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Bausch Health Companies Quarterly Cash Flow Statements Chart

Quarterly
 | 
Annual
 
 Stock-Based Compensation  
 Operating Cash Flow  
 Investing Cash Flow  
 Financing Cash Flow  
 Free Cash Flow  
 Capital Expenditure  
20200930 20201231 20210331 20210630 20210930 20211231 20220331 20220630 20220930 20221231 20230331 20230630 20230930 20231231 20240331 20240630 20240930 20241231 20250331 20250630 -1.32-1.04-0.77-0.49-0.220.050.330.6Billion

Bausch Health Companies Quarterly Cash Flow Statements Table

Quarterly
 | 
Annual
 
Unit: USD2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2013-09-30 2012-09-30 
                                      
  cash flows from operating activities                                    
  net income128,000,000 -86,000,000 98,000,000 -92,000,000 -1,000,000 -77,000,000 -47,000,000 -382,000,000 27,000,000 -209,000,000 -410,000,000 403,000,000 -139,000,000 -66,000,000 72,000,000 191,000,000 -593,000,000 -607,000,000 -152,000,000 70,000,000 -325,000,000 -152,000,000 -1,517,000,000 -48,000,000 -170,000,000 -48,000,000 -342,000,000 -351,000,000 -760,000,000 -2,691,000,000 512,000,000 1,300,000,000 -37,000,000 629,000,000 -982,841,000 29,252,000 
  adjustments to reconcile net income to net cash from operating activities:                                    
  depreciation and amortization of intangible assets307,000,000 305,000,000 307,000,000 322,000,000 318,000,000 320,000,000 329,000,000 301,000,000 315,000,000 319,000,000 360,000,000 335,000,000 347,000,000 352,000,000 363,000,000 382,000,000 404,000,000 403,000,000 428,000,000 436,000,000 480,000,000 481,000,000 492,000,000 520,000,000 531,000,000 532,000,000 546,000,000 703,000,000 784,000,000 786,000,000 819,000,000 698,000,000 667,000,000 674,000,000   
  amortization and write-off of debt premiums, discounts and issuance costs41,000,000 15,000,000  13,000,000 14,000,000 14,000,000  28,000,000 12,000,000 11,000,000  22,000,000 50,000,000 14,000,000  17,000,000 12,000,000 13,000,000  13,000,000 17,000,000 15,000,000  17,000,000 15,000,000 17,000,000           
  asset impairments  23,000,000 5,000,000 1,000,000  4,000,000 37,000,000 13,000,000          2,000,000 1,000,000 14,000,000 26,000,000 33,000,000 13,000,000 3,000,000 134,000,000 89,000,000 301,000,000 44,000,000 85,000,000 406,000,000 85,000,000 138,000,000   
  acquisition-related contingent consideration-29,000,000 -11,000,000 -5,000,000 25,000,000 -4,000,000 -2,000,000 19,000,000 26,000,000 -17,000,000 31,000,000 27,000,000 4,000,000 -5,000,000 3,000,000 3,000,000   -9,000,000 22,000,000 2,000,000 11,000,000 13,000,000 10,000,000 3,000,000 20,000,000 -21,000,000 14,000,000 -19,000,000 -6,000,000 2,000,000 8,000,000 -238,000,000 -49,000,000 -10,000,000 -38,664,000 -2,099,000 
  allowances for losses on trade receivable and inventories10,000,000 26,000,000  11,000,000 17,000,000 15,000,000  11,000,000 22,000,000 10,000,000  17,000,000 5,000,000 14,000,000  16,000,000 18,000,000 17,000,000  18,000,000 19,000,000 15,000,000  19,000,000 14,000,000 13,000,000  15,000,000 16,000,000 17,000,000  23,000,000 24,000,000 24,000,000   
  deferred income taxes-42,000,000 -9,000,000 170,000,000 -3,000,000 -44,000,000 -57,000,000 84,000,000 -3,000,000   19,000,000 -96,000,000 -16,000,000 -83,000,000 -88,000,000 -17,000,000 -106,000,000 -14,000,000 -262,000,000 -19,000,000 -124,000,000 -70,000,000 3,000,000 -92,000,000 -25,000,000 -116,000,000 -142,000,000 40,000,000 -2,000,000 -40,000,000 -1,401,000,000 -1,778,000,000 -253,000,000 -954,000,000 -122,391,000 -101,243,000 
  net gain on sale of assets    -4,000,000 1,000,000 -5,000,000   -2,000,000    21,000,000 -23,000,000                   
  adjustments to accrued legal settlements8,000,000 -3,000,000  188,000,000 21,000,000 6,000,000    1,000,000                          
  payments of accrued legal settlements-87,000,000 -19,000,000 -8,000,000 -218,000,000 -1,000,000 -3,000,000 -7,000,000 -1,000,000 -1,000,000 -1,000,000 -1,212,000,000 -360,000,000 -207,000,000 -15,000,000 -11,000,000 -118,000,000 -86,000,000 -48,000,000 -31,000,000 -3,000,000 -11,000,000 -3,000,000 -1,000,000 -2,000,000 -2,000,000 -50,000,000 -170,000,000 -8,000,000   11,578,000 -35,987,000 
  share-based compensation46,000,000 43,000,000 43,000,000 38,000,000 36,000,000 33,000,000 29,000,000 29,000,000 33,000,000 41,000,000 35,000,000 33,000,000 26,000,000 32,000,000 33,000,000 33,000,000 31,000,000 31,000,000 24,000,000 27,000,000 27,000,000 27,000,000 25,000,000 26,000,000 27,000,000 24,000,000 22,000,000 22,000,000 22,000,000 21,000,000 17,000,000 19,000,000 23,000,000 28,000,000 8,619,000 3,391,000 
  gain excluded from hedge effectiveness-3,000,000 -3,000,000 -3,000,000 -4,000,000 -3,000,000 -3,000,000 -3,000,000 -4,000,000 -3,000,000 -3,000,000 -3,000,000    -3,000,000 -6,000,000 -5,000,000 -6,000,000 -6,000,000 -6,000,000                 
  gain on extinguishment of debt  -12,000,000 -11,000,000                               
  payments of contingent consideration adjustments, including accretion-2,000,000 -2,000,000 -3,000,000 -2,000,000 -3,000,000 -2,000,000 -6,000,000 -1,000,000   -1,000,000   -8,000,000                  
  amortization of interim contract and inventory step-up resulting from acquisitions20,000,000 22,000,000 21,000,000 21,000,000 20,000,000 20,000,000                               
  foreign exchange and other-21,000,000 -2,000,000 36,000,000 -15,000,000 -14,000,000 -4,000,000                               
  changes in operating assets and liabilities:                                    
  trade receivables-91,000,000 110,000,000 -104,000,000 23,000,000 -72,000,000 -63,000,000 -19,000,000 -231,000,000 -53,000,000 108,000,000 -31,000,000 -133,000,000 -90,000,000 197,000,000 -52,000,000 -129,000,000 -108,000,000 60,000,000 103,000,000 -356,000,000 354,000,000 69,000,000 -71,000,000 54,000,000 -33,000,000 89,000,000 160,000,000 -72,000,000 -76,000,000 204,000,000 79,000,000 -114,000,000 20,000,000 432,000,000   
  inventories7,000,000 -30,000,000 -49,000,000 -42,000,000 -32,000,000 -144,000,000 -100,000,000 -62,000,000 -32,000,000 -128,000,000 -4,000,000 -56,000,000 -65,000,000 -73,000,000 46,000,000 -15,000,000 -12,000,000 -35,000,000 101,000,000 10,000,000 -94,000,000 -94,000,000 -4,000,000 -84,000,000 -53,000,000 -68,000,000 3,000,000 4,000,000   6,000,000   -38,000,000 -12,190,000 6,646,000 
  prepaid expenses and other current assets12,000,000 -46,000,000 13,000,000 1,000,000 -2,000,000 121,000,000 -148,000,000 -21,000,000 -21,000,000 -33,000,000 -34,000,000 16,000,000 -15,000,000 -33,000,000 -41,000,000 16,000,000   1,000,000 27,000,000 2,000,000 -18,000,000 -15,000,000 15,000,000 16,000,000 -15,000,000 -19,000,000 23,000,000 -6,000,000 -70,000,000 1,000,000 12,000,000 18,000,000 2,000,000 44,432,000 -7,457,000 
  accounts payable, accrued and other liabilities163,000,000 -99,000,000 24,000,000 144,000,000 138,000,000 51,000,000 97,000,000 166,000,000 -97,000,000 -8,000,000 47,000,000 -96,000,000 49,000,000 -75,000,000 -170,000,000 46,000,000 130,000,000 115,000,000 -185,000,000 70,000,000 -271,000,000 -85,000,000 -116,000,000 26,000,000 -55,000,000 -4,000,000 -228,000,000 84,000,000 -66,000,000 89,000,000 88,000,000 143,000,000 -40,000,000 196,000,000   
  net cash from operating activities289,000,000 211,000,000 601,000,000 405,000,000 380,000,000 211,000,000 390,000,000 282,000,000 206,000,000 154,000,000 475,000,000 -1,263,000,000 123,000,000 -63,000,000 24,000,000 564,000,000 395,000,000 443,000,000 394,000,000 256,000,000 200,000,000 261,000,000 234,000,000 515,000,000 339,000,000 413,000,000 319,000,000 522,000,000 222,000,000 438,000,000 578,000,000 490,000,000 268,000,000 954,000,000 -103,316,000 -87,775,000 
  capex-99,000,000 -115,000,000 -106,000,000 -71,000,000 -78,000,000 -82,000,000 -98,000,000 -42,000,000 -28,000,000 -47,000,000 -66,000,000 -54,000,000 -52,000,000 -46,000,000 -78,000,000 -63,000,000 -62,000,000 -66,000,000 -80,000,000 -81,000,000 -69,000,000 -72,000,000 -78,000,000 -83,000,000 -62,000,000 -47,000,000 -62,000,000 -32,000,000 -30,000,000 -33,000,000 -53,000,000 -43,000,000 -37,000,000 -38,000,000 -12,171,000 -43,468,000 
  free cash flows190,000,000 96,000,000 495,000,000 334,000,000 302,000,000 129,000,000 292,000,000 240,000,000 178,000,000 107,000,000 409,000,000 -1,317,000,000 71,000,000 -109,000,000 -54,000,000 501,000,000 333,000,000 377,000,000 314,000,000 175,000,000 131,000,000 189,000,000 156,000,000 432,000,000 277,000,000 366,000,000 257,000,000 490,000,000 192,000,000 405,000,000 525,000,000 447,000,000 231,000,000 916,000,000 -115,487,000 -131,243,000 
  cash flows from investing activities                                    
  acquisitions and other investments-12,000,000 -91,000,000     -1,856,000,000 -31,000,000                           
  purchases of property, plant and equipment-99,000,000 -115,000,000 -106,000,000 -71,000,000 -78,000,000 -82,000,000 -98,000,000 -42,000,000 -28,000,000 -47,000,000 -66,000,000 -54,000,000 -52,000,000 -46,000,000 -78,000,000 -63,000,000 -62,000,000 -66,000,000 -80,000,000 -81,000,000 -69,000,000 -72,000,000 -78,000,000 -83,000,000 -62,000,000 -47,000,000 -62,000,000 -32,000,000 -30,000,000 -33,000,000 -53,000,000 -43,000,000 -37,000,000 -38,000,000 -12,171,000 -43,468,000 
  acquisition of intangible assets and other assets-1,000,000 -9,000,000 -1,000,000 -1,000,000 -1,000,000                       -61,000,000 -14,000,000 -19,000,000 -5,000,000 -10,000,000 -131,000,000 27,657,000  
  purchases of marketable securities-1,000,000 -4,000,000 -5,000,000 -2,000,000 -2,000,000 -3,000,000 -14,000,000 -2,000,000 2,000,000 -13,000,000 -2,000,000 -1,000,000 -9,000,000 -5,000,000 -5,000,000 -3,000,000 -6,000,000 -5,000,000 -1,000,000 -1,000,000 -2,000,000 -8,000,000 -3,000,000 -3,000,000 -2,000,000 -2,000,000 -1,000,000   -3,000,000 -3,000,000     
  proceeds from sale of marketable securities1,000,000 4,000,000 3,000,000 4,000,000 1,000,000 6,000,000 13,000,000 4,000,000 -2,000,000 11,000,000 2,000,000 7,000,000 7,000,000 6,000,000 4,000,000 3,000,000 6,000,000 2,000,000 1,000,000 1,000,000 4,000,000 2,000,000 7,000,000 2,000,000 1,000,000 2,000,000 1,000,000 2,000,000 2,000,000 1,000,000     
  proceeds from sale of assets and businesses, net of costs to sell  5,000,000 1,000,000 1,000,000 4,000,000       644,000,000 21,000,000 4,000,000 21,000,000 1,000,000 11,000,000 8,000,000 25,000,000 2,000,000 38,000,000 2,000,000 -8,000,000 190,000,000 919,000,000 827,000,000 1,317,000,000   
  interest settlements from cross-currency swaps6,000,000 7,000,000 6,000,000 7,000,000 6,000,000      12,000,000 11,000,000 12,000,000 11,000,000               
  net cash from investing activities-100,000,000 -130,000,000 -200,000,000 -102,000,000 -79,000,000 -73,000,000 -148,000,000 -1,889,000,000 -30,000,000 -78,000,000 -136,000,000 -53,000,000 -58,000,000 -56,000,000 -80,000,000 588,000,000 -43,000,000 -56,000,000 -84,000,000 -70,000,000 -67,000,000 -40,000,000 -85,000,000 -73,000,000 -58,000,000 -203,000,000 -62,000,000 5,000,000 -91,000,000 -48,000,000 90,000,000 869,000,000 780,000,000 1,148,000,000 -3,937,376,000 178,745,000 
  cash flows from financing activities                                    
  issuance of long-term debt, net of discounts10,372,000,000 50,000,000 506,000,000 80,000,000 75,000,000 146,000,000 2,690,000,000 300,000,000 155,000,000 355,000,000 161,000,000 5,334,000,000 986,000,000 524,000,000 -3,000,000 1,582,000,000 -3,000,000 1,979,000,000 -1,000,000 1,480,000,000 -3,000,000               
  repayments of long-term debt-9,967,000,000 -168,000,000 -411,000,000 -164,000,000 -495,000,000 -390,000,000 -203,000,000 -817,000,000 -411,000,000 -279,000,000 -622,000,000 -141,000,000 -6,598,000,000 -485,000,000 -240,000,000 -1,100,000,000 -1,900,000,000 -200,000,000 -2,480,000,000 -100,000,000 -1,603,000,000 -1,459,000,000 -450,000,000 -453,000,000 -1,882,000,000 -1,621,000,000 -1,901,000,000 -364,000,000 -6,105,000,000 -1,731,000,000 -4,954,000,000 -1,410,000,000 -220,000,000 -7,619,000,000 -4,606,318,000 96,118,000 
  payments of employee withholding taxes related to share-based awards-3,000,000 -16,000,000  -5,000,000 -4,000,000 -14,000,000  -8,000,000 -3,000,000 -12,000,000  -1,000,000 -4,000,000 -25,000,000  -3,000,000 -4,000,000 -41,000,000  -1,000,000 -5,000,000 -24,000,000  -1,000,000 -5,000,000 -34,000,000           
  payments of acquisition-related contingent consideration-5,000,000 -7,000,000 -7,000,000 -8,000,000 -5,000,000 -7,000,000 -18,000,000 -6,000,000 -4,000,000 -7,000,000 -7,000,000 -6,000,000 -5,000,000 -8,000,000 -6,000,000 -36,000,000 -35,000,000 -6,000,000 -5,000,000 -7,000,000 -6,000,000 -17,000,000  -7,000,000 -11,000,000 -9,000,000           
  payments of financing costs-31,000,000 -5,000,000 2,000,000 -3,000,000 -4,000,000 -35,000,000   -37,000,000 -33,000,000 -1,000,000 -10,000,000 -34,000,000 -4,000,000 -21,000,000 -18,000,000 -2,000,000   -40,000,000 -3,000,000 -39,000,000 -20,000,000 -71,000,000 -1,000,000 -38,000,000   
  other  -2,000,000    -10,000,000 -7,000,000 10,000,000 -4,000,000 -15,000,000 -6,000,000 10,000,000 -8,000,000 -9,000,000 -6,000,000 -18,000,000 -11,000,000 2,000,000 -2,000,000 -7,000,000 9,000,000 11,000,000 7,000,000 9,000,000 2,000,000 -17,000,000 1,000,000 -3,000,000 -2,000,000 -22,000,000 -1,000,000 -1,000,000 -1,169,000 -5,520,000 
  net cash from financing activities358,000,000 -146,000,000 85,000,000 -189,000,000 -424,000,000 -340,000,000 -79,000,000 1,816,000,000 -120,000,000 -142,000,000 -276,000,000 -36,000,000 -630,000,000 468,000,000 275,000,000 -1,157,000,000 -388,000,000 -243,000,000 -503,000,000 -117,000,000 -153,000,000 -1,521,000,000 2,255,000,000 -474,000,000 -188,000,000 -150,000,000 -502,000,000 -386,000,000 -177,000,000 -288,000,000 -1,842,000,000 -1,430,000,000 -249,000,000 -1,442,000,000 -37,603,000 -300,430,000 
  effect of exchange rate changes on cash, cash equivalents and restricted cash39,000,000 21,000,000                                   
  net increase in cash, cash equivalents and restricted cash             341,000,000                       
  cash, cash equivalents and restricted cash, beginning of period1,201,000,000            2,119,000,000  1,816,000,000                   
  cash, cash equivalents and restricted cash, end of period586,000,000 1,157,000,000  127,000,000 -132,000,000 755,000,000        2,460,000,000                       
  cash and cash equivalents593,000,000 1,134,000,000  124,000,000 -138,000,000 733,000,000  181,000,000 61,000,000 518,000,000  -173,000,000 -590,000,000 1,249,000,000  48,000,000 -37,000,000 679,000,000  81,000,000 -16,000,000 912,000,000  -53,000,000 96,000,000 782,000,000           
  restricted cash-7,000,000 23,000,000  3,000,000 6,000,000 22,000,000  11,000,000 -4,000,000 13,000,000                           
  net decrease in cash, cash equivalents and restricted cash -44,000,000                                   
  amortization and write-off of debt discounts and debt issuance costs                          17,000,000 18,000,000 21,000,000 23,000,000 51,000,000 34,000,000 23,000,000 43,000,000 -5,707,000  
  goodwill impairment                            2,213,000,000      
  allowances for losses on trade receivables and inventories                                    
  additions to accrued legal settlements              35,000,000 2,000,000    4,000,000 120,000,000 23,000,000   1,000,000 2,000,000   -1,000,000 11,000,000    76,000,000 148,477,000  
  third party fees paid in connection with the 2022 exchange                                    
  proceeds from b+l initial public offering, net of costs                                   
  payment of employee withholding taxes related to share-based awards                                    
  effect of exchange rate changes on cash and cash equivalents             -8,000,000 -4,000,000 -9,000,000 7,000,000 -13,000,000 21,000,000 12,000,000 4,000,000 -21,000,000 13,000,000 -21,000,000 3,000,000 1,000,000 -5,000,000 -6,000,000 -25,000,000 10,000,000 2,000,000 15,000,000 16,000,000 8,000,000 9,598,000 7,137,000 
  net increase in cash, cash equivalents, restricted cash and other settlement deposits  451,000,000    182,000,000   -60,000,000 94,000,000 -1,382,000,000                         
  cash, cash equivalents, restricted cash and other settlement deposits, beginning of year                                    
  cash, cash equivalents, restricted cash and other settlement deposits, end of year                                    
  cash and cash equivalents, end of year                                    
  restricted cash and other settlement deposits, end of year                                    
  cash, cash equivalents and restricted cash, end of year                                    
  goodwill impairments           119,000,000    469,000,000                   
  effect of exchange rate changes on cash, cash equivalents and other   13,000,000 -9,000,000 -5,000,000  -17,000,000 1,000,000 6,000,000  -30,000,000                         
  cash, cash equivalents, restricted cash and other settlement deposits, beginning of period   962,000,000 591,000,000                         
  net (gain) loss on sale of assets                                    
  net decrease in cash, cash equivalents, restricted cash and other settlement deposits    -132,000,000 -207,000,000                               
  third party fees paid in connection with the exchange offer        -3,000,000                          
  asset impairments, including loss on assets held for sale          1,000,000 6,000,000 8,000,000 21,000,000 18,000,000 47,000,000 148,000,000                   
  acquisition of businesses, net of cash acquired                      -180,000,000 5,000,000     -3,925,868,000 208,653,000 
  cash, cash equivalents, restricted cash and other settlement deposits, end of period      182,000,000 192,000,000 57,000,000 531,000,000 94,000,000 -1,382,000,000                         
  foreign exchange gain         6,000,000             -1,000,000 10,000,000    -1,000,000 10,000,000 -25,000,000  -13,000,000 -39,000,000 -31,000,000  -2,943,000 
  payments for intangible and other assets       -4,000,000 -3,000,000 -4,000,000  -5,000,000 -4,000,000 -11,000,000  -5,000,000 -2,000,000 -2,000,000  -1,000,000                
  foreign exchange loss             -2,000,000 -2,000,000 1,000,000 -5,000,000 12,000,000    16,000,000               
  (gain) loss on extinguishment of debt          -192,000,000 -570,000,000                         
  foreign exchange (gain) loss                                    
  restricted cash and other settlement deposits           -1,209,000,000 9,000,000 1,211,000,000                       
  net proceeds from b+l initial public offering, net of costs                                    
  cash and cash equivalents, held for sale                8,000,000 54,000,000                   
  reductions to accrued legal settlements             -1,000,000                       
  loss on extinguishment of debt              12,000,000 45,000,000 5,000,000 8,000,000 27,000,000 24,000,000 2,000,000 33,000,000 7,000,000 44,000,000 48,000,000 27,000,000 57,000,000 1,000,000 64,000,000   
  gain on disposal of assets                                   -795,000 
  settlements from cross-currency swaps                                    
  borrowings of short-term debt                                    
  repayments of short-term debt                     -4,000,000   -2,000,000 -1,000,000 -1,000,000     
  net increase in cash and cash equivalents and restricted cash and other settlement deposits                                    
  cash and cash equivalents and restricted cash and other settlement deposits, beginning of year                                    
  cash and cash equivalents and restricted cash and other settlement deposits, end of year                                    
  proceeds from the issuances of short-term debt                                  
  net increase in cash, cash equivalents, restricted cash and cash and cash equivalents held for sale                -29,000,000 131,000,000                   
  cash, cash equivalents, restricted cash and cash and cash equivalents held for sale, end of period                -29,000,000 1,947,000,000                   
  restricted cash, current                1,214,000,000  1,011,000,000  2,000,000           
  (gain) loss on disposal of assets                                    
  additions (reductions) to accrued legal settlements                      1,389,000,000              
  payments of deferred consideration                                  
  net increase in cash and cash equivalents and restricted cash                  -172,000,000 81,000,000 -16,000,000 -1,321,000,000 2,417,000,000 -53,000,000 96,000,000 61,000,000 -250,000,000 135,000,000   -1,172,000,000      
  cash and cash equivalents and restricted cash, beginning of year                                    
  cash and cash equivalents and restricted cash, end of year                                    
  restricted cash, end of year                                    
  gain on sale of assets                   -1,000,000   1,000,000 -10,000,000           
  cash and cash equivalents and restricted cash, beginning of period                   3,244,000,000  723,000,000  797,000,000      
  cash and cash equivalents and restricted cash, end of period                   81,000,000 -16,000,000 1,923,000,000  -53,000,000 96,000,000 784,000,000  135,000,000   -1,172,000,000      
  interest expense on cross-currency swaps                     -6,000,000               
  (gain) loss on disposal of assets and businesses                                    
  insurance proceeds for legal settlement                              40,000,000     
  payment of share-based awards tax withholding                                    
  payments of contingent consideration                          -11,000,000 -8,000,000 -7,000,000 -11,000,000 -11,000,000 -9,000,000 -17,000,000 -8,000,000 46,755,000 14,692,000 
  (gain) loss on sale of assets                                    
  net proceeds from the issuances of long-term debt                       -5,000,000 1,729,000,000 1,514,000,000           
  debt extinguishment costs                         -1,000,000           
  acquisition accounting adjustment on inventory sold                                  122,882,000 -4,285,000 
  gain on disposal of assets and businesses                                    
  (reductions) additions to accrued legal settlements                          3,000,000          
  reduction of cash due to deconsolidation                                    
  proceeds from exercise of stock options                          1,000,000        644,000 3,298,000 
  payment of employee withholding tax upon vesting of share-based awards                            -3,000,000 -5,000,000 -1,000,000     
  gain on disposals of assets and businesses                               -328,000,000     
  issuances of long-term debt, net of discount                                    
  payments of employee withholding tax upon vesting of share-based awards                                  296,000 2,534,000 
  restricted cash, noncurrent                                    
  payment of contingent consideration adjustments, including accretion                               -1,000,000 -1,000,000 -1,000,000   
  issuance of long-term debt, net of discount                            5,993,000,000 1,481,000,000 3,193,000,000 -1,000,000 -2,000,000 6,234,000,000 6,825,121,000 -518,472,000 
  cash and cash equivalents, end of period                            -71,000,000 909,000,000 -244,000,000 -250,000,000 4,000,000 1,210,000,000 -1,943,043,000 -137,536,000 
  restricted cash, end of period                              -851,000,000      
  net increase in cash and cash equivalents                             112,000,000    668,000,000 -4,068,697,000 -202,323,000 
  net settlement of assumed derivative contracts                                    
  repayments of convertible notes assumed                                    
  issuance of common stock                                  -2,272,620,000  
  repurchases of common shares                                    
  loss on deconsolidation                                    
  restricted cash included in other non-current assets, end of period                                    
  additions (reduction) to accrued legal settlements                                    
  restricted cash included in current assets, end of period                                    
  (gain) loss on disposals of assets and businesses                                 -317,000,000   
  short-term debt borrowings                                  -9,407,000 -3,306,000 
  short-term debt repayments                                 -1,000,000 -14,403,000 16,762,000 
  tax benefit from share-based compensation                                    
  acquisition of noncontrolling interest                                 -9,000,000   
  cash and cash equivalents, beginning of period                                 542,000,000 2,125,654,000 64,787,000 
  depreciation and amortization, including impairments of finite-lived intangible assets                                    
  in-process research and development impairments                                    
  allowances for losses on accounts receivable and inventories                                  4,544,000 5,113,000 
  deferred income tax (benefit) expense                                    
  proceeds from sales and maturities of short-term investments                                    
  settlement of foreign currency forward exchange contracts                                    
  increase in restricted cash and cash equivalents                                    
  non-cash investing and financing activities                                    
  acquisition of businesses, contingent and deferred consideration obligations at fair value                                    
  acquisition of businesses, debt assumed                                  -4,217,113,000  
  in-process research and development impairments and other charges                                  119,151,000  
  loss on disposal of assets                                    
  tax benefits from stock options exercised                                  -20,334,000 515,000 
  gain on sale of marketable securities                                    
  payment of accreted interest on contingent consideration                                  -1,113,000 346,000 
  accounts receivable                                  97,736,000 -190,829,000 
  accounts payable, accrued liabilities and other liabilities                                  -101,233,000 93,387,000 
  proceeds from sales and maturities of marketable securities                                    
  purchases of marketable securities and other investments                                    
  proceeds from sale of assets                                    
  increase in restricted cash                                    
  repurchases of convertible debt                                    
  cash settlement of convertible debt                                    
  distributions to noncontrolling interest                                    
  payments of debt issuance costs                                  -46,528,000 -21,455,000 
  acquisition of businesses, contingent consideration obligations at fair value                                    
  depreciation and amortization                                   13,445,000 
  (gain) loss on sale of marketable securities                                    
  amortization of debt discounts and debt issuance costs                                   9,370,000 
  acquired in-process research and development                                   140,732,000 
  income taxes payable                                   14,810,000 
  acquisition of intangible assets                                   -5,610,000 
  decrease (increase) in restricted cash                                    
  cash settlement of call options                                    
  acquisition of businesses, contingent consideration at fair value                                   91,027,000 
  settlement of convertible debt, equity issued                                    

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