter of credit. 

There were no transfers between Level 1, Level 2 or Level 3 during 2018 and 2017. 

Assets and Liabilities Measured at Fair Value on a Recurring Basis Using Significant Unobservable Inputs (Level 3) 

The  fair  value  measurement  of  acquisition-related  contingent  consideration  arising  from  business  combinations  is 
determined  via  a  probability-weighted  discounted  cash  flow  analysis  or  Monte  Carlo  Simulation,  using  unobservable 
(Level  3)  inputs.  These  inputs  may  include:  (i)  the  estimated  amount  and  timing  of  projected  cash  flows;  (ii)  the 
probability  of  the  achievement  of  the  factor(s)  on  which  the  contingency  is  based;  (iii)  the  risk-adjusted  discount  rate 
used  to  present  value  the  probability-weighted  cash  flows;  and  (iv)  volatility  of  projected  performance  (Monte  Carlo 
Simulation).  Significant  increases  (decreases)  in  any  of  those  inputs  in  isolation  could  result  in  a  significantly  lower 
(higher) fair value measurement. At December 31, 2018, the fair value measurements of acquisition-related contingent 
consideration were determined using risk-adjusted discount rates ranging from 5% to 25%. 

The following table presents a reconciliation of contingent consideration obligations measured on a recurring basis using 
significant unobservable inputs (Level 3) for 2018 and 2017:  

(in millions) 
Beginning balance, January 1, ...........................................................................................   
Adjustments to Acquisition-related contingent consideration: 

Accretion for the time value of money ..............................................................................   
Fair value adjustments to the expected future royalty payments for Addyi® ....................   
Fair value adjustments due to changes in estimates of other future payments ..................   
Acquisition-related contingent consideration adjustments ............................................   
Reclassified to liabilities held for sale and subsequently disposed .......................................   
Payments / Settlements .........................................................................................................   
Foreign currency translation adjustment included in other comprehensive loss...................   
Ending balance, December 31, ..........................................................................................   
Current portion .....................................................................................................................   
Non-current portion ..............................................................................................................   

$ 

$ 

$ 

2018 

387 

24 
— 
(33) 
(9) 
— 
(39) 
— 
339 
41 
298 

$ 

$ 

$ 

2017 

892 

54 
(312) 
(31) 
(289) 
(168) 
(49) 
1 
387 
43 
344 

F-24 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
During 2017 and prior to identifying the Sprout business as held for sale, the Company recorded fair value adjustments 
to contingent consideration to reflect management’s revised estimates of the future sales of Addyi®. The Sprout Sale was 
completed on December 20, 2017 and the remaining contingent consideration related to Addyi® was eliminated. 

Fair Value of Long-term Debt 

The  fair  value  of  long-term  debt  as  of  December  31,  2018  and  2017  was  $23,357  million  and  $25,385  million, 
respectively, and was estimated using the quoted market prices for the same or similar debt issuances (Level 2). 

7. 

INVENTORIES 

Inventories, net of allowance for obsolescence, as of December 31, 2018 and 2017 consist of:  

(in millions) 
Raw materials ................................................................................................................ 
Work in process ............................................................................................................. 
Finished goods ............................................................................................................... 

2018 

2017 

$ 

$ 

275 
95 
564 
934 

$ 

$ 

276 
146 
626 
1,048 

8.  PROPERTY, PLANT AND EQUIPMENT 

The major components of property, plant and equipment as of December 31, 2018 and 2017 consist of:  

(in millions) 
Land ............................................................................................................................... 
Buildings........................................................................................................................ 
Machinery and equipment ............................................................................................. 
Other equipment and leasehold improvements .............................................................. 
Equipment on operating lease ........................................................................................ 
Construction in progress ................................................................................................ 

Less accumulated depreciation ...................................................................................... 

2018 

2017 

81 
693 
1,527 
366 
46 
162 
2,875 
(1,522) 
1,353 

$ 

$ 

84 
687 
1,436 
358 
42 
226 
2,833 
(1,430) 
1,403 

$ 

$ 

Depreciation expense was $175 million, $168 million and $193 million for 2018, 2017 and 2016, respectively. 

9. 

INTANGIBLE ASSETS AND GOODWILL 

Intangible Assets 

The major components of intangible assets as of December 31, 2018 and 2017 consist of: 

(in millions) 
Finite-lived intangible assets: 

Product brands ......................... 
Corporate brands ...................... 
Product rights/patents .............. 
Partner relationships ................ 
Technology and other .............. 
Total finite-lived intangible 
assets ................................ 
Acquired IPR&D not in service ... 
B&L Trademark ........................... 

  Weighted- 
Average 
Useful 
Lives 
(Years) 

2018 

2017 

Gross 
Carrying 
Amount 

Accumulated 
Amortization 
and Impairments   

Net 
Carrying 
Amount 

Gross 
Carrying 
Amount 

Accumulated 
Amortization and 
Impairments 

Net 
Carrying 
Amount   

$ 

7 
9 
4 
2 
3 

$  20,891  
926  
3,292  
168  
208  

(11,958)  $ 
(263) 
(2,658) 
(166) 
(173) 

8,933 
663 
634 
2 
35 

$  20,913 
933 
3,310 
179 
214 

NA 
NA 

25,485  
36  
1,698  
$  27,219  

$ 

(15,218) 
— 
— 

10,267 
36 
1,698 
(15,218)  $  12,001 

25,549 
86 
1,698 
$  27,333 

$ 

$ 

(9,281)  $ 
(179) 
(2,346) 
(169) 
(147) 

(12,122) 
— 
— 
(12,122)  $ 

11,632 
754 
964 
10 
67 

13,427 
86 
1,698 
15,211 

F-25 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Long-lived assets with finite lives are tested for impairment whenever events or changes in circumstances indicate that 
the carrying value of an asset may not be recoverable. Impairment charges associated with these assets are included in 
Asset impairments in the Consolidated Statement of Operations. The Company continues to monitor the recoverability of 
its finite-lived intangible assets and tests the intangible assets for impairment if indicators of impairment are present. 

Asset  impairments  in  2018  included  impairments  of:  (i)  $348  million  reflecting  decreases  in  forecasted  sales  for  the 
Uceris®  Tablet  product  in  the  Company’s  Salix  reporting  unit  and  other  product  lines  due  to  generic  competition, 
(ii) $132 million reflecting decreases in forecasted sales for the Arestin® product in the Company’s Dentistry reporting 
unit  and  other  product  lines  due  to  changing  market  conditions,  (iii)  $55  million,  in  aggregate,  related  to  certain 
product/patent  assets  associated  with  the  discontinuance  of  specific  product  lines  not  aligned  with  the  focus  of  the 
Company’s core businesses, (iii) $28 million to Acquired IPR&D not in service related to a certain product and (iv) $5 
million related to assets being classified as held for sale. 

Asset impairments in 2017 included impairments of: (i) $351 million related to the Sprout business being classified as 
held for sale, (ii) $151 million reflecting decreases in forecasted sales for other product lines, (iii) $114 million to other 
assets  classified  as  held  for  sale,  primarily  related  to  the  Obagi  business,  (iv)  $95  million,  in  aggregate,  to  certain 
product/patent  assets  associated  with  the  discontinuance  of  specific  product  lines  not  aligned  with  the  focus  of  the 
Company’s core business and (v) $3 million related to acquired IPR&D. 

Asset  impairments  in  2016  included  impairments  of:  (i)  $221  million  related  to  the  divestiture  of  Ruconest®,  (ii)  $88 
million related to other assets classified as held for sale, (iii) $74 million related to other asset impairments which were 
individually not material, (iv) $25 million related to IBS ChekTM due to a decrease in forecasted sales and (v) $14 million 
related to acquired IPR&D. 

The  impairments  to  assets  reclassified  as  held  for  sale  were  measured  as  the  difference  of  the  carrying  value  of  these 
assets as compared to the estimated fair values of these assets less costs to sell determined using a discounted cash flow 
analysis  which  utilized  Level  3  unobservable  inputs.  The  other  impairments  and  adjustments  to  finite-lived  intangible 
assets  were  measured  as  the  difference  of  the  historical  carrying  value  of  these  finite-lived  assets  as  compared  to  the 
estimated fair value as determined using a discounted cash flow analysis using Level 3 unobservable inputs. 

Periodically,  the  Company’s  products  face  the  expiration  of  their  patent  or  regulatory  exclusivity.  The  Company 
anticipates that product sales for such product would decrease shortly following a loss of exclusivity, due to the possible 
entry of a generic competitor. Where the Company has the rights, it may elect to launch an authorized generic of such 
product  (either  as  the  Company’s  own  branded  generic  or  through  a  third-party).  This  may  occur  prior  to,  upon  or 
following generic entry, which may mitigate the anticipated decrease in product sales; however, even with launch of an 
authorized  generic,  the  decline  in  product  sales  of  such  product  could  still  be  significant,  and  the  effect  on  future 
revenues could be material. 

As  a  result  of  the  launch  of  a  generic  competitor  in  July  2018,  the  Company  revised  its  near  and  long  term  financial 
projections of the Uceris® Tablet-related intangible assets. As of June 30, 2018, the carrying value of the Uceris® Tablet-
related  intangible  assets  exceeded  the  undiscounted  expected  cash  flows  from  the  Uceris®  Tablet.  As  a  result,  the 
Company recognized an impairment of $263 million to reduce the carrying value of the Uceris® Tablet-related intangible 
assets to their estimated fair value. As of December 31, 2018, the remaining carrying value of the Uceris® Tablet-related 
intangible  assets  was  $140  million.  The  Company  initiated  infringement  proceedings  against  this  generic  competitor 
shortly after their launch. The Company continues to believe that its Uceris® Tablet related patents are enforceable and is 
proceeding in the ongoing litigation between the Company and the generic competitor; however, the ultimate outcome of 
the matter is not predictable. 

Management continually assesses the useful lives related to the Company’s long-lived assets to reflect the most current 
assumptions. In review of the Company’s finite-lived intangible assets, management revised the estimated useful lives of 
certain intangible assets in 2018 and 2017. 

In  review  of  the  Company’s  finite-lived  intangible  assets,  management  revised  the  estimated  useful  lives  of  certain 
intangible assets in the third and fourth quarters of 2017. As a result, the useful lives of certain product brands, with an 
aggregate  carrying value of $7,618  million  as  of December 31,  2017, were revised  from  an  average of  seven  years  to 
four years primarily due to revisions in forecasted sales as a result of revisions to the date each product is expected to 
lose exclusivity. In addition, the useful life of the Salix Brand, with a carrying value of $569 million as of December 31, 
2017, was revised from seventeen years to ten years, due to a change in the forecasted sales of its product portfolio. 

F-26 

Effective September 12, 2018, the Company changed the estimated useful life of its Xifaxan®-related intangible assets due 
to  the  positive  impact  of  the  agreement  between  the  Company  and  Actavis  resolving  the  intellectual  property  litigation 
regarding  Xifaxan®  tablets,  550  mg.  As  discussed  in  further  detail  in  Note  20,  “LEGAL  PROCEEDINGS”,  the  parties 
have agreed to dismiss all litigation related to Xifaxan® tablets, 550 mg and all intellectual property protecting Xifaxan® 
will remain intact and enforceable. As a result, the useful life of the Xifaxan®-related intangible assets was extended from 
2024  to  January  1,  2028.  As  this  change  in  the  estimated  useful  life  is  a  change  in  accounting  estimate,  amortization 
expense  is  impacted  prospectively.  The  change  in  the  estimated  useful  life  of  the  Xifaxan®-related  intangible  assets 
resulted in a decrease to the Net loss attributable to Bausch Health Companies Inc. of $143 million, and a decrease to the 
Basic and Diluted Loss per share attributable to Bausch Health Companies Inc. of $0.41 for the year ended December 31, 
2018. As of December 31, 2018, the net carrying value of the Xifaxan®-related intangible assets was $4,848 million. 

Estimated amortization of finite-lived intangible assets for the five years ending December 31 and thereafter are as follows:  

(in millions) 
2019 .......................................................................................................................................................  
2020 .......................................................................................................................................................  
2021 .......................................................................................................................................................  
2022 .......................................................................................................................................................  
2023 .......................................................................................................................................................  
Thereafter ..............................................................................................................................................  
Total .......................................................................................................................................................  

$ 

$ 

1,877  
1,613  
1,365  
1,214  
1,063  
3,135  
10,267  

Goodwill 

The changes in the carrying amount of goodwill for the years ended December 31, 2018, 2017 and 2016 were as follows:  

Developed 
Markets 

Emerging 
Markets 

Bausch +  
Lomb/ 

U.S. 
Diversified 
Products 

16,141  $ 
1 

International    Branded Rx   
—  $ 
— 

—   $ 
—  

2,412  $ 
— 

  Salix 
—   $  —  $ 
—  

— 

Ortho 
Dermatologics   

Diversified 
Products 

(in millions) 
Balance, January 1, 2016 ...................  $ 
Acquisitions .......................................... 
Divestiture of a portfolio of  

neurology medical device  
products ........................................... 

Goodwill related to Ruconest® 

reclassified to assets held for sale ... 
Foreign exchange and other ................. 
Impairment of the former U.S. 

reporting unit ................................... 
Realignment of segment goodwill ....... 
Impairment of the Salix reporting  

unit ................................................... 
Divestitures ........................................... 
Goodwill of certain businesses 

reclassified to assets held for sale ... 
Foreign exchange and other ................. 
Balance, December 31, 2016 .............. 
Realignment of segment goodwill ....... 
Goodwill reclassified to assets held 

for sale and subsequently  
disposed ........................................... 

Impairment of the former Branded  

Rx reporting unit ............................. 
Foreign exchange and other ................. 
Balance, December 31, 2017 .............. 
Impairment of the Salix and Ortho 

Dermatologics reporting units ......... 

Realignment of Global Solta  

reporting unit goodwill .................... 

Goodwill reclassified to assets held 

for sale and subsequently  
disposed ........................................... 
Realignment of segment goodwill ....... 
Impairment of the Dentistry  

(36)   

(37)   
47 

— 

— 
(12)   

(905)   
(15,211)   

— 
(2,400)   

— 
— 

— 
— 
— 
— 

— 

— 
— 
— 

— 

— 

— 
— 

— 
— 

— 
— 
— 
— 

— 

— 
— 
— 

— 

— 

— 
— 

— 

— 
— 

— 
6,708 

— 
(5)   

(947)   
(257)   
5,499 
264 

—  

—  
—  

—  
7,873  

(172 )   
—  

(431 )   
(5 )   

7,265  
(264 )   

—  

—  
—  

—  
3,030  

—  
—  

—  
—  
3,030  
—  

(30)   

(61 )   

(84 )   

— 
283 
6,016 

(312 )   
3  
6,631  

—  
—  
2,946  

— 

(2,213 )   

—  

(82)   

115  

(33 )   

— 

— 
— 

— 
— 

— 
— 

— 
— 
— 
— 

— 

— 
— 
— 

— 

— 

—  $ 
— 

— 

— 
— 

— 
— 

— 
— 

— 
— 
— 
— 

— 

— 
— 
— 

— 

— 

  Total 
—  $  18,553 
1 
— 

— 

— 
— 

— 
— 

— 
— 

— 
— 
— 
— 

— 

— 
— 
— 

— 

— 

(36) 

(37) 
35 

(905) 
— 

(172) 
(5) 

(1,378) 
(262) 
  15,794 
— 

(175) 

(312) 
286 
  15,593 

(2,213) 

— 

(2) 
— 

(2)   
— 

—  
(4,533 )   

—  

— 
(2,913 )    3,156 

— 
1,267 

— 
3,023 

reporting unit ................................... 
Foreign exchange and other ................. 
Balance, December 31, 2018 ..............  $ 

— 
— 
—  $ 

— 
— 
—  $ 

— 
(127)   
5,805  $ 

—  
—  
—   $ 

—  
—  
—   $  3,156  $ 

— 
— 

— 
— 
1,267  $ 

(109)   
— 

(109) 
(127) 
2,914  $  13,142 

Goodwill is not amortized but is tested for impairment at least annually at the reporting unit level. A reporting unit is the 
same as, or one level below, an operating segment. The fair value of a reporting unit refers to the price that would be 
received to sell the unit as a whole in an orderly transaction between market participants. The Company estimates the fair 
values of all reporting units using a discounted cash flow model which utilizes Level 3 unobservable inputs. 

F-27 

 
 
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
The discounted cash flow model relies on assumptions regarding revenue growth rates, gross profit, projected working 
capital  needs,  selling,  general  and  administrative  expenses,  research  and  development  expenses,  capital  expenditures, 
income tax rates, discount rates and terminal growth rates. To estimate fair value, the Company discounts the forecasted 
cash flows of each reporting unit. The discount rate the Company uses represents the estimated weighted average cost of 
capital, which reflects the overall level of inherent risk involved in its reporting unit operations and the rate of return a 
market  participant  would  expect  to  earn.  The  Company  performed  its  annual  impairment  test  as  of  October  1,  2018, 
utilizing  long-term  growth  rates  for  its  reporting  units  ranging  from  1.0%  to  3.0%  and  discount  rates  applied  to  the 
estimated cash flows ranging from 7.5% to 14.0% in estimation of fair value. To estimate cash flows beyond the final 
year of its model, the Company estimates a terminal value by applying an in perpetuity growth assumption and discount 
factor to determine the reporting unit’s terminal value. 

The Company forecasts cash flows for each of its reporting units and takes into consideration economic conditions and 
trends,  estimated  future  operating  results,  management’s  and  a  market  participant’s  view  of  growth  rates  and  product 
lives, and anticipates future economic conditions. Revenue growth rates inherent in these forecasts were based on input 
from  internal  and  external  market  research  that  compare  factors  such  as  growth  in  global  economies,  recent  industry 
trends  and  product  life-cycles.  Macroeconomic  factors  such  as  changes  in  economies,  changes  in  the  competitive 
landscape  including  the  unexpected  loss  of  exclusivity  to  the  Company’s  product  portfolio,  changes  in  government 
legislation, product life-cycles, industry consolidations and other changes beyond the Company’s control could have a 
positive or negative impact on achieving its targets. Accordingly, if market conditions deteriorate, or if the Company is 
unable to execute its strategies, it may be necessary to record impairment charges in the future. 

2016 

Prior  to  the  change  in  operating  segments  in  the  third  quarter  of  2016,  the  Company  operated  in  two  operating  and 
reportable  segments:  Developed  Markets  and  Emerging  Markets.  The  Developed  Markets  segment  consisted  of  four 
geographic  reporting  units:  (i)  U.S.,  (ii)  Canada  and  Australia,  (iii)  Western  Europe  and  (iv)  Japan.  The  Emerging 
Markets segment consisted of three geographic reporting units: (i) Central and Eastern Europe, Middle East and Africa, 
(ii) Latin America and (iii) Asia. 

2016 Realignment of Segment Structure 

Commencing  in  the  third  quarter  of  2016,  the  Company  then  operated  in  three  operating  segments:  (i)  Bausch  + 
Lomb/International,  (ii)  Branded  Rx  and  (iii)  U.S.  Diversified  Products.  This  2016  segment  structure  realignment 
resulted in the Bausch + Lomb/International segment consisting of the following reporting units: (i) U.S. Bausch + Lomb 
and (ii) International; the Branded Rx segment consisting of the following reporting units: (i) Salix, (ii) Dermatology, 
(iii) Canada and (iv) Branded Rx Other; and the U.S. Diversified Products segment consisting of the following reporting 
units:  (i)  Neurology  and other  and (ii)  Generics.  As  a  result  of  these changes,  goodwill  was  reassigned  to  each of  the 
aforementioned  reporting  units  using  a  relative  fair  value  approach.  Goodwill  previously  reported  in  the  former  U.S. 
reporting unit, after adjustment of impairment as described below, was reassigned, using a relative fair value approach, 
to the U.S. Bausch + Lomb, Salix, Dermatology, Branded Rx Other, Neurology and other, and Generics reporting units. 
Similarly, goodwill previously reported in the former Canada and Australia reporting unit was reassigned to the Canada 
and the International reporting units using a relative fair value approach. Goodwill previously reported in the remaining 
former reporting units was reassigned to the International reporting unit. 

In  the  third  quarter  of  2016,  goodwill  impairment  testing  was  performed  under  the  former  reporting  unit  structure 
immediately  prior  to  the  change  and  under  the  then-current  reporting  unit  structure  immediately  subsequent  to  the 
change.  Using  the  forecasts  and  assumptions  at  the  time,  management  estimated  the  fair  value  of  each  reporting  unit 
using a discounted cash flow analysis. As a result of its test, management determined that goodwill associated with the 
former U.S. reporting unit and the goodwill associated with the Salix reporting unit under the then-current reporting unit 
structure  were  impaired.  Consequently,  in  the  aggregate,  goodwill  impairment  charges  of  $1,077  million  were 
recognized. 

2016 Annual Goodwill Impairment Test 

The  Company  conducted  its  annual  goodwill  impairment  test  as  of  October  1,  2016  and  determined  that  the  carrying 
value of the Salix reporting unit exceeded its fair value and, as a result, the Company proceeded to perform step two of 
the  goodwill  impairment  test  for  the  Salix  reporting  unit.  After  completing  step  two  of  the  impairment  testing,  the 
Company determined that the carrying value of the unit’s goodwill did not exceed its implied fair value and, therefore, 
no impairment was identified to the goodwill of the Salix reporting unit. At the date of testing, the Salix reporting unit 
had a carrying value of $14,087 million, an estimated fair value of $10,319 million and goodwill with a carrying value of 

F-28 

$5,128  million.  The  Company’s  remaining  reporting  units  passed  step  one  of  the  goodwill  impairment  test  as  the 
estimated fair value of each reporting unit exceeded its carrying value at the date of testing and, therefore, there was no 
impairment to goodwill. 

2017 

2017 Realignment of Segment Structure 

Effective  January  1,  2017,  revenues  and  profits  from  the  Company’s  operations  in  Canada  were  reclassified  from  the 
former  Branded  Rx  segment  to  the  Bausch  +  Lomb/International  segment.  In  connection  with  this  change,  the  prior-
period  presentation  of  segment  goodwill  has  been  recast  to  conform  to  the  then-current  reporting  structure,  of  which 
$264 million of goodwill as of December 31, 2016 was reclassified from the former Branded Rx segment to the Bausch 
+  Lomb/International  segment.  No  facts or circumstances  were  identified  in  connection  with  this  change  in  alignment 
that would suggest an impairment existed. 

As detailed in Note 4, “DIVESTITURES”, the Sprout business was classified as held for sale as of September 30, 2017. 
As  the  Sprout  business  represented  only  a  portion  of  a  former  Branded  Rx  reporting  unit,  the  Company  assessed  the 
remaining reporting unit for impairment and determined the carrying value of the remaining reporting unit exceeded its 
fair  value.  After  completing  step  two  of  the  impairment  testing,  the  Company  determined  and  recorded  a  goodwill 
impairment charge of $312 million during the three months ended September 30, 2017. 

2017 Annual Goodwill Impairment Test 

The  Company  conducted  its  annual  goodwill  impairment  test  as  of  October  1,  2017  and  determined  that  the  carrying 
value of the Salix reporting unit exceeded its fair value and, as a result, the Company proceeded to perform step two of 
the  goodwill  impairment  test  for  the  Salix  reporting  unit.  After  completing  step  two  of  the  impairment  testing,  the 
Company determined that the carrying value of the unit’s goodwill did not exceed its implied fair value and, therefore, 
no impairment was identified to the goodwill of the Salix reporting unit. As of the date of testing, the Salix reporting unit 
had  an  estimated fair value  of $10,660  million  and  a  carrying value  of $13,404  million,  including goodwill  of  $5,127 
million. The Company’s remaining reporting units passed step one of the goodwill impairment test as the estimated fair 
value of each reporting unit exceeded its carrying value at the date of testing and, therefore, there was no impairment to 
goodwill. 

Subsequent  to  the  annual  impairment  test,  the  Company  considered  events  occurring  after  October  1st  to  determine  if 
further testing was required. The Company considered the impact of the changes in the Tax Act on its reporting units, 
including the impact on the carrying value, for changes in deferred tax assets and liabilities, and changes in assumptions 
related to the tax rate when assessing the fair value. The Company concluded that the fair value continued to exceed the 
carrying value for all reporting units, except Salix, after considering the impact of the changes in the Tax Act. Further, 
the  step  2  impairment  test  for  Salix  continued  to  support  the  carrying  value  of  goodwill.  As  a  result,  no  additional 
impairment charges were recorded. 

2018 

Adoption of New Accounting Guidance for Goodwill Impairment Testing 

In  January 2017,  the FASB issued guidance  which  simplifies  the subsequent  measurement  of goodwill  by eliminating 
“Step  2”  from  the  goodwill  impairment  test.  Instead,  goodwill  impairment  is  measured  as  the  amount  by  which  a 
reporting unit’s carrying value exceeds its fair value. The Company elected to early adopt this guidance effective January 
1, 2018. 

Upon adopting the new guidance, the Company tested goodwill for impairment and determined that the carrying value of 
the Salix reporting unit exceeded its fair value. As a result of the adoption of new accounting guidance, the Company 
recognized a goodwill impairment of $1,970 million associated with the Salix reporting unit. 

As of October 1, 2017, the date of the 2017 annual impairment test, the fair value of the Ortho Dermatologics reporting 
unit exceeded its carrying value. However, at January 1, 2018, the carrying value of the Ortho Dermatologics reporting 
unit  exceeded  its  fair  value.  Unforeseen  changes  in  the  business  dynamics  of  the  Ortho  Dermatologics  reporting  unit, 
such  as: (i)  changes  in  the dermatology  sector,  (ii)  increased pricing pressures  from  third-party  payors, (iii)  additional 
risks to the exclusivity of certain products and (iv) an expected longer launch cycle for a new product, were factors that 
negatively  impacted  the  reporting  unit’s  operating  results  beyond  management’s  expectations  as  of  October  1,  2017, 
when  the  Company  performed  its  2017  annual  goodwill  impairment  test.  In  response  to  these  adverse  business 

F-29 

indicators, the Company reduced its near and long term financial projections for the Ortho Dermatologics reporting unit. 
As  a  result  of  the  reductions  in  the  near  and  long  term  financial  projections,  the  carrying  value  of  the  Ortho 
Dermatologics  reporting  unit  exceeded  its  fair  value  at  January  1,  2018  and  the  Company  recognized  a  goodwill 
impairment of $243 million. 

As of January 1, 2018, the fair value of all other reporting units exceeded their respective carrying value by more than 
15%. 

2018 Realignment of Solta Business 

Effective  March  1,  2018,  revenues  and  profits  from  the  U.S.  Solta  business  included  in  the  former  U.S.  Diversified 
Products segment in prior periods and revenues and profits from the international Solta business included in the Bausch 
+ Lomb/International segment in prior periods, are reported in the new Global Solta reporting unit, which, at that time, 
was a part of the former Branded Rx segment. As a result of this change, $115 million of goodwill was reallocated to the 
new Global Solta reporting unit and the Company assessed the impact on the fair values of each of the reporting units 
affected. After considering, among other matters: (i) the limited period of time between last impairment test (January 1, 
2018) and the realignment (March 1, 2018), (ii) the results of the last impairment test and (iii) the amount of goodwill 
reallocated to the new Global Solta reporting unit, the Company did not identify any indicators of impairment at the time 
of the realignment. 

2018 Realignment of Segment Structure 

In  the  second  quarter  of  2018,  the  Company  began  operating  in  the  following  reportable  segments:  (i)  Bausch  + 
Lomb/International  segment,  (ii)  Salix  segment,  (iii)  Ortho  Dermatologics  segment  and  (iv)  Diversified  Products 
segment.  The  Bausch  +  Lomb/International  segment  consists  of  the:  (i)  U.S.  Bausch  +  Lomb  and  (ii)  International 
reporting units. The Salix segment consists of the Salix reporting unit. The Ortho Dermatologics segment consists of the: 
(i)  Ortho  Dermatologics  and  (ii)  Global  Solta  reporting  units.  The  Diversified  Products  segment  consists  of  the:  (i) 
Neurology and Other, (ii) Generics and (iii) Dentistry reporting units. There was no triggering event which would require 
the Company to test goodwill for impairment as a result of the second quarter realignment of the segment structure as it 
did not result in a change in the reporting units. 

2018 Interim Goodwill Impairment Assessments - Salix 

As  a  result  of  the  change  in  accounting  policy  for  goodwill  impairment  testing  and  the  resulting  impairment  to  the 
goodwill of the Salix reporting unit as of January 1, 2018, the carrying value of the Salix reporting unit approximated its 
fair value at that time. Therefore, during the three months ended March 31, 2018, June 30, 2018 and September 30, 2018, 
the Company performed qualitative assessments of the Salix reporting unit to determine if testing was warranted. 

As  part  of  these  qualitative  assessments,  management  considered  the  revisions  made  to  its  forecasts  for  the  Salix 
reporting unit and compared the reporting unit’s revised operating results to its original forecasts through the date of each 
assessment. The revisions to the forecasts reflected, among other matters: (i) the launch of a generic competitor in July 
2018 to the Company’s Uceris® Tablet product, (ii) the improved performance of the remaining Salix product portfolio, 
including the Xifaxan® products, (iii) the positive impact of the settlement agreement between the Company and Actavis 
resolving the intellectual property litigation regarding Xifaxan® tablets, 550 mg and (iv) certain other assumptions used 
in preparing its discounted cash flow model. As part of these qualitative assessments, management also considered the 
sensitivity  of  its  conclusions  as  they  relate  to  changes  in  the  estimates  and  assumptions  used  in  the  latest  forecast 
available for  each period.  Based on  these qualitative  assessments,  management  believed  that  the  carrying value  of  the 
Salix reporting unit did not exceed its fair value and, therefore, concluded a quantitative assessment was not required for 
the Salix reporting unit. 

2018 Interim Goodwill Impairment Assessments and Testing - Ortho Dermatologics 

As  a  result  of  the  change  in  accounting  policy  for  goodwill  impairment  testing  and  the  resulting  impairment  to  the 
goodwill of the Ortho Dermatologics reporting unit as of January 1, 2018, the carrying value of the Ortho Dermatologics 
reporting unit approximated its fair value at that time. Therefore, during the three months ended March 31, 2018, June 
30, 2018 and September 30, 2018, the Company performed qualitative assessments of the Ortho Dermatologics reporting 
unit to determine if testing was warranted. 

F-30 

As part of the qualitative assessment as of March 31, 2018, management compared the reporting unit’s operating results 
to the forecast used to test the goodwill of the Ortho Dermatologics reporting unit as of January 1, 2018. Based on the 
qualitative  assessment,  management  believed  that  the  carrying  value  of  Ortho  Dermatologics  reporting  unit  did  not 
exceed its fair value and, therefore, concluded a quantitative assessment was not required at March 31, 2018. 

During the three months ended June 30, 2018, unforeseen changes in the business dynamics of the Ortho Dermatologics 
reporting  unit,  such  as  changes  in  the  dermatology  sector,  additional  risks  to  the  exclusivity  of  certain  products  and  a 
longer  than  originally  expected  launch  cycle  for  a  certain  product,  were  factors  that negatively  impacted  the reporting 
unit’s operating results beyond management’s expectations as of January 1, 2018, when the Company performed its last 
goodwill  impairment  test.  In  response  to  these  adverse  business  indicators,  the  Company  performed  a  goodwill 
impairment  test  of  the  Ortho  Dermatologics  reporting  unit.  Based  on  the  goodwill  impairment  test  performed,  the 
estimated  fair  value  of  the  Ortho  Dermatologics  reporting  unit  exceeded  its  carrying  value  at  the  date  of  testing  by 
approximately 5% and, therefore, there was no impairment to goodwill. 

As  part  of  the  qualitative  assessment  as  of  September  30,  2018,  management  compared  the  reporting  unit’s  operating 
results to the forecast used to test the goodwill of the Ortho Dermatologics reporting unit as of June 30, 2018. Based on 
the qualitative assessment, management believed that the carrying value of Ortho Dermatologics reporting unit did not 
exceed its fair value and, therefore, concluded a quantitative assessment was not required at September 30, 2018. 

2018 Annual Goodwill Impairment Test 

The  Company  conducted  its  annual  goodwill  impairment  test  as  of  October  1,  2018  and  determined  that  the  carrying 
value  of  the  Dentistry  reporting  unit  exceeded  its  fair  value  and,  as  a  result,  the  Company  recognized  a  goodwill 
impairment of $109 million for the Dentistry reporting unit, representing the full amount of goodwill for the reporting 
unit. Changing market conditions such as: (i) an increasing competitive environment and (ii) increasing pricing pressures 
negatively impacted the reporting unit’s operating results. The Company is taking steps to address these changing market 
and business conditions. 

The  Company’s  remaining  reporting  units  passed  the  goodwill  impairment  test  as  the  estimated  fair  value  of  each 
reporting unit exceeded its carrying value at the date of testing and, therefore, there was no impairment to goodwill for 
any reporting unit other than the Dentistry reporting unit. In order to evaluate the sensitivity of its fair value calculations 
on the goodwill impairment test, the Company compared the carrying value of each reporting unit to its fair value as of 
October 1, 2018, the date of testing. As of October 1, 2018, the fair value of each reporting unit with associated goodwill 
exceeded its carrying value by more than 15%. If market conditions deteriorate, or if the Company is unable to execute 
its  strategies,  it  may  be  necessary  to  record  impairment  charges  in  the  future.  The  Company  will  continue  to  perform 
qualitative  interim  assessments  of  the  carrying  value  and  fair  value  of  the  Ortho  Dermatologics  reporting  unit  on  a 
quarterly basis to determine if impairment testing of goodwill will be warranted. 

Total accumulated goodwill impairment charges to date are $3,711 million. 

10.  ACCRUED AND OTHER CURRENT LIABILITIES 

Accrued and other current liabilities as of December 31, 2018 and 2017 consist of:  

(in millions) 
Product rebates ............................................................................................................... 
Product returns ................................................................................................................ 
Interest ............................................................................................................................ 
Employee compensation and benefit costs ..................................................................... 
Income taxes payable ...................................................................................................... 
Other ............................................................................................................................... 

2018 

2017 

$ 

$ 

998 
813 
273 
301 
167 
645 
3,197 

$ 

$ 

1,094 
863 
324 
259 
202 
952 
3,694 

F-31 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
11.  FINANCING ARRANGEMENTS 

Principal amounts of debt obligations and principal amounts of debt obligations net of discounts and issuance costs as of 
December 31, 2018 and 2017 consists of the following: 

Maturity 

Principal 
Amount 

2018 

Net of  
Discounts and 
Issuance Costs 

2017 

Net of 
Discounts and 
Issuance Costs  

Principal 
Amount 

$ 

— 
— 
75 

$ 

— 
— 
75 

(in millions) 
Senior Secured Credit Facilities: 

2018 Revolving Credit Facility ...........  
2020 Revolving Credit Facility ...........  
2023 Revolving Credit Facility ...........  
Series F Tranche B Term Loan 

Facility ............................................  
June 2025 Term Loan B Facility .........  
November 2025 Term Loan B 

  April 2018 

$ 

(1) 
June 2023 

  April 2022 
June 2025 

Facility ............................................  

  November 2025  

Senior Secured Notes: 

6.50% Secured Notes ..........................  
7.00% Secured Notes ..........................  
5.50% Secured Notes ..........................  

  March 2022 
  March 2024 
  November 2025  

— 
4,394 

1,481 

1,250 
2,000 
1,750 

Senior Unsecured Notes: 

5.375% ................................................  
7.00% ..................................................  
6.375% ................................................  
7.50% ..................................................  
6.75% ..................................................  
5.625% ................................................  
7.25% ..................................................  
5.50% ..................................................  
5.875% ................................................  
4.50% euro-denominated debt ............  
6.125% ................................................  
9.00% ..................................................  
9.25% ..................................................  
8.50% ..................................................  
Other .......................................................  
Total long-term debt and other ...............  
Less: Current portion of long-term  

debt and other ......................................  
Non-current portion of long-term debt ....  

  March 2020 
  October 2020   
  October 2020   
July 2021 
  August 2021   
  December 2021  
July 2022 
  March 2023 
  May 2023 
  May 2023 
  April 2025 
  December 2025  
  April 2026 

January 2027   
Various 

— 
— 
— 
— 
— 
700 
— 
1,000 
3,250 
1,720 
3,250 
1,500 
1,500 
750 
12 
$  24,632 

$ 

— 
250 
— 

3,521 
— 

— 

1,250 
2,000 
1,750 

1,708 
71 
661 
1,625 
650 
900 
550 
1,000 
3,250 
1,801 
3,250 
1,500 
— 
— 
15 
$  25,752 

$ 

$ 

— 
250 
— 

3,420 
— 

— 

1,235 
1,975 
1,729 

1,699 
71 
656 
1,615 
648 
896 
545 
993 
3,224 
1,787 
3,222 
1,464 
— 
— 
15 
25,444 

209 
25,235 

— 
4,269 

1,456 

1,239 
1,979 
1,730 

— 
— 
— 
— 
— 
697 
— 
995 
3,229 
1,709 
3,226 
1,469 
1,482 
738 
12 
24,305 

228 
24,077 

1 

The 2020 Revolving Credit Facility available at December 31, 2017 had a maturity date of April 2020 and was replaced with the 
2023 Revolving Credit Facility on June 1, 2018 as discussed below. 

Covenant Compliance 

The  Senior  Secured  Credit  Facilities  (as  defined  below)  and  the  indentures  governing  the  Senior  Secured  Notes  and 
Senior  Unsecured  Notes  contain  customary  affirmative  and  negative  covenants  and  specified  events  of  default.  These 
affirmative  and  negative  covenants  include,  among  other  things,  and  subject  to  certain  qualifications  and  exceptions, 
covenants  that  restrict  the  Company’s  ability  and  the  ability  of  its  subsidiaries  to:  incur  or  guarantee  additional 
indebtedness; create or permit liens on assets; pay dividends on capital stock or redeem, repurchase or retire capital stock 
or subordinated indebtedness; make certain investments and other restricted payments; engage in mergers, acquisitions, 
consolidations and amalgamations; transfer and sell certain assets; and engage in transactions with affiliates. The 2023 
Revolving Credit Facility also contains a financial maintenance covenant that requires the Company to maintain a first 
lien  net  leverage  ratio  of  not  greater  than  4.00:1.00.  The  financial  maintenance  covenant  may  be  waived  or  amended 
without the consent of the term loan facility lenders and contains a customary term loan facility standstill. 

As of December 31, 2018, the Company was in compliance with its financial maintenance covenant related to its debt 
obligations. The Company, based on its current forecast for the next twelve months from the date of issuance of these 
financial statements, expects to remain in compliance with its financial maintenance covenant and meet its debt service 
obligations over that same period. 

F-32 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Company continues to take steps to improve its operating results to ensure continual compliance with its financial 
maintenance  covenant  and  may  take  other  actions  to  reduce  its  debt  levels  to  align  with  the  Company’s  long  term 
strategy, including divesting other businesses, refinancing debt and issuing equity or equity-linked securities as deemed 
appropriate. 

Senior Secured Credit Facilities 

On February 13, 2012, the Company and certain of its subsidiaries as guarantors entered into the “Senior Secured Credit 
Facilities” under the Company’s Third Amended and Restated Credit and Guaranty Agreement, as amended (the “Third 
Amended Credit Agreement”) with a syndicate of financial institutions and investors, as lenders. As of January 1, 2016, 
the Third Amended Credit Agreement provided for: (i) a $1,500 million Revolving Credit Facility maturing on April 20, 
2018  (the  “2018  Revolving  Credit  Facility”),  which  included  a  sublimit  for  the  issuance  of  standby  and  commercial 
letters of credit and a sublimit for swing line loans and (ii) a series of term loans maturing during the years 2016 through 
2022. 

2016 Activity 

On April 11, 2016, the Company obtained an amendment and waiver to its Third Amended Credit Agreement (the “April 
2016  amendment”).  The  April  2016  amendment  modified,  among  other  things,  the  interest  coverage  financial 
maintenance covenant from 3.00 to 1.00 to 2.75 to 1.00 from the fiscal quarter ending June 30, 2016 through the fiscal 
quarter  ending  March  31,  2017.  The  April  2016  amendment  also  increased  the  interest  rate  margins  applicable  to  the 
loans under the Credit Agreement by 1.00% until delivery of the Company’s Consolidated Financial Statements for the 
fiscal quarter ending June 30, 2017. Certain financial definitions were also amended in the April 2016 amendment. 

On  August  23,  2016,  the  Company  entered  into  an  amendment  to  its  Third  Amended  Credit  Agreement  (the  “August 
2016 amendment”). The August 2016 amendment reduced the minimum interest coverage maintenance covenant to 2.00 
to 1.00 for all fiscal quarters ending on or after September 30, 2016. The August 2016 amendment increased each of the 
applicable interest rate margins under the Third Amended Credit Agreement by 0.50%, until delivery of the Company’s 
Consolidated Financial Statements for the quarter ending June 30, 2017. Thereafter, each of the applicable interest rate 
margins  were  determined  on  the  basis  of  a  pricing  grid  tied  to  the  Company’s  secured  leverage  ratio,  which  was  also 
increased by 0.50% across the grid. 

The  April  2016  amendment  and  August  2016  amendment  were  accounted  for  as  debt  modifications.  As  a  result, 
repayments  to  the  lenders  were  recognized  as  additional  debt  discounts  and  were  being  amortized  over  the  remaining 
term of each term loan. 

2017 Activity 

On March 3, 2017, the Company used substantially all the proceeds from the Skincare Sale to repay $1,086 million of 
outstanding debt under its Senior Secured Credit Facilities. 

On  March  21,  2017,  the  Company  entered  into  Amendment  No.  14  to  the  Third  Amended  Credit  Agreement 
(“Amendment No. 14”), which: (i) provided additional financing from an incremental term loan under the Company’s 
Series F Tranche B Term Loan Facility of $3,060 million (the “Series F-3 Tranche B Term Loan Facility”), (ii) amended 
the financial covenants contained in the Third Amended Credit Agreement, (iii) increased the amortization rate for the 
Series F-3 Tranche B Term Loan Facility from 0.25% per quarter (1% per annum) to 1.25% per quarter (5% per annum), 
with quarterly repayments starting March 31, 2017, (iv) amended certain financial definitions, including the definition of 
Consolidated  Adjusted  EBITDA  and  (v)  provided  additional  ability  for  the  Company  to,  among  other  things,  incur 
indebtedness  and  liens,  consummate  acquisitions  and  make  other  investments,  including  relaxing  certain  limitations 
imposed  by  prior  amendments.  The  proceeds  from  the  additional  financing,  combined  with  the  proceeds  from  the 
issuance of the March 2022 Secured Notes (as they are defined below) and the March 2024 Secured Notes (as they are 
defined  below)  and  cash  on  hand,  were  used  to:  (i)  repay  all  outstanding  balances  under  the  Company’s  Series  A-3 
Tranche A Term Loan Facility, Series A-4 Tranche A Term Loan Facility, Series D-2 Tranche B Term Loan Facility, 
Series C-2 Tranche B Term Loan Facility, and Series E-1 Tranche B Term Loan Facility (collectively the “March 2017 
Refinanced  Debt”),  (ii)  repurchase  $1,100  million  in  principal  amount  of  6.75%  Senior  Unsecured  Notes  due  August 
2018 (the “August 2018 Unsecured Notes”), (iii) repay $350 million of amounts outstanding under the Company’s 2018 
Revolving  Credit  Facility  and  (iv)  pay  related  fees  and  expenses  (collectively,  the  “March  2017  Refinancing 
Transactions”). 

F-33 

Amendments  to  the  covenants  made  as  part  of  Amendment  No.  14  include:  (i)  removed  the  financial  maintenance 
covenants  with  respect  to  the  Series  F  Tranche  B  Term  Loan  Facility,  (ii)  reduced  the  interest  coverage  ratio 
maintenance covenant with respect to both the 2018 Revolving Credit Facility and the 2020 Revolving Credit Facility 
beginning in the quarter ending March 31, 2017 through the quarter ending March 31, 2019 (stepping up to 1.75:1.00 
thereafter),  (iii)  increased  the  secured  leverage  ratio  maintenance  covenant  to  3.00:1.00  with  respect  to  both  the  2018 
Revolving  Credit  Facility  and  the  2020  Revolving  Credit  Facility  beginning  in  the  quarter  ending  March  31,  2017 
through  the  quarter  ending  March  31,  2019  (stepping  down  to  2.75:1.00  thereafter)  and  (iv)  modifications  to 
Consolidated Adjusted EBITDA. 

Amendment  No.  14  was  accounted  for  as  a  modification  of  debt  to  the  extent  the  March  2017  Refinanced  Debt  was 
replaced  with  the  incremental  Series  F-3  Tranche  B  Term  Loan  Facility  issued  to  the  same  creditor  and  an 
extinguishment  of  debt  to  the  extent  the  March  2017  Refinanced  Debt  was  replaced  with  Series  F-3  Tranche  B  Term 
Loan Facility issued to a different creditor. The March 2017 Refinanced Debt that was replaced with the proceeds of the 
newly issued Senior Secured Notes was accounted for as an extinguishment of debt. For amounts accounted for as an 
extinguishment  of  debt,  the  Company  incurred  a  loss  on  extinguishment  of  debt  of  $27  million  representing  the 
difference between the amount paid to settle the extinguished debt and the extinguished debt’s carrying value (the stated 
principal  amount  net  of  unamortized  discount  and  debt  issuance  costs).  Payments  made  to  the  lenders  of  $38  million 
associated  with  the  issuance  of  the  new  Series  F-3  Tranche  B  Term  Loan  Facility  were  capitalized  and  were  being 
amortized  as  interest  expense  over  the  remaining  term  of  the  Series  F-3  Tranche  B  Term  Loan  Facility.  Third-party 
expenses  of  $3  million  associated  with  the  modification  of  debt  were  expensed  as  incurred  and  included  in  Interest 
expense. 

On  March  28,  2017,  the  Company  entered  into  Amendment  No.  15  to  the  Third  Amended  Credit  Agreement 
(“Amendment  No.  15”)  which  provided  for  the  extension  of  the  maturity  date  of  $1,190  million  of  revolving  credit 
commitments under the 2018 Revolving Credit Facility from April 20, 2018 to the earlier of: (i) April 20, 2020 and (ii) 
the date that was 91 calendar days prior to the scheduled maturity of any series or tranche of term loans under the Third 
Amended  Credit  Agreement,  certain  Senior  Secured Notes  or Senior Unsecured Notes and  any  other indebtedness for 
borrowed money in excess of $750 million (the “Extended Revolving Maturity Date”, and these extended commitments 
comprising the “2020 Revolving Credit Facility”). Amendment No. 15 was accounted for, in part, as a debt modification, 
whereby the fees paid to lenders agreeing to extend their commitment through April 20, 2020 and the fees paid to lenders 
providing additional commitments were recognized as additional debt issuance costs and were being amortized over the 
remaining  term  of  the  2020  Revolving  Credit  Facility.  Amendment  No.  15  was  also  accounted  for,  in  part,  as  an 
extinguishment  of  debt  and  the  Company  incurred  a  loss  on  extinguishment  of  debt  of  $1  million  representing  the 
unamortized debt issuance costs associated with the commitments canceled by lenders in the amendment. 

In  April  2017,  using  the  remaining  net  proceeds  from  the  Skincare  Sale  and  the  proceeds  from  the  divestiture  of  a 
manufacturing facility in Brazil, the Company repaid $220 million of its Series F Tranche B Term Loan Facility. On July 
3,  2017,  using  the  net  proceeds  from  the  Dendreon  Sale,  the  Company  repaid  $811  million  of  its  Series  F  Tranche  B 
Term Loan Facility. On October 5, 2017, using the net proceeds from the iNova Sale, the Company repaid $923 million 
of its Series F Tranche B Term Loan Facility. On November 10, 2017, using the net proceeds from the Obagi Sale, the 
Company repaid $181 million of its Series F Tranche B Term Loan Facility. On November 21, 2017, using the proceeds 
from the November 2017 Refinancing Transactions (as defined below), the Company repaid $750 million of its Series F 
Tranche B Term Loan Facility. 

On  November  21,  2017,  the  Company  entered  into  Amendment  No.  16  to  the  Third  Amended  Credit  Agreement 
(“Amendment No. 16”) to reprice the Series F Tranche B Term Loan Facility. The applicable margins for borrowings 
under the Series F Tranche B Term Loan Facility, as  modified by the repricing, were 2.50% with respect to base rate 
borrowings  and  3.50%  with  respect  to  LIBO  rate  borrowings.  Amendment  No.  16  also  increased  the  letter  of  credit 
facility  sublimit  under  the  Third  Amended  Credit  Agreement  to  $300  million  and  made  certain  other  amendments  to 
provide the Company with additional flexibility to enter into certain cash management transactions. The Company paid a 
prepayment  penalty  of  approximately  $38  million  in  connection  with  Amendment  No.  16,  recognized  in  the  Loss  on 
extinguishment of debt in the Consolidated Statement of Operations for the year ended December 31, 2017. 

2018 Activity 

On  April  19,  2018,  the  Company  entered  into  Amendment  No.  17  to  the  Third  Amended  Credit  Agreement  which 
provided for the extension of the maturity date of an additional $60 million of revolving credit commitments under the 
2018 Revolving Credit Facility from April 20, 2018 to the Extended Revolving Maturity Date under the 2020 Revolving 
Credit Facility consistent with the terms of Amendment No. 15 outlined above. The remaining $250 million of revolving 
credit commitments under the 2018 Revolving Credit Facility matured on April 20, 2018. 

F-34 

On  June  1,  2018,  the  Company  entered  into  a  Restatement  Agreement  in  respect  of  a  Fourth  Amended  and  Restated 
Credit  and  Guaranty  Agreement  (the  “Restated  Credit  Agreement”).  The  Restated  Credit  Agreement  amended  and 
restated  in  full  the  Third  Amended  Credit  Agreement.  The  Restated  Credit  Agreement  replaced  the  2020  Revolving 
Credit Facility with a revolving credit facility of $1,225 million (the “2023 Revolving Credit Facility”) and replaced the 
Series  F  Tranche  B  Term  Loan  Facility  principal  amount  outstanding  of  $3,315  million  with  a  seven  year  Tranche  B 
Term Loan Facility of $4,565 million (the “June 2025 Term Loan B Facility”) borrowed by the Company’s subsidiary, 
Bausch Health Americas, Inc. (“BHA”) (formerly Valeant Pharmaceuticals International). 

The 2023 Revolving Credit Facility matures on the earlier of June 1, 2023 and the date that is 91 calendar days prior to 
the scheduled maturity of indebtedness for borrowed money of the Company or BHA in an aggregate principal amount 
in  excess  of  $1,000  million.  Both  the  Company  and  BHA  are  borrowers  with  respect  to  the  2023  Revolving  Credit 
Facility. Borrowings under the 2023 Revolving Credit Facility may be made in U.S. dollars, Canadian dollars or euros. 

On  June  1,  2018,  the  Company  issued  an  irrevocable  notice  of  redemption  for  the  remaining  outstanding  principal 
amounts of: (i) $691 million of the 5.375% March 2020 Unsecured Notes (as defined below), (ii) $578 million of the 
6.75% Senior August 2021 Unsecured Notes (as defined below), (iii) $550 million of the 7.25% July 2022 Unsecured 
Notes (as defined below) and (iv) $146 million of the 6.375% October 2020 Unsecured Notes (as defined below) (the 
“6.375% October 2020 Unsecured Notes” and together with the March 2020 Unsecured Notes, August 2021 Unsecured 
Notes  and  July  2022  Unsecured  Notes  the  “June  2018  Unsecured  Refinanced  Debt”).  On  June  1,  2018,  using  the 
remaining net proceeds from the June 2025 Term Loan B Facility, the net proceeds from the issuance of $750 million in 
aggregate principal amount of 8.50% Senior Unsecured Notes due 2027 (the “January 2027 Unsecured Notes”) by BHA 
and cash on hand, the Company prepaid the remaining Series F Tranche B Term Loan Facility and redeemed the June 
2018  Unsecured  Refinanced  Debt  at  its  aggregate  redemption  price  and  the  indentures  governing  the  June  2018 
Unsecured Refinanced Debt were discharged (collectively, the “June 2018 Refinancing Transactions”). 

The  Restated  Credit  Agreement  was  accounted  for  as  a  modification  of  debt,  to  the  extent  the  June  2018  Unsecured 
Refinanced Debt was replaced with newly issued debt to the same creditor, and as an extinguishment of debt if: (i) the 
June 2018 Unsecured Refinanced Debt was replaced with newly issued debt to a different creditor, (ii) a portion of the 
unamortized deferred financing fees was allocated to debt that was paid down or (iii) the borrowing capacity declined 
when  issuing  a  new  revolving  credit  facility.  The  following  was  accounted  for  as  an  extinguishment  of  debt:  (i)  the 
difference between the amounts paid to redeem the June 2018 Unsecured Refinanced Debt and the June 2018 Unsecured 
Refinanced Debt’s carrying value, (ii) the replacement of the Series F Tranche B Term Loan with the June 2025 Term 
Loan B Facility to the extent any unamortized deferred financing fees were associated with the portion of the Series F 
Tranche B Term Loan that was paid down and (iii) the replacement of the 2020 Revolving Credit Facility with the 2023 
Revolving  Credit  Facility  to  the  extent  any  unamortized  deferred  financing  fees  were  associated  with  the  decline  in 
borrowing  capacity.  For  amounts  accounted  for  as  an  extinguishment  of  debt,  the  Company  incurred  a  loss  on 
extinguishment of debt of $48 million. Payments made to the lenders and a portion of payments made to third parties of 
$74 million associated with the June 2018 Refinancing Transactions were capitalized and are being amortized as interest 
expense  over  the  remaining  terms  of  the  debt,  ranging  from  2023  through  2027.  Third-party  expenses  of  $4  million 
associated with the modification of debt were expensed as incurred and included in Interest expense. 

On November 27, 2018, the Company entered into the First Incremental Amendment to the Restated Credit Agreement, 
which provided an additional seven year Tranche B Term Loan Facility of $1,500 million (the “November 2025 Term 
Loan  B  Facility”)  and  used  the  net  proceeds,  along  with  cash  on  hand,  to  repay  $1,483  million  of  7.50%  Senior 
Unsecured Notes due July 2021 (the “July 2021 Unsecured Notes”) in a tender offer (the “November 2018 Refinancing 
Transactions”). On December 27, 2018, the Company redeemed, using cash on hand, the remaining outstanding principal 
amount of $17 million of the July 2021 Unsecured Notes. 

The  repayment  of  the  July  2021  Unsecured  Notes  was  accounted  for  as  an  extinguishment  of  debt  and  the  Company 
incurred a loss on extinguishment of debt of $43 million representing the difference between the amount paid to settle 
the extinguished debt and the extinguished debt’s carrying value. Payments made to the lenders and other third parties of 
$25  million  associated with  the  issuance  of  the November  2025  Term  Loan  B  Facility  were  capitalized  and  are  being 
amortized as interest expense over the remaining term of the November 2025 Term Loan B Facility. 

As  of  December  31,  2018,  the  Company  had  $75  million  of  outstanding  borrowings,  $169  million  of  issued  and 
outstanding letters of credit, and remaining availability of $981 million under its 2023 Revolving Credit Facility. 

F-35 

Current Description of Senior Secured Credit Facilities 

Borrowings under the Senior Secured Credit Facilities in U.S. dollars bear interest at a rate per annum equal to, at the 
Company’s option, either: (i) a base rate determined by reference to the higher of: (a) the prime rate (as defined in the 
Restated Credit Agreement), (b) the federal funds effective rate plus 1/2 of 1.00% or (c) the eurocurrency rate (as defined 
in  the  Restated  Credit  Agreement)  for  a  period  of  one  month  plus  1.00%  (or  if  such  eurocurrency  rate  shall  not  be 
ascertainable, 1.00%) or (ii) a eurocurrency rate determined by reference to the costs of funds for U.S. dollar deposits for 
the  interest  period  relevant  to  such  borrowing  adjusted  for  certain  additional  costs  (provided  however,  that  the 
eurocurrency rate shall at no time be less than zero), in each case plus an applicable margin. 

Borrowings  under  the  2023  Revolving  Credit  Facility  in  Euros  bear  interest  at  a  eurocurrency  rate  determined  by 
reference to the costs of funds for Euro deposits for the interest period relevant to such borrowing (provided however, 
that the eurocurrency rate shall at no time be less than 0.00% per annum), plus an applicable margin. 

Borrowings under the 2023 Revolving Credit Facility in Canadian dollars bear interest at a rate per annum equal to, at 
the Company’s option, either (a) a prime rate determined by reference to the higher of: (1) the rate of interest last quoted 
by The Wall Street Journal as the “Canadian Prime Rate” or, if The Wall Street Journal ceases to quote such rate, the 
highest  per  annum  interest  rate  published  by  the  Bank  of  Canada  as  its  prime  rate  and  (2)  the  1  month  BA  rate  (as 
defined below) calculated daily plus 1.00% (provided however, that the prime rate shall at no time be less than 0.00%) or 
(b)  the  bankers’  acceptance  rate  for  Canadian  dollar  deposits  in  the  Toronto  interbank  market  (the  “BA  rate”)  for  the 
interest period relevant to such borrowing (provided however, that the BA rate shall at no time be less than 0.00% per 
annum), in each case plus an applicable margin. 

Subject to certain exceptions and customary baskets set forth in the Restated Credit Agreement, the Company is required 
to  make  mandatory  prepayments  of  the  loans  under  the  Senior  Secured  Credit  Facilities  under  certain  circumstances, 
including from: (i) 100% of the net cash proceeds of insurance and condemnation proceeds for property or asset losses 
(subject  to  reinvestment  rights  and net proceeds  threshold), (ii) 100% of  the  net  cash  proceeds  from  the  incurrence  of 
debt (other than permitted debt as described in the Restated Credit Agreement), (iii) 50% of Consolidated Excess Cash 
Flow  (as  defined  in  the  Restated  Credit  Agreement)  subject  to  decrease  based  on  leverage  ratios  and  subject  to  a 
threshold amount and (iv) 100% of net cash proceeds from asset sales (subject to reinvestment rights). These mandatory 
prepayments may be used to satisfy future amortization. 

The  applicable  interest  rate  margins  for  the  June  2025  Term  Loan  B  Facility  and  the  November  2025  Term  Loan  B 
Facility are 2.00% and 1.75%, respectively, with respect to base rate and prime rate borrowings and 3.00% and 2.75%, 
respectively, with respect to eurocurrency rate and bankers’ acceptance rate borrowings. As of December 31, 2018, the 
stated rate of interest on the Company’s borrowings under the June 2025 Term Loan B Facility and the November 2025 
Term Loan B Facility was 5.38% and 5.13% per annum, respectively. 

The  amortization  rate  for both  the June 2025  Term  Loan B  Facility  and  the  November  2025  Term  Loan  B  Facility  is 
5.00%  per  annum.  The  Company  may  direct  that  prepayments  be  applied  to  such  amortization  payments  in  order  of 
maturity. As of December 31, 2018, the remaining mandatory quarterly amortization payments for the Senior Secured 
Credit Facilities were $1,857 million through November 1, 2025. 

The  applicable  interest  rate  margins  for  borrowings  under  the  2023  Revolving  Credit  Facility  are  1.50%-2.00%  with 
respect to base rate or prime rate borrowings and 2.50%-3.00% with respect to eurocurrency rate or bankers’ acceptance 
rate borrowings. As of December 31, 2018, the stated rate of interest on the 2023 Revolving Credit Facility was 5.38% 
per annum. In addition, the Company is required to pay commitment fees of 0.25% - 0.50% per annum with respect to 
the unutilized commitments under the 2023 Revolving Credit Facility, payable quarterly in arrears. The Company also is 
required to pay: (i) letter of credit fees on the maximum amount available to be drawn under all outstanding letters of 
credit  in  an  amount  equal  to  the  applicable  margin  on  eurocurrency rate  borrowings under  the 2023  Revolving  Credit 
Facility on a per annum basis, payable quarterly in arrears, (ii) customary fronting fees for the issuance of letters of credit 
and (iii) agency fees. 

The  Restated  Credit  Agreement  permits  the  incurrence  of  $1,000  million  of  incremental  credit  facility  borrowings, 
subject to customary terms and conditions, as well as the incurrence of additional incremental credit facility borrowings 
subject to, in the case of secured debt, a secured leverage ratio of not greater than 3.50:1.00, and, in the case of unsecured 
debt, a total leverage ratio of not greater than 6.50:1.00 or an interest coverage ratio of not less than 2.00:1.00. 

F-36 

Senior Secured Notes 

The Senior Secured Notes are guaranteed by each of the Company’s subsidiaries that is a guarantor under the Restated 
Credit  Agreement  and  existing  Senior  Unsecured  Notes  (together,  the  “Note  Guarantors”).  The  Senior  Secured  Notes 
and  the  guarantees  related  thereto  are  senior  obligations  and  are  secured,  subject  to  permitted  liens  and  certain  other 
exceptions, by the same first priority liens that secure the Company’s obligations under the Restated Credit Agreement 
under the terms of the indenture governing the Senior Secured Notes. 

The Senior  Secured Notes  and  the  guarantees  rank  equally  in  right of repayment  with  all  of  the  Company’s  and Note 
Guarantors’  respective  existing  and  future  unsubordinated  indebtedness  and  senior  to  the  Company’s  and  Note 
Guarantors’  respective  future  subordinated  indebtedness.  The  Senior  Secured  Notes  and  the  guarantees  related  thereto 
are  effectively  pari  passu  with  the  Company’s  and  the  Note  Guarantors’  respective  existing  and  future  indebtedness 
secured  by  a  first  priority  lien  on  the  collateral  securing  the  Senior  Secured  Notes  and  effectively  senior  to  the 
Company’s and the Note Guarantors’ respective existing and future indebtedness that is unsecured, including the existing 
Senior  Unsecured Notes, or  that  is  secured by junior  liens,  in each case to  the  extent  of  the value of the  collateral. In 
addition, the Senior Secured Notes are structurally subordinated to: (i) all liabilities of any of the Company’s subsidiaries 
that do not guarantee the Senior Secured Notes and (ii) any of the Company’s debt that is secured by assets that are not 
collateral. 

Upon the occurrence of a change in control (as defined in the indentures governing the Senior Secured Notes), unless the 
Company has exercised its right to redeem all of the notes of a series, holders of the Senior Secured Notes may require 
the Company to repurchase such holder’s notes, in whole or in part, at a purchase price equal to 101% of the principal 
amount thereof plus accrued and unpaid interest. 

6.50%  Senior  Secured  Notes  due  2022  and  7.00%  Senior  Secured  Notes  due  2024  -  March  2017  Refinancing 
Transactions 

As part of the March 2017 Refinancing Transactions, the Company issued $1,250 million aggregate principal amount of 
6.50%  senior  secured  notes  due  March  15,  2022  (the  “March  2022  Secured  Notes”)  and  $2,000  million  aggregate 
principal  amount  of  7.00%  senior  secured  notes  due  March  15,  2024  (the  “March  2024  Secured  Notes”),  in  a  private 
placement, the proceeds of which, when combined with the proceeds from the Series F-3 Tranche B Term Loan Facility 
and cash on hand, were used to: (i) repay the March 2017 Refinanced Debt, (ii) repurchase $1,100 million in principal 
amount  of  August  2018  Senior  Unsecured  Notes,  (iii)  repay  $350  million  of  amounts  outstanding  under  the  2018 
Revolving  Credit  Facility  and  (iv)  pay  related  fees  and  expenses.  Interest  on  these  notes  is  payable  semi-annually  in 
arrears on each March 15 and September 15. 

The March 2022 Secured Notes are redeemable at the option of the Company, in whole or in part, at any time on or after 
March 15, 2019, at the redemption prices set forth in the indenture. The Company may redeem some or all of the March 
2022  Secured  Notes  prior  to  March  15,  2019  at  a  price  equal  to 100%  of  the  principal  amount  thereof  plus  a  “make-
whole” premium. Prior to March 15, 2019, the Company may redeem up to 40% of the aggregate principal amount of the 
March  2022  Secured  Notes  using  the  proceeds  of  certain  equity  offerings  at  the  redemption  price  set  forth  in  the 
indenture. 

The March 2024 Secured Notes are redeemable at the option of the Company, in whole or in part, at any time on or after 
March 15, 2020, at the redemption prices set forth in the indenture. The Company may redeem some or all of the March 
2024  Secured  Notes  prior  to  March  15,  2020  at  a  price  equal  to 100%  of  the  principal  amount  thereof  plus  a  “make-
whole” premium. Prior to March 15, 2020, the Company may redeem up to 40% of the aggregate principal amount of the 
March  2024  Secured  Notes  using  the  proceeds  of  certain  equity  offerings  at  the  redemption  price  set  forth  in  the 
indenture. 

5.50%  Senior  Secured  Notes  due  2025  -  October  2017  Refinancing  Transactions  and  November  2017  Refinancing 
Transactions 

On October 17, 2017, the Company issued $1,000 million aggregate principal amount of 5.50% Senior Secured Notes 
due November 2025 (the “November 2025 Secured Notes”), in a private placement, the proceeds of which were used to: 
(i) repurchase $569 million in principal amount of the 6.375% October 2020 Unsecured Notes (as defined below) and (ii) 
repurchase  $431  million  in  principal  amount  of  the  7.00%  October  2020  Unsecured  Notes  (as  defined  below) 
(collectively,  the  “October  2017  Refinancing  Transactions”).  The  related  fees  and  expenses  were  paid  using  cash  on 
hand. Interest on the November 2025 Secured Notes is payable semi-annually in arrears on each May 1 and November 1. 

F-37 

The November 2025 Secured Notes are redeemable at the option of the Company, in whole or in part, at any time on or 
after November 1, 2020, at the redemption prices set forth in the indenture. The Company may redeem some or all of the 
November 2025 Secured Notes prior to November 1, 2020 at a price equal to 100% of the principal amount thereof plus 
a “make-whole” premium. Prior to November 1, 2020, the Company may redeem up to 40% of the aggregate principal 
amount of the November 2025 Secured Notes using the proceeds of certain equity offerings at the redemption price set 
forth in the indenture. 

On November 21, 2017, the Company issued $750 million aggregate principal amount of the November 2025 Secured 
Notes  in  a  private  placement.  These  are  additional  notes  and  form  part  of  the  same  series  as  the  Company’s  existing 
November 2025 Secured Notes. The proceeds were used to prepay $750 million of its Series F Tranche B Term Loan 
Facility.  The  related  fees  and  expenses  were  paid  using  cash  on  hand  (collectively,  the  “November  2017  Refinancing 
Transactions”). 

Senior Unsecured Notes 

The Senior Unsecured Notes issued by the Company are the Company’s senior unsecured obligations and are jointly and 
severally guaranteed on a senior unsecured basis by each of its subsidiaries that is a guarantor under the Senior Secured 
Credit Facilities. The Senior Unsecured Notes issued by BHA are senior unsecured obligations of BHA and are jointly 
and severally guaranteed on a senior unsecured basis by the Company and each of its subsidiaries (other than BHA) that 
is a guarantor under the Senior Secured Credit Facilities. Future subsidiaries of the Company and BHA, if any, may be 
required to guarantee the Senior Unsecured Notes. 

If  the  Company  experiences  a  change  in  control,  the  Company  may  be  required  to  make  an  offer  to  repurchase  each 
series  of  Senior  Unsecured  Notes,  in  whole  or  in  part,  at  a  purchase  price  equal  to  101%  of  the  aggregate  principal 
amount of the Senior Unsecured Notes repurchased, plus accrued and unpaid interest. 

7.00% Senior Unsecured Notes due 2020 

On September 28, 2010, the Company issued $700 million aggregate principal amount of 7.00% Senior Unsecured Notes 
due  2020  (the  “7.00%  October  2020  Unsecured  Notes”)  in  a  private  placement.  The  7.00%  October  2020  Unsecured 
Notes accrued interest at the rate of 7.00% per year and were subsequently repaid in full: (i) as part of the October 2017 
Refinancing Transactions, (ii) as part of the December 2017 Refinancing Transactions (as defined below) and (iii) using 
cash on hand of $71 million in March 2018. 

6.75% Senior Unsecured Notes due 2021 

On February 8, 2011, the Company issued $650 million aggregate principal amount of 6.75% Senior Unsecured Notes 
due  2021  (the  “August  2021  Unsecured  Notes”)  in  a  private  placement.  The  August  2021  Unsecured  Notes  accrued 
interest  at  the rate  of 6.75% per  year and were  subsequently  repaid  in full  as  part of:  (i)  the  March  2018  Refinancing 
Transactions (as defined below) and (ii) the June 2018 Refinancing Transactions. 

7.25% Senior Unsecured Notes due 2022 

On March 8, 2011, the Company issued $550 million aggregate principal amount of 7.25% Senior Unsecured Notes due 
2022 (the “July 2022 Unsecured Notes”) in a private placement. The July 2022 Unsecured Notes accrued interest at the 
rate of 7.25% per year and were subsequently repaid in full as part of the June 2018 Refinancing Transactions. 

6.375% Senior Unsecured Notes due 2020 

On  October  4,  2012,  VPI  Escrow  Corp.  (the  “VPI  Escrow  Issuer”),  a  newly  formed  wholly  owned  subsidiary  of  the 
Company, issued $1,750 million aggregate principal amount of 6.375% Senior Unsecured Notes due 2020 (the “6.375% 
October 2020 Unsecured Notes”) in a private placement. The 6.375% October 2020 Unsecured Notes accrued interest at 
the rate of 6.375% per year, payable semi-annually in arrears. In December 2012: (i) the VPI Escrow Issuer merged with 
and into the Company, with the Company continuing as the surviving corporation, (ii) the Company assumed all of the 
VPI Escrow Issuer’s obligations under the 6.375% October 2020 Unsecured Notes and the related indenture and (iii) the 
funds previously held in escrow were released to the Company and were used to finance an acquisition. 

Concurrently  with  the  offering  of  the  6.375%  October  2020  Unsecured  Notes,  the  Company  issued  $500  million 
aggregate  principal  amount  of  6.375%  Senior  Unsecured  Notes  due  2020  (the  “Exchangeable  Notes”)  in  a  private 
placement, the form and terms of such notes being substantially identical to the form and terms of the 6.375% October 
2020 Unsecured Notes, as previously described. 

F-38 

On  March  29,  2013,  the  Company  announced  that  the  Company  commenced  an  offer  to  exchange  (the  “Exchange 
Offer”) any and all of its Exchangeable Notes into 6.375% October 2020 Unsecured Notes. The Company conducted the 
Exchange  Offer  in  order  to  satisfy  its  obligations  under  the  indenture  governing  the  Exchangeable  Notes  with  the 
anticipated  result  being  that  some  or  all  of  such  notes  would  be  part  of  a  single  series  of  6.375%  October  2020 
Unsecured Notes under one indenture. The Exchange Offer, which did not result in any changes to existing terms or to 
the  total  amount  of  the  Company’s  outstanding  debt,  expired  on  April  26,  2013.  All  of  the  Exchangeable  Notes  were 
tendered in the Exchange Offer and exchanged for 6.375% October 2020 Unsecured Notes to form a single series. 

The Company subsequently repaid the 6.375% October 2020 Unsecured Notes, in full: (i) as part of the October 2017 
Refinancing Transactions, (ii) as part of the December 2017 Refinancing Transactions (as defined below), (iii) as part of 
the March 2018 Refinancing Transactions (as defined below), (iv) using cash on hand of $104 million in May 2018 and 
(v) as part of the June 2018 Refinancing Transactions. 

6.75% Senior Unsecured Notes due 2018 and 7.50% Senior Unsecured Notes due 2021 

On  July  12,  2013,  VPII  Escrow  Corp.  (the  “VPII  Escrow  Issuer”),  a  newly  formed  wholly-owned  subsidiary  of  the 
Company,  issued $1,600  million  aggregate principal  amount of  the August  2018 Unsecured  Notes  and $1,625  million 
aggregate principal amount of the July 2021 Unsecured Notes in a private placement. The August 2018 Unsecured Notes 
accrued interest at the rate of 6.75% per year, payable semi-annually in arrears. The July 2021 Unsecured Notes accrued 
interest  at  the  rate  of  7.50%  per  year,  payable  semi-annually  in  arrears.  At  the  time  of  the  closing  of  the  B&L 
Acquisition: (i) the VPII Escrow Issuer was voluntarily liquidated and all of its obligations were assumed by, and all of 
its assets were distributed to, the Company, (ii) the Company assumed all of the VPII Escrow Issuer’s obligations under 
the  August  2018  Unsecured  Notes  and  July  2021  Unsecured  Notes  and  the  related  indenture  and  (iii)  the  funds 
previously held in escrow were released to the Company and were used to finance the B&L Acquisition. 

The Company subsequently repaid the August 2018 Unsecured Notes in full: (i) as part of the March 2017 Refinancing 
Transactions and (ii) using cash on hand of $500 million in August 2017. Loss on extinguishment of debt during the year 
ended  December  31,  2017  associated  with  the  repurchase  of  the  August  2018  Unsecured  Notes  was  $37  million 
representing the difference between the amount paid to settle the debt and the debt’s carrying value. 

The  Company  subsequently  repaid  the  July  2021  Unsecured  Notes  in  full:  (i)  using  cash  on  hand  of  $125  million  in 
October 2018, (ii) as part of the November 2018 Refinancing Transactions and (iii) using cash on hand of $17 million in 
December 2018. 

5.625% Senior Unsecured Notes due 2021 

On December 2, 2013, the Company issued $900 million aggregate principal amount of 5.625% Senior Unsecured Notes 
due 2021 (the “December 2021 Unsecured Notes”) in a private placement. The December 2021 Unsecured Notes accrue 
interest  at  the  rate  of  5.625%  per  year,  payable  semi-annually  in  arrears.  On  December  30,  2018,  the  Company 
repurchased, using cash on hand, $200 million of outstanding December 2021 Unsecured Notes plus accrued and unpaid 
interest. The Company may redeem all or a portion of the December 2021 Unsecured Notes at par value, plus accrued 
and unpaid interest to the date of redemption. 

5.50% Senior Unsecured Notes due 2023 

On January 30, 2015, the Company issued $1,000 million aggregate principal amount of 5.50% Senior Unsecured Notes 
due 2023 (the “March 2023 Unsecured Notes”) in a private placement. The March 2023 Unsecured Notes accrue interest 
at the rate of 5.50% per year, payable semi-annually in arrears. The Company may redeem all or a portion of the March 
2023 Unsecured Notes at the applicable redemption prices set forth in the March 2023 Unsecured Notes indenture, plus 
accrued and unpaid interest to the date of redemption. 

5.375% Senior Unsecured Notes due 2020, 5.875% Senior Unsecured Notes due 2023, 4.50% Senior Unsecured Notes 
due 2023 and 6.125% Senior Unsecured Notes due 2025 

On March 27, 2015, VRX Escrow Corp. (the “VRX Issuer”), a newly formed wholly owned subsidiary of the Company, 
issued  $2,000  million  aggregate  principal  amount  of  5.375%  Senior  Unsecured  Notes  due  2020  (the  “March  2020 
Unsecured Notes”), $3,250 million aggregate principal amount of 5.875% Senior Unsecured Notes due 2023 (the “May 
2023 Unsecured Notes”), €1,500  million  aggregate principal  amount of 4.50%  Senior Unsecured Notes  due 2023 (the 
“Euro Notes”) and $3,250 million aggregate principal amount of 6.125% Senior Unsecured Notes due 2025 (the “May 
2025 Unsecured Notes” and, together with the March 2020 Unsecured Notes, the May 2023 Unsecured Notes and the 
Euro Notes, the “VRX Notes”) in a private placement. 

F-39 

In addition, the VRX Issuer entered into an escrow and security agreement (the “Escrow Agreement”) dated as of March 
27, 2015, with an escrow agent. Pursuant to the Escrow Agreement, the proceeds from the issuance of the VRX Notes, 
together with cash sufficient to fund certain accrued and unpaid interest on the VRX Notes, totaling $10,340 million in 
the  aggregate,  were  deposited  into  escrow  accounts  and  held  as  security  for  the  VRX  Issuer’s  obligations  until  the 
consummation  of  the  Salix  Acquisition,  which  occurred  on  April  1,  2015.  At  the  time  of  the  closing  of  the  Salix 
Acquisition,  (1)  the  VRX  Issuer  was  voluntarily  liquidated  and  all  of  its  obligations  were  assumed  by,  and  all  of  its 
assets were distributed to, the Company, (2) the Company assumed all of the VRX Issuer’s obligations under the VRX 
Notes and the related indenture and (3) the funds previously held in escrow were released to the Company and were used 
to finance the Salix Acquisition (as such, the $10,340 million referenced in this paragraph was released from restricted 
cash and cash equivalents in April 2015.) 

The March 2020 Unsecured Notes accrued interest at the rate of 5.375% per year and were repaid in full as part of: (i) 
the  December  2017  Refinancing  Transactions  (as  defined  below),  (ii)  the  March  2018  Refinancing  Transactions  (as 
defined below) and (iii) the June 2018 Refinancing Transactions. 

The  May  2023  Unsecured  Notes,  the  Euro  Notes  and  the  May  2025  Unsecured  Notes  accrue  interest  at  the  rate  of 
5.875%, 4.50% and 6.125% per year, respectively, payable semi-annually in arrears. The Company may redeem all or a 
portion of the May 2025 Unsecured Notes at any time prior to April 15, 2020 at a price equal to 100% of the principal 
amount thereof, plus accrued and unpaid interest, if any, to the date of redemption, plus a “make-whole” premium. The 
Company may redeem all or a portion of the May 2023 Unsecured Notes or the Euro Notes and, on or after April 15, 
2020, the Company may redeem all or a portion of the May 2025 Unsecured Notes, at the redemption prices applicable 
to  each  series  of  such  notes,  as  set  forth  in  the  applicable  indenture,  plus  accrued  and  unpaid  interest  to  the  date  of 
redemption. 

9.00% Senior Unsecured Notes due 2025 - December 2017 Refinancing Transactions 

On  December  18,  2017,  the  Company  issued  $1,500  million  aggregate  principal  amount  of  9.00%  Senior  Unsecured 
Notes due 2025 (the “December 2025 Unsecured Notes”) in a private placement, the proceeds of which were used to: 
(i) repurchase  $1,021  million  in  principal  amount  of  the  6.375%  October  2020  Unsecured  Notes,  (ii)  repurchase  $291 
million in principal amount of the March 2020 Unsecured Notes and (iii) repurchase $188 million in principal amount of 
the  7.00%  October  2020  Unsecured  Notes  (collectively,  the  “December  2017  Refinancing  Transactions”).  The  related 
fees  and  expenses  were  paid  using  cash  on  hand.  The  December  2025  Unsecured  Notes  accrue  interest  at  the  rate  of 
9.00% per year, payable semi-annually in arrears on each of June 15 and December 15. 

The Company may redeem all or a portion of the December 2025 Unsecured Notes at any time prior to December 15, 
2021, at a price equal to 100% of the principal amount thereof, plus accrued and unpaid interest, if any, to the date of 
redemption,  plus  a  “make-whole”  premium.  In  addition,  at  any  time  prior  to  December  15,  2020,  the  Company  may 
redeem up to 40% of the aggregate principal amount of the outstanding December 2025 Unsecured Notes with the net 
proceeds of certain equity offerings at the redemption price set forth in the December 2025 Unsecured Notes indenture. 
On or after December 15, 2021, the Company may redeem all or a portion of the December 2025 Unsecured Notes at the 
applicable  redemption  prices  set  forth  in  the  December  2025  Unsecured  Notes  indenture,  plus  accrued  and  unpaid 
interest to the date of redemption. 

9.25% Senior Unsecured Notes due 2026 - March 2018 Refinancing Transactions 

On March 26, 2018, BHA issued $1,500 million in aggregate principal amount of 9.25% Senior Unsecured Notes due 
2026 (the “April 2026 Unsecured Notes”) in a private placement, the net proceeds of which, along with cash on hand, 
were used to repurchase $1,500 million in aggregate principal amount of unsecured notes which consisted of: (i) $1,017 
million in principal amount of the March 2020 Unsecured Notes, (ii) $411 million in principal amount of the 6.375% 
October 2020 Unsecured Notes and (iii) $72 million in principal amount of the August 2021 Unsecured Notes. All fees 
and expenses associated with these transactions were paid with cash on hand (collectively, the “March 2018 Refinancing 
Transactions”).  The  March  2018  Refinancing  Transactions  was  accounted  for  as  an  extinguishment  of  debt  and  the 
Company incurred a loss on extinguishment of debt of $26 million representing the difference between the amount paid 
to  settle  the  extinguished  debt  and  the  extinguished  debt’s  carrying  value.  The  April  2026  Unsecured  Notes  accrue 
interest at the rate of 9.25% per year, payable semi-annually in arrears on each of April 1 and October 1. 

BHA may redeem all or a portion of the April 2026 Unsecured Notes at any time prior to April 1, 2022, at a price equal 
to  100%  of  the  principal  amount  thereof,  plus  accrued  and  unpaid  interest,  if  any,  to  the  date  of  redemption,  plus  a 
“make-whole” premium. In addition, at any time prior to April 1, 2021, BHA may redeem up to 40% of the aggregate 
principal amount of the outstanding April 2026 Unsecured Notes with the net proceeds of certain equity offerings at the 

F-40 

redemption price set forth in the April 2026 Unsecured Notes indenture. On or after April 1, 2022, BHA may redeem all 
or a portion of the April 2026 Unsecured Notes at the applicable redemption prices set forth in the April 2026 Unsecured 
Notes indenture, plus accrued and unpaid interest to the date of redemption. 

8.50% Senior Unsecured Notes due 2027 

As part of the June 2018 Refinancing Transactions, BHA issued $750 million in aggregate principal amount of January 
2027 Unsecured Notes in a private placement, the proceeds of which, when combined with the remaining net proceeds 
from the June 2025 Term Loan B Facility and cash on hand, were deposited with The Bank of New York Mellon Trust 
Company,  N.A.,  as  trustee  under  the  indentures  governing  the  June  2018  Unsecured  Refinanced  Debt,  to  redeem  the 
June  2018  Unsecured  Refinanced  Debt  at  its  aggregate  redemption  price  and  the  indentures  governing  the  June  2018 
Unsecured Refinanced Debt were discharged. The January 2027 Unsecured Notes accrue interest at the rate of 8.50% per 
year, payable semi-annually in arrears on each of January 31 and July 31. 

BHA may redeem all or a portion of the January 2027 Unsecured Notes at any time prior to July 31, 2022, at a price 
equal to 100% of the principal amount thereof, plus accrued and unpaid interest, if any, to the date of redemption, plus a 
“make-whole” premium. In addition, at any time prior to July 31, 2021, BHA may redeem up to 40% of the aggregate 
principal amount of the outstanding January 2027 Unsecured Notes with the net proceeds of certain equity offerings at 
the  redemption  price  set  forth  in  the  January  2027  Unsecured  Notes  indenture.  On  or  after  July  31,  2022,  BHA  may 
redeem all or a portion of the January 2027 Unsecured Notes at the applicable redemption prices set forth in the January 
2027 Unsecured Notes indenture, plus accrued and unpaid interest to the date of redemption. 

Weighted Average Stated Rate of Interest 

The weighted average stated rate of interest for the Company’s outstanding debt obligations as of December 31, 2018 
and 2017 was 6.23% and 6.07%, respectively. 

Maturities 

Maturities and mandatory payments of debt obligations for the five succeeding years ending December 31 and thereafter 
are as follows: 

(in millions) 
2019 .......................................................................................................................................................... 
2020 .......................................................................................................................................................... 
2021 .......................................................................................................................................................... 
2022 .......................................................................................................................................................... 
2023 .......................................................................................................................................................... 
Thereafter ................................................................................................................................................. 
Total gross maturities ............................................................................................................................... 
Unamortized discounts ............................................................................................................................. 
Total long-term debt and other ................................................................................................................. 

$ 

$ 

228 
303 
1,003 
1,553 
6,348 
15,197 
24,632 
(327) 
24,305 

Under the Restated Credit Agreement, there is no Excess Cash Flow payment due for 2018. On January 29, 2019, using 
cash on hand, the Company repaid $100 million of outstanding term loans under its Senior Secured Credit Facilities in 
partial satisfaction of the scheduled mandatory amortization payments due for 2019 in the table above. 

12.  PENSION AND POSTRETIREMENT EMPLOYEE BENEFIT PLANS 

In connection with the acquisition of Bausch & Lomb Holdings Incorporated (“B&L”) completed on August 5, 2013, the 
Company  assumed  all  of  B&L’s  benefit  obligations  and  related  plan  assets.  This  includes  defined  benefit  plans  and  a 
participatory defined benefit postretirement medical and life insurance plan, which covers a closed grandfathered group 
of legacy B&L U.S. employees and employees in certain other countries. The U.S. defined benefit accruals were frozen 
as of December 31, 2004 and benefits that were earned up to December 31, 2004 were preserved. Participants continue 
to  earn  interest  credits  on  their  cash  balance.  The  most  significant  non-U.S.  plans  are  two  defined  benefit  plans  in 
Ireland. In 2011, both Ireland defined benefit plans were closed to future service benefit accruals; however, additional 
accruals  related  to  annual  salary  increases  continued.  In  December 2014,  one  of  the Ireland  defined  benefit plans was 
amended effective August 2014 to eliminate future benefit accruals related to salary increases. All of the pension benefits 
accrued through the plan amendment date were preserved. As a result of the plan amendment, there are no active plan 
participants accruing benefits under the amended Ireland defined benefit plan. The U.S. postretirement benefit plan was 

F-41 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
amended effective January 1, 2005 to eliminate employer contributions after age 65 for participants who did not meet the 
minimum  requirements  of  age  and  service on  that date.  The  employer  contributions for  medical  and prescription  drug 
benefits for participants retiring after March 1, 1989 were frozen effective January 1, 2010. Effective January 1, 2014, 
the Company no longer offers medical and life insurance coverage to new retirees. 

In addition to the B&L benefit plans, outside of the U.S., a limited group of the Company’s employees are covered by 
defined benefit pension plans. 

The Company uses December 31 as the year-end measurement date for all of its defined benefit pension plans and the 
postretirement benefit plan. 

Accounting for Pension Benefit Plans and Postretirement Benefit Plan 

The  Company  recognizes  in  its  Consolidated  Balance  Sheets  an  asset  or  liability  equal  to  the  over-  or  under-funded 
benefit  obligation  of  each  defined  benefit  pension  plan  and  postretirement  benefit  plan.  Actuarial  gains  or  losses  and 
prior service costs or credits that arise during the period but are not recognized as components of net periodic benefit cost 
are recognized, net of tax, as a component of other comprehensive income (loss). 

The  amounts  included  in  accumulated  other  comprehensive  loss  as  of  December  31,  2018,  2017  and  2016  were  as 
follows:  

Pension Benefit Plans 

  U.S. Postretirement 

  2016  
(in millions) 
(4)  $  (6) 
Unrecognized actuarial losses ...............    $  (31 )  $  (18)  $  (26)  $  (50)  $  (56)  $  (61)  $ 
Unrecognized prior service credits .......    $  —   $  —  $  —  $  27  $  29  $  26  $  17  $  20  $  23 

  2018    2017 

  2016 

  2016 

  2018 

(1)  $ 

2018 

U.S. Plan 
  2017 

Non-U.S. Plans 

Benefit Plan 
  2017 

Of the December 31, 2018 amounts, the Company expects to recognize $3 million and $1 million of unrecognized prior 
service credits related to the U.S. postretirement benefit plan and the non-U.S. defined benefit plans, respectively, in net 
periodic (benefit) cost during 2019. In addition, the Company expects to recognize $1 million of unrecognized actuarial 
losses related to the non-U.S. pension benefit plans in net periodic (benefit) cost during 2019. 

Net Periodic (Benefit) Cost 

The following table provides the components of net periodic (benefit) cost for the Company’s defined benefit pension 
plans and postretirement benefit plan in 2018, 2017 and 2016: 

Pension Benefit Plans 

  U.S. Postretirement 

(in millions) 
Service cost ...........................................    $ 
Interest cost ...........................................   
Expected return on plan assets ..............   
Amortization of net loss .......................   
Amortization of prior service credit ......   
Other .....................................................   
Net periodic (benefit) cost ....................    $ 

U.S. Plan 
  2017 

  2016 

2018 

Non-U.S. Plans 

  2016 

2  $ 
7 
(15)   

2  $ 
8 
(13)   

2  $ 
8 
(13)   

  — 
  — 
  — 

  — 
  — 
  — 

  — 
  — 
  — 

  2018    2017 
3  $ 
5 
(5)   
1 
(1)   

3  $ 
5 
(5)   
2 
(1)   

  — 

  — 

  — 

Benefit Plan 
  2017 

  2018 

  2016  
3  $  —  $  —  $  — 
2 
6 
1 
(7)    — 
  — 
  — 
  — 
(3) 
  — 
(1)  $  (1) 

2 
  — 
  — 

(1)   
2 
3  $ 

  — 

  — 

(1)  $ 

(3)   

(2)   

(6)  $ 

(3)  $ 

(3)  $ 

3  $ 

4  $ 

F-42 

 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Benefit Obligation, Change in Plan Assets and Funded Status 

The  table  below  presents  components  of  the  change  in  projected  benefit  obligation,  change  in  plan  assets  and  funded 
status for 2018 and 2017:  

Pension Benefit Plans 

U.S. Plan 

2018 

2017 

  Non-U.S. Plans 
2017 

2018 

  U.S. Postretirement 
Benefit Plan 

2018 

2017 

(in millions) 
Change in Projected benefit Obligation 
Projected benefit obligation, beginning  

of year ..........................................................   
Service cost ......................................................   
Interest cost ......................................................   
Employee contributions ...................................   
Settlements ......................................................   
Benefits paid ....................................................   
Actuarial (gains) losses ....................................   
Currency translation adjustments ....................   
Projected benefit obligation, end of year .........   

Change in Plan Assets 
Fair value of plan assets, beginning of year .....   
Actual return on plan assets .............................   
Employee contributions ...................................   
Company contributions ....................................   
Settlements ......................................................   
Benefits paid ....................................................   
Currency translation adjustments ....................   
Fair value of plan assets, end of year ...............   
Funded Status at end of year ........................   

$  234 
2 
7 
  — 
  — 
(16) 
(13) 
  — 
214 

206 
(11) 
  — 
8 
  — 
(16) 
  — 
187 
(27) 

$ 

$  230  
2  
8  
  —  
  —  
(15 ) 
9  
  —  
234  

$  254 
3 
5 
  — 
(2) 
(5) 
(10) 
(10) 
235 

181  
30  
  —  
10  
  —  
(15 ) 
  —  
206  
(28 )  $ 

155 
(2) 
  — 
7 
(2) 
(5) 
(6) 
147 
(88) 

$ 

Recognized as: 
Accrued and other current liabilities ................   
Other non-current liabilities .............................   

$  — 
(27) 
$ 

$  —  
$ 

$ 
(28 )  $ 

(2) 
(86) 

$ 

$ 

$ 
$ 

$ 

230 
3 
5 
— 
(1) 
(4) 
(9) 
30 
254 

$ 

48 
— 
1 
1 
— 
(5) 
(4) 
— 
41 

128 
7 
— 
7 
(1) 
(4) 
18 
155 
(99)  $ 

— 
— 
1 
4 
— 
(5) 
— 
— 
(41)  $ 

52 
— 
2 
1 
— 
(6) 
(1) 
— 
48 

— 
— 
1 
5 
— 
(6) 
— 
— 
(48) 

(2)  $ 
(97)  $ 

(5)  $ 
(36)  $ 

(6) 
(42) 

A  number  of  the  Company’s  pension  benefit  plans  were  underfunded  as  of  December  31,  2018  and  2017,  having 
accumulated benefit obligations exceeding the fair value of plan assets. Information for the underfunded pension benefit 
plans is as follows: 

(in millions) 
Projected benefit obligation ..................................................................   
Accumulated benefit obligation ............................................................   
Fair value of plan assets ........................................................................   

U.S. Plan 

2018 
$  214 
214 
187 

2017 

$ 

234 
234 
206 

Non-U.S. Plans 
2017 
2018 

$ 

235 
225 
147 

$ 

254 
244 
155 

The Company’s policy for funding its pension benefit plans is to make contributions that meet or exceed the minimum 
statutory funding requirements. These contributions are determined based upon recommendations made by the actuary 
under accepted actuarial principles. In 2019, the Company expects to contribute $2 million, $7 million and $5 million to 
the U.S. pension benefit plan, the non-U.S. pension benefit plans and the U.S. postretirement benefit plan, respectively. 
The  Company  plans  to  use  postretirement  benefit  plan  assets  and  cash  on  hand,  as  necessary,  to  fund  the  U.S. 
postretirement benefit plan benefit payments in 2019. 

F-43 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Estimated Future Benefit Payments 

Future benefit payments over the next 10 years for the pension benefit plans and the postretirement benefit plan, which 
reflect expected future service, as appropriate, are expected to be paid as follows:  

(in millions) 
2019 ...................................................................................................  
2020 ...................................................................................................  
2021 ...................................................................................................  
2022 ...................................................................................................  
2023 ...................................................................................................  
2024-2028 ..........................................................................................  

Assumptions 

$ 

  U.S. Plan 
14 
18 
18 
18 
17 
79 

Pension Benefit Plans 
Non-U.S. 
Plans 

U.S. 
Postretirement 
Benefit Plan 

$ 

$ 

5 
5 
6 
6 
6 
37 

5 
5 
4 
4 
4 
14 

The weighted-average assumptions used to determine net periodic benefit costs and benefit obligations for 2018, 2017 
and 2016 were as follows:  

Pension Benefit Plans 
2017 

2016 

2018 

U.S. Postretirement 
Benefit Plan 
2017 

2018 

2016   

For Determining Net Periodic (Benefit) Cost  
U.S. Plans: 

Discount rate ................................................... 
Expected rate of return on plan assets ............. 
Rate of compensation increase ........................ 

3.56%   
7.50%   

  — 

4.04%   
7.50%   
— 

4.34%   
7.50%   
— 

Non-U.S. Plans: 

Discount rate ................................................... 
Expected rate of return on plan assets ............. 
Rate of compensation increase ........................ 

2.29%   
3.66%   
2.87%   

2.08%   
3.84%   
2.64%   

2.74%   
5.46%   
2.87%   

3.47%   
— 
— 

3.85%    4.13% 
  —%    5.50% 
  — 

  — 

For Determining Benefit Obligation 

U.S. Plans: 
Discount rate ..................................................................... 
Rate of compensation increase .......................................... 

Non-U.S. Plans: 

Pension Benefit 
Plans 

2018 

2017 

U.S. Postretirement 
Benefit Plan 

2018 

2017 

4.25% 
— 

3.56%   

  — 

4.16 %   
—  

3.47 % 
—  

Discount rate ..................................................................... 
Rate of compensation increase .......................................... 

2.39% 
2.89% 

2.29%   
2.87%   

The expected long-term rate of return on plan assets was developed based on a capital markets model that uses expected 
asset class returns, variance and correlation assumptions. The expected asset class returns were developed starting with 
current  Treasury  (for  the  U.S.  pension  plan)  or  Eurozone  (for  the  Ireland  pension  plans)  government  yields  and  then 
adding  corporate  bond  spreads  and  equity  risk  premiums  to  develop  the  return  expectations  for  each  asset  class.  The 
expected  asset  class  returns  are  forward-looking.  The  variance  and  correlation  assumptions  are  also  forward-looking. 
They take into account historical relationships, but are adjusted to reflect expected capital market trends. The expected 
return on plan assets for the Company’s U.S. pension plan for 2018 was 7.50%. The expected return on plan assets for 
the Company’s Ireland pension plans was 3.75% for 2018. 

The  discount  rate  used  to  determine  benefit  obligations  represents  the  current  rate  at  which  the  benefit  plan  liabilities 
could be effectively settled considering the timing of expected payments for plan participants. 

The 2019 expected rate of return for the U.S. pension benefit plan will be 7.25%. The 2019 expected rate of return for 
the Ireland pension benefit plans will be 3.50%. 

F-44 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
  
 
  
 
 
  
 
  
 
 
 
 
 
 
 
  
 
  
Pension Benefit Plans Assets 

Pension benefit plan assets are invested in several asset categories. The following presents the actual asset allocation as 
of December 31, 2018 and 2017: 

U.S. Plan 

Equity securities ................................................................................................................. 
Fixed income securities ...................................................................................................... 
Other .................................................................................................................................. 

Non-U.S. Plans 

Cash and cash equivalents .................................................................................................. 
Equity securities ................................................................................................................. 
Fixed income securities ...................................................................................................... 
Other .................................................................................................................................. 

2018 

2017 

52%   
47%   
1%   

5%   
20%   
69%   
6%   

60% 
30% 
10% 

9% 
23% 
66% 
2% 

The investment strategy underlying pension plan asset allocation is to manage the assets of the plan to provide for the 
non-current liabilities while maintaining sufficient liquidity to pay current benefits. Pension plan assets are diversified to 
protect against large investment losses and to reduce the probability of excessive performance volatility. Diversification 
of assets is achieved by allocating funds to various asset classes and investment styles within asset classes, and retaining 
investment management firm(s) with complementary investment philosophies, styles and approaches. 

The  Company’s  pension  plan  assets  are  managed  by  outside  investment  managers  using  a  total  return  investment 
approach, whereby a mix of equity and debt securities investments are used to maximize the long-term rate of return on 
plan  assets.  A  significant  portion  of  the  assets  of  the  U.S.  and  Ireland  pension  plans  have  been  invested  in  equity 
securities, as equity portfolios have historically provided higher returns than debt and other asset classes over extended 
time  horizons.  Correspondingly,  equity  investments  also  entail  greater  risks  than  other  investments.  Equity  risks  are 
balanced by investing a significant portion of plan assets in broadly diversified fixed income securities. 

Fair Value of Plan Assets 

The Company measured the fair value of plan assets based on the prices that would be received to sell an asset or paid to 
transfer  a  liability  in  an  orderly  transaction  between  market  participants  at  the  measurement  date.  See  Note  6,  “FAIR 
VALUE MEASUREMENTS” for details on the Company’s fair value measurements based on a three-tier hierarchy. 

The  table  below  presents  total  plan  assets  by  investment  category  as  of  December  31,  2018  and  2017  and  the 
classification of each investment category within the fair value hierarchy with respect to the inputs used to measure fair 
value. There were no transfers between Level 1 and Level 2 during the years ended December 31, 2018 and 2017. 

As of December 31, 2018 

As of December 31, 2017 

Pension Benefit Plans - U.S. Plans 

Quoted 
Prices in 
Active 
Markets for 
Identical 
Assets 
(Level 1) 

Significant 
Other 
Observable 
Inputs 
(Level 2) 

Significant 
Unobservable 
Inputs 
(Level 3) 

  Total 

Quoted 
Prices in 
Active 
Markets for 
Identical 
Assets 
(Level 1) 

Significant 
Other 
Observable 
Inputs 
(Level 2) 

2  $ 

—  $ 

—  $ 

2   $ 

—  $ 

—  $ 

Significant 
Unobservable 
Inputs 
(Level 3) 

  Total  
—  $  —  

(in millions) 
Cash and cash equivalents ......    $ 
Commingled funds: 
Equity securities: 

U.S. broad market ..........   
Emerging markets ..........   
Worldwide developed 

markets ......................   
Other assets ....................   

Fixed income securities: 

Investment grade ...........   

  $ 

— 
— 

— 
— 

— 
2  $ 

51 
13 

21 
13 

87 

185  $ 

— 
— 

— 
— 

51  
13  

21  
13  

— 
— 

— 
— 

— 
—  $  187   $ 

87  

— 
—  $ 

76 
19 

29 
20 

62 

206  $ 

— 
— 

— 
— 

76  
19  

29  
20  

— 
62  
—  $  206  

F-45 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
As of December 31, 2018 

As of December 31, 2017 

Pension Benefit Plans - Non-U.S. Plans 

Quoted 
Prices in 
Active 
Markets for 
Identical 
Assets 
(Level 1) 

Significant 
Other 
Observable 
Inputs 
(Level 2) 

Significant 
Unobservable 
Inputs 
(Level 3) 

  Total 

Quoted 
Prices in 
Active 
Markets for 
Identical 
Assets 
(Level 1) 

Significant 
Other 
Observable 
Inputs 
(Level 2) 

7  $ 

—  $ 

—   $ 

7   $ 

14  $ 

—  $ 

Significant 
Unobservable 
Inputs 
(Level 3) 

  Total  
—  $  14 

(in millions) 
Cash and cash equivalents ......   $ 
Commingled funds: 
Equity securities: 

Emerging markets ..........  
Worldwide developed 

markets ......................  

Fixed income securities: 

Investment grade ...........  
Global high yield ...........  
Government bond  

funds ..........................  
Other assets.............................  

  $ 

— 

— 

— 
— 

1 

29 

9 
2 

—  

—  

—  
—  

1  

29  

9  
2  

— 

— 

— 
— 

1 

35 

10 
4 

— 

— 

— 
— 

1 

35 

10 
4 

— 
— 
7  $ 

90 
9 
140  $ 

—  
—  
—   $  147   $ 

90  
9  

— 
— 
14  $ 

88 
3 
141  $ 

88 
— 
— 
3 
—  $  155 

Cash equivalents consisted primarily of term deposits and money market instruments. The fair value of the term deposits 
approximates their carrying amounts due to their short term maturities. The money market instruments also have short 
maturities and are valued using a market approach based on the quoted market prices of identical instruments. 

Commingled funds are not publicly traded. The underlying assets in these funds are publicly traded on the exchanges and 
have  readily  available  price  quotes.  The  Ireland  pension  plans  held  approximately  93%  and  92%  of  the  non-U.S. 
commingled funds in 2018 and 2017, respectively. The commingled funds held by the U.S. and Ireland pension plans are 
primarily invested in index funds. 

The underlying assets in the fixed income funds are generally valued using the net asset value per fund share, which is 
derived  using  a  market  approach  with  inputs  that  include  broker  quotes,  benchmark  yields,  base  spreads  and  reported 
trades. 

The  insurance  policies  held  by  the  postretirement  benefit  plan  consist  of  variable  life  insurance  contracts  whose  fair 
value is their cash surrender value. Cash surrender value is the amount currently payable by the insurance company upon 
surrender of the policy and is based principally on the net asset values of the underlying trust funds. The trust funds are 
commingled  funds  that  are  not  publicly  traded.  The  underlying  assets  in  these  funds  are  primarily  publicly  traded  on 
exchanges and have readily available price quotes. 

Defined Contribution Plans 

The  Company  sponsors  defined  contribution  plans  in  the  U.S.,  Ireland  and  certain  other  countries.  Under  these  plans, 
employees are allowed to contribute a portion of their salaries to the plans, and the Company matches a portion of the 
employee contributions. The Company contributed $36 million, $22 million and $28 million to these plans during the 
years ended December 31, 2018, 2017 and 2016, respectively. 

13.  SHARE-BASED COMPENSATION 

In May 2014, shareholders approved the Company’s 2014 Omnibus Incentive Plan (the “2014 Plan”) which replaced the 
Company’s  2011  Omnibus  Incentive  Plan  (the  “2011  Plan”)  for  future  equity  awards  granted  by  the  Company.  The 
Company  transferred  the  common  shares  available  under  the  2011  Plan  to  the  2014  Plan.  The  maximum  number  of 
common shares that may be issued to participants under the 2014 Plan is equal to 18,000,000 common shares, plus the 
number  of  common  shares  under  the  2011  Plan  reserved  but  unissued  and  not  underlying  outstanding  awards  and  the 
number of common shares becoming available for reuse after awards are terminated, forfeited, cancelled, exchanged or 
surrendered  under  the  2011  Plan  and  the  Company’s  2007  Equity  Compensation  Plan.  The  Company  registered 
20,000,000 common shares of common stock for issuance under the 2014 Plan. 

Effective April 30, 2018, the Company amended and restated the 2014 Plan (the “Amended and Restated 2014 Plan”). 
The Amended and Restated 2014 Plan includes the following amendments: (i) the number of common shares authorized 
for issuance under the Amended and Restated 2014 Plan has been increased by an additional 11,900,000 common shares, 
as approved by the requisite number of shareholders at the Company’s annual general meeting held on April 30, 2018, 

F-46 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
(ii) introduction of a $750,000 aggregate fair market value limit on awards (in either equity, cash or other compensation) 
that can be granted in any calendar year to a participant who is a non-employee director, (iii) housekeeping changes to 
address  recent  changes  to  Section  162(m)  of  the  Internal  Revenue  Code,  (iv)  awards  are  expressly  subject  to  the 
Company’s  clawback  policy  and  (v)  awards  not  assumed  or  substituted  in  connection  with  a  Change  of  Control  (as 
defined in the Amended and Restated 2014 Plan) will only vest on a pro rata basis. 

Approximately 14,423,000 common shares were available for future grants as of December 31, 2018. The Company uses 
reserved and unissued common shares to satisfy its obligation under its share-based compensation plans. 

The components and classification of share-based compensation expense related to stock options and RSUs for the years 
ended December 31, 2018, 2017 and 2016 were as follows:  

(in millions) 
Stock options ........................................................................................ 
RSUs ..................................................................................................... 
Share-based compensation expense ...................................................... 

Research and development expenses .................................................... 
Selling, general and administrative expenses ....................................... 
Share-based compensation expense ...................................................... 

2018 

2017 

2016 

$ 

$ 

$ 

$ 

23  
64  
87  

9  
78  
87  

$ 

$ 

$ 

$ 

18 
69 
87 

8 
79 
87 

$ 

$ 

$ 

$ 

16 
149 
165 

7 
158 
165 

During  2017,  the  Company  introduced  a  new  long-term  incentive  program  with  the  objective  of  realigning  the  share-
based  awards  granted  to  senior  management  with  the  Company’s  focus  on  improving  its  tangible  capital  usage  and 
allocation, while  maintaining  focus on  improving  total  shareholder  return  over  the  long-term.  The  share-based  awards 
granted under this long-term incentive program consist of time-based stock options, time-based RSUs and performance-
based  RSUs. Performance-based  RSUs  are comprised  of: (i) awards  that  vest upon  achievement  of  certain share  price 
appreciation conditions that are based on total shareholder return (“TSR”) and (ii) awards that vest upon attainment of 
certain performance targets that are based on the Company’s return on tangible capital (“ROTC”). 

The fair value of the ROTC performance-based RSUs is estimated based on the trading price of the Company’s common 
shares on the date of grant. Expense recognized for the ROTC performance-based RSUs in each reporting period reflects 
the Company’s latest estimate of the number of ROTC performance-based RSUs that are expected to vest. If the ROTC 
performance-based  RSUs  do  not  ultimately  vest  due  to  the  ROTC  targets  not  being  met,  no  compensation  expense  is 
recognized and any previously recognized compensation expense is reversed. 

In March 2016, the Company announced that its Board of Directors had initiated a search to identify a candidate for a 
new CEO to succeed the Company’s then current CEO, who would continue to serve in that role until his replacement 
was appointed. On May 2, 2016, the Company’s new CEO assumed the role, succeeding the Company’s former CEO. 
Pursuant to the terms of his employment agreement dated January 2015, the former CEO was entitled to certain share-
based awards and payments upon termination. Under his January 2015 employment agreement, the former CEO received 
performance-based  RSUs  that  vest  when  certain  market  conditions  (namely  total  shareholder  return)  are  met  at  the 
defined  dates,  provided  continuing  employment  through  those  dates.  Under  the  termination  provisions  of  his 
employment agreement, upon termination of the former CEO, the defined dates for meeting the market conditions of the 
performance-based RSUs were eliminated and, as a result, vesting was based solely on the attainment of the applicable 
level of total shareholder return through the date of termination and the resulting number of common shares, if any, to be 
awarded  to  the  former  CEO  was  determined  on  a  pro-rata  basis  for  service  provided  under  the  original  performance 
period, with credit given for an additional year of service. Because the total shareholder return at the time of the former 
CEO’s termination did not meet the performance threshold, no common shares were issued and no value was ultimately 
received  by  the  former  CEO  pursuant  to  this  performance-based  RSU  award.  However,  an  incremental  share-based 
compensation expense of $28 million was recognized in the six-month period ended June 30, 2016, which represents the 
additional  year  of  service  credit  consistent  with  the  grant  date  fair  value  calculated  using  a  Monte  Carlo  Simulation 
Model in the first quarter of 2015, notwithstanding the fact that no value was ultimately received by the former CEO. In 
addition  to  the  acceleration  of  his  performance-based  RSUs,  the  former  CEO  was  also  entitled  to  a  cash  severance 
payment  of  $9  million  and  a  pro-rata  annual  cash  bonus  of  approximately  $2  million  pursuant  to  his  employment 
agreement. The cash severance payments, the pro-rata cash bonus and the associated payroll taxes were also recognized 
as expense in the first quarter of 2016. 

F-47 

 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
The granted stock options, time-based RSUs and performance-based RSUs includes long-term incentive awards granted 
to the Company’s Chief Executive Officer (“CEO”) which had an aggregate value of $10 million. In connection with his 
award, approximately 933,000 performance-based RSUs received by the CEO upon his hire in 2016 were canceled, and 
the  shares  underlying  those  performance-based  RSUs  were  permanently  retired  and  are  not  available  for  future  grants 
under  the  2014  Plan.  The  CEO’s  long-term  incentive  award was  accounted for  as  an  award  modification whereby  the 
Company continues to recognize the unamortized compensation associated with the original award plus the incremental 
fair value of the new award measured at the date of grant, over the vesting period of the new award. 

Stock Options 

Stock  options  granted  under  the  2011  Plan  and  the  Amended  and  Restated  2014  Plan  generally  expire  on  the  fifth  or 
tenth anniversary of the grant date. The exercise price of any stock option granted under the 2011 Plan and the Amended 
and  Restated  2014  Plan  will  not  be  less  than  the  closing  price  per  common  share  preceding  the  date  of  grant.  Stock 
options generally vest 33% and 25% each year over a three-year and four-year period, respectively, on the anniversary of 
the date of grant. 

The fair values of all stock options granted for the years ended December 31, 2018, 2017 and 2016 were estimated as of 
the date of grant using the Black-Scholes option-pricing model with the following weighted-average assumptions:  

Expected stock option life (years) ....................................................... 
Expected volatility ............................................................................... 
Risk-free interest rate ........................................................................... 
Expected dividend yield ...................................................................... 

2018 

2017 

2016 

3.0 
54.0% 
2.7% 
—% 

3.0 
67.3% 
1.8% 
—% 

3.3 
75.0% 
1.1% 
—% 

The  expected  stock  option  life  was  determined  based  on  historical  exercise  and  forfeiture  patterns.  The  expected 
volatility was determined based on implied volatility in the market traded options of the Company’s common stock. The 
risk-free interest rate was determined based on the rate at the time of grant for zero-coupon U.S. or Canadian government 
bonds with  maturity  dates  equal  to  the  expected  life  of  the  stock option.  The  expected  dividend  yield was  determined 
based on the stock option’s exercise price and expected annual dividend rate at the time of grant. 

The  Black-Scholes  option-pricing  model  used  by  the  Company  to  calculate  stock  option  values  was  developed  to 
estimate  the  fair  value  of  freely  tradeable,  fully  transferable  stock  options  without  vesting  restrictions,  which 
significantly  differ  from  the  Company’s  stock option  awards.  This  model  also  requires  highly  subjective  assumptions, 
including future stock price volatility and expected time until exercise, which greatly affect the calculated values. 

The following table summarizes stock option activity during 2018:  

(in millions, except per share amounts) 
Outstanding, January 1, 2018 ..................................  
Granted ....................................................................  
Exercised .................................................................  
Expired or forfeited .................................................  
Outstanding, December 31, 2018 ............................  
Vested and expected to vest, December 31, 2018 ...  
Vested and exercisable, December 31, 2018 ...........  

Weighted- 
Average 
Exercise 
Price Per 
Share 

Weighted- 
Average 
Remaining 
Contractual 
Term 
(Years) 

Aggregate 
Intrinsic 
Value 

  Options 

$ 
4.5 
2.1 
$ 
(0.2)  $ 
(0.5)  $ 
$ 
5.9 
$ 
5.5 
$ 
2.2 

34.65 
15.52 
16.73 
37.47 
27.88 
28.61 
43.85 

7.9  
7.9  
6.8  

$ 
$ 
$ 

11 
10 
2 

The  weighted-average  fair  values  of  all  stock  options  granted  in  2018,  2017  and  2016  were  $7.83,  $5.97  and  $14.50, 
respectively. The total intrinsic values of stock options exercised in 2018, 2017 and 2016 were $1 million, $1 million and 
$65 million, respectively. Proceeds received on the exercise of stock options in 2018, 2017 and 2016 were $2 million, $1 
million and $33 million, respectively. 

F-48 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
As of December 31, 2018, the total remaining unrecognized compensation expense related to non-vested stock options 
amounted  to  $18  million,  which  will  be  amortized  over  the  weighted-average  remaining  requisite  service  period  of 
approximately  1.5  years.  The  total  fair  value  of  stock  options  vested  in  2018,  2017  and  2016  were  $17  million,  $20 
million and $26 million, respectively. 

RSUs 

RSUs generally vest either on the third anniversary date from the date of grant or 33% a year over a three-year period. 
Annual RSUs granted to non-management directors vest immediately prior to the next Annual Meeting of Shareholders. 
Pursuant to the applicable unit agreement, certain RSUs may be subject to the attainment of any applicable performance 
goals specified by the Board of Directors. If the vesting of the RSUs is conditional upon the attainment of performance 
goals, any RSUs that do not vest as a result of a determination that the prescribed performance goals failed to be attained 
will  be  forfeited  immediately  upon  such  determination.  RSUs  are  credited  with  dividend  equivalents,  in  the  form  of 
additional RSUs, when dividends are paid on the Company’s common shares. Such additional RSUs will have the same 
vesting dates and will vest under the same terms as the RSUs in respect of which such additional RSUs are credited. 

To  the  extent  provided  for  in  a  RSU  agreement,  the  Company  may,  in  lieu  of  all  or  a  portion  of  the  common  shares 
which  would  otherwise  be  provided  to  a  holder,  elect  to  pay  a  cash  amount  equivalent  to  the  market  price  of  the 
Company’s common shares on the vesting date for each vested RSU. The amount of cash payment will be determined 
based on the average market price of the Company’s common shares on the vesting date. The Company’s current intent 
is to settle vested RSUs through the issuance of common shares. 

Time-Based RSUs 

Each vested time-based RSU represents the right of a holder to receive one of the Company’s common shares. The fair 
value of each RSU granted is estimated based on the trading price of the Company’s common shares on the date of grant. 

The following table summarizes non-vested time-based RSU activity during 2018:  

(in millions, except per share amounts) 
Non-vested, January 1, 2018 ..............................................................................    
Granted ...............................................................................................................    
Vested .................................................................................................................    
Forfeited .............................................................................................................    
Non-vested, December 31, 2018 ........................................................................    

Weihted-
Avergage 
Grant-Date 
Fair Value Per 
Share 

Time-Based 
RSUs 

$ 
4.7  
3.0  
$ 
(1.5 )  $ 
(0.4 )  $ 
$ 
5.8  

19.09 
17.59 
20.19 
16.48 
18.29 

As  of  December  31,  2018,  the  total  remaining  unrecognized  compensation  expense  related  to  non-vested  time-based 
RSUs amounted to $47 million, which will be amortized over the weighted-average remaining requisite service period of 
approximately 1.8 years. The total fair value of time-based RSUs vested in 2018, 2017 and 2016 were $30 million, $58 
million and $43 million, respectively. 

Performance-Based RSUs 

Each  vested  performance-based  RSU  represents  the  right  of  a  holder  to  receive  a  number  of  the  Company’s  common 
shares up to a specified maximum. Performance-based RSUs vest upon achievement of certain share price appreciation 
conditions or attainment of certain performance targets. If the Company’s performance is below a specified performance 
level, no common shares will be paid. 

The fair value of each performance-based RSU granted during 2018, 2017 and 2016 was estimated using a Monte Carlo 
Simulation model, which utilizes multiple input variables to estimate the probability that the performance condition will 
be achieved. The fair values of performance-based RSUs granted during 2018, 2017 and 2016 were estimated with the 
following assumptions: 

2018 

2017 

2016 

Contractual term (years) ............................................................... 
Expected Company share volatility .............................................. 
Risk-free interest rate .................................................................... 

F-49 

3.0 

3.0 
54.2%    67.2% - 77.2%    78.2% - 81.4% 
1.0% - 1.2% 

1.7% - 1.8%   

3.0 - 4.0 

2.7%   

 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
The  expected  company  share  volatility  was  determined  based  on  historical  volatility  over  the  contractual  term  of  the 
performance-based RSU. The risk-free interest rate was determined based on the rate at the time of grant for zero-coupon 
U.S. government bonds with maturity dates equal to the contractual term of the performance-based RSUs. 

The following table summarizes non-vested performance-based RSU activity during 2018:  

(in millions, except per share amounts) 
Non-vested, January 1, 2018 ............................................................................ 
Granted ............................................................................................................. 
Vested ............................................................................................................... 
Forfeited ........................................................................................................... 
Non-vested, December 31, 2018 ...................................................................... 

Performance- 
based 
RSUs 

Weighted- 
Average 
Grant-Date 
Fair Value Per 
Share 

$ 
1.8 
0.9 
$ 
(0.1)  $ 
(1.1)  $ 
$ 
1.5 

48.55 
24.44 
247.04 
39.63 
34.06 

During  2018,  the  Company  granted  approximately  878,000  performance-based  RSUs,  consisting  of  approximately 
469,000  units  of  TSR  performance-based  RSUs  with  an  average  grant  date  fair  value  of  $29.35  per  RSU  and 
approximately 409,000 units of ROTC performance-based RSUs with a weighted-average grant date fair value of $18.80 
per RSU. 

As of December 31, 2018, the total remaining unrecognized compensation expense related to non-vested performance-
based  RSUs  amounted  to $24  million,  which will  be  amortized over  the  weighted-average  remaining requisite  service 
period  of  approximately  1.7  years.  A  maximum  of  2,860,510  common  shares  could  be  issued  upon  vesting  of  the 
performance-based RSUs outstanding as of December 31, 2018. 

14.  ACCUMULATED OTHER COMPREHENSIVE LOSS 

Accumulated other comprehensive loss as of December 31, 2018 and 2017 consists of:  

(in millions) 
Foreign currency translation adjustment ............................................................................ 
Pension adjustment, net of tax ........................................................................................... 

2018 

2017 

$ 

$ 

(2,111)  $ 
(26) 
(2,137)  $ 

(1,877) 
(19) 
(1,896) 

Income taxes are not provided for foreign currency translation adjustments arising on the translation of the Company’s 
operations having a functional currency other than the U.S. dollar, except to the extent of translation adjustments related 
to the Company’s retained earnings for foreign jurisdictions in which the Company is not considered to be permanently 
reinvested. 

15.  RESEARCH AND DEVELOPMENT 

Included in Research and development are costs related to product development and quality assurance programs. Quality 
assurance are the costs incurred to meet evolving customer and regulatory standards. Research and development costs for 
the years ended December 31, 2018, 2017 and 2016 consist of: 

(in millions) 
Product related research and development ................................................. 
Quality assurance ........................................................................................ 
Research and development ......................................................................... 

$ 

$ 

2018 

2017 

2016 

376 
37 
413 

$ 

$ 

328  
33  
361  

$ 

$ 

385 
36 
421 

F-50 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
16.  OTHER (INCOME) EXPENSE, NET 

Other (income) expense, net for the years ended December 31, 2018, 2017 and 2016 were as follows: 

(in millions) 
Gain on the Skincare Sale ........................................................................... 
Gain on the iNova Sale ............................................................................... 
Gain on the Dendreon Sale ......................................................................... 
Loss on the Sprout Sale .............................................................................. 
Net loss (gain) on other sales of assets ....................................................... 
Litigation and other matters ........................................................................ 
Other, net .................................................................................................... 
Other (income) expense, net ....................................................................... 

$ 

$ 

2018 

2017 

2016 

$ 

— 
— 
— 
— 
6 
(27) 
— 
(21)  $ 

(309 )  $ 
(309 ) 
(97 ) 
98  
37  
226  
1  
(353 )  $ 

— 
— 
— 
— 
(6) 
59 
20 
73 

In 2018, Litigation and other matters includes a favorable adjustment of $40 million related to the Salix SEC litigation. 
In 2017, Litigation and other matters includes: (i) $96 million related to the settlement of the Allergan shareholder class 
actions, (ii) $93 million related to the settlement of the Solodyn® antitrust class actions litigation and (iii) $20 million 
related to the Mimetogen Pharmaceuticals litigation. In 2016, Litigation and other matters includes: (i) an unfavorable 
adjustment  of  $90  million  from  the  settlement  of  the  Salix  securities  litigation  and  (ii)  a  favorable  adjustment  of  $39 
million  from  the  settlement  of  the  investigation  into  Salix’s  pre-acquisition  sales  and  promotional  practices  for  the 
Xifaxan®, Relistor® and Apriso® products. See Note 20, “LEGAL PROCEEDINGS” for additional information. 

17.  INCOME TAXES 

The  components  of  Loss  before  benefit  from  income  taxes  for  the  years  ended  December  31,  2018,  2017  and  2016 
consist of:  

(in millions) 
Domestic ..................................................................................................... 
Foreign ........................................................................................................ 

2018 

2017 

2016 

$ 

$ 

(1,475)  $ 
(2,679) 
(4,154)  $ 

(2,032)  $ 
291 
(1,741)  $ 

(1,804) 
(631) 
(2,435) 

The components of Benefit from income taxes for the years ended December 31, 2018, 2017 and 2016 consist of:  

(in millions) 
Current: 

2018 

2017 

2016 

Domestic ................................................................................................. 
Foreign .................................................................................................... 

$ 

$ 

— 
(327) 
(327) 

(20)  $ 
(146) 
(166) 

Deferred: 

Domestic .............................................................................................. 
Foreign ................................................................................................. 

17 
320 
337 
10 

$ 

(2) 
4,313 
4,311 
4,145 

$ 

$ 

— 
(241) 
(241) 

— 
268 
268 
27 

F-51 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The  Benefit  from  income  taxes  differs  from  the  expected  amount  calculated  by  applying  the  Company’s  Canadian 
statutory rate of 26.9% to Loss before benefit from income taxes for the years ended December 31, 2018, 2017 and 2016 
as follows: 

(in millions) 
Loss before benefit from income taxes ....................................................... 
Benefit from income taxes 

Expected benefit from income taxes at Canadian statutory rate .............. 
Non-deductible amount of share-based compensation ............................ 
Adjustments to tax attributes ................................................................... 
Impact of changes in enacted income tax rates ....................................... 
Canadian tax impact of foreign exchange gain or loss on U.S. dollar 

denominated debt held by BHC and its Canadian Affiliates ............... 

Change in valuation allowance related to foreign tax credits  

and NOLs ............................................................................................. 

Change in valuation allowance on Canadian deferred tax assets  

and tax rate changes ............................................................................. 
Change in uncertain tax positions ........................................................... 
Foreign tax rate differences ..................................................................... 
Goodwill impairment .............................................................................. 
Tax differences on divestitures of businesses ......................................... 
Tax benefit on intra-entity transfers ........................................................ 
Other ....................................................................................................... 

$ 

$ 

$ 

Deferred tax assets and liabilities as of December 31, 2018 and 2017 consist of:  

(in millions) 
Deferred tax assets: 

Tax loss carryforwards .................................................................................................... 
Provisions ........................................................................................................................ 
Research and development tax credits ............................................................................ 
Scientific Research and Experimental Development pool .............................................. 
Tax credit carryforwards ................................................................................................. 
Deferred revenue ............................................................................................................. 
Unrealized FX on U.S. dollar debt and other financing cost ........................................... 
Prepaid expenses ............................................................................................................. 
Share-based compensation .............................................................................................. 
Total deferred tax assets .................................................................................................. 
Less valuation allowance ................................................................................................ 
Net deferred tax assets .................................................................................................... 

2018 

2017 

2016 

(4,154)  $ 

(1,741)  $ 

(2,435) 

468 
(37) 
(242) 
747 

157 

139 

(517) 
(65) 
933 
(139) 
203 
2,480 
18 
4,145 

$ 

$ 

655 
(30) 
147 
— 

(11) 

(155) 

(472) 
(10) 
(101) 
(377) 
— 
399 
(18) 
27 

2018 

2017 

$ 

1,117 
(10) 
(4) 
— 

(8) 

(3) 

(867) 
(47) 
(3) 
(488) 
— 
356 
(33) 
10 

$ 

$ 

$ 

2,886  
519  
143  
52  
46  
4  
262  
44  
24  
3,980  
(2,913 ) 
1,067  

2,485 
589 
140 
57 
59 
11 
61 
— 
22 
3,424 
(2,001) 
1,423 

2,014 
18 
28 
35 
75 
2,170 
(747) 

Deferred tax liabilities: 

Intangible assets .............................................................................................................. 
Plant, equipment and technology .................................................................................... 
Outside basis differences ................................................................................................. 
Prepaid expenses ............................................................................................................. 
Other ............................................................................................................................... 
Total deferred tax liabilities ............................................................................................ 
Net deferred tax asset (liability) ......................................................................................... 

$ 

163  
55  
29  
—  
29  
276  
791  

$ 

On December 22, 2017, the Tax Act was signed into law and includes a number of changes in the U.S. tax law, most 
notably a reduction of the U.S. corporate income tax rate from 35% to 21% for tax years beginning after December 31, 
2017.  The  Tax  Act  also  implements  a  modified  territorial  tax  system  that  includes  a  one-time  transition  tax  on  the 
accumulated previously untaxed earnings of foreign subsidiaries (the “Transition Toll Tax”) equal to 15.5% (reinvested 
in liquid assets) or 8% (reinvested in non-liquid assets). At the taxpayer’s election, the Transition Toll Tax can be paid 
over an eight-year period without interest, starting in 2018. The Company elected not to use this option and instead used 
a portion of its U.S. net operating losses (“NOLs”) to offset this income inclusion. 

F-52 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
The Tax Act also includes two new U.S. tax base erosion provisions: (i) the base-erosion and anti-abuse tax (“BEAT”) 
and  (ii)  the  global  intangible  low-taxed  income  (“GILTI”).  BEAT  provides  a  minimum  tax  on  U.S.  tax  deductible 
payments made to related foreign parties after December 31, 2017. GILTI requires an entity to include in its U.S. taxable 
income the earnings of its foreign subsidiaries in excess of an allowable return on each foreign subsidiary’s depreciable 
tangible assets. Accounting guidance provides that the impacts of GILTI can be included in the consolidated financial 
statements either by recording the impacts in the period in which GILTI has been incurred or by adjusting deferred tax 
assets or liabilities in the period of enactment related to basis differences expected to reverse as a result of the GILTI 
provisions in future years. The Company has elected to provide for the GILTI tax in the period in which it is incurred 
and, therefore, the 2017 benefit for income taxes did not include a provision for GILTI. The tax expense in 2018 includes 
the effects of the Tax Act including both GILTI and BEAT. 

As  part  of  the  Tax  Act,  the  Company’s  U.S.  interest  expense  is  subject  to  limitation  rules  which  limit  U.S.  interest 
expense to 30% of adjusted taxable income, defined similar to EBITDA through 2021 and EBIT thereafter. Disallowed 
interest can be carried forward indefinitely and any unused interest deduction assessed for recoverability. The Company 
considered such provisions in 2018 and expects to fully utilize any interest carry forwards in future periods. 

For the year ended December 31, 2017, the Company provided for income taxes, including the impacts of the Tax Act, in 
accordance  with  the  accounting  guidance  issued  through  the  date  of  issuance  of  its  audited  Consolidated  Financial 
Statements. In accordance with that accounting guidance, the Company had provisionally provided for the income tax 
effects of the Tax Act as of December 31, 2017. The Company’s Benefit from income taxes for the year 2017 included 
provisional net tax benefits of $975 million attributable to the Tax Act which included: (i) the re-measurement of certain 
deferred tax assets and liabilities based on the rates at which they are expected to reverse in the future of $774 million, 
(ii)  the  one-time  Transition Toll  Tax of $88  million  and  (iii)  the  decrease  in  deferred tax  assets  attributable  to  certain 
legal accruals, the deductibility of which is uncertain for U.S. federal income tax purposes, of $10 million. The Company 
has utilized NOLs to offset the provisionally determined $88 million Transition Toll Tax and therefore no amount was 
recorded  as  payable.  The  Company  had  previously  provided  for  residual  U.S.  federal  income  tax  on  its  outside  basis 
differences  in  certain  foreign  subsidiaries  which,  due  to  the  Tax  Act,  are  no  longer  taxable.  As  such,  the  Company’s 
residual  U.S.  federal  income  tax  liability  of  $299  million  prior  to  the  law  change  was  reversed  and  the  Company 
recognized a deferred tax benefit of $299 million in the fourth quarter of 2017. 

The  provisional  amounts  included  in  the  Company’s  Benefit  from  income  taxes  for  the  year  2017,  including  the 
Transition  Toll  Tax, were finalized  during  the  three  months  ended  December  31, 2018.  In finalizing  the  Benefit  from 
income taxes for the year 2017, the Company considered the guidance issued by accounting regulatory bodies, the U.S. 
Internal Revenue Service, state and local governments, and the proposed regulations regarding the one-time Transition 
Toll Tax on the pre-2018 earnings of certain non-U.S. subsidiaries issued by the U.S. Treasury Department on August 1, 
2018. As part of its full assessment, the Company also assessed the impact of the Tax Act on the Company’s tax filings 
for the year 2017. Differences between the provisional net income tax benefits provided in 2017 attributable to the Tax 
Act of $975 million, as previously disclosed, and the benefit for income taxes as finalized are included in the Benefit 
from income taxes for the year ended December 31, 2018 and were not material to the Company’s financial results for 
the  year  ended  December  31,  2018.  Although  the  Company  has  completed  its  full  assessment  and  finalized  its 
accounting for the impact of the Tax Act, the Company will monitor guidance issued in the future and assess the impact, 
if any, on the amounts provided. 

The Company has provided for income taxes, including the impacts of the Tax Act, in accordance with guidance issued 
by accounting regulatory bodies, the U.S. Internal Revenue Service and state and local governments through the date of 
the  issuance  of  these  Consolidated  Financial  Statements.  Additional  guidance  and  interpretations  can  be  expected  and 
such guidance, if any, could impact future results. While management continues to monitor these matters, the ultimate 
impact, if any, as a result of the application of any guidance issued in the future cannot be determined at this time. 

On December 21, 2018, the U.S. Treasury Department released proposed regulations under the new dividend received 
deduction  and  anti-hybrid  rules.  The  Company  has  evaluated  the  proposed  regulations,  the  impact  of  which  was  not 
material and has been included in the Benefit from income taxes. 

On  September  5,  2018,  Ireland’s  Minister  for  Finance  and  Public  Expenditure  and  Reform  published  Ireland’s 
Corporation  Tax  Roadmap  incorporating  implementation  of  the  European  Union  Anti-Tax  Avoidance  Directives.  The 
regulations have no impact for 2018 and the Company is in the process of evaluating these proposals and the impacts on 
its future financial results. 

F-53 

In 2017, the Company liquidated its top U.S. subsidiary (Biovail Americas Corp.) in a taxable transaction that resulted in 
a taxable loss which was of a character that offset certain gains from internal restructurings and third-party divestitures, 
the excess of which was, under U.S. tax law, able to be carried back to offset previously recognized gains in 2016, 2015 
and  2014.  This  carryback  resulted  in  an  increase  in  the  deferred  tax  asset  for  NOLs  previously  utilized  against  such 
gains. In connection with this taxable transaction, the Company recognized a net income tax benefit of approximately 
$400 million primarily related to the carryback of losses and reversed a previously established deferred tax liability of 
approximately $1,900 million. 

The realization of deferred tax assets is dependent on the Company generating sufficient domestic and foreign taxable 
income in the years that the temporary differences become deductible. A valuation allowance has been provided for the 
portion of  the deferred  tax  assets  that  the  Company  determined is  more  likely  than not  to remain  unrealized based  on 
estimated  future  taxable  income  and  tax  planning  strategies.  As  a  result  of  taxable  losses  in  Canada  and  deferred  tax 
assets generated in conjunction with internal restructurings, the valuation allowance increased by $912 million and $144 
million  during  the  years  ended  December  31,  2018  and  2017,  respectively.  Given  the  Company’s  history  of  pre-tax 
losses and expected future losses in Canada, the Company maintained that there was insufficient objective evidence to 
release the valuation allowance against Canadian tax loss carryforwards, International Tax Credits (“ITC”) and pooled 
Scientific Research and Experimental Development Tax Incentive (“SR&ED”) expenditures. 

As  of  December  31,  2018  and  2017,  the  Company  had  accumulated  taxable  losses  available  to  offset  future  years’ 
federal and provincial taxable income in Canada of approximately $5,655 million and $5,047 million, respectively. As of 
December 31, 2018 and 2017, unclaimed ITCs available to offset future federal taxes in Canada were approximately $34 
million  and  $37  million,  respectively,  which  expire  in  the  years  2019  through  2036.  In  addition,  as  of  December  31, 
2018  and  2017,  pooled  SR&ED  expenditures  available  to  offset  against  future  taxable  income  in  Canada  were 
approximately $192 million and $210 million, respectively, which may be carried forward indefinitely. As of December 
31, 2018 and 2017, a full valuation allowance against the net Canadian deferred tax assets has been provided of $2,470 
million and $1,576 million, respectively. 

As  of  December  31,  2018  and  2017,  the  Company  had  accumulated  taxable  losses  available  to  offset  future  years’ 
federal taxable income in the U.S. of approximately $1,552 million and $1,703 million, respectively, including acquired 
losses which expire in the years 2021 through 2037. While the remaining taxable losses are subject to multiple annual 
loss limitations as a result of previous ownership changes, the Company believes that the recoverability of the deferred 
tax assets associated with these taxable losses are more likely than not to be realized. As of December 31, 2018 and 2017 
U.S.  research  and  development  credits  available  to  offset  future  years’  federal  income  taxes  in  the  U.S.  were 
approximately $97 million and $95 million, respectively, which includes acquired research and development credits and 
which expire in the years 2021 through 2038. The Company intends to amend prior U.S. tax filings in order to deduct 
foreign taxes rather than take a foreign tax credit. Therefore, during 2017, the Company reversed the deferred tax asset 
and associated valuation allowance of approximately $342 million in U.S. foreign tax credits, including acquired U.S. 
foreign  tax  credits.  The  Company  recorded  a  deferred  tax  benefit  of  $84  million  for  such  deduction  and  adjusted  its 
expected NOL carryforward accordingly. In conjunction with the Sprout Sale in 2017, the Company recognized a capital 
loss and established a valuation allowance on the portion of the loss for which a benefit is not expected to be realized. 

The Company provides for Canadian tax on the unremitted earnings of its direct foreign affiliates except for its direct 
U.S.  subsidiaries.  The  Company  continues  to  assert  that  the  unremitted  earnings  of  its  U.S.  subsidiaries  will  be 
permanently reinvested and not repatriated to Canada. As of December 31, 2018, the Company estimates there will be no 
Canadian tax liability attributable to the permanently reinvested U.S. earnings. 

As of December 31, 2018 and 2017, unrecognized tax benefits (including interest and penalties) were $654 million and 
$598 million, of which $345 million and $273 million would affect the effective income tax rate, respectively. In 2018 
and 2017, the remaining unrecognized tax benefits would not impact the effective tax rate as the tax positions are offset 
against  existing  tax  attributes  or  are  timing  in  nature.  In  2018  and  2017,  the  Company  recognized  net  increases  to 
unrecognized tax benefits for current year tax positions of $18 million and $147 million, respectively. In 2018 and 2017, 
the Company recognized net increases to unrecognized tax benefits related to tax positions taken in the prior years of $38 
million and $28 million, respectively. 

The Company provides for interest and penalties related to unrecognized tax benefits in the provision for income taxes. 
As  of  December  31,  2018  and  2017,  accrued  interest  and  penalties  related  to  unrecognized  tax  benefits  were 
approximately $42 million and $41 million. In 2018 and 2017, the Company recognized an increase of approximately $1 
million and $2 million of interest and penalties, respectively. 

F-54 

The Company and one or more of its subsidiaries file federal income tax returns in Canada, the U.S., and other foreign 
jurisdictions, as well as various provinces and states in Canada and the U.S. The Company and its subsidiaries have open 
tax years, primarily from 2005 to 2017, with significant taxing jurisdictions, respectively, including Canada and the U.S. 
These  open  years  contain  certain  matters  that  could  be  subject  to  differing  interpretations  of  applicable  tax  laws  and 
regulations  and  tax  treaties,  as  they  relate  to  the  amount,  timing,  or  inclusion  of  revenues  and  expenses,  or  the 
sustainability  of  income  tax  positions  of  the  Company  and  its  subsidiaries.  Certain  of  these  tax  years  are  expected  to 
remain open indefinitely. 

Jurisdiction: 
United States - Federal ....................................................................................................................... 
Canada ................................................................................................................................................ 
Germany ............................................................................................................................................. 
France ................................................................................................................................................. 
China .................................................................................................................................................. 
Ireland ................................................................................................................................................. 
Netherlands ......................................................................................................................................... 
Australia ............................................................................................................................................. 

Open Years 
2014 - 2017   
2005 - 2017   
2013 - 2017   
2013 - 2017   
2015 - 2017   
2013 - 2017   
2015 - 2017   
2011 - 2017   

The Internal Revenue Service completed its examinations of the Company’s U.S. consolidated federal income tax returns 
for the years 2013 and 2014. There were no material adjustments to the Company’s taxable income as a result of these 
examinations. The 2014 tax year remains open to the extent of a 2017 capital loss carried back to that year. Additionally, 
the Internal Revenue Service has selected for examination the Company’s annual tax filings for 2015 and 2016 and the 
Company’s short period tax return for the period ended September 8, 2017, which was filed as a result of the Company’s 
internal restructuring efforts during 2017. At this time, the Company does not expect that proposed adjustments, if any, 
for these periods would be material to the Company’s Consolidated Financial Statements. 

The Company is currently under examination by the Canada Revenue Agency for three separate cycles: (a) years 2005 
through 2006, (b) years 2007 through 2009 and (c) years 2012 through 2013. The Company received from the Canada 
Revenue  Agency  a  proposed  audit  adjustment  for  the  years  2005  through  2009.  The  Company  disagrees  with  the 
adjustments and has filed the respective Notices of Objection. The total proposed adjustment will result in a loss of tax 
attributes  which  are  subject  to  a  full  valuation  allowance  and  will  not  result  in  material  change  to  the  provision  for 
income taxes. The Canada Revenue Agency audits of the 2010 and 2011 tax years were closed in 2016, and resulted in 
no material adjustments. The Company received an assessment for certain transfer pricing matters in 2012 for CAD 88 
million. The Company disagrees the adjustments and will file a Notice of Objection. Of the total proposed adjustment, 
all but CAD 2 million will result in a loss of tax attributes which are subject to a full valuation allowance and will not 
result in a material change to the provision for income taxes. 

The Company’s subsidiaries in Germany are under audit for tax years 2014 through 2016. At this time, the Company 
does  not  expect  that  proposed  adjustments,  if  any,  would  be  material  to  the  Company’s  Consolidated  Financial 
Statements. 

The  Company’s  subsidiaries  in  Australia  are  under  audit  by  the  Australian  Tax  Office  for  various  years  beginning  in 
2010. On August 8, 2017, the Australian Taxation Office issued a notice of assessment for the tax years 2011 through 
2017 in the aggregate amount of $117 million, which includes penalties and interest. The Company disagrees with the 
assessment and continues to believe that its tax positions are appropriate and supported by the facts, circumstances and 
applicable  laws.  The  Company  intends  to  defend  its  tax  position  in  this  matter  vigorously  and  has  filed  a  holding 
objection  against  the  assessment  by  the  Australian  Taxation  Office  and  has  secured  a  bank  guarantee  to  cover  any 
potential cash outlays regarding this assessment. As of December 31, 2017, Restricted cash of $77 million was deposited 
with a bank as collateral to secure a bank guarantee for the benefit of the Australian Government. On January 9, 2018, 
the cash collateral of $77 million of Restricted cash was returned to the Company in exchange for a $77 million letter of 
credit. 

The Company’s U.S. affiliates remain under examination for various state tax audits in the U.S. for years 2012 through 
2017. 

Certain  affiliates  of  the  Company  in  regions  outside  of  Canada,  the  U.S.,  Germany  and  Australia  are  currently  under 
examination  by  relevant  taxing  authorities,  and  all  necessary  accruals  have  been  recorded,  including  uncertain  tax 
benefits.  At  this  time,  the  Company  does  not  expect  that  proposed  adjustments,  if  any,  would  be  material  to  the 
Company’s Consolidated Financial Statements. 

F-55 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table presents a reconciliation of the unrecognized tax benefits for 2018, 2017 and 2016:  

(in millions) 
Balance, beginning of year ........................................................................ 
Additions based on tax positions related to the current year ..................... 
Additions for tax positions of prior years .................................................. 
Reductions for tax positions of prior years ................................................ 
Lapse of statute of limitations .................................................................... 
Balance, end of year .................................................................................. 

$ 

$ 

2018 

2017 

2016 

598 
18 
55 
(11) 
(6) 
654 

$ 

$ 

423 
145 
57 
(18) 
(9) 
598 

$ 

$ 

344 
16 
96 
(20) 
(13) 
423 

The Company estimates that unrecognized tax benefits realized during the next 12 months will not be material. 

On  February  15,  2019,  the  Company  received  a  ruling  from  the  Polish  tax  authorities  confirming  the  deductibility  of 
royalties paid to certain Canadian subsidiaries. In connection with this ruling, the Company expects to recognize a tax 
benefit and will reduce its uncertain tax benefit liability for the full amount of the previously recorded liability for this 
matter of $32 million during the quarter ending March 31, 2019. 

18.  (LOSS) EARNINGS PER SHARE 

(Loss)  earnings  per  share  attributable  to  Bausch  Health  Companies  Inc.  for  2018,  2017  and  2016  were  calculated  as 
follows:  

(in millions, except per share amounts) 
Net (loss) income attributable to Bausch Health Companies Inc. .............. 

2018 

2017 

2016 

$ 

(4,148)  $ 

2,404 

$ 

(2,409) 

Basic weighted-average number of common shares outstanding ............... 
Dilutive effect of stock options, RSUs and other ....................................... 
Diluted weighted-average number of common shares outstanding ............ 

351.3 
— 
351.3 

350.2 
1.6 
351.8 

347.3 
— 
347.3 

(Loss) earnings per share attributable to Bausch Health Companies Inc. 

Basic ........................................................................................................ 
Diluted ..................................................................................................... 

$ 
$ 

(11.81)  $ 
(11.81)  $ 

6.86 
6.83 

$ 
$ 

(6.94) 
(6.94) 

In 2018 and 2016, all potential common shares issuable for stock options and RSUs were excluded from the calculation 
of diluted loss per share, as the effect of including them would have been anti-dilutive. The dilutive effect of potential 
common  shares  issuable  for  stock  options  and  RSUs  on  the  weighted-average  number  of  common  shares  outstanding 
would have been approximately 3,763,000 and 2,795,000 common shares for 2018 and 2016, respectively. 

Additionally,  in  2018,  2017  and  2016,  stock  options,  time-based  RSUs  and  performance-based  RSUs  to  purchase 
approximately 4,185,000, 7,050,000 and 7,825,000 common shares of the Company, respectively, were not included in 
the computation of diluted earnings per share because the effect would have been anti-dilutive under the treasury stock 
method. 

19.  SUPPLEMENTAL CASH FLOW DISCLOSURES 

The Supplemental cash flow disclosures for 2018, 2017 and 2016 were as follows:  

(in millions) 
Other Payments 

2018 

2017 

2016 

Interest paid ............................................................................................. 
Income taxes paid .................................................................................... 

$ 
$ 

1,665  
138  

$ 
$ 

1,708 
179 

$ 
$ 

1,718 
149 

20.  LEGAL PROCEEDINGS 

From  time  to  time,  the  Company  becomes  involved  in  various  legal  and  administrative  proceedings,  which  include 
product  liability,  intellectual  property,  commercial,  tax,  antitrust,  governmental  and  regulatory  investigations,  related 
private litigation and ordinary course employment-related issues. From time to time, the Company also initiates actions 
or  files  counterclaims.  The  Company  could  be  subject  to  counterclaims  or  other  suits  in  response  to  actions  it  may 
initiate.  The  Company  believes  that  the  prosecution  of  these  actions  and  counterclaims  is  important  to  preserve  and 
protect the Company, its reputation and its assets. Certain of these proceedings and actions are described below. 

F-56 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
  
 
 
 
 
On a quarterly basis, the Company evaluates developments in legal proceedings, potential settlements and other matters 
that  could  increase  or  decrease  the  amount  of  the  liability  accrued.  As  of  December  31,  2018,  the  Company’s 
Consolidated Balance Sheets includes accrued current loss contingencies of $11 million related to matters which are both 
probable  and  reasonably  estimable.  For  all  other  matters,  unless  otherwise  indicated,  the  Company  cannot  reasonably 
predict the outcome of these legal proceedings, nor can it estimate the amount of loss, or range of loss, if any, that may 
result from these proceedings. An adverse outcome in certain of these proceedings could have a material adverse effect 
on  the  Company’s  business,  financial  condition  and  results  of  operations,  and  could  cause  the  market  value  of  its 
common shares and/or debt securities to decline. 

Governmental and Regulatory Inquiries 

Investigation by the U.S. Attorney’s Office for the District of Massachusetts 

In October 2015, the Company received a subpoena from the U.S. Attorney’s Office for the District of Massachusetts, 
and, in June 2016, the Company received a follow-up subpoena. The materials requested, pursuant to the subpoenas and 
follow-up requests, include documents and witness interviews with respect to the Company’s patient assistance programs 
and  contributions  to  patient  assistance  organizations  that  provide  financial  assistance  to  Medicare  patients  taking 
products  sold  by  the  Company,  and  the  Company’s  pricing  of  its  products.  The  Company  is  cooperating  with  this 
investigation.  The  Company  cannot  predict  the  outcome  or  the  duration  of  this  investigation  or  any  other  legal 
proceedings  or  any  enforcement  actions  or  other  remedies  that  may  be  imposed  on  the  Company  arising  out  of  this 
investigation. 

Investigation by the U.S. Attorney’s Office for the Southern District of New York 

In October 2015, the Company received a subpoena from the U.S. Attorney’s Office for the Southern District of New 
York.  The  materials  requested,  pursuant  to  the  subpoena  and  follow-up  requests,  include  documents  and  witness 
interviews with respect to the Company’s patient assistance programs; its former relationship with Philidor Rx Services, 
LLC  (“Philidor”)  and  other  pharmacies;  the  Company’s  accounting  treatment  for  sales  by  specialty  pharmacies; 
information provided  to  the Centers  for  Medicare  and  Medicaid  Services;  the  Company’s  pricing  (including  discounts 
and  rebates),  marketing  and  distribution  of  its  products;  the  Company’s  compliance  program;  and  employee 
compensation.  The  Company  is  cooperating  with  this  investigation.  The  Company  cannot  predict  the  outcome  or  the 
duration of this investigation or any other legal proceedings or any enforcement actions or other remedies that may be 
imposed on the Company arising out of this investigation. 

SEC Investigation 

Beginning  in  November  2015,  the  Company  received  from  the  staff  of  the  Los  Angeles  Regional  Office  of  the  SEC 
subpoenas for documents, as well as various document, testimony and interview requests, related to its investigation of 
the Company, including requests concerning the Company’s former relationship with Philidor, its accounting practices 
and  policies,  its  public  disclosures  and  other  matters.  The  Company  is  cooperating  with  the  SEC  in  this  matter.  The 
Company  cannot  predict  the  outcome  or  the  duration  of  the  SEC  investigation  or  any  other  legal  proceedings  or  any 
enforcement actions or other remedies that may be imposed on the Company arising out of the SEC investigation. 

AMF Investigation 

On  April  12,  2016,  the  Company  received  a  request  letter  from  the  Autorité  des  marchés  financiers  (the  “AMF”) 
requesting documents concerning the work of the Company’s ad hoc committee of independent directors (established to 
review  certain  allegations  regarding  the  Company’s  former  relationship  with  Philidor  and  related  matters),  the 
Company’s former relationship with Philidor, the Company’s accounting practices and policies and other matters. The 
Company is cooperating with the AMF in this matter. In July 2018, the Company was advised by the AMF that it had 
issued  a  formal  investigation  order  in  respect  of  the  Company  on  February  2,  2018.  The  Company  cannot  predict 
whether any enforcement action against the Company will result from such investigation. 

Investigation by the State of Texas 

On  May  27,  2014,  the  State  of  Texas  served  Bausch  &  Lomb  Incorporated  (“B&L  Inc.”)  with  a  Civil  Investigative 
Demand concerning various price reporting matters relating to the State’s Medicaid program and the amounts the State 
paid in reimbursement for B&L products for the period from 1995 to the date of the Civil Investigative Demand. The 
Company  and  B&L  Inc.  have  cooperated  fully  with  the  State’s  investigation  and  have  produced  all  of  the  documents 
requested by the State. In April 2016, the State sent B&L Inc. a demand letter claiming damages in the amount of $20 

F-57 

million. The Company and B&L Inc. have evaluated the letter and disagree with the allegations and methodologies set 
forth in the letter. In June 2016, the Company and B&L Inc. responded to the State. In July 2018, the State responded to 
the Company’s June 2016 letter and indicated that it disagreed with certain of the Company’s positions and would send a 
response to the Company’s June 2016 letter, which the Company has not yet received. 

Securities and RICO Class Actions and Related Matters 

U.S. Securities Litigation 

In October 2015, four putative securities class actions were filed in the U.S. District Court for the District of New Jersey 
against the Company and certain current or former officers and directors. The allegations related to, among other things, 
allegedly  false  and  misleading  statements  and/or  failures  to  disclose  information  about  the  Company’s  business  and 
prospects,  including  relating  to  drug  pricing,  the  Company’s  use  of  specialty  pharmacies,  and  the  Company’s 
relationship with Philidor. 

On  May  31,  2016,  the  Court  entered  an  order  consolidating  the  four  actions  under  the  caption  In  re  Valeant 
Pharmaceuticals International, Inc. Securities Litigation, Case No. 3:15-cv-07658. On June 24, 2016, the lead plaintiff 
filed  a  consolidated  complaint  asserting  claims  under  Sections  10(b)  and  20(a)  of  the  Exchange  Act  against  the 
Company, and certain current or former officers and directors, as well as claims under Sections 11, 12(a)(2) and 15 of 
the Securities Act of 1933 (the “Securities Act”) against the Company, certain current or former officers and directors, 
and  certain  other  parties.  The  lead  plaintiff  seeks  to  bring  these  claims  on  behalf  of  a  putative  class  of  persons  who 
purchased the Company’s equity securities and senior notes in the United States between January 4, 2013 and March 15, 
2016, including all those who purchased the Company’s securities in the United States in the Company’s debt and stock 
offerings between July 2013 to March 2015. On September 13, 2016, the Company and the other defendants moved to 
dismiss the consolidated complaint. On April 28, 2017, the Court dismissed certain claims arising out of the Company’s 
private placement offerings and otherwise denied the motions to dismiss. On September 20, 2018, lead plaintiff filed an 
amended  complaint,  adding  claims  against  ValueAct  Capital  Management  L.P.  and  affiliated  entities.  On  October  31, 
2018, ValueAct filed a motion to dismiss and the parties then agreed that the action was stayed pursuant to the Private 
Securities Litigation Reform Act. 

On June 6, 2018, a putative class action was filed in the U.S. District Court for the District of New Jersey against the 
Company  and  certain  current  or  former  officers  and  directors.  This  action,  captioned  Timber  Hill  LLC,  v.  Valeant 
Pharmaceuticals  International,  Inc.,  et  al.,  (Case  No.  2:18-cv-10246)  (“Timber  Hill”),  asserts  securities  fraud  claims 
under Sections 10(b) and 20(a) of the Exchange Act on behalf of a putative class of persons who purchased call options 
or sold put options on the Company’s common stock during the period January 4, 2013 through August 11, 2016. On 
June 11, 2018, this action was consolidated with In re Valeant Pharmaceuticals International, Inc. Securities Litigation, 
(Case  No.  3:15-cv-07658).  On  January  14,  2019,  Defendants  filed  a  motion  to  dismiss  the  Timber  Hill  complaint. 
Briefing on that motion was completed on February 13, 2019. 

In  addition  to  the  consolidated  putative  class  action,  thirty-one  groups  of  individual  investors  in  the  Company’s  stock 
and debt securities have chosen to opt out of the consolidated putative class action and filed securities actions pending in 
the  U.S. District  Court for  the  District  of New  Jersey  against the  Company  and  certain  current or former  officers  and 
directors. These actions are captioned: T. Rowe Price Growth Stock Fund, Inc. v. Valeant Pharmaceuticals International, 
Inc.  (Case  No.  16-cv-5034);  Equity  Trustees  Limited  as  Responsible  Entity  for  T.  Rowe  Price  Global  Equity  Fund  v. 
Valeant  Pharmaceuticals  International  Inc.  (Case  No.  16-cv-6127);  Principal  Funds,  Inc.  v.  Valeant  Pharmaceuticals 
International,  Inc.  (Case  No.  16-cv-6128);  BloombergSen  Partners  Fund  LP  v.  Valeant  Pharmaceuticals  International, 
Inc. (Case No. 16-cv-7212); Discovery Global Citizens Master Fund, Ltd. v. Valeant Pharmaceuticals International, Inc. 
(Case No. 16-cv-7321); MSD Torchlight Partners, L.P. v. Valeant Pharmaceuticals International, Inc. (Case No. 16-cv-
7324); BlueMountain Foinaven Master Fund, L.P. v. Valeant Pharmaceuticals International, Inc. (Case No. 16-cv-7328); 
Incline Global Master LP v. Valeant Pharmaceuticals International, Inc. (Case No. 16-cv-7494); VALIC Company I v. 
Valeant  Pharmaceuticals  International,  Inc.  (Case  No.  16-cv-7496);  Janus  Aspen  Series  v.  Valeant  Pharmaceuticals 
International,  Inc.  (Case  No.  16-cv-7497)  (“Janus  Aspen”);  Okumus  Opportunistic  Value  Fund,  LTD  v.  Valeant 
Pharmaceuticals  International,  Inc.  (Case  No.  17-cv-6513)  (“Okumus”);  Lord  Abbett  Investment  Trust-  Lord  Abbett 
Short  Duration  Income  Fund,  v.  Valeant  Pharmaceuticals  International,  Inc.  (Case  No.  17-cv-6365)  (“Lord  Abbett”); 
Pentwater Equity Opportunities Master Fund LTD v. Valeant Pharmaceuticals International, Inc., et al. (Case No. 17-cv-
7552) (“Pentwater”); Public Employees’ Retirement System of Mississippi v. Valeant Pharmaceuticals International Inc. 
(Case  No.  17-cv-7625)  (“Mississippi”);  The  Boeing  Company  Employee  Retirement  Plans  Master  Trust  v.  Valeant 
Pharmaceuticals International Inc., et al., (Case No. 17-cv-7636) (“Boeing”); State Board of Administration of Florida v. 
Valeant  Pharmaceuticals  International  Inc.  (Case  No.  17-cv-12808);  The  Regents  of  the  University  of  California  v. 
Valeant  Pharmaceuticals  International,  Inc.  (Case  No.  17-cv-13488);  GMO  Trust  v.  Valeant  Pharmaceuticals 

F-58 

International, Inc. (Case No. 18-cv-0089); Första AP  Fonden v. Valeant Pharmaceuticals  International,  Inc.  (Case  No. 
17-cv-12088); New York City Employees’ Retirement System v. Valeant Pharmaceuticals International, Inc. (Case No. 
18-cv-0032) (“NYCERS”); Hound Partners Offshore Fund, LP v. Valeant Pharmaceuticals International, Inc. (Case No. 
3:18-cv-08705)  (“Hound Partners”);  Blackrock Global  Allocation  Fund,  Inc.  v.  Valeant  Pharmaceuticals  International, 
Inc.  (Case  No.  18-cv-0343)  (“Blackrock”);  Colonial  First  State  Investments  Limited  As  Responsible  Entity  for 
Commonwealth  Global  Shares  Fund  1  v.  Valeant  Pharmaceuticals  International,  Inc.  (Case  No.  18-cv-0383);  Bharat 
Ahuja  v.  Valeant  Pharmaceuticals  International,  Inc.  (Case  No.  18-cv-0846);  Brahman  Capital  Corp.  v.  Valeant 
Pharmaceuticals  International,  Inc  (Case  No.  18-cv-0893);  The  Prudential  Insurance  Company  of  America  v.  Valeant 
Pharmaceuticals  International,  Inc.  (Case  No.  3:18-cv-01223)  (“Prudential”);  Senzar  Healthcare  Master  Fund  LP  v. 
Valeant  Pharmaceuticals  International,  Inc.  (Case  No.  18-cv-02286)  (“Senzar”);  2012  Dynasty  UC  LLC  v.  Valeant 
Pharmaceuticals International, Inc. (Case No. 18-cv-08595) (“2012 Dynasty”); Catalyst Dynamic Alpha Fund v. Valeant 
Pharmaceuticals  International,  Inc.  (Case  No.  18-cv-12673)  (“Catalyst”);  Northwestern  Mutual  Life  Insurance  Co.,  v. 
Valeant Pharmaceuticals International, Inc. (Case No. 18-cv-15286) (“Northwestern Mutual”); and Bahaa Aly, et al. v. 
Valeant Pharmaceuticals International, Inc., (Case No. 18-cv-17393) (“Aly”). 

These individual shareholder actions assert claims under Sections 10(b), 18, and 20(a) of the Exchange Act, Sections 11, 
12(a)(2),  and  15  of  the  Securities  Act,  common  law  fraud,  and  negligent  misrepresentation  under  state  law,  based  on 
alleged  purchases  of  Company  stock,  options,  and/or  debt  at  various  times  between  January  3,  2013  and  August  10, 
2016. Plaintiffs in the Lord Abbett, Boeing, Mississippi, NYCERS, Hound Partners, Blackrock, Catalyst, 2012 Dynasty 
cases  and  Northwestern  Mutual  additionally  assert  claims  under  the  New  Jersey  Racketeer  Influenced  and  Corrupt 
Organizations Act. The allegations in the complaints are similar to those made by plaintiffs in the putative class action. 
Motions to dismiss have been filed in many of these individual actions. To date, the Court has dismissed state law claims 
including  New  Jersey  Racketeer  Influenced  and  Corrupt  Organizations  Act,  common  law  fraud,  and  negligent 
misrepresentation claims in certain cases. 

The Company believes the individual complaints and the consolidated putative class action are without merit and intends 
to defend itself vigorously. 

Canadian Securities Litigation 

In 2015, six putative class actions were filed and served against the Company and certain current or former officers and 
directors in Canada in the provinces of British Columbia, Ontario and Quebec. These actions are captioned: (a) Alladina 
v.  Valeant,  et  al.  (Case  No.  S-1594B6)  (Supreme  Court  of  British  Columbia)  (filed  November  17,  2015);  (b) 
Kowalyshyn  v.  Valeant,  et  al.  (CV-15-540593-00CP)  (Ontario  Superior  Court)  (filed  November  16,  2015);  (c) 
Kowalyshyn  et  al.  v.  Valeant,  et  al.  (CV-15-541082-00CP)  (Ontario  Superior  Court)  (filed  November  23,  2015);  (d) 
O’Brien  v.  Valeant  et  al.  (CV-15-543678-00CP)  (Ontario  Superior  Court)  (filed  December  30,  2015);  (e)  Catucci  v. 
Valeant, et al. (Court File No. 540-17-011743159) (Quebec Superior Court) (filed October 26, 2015); and (f) Rousseau-
Godbout v. Valeant, et al. (Court File No. 500-06-000770-152) (Quebec Superior Court) (filed October 27, 2015). 

The  actions  generally  allege  violations  of  Canadian  provincial  securities  legislation  on  behalf  of  putative  classes  of 
persons who purchased or otherwise acquired securities of the Company for periods commencing as early as January 1, 
2013 and ending as late as November 16, 2015. The alleged violations relate to the same  matters described in the US 
Securities Litigation description above. 

The Rosseau-Godbout action was stayed by the Quebec Superior Court by consent order. The Kowalyshyn action has 
been consolidated with the O’Brien action and that the consolidated action is stayed in favor of the Catucci action. In the 
Catucci action, on August 29, 2017, the judge granted the plaintiffs leave to proceed with their claims under the Quebec 
Securities Act and authorized the class proceeding. On October 26, 2017, the plaintiffs issued their Judicial Application 
Originating  Class  Proceedings.  A  timetable  for  certain  pre-trial  procedural  matters  in  the  action  has  been  set  and  the 
notice of certification has been disseminated to class members. Among other things, the timetable established a deadline 
of June 19, 2018 for class members to exercise their right to opt-out of the class. 

The Company is aware of two additional putative class actions that have been filed with the applicable court but which 
have not yet been served on the Company. These actions are captioned: (i) Okeley v. Valeant, et al. (Case No. S-159991) 
(Supreme  Court  of  British  Columbia)  (filed  December  2,  2015);  and  (ii)  Sukenaga  v  Valeant  et  al.  (CV-15-540567-
00CP)  (Ontario  Superior  Court)  (filed  November  16,  2015),  and  the  factual  allegations  made  in  these  actions  are 
substantially similar to those outlined above. The Company has been advised that the plaintiffs in these actions do not 
intend to pursue the actions. 

F-59 

In addition to the class proceedings described above, on April 12, 2018, the Company was served with an application for 
leave  filed  in  the  Quebec  Superior  Court  of  Justice  to  pursue  an  action  under  the  Quebec  Securities  Act  against  the 
Company  and  certain  current  or  former  officers  and  directors.  This  proceeding  is  captioned  BlackRock  Asset 
Management  Canada  Limited  et  al.  v.  Valeant,  et  al.  (Court  File  No.  500-11-054155-185).  The  allegations  in  the 
proceeding are similar to those made by plaintiffs in the Catucci class action. That application has been scheduled to be 
heard on May 14, 2019. On June 18, 2018, the same BlackRock entities filed an originating application (Court File No. 
500-17-103749-183) against the same defendants asserting claims under the Quebec Civil Code in respect of the same 
alleged misrepresentations. 

The Company is aware that certain other members of the Catucci class exercised their opt-out rights prior to the June 19, 
2018 deadline. On February 15, 2019, one of the entities who exercised their opt-out rights served the Company with an 
application in the Quebec Superior Court of Justice for leave to pursue an action under the Quebec Securities Act against 
the  Company,  certain  current  or  former  officers  and  directors  of  the  Company  and  its  auditor.  That  proceeding  is 
captioned California State Teachers’ Retirement System v. Bausch Health Companies Inc. et al. (Court File No. 500-11-
055722-181). The allegations in the proceeding are similar to those made by the plaintiffs in the Catucci class action and 
in the BlackRock opt out proceedings. On that same date, California State Teachers’ Retirement System also served the 
Company with proceedings (Court File No. 500-17-106044-186) against the same defendants asserting claims under the 
Quebec Civil Code in respect of the same alleged misrepresentations. 

The Company believes that it has viable defenses in each of these actions. In each case, the Company intends to defend 
itself vigorously. 

Insurance Coverage Lawsuit 

On  December  7,  2017,  the  Company  filed  a  lawsuit  against  its  insurance  companies  that  issued  insurance  policies 
covering  claims  made  against  the  Company,  its  subsidiaries,  and  its  directors  and  officers  during  two  distinct  policy 
periods, (i) 2013-14 and (ii) 2015-16. The lawsuit is currently pending in the United States District Court for the District 
of New Jersey (Valeant Pharmaceuticals International, Inc., et al. v. AIG Insurance Company of Canada, et al.; 3:18-CV-
00493).  In  the  lawsuit,  the  Company  seeks  coverage  for  (1)  the  costs  of  defending  and  resolving  claims  brought  by 
former shareholders and debtholders of Allergan, Inc. in In re Allergan, Inc. Proxy Violation Securities Litigation and 
Timber  Hill  LLC,  individually  and  on  behalf  of  all  others  similarly  situated  v.  Pershing  Square  Capital  Management, 
L.P.,  et  al.  (under  the  2013-2014  coverage  period),  and  (2)  costs  incurred  and  to  be  incurred  in  connection  with  the 
securities  class  actions  and  opt-out  cases  described  in  this  section  and  certain  of  the  investigations  described  above 
(under the 2015-2016 coverage period). 

RICO Class Actions 

Between May 27, 2016 and September 16, 2016, three virtually identical actions were filed in the U.S. District Court for 
the District of New  Jersey  against  the  Company  and various  third-parties,  alleging  claims  under  the  federal  Racketeer 
Influenced  Corrupt  Organizations  Act  (“RICO”)  on  behalf  of  a  putative  class  of  certain  third-party  payors  that  paid 
claims submitted by Philidor for certain Company branded drugs between January 2, 2013 and November 9, 2015. On 
November  30,  2016,  the  Court  entered  an  order  consolidating  the  three  actions  under  the  caption  In  re  Valeant 
Pharmaceuticals  International,  Inc.  Third-Party  Payor  Litigation,  No.  3:16-cv-03087.  A  consolidated  class  action 
complaint was filed on December 14, 2016. The consolidated complaint alleges, among other things, that the Defendants 
committed predicate acts of mail and wire fraud by submitting or causing to be submitted prescription reimbursement 
requests that misstated or omitted facts regarding (1) the identity and licensing status of the dispensing pharmacy; (2) the 
resubmission  of  previously  denied  claims;  (3)  patient  co-pay  waivers;  (4)  the  availability  of  generic  alternatives;  and 
(5) the insured’s consent to renew the prescription. The complaint further alleges that these acts constitute a pattern of 
racketeering  or  a  racketeering  conspiracy  in  violation  of  the  RICO  statute  and  caused  plaintiffs  and  the  putative  class 
unspecified damages, which may be trebled under the RICO statute. The Company moved to dismiss the consolidated 
complaint  on  February  13,  2017.  On  March  14,  2017,  other  defendants  filed  a  motion  to  stay  the  RICO  class  action 
pending  the  resolution  of  criminal  proceedings  against  Andrew  Davenport  and  Gary  Tanner.  On  August  9,  2017,  the 
Court granted the motion to stay and entered an order staying all proceedings in the case and accordingly terminating 
other pending motions. 

The Company believes these claims are without merit and intends to defend itself vigorously. 

F-60 

Hound Partners Lawsuit 

On  October  19,  2018,  Hound  Partners  Offshore  Fund,  LP,  Hound  Partners  Long  Master,  LP,  and  Hound  Partners 
Concentrated Master, LP, filed a lawsuit against the Company in the Superior Court of New Jersey Law Division/Mercer 
County. This action is captioned Hound Partners Offshore Fund, LP et al., v. Valeant Pharmaceuticals International, Inc., 
et  al.  (No.  MER-L-002185-18).  This  suit  asserts  claims  for  common  law  fraud,  negligent  misrepresentation,  and 
violations of the New Jersey Racketeer Influenced and Corrupt Organizations Act. The factual allegations made in this 
complaint  are  similar  to  those  made  in  the  District  of  New  Jersey  Hound  Partners  action.  The  Company  disputes  the 
claims and intends to vigorously defend this matter. 

Antitrust 

Contact Lens Antitrust Class Actions 

Beginning in March 2015, a number of civil antitrust class action suits were filed by purchasers of contact lenses against 
B&L Inc., three other contact lens manufacturers, and a contact lens distributor, alleging that the defendants engaged in 
an  anticompetitive  scheme  to  eliminate  price  competition  on  certain  contact  lens  lines  through  the  use  of  unilateral 
pricing policies. 

The  plaintiffs  in  such  suits  alleged  violations  of  Section  1  of  the  Sherman  Act,  15  U.S.C.  §  1,  and  of  various  state 
antitrust and consumer protection laws, and further alleged that the defendants have been unjustly enriched through their 
alleged  conduct.  The  plaintiffs  sought  declaratory  and  injunctive  relief  and,  where  applicable,  treble,  punitive  and/or 
other  damages,  including  attorneys’  fees.  By  order  dated  June  8,  2015,  the  Judicial  Panel  for  Multidistrict  Litigation 
(“JPML”)  centralized  the  suits  in  the  Middle  District  of  Florida,  under  the  caption  In  re  Disposable  Contact  Lens 
Antitrust  Litigation,  Case  No.  3:15-md-02626-HES-JRK,  before  U.S.  District  Judge  Harvey  E.  Schlesinger.  After  the 
class plaintiffs filed a corrected consolidated class action complaint on December 16, 2015, the defendants jointly moved 
to  dismiss  those  complaints.  On  June  16,  2016,  the  Court  granted  the  defendants’  motion  to  dismiss  with  respect  to 
claims brought under the Maryland Consumer Protection Act, but denied the motion to dismiss with respect to claims 
brought under Sherman Act, Section 1 and other state laws. On December 4, 2018, the Court certified six classes, four of 
which relate to B&L Inc. On December 18, 2018, the defendants filed petitions seeking leave from the Eleventh Circuit 
Court of Appeals to file an immediate appeal of the class certification order (the “Petitions”). On August 20, 2018, B&L 
Inc. individually and jointly with defendants filed motions for summary judgment. The Court indicated that resolution of 
the motions for summary judgment may require the trial (currently set for May 2019) to be rescheduled for a later date. 
On  January  29,  2019,  the  Court  ordered  the  parties  to  file  briefs  addressing  whether  the  litigation  should  be  stayed 
pending a ruling on the Petitions. On February 12, 2019, defendants requested that the Court enter a stay until resolution 
of the Petitions, including the ensuing appeal should the Petitions be granted. Plaintiffs oppose a stay of the litigation, 
but both parties requested the Court reschedule the May 2019 trial date. The Company intends to vigorously defend this 
matter. 

Generic Pricing Antitrust Class Action 

On June 22, 2018, the Company’s subsidiaries, Oceanside Pharmaceuticals, Inc. (“Oceanside”), Bausch Health US, LLC 
(formerly  Valeant  Pharmaceuticals  North  America  LLC)  (“Bausch  Health  US”),  and  Bausch  Health  Americas,  Inc. 
(formerly  Valeant  Pharmaceuticals  International)  (“Bausch  Health  Americas”),  were  added  as  defendants  in  putative 
class action multidistrict antitrust litigation entitled In re: Generic Pharmaceuticals Pricing Antitrust Litigation, pending 
in the United States District Court for the Eastern District of Pennsylvania (MDL 2724, 16-MD-2724). The complaint 
was filed by direct purchaser plaintiffs on behalf of themselves and others similarly situated. The plaintiffs seek damages 
under  federal  antitrust  laws.  Separate  complaints  by  other  plaintiffs  which  had  been  consolidated  in  the  same 
multidistrict litigation did not name the Company or any of its subsidiaries as a defendant. The direct purchaser plaintiffs 
assert that the Company’s subsidiaries purportedly entered into a conspiracy to fix, stabilize, and raise prices, rig bids 
and  engage  in  market  and  customer  allocation  for  generic  pharmaceuticals.  Specific  claims  against  the  Company’s 
subsidiaries relate to generic pricing of the Company’s metronidazole vaginal product as part of an alleged overarching 
conspiracy among generic drug manufacturers. Prior to the Company’s subsidiaries being added to the case, some of the 
defendants moved to dismiss certain of the consolidated amended complaints. On October 16, 2018, the Court granted in 
part and denied in part these defendants’ motions to dismiss. On December 21, 2018, the direct purchaser plaintiffs filed 
an  amended  complaint  alleging  similar  claims  against  the  Company’s  subsidiaries  as  the  earlier-filed  putative  class 
action complaint. On December 20, 2018, three direct purchaser plaintiffs that had opted out of the putative class filed an 
amended complaint in the MDL that added Oceanside, Bausch Health US and Bausch Health Americas, alleging similar 
claims  as  the  direct  purchaser  plaintiffs’  putative  class  action  complaint.  The  current  deadline  for  filing  motions  to 
dismiss is February 21, 2019. Discovery against the Company’s subsidiaries has commenced. The Company intends to 
vigorously defend this matter. 

F-61 

Intellectual Property 

Patent Litigation/Paragraph IV Matters 

From time to time, the Company (and/or certain of its affiliates) is also party to certain patent infringement proceedings 
in the United States and Canada, including as arising from claims filed by the Company (or that the Company anticipates 
filing within the required time periods) in connection with Notices of Paragraph IV Certification (in the United States) 
and  Notices  of  Allegation  (in  Canada)  received  from  third-party  generic  manufacturers  respecting  their  pending 
applications for generic versions of certain products sold by or on behalf of the Company, including Relistor®, Apriso®, 
Uceris® and Jublia® in the United States and Glumetza® in Canada, or other similar suits. These matters are proceeding in 
the ordinary course. In addition, patents covering the Company’s branded pharmaceutical products may be challenged in 
proceedings other than court proceedings, including inter partes review (“IPR”) at the US Patent & Trademark Office. 
The  proceedings  operate  under  different  standards  from  district  court  proceedings,  and  are  often  completed  within  18 
months of institution. IPR challenges have been brought against patents covering the Company’s branded pharmaceutical 
products.  For  example,  following  Acrux  DDS’s  IPR  petition,  the  US  Patent  and  Trial  Appeal  Board,  in  May  2017, 
instituted inter partes review for an Orange Book-listed patent covering Jublia® and, on June 6, 2018, issued a written 
determination invalidating such patent. An appeal of this decision was filed on August 7, 2018. Jublia® continues to be 
covered  by  seven  other  Orange  Book-listed  patents  owned  by  the  Company,  which  expire  in  the  years  2028  through 
2034. 

Product Liability 

Shower to Shower Products Liability Litigation 

The Company has been named in one hundred sixty-five lawsuits involving the Shower to Shower body powder product 
acquired in September 2012 from Johnson & Johnson. 

These lawsuits include one case originally filed in the In re Johnson & Johnson Talcum Powder Litigation, Multidistrict 
Litigation 2738, pending in the United States District Court for the District of New Jersey. The Company and Bausch 
Health  US  were  first  named  in  a  lawsuit  filed  directly  into  the  MDL  alleging  that  the  use  of  the  Shower  to  Shower 
product  caused  the  plaintiff  to  develop  ovarian  cancer.  The  plaintiff  agreed  to  a  dismissal  of  all  claims  against  the 
Company and Bausch Health US without prejudice. The Company has been named in one additional lawsuit, originally 
filed in the District of Puerto Rico and subsequently transferred into the MDL, but has not been served in that case. The 
Company was also named in two additional lawsuits filed directly into the MDL that have also not yet been served. 

These  lawsuits  also  include  a  number  of  matters  filed  in  the  Superior  Court  of  Delaware  and  five  cases  filed  in  the 
Superior Court of New Jersey alleging that the use of Shower to Shower caused the plaintiffs to develop ovarian cancer. 
The Company has been voluntarily dismissed from nearly all of these cases, with claims against Bausch Health US only 
remaining in most of these cases. Four of the five cases in the Superior Court of New Jersey were voluntarily dismissed 
as to Bausch Health US as well. The allegations in these cases specifically directed to Bausch Health US include failure 
to warn, design defect, negligence, gross negligence, breach of express and implied warranties, civil conspiracy concert 
in action, negligent misrepresentation, wrongful death, and punitive damages. One hundred forty-nine of the Delaware 
actions were voluntarily dismissed without prejudice in January 2019, but, pursuant to a stipulation among the parties, 
will  be  refiled  in  either  the  MDL  or  in  coordinated  proceedings  in  Atlantic  County,  New  Jersey  Superior  Court, 
depending  on  the  state  of  residence  of  each  plaintiff.  As  of  the  date  of  this  Form  10-K,  these  re-filings  have  not  yet 
occurred. 

In addition, these lawsuits also include a number of cases filed in certain state courts in the United States (including the 
Superior Courts of California, Delaware and New Jersey); the District Court of Louisiana; the Supreme Court of New 
York  (Niagara  County);  the District  Court of Oklahoma  City,  Oklahoma;  the  South  Carolina  Court of  Common  Pleas 
(Richland  County);  and  the  District  Court  of  Nueces  County,  Texas  (transferred  to  the  asbestos  MDL  docket  in  the 
District  Court  of  Harris  County,  Texas  for  pre-trial  purposes)  alleging  use  of  Shower  to  Shower  and  other  products 
resulted in the plaintiffs developing mesothelioma. The Company has been successful in obtaining voluntarily dismissals 
in  most  of  these  cases  or  the  plaintiffs  have  not  opposed  summary  judgment.  The  allegations  in  these  cases  generally 
include design defect, manufacturing defect, failure to warn, negligence, and punitive damages, and in some cases breach 
of  express  and  implied  warranties,  misrepresentation,  and  loss  of  consortium.  The  damages  sought  by  the  various 
Plaintiffs  include  compensatory  damages,  including  medical  expenses,  lost  wages  or  earning  capacity,  and  loss  of 
consortium.  In  addition,  Plaintiffs  seek  compensation  for  pain  and  suffering,  mental  anguish  anxiety  and  discomfort, 
physical impairment and loss of enjoyment of life. Plaintiffs also seek pre- and post-judgment interest, exemplary and 
punitive damages, and attorneys’ fees. 

F-62 

On February 11, 2019, seven plaintiffs filed a pre-suit notice  letter with the California Attorney General notifying the 
Attorney  General’s  office  of  their  intent  to  file  suit  after  60  days  against  the  Company  and  certain  of  its  subsidiaries, 
alleging  they  committed  violations  of  the  California  Safe  Drinking  Water  and  Toxic  Enforcement  Act  of  1986 
(Proposition 65) by manufacturing and distributing Shower to Shower that they allege contained chemical compounds 
known to cause cancer. By statute, a private lawsuit may not be filed until at least 60 days have passed following service 
of this pre-suit notice letter. 

Finally,  two  proposed  class  actions  have  been  filed  in  Canada  against  the  Company  and  various  Johnson  &  Johnson 
entities (one in the Supreme Court of British Columbia and one in the Superior Court of Quebec). The Company also 
acquired  the  rights  to  the  Shower  to  Shower  product  in  Canada  from  Johnson  &  Johnson  in  September  2012.  In  the 
British Columbia matter, the plaintiff seeks to certify a proposed class action on behalf of persons in British Columbia 
and  Canada  who  have  purchased  or  used  Johnson  &  Johnson’s  Baby  Powder  or  Shower  to  Shower,  including  their 
estates, executors and personal representatives, and is alleging that the use of this product increases certain health risks. 
In the Quebec matter, the plaintiff sought to certify a proposed class action on behalf of persons in Quebec who have 
used Johnson & Johnson’s Baby Powder or Shower to Shower, as well as their family members, assigns and heirs, and is 
alleging negligence in failing to properly test, failing to warn of health risks, and failing to remove the products from the 
market  in  a  timely  manner.  A  certification  (also  known  as  authorization)  hearing  in  the  Quebec  matter  and  the  Court 
certified (or as stated under Quebec law, authorized) the bringing of a class action by a representative plaintiff on behalf 
of people in Quebec who have used Johnson & Johnson’s Baby Powder and/or Shower to Shower in their perineal area 
and have been diagnosed with ovarian cancer and/or family members, assigns and heirs. The plaintiffs in these actions 
are seeking awards of general, special, compensatory and punitive damages. 

The Company intends to defend itself vigorously in each of the remaining actions that are not voluntarily dismissed or 
subject to a grant of summary judgment. The Company believes that its potential liability (including its attorneys’ fees 
and  costs)  arising  out  the  Shower  to  Shower  lawsuits  filed  against  the  Company  is  subject  to  certain  indemnification 
obligations  of  Johnson  &  Johnson  owed  to  the  Company,  and  legal  fees  and  costs  have  been  and  are  currently  being 
reimbursed by Johnson & Johnson. The Company has provided Johnson & Johnson with notice that the lawsuits filed 
against the Company relating to Shower to Shower are subject to indemnification by Johnson & Johnson. While Johnson 
& Johnson continues to indemnify the Company, the Company has initiated proceedings in arbitration against Johnson & 
Johnson relating to the scope and amount of such indemnification. 

General Civil Actions 

Mississippi Attorney General Consumer Protection Action 

The Company and Bausch Health US are named in an action brought by James Hood, Attorney General of Mississippi, 
in the Chancery Court of the First Judicial District of Hinds County, Mississippi (Hood ex rel. State of Mississippi, Civil 
Action No. G2014-1207013, filed on August 22, 2014), alleging consumer protection claims against Johnson & Johnson 
and  Johnson  Consumer  Companies,  Inc.,  the  Company  and  Bausch  Health  US  related  to  the  Shower  to  Shower  body 
powder product and its alleged causal link to ovarian cancer. As indicated above, the Company acquired the Shower to 
Shower  body  powder  product  in  September  2012  from  Johnson  &  Johnson.  The  State  seeks  compensatory  damages, 
punitive damages, injunctive relief requiring warnings for talc-containing products, removal from the market of products 
that  fail  to  warn,  and  to  prevent  the  continued  violation  of  the  Mississippi  Consumer  Protection  Act  (“MCPA”).  The 
State  also  seeks  disgorgement  of  profits  from  the  sale  of  the  product  and  civil  penalties.  In  October  2017,  plaintiffs 
dismissed  certain  claims  under  the  MCPA  related  to  advertising/marketing  that  did  not  appear  on  the  label  and/or 
packaging of Shower to Shower. The State has not made specific allegations as to the Company or Bausch Health US. 
The  Company  intends  to  defend  itself  vigorously  in  this  action.  The  Company  believes  that  its  potential  liability 
(including its attorneys’ fees and costs) arising out this Shower to Shower matter filed against the Company is subject to 
certain indemnification obligations of Johnson & Johnson owed to the Company, and legal fees and costs have been and 
are currently being reimbursed by Johnson & Johnson. 

Doctors Allergy Formula Lawsuit 

In April 2018, Doctors Allergy Formula, LLC (“Doctors Allergy”), filed a lawsuit against Bausch Health Americas in 
the  Supreme  Court  of  the  State  of New York,  County of  New York, Index  No.  651597/2018.  Doctors Allergy  asserts 
breach  of  contract  and  related  claims  under  a  2015  Asset  Purchase  Agreement,  which  purports  to  include  milestone 
payments  that  Doctors  Allergy  alleges  should  have been paid  by Bausch  Health Americas.  Doctors Allergy  claims  its 
damages  are  not  less  than  $23  million.  On  June  14,  2018,  Bausch  Health  Americas  filed  a  motion  to  dismiss  the 
complaint in part and a motion to strike. Oral argument on this motion was held on November 13, 2018. Discovery is 
proceeding. Bausch Health Americas disputes the claims and intends to vigorously defend this matter. 

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Litigation with Former Salix CEO 

On  January  28,  2019,  former  Salix  Ltd.  CEO  and  director  Carolyn  Logan  filed  a  lawsuit  in  the  Delaware  Court  of 
Chancery, Case No. 2019-0059, asserting claims for breach of contract and declaratory relief. The lawsuit arises out of 
the contractual termination of approximately $30 million in unvested equity awards following the determination by the 
Salix  Ltd.  Board  of  Directors  that  Logan  intentionally  engaged  in  wrongdoing  that  resulted,  or  would  reasonably  be 
expected  to  result,  in  material  harm  to  Salix  Ltd.,  or  to  the  business  or  reputation  of  Salix  Ltd.  Logan  seeks  the 
restoration  of  the  unvested  equity  awards  and  a  declaration  regarding  certain  rights  related  to  indemnification.  The 
Company disputes the claims and intends to vigorously defend the matter. 

Completed or Inactive Matters 

The  following  matters  have  concluded,  have  settled,  are  the  subject  of  an  agreement  to  settle  or  have  otherwise  been 
closed since January 1, 2018, have been inactive from the Company’s perspective for several quarters or the Company 
anticipates that no further material activity will take place with respect thereto. Due to the closure, settlement, inactivity 
or change in status of the matters referenced below, these matters will no longer appear in the Company’s next public 
reports  and disclosures,  unless  required. With  respect  to  inactive  matters,  to  the  extent  material  activity  takes  place  in 
subsequent quarters with respect thereto, the Company will provide updates as required or as deemed appropriate. 

Allergan Shareholder Class Actions 

On December 16, 2014, Anthony Basile, an alleged shareholder of Allergan filed a lawsuit on behalf of a putative class 
of  Allergan  shareholders  against  the  Company,  Bausch  Health  Americas  (then  Valeant  Pharmaceuticals  International 
(“VPI”)), AGMS, Pershing Square, PS Management, GP, LLC, PS Fund 1 and William A. Ackman in the U.S. District 
Court for the Central District of California (Basile v. Valeant Pharmaceuticals International, Inc., et al., Case No. 14-cv-
02004-DOC).  On  June  26,  2015,  lead  plaintiffs  the  State  Teachers  Retirement  System  of  Ohio,  the  Iowa  Public 
Employees Retirement System and Patrick T. Johnson filed an amended complaint against the Company, Bausch Health 
Americas  (then  VPI),  J.  Michael  Pearson,  Pershing  Square,  PS  Management,  GP,  LLC,  PS  Fund  1  and  William  A. 
Ackman. The amended complaint alleged claims on behalf of a putative class of sellers of Allergan securities between 
February 25, 2014 and April 21, 2014, against all defendants contending that various purchases of Allergan securities by 
PS Fund were made while in possession of material, non-public information concerning a potential tender offer by the 
Company for Allergan stock, and asserting violations of Section 14(e) of the Exchange Act and rules promulgated by the 
SEC thereunder and Section 20A of the Exchange Act. The amended complaint also alleged violations of Section 20(a) 
of  the  Exchange  Act  against  Pershing  Square,  various  Pershing  Square  affiliates,  William  A.  Ackman  and  J.  Michael 
Pearson. The amended complaint sought, among other relief, money damages, equitable relief, and attorneys’ fees and 
costs. On March 15, 2017, the Court entered an order certifying a plaintiff class comprised of persons who sold Allergan 
common stock contemporaneously with purchases of Allergan common stock made or caused by defendants during the 
period February 25, 2014 through April 21, 2014. 

On June 28, 2017, Timber Hill LLC, a Connecticut limited liability company that allegedly traded in Allergan derivative 
instruments,  filed  a  lawsuit  on  behalf  of  a  putative  class  of  derivative  traders  against  the  Company,  Bausch  Health 
Americas (then VPI), AGMS, Michael Pearson, Pershing Square, PS Management, GP, LLC, PS Fund 1 and William A. 
Ackman  in  the  U.S. District Court for  the Central District  of  California  (Timber Hill LLC v.  Pershing  Square  Capital 
Management, L.P., et al., Case No. 17-cv-04776-DOC). The complaint alleged claims  on behalf of a putative class of 
investors who sold Allergan call options, purchased Allergan put options and/or sold Allergan equity forward contracts 
between  February  25,  2014  and  April  21,  2014,  against  all  defendants  contending  that  various  purchases  of  Allergan 
securities by PS Fund 1 were made while in possession of material, non-public information concerning a potential tender 
offer  by  the  Company  for  Allergan  stock,  and  asserting  violations  of  Section  14(e)  of  the  Exchange  Act  and  rules 
promulgated  by  the  SEC  thereunder  and  Section  20A  of  the  Exchange  Act.  The  complaint  also  alleged  violations  of 
Section 20(a) of the Exchange Act against Pershing Square, various Pershing Square affiliates, William A. Ackman and 
Michael  Pearson.  The  complaint  sought,  among  other  relief,  money  damages,  equitable  relief,  and  attorneys’  fees and 
costs. On July 25, 2017, the Court decided not to consolidate this lawsuit with the Basile action described above. 

On December 28, 2017, all parties agreed to settle the ongoing, related Allergan shareholder class actions for a total of 
$290 million. As part of that proposed settlement, the Company parties paid $96 million, being 33% of the settlement 
amount (which amount was paid in January 2018), while the Pershing Square parties are to pay $195 million, being 67% 
of the settlement amount. The Court preliminarily approved the settlement on March 19, 2018. Following a hearing held 
on June 12, 2018, the Court granted final approval of the settlement. 

F-64 

Solodyn® Antitrust Class Actions 

Beginning  in  July  2013,  a  number  of  civil  antitrust  class  action  suits  were  filed  against  Medicis  Pharmaceutical 
Corporation (“Medicis”) a subsidiary of the Company, Valeant Pharmaceuticals International, Inc. (“VPII”) (now named 
Bausch Health Companies Inc.) and various  manufacturers of generic forms of Solodyn®, alleging that the defendants 
engaged in an anticompetitive scheme to exclude competition from the market for minocycline hydrochloride extended 
release tablets, a prescription drug for the treatment of acne marketed by Medicis under the brand name, Solodyn®. The 
plaintiffs in such suits alleged violations of Sections 1 and 2 of the Sherman Act, 15 U.S.C. §§ 1, 2, and of various state 
antitrust and consumer protection laws, and further alleged that the defendants have been unjustly enriched through their 
alleged conduct. The plaintiffs sought declaratory and injunctive relief and, where applicable, treble, multiple, punitive 
and/or other damages, including attorneys’ fees. By order dated February 25, 2014, the JPML centralized the suits in the 
District of Massachusetts, under the caption In re Solodyn (Minocycline Hydrochloride) Antitrust Litigation, Case No. 
1:14-md-02503-DJC, before U.S. District Judge Denise Casper. After the Direct Purchaser Class Plaintiffs and the End-
Payor Class Plaintiffs each filed a consolidated amended class action complaint on September 12, 2014, the defendants 
jointly  moved to dismiss those complaints. On August 14, 2015, the Court granted the Defendants’ motion to dismiss 
with respect  to  claims  brought under Sherman  Act, Section 2  and  various  state  laws but denied  the motion  to  dismiss 
with respect to claims brought under Sherman Act, Section 1 and other state laws. VPII was dismissed from the case, but 
the litigation continued against Medicis and the generic manufacturers as to the remaining claims. 

On  March  26,  2015,  and  on  April  6,  2015,  while  the  motion  to  dismiss  the  class  action  complaints  was  pending,  two 
additional  non-class  action  complaints  were  filed  against  Medicis  by  certain  retail  pharmacy  and  grocery  chains 
(“Individual Plaintiffs”) making similar allegations and seeking similar relief to that sought by Direct Purchaser Class 
Plaintiffs. Those suits have been centralized with the class action suits in the District of Massachusetts. Following the 
Court’s August 14, 2015 decision on the motion to dismiss, the Individual Plaintiffs each filed amended complaints on 
October  1,  2015,  and  Medicis  answered  on  December  7,  2015.  A  third  non-class  action  was  filed  by  another  retail 
pharmacy against Medicis on January 26, 2016, and Medicis answered on March 28, 2016. 

Plaintiffs reached settlements with two of three generic manufacturer defendants prior to the close of discovery. On April 
14, 2017, the Court granted the Direct Purchaser Plaintiffs’ and End-Payor Plaintiffs’ motions for preliminary approval 
of those settlements. The Court granted final approval on November 27, 2017. For the remaining parties, following the 
close  of  fact  discovery  and  expert  discovery,  the  Court  granted  Direct  Purchaser  Plaintiffs’  and  End-Payor  Plaintiffs’ 
motions  for  class  certification  for  the  purposes  of  damages,  but  denied  End-Payor  Plaintiffs’  motion  for  class 
certification  for  the  purposes  of  injunctive  and  declaratory  relief.  The  remaining  defendants  petitioned  to  appeal  the 
certification  of  the  End-Payor  Class  and  this  petition  was  denied.  Plaintiffs  and  the  remaining  defendants  each  filed 
motions for summary judgment. The Court heard oral argument on the parties’ summary judgment motions on January 
12,  2018.  On  January  25,  2018,  the  Court  issued  a  Memorandum  and  Order  denying  the  parties’  motions,  except  for 
partially  allowing  defendants’  motion  on  market  power.  In  February  2018,  Medicis  agreed  to  resolve  the  class  action 
litigation  with  the  End-Payor  and  Direct  Purchaser  classes  for  an  amount  of  $58  million  and  has  resolved  related 
litigation with opt-out retailers for additional consideration. On July 18, 2018, the district court granted final approval of 
these settlements with the End-Payor and Direct Purchaser classes. 

GAF Realty Lawsuit 

In January 2018, GAF Realty Advisors, Inc. filed a lawsuit against the Company (GAF Realty Advisors, Inc. v. Valeant 
Pharmaceuticals  International,  Inc.,  Case  No.  30-2018-00967586-CU-BC-CJC)  in  the  Superior  Court  of  the  State  of 
California (Orange County), which alleged breach of contract and related claims with respect to a dispute over real estate 
commissions. In March 2018, the Company settled this matter, which included the payment of a de minimus amount by 
the Company. 

Uceris® Arbitration 

On or about December 5, 2016, Cosmo Technologies Ltd. and Cosmo Technologies III Ltd. (collectively, “Cosmo”), the 
licensor  of  certain  intellectual  property  rights  in,  and  supplier  of,  the  Company’s  Uceris®  extended  release  tablets, 
commenced arbitration against certain affiliates of the Company, Santarus Inc. (“Santarus”) and Valeant Pharmaceuticals 
Ireland  (now  named  Bausch  Health  Ireland  Limited)  (“Bausch  Ireland”),  under  the  Rules  of  Arbitration  of  the 
International  Chamber  of  Commerce  (No.  22453/GR,  Cosmo  Technologies  Ltd.  et  al.  v.  Santarus,  Inc.  et  al.).  In  the 
arbitration,  Cosmo  alleged  breach  of  contract  with  respect  to  certain  terms  of  the  license  agreement,  including  the 
obligations on Santarus to use certain commercially reasonable efforts to promote the Uceris® extended release tablets. 
Cosmo  sought  a  declaration  that  both  the  license  agreement  and  a  supply  agreement  with  Bausch  Ireland  had  been 
terminated, plus audit and attorney fees. A hearing on liability issues was conducted from October 5, 2017 to October 8, 

F-65 

2017. On April 12, 2018, the Arbitral Tribunal issued a ruling rejecting Cosmo’s claims; accordingly, both the license 
agreement and supply agreement remain in effect. Additionally, the Arbitral Tribunal ordered Cosmo to pay the entirety 
of the Company’s legal costs of approximately $3 million, which Cosmo has paid. The parties subsequently informed the 
Tribunal  and  the  International  Chamber  of  Commerce  (“ICC”)  that  the  remaining  issues  in  the  arbitration  have  been 
resolved, and, accordingly, the case has been dismissed. 

Investigation by the California Department of Insurance 

On or about September 16, 2016, the Company received an investigative subpoena from the California Department of 
Insurance. The materials requested include documents concerning the Company’s former relationship with Philidor and 
certain California-based pharmacies, the marketing and distribution of its products in California, the billing of insurers 
for its products being used by California residents, and other matters. On May 1, 2018, the Company and the California 
Department of Insurance signed an agreement to resolve this investigation, with the Company making a payment to the 
California Department of Insurance in the amount of approximately $2 million, with no admission of facts or liability by 
the Company. 

Mimetogen Litigation 

In  November  2014,  B&L  Inc.  filed  a  lawsuit  against  Mimetogen  Pharmaceuticals  Inc.  (“MPI”)  in  the  United  States 
District Court for the Western District of New York (Bausch & Lomb Incorporated v. Mimetogen Pharmaceuticals Inc., 
Case  No.  6:14-06640  (FPG-JWF)  (W.D.N.Y.))  relating  to  the  Development  Collaboration  and  Exclusive  Option 
Agreement  between  B&L  Inc.  and  MPI  dated  July  17,  2013  (the  “MIM-D3  Agreement”)  for  MIM-D3,  a  compound 
created by MPI to treat dry eye syndrome. In particular, B&L Inc. sought a declaratory judgment that the Initial Phase III 
Trial regarding the safety and efficacy of MIM-D3 conducted pursuant to the MIM-D3 Agreement was “Not Successful” 
as defined in the MIM-D3 Agreement and, as a result, B&L Inc. had no further obligation to MPI when B&L Inc. elected 
not  to  exercise  or  extend  its  option  to  obtain  an  exclusive  license  to  the  MIM-D3  technology  to  develop  and 
commercialize certain products pursuant to the MIM-D3 Agreement before the end of the applicable option period. MPI 
filed a counterclaim against B&L Inc., in which it contended that the result of the clinical trial did not meet the definition 
of “Not Successful” under the MIM-D3 Agreement and that, as a result, a $20 million termination fee was due by B&L 
Inc.  to  MPI  under  the  terms  of  the  MIM-D3 Agreement  and  that  B&L  Inc.  had breached  the  MIM-D3  Agreement  by 
failing to pay this termination fee. MPI also contended that B&L Inc. acted intentionally and consequently was entitled 
to  additional  damages.  MPI  also  brought  certain  third-party  claims  against  the  Company,  alleging  that  the  Company 
intentionally interfered with the MIM-D3 Agreement with the intent to harm MPI. MPI also asserted a claim against the 
Company for unfair and deceptive acts under Massachusetts law, and sought recovery of the $20 million fee, as well as 
additional damages related to this claimed delay and injury to the value of its developmental product. In May 2016, the 
Court dismissed all claims against the Company, other than the claim for tortious interference, and declined to dismiss 
the  claims  against  B&L  Inc.  and  the  Company  for  extra-contractual  damages.  On  June  30,  2017,  the  Court  issued  a 
Decision  and  Order  granting  MPI’s  motion  for  partial  summary  judgment,  awarding  MPI  the  amount  of  $20  million 
(based on a finding that the termination fee was due based on the outcome of the clinical trial) and denying the cross-
motion  for  summary  judgment  filed  by  B&L  Inc.  and  the  Company.  On  March  1,  2018,  final  judgment  was  entered 
against B&L Inc. in the amount of $26 million. On March 30, 2018, B&L Inc. filed its appeal of the final judgment and 
all prior decisions in the case, including the Court’s June 30, 2017 Decision and Order granting MPI partial summary 
judgment. While the appeal was pending, the parties entered into a confidential settlement agreement and dismissed the 
appeal, concluding the case. 

Settlement of Xifaxan® Patent Litigation 

On or about February 16, 2016, the Company received a Notice of Paragraph IV Certification dated February 11, 2016, 
from Actavis Laboratories FL, Inc. (“Actavis”), in which Actavis asserted that the U.S. patents listed in the U.S. Food 
and Drug Administration’s (the “FDA”) Orange Book for Salix Inc. Xifaxan® tablets, 550 mg (the “Xifaxan® Patents”), 
were either invalid, unenforceable and/or would not be infringed by the commercial manufacture, use or sale of Actavis’ 
generic  rifaximin  tablets,  550  mg,  for  which  an  Abbreviated  New  Drug  Application  (“ANDA”)  has  been  filed  by 
Actavis. On March 23, 2016, Salix Inc. and its affiliates, Salix Ltd. and Valeant Pharmaceuticals Luxembourg S.à r.l., 
Alfa Wassermann S.p.A. (“Alfa Wassermann”) (as owner of certain of the Xifaxan® Patents) and Cedars-Sinai Medical 
Center (as owner of certain of the Xifaxan® Patents) (collectively, the “Plaintiffs”) filed suit against Actavis in the U.S. 
District  Court  for  the  District  of  Delaware  (Case  No.  1:16-cv-00188),  pursuant  to  the  Hatch-Waxman  Act,  alleging 
infringement by Actavis of one or more claims of each of the Xifaxan® Patents, thereby triggering a 30-month stay of the 
approval of Actavis’ ANDA for rifaximin tablets, 550 mg. On May 24, 2016, Actavis filed its answer in this matter. 

F-66 

On  September  12,  2018,  the  Company  announced  that  it  had  agreed  to  resolve  all  outstanding  intellectual  property 
litigation  regarding  Actavis’  ANDA.  Under  the  terms  of  the  agreement,  beginning  January  1,  2028  (or  earlier  under 
certain circumstances), Actavis will have the option to: (1) market a royalty-free generic version of Xifaxan® tablets, 550 
mg,  should  it  receive  approval  from  the  FDA  on  its  ANDA,  or  (2)  market  an  authorized  generic  version  of  Xifaxan® 
tablets, 550 mg, with drug supply being provided by Salix Ltd. In the case an authorized generic is marketed, the volume 
of  the  authorized  generic  will  be  subject  to  manufacturing  and  supply  quantities  until  final  patent  expiry,  and  the 
Company will receive a share of the economics from Actavis on its sales of such an authorized generic. The parties have 
agreed to dismiss all litigation related to Xifaxan®, and all intellectual property protecting Xifaxan® will remain intact 
and enforceable. The Company will not make any financial payments or other transfers of value as part of the agreement. 
Actavis acknowledges the validity of the Xifaxan® Patents. 

Settlement of Salix Ltd. SEC Investigation 

In the fourth quarter of 2014, the SEC commenced a formal investigation into alleged securities law violations by Salix 
Ltd. The investigation related to certain disclosures made prior to the Salix Acquisition by Salix Ltd. and its then-chief 
financial  officer  relating  to  the  amounts  of  Salix  Ltd.  drugs  held  in  inventory  by  certain  wholesaler  customers.  The 
Company cooperated with the SEC’s investigation. On September 28, 2018, the Company reached a settlement of the 
relevant charges with the SEC, which settlement remains subject to approval by the U.S. District Court for the Southern 
District of New York. Under the terms of the settlement, Salix Ltd. neither admitted or denied the SEC’s allegations. No 
monetary  penalty  against  the  Company  or  Salix  Ltd.  was  assessed  by  the  terms  of  the  settlement.  As  a  result,  the 
Company recorded a favorable adjustment of $40 million reflecting the reversal of the contingent liability assumed in 
connection with the Salix Acquisition. 

Settlement of Arbitration with Alfasigma S.p.A. (“Alfasigma”) (formerly Alfa Wasserman S.p.A.) 

On  or  about  July  21,  2016,  Alfasigma  commenced  arbitration  against  the  Company  and  its  subsidiary,  Salix 
Pharmaceuticals,  Inc.’s  (“Salix  Inc.”)  under  the  Rules  of  Arbitration  of  the  International  Chamber  of  Commerce  (No. 
22132/GR,  Alfa  Wasserman  S.p.A.  v.  Salix  Pharmaceuticals,  Inc.  et  al.),  pursuant  to  the  terms  of  the  Amended  and 
Restated License Agreement between Alfasigma and Salix Inc. (the “ARLA”). In the arbitration, Alfasigma made certain 
allegations respecting a development project for a formulation of the rifaximin compound (a different formulation to the 
current  formulation,  not  the  Xifaxan®  product)  that  is  being  conducted  under  the  terms  of  the  ARLA,  including 
allegations that Salix Inc. has failed to use the required efforts with respect to this development and that the Company’s 
acquisition of Salix Ltd. resulted in a change of control under the ARLA, which entitled Alfasigma to assume control of 
this development. Alfasigma sought, among other things, a declaration that the provisions of the ARLA relating to the 
development product and the rights relating to the rifaximin formulation being developed had been terminated and such 
development  and  rights  shall  be  returned  to  Alfasigma,  an  order  requiring  the  Company  and  Salix  Inc.  to  pay  for  the 
costs of such development (in an amount of at least $80 million), and alleged damages in the amount of approximately 
$285 million plus arbitration costs and attorney fees. The Company’s Xifaxan® products (and Salix Inc.’s rights thereto 
under the ARLA) were not the subject of any of the relief sought in this arbitration. 

On October 25, 2018, Alfasigma, the Company and Salix Inc. entered into a settlement agreement, pursuant to which the 
parties released each other from all of the claims raised in the arbitration. In connection with the settlement, the parties 
requested  a  dismissal  of  the  arbitration  on  a  with  prejudice  basis.  The  ICC  has  granted  the  requested  dismissal.  In 
addition, in connection with the settlement, the parties also entered into an amendment to the ARLA providing for the 
initiation of a late-stage clinical program to study an investigational formulation of the rifaximin compound in patients 
with Postoperative Crohn’s disease. 

Settlement of Horizon Blue Cross Blue Shield of New Jersey Lawsuit 

On July 26, 2018, Horizon Blue Cross Blue Shield of New Jersey filed a lawsuit against the Company in the Superior 
Court of New Jersey Law Division/Essex County. This action was captioned Horizon Blue Cross Blue Shield of New 
Jersey v. Valeant Pharmaceuticals International Inc., et. al., (No. ESX-L-005234-18). This suit asserted a claim under the 
New  Jersey  Insurance  Fraud  Prevention  Act,  N.J.S.A.  17:33A-1  to  -30,  as  well  as  claims  for  common  law  fraud  and 
negligent  misrepresentation.  In  its  complaint,  Horizon  alleged  that  the  Company  and  other  defendants  submitted  and 
caused  Horizon  to  pay  fraudulent  insurance  claims.  On  October  5,  2018,  the  Company  filed  a  motion  to  dismiss  the 
claims  against  it.  While  that  motion  was  pending,  plaintiffs  and  the  Company  entered  into  a  confidential  settlement 
agreement, pursuant to which the Company was dismissed from the action on January 8, 2019. 

F-67 

Afexa Class Action 

On March 9, 2012, a Notice of Civil Claim was filed in the Supreme Court of British Columbia which sought an order 
certifying a proposed class proceeding against the Company and a predecessor, Afexa Life Sciences Inc. (“Afexa”) (Case 
No. NEW-S-S-140954). The proposed claim asserted that Afexa and the Company made false representations respecting 
Cold-FX® to residents of British Columbia who purchased the product during the applicable period and that the proposed 
class has suffered damages as a result. On November 8, 2013, the plaintiff served an amended notice of civil claim which 
sought to re-characterize the representation claims and broaden them from what was originally claimed. On December 8, 
2014, the Company filed a motion to strike certain elements of the plaintiff’s claim for failure to state a cause of action. 
In  response,  the  plaintiff  proposed  further  amendments  to  its  claim.  The  hearing  on  the  motion  to  strike  and  the 
plaintiff’s amended claim was held on February 4, 2015. The Court allowed certain additional subsequent amendments, 
while it struck others. The hearing to certify the class was held on April 4-8, 2016 and, on November 16, 2016, the Court 
issued a decision dismissing the plaintiff’s application for certification of this action as a class proceeding. On December 
15, 2016, the plaintiff filed a notice of appeal in the British Columbia Court of Appeal appealing the decision to dismiss 
the application for certification. The plaintiff filed its appeal factum on March 15, 2017 and the Company filed its appeal 
factum  on  April  19,  2017.  The  appeal  hearing  was  held  on  September  19,  2017  and,  on  April  30,  2018,  the  British 
Columbia  Court  of  Appeal  dismissed  the  appeal.  On  June  29,  2018,  the  plaintiff  filed  leave  to  appeal  to  the  Supreme 
Court  of  Canada  in  this  matter  and,  on  February  7,  2019,  the  Supreme  Court  of  Canada  dismissed  the  application  for 
leave to appeal with costs. 

Letter  from  the  U.S.  Department  of  Justice  Civil  Division  and  the  U.S.  Attorney’s  Office  for  the  Eastern  District  of 
Pennsylvania 

The Company has received a letter dated September 10, 2015 from the U.S. Department of Justice Civil Division and the 
U.S. Attorney’s Office for the Eastern District of Pennsylvania stating that they are investigating potential violations of 
the  False  Claims  Act  arising  out  of  Biovail  Pharmaceuticals,  Inc.’s  (“Biovail  Pharmaceuticals”)  treatment  of  certain 
service  fees  under  agreements  with  wholesalers  when  calculating  and  reporting  Average  Manufacturer  Prices  in 
connection  with  the  Medicaid  Drug  Rebate  Program.  The  letter  requests  that  the  Company  voluntarily  produce 
documents  and  information  relating  to  the  investigation.  The  Company  produced  certain  documents  and  clarifying 
information in response to the government’s request and has cooperated with the government’s investigation; although, 
during  2018,  there  has  been  no  material  activity  on  the  part  of  the  Company  with  respect  to  this  matter  nor  has  the 
Company had contact from the government with respect to this matter. The Company cannot predict the outcome or the 
duration of this investigation or any other legal proceedings or any enforcement actions or other remedies that may be 
imposed on the Company arising out of these investigations. 

On October 12, 2017, the underlying qui tam complaint asserting claims under the federal and certain state False Claims 
Acts was unsealed in the Eastern District of Pennsylvania, after the United States and the states on whose behalf claims 
were  asserted  declined  to  intervene  in  the  case.  The  complaint  named  Biovail  Pharmaceuticals  and  three  other 
pharmaceutical  manufacturers  as  defendants.  The  complaint  alleged  that  Biovail  Pharmaceuticals  and  other 
manufacturers failed to accurately account for service fees in its calculation of Average Manufacturer Prices reported to 
the federal government, and as a result underpaid Medicaid rebates. On January 10, 2018, the Relator in this matter filed 
a  voluntary  dismissal  in  this  matter,  dismissing  Biovail  Pharmaceuticals,  Inc.  and  two  of  the  other  defendants,  on  a 
without prejudice  basis.  The United  States and  the  states on whose  behalf  claims  were  asserted have  consented  to  the 
voluntary dismissal on March 2, 2018. 

Investigation by the State of North Carolina Department of Justice 

In  the  beginning  of  March  2016,  the  Company  received  an  investigative  demand  from  the  State  of  North  Carolina 
Department of Justice. The materials requested relate to the Company’s Nitropress®, Isuprel® and Cuprimine® products, 
including  documents  relating  to  the  production,  marketing,  distribution,  sale  and  pricing  of,  and  patient  assistance 
programs covering, such products, as well as issues relating to the Company’s pricing decisions for certain of its other 
products.  The  Company  has  cooperated  with  this  investigation;  although,  during  2018,  there  has  been  no  material 
activity  on  the  part  of  the  Company  with  respect  to  this matter  nor has  the  Company  had  contact  from  the  State  with 
respect to this matter. The Company cannot predict the outcome or the duration of this investigation or any other legal 
proceedings  or  any  enforcement  actions  or  other  remedies  that  may  be  imposed  on  the  Company  arising  out  of  this 
investigation. 

F-68 

California Department of Insurance Investigation 

On  May  4,  2016,  B&L  International,  Inc.  (“B&L  International”)  received  from  the  Office  of  the  California  Insurance 
Commissioner an administrative subpoena to produce books, records and documents. On September 1, 2016, a revised 
and corrected subpoena, issued to B&L Inc., was received naming that entity in place of B&L International and seeking 
additional books records and documents. The requested books, records and documents are being requested in connection 
with an investigation by the California Department of Insurance and relate to, among other things, consulting agreements 
and financial arrangements between Bausch & Lomb Holdings Incorporated and its subsidiaries (“B&L”) and health care 
professionals  in  California,  the  provision  of  ocular  equipment,  including  the  Victus®  femtosecond  laser  platform,  by 
B&L to health care professionals in California and prescribing data for prescriptions written by health care professionals 
in California for certain of B&L’s products, including the Crystalens®, Lotemax®, Besivance® and Prolensa®. B&L Inc. 
and the Company have cooperated with the investigation, although, during 2018, there has been no material activity on 
the part of either B&L Inc. or the Company with respect to this matter nor has B&L Inc. nor the Company had contact 
from the California Department of Insurance with respect to this matter. The Company cannot predict the outcome or the 
duration of this investigation or any other legal proceedings or any enforcement actions or other remedies that may be 
imposed on the Company arising out of this investigation. 

21.  COMMITMENTS AND CONTINGENCIES 

Lease Commitments 

The Company leases certain facilities, vehicles and equipment principally under operating leases. Rental expense related 
to  operating  lease  agreements  was  $92  million,  $102  million  and  $103  million  and  for  2018,  2017  and  2016, 
respectively.  Minimum  future  rental  payments  under  noncancelable  operating  leases  for  each  of  the  five  succeeding 
years ending December 31 and thereafter are as follows: 

(in millions) 
2019 ....................................................................................................................................................  
2020 ....................................................................................................................................................  
2021 ....................................................................................................................................................  
2022 ....................................................................................................................................................  
2023 ....................................................................................................................................................  
Thereafter ...........................................................................................................................................  
Total ....................................................................................................................................................  

Minimum future rental payments under noncancelable capital leases are not material. 

Other Commitments 

Operating 
Lease 
Obligations  
78 
$ 
60 
44 
39 
32 
166 
419 

$ 

The Company has commitments related to capital expenditures of approximately $64 million as of December 31, 2018. 

Under certain agreements, the Company may be required to make payments contingent upon the achievement of specific 
developmental, regulatory, or commercial milestones. In connection with certain business combinations and divestitures, 
the  Company  may  make  contingent  consideration  payments,  as  further  described  in  Note  4,  “DIVESTITURES”  and 
Note  6,  “FAIR  VALUE  MEASUREMENTS”.  In  addition  to  these  contingent  consideration  payments,  as  of 
December 31,  2018,  the  Company  estimates  that  it  may  pay  other  potential  milestone  payments  and  license  fees, 
including  sales-based  milestones,  of  up  to  approximately  $1,150  million  over  time,  in  the  aggregate,  to  third  parties, 
primarily consisting of the following: 

•  Under the terms of the co-promotion agreement with US WorldMeds, LLC, the Company may be required to make 

potential sales-based milestone payments over time up to $335 million, in the aggregate. 

•  The  Company  has  made  specific  regulatory  milestone  payments  related  to  and  shares  the  profits  for  brodalumab 
with AstraZeneca under the terms of the October 2015 license agreement. The Company may be required to pay up 
to  an  additional  $20  million  in  regulatory  milestone  payments  and  up  to  $175  million  in  sales-related  milestone 
payments in accordance with the October 2015 license agreement. 

F-69 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
•  Under the terms of a March 2010 development and licensing agreement between B&L and Nicox Inc., the Company 
has  exclusive  worldwide  rights  to  develop  and  commercialize,  for  certain  indications,  products  containing 
latanoprostene bunod, a nitric oxide donating compound for the treatment of glaucoma and ocular hypertension. The 
Company  may  be  required  to  make  potential  regulatory,  commercialization  and  sales-based  milestone  payments 
over time up to $145 million, in the aggregate, as well as royalties on future sales. 

•  Under  the  term  of  the 2012  acquisition  of  Medicis  Pharmaceutical  Corporation,  the Company  may  be  required  to 
make  potential  regulatory,  commercialization  and  sales-based  milestone  payments  over  time  up  to  approximately 
$111 million, in the aggregate. 

• 

In connection with certain agreements assumed in the Salix Acquisition which was consummated in April 2015, the 
Company  estimates  that  it  may  pay  to  third  parties  potential  milestones  of  up  to  approximately  $88  million  over 
time, in the aggregate. 

Due  to  the  nature  of  these  arrangements,  the  future  potential  payments  related  to  the  attainment  of  the  specified 
milestones over a period of several years are inherently uncertain. 

Indemnification Provisions 

In  the  normal  course  of  business,  the  Company  enters  into  agreements  that  include  indemnification  provisions  for 
product liability and other matters. These provisions are generally subject to maximum amounts, specified claim periods 
and  other  conditions  and  limits.  As  of  December  31,  2018  and  2017,  no  material  amounts  were  accrued  for  the 
Company’s obligations under these indemnification provisions. In addition, the Company is obligated to indemnify its 
officers  and  directors  in  respect  of  any  legal  claims  or  actions  initiated  against  them  in  their  capacity  as  officers  and 
directors of the Company in accordance with applicable law. Pursuant to such indemnities, the Company is indemnifying 
certain former officers and directors in respect of certain litigation and regulatory matters. 

22.  SEGMENT INFORMATION 

Reportable Segments 

The Company’s CEO, who is the Company’s Chief Operating Decision Maker, manages the business through operating 
and reportable segments consistent with how the Company’s CEO: (i) assesses operating performance on a regular basis, 
(ii) makes resource allocation decisions and (iii) designates responsibilities of his direct reports. The Company operates 
in  the  following  reportable  segments:  (i)  Bausch  +  Lomb/International  segment,  (ii)  Salix  segment,  (iii)  Ortho 
Dermatologics segment and (iv) Diversified Products segment. 

The following is a brief description of the Company’s segments: 

•  The  Bausch  +  Lomb/International  segment  consists  of:  (i)  sales  in  the  U.S.  of  pharmaceutical  products,  OTC 
products and medical device products, primarily comprised of Bausch + Lomb products, with a focus on the Vision 
Care,  Surgical,  Consumer  and  Ophthalmology  Rx  products  and  (ii)  with  the  exception  of  sales  of  Solta  products, 
sales  in  Canada,  Europe,  Asia,  Australia,  Latin  America,  Africa  and  the  Middle  East  of  branded  pharmaceutical 
products,  branded  generic  pharmaceutical  products,  OTC  products,  medical  device  products  and  Bausch  +  Lomb 
products. 

•  The Salix segment consists of sales in the U.S. of gastrointestinal (“GI”) products. 

•  The  Ortho  Dermatologics  segment  consists  of:  (i)  sales  in  the  U.S.  of  Ortho  Dermatologics  (dermatological) 

products and (ii) global sales of Solta medical aesthetic devices. 

•  The  Diversified  Products  segment  consists  of  sales:  (i)  in  the  U.S.  of  pharmaceutical  products  in  the  areas  of 
neurology  and  certain  other  therapeutic  classes,  (ii)  in  the  U.S.  of  generic  products,  (iii)  in  the  U.S.  of  dentistry 
products and (iv) of certain other businesses divested during 2017 that were not core to the Company’s operations, 
including the Company’s equity interests in Dendreon (June 28, 2017) and Sprout (December 20, 2017). As a result 
of  the  divestitures  of  Dendreon  and  Sprout,  the  Company  exited  the  oncology  and  women’s  health  businesses, 
respectively. 

F-70 

Segment profit is based on operating income after the elimination of intercompany transactions (including transactions 
with any consolidated variable interest entities). Certain costs, such as amortization and impairments of intangible assets, 
goodwill  impairments,  certain  R&D  expenses  not  specific  to  the  Company’s  active  portfolio,  acquired  in-process 
research and development costs, restructuring, integration and acquisition-related costs and other (income) expense are 
not included in the measure of segment profit, as management excludes these items in assessing financial performance. 
In addition, a portion of share-based compensation, representing the difference between actual and budgeted expense, is 
not  allocated  to  segments.  The  Company  evaluates  segment  performance  at  the  segment  revenue  and  segment  profit 
levels. Additionally, the Company does not evaluate total assets at the segment level. 

Corporate  includes  the  finance,  treasury,  certain  research  and  development  programs,  tax  and  legal  operations  of  the 
Company’s  businesses  and  maintains  and/or  incurs  certain  assets,  liabilities,  expenses,  gains  and  losses  related  to  the 
overall  management  of  the  Company,  which  are  not  allocated  to  the  other  business  segments.  In  assessing  segment 
performance  and  managing  operations,  management  does  not  review  segment  assets.  In  addition,  a  portion  of  share-
based  compensation  is  considered  a  corporate  cost,  since  the  amount  of  such  expense  depends  on  Company-wide 
performance rather than the operating performance of any single segment. 

Segment Revenues and Profit 

Segment revenues and profits for the years ended December 31, 2018, 2017 and 2016 were as follows: 

(in millions) 
Revenues: 

Bausch + Lomb/International .................................................................. 
Salix ........................................................................................................ 
Ortho Dermatologics ............................................................................... 
Diversified Products ................................................................................ 
Total revenues ...................................................................................... 

Segment profit: 

Bausch + Lomb/International .................................................................. 
Salix ........................................................................................................ 
Ortho Dermatologics ............................................................................... 
Diversified Products ................................................................................ 
Total segment profit ............................................................................. 
Corporate .................................................................................................... 
Amortization of intangible assets ............................................................... 
Goodwill impairments ................................................................................ 
Asset impairments ...................................................................................... 
Restructuring and integration costs............................................................. 
Acquired in-process research and development costs ................................. 
Acquisition-related contingent consideration ............................................. 
Other income (expense) .............................................................................. 
Operating (loss) income .............................................................................. 
Interest income ........................................................................................... 
Interest expense .......................................................................................... 
Loss on extinguishment of debt .................................................................. 
Foreign exchange and other ........................................................................ 
Loss before benefit from income taxes ....................................................... 

2018 

2017 

2016 

$ 

$ 

$ 

$ 

4,664 
1,749 
625 
1,342 
8,380 

$ 

$ 

$ 

1,330 
1,149 
265 
1,004 
3,748 
(605) 
(2,644) 
(2,322) 
(568) 
(22) 
(1) 
9 
21 
(2,384) 
11 
(1,685) 
(119) 
23 
(4,154)  $ 

4,795 
1,566 
725 
1,638 
8,724 

$ 

$ 

$ 

1,412 
935 
336 
1,112 
3,795 
(562) 
(2,690) 
(312) 
(714) 
(52) 
(5) 
289 
353 
102 
12 
(1,840) 
(122) 
107 
(1,741)  $ 

4,857 
1,530 
949 
2,338 
9,674 

1,456 
946 
408 
1,712 
4,522 
(690) 
(2,673) 
(1,077) 
(422) 
(132) 
(34) 
13 
(73) 
(566) 
8 
(1,836) 
— 
(41) 
(2,435) 

F-71 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Capital Expenditures 

Capital expenditures by segment for the years ended December 31, 2018, 2017 and 2016 were as follows: 

(in millions) 
Capital expenditures: 

Bausch + Lomb/International .................................................................. 
Salix ........................................................................................................ 
Ortho Dermatologics ............................................................................... 
Diversified Products ................................................................................ 

$ 

Corporate ................................................................................................. 
Total capital expenditures ........................................................................... 

$ 

2018 

2017 

2016 

139 
2 
1 
2 
144 
13 
157 

$ 

$ 

159 
3 
2 
4 
168 
3 
171 

$ 

$ 

221 
2 
1 
5 
229 
6 
235 

Revenues by Product and by Product Category 

The top ten products for the years ended December 31, 2018, 2017 and 2016 represented 36%, 32% and 31% of total 
revenues  for  the  years  ended  December  31,  2018,  2017  and  2016,  respectively.  Revenues  by  segment  and  product 
category were as follows:  

Bausch + Lomb/ 
International 
  2017 

Salix 
  2017 

Ortho 
Dermatologics 

  Diversified Products 
  2016 
  2017 

Total 
  2017 

  2018 

(in millions) 
  2016   
Pharmaceuticals ....  $  892  $  956  $  966  $ 1,752  $ 1,564  $ 1,529   $ 465  $ 571  $  806  $  923   $ 1,286  $ 1,865  $ 4,032  $ 4,377  $ 5,166 
Devices .................    1,505    1,421    1,407    —    —    —     135    111   
97    —     —    —    1,640    1,532    1,504 
OTC ......................    1,412    1,529    1,581    —    —    —     —    —    —    —     —    —    1,412    1,529    1,581 
Branded  

  2018    2017    2016    2018 

  2016 

  2016 

  2018 

  2018 

and Other  
Generics ...........   
Other revenues ......   

784   
71   

455    1,187    1,157    1,285 
138 
  $  4,664  $  4,795  $ 4,857  $ 1,749  $ 1,566  $ 1,530   $ 625  $ 725  $  949  $ 1,342   $ 1,638  $ 2,338  $ 8,380  $ 8,724  $ 9,674 

830    —    —    —     —    —    —   
46   
73   

819   
70   

403    
16    

338   
14   

1     25   

129   

109   

43   

18   

(3)  

2   

Geographic Information 

Revenues are attributed to a geographic region based on the location of the customer for the years ended December 31, 
2018, 2017 and 2016 were as follows: 

(in millions) 
U.S. and Puerto Rico .................................................................................. 
China .......................................................................................................... 
Canada ........................................................................................................ 
Japan ........................................................................................................... 
Poland ......................................................................................................... 
Mexico ........................................................................................................ 
France ......................................................................................................... 
Egypt .......................................................................................................... 
Germany ..................................................................................................... 
Russia ......................................................................................................... 
United Kingdom ......................................................................................... 
Italy ............................................................................................................. 
Spain ........................................................................................................... 
Other ........................................................................................................... 

2018 

2017 

2016 

5,011 
361 
319 
226 
218 
211 
205 
178 
170 
154 
117 
85 
83 
1,042 
8,380 

$ 

$ 

5,225 
331 
326 
223 
201 
201 
188 
152 
157 
200 
108 
78 
77 
1,257 
8,724 

$ 

$ 

6,247 
300 
320 
232 
140 
189 
186 
196 
157 
165 
104 
72 
70 
1,296 
9,674 

$ 

$ 

F-72 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
   
   
   
   
   
   
    
   
   
   
    
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Long-lived  assets  consisting  of  property,  plant  and  equipment,  net  of  accumulated  depreciation,  are  attributed  to 
geographic regions based on their physical location as of December 31, 2018 and 2017 were as follows:  

(in millions) 
U.S. and Puerto Rico .......................................................................................................... 
Ireland ................................................................................................................................. 
Canada ................................................................................................................................ 
Poland ................................................................................................................................. 
Germany ............................................................................................................................. 
Egypt .................................................................................................................................. 
Mexico ................................................................................................................................ 
France ................................................................................................................................. 
Serbia .................................................................................................................................. 
China .................................................................................................................................. 
Italy ..................................................................................................................................... 
South Korea ........................................................................................................................ 
Other ................................................................................................................................... 

2018 

2017 

593 
217 
99 
94 
66 
50 
48 
31 
28 
25 
23 
14 
65 
1,353 

$ 

$ 

599 
235 
98 
100 
70 
47 
50 
34 
30 
28 
23 
15 
74 
1,403 

$ 

$ 

Major Customers 

Customers that accounted for 10% or more of total revenues were as follows:  

AmerisourceBergen Corporation ............................................................... 
McKesson Corporation .............................................................................. 
Cardinal Health, Inc. .................................................................................. 

2018 

2017 

2016 

18%   
18%   
13%   

15%   
19%   
13%   

13% 
21% 
15% 

F-73 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Selected unaudited quarterly consolidated financial data are shown below:  

SUPPLEMENTARY DATA (UNAUDITED) 

(in millions, except per share amounts) 
Revenue ................................................................................ 
Expenses ............................................................................... 
Operating (loss) income ........................................................ 
Net loss attributable to Bausch Health Companies Inc. ........ 

Loss per share attributable to Bausch Health Companies 

Inc.: 
Basic .................................................................................. 
Diluted ............................................................................... 
Net cash provided by operating activities ............................. 

$ 

$ 
$ 

$ 
$ 
$ 

2018 

First 
Quarter 

Second 
Quarter 

Third 
Quarter 

$ 

1,995 
4,276 
(2,281)  $ 
(2,581)  $ 

$ 

2,128 
2,373 
(245)  $ 
(873)  $ 

$ 

2,136 
2,019 
117 
$ 
(350)  $ 

Fourth 
Quarter   
2,121 
2,096 
25 
(344) 

(7.36)  $ 
(7.36)  $ 
$ 

438 

(2.49)  $ 
(2.49)  $ 
$ 

222 

(1.00)  $ 
(1.00)  $ 
$ 

522 

(0.98) 
(0.98) 
319 

During the second quarter of 2018, the Company identified a $112 million understatement to the Benefit from income 
taxes as originally reported for the three months ended March 31, 2018, due to an error in the forecasted effective tax 
rate. The understatement resulted in overstatements of the Company’s Net loss attributable to Bausch Health Companies 
Inc. of $112 million and Basic and Diluted loss per share of $0.32 for the three months ended March 31, 2018. Based on 
its evaluation, the Company concluded that the misstatement was not material to its financial position and statements of 
operations,  comprehensive  loss  and  cash  flows  as  of  and  for  the  three  months  ended  March  31,  2018  or  the  related 
disclosures. The first quarter 2018 financial information presented above was revised to correct this misstatement. 

2017 

First 
Quarter 

Second 
Quarter 

Third 
Quarter 

2,233 
2,058 
175 

$ 

$ 

2,219 
2,181 
38 

Fourth 
Quarter   
2,163 
2,485 
(322) 

$ 

$ 

$ 

$ 

$ 

$ 
$ 
$ 

2,109 
1,898 
211 

628 

1.80 
1.79 
954 

$ 

$ 

$ 

$ 
$ 
$ 

(38)  $ 

1,301 

$ 

513 

(0.11)  $ 
(0.11)  $ 
$ 

268 

3.71 
3.69 
490 

$ 
$ 
$ 

1.46 
1.45 
578 

(in millions, except per share amounts) 
Revenue ................................................................................ 
Expenses ............................................................................... 
Operating income (loss) ........................................................ 
Net income (loss) attributable to Bausch Health 

Companies Inc. .................................................................. 

Earnings (loss) per share attributable to Bausch Health 

Companies Inc.: 
Basic .................................................................................. 
Diluted ............................................................................... 
Net cash provided by operating activities ............................. 

F-74 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Subsidiary Information 
As of February 20, 2019 

Company 
Bausch & Lomb Argentina S.R.L. ..................
Waicon Vision S.A. ........................................
Bausch & Lomb (Australia) Pty Limited ........
DermaTech Pty Ltd .........................................
Ganehill Pty Ltd ..............................................
Private Formula International Holdings Pty 

Ltd ...............................................................
Private Formula International Pty Ltd ............
Valeant (Australia) Pty Limited ......................
Valeant Holdco 2 Pty Ltd ...............................
Valeant Pharmaceuticals Australasia Pty 

Limited ........................................................
Wirra Holdings Pty Limited ...........................
Wirra IP Pty Limited ......................................
Wirra Operations Pty Limited .........................
Bausch & Lomb Gesellschaft m.b.H. .............
Hythe Property Incorporated ..........................
Closed Joint-Stock Company Valeant 

Pharma .........................................................
Bausch & Lomb B.V.B.A. ..............................
Bausch & Lomb Pharma S.A. .........................
Valeant Pharmaceuticals Nominee Bermuda ..
PharmaSwiss BH Društvo za trgovinu na 

Exhibit 21.1 

Jurisdiction of 
Incorporation 
Argentina 
Argentina 
Australia 
Australia 
Australia 

Doing Business As 
Bausch & Lomb Argentina S.R.L. 
Waicon Vision S.A. 
Bausch & Lomb (Australia) Pty Limited 
DermaTech Pty Ltd 
Ganehill Pty Ltd 

Australia 
Australia 
Australia 
Australia 

Australia 
Australia 
Australia 
Australia 
Austria 
Barbados 

Belarus 
Belgium 
Belgium 
Bermuda 

Private Formula International Holdings Pty Ltd 
Private Formula International Pty Ltd 
Valeant (Australia) Pty Limited 
Valeant Holdco 2 Pty Ltd 

Valeant Pharmaceuticals Australasia Pty Limited 
Wirra Holdings Pty Limited 
Wirra IP Pty Limited 
Wirra Operations Pty Limited 
Bausch & Lomb GmbH 
Hythe Property Incorporated 

CJSC Valeant Pharma 
Bausch & Lomb B.V.B.A. 
Bausch & Lomb Pharma S.A. 
Valeant Pharmaceuticals Nominee Bermuda 

PharmaSwiss BH d.o.o. Sarajevo 
BL Importações Ltda. 
BL Indústria Ótica Ltda. 
Valeant Farmacêutica do Brasil Ltda. 

Bosnia 
Brazil 
Brazil 
Brazil 

veliko d.o.o. Sarajevo ..................................
BL Importações Ltda. .....................................
BL Indústria Ótica Ltda. .................................
Valeant Farmacêutica do Brasil Ltda. .............
0909657 B.C. Ltd. .......................................... British Columbia (Canada)  0909657 B.C. Ltd. 
0919837 B.C. Ltd. .......................................... British Columbia (Canada)  0919837 B.C. Ltd. 
0938638 B.C. ULC ......................................... British Columbia (Canada)  0938638 B.C. ULC 
0938893 B.C. Ltd. .......................................... British Columbia (Canada)  0938893 B.C. Ltd. 
Bausch & Lomb-Lord (BVI) Incorporated .....
PHARMASWISS EOOD ...............................
Bausch & Lomb Canada Inc. ..........................
Bausch Health, Canada Inc. ............................
Valeant Canada GP Limited/ Commandité 

British Virgin Islands 
Bulgaria 
Canada 
Canada 

Bausch & Lomb-Lord (BVI) Incorporated 
PHARMASWISS EOOD 
Bausch & Lomb Canada Inc. 
Bausch Health, Canada Inc. 
Valeant Canada GP Limited/ Commandité 
Valeant Canada Limitée 
Valeant Canada Limited / Valeant Canada 
Limitée 
Valeant Canada S.E.C./Valeant Canada LP 
V-BAC Holding Corp. 
9079-8851 Quebec Inc. 
Mercury (Cayman) Holdings 

Canada 

Canada 
Canada 
Canada 
Quebec (Canada) 
Cayman Islands 

Valeant Canada Limitée ..............................

Valeant Canada Limited/Valeant Canada 

Limitée ........................................................
Valeant Canada S.E.C./Valeant Canada LP ....
V-BAC Holding Corp. ....................................
9079-8851 Quebec Inc. ...................................
Mercury (Cayman) Holdings ..........................
Bausch & Lomb (Shanghai) Trading Co., 

Ltd. ..............................................................
Beijing Bausch & Lomb Eyecare Co., Ltd. ....
Shandong Bausch & Lomb Freda New 

Packing Materials Co., Ltd. .........................

Shandong Bausch & Lomb Freda 

Pharmaceutical Co., Ltd. .............................
Cambridge Pharmaceutical S.A.S. ..................

China 
China 

China 

China 
Colombia 

Bausch & Lomb (Shanghai) Trading Co., Ltd. 
Beijing Bausch & Lomb Eyecare Co., Ltd. 
Shandong Bausch & Lomb Freda New Packing 
Materials Co., Ltd. 
Shandong Bausch & Lomb Freda Pharmaceutical 
Co., Ltd. 
Cambridge Pharmaceutical S.A.S. 

 
Farmatech S.A. ...............................................
Humax Pharmaceutical S.A. ...........................
PHARMASWISS društvo s ograničenom 

odgovornošću za trgovinu i usluge ..............
PharmaSwiss Ceská republika s.r.o. ...............
Valeant Czech Pharma s.r.o. ...........................
Amoun Distribution LLC................................
Amoun Pharmaceutical Company S.A.E. .......
ICN Egypt LLC ..............................................
PharmaSwiss Eesti OÜ ...................................
Bausch & Lomb France S.A.S. .......................
BCF S.A.S. .....................................................
Laboratoire Chauvin S.A.S. ............................
Bausch & Lomb GmbH ..................................
BLEP Holding GmbH .....................................
Dr. Gerhard Mann chem.-pharm. Fabrik 

Gesellschaft mit beschränkter Haftung .......
Dr. Robert Winzer Pharma GmbH ..................
Grundstücksverwaltungsgesellschaft 

Dr.Gerhard Mann chem.- pharm. Fabrik 
GmbH ..........................................................
Pharmaplast Vertriebsgesellschaft mbH .........
Technolas Perfect Vision GmbH ....................
PharmaSwiss Hellas Commercial Societe 

Anonyme of Pharmaceuticals ......................
Bausch & Lomb (Hong Kong) Limited ..........
Sino Concept Technology Limited .................
Solta Medical International Limited ...............
Valeant Pharma Magyarország Kereskedelmi 
Korlátolt Felelősségű Társaság....................
Bausch & Lomb India Private Limited ...........
PT Bausch Lomb Indonesia ............................
Bausch Health Ireland Limited .......................
Oceana Therapeutics Limited .........................
Valeant Holdings Ireland ................................
Bausch & Lomb-IOM S.P.A. ..........................
B.L.J. Company Limited.................................
Bausch & Lomb (Jersey) Limited ...................
Valeant LLC ...................................................
Bausch & Lomb Korea Co., Ltd. ....................
Bescon Co., Ltd. .............................................
Akcinė bendrovė “Sanitas” .............................
UAB PharmaSwiss .........................................
Bausch & Lomb Luxembourg S.à r.l. .............
Biovail International S.à r.l. ............................
Valeant Finance Luxembourg S.à r.l. .............
Valeant Holdings Luxembourg S.à r.l. ...........
Valeant Pharmaceuticals Luxembourg  

S.à r.l. ..........................................................
Bausch & Lomb (Malaysia) Sdn. Bhd. ...........
Bausch & Lomb México, S.A. de C.V. ..........
Bausch Health Mexico, S.A. de C.V. .............
Laboratorios Fedal, S.A. .................................
Laboratorios Grossman, S.A. ..........................
Logística Valeant, S.A. de C.V. ......................
Nysco de México, S.A. de C.V. ......................
Tecnofarma, S.A. de C.V. ...............................

Colombia 
Colombia 

Croatia 
Czech Republic 
Czech Republic 
Egypt 
Egypt 
Egypt 
Estonia 
France 
France 
France 
Germany 
Germany 

Farmatech S.A. 
Humax Pharmaceutical S.A. 
PHARMASWISS društvo s ograničenom 
odgovornošću za trgovinu i usluge 
PharmaSwiss Ceská republika s.r.o. 
Valeant Czech Pharma s.r.o. 
Amoun Distribution LLC 
Amoun Pharmaceutical Company S.A.E. 
ICN Egypt LLC 
PharmaSwiss Eesti OÜ 
Bausch & Lomb France S.A.S. 
BCF S.A.S. 
Laboratoire Chauvin S.A.S. 
Bausch & Lomb GmbH 
BLEP Holding GmbH 

Germany 
Germany 

Dr. Gerhard Mann chem.-pharm. Fabrik GmbH 
Dr. Robert Winzer Pharma GmbH 

Germany 
Germany 
Germany 

Greece 
Hong Kong 
Hong Kong 
Hong Kong 

Hungary 
India 
Indonesia 
Ireland 
Ireland 
Ireland 
Italy 
Japan 
Jersey 
Kazakhstan 
Korea 
Korea 
Lithuania 
Lithuania 
Luxembourg 
Luxembourg 
Luxembourg 
Luxembourg 

Luxembourg 
Malaysia 
Mexico 
Mexico 
Mexico 
Mexico 
Mexico 
Mexico 
Mexico 

Grundstücksverwaltungsgesellschaft Dr.Gerhard 
Mann chem.- pharm. Fabrik GmbH 
Pharmaplast Vertriebsgesellschaft mbH 
Technolas Perfect Vision GmbH 

PharmaSwiss Hellas S.A. 
Bausch & Lomb (Hong Kong) Limited 
Sino Concept Technology Limited 
Solta Medical International Limited 
Valeant Pharma Magyarország Kereskedelmi 
Korlátolt Felelősségű Társaság 
Bausch & Lomb India Private Limited 
PT Bausch Lomb Indonesia 
Bausch Health Ireland Limited 
Oceana Therapeutics Limited 
Valeant Holdings Ireland 
Bausch & Lomb-IOM S.P.A. 
B.L.J. Company Limited 
Bausch & Lomb (Jersey) Limited 
Valeant LLC 
Bausch & Lomb Korea Co., Ltd. 
Bescon Co., Ltd. 
AB Sanitas 
UAB PharmaSwiss 
Bausch & Lomb Luxembourg S.à r.l. 
Biovail International S.à r.l. 
Valeant Finance Luxembourg S.à r.l. 
Valeant Holdings Luxembourg S.à r.l. 

Valeant Pharmaceuticals Luxembourg S.à r.l. 
Bausch & Lomb (Malaysia) Sdn. Bhd. 
Bausch & Lomb México, S.A. de C.V. 
Bausch Health Mexico, S.A. de C.V. 
Laboratorios Fedal, S.A. 
Laboratorios Grossman, S.A. 
Logística Valeant, S.A. de C.V. 
Nysco de México, S.A. de C.V. 
Tecnofarma, S.A. de C.V. 

 
 
Valeant Farmacéutica, S.A. de C.V. ...............
Valeant Servicios y Administración, S. de 

R.L. de C.V. ................................................
Bausch+Lomb OPS B.V. ................................
Natur Produkt Europe B.V. .............................
Technolas Perfect Vision Coöperatief SA ......
Valeant Dutch Holdings B.V. .........................
Bausch & Lomb (New Zealand) Limited .......
Valeant Pharmaceuticals New Zealand 

Limited ........................................................
Valeant Farmacéutica Panamá, S.A. ...............
Valeant Farmacéutica Perú S.R.L. ..................
Bausch & Lomb Philippines Inc. ....................
Cadogan spółka z ograniczoną 

odpowiedzialnością .....................................

Emo-Farm spółka z ograniczoną 

odpowiedzialnością .....................................
ICN Polfa Rzeszow Spółka Akcyjna ..............
Przedsiebiorstwo Farmaceutyczne Jelfa 

Spółka Akcyjna ...........................................

Valeant Inter spółka z ograniczoną 

odpowiedzialnością .....................................

Valeant Med spółka z ograniczoną 

odpowiedzialnością .....................................

Valeant spółka z ograniczoną 

odpowiedzialnością .....................................

Valeant spółka z ograniczoną 

odpowiedzialnością Europe spółka jawna ...
Valeant Pharma Poland spółka z ograniczoną 
odpowiedzialnością .....................................

VP Valeant spółka z ograniczoną 

odpowiedzialnością spółka jawna ...............
Amoun Pharmaceutical Romania SRL ...........
S.C. Valeant Pharma SRL ...............................
JSC “Natur Produkt International” .................
VALEANT LLC .............................................
PharmaSwiss doo preduzeće za proizvodnju, 
unutrašnju, spoljnu trgovinu i zastupanje 
Beograd .......................................................

Bausch & Lomb (Singapore) Private  

Limited ........................................................
Technolas Singapore Pte. Ltd. ........................
Valeant Slovakia s.r.o. ....................................
PHARMASWISS, trgovsko in proizvodno 

podjetje, d.o.o. .............................................
Bausch and Lomb (South Africa) (Pty) Ltd ....
Soflens (Pty) Ltd .............................................
Bausch & Lomb S.A. ......................................
Bausch & Lomb Nordic Aktiebolag ...............
Bausch & Lomb Swiss AG .............................
fx Life Sciences AG ........................................
PharmaSwiss SA .............................................
Bausch & Lomb Taiwan Limited ...................
Bausch & Lomb (Thailand) Limited ...............
Valeant (Thailand) Ltd....................................
Bausch and Lomb Sağlik ve Optik Ürünleri 

Ticaret Anonim Şirketi ................................

Mexico 

Mexico 
Netherlands 
Netherlands 
Netherlands 
Netherlands 
New Zealand 

New Zealand 
Panama 
Peru 
Philippines 

Valeant Farmacéutica, S.A. de C.V. 
Valeant Servicios y Administración, S. de R.L. de 
C.V. 
Bausch+Lomb OPS B.V. 
Natur Produkt Europe B.V. 
Technolas Perfect Vision Coöperatief SA 
Valeant Dutch Holdings B.V. 
Bausch & Lomb (New Zealand) Limited 

Valeant Pharmaceuticals New Zealand Limited 
Valeant Farmacéutica Panamá, S.A. 
Valeant Farmacéutica Perú S.R.L. 
Bausch & Lomb Philippines Inc. 

Poland 

Poland 
Poland 

Poland 

Poland 

Poland 

Poland 

Poland 

Poland 

Poland 
Romania 
Romania 
Russia 
Russia 

Cadogan sp. z o.o. 

Emo-Farm sp. z o.o. 
ICN Polfa Rzeszow SA 

Przedsiebiorstwo Farmaceutyczne Jelfa SA 

Valeant Inter sp. z o.o. 

Valeant Med sp. z o.o. 

Valeant sp. z o.o. 

Valeant sp. z o.o. Europe sp. j. 

Valeant Pharma Poland sp. z o.o. 

VP Valeant Sp. z o.o. sp. j. 
Amoun Pharmaceutical Romania SRL 
Valeant Pharma SRL 
JSC “Natur Produkt International” 
VALEANT LLC 

Serbia 

PharmaSwiss doo, Beograd 

Singapore 
Singapore 
Slovakia 

Slovenia 
South Africa 
South Africa 
Spain 
Sweden 
Switzerland 
Switzerland 
Switzerland 
Taiwan 
Thailand 
Thailand 

Turkey 

Bausch & Lomb (Singapore) Private Limited 
Technolas Singapore Pte. Ltd. 
Valeant Slovakia s.r.o. 

PharmaSwiss d.o.o. 
Bausch and Lomb (South Africa) (Pty) Ltd 
Soflens (Pty) Ltd 
Bausch & Lomb S.A. 
Bausch & Lomb Nordic AB 
Bausch & Lomb Swiss AG 
fx Life Sciences AG 
PharmaSwiss SA 
Bausch & Lomb Taiwan Limited 
Bausch & Lomb (Thailand) Limited 
iNova Pharmaceuticals (Thailand) Ltd. 
Bausch and Lomb Sağlik ve Optik Ürünleri 
Tic.Ş.Þ 

 
 
VALEANT PHARMACEUTICALS Limited 
Liability Company .......................................

Medpharma Pharmaceutical & Chemical 

Industries LLC.............................................
Valeant DWC-LLC .........................................
Bausch & Lomb UK Holdings Limited ..........
Bausch & Lomb U.K. Limited ........................
Sterimedix Limited .........................................
Synergetics Surgical EU Limited....................
Salix Pharmaceuticals, Inc. .............................
Visioncare Devices, Inc. .................................
Audrey Enterprise, LLC .................................
Bausch & Lomb South Asia, Inc. ...................
Bausch Foundation .........................................
Bausch Health Americas, Inc. .........................
Bausch Health US, LLC .................................
eyeonics, inc. ..................................................
Eye Essentials LLC .........................................
Medicis Pharmaceutical Corporation ..............
Oceana Therapeutics, Inc. ...............................
Oceanside Pharmaceuticals, Inc......................
OraPharma, Inc. ..............................................
PreCision Dermatology, Inc. ..........................
Prestwick Pharmaceuticals, Inc. .....................
Salix Pharmaceuticals, Ltd. ............................
Santarus, Inc. ..................................................
Solta Medical, Inc. ..........................................
Synergetics IP, Inc. .........................................
Technolas Perfect Vision, Inc. ........................
Unilens Corp. USA .........................................
Unilens Vision Sciences Inc. ..........................
VRX Holdco LLC ...........................................
Croma Pharmaceuticals, Inc. ..........................
Synergetics, Inc...............................................
Alden Optical Laboratories, Inc. .....................
Bausch & Lomb Incorporated .........................
Bausch & Lomb International Inc. ..................
U.S. Nuclear Corporation ...............................
AcriVet Inc. ....................................................

Ukraine 

VALEANT PHARMACEUTICALS LLC 

UAE 
UAE 
United Kingdom 
United Kingdom 
United Kingdom 
United Kingdom 
California (US) 
California (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Delaware (US) 
Florida (US) 
Missouri (US) 
New York (US) 
New York (US) 
New York (US) 
Ohio (US) 
Utah (US) 

Medpharma Pharma & Chem Ind LLC 
Valeant DWC-LLC 
Bausch & Lomb UK Holdings Limited 
Bausch & Lomb U.K. Limited 
Sterimedix Limited 
Synergetics Surgical EU Limited 
Salix Pharmaceuticals, Inc. 
Visioncare Devices, Inc. 
Audrey Enterprise, LLC 
Bausch & Lomb South Asia, Inc. 
Bausch Foundation 
Bausch Health Americas, Inc. 
Bausch Health US, LLC 
eyeonics, inc. 
Eye Essentials LLC 
Medicis Pharmaceutical Corporation 
Oceana Therapeutics, Inc. 
Oceanside Pharmaceuticals, Inc. 
OraPharma, Inc. 
PreCision Dermatology, Inc. 
Prestwick Pharmaceuticals, Inc. 
Salix Pharmaceuticals, Ltd. 
Santarus, Inc. 
Solta Medical, Inc. 
Synergetics IP, Inc. 
Technolas Perfect Vision, Inc. 
Unilens Corp. USA 
Unilens Vision Sciences Inc. 
VRX Holdco LLC 
Croma Pharmaceuticals, Inc. 
Synergetics, Inc. 
Alden Optical Laboratories, Inc. 
Bausch & Lomb Incorporated 
Bausch & Lomb International Inc. 
U.S. Nuclear Corporation 
AcriVet Inc. 

In accordance with the instructions of Item 601 of Regulation S-K, certain subsidiaries are omitted from the foregoing table. 

 
 
 
 
 
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

We hereby consent to the incorporation by reference in the Registration Statements on Form S-3 (No. 333-223388) and Form 
S-8 (Nos. 333-226786, 333-196120, 333-176205, 333-168254, 333-168629, and 333-138697), as amended, where applicable, 
of  Bausch  Health  Companies  Inc.  of  our  report  dated  February  20,  2019  relating  to  the  financial  statements,  financial 
statement schedule and the effectiveness of internal control over financial reporting, which appears in this Form 10-K. 

Exhibit 23.1 

/s/ PricewaterhouseCoopers LLP 
Florham Park, New Jersey 
February 20, 2019 

 
CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER 
PURSUANT TO RULE 13a-14(a) 
AS ADOPTED PURSUANT TO 
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

Exhibit 31.1 

I, Joseph C. Papa, certify that: 

1. 

2. 

3. 

4. 

I have reviewed this annual report on Form 10-K of Bausch Health Companies Inc. (the ”Company”); 

Based  on  my  knowledge,  this  report  does  not  contain  any  untrue  statement  of  a  material  fact  or  omit  to  state  a 
material fact necessary to make the statements made, in light of the circumstances under which such statements were 
made, not misleading with respect to the period covered by this report; 

Based  on  my  knowledge,  the  financial  statements,  and  other  financial  information  included  in  this  report,  fairly 
present in all material respects the financial condition, results of operations and cash flows of the Company as of, 
and for, the periods presented in this report; 

The  Company’s  other  certifying  officer  and  I  are  responsible  for  establishing  and  maintaining  disclosure  controls 
and  procedures  (as  defined  in  Exchange  Act  Rules  13a-15(e)  and  15d-15(e))  and  internal  control  over  financial 
reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Company and have: 

a.  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be 
designed  under  our  supervision,  to  ensure  that  material  information  relating  to  the  Company,  including  its 
consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in 
which this report is being prepared; 

b.  Designed such internal control over financial reporting, or caused such internal control over financial reporting 
to  be  designed  under  our  supervision,  to  provide  reasonable  assurance  regarding  the  reliability  of  financial 
reporting  and  the  preparation  of  financial  statements  for  external  purposes  in  accordance  with  generally 
accepted accounting principles; 

c.  Evaluated  the effectiveness  of  the  Company’s disclosure controls  and  procedures  and presented  in  this  report 
our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period 
covered by this report based on such evaluation; and 

d.  Disclosed  in  this  report  any  change  in  the  Company’s  internal  control  over  financial  reporting  that  occurred 
during the Company’s most recent fiscal quarter (the Company’s fourth fiscal quarter in the case of an annual 
report) that has materially affected, or is reasonably likely to materially affect, the Company’s internal control 
over financial reporting; and 

5. 

The Company’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control 
over financial reporting, to the Company’s auditors and the audit committee of the Company’s board of directors (or 
persons performing the equivalent functions): 

a.  All significant deficiencies and material weaknesses in the design or operation of internal control over financial 
reporting which are reasonably likely to adversely affect the Company’s ability to record, process, summarize 
and report financial information; and 

b.  Any fraud, whether or not material, that involves management or other employees who have a significant role in 

the Company’s internal control over financial reporting. 

Date: February 20, 2019 
/s/ JOSEPH C. PAPA 
     Joseph C. Papa 
Chairman of the Board and Chief Executive Officer 
(Principal Executive Officer) 

 
 
CERTIFICATION OF THE CHIEF FINANCIAL OFFICER 
PURSUANT TO RULE 13a-14(a) 
AS ADOPTED PURSUANT TO 
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

Exhibit 31.2 

I, Paul S. Herendeen certify that: 

1. 

2. 

3. 

4. 

I have reviewed this annual report on Form 10-K of Bausch Health Companies Inc. (the “Company”); 

Based  on  my  knowledge,  this  report  does  not  contain  any  untrue  statement  of  a  material  fact  or  omit  to  state  a 
material fact necessary to make the statements made, in light of the circumstances under which such statements were 
made, not misleading with respect to the period covered by this report; 

Based  on  my  knowledge,  the  financial  statements,  and  other  financial  information  included  in  this  report,  fairly 
present in all material respects the financial condition, results of operations and cash flows of the Company as of, 
and for, the periods presented in this report; 

The  Company’s  other  certifying  officer  and  I  are  responsible  for  establishing  and  maintaining  disclosure  controls 
and  procedures  (as  defined  in  Exchange  Act  Rules  13a-15(e)  and  15d-15(e))  and  internal  control  over  financial 
reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Company and have: 

a.  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be 
designed  under  our  supervision,  to  ensure  that  material  information  relating  to  the  Company,  including  its 
consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in 
which this report is being prepared; 

b.  Designed such internal control over financial reporting, or caused such internal control over financial reporting 
to  be  designed  under  our  supervision,  to  provide  reasonable  assurance  regarding  the  reliability  of  financial 
reporting  and  the  preparation  of  financial  statements  for  external  purposes  in  accordance  with  generally 
accepted accounting principles; 

c.  Evaluated  the effectiveness  of  the  Company’s disclosure controls  and  procedures  and presented  in  this  report 
our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period 
covered by this report based on such evaluation; and 

d.  Disclosed  in  this  report  any  change  in  the  Company’s  internal  control  over  financial  reporting  that  occurred 
during the Company’s most recent fiscal quarter (the Company’s fourth fiscal quarter in the case of an annual 
report) that has materially affected, or is reasonably likely to materially affect, the Company’s internal control 
over financial reporting; and 

5. 

The Company’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control 
over financial reporting, to the Company’s auditors and the audit committee of the Company’s board of directors (or 
persons performing the equivalent functions): 

a.  All significant deficiencies and material weaknesses in the design or operation of internal control over financial 
reporting which are reasonably likely to adversely affect the Company’s ability to record, process, summarize 
and report financial information; and 

b.  Any fraud, whether or not material, that involves management or other employees who have a significant role in 

the Company’s internal control over financial reporting. 

Date: February 20, 2019 
/s/ PAUL S. HERENDEEN 
     Paul S. Herendeen 
Executive Vice President and Chief Financial Officer 
(Principal Financial Officer) 

 
 
CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER 
PURSUANT TO 18 U.S.C. § 1350 
AS ADOPTED PURSUANT TO 
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

Exhibit 32.1 

I, Joseph C. Papa, Chairman of the Board and Chief Executive Officer of Bausch Health Companies Inc. (the “Company”), 
certify, pursuant  to  18 U.S.C.  § 1350,  as  adopted  pursuant  to  Section 906  of  the Sarbanes-Oxley  Act  of  2002,  that,  to  my 
knowledge: 

1. 

2. 

The  Annual  Report  of  the  Company  on  Form  10-K  for  the  fiscal  year  ended  December  31,  2018  (the  “Annual 
Report”) fully complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 
1934; and 

The information contained in the Annual Report fairly presents, in all material respects, the financial condition and 
results of operations of the Company. 

Date: February 20, 2019 
/s/ JOSEPH C. PAPA 
     Joseph C. Papa 
Chairman of the Board and Chief Executive Officer 
(Principal Executive Officer) 

This certification accompanies the Report pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to 
the extent required by such Act, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act 
of 1934, as amended (the “Exchange Act”). Such certification will not be deemed to be incorporated by reference into any 
filing under the Securities Act of 1933, as amended, or the Exchange Act, except to the extent that the Company specifically 
incorporates it by reference. 

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by 
the Company and furnished to the U.S. Securities and Exchange Commission or its staff upon request. 

 
 
CERTIFICATION OF THE CHIEF FINANCIAL OFFICER 
PURSUANT TO 18 U.S.C. § 1350 
AS ADOPTED PURSUANT TO 
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

Exhibit 32.2 

I,  Paul  S.  Herendeen,  Executive  Vice  President  and  Chief  Financial  Officer  of  Bausch  Health  Companies  Inc.  (the 
“Company”), certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 
that, to my knowledge: 

1. 

2. 

The  Annual  Report  of  the  Company  on  Form  10-K  for  the  fiscal  year  ended  December  31,  2018  (the  “Annual 
Report”) fully complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 
1934; and 

The information contained in the Annual Report fairly presents, in all material respects, the financial condition and 
results of operations of the Company. 

Date: February 20, 2019 
/s/ PAUL S. HERENDEEN 
     Paul S. Herendeen 
Executive Vice President and Chief Financial Officer 

This certification accompanies the Report pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to 
the extent required by such Act, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act 
of 1934, as amended (the “Exchange Act”). Such certification will not be deemed to be incorporated by reference into any 
filing under the Securities Act of 1933, as amended, or the Exchange Act, except to the extent that the Company specifically 
incorporates it by reference. 

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by 
the Company and furnished to the U.S. Securities and Exchange Commission or its staff upon request. 

 
 
 
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CORPOR ATE INFORMATION
2150 St. Elzéar Blvd. West
Laval, Quebec H7L 4A8
Canada
Phone:  800-361-1448
514-744-6792
514-744-6272

Fax: 

GENER AL INVESTOR REL ATIONS
Email: ir@bauschhealth.com 
877-281-6642
514-856-3855 (Canada)

You may request a copy of documents, at 
no cost, by contacting ir@bauschhealth.
com. Email updates are also available 
through the Investor Relations page at 
www.bauschhealth.com. 

TR ANSFER AGENT AND REGISTR AR 
Bausch Health Companies Inc.’s designated 
transfer agent is AST Trust Company 
(Canada). The transfer agent is responsible 
for maintaining all records of registered 
stockholders (including change of address, 
telephone number and name), canceling 
or issuing stock certificates and resolving 
problems related to lost, destroyed or 
stolen certificates. If you are a registered 
stockholder of Bausch Health Companies 
Inc. and need to change your records 
pertaining to stock, please contact the 
transfer agent listed below:

AST Trust Company (Canada)
P.O. Box 700
Station B
Montreal, QC H3B 3K3
Canada

Email: inquiries@astfinancial.com

Fax: 888-249-6189

Phone (for all security transfer inquiries):
1-800-387-0825 or 416-682-3860

Website: www.astfinancial.com/ca-en

Corporate Information

BOARD OF DIRECTORS

E XECUTI VE OFFICERS

Joseph C. Papa
Chairman of the Board and 
Chief Executive Officer
Bausch Health Companies Inc.

Thomas W. Ross, Sr. 
President and Director, The Volcker Alliance 
Lead Independent Director
Committees: Audit and Risk, Nominating 
and Corporate Governance

Richard U. De Schutter
Corporate Director
Committees: Finance and Transactions, 
Talent and Compensation

D. Robert Hale
Partner, ValueAct Capital Management, L.P.
Committees: Finance and Transactions 
(Chairperson), Talent and Compensation

Argeris (Jerry) N. Karabelas
Partner, Care Capital, LLC
Committees: Talent and Compensation 
(Chairperson), Science and Technology

Sarah B. Kavanagh
Corporate Director
Committees: Audit and Risk, Finance and 
Transactions, Nominating and Corporate 
Governance

John A. Paulson
President and Portfolio Manager, 
Paulson & Co. Inc.
Committees: Finance and Transactions

Robert N. Power
Corporate Director
Committees: Nominating and Corporate 
Governance (Chairperson), Audit and Risk, 
Science and Technology 

Russel C. Robertson
Corporate Director
Committees: Audit and Risk (Chairperson), 
Nominating and Corporate Governance 

Andrew C. von Eschenbach, M.D.
President, Samaritan Health Initiatives, Inc.
Committees: Science and Technology 
(Chairperson)

Dr. Amy Wechsler 
Dermatology
Committees: Talent and Compensation, 
Science and Technology

Joseph C. Papa
Chairman of the Board and  
Chief Executive Officer

Christina M. Ackermann
Executive Vice President  
and General Counsel

Thomas J. Appio
President & Co-Head,  
Bausch + Lomb/International

Joseph F. Gordon
President & Co-Head,  
Bausch + Lomb/International

Paul S. Herendeen
Executive Vice President  
and Chief Financial Officer

William D. Humphries
President, Ortho Dermatologics

Mark C. McKenna
President, Salix Pharmaceuticals

SENIOR MANAGEMENT 

Dennis Asharin
Senior Vice President, Chief Global 
Manufacturing and Supply Chain Officer

Scott Hirsch
Chief Business Strategy Officer, Senior 
Vice President/General Manager, Dentistry

Barbara Purcell
President, Diversified Products

Dr. Tage Ramakrishna
Chief Medical Officer, President of 
Research and Development

Robert Spurr
Senior Vice President, Market Access
and Commercial Operations

Tracy Valorie
Senior Vice President, General Manager, 
Ophthalmology Pharmaceuticals and 
Surgical

Kelly Webber
Senior Vice President and  
Chief Human Resources Officer

Dr. Louis Yu
Chief Quality Officer, Global Quality

Annual Report Design by Curran & Connors, Inc. / www.curran-connors.com

 
2150 St. Elzéar Blvd. West

Laval, Quebec H7L 4A8

Canada

(800) 361-1448

www.bauschhealth.com