throbber
Clearly, though, I think one of the slides we included in the presentation was TRULANCE, a
`product that we acquired for approximately $180 million. And you can see it's already
`generating over $100 million of revenue. Things like those type of bolt-on opportunities we
`think are going to be the perfect type of programs. I'm going to probably ask Tom to speak
`specifically before we go to Ortho Derm but a little bit maybe about some of the things he's
`been able to do in the international pharma business and some of the products that he's
`been able to acquire help build that segment of the business as well. So maybe talk a little bit
`about the international pharma business and the past success you've had in predictor of the
`future.
`
`Thomas Appio
`
`Yes. So when I look at the R&D pipeline, clearly, we'll have to accelerate the R&D pipeline.
`And as Joe pointed out, clearly, there will be a balance between paying debt versus the
`assets that we can bring into the organization. When I look at it, clearly, we have a wonderful
`footprint in GI with our Salix business, and we've already started screening opportunities that
`we could take a look at there in adjacent categories as well to be able to leverage our
`footprint there and our scale.
`
`When we take a look at the business internationally, we have, as we said in the presentation,
`in over 70 countries, we have scale in Eastern Europe, Latin America and Canada. And over
`the last few years, we've been able to do many deals that we call -- I would call tuck-in deals
`that are -- that bring us revenue and EBITDA at reasonable rates and reasonable prices,
`given the fact that with the scale that we have and be able to leverage that, we already have
`many deals that are sitting there that we can continue to execute on.
`
`And that's why I see an opportunity to leverage the international business with the scale that
`we have and the ability to grow it with no LOEs. So it's going to be a balance, of course,
`between the U.S. business and the international business and then paying down debt. We'll
`have to be extremely focused of what we bring in and making sure that we do exquisite due
`diligence on any deals that come in to make sure that we have success.
`
`Joseph Papa
`
`Tom is a little modest. He's got 45 products that he is planning for 50 different markets in the
`next 5 years that he's expecting to launch, and I think that's going to be a really important
`part of what he's done historically, both what he can do for the future as well. So you'll see
`that on Page 35 of our presentation.
`
`https://seekingalpha.com/article/4489552-bausch-health-companies-inc-bhc-ceo-joseph-papa-on-q4-2021-results-earnings-call-transcript
`
`Slayback Exhibit 1073, Page 17 of 24
`Slayback v. Eye Therapies - IPR2022-00142
`
`

`

`And then the other question was on the Ortho Derm business. Does it fit within the pharma
`business? I think the answer is still yes. We will continue to look at all opportunities, though,
`in terms of looking at our portfolio. But as we sit here today, we've got a new product, IDP-
`126 that we have now completed 2 Phase Ill clinical trials that have met their primary end
`points. We do expect to submit that NDA in the second half of 2022. So we're excited about
`what that means in terms of the opportunity in addition to what we've previously said.
`
`And I can't leave this without also commenting, David, as you know, the plans we have for
`the rifaximin novel formulations and the MSL model, as we mentioned in the call, also are a
`big part of that organic story that we're putting together. So thank you for the question.
`Operator, next question please.
`
`Operator
`
`Our next question comes from Gary Nachman with BMO Capital Markets.
`
`Gary Nachman
`
`So Joe, when you say actively monitoring market conditions for B&L and Salta IPOs, do you
`see the conditions or receptivity to those IPOs being very different? Is it more likely one will
`happen before the other? And if market conditions are not good, how long can this potentially
`be on hold beyond the March time frame that you just outlined?
`
`And then with all the moving pieces and changing dynamics on capital generation for the
`spins, why are you confident you can still get to the leverage targets that you laid out a bunch
`of months ago? Are you starting to think any differently about those targets at all? So if you
`could just walk through your confidence there that would be great as well.
`
`Joseph Papa
`
`I'll start with -- a lot of good questions there. In terms of looking at the market conditions for
`both IPO, once again, I want to start with -- we have substantially completed the preparations
`for both the B&L IPO and the Salta IPO at this time, which I think that's important. We
`obviously will need to update our financials, which we'll do. But essentially, the mid-March,
`end of March timing is what we are currently contemplating.
`
`Obviously, the market conditions can change, and we're going to work with our advisers on
`that particular question as to when to go forward. What I will say is that we're balancing 2
`things. Number one, the desire to move expeditiously in terms of moving forward these IPOs
`to unlock what we believe is significant shareholder value. So we would like to move
`expeditiously. Having said that though, the bigger commentary that goes along with that is to
`maximize the shareholder value creation opportunity. So we're going to balance those 2
`thinas as we think ahout how we ao forward with these IPns.
`'Https:l/seekingalplia.comtart1cfe744!3'9552-oaus!:Pi=healtli.:companies-1nc-bhc-ceo-josepn-papa-on-q4-2021-results-earnings-call-transcript
`
`Slayback Exhibit 1073, Page 18 of 24
`Slayback v. Eye Therapies - IPR2022-00142
`
`

`

`I think part of the question you're asking is, is there a different market potential for each of
`these IPOs, yes, they are different IPOs. They have -- one is a pure play Bausch & Lomb eye
`health business. The other one is a Salta Medical aesthetics business. There's differences in
`valuation in terms of overall valuations, in term relative size. One of them is, a ballpark $4
`billion business in terms of revenue. The other was $350-plus million revenue business.
`
`So depending on which one we're talking about, there's going to be a different market for
`each of those. But both of them, we think, are exciting opportunities. And once again, being a
`pure-play eye health business or a pure-play medical aesthetics, we think there's great
`opportunities for both of them.
`
`How long will we wait in terms of the March time line? I think, once again, I'm going to just
`simply stick with the point that we want to move expeditiously, but we're also looking to
`maximize our shareholder value creation across the entire Bausch Health Company.
`
`Our confidence in getting to the leverage targets would change them? The answer to that is
`simply we are highly confident we will get to these leverage targets.
`
`We are not going to change them. We are looking at these leverage targets being Bausch &
`Lomb at less than 2.Sx leverage and Bausch Pharma at that 6.Sx to 6.7x is the leverage
`target that we've spoken about in the past, and we'll stay with those leverage targets as we
`look at them right now.
`
`Obviously, the important thing that would change to that is when we actually do the full
`separation is the only question that's going to depend upon, of course, our performance and
`our ability to raise the capital through the IPO, so the Bausch & Lomb business, the Salta
`business and the amount of incremental debt that will put towards the Bausch & Lomb 2.5x
`leverage. I think I got all your questions, Gary. Thank you very much for the question.
`
`Operator
`
`Our next question comes from Jason Gerberry with Bank of America.
`
`Jason Gerberry
`
`Just wanted to ask about the XIFAXAN patent litigation situation. And basically, what can you
`offer Alvogen to try to drive a settlement? As we look at the situation, trying to offer early
`market entry versus the January 2028 entry data of the other generic settlements, we just
`pull forward the other generics, I would assume. And I was also looking at a settlement to
`launch alongside 3 other generics probably is not hugely valuable to Alvogen.
`
`https://seekingalpha.com/article/4489552-bausch-health-companies-inc-bhc-ceo-joseph-papa-on-q4-2021-results-earnings-call-transcript
`
`Slayback Exhibit 1073, Page 19 of 24
`Slayback v. Eye Therapies - IPR2022-00142
`
`

`

`So just sort of curious what you can offer incrementally? And if you can't drive a settlement
`and you have to go to court, just curious, and we could get a decision by the end of the year
`in worst case, if that goes against you, how does that impact the ability to spin off P&L?
`Because I know B&L spin-off would occur something like 6 months after the IPO. So just
`curious, given XIFAXAN sort of really important to absorbing a lot of the debt for RemainCo?
`
`Joseph Papa
`
`Sure. Very good question. Maybe I'll just review a couple of the facts and get to your specific
`question. There is, in fact, a planned trial with Norwich on the XIFAXAN intellectual property,
`and that's planned for March 21. No back up now in terms of how we view this, number one.
`We believe we have very strong intellectual property for the XIFAXAN product. We have 26
`patents. We obviously believe very strong intellectual property.
`
`Number two. As you appropriately pointed out, we have previously visited this question 3
`times before. We settled with Teva, a very leading generic company for 2028. Number two,
`we settled for Sandoz, a leading generic company for 2028. And number three, Sun
`Pharmaceuticals, a leading generic company, we settled for 2028. I think there's a theme
`there. These are 3 very strong, very good generic companies. They've reviewed our
`intellectual property that we've had the conversations and we settled with them for 2028. I
`think the -- my view of been around the business for over 30 years. Teva, Sandoz and Sun
`are very capable, very competent companies.
`
`They've looked at intellectual property, and they've made the decision to settle for 2028. So
`we feel very good about our capabilities here in terms of our ability whether to settle or to go
`to trial, we feel very strong about our position. And I think it's certainly indicated by not just
`my point of view, but the point of view of what Teva, Sandoz and Sun previously decided.
`
`As to the question of how this could impact the B&L spin off, once again, we feel very
`confident in our abilities to prevail in this trial. The other thing though that has happened
`since we prevailed or since we settled, let me say that, one thing has happened since we
`settled with Teva is settled with Sandoz, and we settled with Sun for 2028. We've also seen
`the FDA make a decision to add to the rifaximin product guidelines -- product-specific
`guidelines, and they've added an additional requirement.
`
`So we think that even strengthens our position for 2028 when the FDA put forth an in-vivo
`bioequivalency study requirement. So we feel very good about our situation. Obviously, it's
`up to whether we settle or whether we go forward with the trial. I'm not going to comment
`specifically on that, but we like our intellectual property position and as evidenced by
`decisions that Teva made, decision that Sandoz made and decision that's Sun made.
`
`Jason Gerberry
`https://seekingalpha.com/article/4489552-bausch-health-companies-inc-bhc-ceo-joseph-papa-on-q4-2021-results-earnings-call-transcript
`
`Slayback Exhibit 1073, Page 20 of 24
`Slayback v. Eye Therapies - IPR2022-00142
`
`

`

`Joe, if I can just quickly follow up. Can you just confirm in a worst-case scenario if you lose
`on the patent litigation, there's nothing in the debt covenants as it pertains to the RP basket
`that would preclude a spin-off?
`
`Joseph Papa
`
`The only thing that I'll say on that is that relative to the full spin-off, we want to make sure we
`hit the debt leverage ratios that I talked about previously, the 6.5x to 6. 7x for the Bausch
`Pharma. So we'll obviously consider that. But otherwise, we have the ability to go forward.
`But Sam, anything you want to add to that question?
`
`Sam Eldessouky
`
`No. You covered it well, Joe. And Jason, just the covenant. The way I look at it is, we are in
`full compliance today with the covenants. We're watching the covenants and as we go
`forward with our strategic alternatives and we're going to continue to be in compliance with
`that.
`
`Operator
`
`Our next question comes from Greg Fraser with Truist Securities.
`
`Greg Fraser
`
`I was wondering if you could provide some color on the growth assumptions for the Salix
`business and specifically XIFAXAN that's contemplating in the revenue guidance? And then
`on cash flow, how much do you anticipate pay in 2020 related to the settlement of legacy
`litigation? I'm just trying to get a sense for how much free cash flow you'll have available to
`deploy towards debt reduction?
`
`Joseph Papa
`
`All right. I'll take the growth assumptions for Salix business and specifically XIFAXAN.
`Obviously, we're very pleased with the overall growth that XI FAXAN showed specifically the
`record revenue that we saw in the fourth quarter. Our view of the growth for Salix business
`will be a balance. It will be a balance of the TRx growth that we've seen with XIFAXAN and
`then also the ability for the XIFAXAN to -- we've achieved certain pricing. I haven't talked
`about it, but we did take pricing on our prescription products and some of our consumer and
`vision products early in January of this year. So we do have that pricing that is part of the
`overall growth assumptions for Salix. So -- but also for the rest of our business, I probably
`should say.
`
`https://seekingalpha.com/article/4489552-bausch-health-companies-inc-bhc-ceo-joseph-papa-on-q4-2021-results-earnings-call-transcript
`
`Slayback Exhibit 1073, Page 21 of 24
`Slayback v. Eye Therapies - IPR2022-00142
`
`

`

`So it's going to be a balance. It's going to be a balance of TRx growth as well as what we
`expect to have as a realized pricing. I remind you that when we take a price increase for
`XIFAXAN specifically, if we take somewhere in the 7% range, we expect that we'll realize
`approximately 50% of that in terms of a net pricing. It's going to vary firm product to product,
`year-to-year, but a ballpark way to think about it is about half of the price we take will be a net
`price adjustment. On the second point, Sam?
`
`Sam Eldessouky
`
`Greg, on the cash flow, let me just remind you that we have roughly about $1.5 billion of cash
`sitting on our balance sheet as restricted cash. And that's really dedicated towards the
`litigations and legal settlements. We expect that to start going out. We've already seen
`disbursement out of that balance, and we'll continue to see that in 2022. The timing exactly
`when it's going to happen in 2022 is not really going to be clear because it's in the hands of
`the judge and multiple administrative processes.
`
`From an overall cash flow, I'm just getting -- take the opportunity just to comment on overall
`cash flow because you touched on it, the $1.7 billion that we're guiding to, the way you think
`about it, it's really running on the strength that we built in 2021 from a cash conversion. We
`roughly convert about 47% of our EBITDA to adjusted cash. And that's really up about 5%
`from where we were in 2019, which was running the low 40s. So we're continuing to run with
`that high level of cash conversion, which is really a very strong thing that we're very pleased
`with.
`
`Joseph Papa
`
`Thank you, Sam. Operator, we have time maybe for one last question, please.
`
`Operator
`
`Our last question will come from Balaji Prasad with Barclays.
`
`Balaji Prasad
`
`I'll just restrict my set to one question. With regard to the guidance that you provided in
`Bausch & Lomb of 4% to 5% growth, can you contextualize this with broader industry trends
`that you're seeing and also the upside and downside risk to this guidance? If you could also
`maybe compare this number with the guidance provided by one of its peers, Alcon with the
`7% or 9% growth. And what do you see are the key differences between these 2? That
`would be great.
`
`Joseph Papa
`
`https://seekingalpha.com/article/4489552-bausch-health-companies-inc-bhc-ceo-joseph-papa-on-q4-2021-results-earnings-call-transcript
`
`Slayback Exhibit 1073, Page 22 of 24
`Slayback v. Eye Therapies - IPR2022-00142
`
`

`

`So I'll start, but Sam, you may want to add as well. Number one, as we think about the
`opportunity, we're excited about what we see in terms of the overall the Bausch & Lomb
`opportunity. The upside for us is going to be -- we're seeing some very significant growth in
`the Bausch & Lomb on the consumer side of the business, for example, in consumer eye
`health area, we're seeing market growing somewhere in that 7% range. So that's a real
`positive indicator for us.
`
`Number two, we are seeing some pricing in our overall B&L business pricing opportunities in
`both the vision business as well as what we're seeing on the consumer side. And of course,
`we've also seen some on the pharmaceutical prescription side of our business. We think that
`those are things that we're continuing to monitor, and we're looking at selected pricing in
`each of those categories that's going to help on the overall and would be probably on the
`upside depending on what happens to the overall portfolio.
`
`So seeing clear growth in the consumer side of the business, seeing clear growth in the
`Vision business, especially for us, the opportunity as we're launching our SiHy daily product.
`We think that's a very important driver of the 2022 opportunity as we launch both the
`spherical and the multifocal product. So I think all those will be some of the critical part of the
`P&L guidance as we're thinking about the overall question.
`
`The only other thing that -- Sam, is anything else you want to add to this quick question or -(cid:173)
`
`Sam Eldessouky
`
`No, you covered it pretty well, Joe. I'll -- in terms of the guidance, I will look at that we're
`striking a balance between the positive business performance that we see in 2021 and how
`is that momentum is going and carrying us into 2022. So we're very excited about that. We're
`also balancing it with positive trends that we're seeing in the overall market, where in
`Surgical and as well as in Vision Care and Consumer business.
`
`And we're excited about the new launches that we're going to be seeing in 2022 for
`ophthalmology and going to 2023. So we're bouncing all those factors with, I'll call it, the
`macroeconomics and the different situations that emerged and making sure that it is
`factoring in the positives and the negatives as we went through our guidance.
`
`Joseph Papa
`
`https://seekingalpha.com/article/4489552-bausch-health-companies-inc-bhc-ceo-joseph-papa-on-q4-2021-results-earnings-call-transcript
`
`Slayback Exhibit 1073, Page 23 of 24
`Slayback v. Eye Therapies - IPR2022-00142
`
`

`

`The only thing I'll add to -- I think the last part of your question was the Alcon Cooper
`comparisons and what they're seeing. I can't obviously speak for them. But when I talk about
`our growth, it comes down to, I think, a couple of things. Number one, the new products that I
`talked about the INFUSE or the ULTRA ONE Day product, clearly and the launch of that
`comes back to our XIPERE new product launch opportunity and the additional new products
`that we expect to launch during the year in our Surgical business.
`
`I know that Alcon and Cooper, when they talk about their growth, they're also talking about
`some of the bolt-on acquisitions they do, we're talking about our growth simply as -- and only
`as the true organic growth, not including any M&A or business development. So I think that's
`maybe a slight differential versus what they talk about. They talk about their growth inclusive
`of the -- any business development M&A activity.
`
`So maybe that's probably the only difference that I'm aware of right now as I sit here today.
`Obviously, as we go out as an independent B&L business, we do think there's going to be
`opportunities for additional bolt-on opportunities for us. But at this point, we do not build it
`into our current 2022 guidance.
`
`Operator, thank you very much, everyone. Thank you very much for joining us. I think that's
`going to conclude our conversations for today, but I appreciate everyone's interest in the
`business. We're excited about what's in front of us. We have the simultaneous opportunity to
`continue to increase our EBITDA also to launch new products and then clearly make
`progress on our strategic alternatives. Thank you all for joining us today. Have a great day.
`
`Operator
`
`The conference has now concluded. Thank you for attending today's presentation. You may
`now disconnect.
`
`https://seekingalpha.com/article/4489552-bausch-health-companies-inc-bhc-ceo-joseph-papa-on-q4-2021-results-earnings-call-transcript
`
`Slayback Exhibit 1073, Page 24 of 24
`Slayback v. Eye Therapies - IPR2022-00142
`
`

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket