Bausch + Lomb Corporation (NYSE:BLCO) Q4 2023 Earnings Call Transcript

Brent Saunders: Yes, so great question. So, a little different than how we report. The way I think about the business is four business units, right? We have the pharmaceutical, consumer, vision care, and surgical. And when you look at it, two are in really good shape, right? Consumer, we are the leader in eyecare. We have demonstrated great growth in the consumer business, up 11%. And what’s interesting, a lot of that is volume, where in the past years a lot of that was price. And so, really healthy performance there. We have some new products coming in consumer. We have some new incremental innovations coming. We have packaging innovation coming. So, pretty excited about the consumer business, combined with just a great team, right?

We have a really strong team at B+L on consumer. Pharma, you know the story, right? We’re really investing, particularly in the US. We have Miebo. We have Xiidra. We have Vyzulta. We have – on the hunt for other things to add to the bag, but we have a lot of strength and a lot of growth for several years to come in pharma, and lots of opportunities to add innovation. Vision care, a very strong performance if you normalize for Lynchburg. And we look at vision care as very strategic, but still a work in progress, right? We’ve got to drive growth, daily SiHy. INFUSE, as an example, is up 46% for the year. That’s our fastest-growing product and a great contact lens. And so, our job there is simply execution. Surgical, still a work in progress, as I mentioned.

And there, it’s a two-to-three-year program to drive towards IOLs and premium IOLs becoming a larger contributor, with much higher margins. And so, to summarize, I’d say we have two of our businesses in really good shape, and two that are focused on execution and delivery. That being said, you’re right. How do you split your time between the four? For me, it’s quite simple. You’ve got to build great teams, and we’ve done that. You’ve got to focus on execution, and then you have to work with R&D to drive innovation. And we’ve organized ourselves to do that, and I think we can pull it off.

Patrick Wood: That’s super handy. And then, obviously Aspire, it looks like it’s done very well in the US. I think it’s like almost 14,000 units just in the 4Q right off the bat. But I think IC-8, I think from memory, you guys still have some production challenges there. I think you probably only have like 1,000 units or so. That seems like a very differentiated lens. Going forward, is there an opportunity to kind of push that on the production side and get the volumes up a little bit faster?

Brent Saunders: Yes, absolutely. So, you’re right. enVista Aspire was launched with about 100 days into the launch, give or take. We’ve had about 350 surgeons actually implant the Aspire, where the Aspire Toric, and what we’re hearing anecdotally and what we’re hearing from our field force is great results by the doctors and absolutely great outcomes from the patients. Now, that lens is positioned as a monofocal plus to compete against the J&J Eyhance. And I think our team’s doing a great job there and there’s a really big opportunity. The IC-8 or Apthera lens, you’re absolutely on the money. Our third-party manufacturing there is struggling. Al Waterhouse knows that well, because it came from Apthera before coming from J&J, the AMO.

The issue there is, right, driving production capability, and that is in place, but it will take a few quarters to get to where we want to get to. And so, again, great outcomes, great patient and satisfaction. Surgeons who have implanted it love it, but we don’t want to roll it out to all surgeons. A, you have to train them, and two, you have to have supply. And so, that is a work in progress without a doubt. But I think that sets us up – if you look at the team’s performance on Aspire, it really gets you excited for the potential for the pipeline that’s going to pull through later this year and next year.

Patrick Wood: Super helpful. Thank you. And I hope the shoulder gets better soon.

Brent Saunders: Yes, thank you. It’s my right shoulder. I’m right-handed. So, it’s – even turning pages here left hand is clumsy.

Operator: Your next question for today is coming from Craig Bijou with Bank of America.

CraigBijou: Good morning, guys. Thanks for taking the questions and congrats on a strong finish. I wanted to talk about the margin opportunity for you guys in 2024 and maybe beyond, given the strength of Xiidra and Miebo. The margin expansion that you are guiding to is in line with some of your comments from earlier in the year. So, just want to understand, as you’re in this investment mode, to the extent that Xiidra and Miebo and maybe the rest of the business outperform, how should we think about you either dropping some of that benefit or outperformance to margin improvement, or are you going to reinvest that to drive even more growth?