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BRISTOL MYERS SQUIBB CO - Quarter Report: 2019 September (Form 10-Q)



 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
___________________________
FORM 10-Q
___________________________
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2019
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 001-01136
___________________________
BRISTOL-MYERS SQUIBB COMPANY
(Exact name of registrant as specified in its charter)
___________________________
Delaware
 
22-0790350
(State or other jurisdiction of
incorporation or organization)
 
(I.R.S Employer
Identification No.)

430 E. 29th Street, 14FL, New York, NY 10016
(Address of principal executive offices) (zip code)
(212546-4000
(Registrant’s telephone number, including area code)

___________________________
(Former name, former address and former fiscal year, if changed since last report)

Securities registered pursuant to Section 12(b) of the Act:
Title of each class
Trading Symbol(s)
Name of each exchange on which registered
Common Stock, $0.10 Par Value
BMY
New York Stock Exchange
1.000% Notes due 2025
BMY25
New York Stock Exchange
1.750% Notes due 2035
BMY35
New York Stock Exchange

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to the filing requirements for the past 90 days.    Yes      No  
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes      No  
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 definition of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer  
 
Accelerated filer  
 
Non-accelerated filer  
 
Smaller reporting company  
 
Emerging growth company  
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes    No  
APPLICABLE ONLY TO CORPORATE ISSUERS:
At September 30, 2019, there were 1,629,284,798 shares outstanding of the Registrant’s $0.10 par value common stock.
 





BRISTOL-MYERS SQUIBB COMPANY
INDEX TO FORM 10-Q
September 30, 2019
 
 
PART I—FINANCIAL INFORMATION
 
 
 
Item 1.
 
 
 
 
Item 2.
 
 
 
Item 3.
 
 
 
Item 4.
 
 
 
PART II—OTHER INFORMATION
 
 
 
Item 1.
 
 
 
Item 1A.
 
 
 
Item 2.
 
 
 
Item 6.
 
 
 
*
Indicates brand names of products which are trademarks not owned by BMS. Specific trademark ownership information is included in the Exhibit Index at the end of this Quarterly Report on Form 10-Q.





PART I—FINANCIAL INFORMATION

Item 1. FINANCIAL STATEMENTS
BRISTOL-MYERS SQUIBB COMPANY
CONSOLIDATED STATEMENTS OF EARNINGS
Dollars in Millions, Except Per Share Data
(UNAUDITED)

 
Three Months Ended September 30,
 
Nine Months Ended September 30,
EARNINGS
2019
 
2018
 
2019
 
2018
Net product sales
$
5,768

 
$
5,433

 
$
17,512

 
$
15,866

Alliance and other revenues
239

 
258

 
688

 
722

Total Revenues
6,007

 
5,691

 
18,200

 
16,588

 
 
 
 
 


 


Cost of products sold
1,810

 
1,648

 
5,646

 
4,857

Marketing, selling and administrative
1,055

 
1,104

 
3,137

 
3,215

Research and development
1,382

 
1,280

 
4,061

 
4,965

Other income (net)
411

 
(508
)
 
252

 
(912
)
Total Expenses
4,658

 
3,524

 
13,096

 
12,125

 
 
 
 
 
 
 
 
Earnings Before Income Taxes
1,349

 
2,167

 
5,104

 
4,463

Provision for Income Taxes
(17
)
 
255

 
584

 
674

Net Earnings
1,366

 
1,912

 
4,520

 
3,789

Noncontrolling Interest
13

 
11

 
25

 
29

Net Earnings Attributable to BMS
$
1,353

 
$
1,901

 
$
4,495

 
$
3,760

 
 
 
 
 
 
 
 
Earnings per Common Share
 
 
 
 
 
 
 
Basic
$
0.83

 
$
1.16

 
$
2.75

 
$
2.30

Diluted
0.83

 
1.16

 
2.75

 
2.30



CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Dollars in Millions
(UNAUDITED)

 
Three Months Ended September 30,
 
Nine Months Ended September 30,
COMPREHENSIVE INCOME
2019
 
2018
 
2019
 
2018
Net Earnings
$
1,366

 
$
1,912

 
$
4,520

 
$
3,789

Other Comprehensive Income/(Loss), net of taxes and reclassifications to earnings:
 
 
 
 
 
 
 
Derivatives qualifying as cash flow hedges
38

 
5

 
24

 
71

Pension and postretirement benefits
1,116

 
22

 
1,204

 
194

Available-for-sale securities
4

 
2

 
43

 
(31
)
Foreign currency translation

 
(21
)
 
28

 
(237
)
Other Comprehensive Income/(Loss)
1,158

 
8

 
1,299

 
(3
)
 
 
 
 
 
 
 
 
Comprehensive Income
2,524

 
1,920

 
5,819

 
3,786

Comprehensive Income Attributable to Noncontrolling Interest
13

 
11

 
25

 
29

Comprehensive Income Attributable to BMS
$
2,511

 
$
1,909

 
$
5,794

 
$
3,757

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


3




BRISTOL-MYERS SQUIBB COMPANY
CONSOLIDATED BALANCE SHEETS
Dollars in Millions
(UNAUDITED)
 
ASSETS
September 30,
2019
 
December 31,
2018
Current Assets:
 
 
 
Cash and cash equivalents
$
30,489

 
$
6,911

Marketable securities
2,053

 
1,973

Receivables
5,510

 
5,965

Inventories
1,192

 
1,195

Prepaid expenses and other
947

 
1,116

Total Current Assets
40,191

 
17,160

Property, plant and equipment
4,830

 
5,027

Goodwill
6,513

 
6,538

Other intangible assets
1,002

 
1,091

Deferred income taxes
1,624

 
1,371

Marketable securities
925


1,775

Other assets
2,348

 
2,024

Total Assets
$
57,433

 
$
34,986

 
 
 
 
LIABILITIES
 
 
 
Current Liabilities:
 
 
 
Short-term debt obligations
$
569

 
$
1,703

Accounts payable
1,888

 
1,892

Accrued and other current liabilities
8,032

 
7,059

Total Current Liabilities
10,489

 
10,654

Income taxes payable
2,919

 
3,043

Other non-current liabilities
1,881

 
1,516

Long-term debt
24,390

 
5,646

Total Liabilities
39,679

 
20,859

 
 
 
 
Commitments and contingencies
 
 
 
 
 
 
 
EQUITY
 
 
 
Bristol-Myers Squibb Company Shareholders’ Equity:
 
 
 
Preferred stock

 

Common stock
221

 
221

Capital in excess of par value of stock
2,206

 
2,081

Accumulated other comprehensive loss
(1,463
)
 
(2,762
)
Retained earnings
36,555

 
34,065

Less cost of treasury stock
(19,871
)
 
(19,574
)
Total Bristol-Myers Squibb Company Shareholders’ Equity
17,648

 
14,031

Noncontrolling interest
106

 
96

Total Equity
17,754

 
14,127

Total Liabilities and Equity
$
57,433

 
$
34,986

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

4




BRISTOL-MYERS SQUIBB COMPANY
CONSOLIDATED STATEMENTS OF CASH FLOWS
Dollars in Millions
(UNAUDITED)

 
Nine Months Ended September 30,
 
2019
 
2018
Cash Flows From Operating Activities:
 
 
 
Net earnings
$
4,520

 
$
3,789

Adjustments to reconcile net earnings to net cash provided by operating activities:
 
 
 
Depreciation and amortization, net
510

 
465

Deferred income taxes
(587
)
 
(161
)
Stock-based compensation
157

 
168

Impairment charges
183

 
110

Pension settlements and amortization
1,683

 
145

Divestiture gains and royalties
(1,676
)
 
(822
)
Asset acquisition charges
25

 
85

Equity investment losses
15

 
244

Other adjustments
(21
)
 
(43
)
Changes in operating assets and liabilities:
 
 
 
Receivables
434

 
(222
)
Inventories
(7
)
 
(152
)
Accounts payable
48

 
(186
)
Deferred income
13

 
84

Income taxes payable
47

 
199

Other
685

 
(192
)
Net Cash Provided by Operating Activities
6,029

 
3,511

Cash Flows From Investing Activities:
 
 
 
Sale and maturities of marketable securities
2,464

 
1,453

Purchase of marketable securities
(1,642
)
 
(1,062
)
Capital expenditures
(585
)
 
(661
)
Divestiture and other proceeds
2,087

 
947

Acquisition and other payments
(58
)
 
(1,215
)
Net Cash Provided by/(Used in) Investing Activities
2,266

 
(538
)
Cash Flows From Financing Activities:
 
 
 
Short-term debt obligations, net
115

 
(617
)
Issuance of long-term debt
18,790

 

Repayment of long-term debt
(1,256
)
 
(5
)
Repurchase of common stock
(300
)
 
(320
)
Dividends
(2,011
)
 
(1,960
)
Other
(40
)
 
(55
)
Net Cash Provided by/(Used in) Financing Activities
15,298

 
(2,957
)
Effect of Exchange Rates on Cash and Cash Equivalents
(15
)
 
(29
)
Net Increase/(Decrease) in Cash and Cash Equivalents
23,578

 
(13
)
Cash and Cash Equivalents at Beginning of Period
6,911

 
5,421

Cash and Cash Equivalents at End of Period
$
30,489

 
$
5,408

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

5




Note 1. BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING STANDARDS

Basis of Consolidation

Bristol-Myers Squibb Company prepared these unaudited consolidated financial statements following the requirements of the SEC and U.S. GAAP for interim reporting. Under those rules, certain footnotes and other financial information that are normally required for annual financial statements can be condensed or omitted. The Company is responsible for the consolidated financial statements included in this Quarterly Report on Form 10-Q, which include all adjustments necessary for a fair presentation of the financial position at September 30, 2019 and December 31, 2018, the results of operations for the three and nine months ended September 30, 2019 and 2018, and cash flows for the nine months ended September 30, 2019 and 2018. All intercompany balances and transactions have been eliminated. These financial statements and the related notes should be read in conjunction with the audited consolidated financial statements for the year ended December 31, 2018 included in the 2018 Form 10-K. Refer to the Summary of Abbreviated Terms at the end of this Quarterly Report on Form 10-Q for terms used throughout the document.

Business Segment Information

The Company operates in a single segment engaged in the discovery, development, licensing, manufacturing, marketing, distribution and sale of innovative medicines that help patients prevail over serious diseases. A global research and development organization and supply chain organization are responsible for the discovery, development, manufacturing and supply of products. Regional commercial organizations market, distribute and sell the products. The business is also supported by global corporate staff functions. The determination of a single segment is consistent with the financial information regularly reviewed by the chief executive officer for purposes of evaluating performance, allocating resources, setting incentive compensation targets, and planning and forecasting future periods. For further information on product and regional revenue, see “—Note 2. Revenue.”

Use of Estimates and Judgments

Revenues, expenses, assets and liabilities can vary during each quarter of the year. Accordingly, the results and trends in these unaudited consolidated financial statements may not be indicative of full year operating results. The preparation of financial statements requires the use of management estimates, judgments and assumptions. The most significant assumptions are estimates used in determining sales rebate and return accruals; legal contingencies; income taxes; and pension and postretirement benefits. Actual results may differ from estimates.

Reclassification

Certain prior period amounts were reclassified to conform to the current period presentation. Accrued liabilities, Deferred income and Income taxes payable previously presented separately in Total Current Liabilities in the consolidated balance sheets are now presented as Accrued and other current liabilities. Deferred income and Pension and other liabilities previously presented separately in Total Liabilities in the consolidated balance sheets are now presented as Other non-current liabilities.

Recently Adopted Accounting Standards

Leases

Amended guidance for lease accounting was adopted on January 1, 2019 using the modified retrospective method with the cumulative effect of the change recognized in retained earnings in the period of adoption. The new guidance requires an entity to recognize a right-of-use asset and a lease liability initially measured at the present value of future lease payments. The cumulative effect of the accounting change was not material. The Company elected the package of practical expedients upon adoption and will apply the practical expedient not to separate lease and non-lease components for new and modified leases commencing after adoption. In addition, the Company applied the short-term lease recognition exemption for leases with terms at inception not greater than 12 months. The amended guidance does not materially impact the Company’s results of operations other than recognition of the operating lease right-of-use asset and lease liability.

Goodwill Impairment Testing

Amended guidance that simplifies the recognition and measurement of a goodwill impairment loss by eliminating Step 2 of the quantitative goodwill impairment test was adopted prospectively in the first quarter of 2019. Under the amended guidance, a goodwill impairment loss is recognized for the amount by which the reporting unit's carrying amount, including goodwill, exceeds its fair value up to the amount of its allocated goodwill. The adoption of the amended guidance did not have an impact on the Company’s results of operations.


6




Recently Issued Accounting Standards Not Yet Adopted

Financial Instruments - Measurement of Credit Losses

In June 2016, the FASB issued amended guidance for the measurement of credit losses on financial instruments. Entities will be required to use a forward-looking estimated loss model. Available-for-sale debt security credit losses will be recognized as allowances rather than a reduction in amortized cost. The guidance is effective January 1, 2020 with early adoption permitted in 2019 on a modified retrospective approach. The amended guidance will not have a material impact to the Company’s results of operations.

Note 2. REVENUE

The following table summarizes the disaggregation of revenue by nature:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Net product sales
$
5,768

 
$
5,433

 
$
17,512

 
$
15,866

Alliance revenues
143

 
177

 
418

 
483

Other revenues
96

 
81

 
270

 
239

Total Revenues
$
6,007

 
$
5,691

 
$
18,200

 
$
16,588



The following table summarizes GTN adjustments:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Gross product sales
$
8,884

 
$
7,681

 
$
25,697

 
$
21,891

GTN adjustments(a)
 
 
 
 
 
 
 
Charge-backs and cash discounts
(927
)
 
(711
)
 
(2,591
)
 
(1,957
)
Medicaid and Medicare rebates
(1,362
)
 
(847
)
 
(3,252
)
 
(2,169
)
Other rebates, returns, discounts and adjustments
(827
)
 
(690
)
 
(2,342
)
 
(1,899
)
Total GTN adjustments
(3,116
)
 
(2,248
)
 
(8,185
)
 
(6,025
)
Net product sales
$
5,768

 
$
5,433

 
$
17,512

 
$
15,866


(a)
Includes adjustments to provisions for product sales made in prior periods resulting from changes in estimates of $12 million and $139 million for the three and nine months ended September 30, 2019 and $(7) million and $103 million for the three and nine months ended September 30, 2018, respectively.

The following table summarizes the disaggregation of revenue by product and region:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Prioritized Brands
 
 
 
 
 
 
 
Opdivo
$
1,817

 
$
1,793

 
$
5,441

 
$
4,931

Eliquis
1,928

 
1,577

 
5,895

 
4,733

Orencia
767

 
675

 
2,185

 
1,979

Sprycel
558

 
491

 
1,561

 
1,464

Yervoy
353

 
382

 
1,104

 
946

Empliciti
89

 
59

 
263

 
178

 
 
 
 
 
 
 
 
Established Brands

 

 
 
 
 
Baraclude
145

 
175

 
433

 
579

Other Brands
350

 
539

 
1,318

 
1,778

Total Revenues
$
6,007

 
$
5,691

 
$
18,200

 
$
16,588

 
 
 
 
 
 
 
 
United States
$
3,472

 
$
3,235

 
$
10,588

 
$
9,243

Europe
1,445

 
1,365

 
4,416

 
4,179

Rest of the World
976

 
932

 
2,838

 
2,728

Other(a)
114

 
159

 
358

 
438

Total Revenues
$
6,007

 
$
5,691

 
$
18,200

 
$
16,588


(a)
Other revenues include royalties and alliance-related revenues for products not sold by the Company's regional commercial organizations.

7




Revenue recognized from performance obligations satisfied in prior periods was $78 million and $341 million for the three and nine months ended September 30, 2019 and $97 million and $398 million for the three and nine months ended September 30, 2018, respectively, consisting primarily of royalties for out-licensing arrangements and revised estimates for gross-to-net adjustments related to prior period sales. Contract assets were not material at September 30, 2019 and December 31, 2018.

Note 3. ALLIANCES

The Company enters into collaboration arrangements with third parties for the research, development, manufacturing and/or commercialization of certain products. Although each of these arrangements is unique in nature, both parties are active participants in the operating activities of the collaboration and exposed to significant risks and rewards depending on the commercial success of the activities. The Company may either in-license intellectual property owned by the other party or out-license its intellectual property to the other party. These arrangements can cover a single investigational compound or commercial product or multiple compounds and/or products in various life cycle stages. The rights and obligations of the parties can be global or limited to geographic regions. The Company refers to these collaborations as alliances and its partners as alliance partners.

Selected financial information pertaining to the Company's alliances was as follows, including net product sales when the Company is the principal in the third-party customer sale for products subject to the alliance. Expenses summarized below do not include all amounts attributed to the activities for the products in the alliance, but only the payments between the alliance partners or the related amortization if the payments were deferred or capitalized.
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Revenues from alliances:
 
 
 
 
 
 
 
Net product sales
$
2,464

 
$
2,037

 
$
7,412

 
$
6,135

Alliance revenues
143

 
177

 
418

 
483

Total Revenues
$
2,607

 
$
2,214

 
$
7,830

 
$
6,618

 
 
 
 
 
 
 
 
Payments to/(from) alliance partners:
 
 
 
 
 
 
 
Cost of products sold
$
1,017

 
$
838

 
$
3,116

 
$
2,528

Marketing, selling and administrative
(33
)
 
(26
)
 
(93
)
 
(76
)
Research and development
11

 
(2
)
 
32

 
1,060

Other income (net)
(15
)
 
(14
)
 
(45
)
 
(44
)
Selected Alliance Balance Sheet information:
 
 
 
Dollars in Millions
September 30,
2019
 
December 31,
2018
Receivables - from alliance partners
$
342

 
$
395

Accounts payable - to alliance partners
994

 
904

Deferred income from alliances(a)
452

 
491

(a)
Includes unamortized upfront and milestone payments.

The nature and purpose, significant rights and obligations of the parties and specific accounting policy elections for each of the Company's significant alliances are discussed in the Company's 2018 Form 10-K. There were no significant developments and updates related to alliances during 2019.


8




Note 4. DIVESTITURES AND OTHER ARRANGEMENTS

Divestitures

The following table summarizes proceeds, gains or losses and royalty income resulting from divestitures. Revenue and pretax earnings related to all divestitures and assets held-for-sale were not material in all periods presented (excluding divestiture gains or losses).
 
Three Months Ended September 30,
 
Net Proceeds(a)
 
Divestiture Losses/(Gains)
 
Royalty Income
Dollars in Millions
2019
 
2018
 
2019
 
2018
 
2019
 
2018
UPSA Business
$
1,510

 
$

 
$
(1,176
)
 
$

 
$

 
$

Diabetes Business
163

 
165

 

 

 
(171
)
 
(170
)
Erbitux* Business
3

 
59

 

 

 

 
(48
)
Manufacturing Operations

 

 
1

 

 

 

Mature Brands and Other
7

 
140

 
(4
)
 
(108
)
 
(6
)
 
1

Total
$
1,683

 
$
364

 
$
(1,179
)
 
$
(108
)
 
$
(177
)
 
$
(217
)
 
Nine Months Ended September 30,
 
Net Proceeds(a)
 
Divestiture Losses/(Gains)
 
Royalty Income
Dollars in Millions
2019
 
2018
 
2019
 
2018
 
2019
 
2018
UPSA Business
$
1,510

 
$

 
$
(1,160
)
 
$

 
$

 
$

Diabetes Business
491

 
408

 

 

 
(497
)
 
(497
)
Erbitux* Business
11

 
168

 

 

 

 
(145
)
Manufacturing Operations
3

 
159

 
1

 

 

 

Mature Brands and Other
9

 
212

 
(12
)
 
(178
)
 
(8
)
 
(2
)
Total
$
2,024

 
$
947

 
$
(1,171
)
 
$
(178
)
 
$
(505
)
 
$
(644
)
(a)
Includes royalties received subsequent to the related sale of the asset or business.

UPSA Business

In the third quarter of 2019, the Company sold its UPSA consumer health business, including the shares of UPSA SAS and BMS's assets and liabilities relating to the UPSA product portfolio. The transaction was accounted for as the sale of a business. The UPSA business was treated as a single disposal group held-for-sale as of December 31, 2018.

Assets Held-For-Sale

Manufacturing Operations

In the second quarter of 2019, the Company agreed to sell its manufacturing and packaging facility in Anagni, Italy to Catalent for approximately $50 million. The transaction is expected to close by the end of 2019 subject to regulatory approvals and the satisfaction of certain other customary closing conditions and will be accounted for as a sale of a business. Catalent will provide certain manufacturing and packaging services for the Company for a period of time subsequent to closing. The business was accounted for as held-for-sale and its assets were reduced to the estimated relative fair value resulting in a $113 million impairment charge for the nine months ended September 30, 2019 that was included in Cost of products sold. Assets were reclassified to assets held-for-sale as of September 30, 2019 and included within Prepaid expenses and other. Liabilities were reclassified to liabilities related to assets held-for-sale and included within Accrued and other current liabilities.


9




The following table summarizes the net assets held-for-sale as of September 30, 2019 and December 31, 2018.
Dollars in Millions
September 30,
2019
 
December 31,
2018
Receivables
$

 
$
79

Inventories
7

 
81

Property, plant and equipment
36

 
187

Goodwill
4

 
127

Other
12

 
5

Assets held-for-sale
$
59

 
$
479

 
 
 
 
Accounts payable
$

 
$
35

Accrued and other current liabilities
8

 
78

Deferred income taxes

 
25

Other liabilities
3

 
14

Liabilities related to assets held-for-sale
$
11

 
$
152

 
 
 
 
Net assets held-for-sale
$
48

 
$
327



Note 5. OTHER INCOME (NET)
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Interest expense
$
209


$
44

 
$
377


$
135

Investment income
(173
)

(44
)
 
(348
)

(118
)
Equity investment losses/(gains)
261


(97
)
 
15


244

Provision for restructuring
10


45

 
32


102

Acquisition expenses
7



 
475



Integration expenses
96

 

 
224

 

Litigation and other settlements
(1
)

11

 


10

Equity in net income of affiliates


(22
)
 


(73
)
Divestiture gains
(1,179
)

(108
)
 
(1,171
)

(178
)
Royalties and licensing income
(356
)

(338
)
 
(967
)

(1,058
)
Transition and other service fees
(7
)


 
(11
)

(5
)
Pension and postretirement
1,537


(10
)
 
1,607


(40
)
Intangible asset impairment



 
15


64

Other
7


11

 
4


5

Other income (net)
$
411


$
(508
)
 
$
252


$
(912
)


Note 6. RESTRUCTURING

In October 2016, the Company announced a restructuring plan to evolve and streamline its operating model. The majority of the charges are expected to be incurred through 2020, range between $1.5 billion to $2.0 billion and consist of employee termination benefit costs, contract termination costs, plant and equipment accelerated depreciation, impairment charges and other shutdown costs associated with early manufacturing and R&D site exits. Cash outlays in connection with these actions are expected to be approximately 40% to 50% of the total charges. Charges of approximately $1.3 billion have been recognized for these actions since the announcement. Restructuring charges are recognized upon meeting certain criteria, including finalization of committed plans, reliable estimates and discussions with local works councils in certain markets.

Employee workforce reductions were approximately 100 and 600 for the nine months ended September 30, 2019 and 2018, respectively.


10




The following tables summarize the charges and activity related to the restructuring actions:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Employee termination costs
$
4

 
$
37

 
$
11

 
$
72

Other termination costs
6

 
8

 
21

 
30

Provision for restructuring
10

 
45

 
32

 
102

Accelerated depreciation
33

 
30

 
96

 
82

Impairment charges
9

 

 
119

 
10

Other shutdown costs

 
1

 

 
6

Total charges
$
52

 
$
76

 
$
247

 
$
200

 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Cost of products sold
$
22

 
$
12

 
$
156

 
$
39

Marketing, selling and administrative

 
1

 
1

 
2

Research and development
20

 
18

 
58

 
57

Other income (net)
10

 
45

 
32

 
102

Total charges
$
52

 
$
76

 
$
247

 
$
200


 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
Liability at December 31
$
99

 
$
186

Cease-use lease liability reclassification
(3
)
 

Liability at January 1
96

 
186

 
 
 
 
Charges
36

 
108

Change in estimates
(4
)
 
(6
)
Provision for restructuring
32

 
102

Foreign currency translation and other
(1
)
 
2

Payments
(98
)
 
(171
)
Liability at September 30
$
29

 
$
119



Note 7. INCOME TAXES
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Earnings Before Income Taxes
$
1,349

 
$
2,167

 
$
5,104

 
$
4,463

Provision for Income Taxes
(17
)
 
255

 
584

 
674

Effective Tax Rate
(1.3
)%
 
11.8
%
 
11.4
%
 
15.1
%


Jurisdictional tax rates and other tax impacts attributed to pension settlement charges, gain on sale of the UPSA business divestiture and other specified items decreased the effective tax rate by 13.1% and 3.6% in the three and nine months ended September 30, 2019, respectively. These items decreased the effective tax rate by 1.5% and 0.8% in the three and nine months ended September 30, 2018, respectively. The tax impact of these discrete items are reflected immediately and are not considered in estimating the annual effective tax rate. Additional changes to the effective tax rate may occur in future periods due to various reasons including pretax earnings mix, tax reserves, cash repatriations and revised interpretations of the relevant tax code.

The Company is currently under examination by a number of tax authorities, which have proposed or are considering proposing material adjustments to tax positions for issues such as transfer pricing, certain tax credits and the deductibility of certain expenses. It is reasonably possible that new issues will be raised by tax authorities, which may require adjustments to the amount of unrecognized tax benefits; however, an estimate of such adjustments cannot reasonably be made at this time. Tax reserve releases due to lapse of statutes were $81 million and $49 million in the three months ended September 30, 2019 and 2018, respectively.


11




It is also reasonably possible that the total amount of unrecognized tax benefits at September 30, 2019 could decrease in the range of approximately $300 million to $340 million in the next twelve months as a result of the settlement of certain tax audits and other events. The expected change in unrecognized tax benefits may result in the payment of additional taxes, adjustment of certain deferred taxes and/or recognition of tax benefits. It is reasonably possible that new issues will be raised by tax authorities that may increase unrecognized tax benefits; however, an estimate of such increases cannot reasonably be made at this time. The Company believes that it has adequately provided for all open tax years by tax jurisdiction.

Note 8. EARNINGS PER SHARE
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Amounts in Millions, Except Per Share Data
2019
 
2018
 
2019
 
2018
Net Earnings Attributable to BMS used for Basic and Diluted EPS Calculation
$
1,353

 
$
1,901

 
$
4,495

 
$
3,760

 
 
 
 
 
 
 
 
Weighted-average common shares outstanding - basic
1,632

 
1,632

 
1,634

 
1,633

Incremental shares attributable to share-based compensation plans
2

 
4

 
2

 
4

Weighted-average common shares outstanding - diluted
1,634

 
1,636

 
1,636

 
1,637

 
 
 
 
 
 
 
 
Earnings per share - basic
$
0.83

 
$
1.16

 
$
2.75

 
$
2.30

Earnings per share - diluted
0.83

 
1.16

 
2.75

 
2.30



Note 9. FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS

Financial assets and liabilities measured at fair value on a recurring basis are summarized below:
 
September 30, 2019
 
December 31, 2018
Dollars in Millions
Level 1
 
Level 2
 
Level 1
 
Level 2
Cash and cash equivalents - money market and other investments
$

 
$
29,771

 
$

 
$
6,173

Marketable securities
 
 
 
 
 
 
 
Certificates of deposit

 
1,156

 

 
971

Commercial paper

 
129

 

 
273

Corporate debt securities

 
1,693

 

 
2,379

Equity investments

 

 

 
125

Derivative assets

 
85

 

 
44

Equity investments
113

 
147

 
88

 
266

Derivative liabilities

 
(251
)
 

 
(31
)

As further described in “Item 8. Financial Statements and Supplementary Data—Note 9. Financial Instruments and Fair Value Measurements” in the Company's 2018 Form 10-K, the Company's fair value estimates use inputs that are either (1) quoted prices for identical assets or liabilities in active markets (Level 1 inputs); (2) observable prices for similar assets or liabilities in active markets or for identical or similar assets or liabilities in markets that are not active (Level 2 inputs); or (3) unobservable inputs (Level 3 inputs). There were no Level 3 financial assets or liabilities as of September 30, 2019 and December 31, 2018.

Available-for-sale Debt Securities and Equity Investments

Changes in fair value of equity investments are included in Other income (net). The following table summarizes the Company's available-for-sale debt securities and equity investments:
 
September 30, 2019
 
December 31, 2018
Dollars in Millions
Amortized Cost
 
Gross Unrealized
 
 
 
Amortized Cost
 
Gross Unrealized
 
 
 
Gains
 
Losses
 
Fair Value
 
 
Gains
 
Losses
 
Fair Value
Certificates of deposit
$
1,156

 
$

 
$

 
$
1,156

 
$
971

 
$

 
$

 
$
971

Commercial paper
129

 

 

 
129

 
273

 

 

 
273

Corporate debt securities
1,686

 
8

 
(1
)
 
1,693

 
2,416

 

 
(37
)
 
2,379

 
$
2,971

 
$
8

 
$
(1
)
 
2,978

 
$
3,660

 
$

 
$
(37
)
 
3,623

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Equity investments
 
 
 
 
 
 
260

 
 
 
 
 
 
 
479

Total
 
 
 
 
 
 
$
3,238

 
 
 
 
 
 
 
$
4,102



12




Dollars in Millions
September 30,
2019
 
December 31,
2018
Current marketable securities
$
2,053

 
$
1,973

Non-current marketable securities(a)
925

 
1,775

Other assets
260

 
354

Total
$
3,238

 
$
4,102

(a)
All non-current marketable securities mature within five years as of September 30, 2019 and December 31, 2018.

Equity investments not measured at fair value and excluded from the above fair value table were limited partnerships and other equity method investments of $150 million at September 30, 2019 and $114 million at December 31, 2018 and other equity investments without readily determinable fair values of $164 million at September 30, 2019 and $206 million at December 31, 2018. These amounts are included in Other assets.

The following table summarizes the net gain/(loss) recorded for equity investments with readily determinable fair values held as of September 30, 2019 and 2018:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Net gain/(loss) recognized
$
(235
)
 
$
97

 
$
(81
)
 
$
(262
)
Less: Net gain/(loss) recognized for equity investments sold

 

 
14

 

Net unrealized gain/(loss) on equity investments held
$
(235
)
 
$
97

 
$
(95
)
 
$
(262
)


Qualifying Hedges and Non-Qualifying Derivatives

Cash Flow Hedges — Foreign currency forward contracts are used to hedge certain forecasted intercompany inventory purchases and sales transactions and certain foreign currency transactions. The fair value for contracts designated as cash flow hedges are temporarily reported in Accumulated other comprehensive loss and included in earnings when the hedged item affects earnings. Upon adoption of the amended guidance for derivatives and hedging in the first quarter of 2018, the entire change in fair value of the hedging instrument included in the assessment of hedge effectiveness is recorded in the derivatives qualifying as cash flow hedges component of Other Comprehensive (Loss)/Income. The net gain or loss on foreign currency forward contracts is expected to be reclassified to net earnings (primarily included in Cost of products sold) within the next 12 months. The notional amount of outstanding foreign currency forward contracts was primarily attributed to the euro of $921 million and Japanese yen of $546 million at September 30, 2019.

The earnings impact related to discontinued cash flow hedges and hedge ineffectiveness was not material during all periods presented. Cash flow hedge accounting is discontinued when the forecasted transaction is no longer probable of occurring within 60 days after the originally forecasted date or when the hedge is no longer effective. Assessments to determine whether derivatives designated as qualifying hedges are highly effective in offsetting changes in the cash flows of hedged items are performed at inception and on a quarterly basis. Foreign currency forward contracts not designated as hedging instruments are used to offset exposures in certain foreign currency denominated assets, liabilities and earnings. Changes in the fair value of these derivatives are recognized in earnings as they occur.

Net Investment Hedges — Euro borrowings of €950 million ($1.0 billion) at September 30, 2019 are designated as net investment hedges to hedge euro currency exposures of the net investment in certain foreign affiliates and are recognized in long-term debt. The effective portion of foreign exchange gain on the remeasurement of euro debt was $43 million and $10 million in 2019 and 2018, respectively, and were recorded in the foreign currency translation component of Other Comprehensive Income/(Loss) with the related offset in Long-term debt.

In January 2018, the Company entered into $300 million of cross-currency interest rate swap contracts maturing in December 2022 designated to hedge Japanese yen currency exposures of the Company's net investment in its Japan subsidiary. Contract fair value changes are recorded in the foreign currency translation component of Other Comprehensive Income/(Loss) with a related offset in Other assets or Other non-current liabilities.


13




Fair Value Hedges — Fixed to floating interest rate swap contracts are designated as fair value hedges and used as an interest rate risk management strategy to create an appropriate balance of fixed and floating rate debt. The contracts and underlying debt for the hedged benchmark risk are recorded at fair value. The effective interest rate for the contracts is one-month LIBOR (2.0% as of September 30, 2019) plus an interest rate spread of 4.6%. Gains or losses resulting from changes in fair value of the underlying debt attributable to the hedged benchmark interest rate risk are recorded in interest expense with an associated offset to the carrying value of debt. Since the specific terms and notional amount of the swap are intended to match those of the debt being hedged, all changes in fair value of the swap are recorded in interest expense with an associated offset to the derivative asset or liability on the consolidated balance sheet. As a result, there was no net impact in earnings. When the underlying swap is terminated prior to maturity, the fair value adjustment to the underlying debt is amortized as a reduction to interest expense over the remaining term of the debt.

Following the announcement of the Company's pending acquisition of Celgene, the Company entered into forward starting interest rate swap option contracts, with a total notional value of $7.6 billion, to hedge future interest rate risk associated with the anticipated issuance of long-term debt to fund the pending Celgene acquisition. In April 2019, the Company entered into deal contingent forward starting interest rate swap contracts, with an aggregate notional principal amount of $10.4 billion, to hedge interest rate risk associated with the anticipated issuance of long-term debt to fund the Celgene acquisition and terminated the forward starting interest rate swap option contracts. The deal contingent forward starting interest rate swap contracts were unwound upon the May 2019 issuance of the new notes, refer to “—Debt Obligations.”

The following table summarizes the fair value of outstanding derivatives:
 
September 30, 2019
 
December 31, 2018
 
Asset(a)
 
Liability(b)
 
Asset(a)
 
Liability(b)
Dollars in Millions
Notional
 
Fair Value
 
Notional
 
Fair Value
 
Notional
 
Fair Value
 
Notional
 
Fair Value
Derivatives designated as hedging instruments:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Interest rate swap contracts
$
255

 
$
11

 
$

 
$

 
$

 
$

 
$
755

 
$
(10
)
Cross-currency interest rate swap contracts
125

 
1

 
175

 
(2
)
 
50

 

 
250

 
(5
)
Foreign currency forward contracts
1,667

 
68

 
246

 
(4
)
 
1,503

 
44

 
496

 
(10
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Derivatives not designated as hedging instruments:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Foreign currency forward contracts
525

 
5

 
203

 
(5
)
 
54

 

 
600

 
(6
)
Deal contingent forward starting interest rate swap contracts

 

 
10,350

 
(240
)
 

 

 

 

(a)
Included in prepaid expenses and other and other assets.
(b)
Included in accrued and other current liabilities and other non-current liabilities.

The following table summarizes the financial statement classification and amount of gain/(loss) recognized on hedging instruments:
 
Three Months Ended September 30, 2019
 
Nine Months Ended September 30, 2019
Dollars in Millions
Cost of products sold
 
Other income (net)
 
Cost of products sold
 
Other income (net)
Interest rate swap contracts
$

 
$
6

 
$

 
$
18

Cross-currency interest rate swap contracts

 
2

 

 
6

Foreign currency forward contracts
20

 
9

 
76

 
11

Forward starting interest rate swap option contracts

 

 

 
(35
)
Deal contingent forward starting interest rate swap contracts

 

 

 
(240
)

 
Three Months Ended September 30, 2018
 
Nine Months Ended September 30, 2018
Dollars in Millions
Cost of products sold
 
Other income (net)
 
Cost of products sold
 
Other income (net)
Interest rate swap contracts
$

 
$
5

 
$

 
$
18

Cross-currency interest rate swap contracts

 
2

 

 
6

Foreign currency forward contracts
13

 
10

 
(20
)
 
17




14




The following table summarizes the effect of derivative and non-derivative instruments designated as hedging instruments in Other Comprehensive Income/(Loss):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Derivatives qualifying as cash flow hedges
 
 
 
 
 
 
 
Foreign currency forward contracts gain/(loss):
 
 
 
 
 
 
 
Recognized in Other Comprehensive Income/(Loss)(a)
$
63

 
$
18

 
$
102

 
$
63

Reclassified to Cost of products sold
(20
)
 
(13
)
 
(76
)
 
20

 
 
 
 
 
 
 
 
Derivatives qualifying as net investment hedges
 
 
 
 
 
 
 
Cross-currency interest rate swap contracts gain/(loss):
 
 
 
 
 
 
 
Recognized in Other Comprehensive Income/(Loss)
2

 
5

 
4

 
1

 
 
 
 
 
 
 
 
Non-derivatives qualifying as net investment hedges
 
 
 
 
 
 
 
Non U.S. dollar borrowings gain/(loss):
 
 
 
 
 
 
 
Recognized in Other Comprehensive Income/(Loss)
41

 
(6
)
 
43

 
10

(a)
The amount is expected to be reclassified into earnings in the next 12 months.

Debt Obligations

Short-term debt obligations include:
Dollars in Millions
September 30,
2019
 
December 31,
2018
Non-U.S. short-term borrowings
$
355

 
$
320

Current portion of long-term debt

 
1,249

Other
214

 
134

Total
$
569

 
$
1,703



Long-term debt and the current portion of long-term debt include:
Dollars in Millions
September 30,
2019
 
December 31,
2018
Principal Value
$
24,467

 
$
6,776

Adjustments to Principal Value
 
 
 
Fair value of interest rate swap contracts
11

 
(10
)
Unamortized basis adjustment from swap terminations
181

 
201

Unamortized bond discounts and issuance costs
(269
)
 
(72
)
Total
$
24,390

 
$
6,895

 
 
 
 
Current portion of long-term debt
$

 
$
1,249

Long-term debt
24,390

 
5,646



The fair value of long-term debt was $26.6 billion at September 30, 2019 and $7.1 billion at December 31, 2018 valued using Level 2 inputs. Interest payments were $166 million and $174 million for the nine months ended September 30, 2019 and 2018, respectively, net of amounts related to interest rate swap contracts.

During the first quarter of 2019, the $750 million 1.600% Notes and the $500 million 1.750% Notes matured and were repaid.


15




In May 2019, the Company issued an aggregate principal amount of $19.0 billion of floating rate and fixed rate unsecured senior notes. The notes rank equally in right of payment with all of the Company's existing and future senior unsecured indebtedness and the fixed rate notes are redeemable at any time, in whole, or in part, at varying specified redemption prices plus accrued and unpaid interest. All of the notes are subject to special mandatory redemption at a redemption price equal to 101% of the aggregate principal amount of the notes plus accrued and unpaid interest if the pending acquisition of Celgene is not completed by July 30, 2020 or the Company notifies the trustee in respect of the notes that it will not pursue the consummation of the Celgene acquisition. The following table summarizes the note issuances:
Dollars in Millions
2019
Principal Value:
 
Floating Rate Notes due 2020
$
750

Floating Rate Notes due 2022
500

2.550% Notes due 2021
1,000

2.600% Notes due 2022
1,500

2.900% Notes due 2024
3,250

3.200% Notes due 2026
2,250

3.400% Notes due 2029
4,000

4.125% Notes due 2039
2,000

4.250% Notes due 2049
3,750

Total
$
19,000

 
 
Proceeds net of discount and deferred loan issuance costs
$
18,790



As of September 30, 2019, BMS had four revolving credit facilities totaling $6.0 billion, which consisted of a 364-day $2.0 billion facility expiring in January 2020, a $1.0 billion facility expiring in January 2022 and two five-year $1.5 billion facilities that were extended to September 2023 and July 2024, respectively. The facilities provide for customary terms and conditions with no financial covenants and may be used to provide backup liquidity for the Company's commercial paper borrowings. The Company's $1.0 billion facility and its two $1.5 billion revolving facilities are extendable annually by one year on the anniversary date with the consent of the lenders. The Company's 364-day $2.0 billion facility can be renewed for one year on each anniversary date, subject to certain terms and conditions. No borrowings were outstanding under any revolving credit facility at September 30, 2019 or December 31, 2018.

In connection with the pending acquisition of Celgene, the Company entered into a bridge commitment letter that provided for up to $33.5 billion in a 364-day senior unsecured bridge facility in January 2019. The Company terminated the bridge facility upon receipt of proceeds from the Company's issuance of $19.0 billion of new notes in May 2019.

The Company also entered into an $8.0 billion term loan credit agreement consisting of a $1.0 billion 364-day tranche, a $4.0 billion three-year tranche and a $3.0 billion five-year tranche in connection with the pending Celgene acquisition. The term loan is subject to customary terms and conditions and does not have any financial covenants. No amounts will be borrowed under the term loan prior to the closing of the pending acquisition of Celgene. If drawn upon, the proceeds under the term loan will be used to fund a portion of the cash to be paid in the pending acquisition of Celgene and the payment of related fees and expenses.

Note 10. RECEIVABLES
Dollars in Millions
September 30,
2019
 
December 31,
2018
Trade receivables
$
4,595

 
$
4,914

Less charge-backs and cash discounts
(270
)
 
(245
)
Less bad debt allowances
(36
)
 
(33
)
Net trade receivables
4,289

 
4,636

Prepaid and refundable income taxes
159

 
218

Alliance, royalties, VAT and other
1,062

 
1,111

Receivables
$
5,510

 
$
5,965



Non-U.S. receivables sold on a nonrecourse basis were $580 million and $594 million for the nine months ended September 30, 2019 and 2018, respectively. Receivables from the Company's three largest pharmaceutical wholesalers in the U.S. represented approximately 70% of total trade receivables at September 30, 2019 and December 31, 2018.


16




Note 11. INVENTORIES
Dollars in Millions
September 30,
2019
 
December 31,
2018
Finished goods
$
306

 
$
356

Work in process
1,124

 
1,152

Raw and packaging materials
127

 
116

Total inventories
$
1,557

 
$
1,624

 
 
 
 
Inventories
$
1,192

 
$
1,195

Other assets(a)
365

 
429


(a)
Other assets include inventory expected to remain on hand beyond one year in both periods.

Prior year amounts of certain inventory balances are presented as work in process to conform to the current year presentation rather than finished goods and raw materials.

Note 12. PROPERTY, PLANT AND EQUIPMENT
Dollars in Millions
September 30,
2019
 
December 31,
2018
Land
$
105

 
$
104

Buildings
5,285

 
5,231

Machinery, equipment and fixtures
2,932

 
2,962

Construction in progress
465

 
548

Gross property, plant and equipment
8,787

 
8,845

Less accumulated depreciation
(3,957
)
 
(3,818
)
Property, plant and equipment
$
4,830

 
$
5,027



Depreciation expense was $135 million and $401 million for the three and nine months ended September 30, 2019 and $127 million and $366 million for the three and nine months ended September 30, 2018, respectively.

Note 13. LEASES

The Company leases facilities for office, research and development, and for storage and distribution purposes, comprising approximately 90% of the total lease obligation. Lease terms vary based on the nature of operations and the market dynamics in each country; however, all leased facilities are classified as operating leases with remaining lease terms between one year and 20 years. Most leases contain specific renewal options for periods ranging between one year and 10 years where notice to renew must be provided in advance of lease expiration or automatic renewals where no advance notice is required. Periods covered by an option to extend the lease were included in the non-cancellable lease term when exercise of the option was determined to be reasonably certain. Certain leases also contain termination options that provide the flexibility to terminate the lease ahead of its expiration with sufficient advance notice. Periods covered by an option to terminate the lease were included in the non-cancellable lease term when exercise of the option was determined not to be reasonably certain. Judgment is required in assessing whether renewal and termination options are reasonably certain to be exercised. The Company considers factors such as contractual terms compared to current market rates, leasehold improvements expected to have significant value, costs to terminate a lease and the importance of the facility to the Company’s operations. Costs determined to be variable and not based on an index or rate were not included in the measurement of real estate lease liabilities. As most leases do not provide an implicit rate, the Company's incremental borrowing rate was applied on a portfolio approach to discount its real estate lease liabilities.

The remaining 10% of the Company’s total lease obligation is comprised of vehicles used primarily by the Company’s sales force and an R&D facility operated by a third party under the Company's direction. Vehicle lease terms vary by country with terms generally between one year and 4 years.


17




The following table summarizes the components of lease expense:
Dollars in Millions
Three Months Ended September 30, 2019
 
Nine Months Ended September 30, 2019
Operating lease cost
$
25

 
$
80

Variable lease cost
5

 
15

Short-term lease cost
6

 
16

Sublease income
(1
)
 
(3
)
Total operating lease expense
$
35

 
$
108



Operating lease right-of-use assets and liabilities were as follows as of September 30, 2019 and January 1, 2019:
Dollars in Millions
September 30,
2019
 
January 1,
2019
Other assets
$
496

 
$
543

 
 
 
 
Accrued and other current liabilities
66

 
40

Other non-current liabilities
504

 
548

Total liabilities
$
570

 
$
588



Future lease payments for non-cancellable operating leases as of September 30, 2019 were as follows:
Dollars in Millions
Operating Leases
2019 (excluding the nine months ended September 30, 2019)
$
28

2020
86

2021
76

2022
69

2023
61

Thereafter
395

Total future lease payments
715

 
 
Less imputed interest
145

Total lease liability
$
570



Right-of-use assets obtained in exchange for new operating lease obligations were not material for the three and nine months ended September 30, 2019. Cash paid for amounts included in the measurement of operating lease liabilities was $41 million for the nine months ended September 30, 2019, net of a $33 million lease incentive received in the second quarter. The weighted-average remaining lease term was 11 years and the discount rate was 4% as of September 30, 2019.

Note 14. GOODWILL AND OTHER INTANGIBLE ASSETS
Dollars in Millions
Estimated Useful Lives
 
September 30,
2019
 
December 31,
2018
Goodwill
 
 
$
6,513

 
$
6,538

 
 
 
 
 
 
Other intangible assets:
 
 
 
 
 
Licenses
5 – 15 years
 
482

 
510

Developed technology rights
9 – 15 years
 
2,357

 
2,357

Capitalized software
3 – 10 years
 
1,258

 
1,156

IPRD
 
 

 
32

Gross other intangible assets
 
 
4,097

 
4,055

Less accumulated amortization
 
 
(3,095
)
 
(2,964
)
Other intangible assets
 
 
$
1,002

 
$
1,091



Amortization expense was $52 million and $156 million for the three and nine months ended September 30, 2019 and $54 million and $147 million for the three and nine months ended September 30, 2018, respectively.


18




In the first quarter of 2019, a $32 million IPRD impairment charge was recorded in Research and development following the decision to discontinue development of an investigational compound obtained in the acquisition of Medarex. In the first quarter of 2018, a $64 million impairment charge was recorded in Other income (net) for an out-licensed asset obtained in the acquisition of ZymoGenetics, Inc., which did not meet its primary endpoint in a Phase II clinical study.

Note 15. ACCRUED AND OTHER CURRENT LIABILITIES
Dollars in Millions
September 30,
2019
 
December 31,
2018
Rebates and returns
$
3,209

 
$
2,417

Employee compensation and benefits
639

 
848

Research and development
891

 
805

Dividends
668

 
669

Royalties
378

 
391

Interest
289

 
69

Deal contingent forward starting interest rate swap contracts
240

 

Branded Prescription Drug Fee
165

 
188

Litigation and other settlements
75

 
118

Operating leases
66

 

Restructuring
24

 
85

Pension and postretirement benefits
35

 
35

Deferred income
86

 
172

Income taxes payable
546

 
398

Liabilities related to assets held-for-sale
11

 
152

Other
710

 
712

Accrued and other current liabilities
$
8,032

 
$
7,059




19




Note 16. EQUITY

The following table summarizes changes in equity for the nine months ended September 30, 2019:
 
Common Stock
 
Capital in Excess of Par Value of Stock
 
Accumulated Other Comprehensive Loss
 
Retained Earnings
 
Treasury Stock
 
Noncontrolling Interest
Dollars and Shares in Millions
Shares
 
Par Value
 
Shares
 
Cost
 
Balance at December 31, 2018
2,208

 
$
221

 
$
2,081

 
$
(2,762
)
 
$
34,065

 
576

 
$
(19,574
)
 
$
96

Accounting change - cumulative effect(a)

 

 

 

 
5

 

 

 

Adjusted balance at January 1, 2019
2,208

 
221

 
2,081

 
(2,762
)
 
34,070

 
576

 
(19,574
)
 
96

Net earnings

 

 

 

 
1,710

 

 

 
5

Other Comprehensive Income/(Loss)

 

 

 
118

 

 

 

 

Cash dividends declared(b)

 

 

 

 
(671
)
 

 

 

Stock compensation

 

 
22

 

 

 
(4
)
 
3

 

Distributions

 

 

 

 

 

 

 
(2
)
Balance at March 31, 2019
2,208

 
221

 
2,103

 
(2,644
)
 
35,109

 
572

 
(19,571
)
 
99

Net earnings

 

 

 

 
1,432

 

 

 
7

Other Comprehensive Income/(Loss)

 

 

 
23

 

 

 

 

Cash dividends declared(b)

 

 

 

 
(671
)
 

 

 

Stock compensation

 

 
47

 

 

 

 

 

Distributions

 

 

 

 

 

 

 
(4
)
Balance at June 30, 2019
2,208

 
221

 
2,150

 
(2,621
)
 
35,870

 
572

 
(19,571
)
 
102

Net earnings

 

 

 

 
1,353

 

 

 
13

Other Comprehensive Income/(Loss)

 

 

 
1,158

 

 

 

 

Cash dividends declared(b)

 

 

 

 
(668
)
 

 

 

Stock repurchase program

 

 

 

 

 
7

 
(300
)
 

Stock compensation

 

 
56

 

 

 

 

 

Distributions

 

 

 

 

 

 

 
(9
)
Balance at September 30, 2019
2,208

 
$
221

 
$
2,206

 
$
(1,463
)
 
$
36,555

 
579

 
$
(19,871
)
 
$
106

(a)
Refer to “—Note 1. Basis of Presentation and Recently Issued Accounting Standards” for additional information.
(b)
Cash dividends declared per common share were $0.41 for the three months ended March 31, 2019, June 30, 2019 and September 30, 2019.


20




The following table summarizes changes in equity for the nine months ended September 30, 2018:
 
Common Stock
 
Capital in Excess of Par Value of Stock
 
Accumulated Other Comprehensive Loss
 
Retained Earnings
 
Treasury Stock
 
Noncontrolling Interest
Dollars and Shares in Millions
Shares
 
Par Value
 
Shares
 
Cost
 
Balance at December 31, 2017
2,208

 
$
221

 
$
1,898

 
$
(2,289
)
 
$
31,160

 
575

 
$
(19,249
)
 
$
106

Accounting change - cumulative effect(a)

 

 

 
(34
)
 
332

 

 

 

Adjusted balance at January 1, 2018
2,208

 
221

 
1,898

 
(2,323
)
 
31,492

 
575

 
(19,249
)
 
106

Net earnings

 

 

 

 
1,486

 

 

 
9

Other Comprehensive Income/(Loss)

 

 

 
89

 

 

 

 

Cash dividends declared(b)

 

 

 

 
(655
)
 

 

 

Stock repurchase program

 

 

 

 

 
3

 
(166
)
 

Stock compensation

 

 
18

 

 

 
(4
)
 
(18
)
 

Distributions

 

 

 

 

 

 

 
(2
)
Balance at March 31, 2018
2,208

 
221

 
1,916

 
(2,234
)
 
32,323

 
574

 
(19,433
)
 
113

Net earnings

 

 

 

 
373

 

 

 
9

Other Comprehensive Income/(Loss)

 

 

 
(100
)
 

 

 

 

Cash dividends declared(b)

 

 

 

 
(652
)
 

 

 

Stock repurchase program

 

 

 

 

 
2

 
(147
)
 

Stock compensation

 

 
50

 

 

 

 

 

Distributions

 

 

 

 

 

 

 
(21
)
Balance at June 30, 2018
2,208

 
221

 
1,966

 
(2,334
)
 
32,044

 
576

 
(19,580
)
 
101

Net earnings

 

 

 

 
1,901

 

 

 
11

Other Comprehensive Income/(Loss)

 

 

 
8

 

 

 

 

Cash dividends declared(b)

 

 

 

 
(653
)
 

 

 

Stock compensation

 

 
63

 

 

 

 
4

 

Distributions

 

 

 

 

 

 

 
(2
)
Balance at September 30, 2018
2,208

 
$
221

 
$
2,029

 
$
(2,326
)
 
$
33,292

 
576

 
$
(19,576
)
 
$
110


(a)
Refer to “—Note 1. Accounting Policies and Recently Issued Accounting Standards” in the Company's 2018 Form 10-K for additional information.
(b)
Cash dividends declared per common share were $0.40 for the three months ended March 31, 2018, June 30, 2018 and September 30, 2018.

The Company has a stock repurchase program, authorized by its Board of Directors, allowing for repurchases of its shares. The repurchases are effected in the open market or through privately negotiated transactions in compliance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), including through Rule 10b5-1 trading plans. The stock repurchase program does not have an expiration date and may be suspended or discontinued at any time. Treasury stock is recognized at the cost to reacquire the shares. Shares issued from treasury are recognized utilizing the first-in first-out method. The Company repurchased 6.5 million shares of its common stock for $300 million in the third quarter of 2019. The remaining share repurchase capacity under the stock repurchase program was $1.0 billion as of September 30, 2019.

21




The components of Other Comprehensive Income/(Loss) were as follows:
 
2019
 
2018
Dollars in Millions
Pretax
 
Tax
 
After tax
 
Pretax
 
Tax
 
After tax
Three Months Ended September 30,
 
 
 
 
 
 
 
 
 
 
 
Derivatives qualifying as cash flow hedges:
 
 
 
 
 
 
 
 
 
 
 
Unrealized gains/(losses)
$
63

 
$
(8
)
 
$
55

 
$
18

 
$
(2
)
 
$
16

Reclassified to net earnings(a)
(20
)
 
3

 
(17
)
 
(13
)
 
2

 
(11
)
Derivatives qualifying as cash flow hedges
43

 
(5
)
 
38

 
5

 

 
5

 
 
 
 
 
 
 
 
 
 
 
 
Pension and postretirement benefits:
 
 
 
 
 
 
 
 
 
 
 
Actuarial (losses)/gains
(126
)
 
27

 
(99
)
 
(12
)
 
3

 
(9
)
Amortization(b)
12

 
(2
)
 
10

 
14

 
(3
)
 
11

Settlements(b)
1,550

 
(345
)
 
1,205

 
26

 
(6
)
 
20

Pension and postretirement benefits
1,436

 
(320
)
 
1,116

 
28

 
(6
)
 
22

 
 
 
 
 
 
 
 
 
 
 
 
Available-for-sale securities:
 
 
 
 
 
 
 
 
 
 
 
Unrealized gains/(losses)
6

 
(2
)
 
4

 
4

 
(2
)
 
2

 
 
 
 
 
 
 
 
 
 
 
 
Foreign currency translation
10

 
(10
)
 

 
(21
)
 

 
(21
)
 
 
 
 
 
 
 
 
 
 
 
 
Total Other Comprehensive Income/(Loss)
$
1,495

 
$
(337
)
 
$
1,158

 
$
16

 
$
(8
)
 
$
8

 
 
 
 
 
 
 
 
 
 
 
 
Nine Months Ended September 30,
 
 
 
 
 
 
 
 
 
 
 
Derivatives qualifying as cash flow hedges:
 
 
 
 
 
 
 
 
 
 
 
Unrealized gains/(losses)
$
102

 
$
(12
)
 
$
90

 
$
63

 
$
(6
)
 
$
57

Reclassified to net earnings(a)
(76
)
 
10

 
(66
)
 
20

 
(6
)
 
14

Derivatives qualifying as cash flow hedges
26

 
(2
)
 
24

 
83

 
(12
)
 
71

 
 
 
 
 
 
 
 
 
 
 
 
Pension and postretirement benefits:
 
 
 
 
 
 
 
 
 
 
 
Actuarial (losses)/gains
(140
)
 
30

 
(110
)
 
100

 
(21
)
 
79

Amortization(b)
45

 
(8
)
 
37

 
50

 
(9
)
 
41

Settlements(b)
1,643

 
(366
)
 
1,277

 
95

 
(21
)
 
74

Pension and postretirement benefits
1,548

 
(344
)
 
1,204

 
245

 
(51
)
 
194

 
 
 
 
 
 
 
 
 
 
 
 
Available-for-sale securities:
 
 
 
 
 
 
 
 
 
 
 
Unrealized gains/(losses)
42

 
(2
)
 
40

 
(36
)
 
5

 
(31
)
Realized losses
3

 

 
3

 

 

 

Available-for-sale securities
45

 
(2
)
 
43

 
(36
)
 
5

 
(31
)
 
 
 
 
 
 
 
 
 
 
 
 
Foreign currency translation
39

 
(11
)
 
28

 
(232
)
 
(5
)
 
(237
)
 
 
 
 
 
 
 
 
 
 
 
 
Total Other Comprehensive Income/(Loss)
$
1,658

 
$
(359
)
 
$
1,299

 
$
60

 
$
(63
)
 
$
(3
)
(a)
Included in Cost of products sold.
(b)
Included in Other income (net).

The accumulated balances related to each component of Other Comprehensive Income/(Loss), net of taxes, were as follows:
Dollars in Millions
September 30,
2019
 
December 31,
2018
Derivatives qualifying as cash flow hedges
$
75

 
$
51

Pension and postretirement benefits
(898
)
 
(2,102
)
Available-for-sale securities
13

 
(30
)
Foreign currency translation
(653
)
 
(681
)
Accumulated other comprehensive loss
$
(1,463
)
 
$
(2,762
)



22




Note 17. RETIREMENT BENEFITS

BMS sponsors defined benefit pension plans, defined contribution plans and termination indemnity plans for regular full-time employees. The principal defined benefit pension plan was the Bristol-Myers Squibb Retirement Income Plan (the “Plan”), which covered most U.S. employees. Future benefits related to service for this plan were eliminated in 2009. The Company contributed at least the minimum amount required by the ERISA. Plan benefits were based primarily on the participant’s years of credited service and final average compensation. As of September 30, 2019, remaining Plan assets consist primarily of fixed-income securities.

The net periodic benefit cost of defined benefit pension plans includes:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Service cost – benefits earned during the year
$
6

 
$
6

 
$
18

 
$
20

Interest cost on projected benefit obligation
20

 
50

 
101

 
146

Expected return on plan assets
(39
)
 
(97
)
 
(173
)
 
(315
)
Amortization of prior service credits
(1
)
 
(1
)
 
(3
)
 
(3
)
Amortization of net actuarial loss
14

 
17

 
49

 
57

Curtailments and settlements
1,550

 
26

 
1,643

 
95

Net periodic pension benefit cost
$
1,550

 
$
1

 
$
1,635

 
$



In December 2018, BMS announced plans to fully terminate the Plan. Pension obligations related to the Plan were to be distributed through a combination of lump sum payments to eligible Plan participants who elected such payments and through the purchase of group annuity contracts from wholly owned insurance subsidiaries of Athene Holding Ltd. (“Athene”). In the third quarter of 2019, $1.3 billion was distributed to participants who elected lump sum payments during the election window and a group annuity contract was purchased from Athene, which irrevocably assumed the obligation, for $2.4 billion for most of the remaining plan participants. These transactions resulted in a $1.5 billion non-cash pre-tax pension settlement charge in the third quarter of 2019. The remaining plan obligation of approximately $200 million is expected to be settled through the purchase of an additional group annuity contract from Athene in the fourth quarter of 2019.

Pension settlement charges were also recognized after determining that the annual lump sum payments will likely exceed the annual interest and service costs for the primary and certain other U.S. and international pension plans. The charges included the acceleration of a portion of unrecognized actuarial losses. Non-current pension liabilities were $426 million at September 30, 2019 and $427 million at December 31, 2018. Defined contribution plan expense in the U.S. was approximately $50 million and $140 million for the three and nine months ended September 30, 2019 and approximately $50 million and $130 million for the three and nine months ended September 30, 2018, respectively. Comprehensive medical and group life benefits are provided for substantially all U.S. retirees electing to participate in comprehensive medical and group life plans and to a lesser extent certain benefits for non-U.S. employees. The net periodic benefit credits were not material in both periods.

Note 18. LEGAL PROCEEDINGS AND CONTINGENCIES

The Company and certain of its subsidiaries are involved in various lawsuits, claims, government investigations and other legal proceedings that arise in the ordinary course of business. These claims or proceedings can involve various types of parties, including governments, competitors, customers, suppliers, service providers, licensees, employees, or shareholders, among others. The resolution of these matters often develops over a long period of time and expectations can change as a result of new findings, rulings, appeals or settlement arrangements. The Company recognizes accruals for such contingencies when it is probable that a liability will be incurred and the amount of loss can be reasonably estimated. These matters involve patent infringement, antitrust, securities, pricing, sales and marketing practices, environmental, commercial, contractual rights, licensing obligations, health and safety matters, consumer fraud, employment matters, product liability and insurance coverage. Legal proceedings that are material or that the Company believes could become material are described below.

Although the Company believes it has substantial defenses in these matters, there can be no assurance that there will not be an increase in the scope of pending matters or that any future lawsuits, claims, government investigations or other legal proceedings will not be material. Unless otherwise noted, the Company is unable to assess the outcome of the respective litigation nor is it able to provide an estimated range of potential loss. Furthermore, failure to enforce the Company's patent rights would likely result in substantial decreases in the respective product revenues from generic competition.


23




INTELLECTUAL PROPERTY

Plavix* - Australia
As previously disclosed, Sanofi was notified that, in August 2007, GenRx Proprietary Limited (GenRx) obtained regulatory approval of an application for clopidogrel bisulfate 75mg tablets in Australia. GenRx, formerly a subsidiary of Apotex Inc. (Apotex), has since changed its name to Apotex. In August 2007, Apotex filed an application in the Federal Court of Australia (the Federal Court) seeking revocation of Sanofi’s Australian Patent No. 597784 (Case No. NSD 1639 of 2007). Sanofi filed counterclaims of infringement and sought an injunction. On September 21, 2007, the Federal Court granted Sanofi’s injunction. A subsidiary of the Company was subsequently added as a party to the proceedings. In February 2008, a second company, Spirit Pharmaceuticals Pty. Ltd., also filed a revocation suit against the same patent. This case was consolidated with the Apotex case, and a trial occurred in April 2008. On August 12, 2008, the Federal Court of Australia held that claims of Patent No. 597784 covering clopidogrel bisulfate, hydrochloride, hydrobromide, and taurocholate salts were valid. The Federal Court also held that the process claims, pharmaceutical composition claims, and claim directed to clopidogrel and its pharmaceutically acceptable salts were invalid. The Company and Sanofi filed notices of appeal in the Full Court of the Federal Court of Australia (Full Court) appealing the holding of invalidity of the claim covering clopidogrel and its pharmaceutically acceptable salts, process claims, and pharmaceutical composition claims which have stayed the Federal Court’s ruling. Apotex filed a notice of appeal appealing the holding of validity of the clopidogrel bisulfate, hydrochloride, hydrobromide, and taurocholate claims. A hearing on the appeals occurred in February 2009. On September 29, 2009, the Full Court held all of the claims of Patent No. 597784 invalid. In November 2009, the Company and Sanofi applied to the High Court of Australia (High Court) for special leave to appeal the judgment of the Full Court. In March 2010, the High Court denied the Company and Sanofi’s request to hear the appeal of the Full Court decision. The case was remanded to the Federal Court for further proceedings related to damages sought by Apotex. The Company and Apotex have settled the Apotex case, and the case was dismissed. The Australian government has intervened in this matter and is seeking maximum damages up to 449 million AUD ($303 million), plus interest, which would be split between the Company and Sanofi, for alleged losses experienced for paying a higher price for branded Plavix* during the period when the injunction was in place. The Company and Sanofi have disputed that the Australian government is entitled to any damages and the Australian government's claim is still pending and a trial was concluded in September 2017. The Company is expecting a decision in 2019.

Sprycel - Europe
In May 2013, Apotex, Actavis Group PTC ehf, Generics [UK] Limited (Mylan) and an unnamed company filed oppositions in the EPO seeking revocation of European Patent No. 1169038 (the ‘038 patent) covering dasatinib, the active ingredient in Sprycel. On January 20, 2016, the Opposition Division of the EPO revoked the ‘038 patent. In May 2016, the Company appealed the EPO’s decision to the EPO Board of Appeal. In February 2017, the EPO Board of Appeal upheld the Opposition Division’s decision, and revoked the ‘038 patent. Orphan drug exclusivity and data exclusivity for Sprycel in the EU expired in November 2016. The EPO Board of Appeal’s decision does not affect the validity of the Company's other Sprycel patents within and outside Europe, including different patents that cover the monohydrate form of dasatinib and the use of dasatinib to treat CML. Additionally, in February 2017, the EPO Board of Appeal reversed and remanded an invalidity decision on European Patent No. 1610780 and its claim to the use of dasatinib to treat CML, which the EPO’s Opposition Division had revoked in October 2012. In December 2018, the EPO’s Opposition Division upheld the validity of the patent directed to the use of dasatinib to treat CML, which expires in 2024. The Company intends to take appropriate legal actions to protect Sprycel.

Anti-PD-1 Antibody Patent Oppositions and Litigation
In September 2015, Dana-Farber Cancer Institute (Dana-Farber) filed a complaint in Massachusetts federal court seeking to correct the inventorship on up to six related U.S. patents directed to methods of treating cancer using PD-1 and PD-L1 antibodies. Specifically, Dana-Farber is seeking to add two scientists as inventors to these patents. In October 2017, Pfizer was allowed to intervene in this case alleging that one of the scientists identified by Dana-Farber was employed by a company eventually acquired by Pfizer during the relevant period. In February 2019, the Company settled the lawsuit with Pfizer. A bench trial in the lawsuit with Dana-Farber took place in February 2019. In May, the judge in the case issued an opinion ruling that the two scientists should be added as inventors to the patents. The decision has been appealed to the Federal Circuit. In June 2019, Dana Farber filed a new lawsuit in the District of Massachusetts against the Company seeking damages as a result of the court's decision adding the scientists as inventors.

Eliquis Patent Litigation - U.S.
In 2017, twenty-five generic companies sent the Company Paragraph-IV certification letters informing the Company that they had filed aNDAs seeking approval of generic versions of Eliquis. As a result, two Eliquis patents listed in the FDA Orange Book are being challenged: the composition of matter patent claiming apixaban specifically and a formulation patent. In April 2017, the Company, along with its partner Pfizer, initiated patent lawsuits under the Hatch-Waxman Act against all generic filers in federal district courts in Delaware and West Virginia. In August 2017, the U.S. Patent and Trademark Office granted patent term restoration to the composition of matter patent, thereby restoring the term of the Eliquis composition of matter patent, which is the Company’s basis for projected LOE, from February 2023 to November 2026. The Company has settled lawsuits with a number of aNDA filers through September 2019. The settlements do not affect the Company’s projected LOE for Eliquis. A trial with the remaining aNDA filers is scheduled to begin October 31, 2019 in the U.S. District Court for the District of Delaware.


24




PRICING, SALES AND PROMOTIONAL PRACTICES LITIGATION

Plavix* State Attorneys General Lawsuits
The Company and certain Sanofi entities are defendants in consumer protection and/or false advertising actions brought by the attorneys general of Hawaii and New Mexico relating to the sales and promotion of Plavix*. The Hawaii matter is currently scheduled for trial in April 2020.

PRODUCT LIABILITY LITIGATION

The Company is a party to various product liability lawsuits. Plaintiffs in these cases seek damages and other relief on various grounds for alleged personal injury and economic loss. As previously disclosed, in addition to lawsuits, the Company also faces unfiled claims involving its products.

Byetta*
Amylin, a former subsidiary of the Company, and Lilly are co-defendants in product liability litigation related to Byetta*. To date, there are approximately 570 separate lawsuits pending on behalf of approximately 2,200 active plaintiffs (including pending settlements), which include injury plaintiffs as well as claims by spouses and/or other beneficiaries, in various courts in the U.S. The majority of these cases have been brought by individuals who allege personal injury sustained after using Byetta*, primarily pancreatic cancer, and, in some cases, claiming alleged wrongful death. The majority of cases are pending in federal court in San Diego in a MDL or in a coordinated proceeding in California Superior Court in Los Angeles (JCCP). In November 2015, the defendants' motion for summary judgment based on federal preemption was granted in both the MDL and the JCCP. In November 2017, the Ninth Circuit reversed the MDL summary judgment order and remanded the case to the MDL. In November 2018, the California Court of Appeal reversed the state court summary judgment order and remanded those cases to the JCCP for further proceedings. Amylin has product liability insurance covering a substantial number of claims involving Byetta* and any additional liability to Amylin with respect to Byetta* is expected to be shared between the Company and AstraZeneca.

Abilify*
The Company and Otsuka are co-defendants in product liability litigation related to Abilify*. Plaintiffs allege Abilify* caused them to engage in compulsive gambling and other impulse control disorders. There have been over 2,000 cases filed in state and federal courts and additional cases are pending in Canada. The Judicial Panel on Multidistrict Litigation consolidated the federal court cases for pretrial purposes in the United States District Court for the Northern District of Florida. On February 15, 2019, the Company and Otsuka entered into a master settlement agreement establishing a proposed settlement program to resolve all Abilify* compulsivity claims filed as of January 28, 2019 in the MDL as well as the various state courts, including California and New Jersey.

Onglyza*
The Company and AstraZeneca are co-defendants in product liability litigation related to Onglyza*. Plaintiffs assert claims, including claims for wrongful death, as a result of heart failure or other cardiovascular injuries they allege were caused by their use of Onglyza*. As of September 2019, claims are pending in state and federal court on behalf of approximately 280 individuals who allege they ingested the product and suffered an injury. In February 2018, the Judicial Panel on Multidistrict Litigation ordered all federal cases to be transferred to an MDL in the U.S. District Court for the Eastern District of Kentucky. A significant majority of the claims are pending in the MDL. As part of the Company’s global diabetes business divestiture, the Company sold Onglyza* to AstraZeneca in February 2014 and any potential liability with respect to Onglyza* is expected to be shared with AstraZeneca.

SECURITIES LITIGATION

Since February 2018, two separate putative class action complaints were filed in the U.S. District for the Northern District of California and in the U.S. District Court for the Southern District of New York against the Company, the Company’s Chief Executive Officer, Giovanni Caforio, the Company’s Chief Financial Officer, Charles A. Bancroft and certain former and current executives of the Company. The case in California has been voluntarily dismissed. The remaining complaint alleges violations of securities laws for the Company’s disclosures related to the CheckMate-026 clinical trial in lung cancer. In September 2019, the Court granted the Company’s motion to dismiss, but allowed the plaintiffs leave to file an amended complaint. In October 2019, the plaintiffs filed an amended complaint. The Company continues to believe these allegations are without merit and will continue to defend the matter.


25




OTHER LITIGATION

Acquisition of Celgene Litigation
Following the announcement of the Company's pending acquisition of Celgene, thirteen complaints were filed by Celgene shareholders in the U.S. District Court for the District of Delaware, U.S. District Court for the District of New Jersey, the U.S. District Court for the Southern District of New York and the Court of Chancery of the State of Delaware seeking to enjoin the Company's pending acquisition of Celgene. The complaints in these actions name as defendants Celgene and the members of Celgene's Board of Directors. Five of these complaints also name the Company and Burgundy Merger Sub, Inc., a wholly-owned subsidiary of the Company that was formed solely for the purpose of completing the pending acquisition of Celgene and will be merged with and into Celgene upon the completion of the acquisition, as defendants. Of the complaints naming the Company as a defendant, four are styled as putative class actions. The plaintiffs allege violations of various federal securities laws and breaches of fiduciary duties in connection with the acquisition of Celgene by the Company. After the Company and Celgene released supplemental disclosures relating to the proposed acquisition in early April 2019, the plaintiffs in these cases agreed to dismiss their actions. As of June 30, 2019, all of these complaints have been dismissed, including all five complaints that named the Company and Burgundy Merger Sub, Inc. as defendants.

Separately, a fourteenth complaint styled as a putative class action was filed in the Court of Chancery of the State of Delaware on behalf of the Company's shareholders naming members of the Company's Board of Directors as defendants. This complaint alleges that each of the members of the Company's Board of Directors breached his or her fiduciary duties to the Company and its shareholders by failing to disclose material information about the pending acquisition. The lawsuit was voluntarily dismissed in April 2019.

Average Manufacturer Price Litigation
The Company is a defendant in a qui tam (whistleblower) lawsuit in the U.S. District Court for the Eastern District of Pennsylvania, in which the U.S. Government declined to intervene. The complaint alleges that the Company inaccurately reported its average manufacturer prices to the Centers for Medicare and Medicaid Services to lower what it owed. Similar claims have been filed against other companies. The case is currently scheduled for trial in January 2020.

HIV Medication Antitrust Lawsuits
The Company and several other manufacturers of HIV medications are defendants in related lawsuits brought by indirect purchasers in the U.S. District Court for the Northern District of California alleging that the defendants’ agreements to develop and sell fixed-dose combination products for the treatment of HIV, including Atripla* and Evotaz, violate antitrust laws. The Company has moved to dismiss the complaint.

GOVERNMENT INVESTIGATIONS

Like other pharmaceutical companies, the Company and certain of its subsidiaries are subject to extensive regulation by national, state and local government agencies in the U.S. and other countries in which the Company operates. As a result, the Company, from time to time, is subject to various governmental inquiries and investigations. It is possible that criminal charges, substantial fines and/or civil penalties, could result from government investigations.

ENVIRONMENTAL PROCEEDINGS

As previously reported, the Company is a party to several environmental proceedings and other matters, and is responsible under various state, federal and foreign laws, including CERCLA, for certain costs of investigating and/or remediating contamination resulting from past industrial activity at the Company’s current or former sites or at waste disposal or reprocessing facilities operated by third parties.

CERCLA Matters

With respect to CERCLA matters for which the Company is responsible under various state, federal and foreign laws, the Company typically estimates potential costs based on information obtained from the U.S. Environmental Protection Agency, or counterpart state or foreign agency and/or studies prepared by independent consultants, including the total estimated costs for the site and the expected cost-sharing, if any, with other “potentially responsible parties,” and the Company accrues liabilities when they are probable and reasonably estimable. The Company estimated its share of future costs for these sites to be $69.7 million at September 30, 2019, which represents the sum of best estimates or, where no best estimate can reasonably be made, estimates of the minimal probable amount among a range of such costs (without taking into account any potential recoveries from other parties). The amount includes the estimated costs for any additional probable loss associated with the previously disclosed North Brunswick Township High School Remediation Site.


26




NOTE 19. PENDING CELGENE ACQUISITION

On January 3, 2019, the Company announced that it entered into a definitive merger agreement under which it will acquire Celgene. Under the terms of the agreement, which has been approved by the respective Boards of Directors of the Company and Celgene, if the merger is completed, Celgene shareholders will receive one share of the Company's common stock and $50.00 in cash for each share of Celgene common stock held by them. Celgene shareholders will also receive one tradeable contingent value right (“CVR”) for each share of Celgene representing the right to receive $9.00 in cash, which is subject to the achievement of future regulatory milestones. Based on the closing price of a share of the Company's common stock on January 2, 2019, the most recent trading day prior to the date of the announcement, the merger consideration represented approximately $74 billion. The amount of consideration to be received by Celgene shareholders will fluctuate with changes in the price of shares of BMS common stock.

The Company expects to fund the anticipated cash portion of the merger consideration through a combination of available cash, including $18.8 billion of net proceeds raised in the May 2019 issuance of new notes, borrowings under the term loan established earlier in the year and short-term borrowings. The Company also announced plans to initiate a $7.0 billion accelerated share repurchase program following the closing of the Company's pending acquisition of Celgene, subject to Board of Directors’ approval.

The acquisition was approved by the Company’s and Celgene’s shareholders on April 12, 2019. The European Commission granted unconditional approval of the Celgene acquisition in July 2019 and the acquisition has been approved by all other requisite foreign jurisdictions. Consummation of the pending acquisition remains subject to the satisfaction of customary closing conditions and regulatory approvals, including the expiration or termination of the applicable waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended (the “HSR Act”). With respect to the review of the pending acquisition pursuant to the HSR Act, the Company and Celgene on March 25, 2019 each received a request for additional information and documentary materials (also known as a “second request”) from the FTC in connection with its review. The effect of this request, which was issued under the HSR Act, is to extend the waiting period imposed by the HSR Act until 30 days after the Company and Celgene have substantially complied with this request, unless the period is extended voluntarily by the parties or terminated sooner by the FTC. To allow the pending acquisition to close on a timely basis in light of concerns expressed by the FTC, Celgene entered into a purchase agreement with Amgen on August 26, 2019 under which Amgen would acquire the global rights to Otezla* for $13.4 billion. In connection with the divestiture and Celgene entering into the purchase agreement, the Company entered into a guarantee with Amgen under which it agreed to guarantee the full payment and performance of Celgene’s obligations under the purchase agreement. The pending Otezla* divestiture is subject to, among other things, the closing of the Celgene acquisition and the issuance by the FTC of a consent order requiring Celgene to divest Otezla* to Amgen. The Company continues to work constructively with the FTC to bring about the issuance of a consent order, which will permit the Celgene acquisition to proceed. Once the FTC issues the consent order and the other closing conditions are satisfied, the Company intends to close the pending acquisition of Celgene at the earliest possible date, which it currently expects to be before the end of 2019. The Company remains focused on executing a successful closing of the Celgene acquisition.

27




Item 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Management’s discussion and analysis of results of operations and financial condition is provided as a supplement to and should be read in conjunction with the consolidated financial statements and related notes included elsewhere in this Quarterly Report on Form 10-Q to enhance the understanding of our results of operations, financial condition and cash flows.

EXECUTIVE SUMMARY

Bristol-Myers Squibb Company is a global specialty biopharmaceutical company whose mission is to discover, develop and deliver innovative medicines that help patients prevail over serious diseases. Our strategy is to combine the resources, scale and capability of a pharmaceutical company with the speed and focus on innovation of the biotech industry. Our focus as a specialty biopharmaceutical company is on discovering, developing and delivering transformational medicines for patients facing serious diseases. Our four strategic priorities are to drive business performance, continue to further build a leading franchise in IO, maintain a diversified portfolio both within and outside of IO, and continue our disciplined approach to capital allocation, including establishing partnerships, collaborations and in-licensing or acquiring investigational compounds as an essential component of successfully delivering transformational medicines to patients. Refer to the Summary of Abbreviated Terms at the end of this Quarterly Report on Form 10-Q for terms used throughout the document.

On January 3, 2019, we announced that we entered into a definitive merger agreement to acquire Celgene. We expect that the pending acquisition will enable us to create a leading focused specialty biopharmaceutical company that is well positioned to address the needs of patients with cancer, inflammatory, immunologic or cardiovascular diseases through high-value innovation medicines and leading scientific capabilities. The acquisition was approved by our and Celgene’s respective shareholders on April 12, 2019. The European Commission granted unconditional approval of the Celgene acquisition in July 2019 and the acquisition has been approved by all other requisite foreign jurisdictions. The acquisition remains subject to the satisfaction of customary closing conditions and regulatory approvals, including review by the FTC. To allow the pending acquisition to close on a timely basis in light of concerns expressed by the FTC, Celgene entered into a purchase agreement with Amgen on August 26, 2019 under which Amgen would acquire the global rights to Otezla* for $13.4 billion. We continue to work constructively with the FTC to realize our goal of completing the Celgene acquisition before the end of 2019 while staying committed to delivering on our strategic priorities and preparing for an efficient integration with Celgene. Refer to “Item 1. Financial Statements—Note 19. Pending Celgene Acquisition” for further discussion on our pending acquisition of Celgene. Refer to “—Financial Position, Liquidity and Capital Resources” for a discussion of our financing arrangements in connection with the pending acquisition.

Our revenues increased by 10% for the nine months ended September 30, 2019 as a result of higher demand for Eliquis and Opdivo. The $0.45 increase in GAAP EPS primarily resulted from higher revenues, the UPSA business divestiture gain in 2019 and Nektar related charges in 2018, partially offset by pension settlement charges and Celgene related expenses in 2019. After adjusting for specified items, non-GAAP EPS increased $0.42 due to higher revenues.
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions, except per share data
2019
 
2018
 
2019
 
2018
Total Revenues
$
6,007

 
$
5,691

 
$
18,200

 
$
16,588

 
 
 
 
 
 
 
 
Diluted Earnings Per Share
 
 
 
 
 
 
 
GAAP
$
0.83

 
$
1.16

 
$
2.75

 
$
2.30

Non-GAAP
1.17

 
1.09

 
3.46

 
3.04


Our non-GAAP financial measures, including non-GAAP earnings and related EPS information, are adjusted to exclude specified items which represent certain costs, expenses, gains and losses and other items impacting the comparability of financial results. For a detailed listing of all specified items and further information and reconciliations of non-GAAP financial measures refer to “—Non-GAAP Financial Measures.”


28




Significant Product and Pipeline Approvals
Product
Date
Approval
Opdivo+Yervoy
March 2019
Announced conversion of accelerated FDA approval to full FDA approval for Opdivo+Yervoy for first line metastatic melanoma treatment based on longer follow-up data from CheckMate-067.
January 2019
Announced the EC approval of Opdivo plus low-dose Yervoy for previously untreated patients with intermediate and poor-risk advanced RCC.
Orencia
April 2019
Announced the EC approval of an extension application to add 2 new strengths of 50 mg and 87.5 mg for solution for injection in a pre-filled syringe (PFS) - in addition to the existing 125 mg strength - for subcutaneous administration, as well as a new indication for Orencia solution for injection in a PFS for the treatment of moderate to severe active polyarticular JIA in paediatric patients 2 years of age and older.
Sprycel
February 2019
Announced the EC approval of Sprycel, in both tablet and powder for oral suspension formulations, in combination with chemotherapy for the treatment of pediatric patients with newly diagnosed Philadelphia chromosome-positive ALL.
Empliciti
August 2019
Announced the EC approval of Empliciti plus pomalidomide and low-dose dexamethasone for the treatment of adult patients with RRMM who have received at least two prior therapies, including lenalidomide and a proteasome inhibitor, and have demonstrated disease progression on the last therapy.

Refer to “—Product and Pipeline Developments” for all of the developments in our marketed products and late-stage pipeline in 2019.

Acquisitions, Divestitures, Licensing and Collaboration Arrangements

Acquisitions, divestitures, licensing and collaboration arrangements allow us to focus our resources behind our growth opportunities that drive the greatest long-term value. We are focused on the following core therapeutic areas: oncology, including IO, immunoscience, cardiovascular diseases and fibrosis. In the second quarter of 2019, we provided notice of termination to PsiOxus Therapeutics, Ltd. pertaining to the License and Collaboration agreement for the development of NG-348, an “armed” oncolytic virus in solid tumors. Refer to “Item 1. Financial Statements—Note 3. Alliances” and “—Note 4. Divestitures and Other Arrangements” for further information. Refer to “Item 1. Financial Statements—Note 19. Pending Celgene Acquisition” for further discussion on our pending acquisition of Celgene. Refer to “—Financial Position, Liquidity and Capital Resources” for a discussion of our financing arrangements in connection with the pending acquisition.


29




RESULTS OF OPERATIONS

Regional Revenues
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
Total Revenues
 
2019 vs. 2018
 
Total Revenues
 
2019 vs. 2018
Dollars in Millions
2019
 
2018
 
% Change
 
Foreign Exchange(b)
 
2019
 
2018
 
% Change
 
Foreign Exchange(b)
United States
$
3,472

 
$
3,235

 
7
 %
 

 
$
10,588

 
$
9,243

 
15
 %
 

Europe
1,445

 
1,365

 
6
 %
 
(4
)%
 
4,416

 
4,179

 
6
 %
 
(6
)%
Rest of the World
976

 
932

 
5
 %
 
(2
)%
 
2,838

 
2,728

 
4
 %
 
(6
)%
Other(a)
114

 
159

 
(28
)%
 
N/A

 
358

 
438

 
(18
)%
 
N/A

Total
$
6,007

 
$
5,691

 
6
 %
 
(1
)%
 
$
18,200

 
$
16,588

 
10
 %
 
(2
)%
(a)
Other revenues include royalties and alliance-related revenues for products not sold by our regional commercial organizations.
(b)
Foreign exchange impacts were derived by applying the prior period average currency rates to the current period sales.

U.S. revenues increased due to higher demand for Eliquis and Orencia in both periods and for Opdivo in the nine months ended September 30, 2019, partially offset by declines in established brands. The lower growth rate in the three months period compared to the nine month period was primarily due to Opdivo and Yervoy trends and higher Medicare Part D coverage gap cost share (from 50% in 2018 to 70% in 2019). Average net selling prices after discounts, charge-backs and rebates were 2% lower in the third quarter 2019 and 1% higher year-to-date and are expected to be roughly flat on a full year basis.

Europe revenues increased in both periods due to higher demand for Eliquis and Opdivo, partially offset by foreign exchange, lower demand for established brands and lower average net selling prices.

Rest of the World revenues increased in both periods due to higher demand for Opdivo, Eliquis and Yervoy, partially offset by foreign exchange.

No single country outside the U.S. contributed more than 10% of total revenues during the nine months ended September 30, 2019 or 2018. Our business is typically not seasonal.

GTN Adjustments

The reconciliation of gross product sales to net product sales by each significant category of GTN adjustments was as follows:

Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
% Change
 
2019
 
2018
 
% Change
Gross product sales
$
8,884

 
$
7,681

 
16
%
 
$
25,697

 
$
21,891

 
17
%
GTN adjustments
 
 
 
 
 
 
 
 
 
 
 
Charge-backs and cash discounts
(927
)
 
(711
)
 
30
%
 
(2,591
)
 
(1,957
)
 
32
%
Medicaid and Medicare rebates
(1,362
)
 
(847
)
 
61
%
 
(3,252
)
 
(2,169
)
 
50
%
Other rebates, returns, discounts and adjustments
(827
)
 
(690
)
 
20
%
 
(2,342
)
 
(1,899
)
 
23
%
Total GTN adjustments
(3,116
)
 
(2,248
)
 
39
%
 
(8,185
)
 
(6,025
)
 
36
%
Net product sales
$
5,768

 
$
5,433

 
6
%
 
$
17,512

 
$
15,866

 
10
%
 
 
 
 
 
 
 
 
 
 
 
 
GTN adjustments percentage
35
%
 
29
%
 
6
%
 
32
%
 
28
%
 
4
%
U.S.
44
%
 
36
%
 
8
%
 
40
%
 
35
%
 
5
%
Non-U.S.
16
%
 
16
%
 
%
 
15
%
 
14
%
 
1
%

Reductions to provisions for product sales made in prior periods resulting from changes in estimates were $139 million and $103 million for the nine months ended September 30, 2019 and 2018, respectively. GTN adjustments are primarily a function of product sales volume, regional and payer channel mix, contractual or legislative discounts and rebates. GTN adjustments are increasing at a higher rate than gross product sales due to higher U.S. Eliquis gross product sales, which has a relatively high GTN adjustment percentage as a result of higher Medicare Part D coverage gap cost share and competitive pressures to maintain its position on healthcare payer formularies allowing patients continued access through their medical plans.

30




Product Revenues
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
% Change
 
2019
 
2018
 
% Change
Prioritized Brands
 
 
 
 
 
 
 
 
 
 
 
Opdivo
$
1,817

 
$
1,793

 
1
 %
 
$
5,441

 
$
4,931

 
10
 %
U.S.
1,088

 
1,141

 
(5
)%
 
3,324

 
3,103

 
7
 %
Non-U.S.
729

 
652

 
12
 %
 
2,117

 
1,828

 
16
 %
 
 
 
 
 
 
 
 
 
 
 
 
Eliquis
1,928

 
1,577

 
22
 %
 
5,895

 
4,733

 
25
 %
U.S.
1,124

 
917

 
23
 %
 
3,599

 
2,781

 
29
 %
Non-U.S.
804

 
660

 
22
 %
 
2,296

 
1,952

 
18
 %
 
 
 
 
 
 
 
 
 
 
 
 
Orencia
767

 
675

 
14
 %
 
2,185

 
1,979

 
10
 %
U.S.
554

 
474

 
17
 %
 
1,569

 
1,360

 
15
 %
Non-U.S.
213

 
201

 
6
 %
 
616

 
619

 
 %
 
 
 
 
 
 
 
 
 
 
 
 
Sprycel
558

 
491

 
14
 %
 
1,561

 
1,464

 
7
 %
U.S.
325

 
267

 
22
 %
 
872

 
791

 
10
 %
Non-U.S.
233

 
224

 
4
 %
 
689

 
673

 
2
 %
 
 
 
 
 
 
 
 
 
 
 
 
Yervoy
353

 
382

 
(8
)%
 
1,104

 
946

 
17
 %
U.S.
222

 
278

 
(20
)%
 
750

 
668

 
12
 %
Non-U.S.
131

 
104

 
26
 %
 
354

 
278

 
27
 %
 
 
 
 
 
 
 
 
 
 
 
 
Empliciti
89

 
59

 
51
 %
 
263

 
178

 
48
 %
U.S.
62

 
41

 
51
 %
 
183

 
119

 
54
 %
Non-U.S.
27

 
18

 
50
 %
 
80

 
59

 
36
 %
 
 
 
 
 
 
 
 
 
 
 
 
Established Brands
 
 
 
 
 
 
 
 
 
 
 
Baraclude
145

 
175

 
(17
)%
 
433

 
579

 
(25
)%
U.S.
2

 
6

 
(67
)%
 
16

 
25

 
(36
)%
Non-U.S.
143

 
169

 
(15
)%
 
417

 
554

 
(25
)%
 
 
 
 
 
 
 
 
 
 
 
 
Other Brands
350

 
539

 
(35
)%
 
1,318

 
1,778

 
(26
)%
U.S.
95

 
111

 
(14
)%
 
275

 
396

 
(31
)%
Non-U.S.
255

 
428

 
(40
)%
 
1,043

 
1,382

 
(25
)%
 
 
 
 
 
 
 
 
 
 
 
 
Total Revenues
6,007

 
5,691

 
6
 %
 
18,200

 
16,588

 
10
 %
U.S.
3,472

 
3,235

 
7
 %
 
10,588

 
9,243

 
15
 %
Non-U.S.
2,535

 
2,456

 
3
 %
 
7,612

 
7,345

 
4
 %


31



Opdivo (nivolumab) — a fully human monoclonal antibody that binds to the PD-1 on T and NKT cells that has been approved for several anti-cancer indications including bladder, blood, colon, head and neck, kidney, liver, lung, melanoma and stomach and continues to be investigated across other tumor types and disease areas.

U.S. revenues decreased in the third quarter 2019, and sequentially quarter-over-quarter, due to a smaller previously-treated advanced lung cancer market and increased competition for the Opdivo+Yervoy combination in kidney cancer. We expect this trend to continue until the market stabilizes or new indications are approved and launched.

U.S. revenues increased year-to-date due to higher demand in the first and second quarters of 2019 resulting from the second quarter 2018 approval of the Opdivo+Yervoy combination for kidney cancer and increased use in adjuvant melanoma.

International revenues increased due to higher demand as a result of approvals for additional indications and launches in new countries. Excluding foreign exchange impacts, revenues increased by 16% in the third quarter and 24% year-to-date.

Eliquis (apixaban) — an oral Factor Xa inhibitor targeted at stroke prevention in adult patients with NVAF and the prevention and treatment of VTE disorders.

U.S. revenues increased due to higher demand, partially offset by an increase in Medicare Part D coverage gap cost share in the third quarter 2019.
International revenues increased due to higher demand. Excluding foreign exchange impacts, revenues increased by 26% in the third quarter and 23% year-to-date.

Orencia (abatacept) — a fusion protein indicated for adult patients with moderate to severe active RA and PsA and is also indicated for reducing signs and symptoms in certain pediatric patients with moderately to severely active polyarticular JIA.

U.S. revenues increased due to higher demand and higher average net selling prices.
International revenues excluding foreign exchange impacts increased by 8% in the third quarter and 5% year-to-date.

Sprycel (dasatinib) — an oral inhibitor of multiple tyrosine kinase indicated for the first-line treatment of patients with Philadelphia chromosome-positive CML in chronic phase and the treatment of adults with chronic, accelerated, or myeloid or lymphoid blast phase CML with resistance or intolerance to prior therapy, including Gleevec* (imatinib meslylate).

U.S. revenues increased due to higher average net selling prices and higher demand.
International revenues excluding foreign exchange impacts increased by 6% in the third quarter and 7% year-to-date. We may experience a decline in European revenues due to generic competition.

Yervoy (ipilimumab) — a monoclonal antibody for the treatment of patients with unresectable or metastatic melanoma.

U.S. revenues decreased in the third quarter 2019, and sequentially quarter-over-quarter, due to increased competition for the Opdivo+Yervoy combination for kidney cancer.

U.S revenues increased year-to-date due to higher demand in the first and second quarters of 2019 primarily due to the approval of the Opdivo+Yervoy combination for kidney cancer.

International revenues increased due to higher demand and from the approval of the Opdivo+Yervoy combination for melanoma and kidney cancer in Japan and certain European countries. Excluding foreign exchange impacts, revenues increased by 32% in the third quarter and 35% year-to-date.

Empliciti (elotuzumab) — a humanized monoclonal antibody for the treatment of multiple myeloma.

U.S. revenues increased due to the fourth quarter 2018 approval of Empliciti in combination with pomalidomide and dexamethasone for relapsed or refractory multiple myeloma.

Baraclude (entecavir) — an oral antiviral agent for the treatment of chronic hepatitis B.

International revenues continued to decrease due to lower demand resulting from increased generic competition.


32



Other Brands — includes Sustiva, Reyataz, Daklinza and all other products that lost exclusivity in major markets, OTC brands and royalty revenue.

International revenues decreased primarily due to divestiture of the UPSA business and certain other brands and continued generic erosion.

Estimated End-User Demand

Pursuant to the SEC Consent Order described in our 2018 Form 10-K, we monitor inventory levels on hand in the U.S. wholesaler distribution channel and outside of the U.S. in the direct customer distribution channel. We are obligated to disclose products with levels of inventory in excess of one month on hand or expected demand, subject to a de minimis exception. Estimated levels of inventory in the distribution channel in excess of one month on hand for the following products were not material to our results of operations as of the dates indicated. In the third quarter 2019, we sold our UPSA consumer health business, which included Dafalgan, Efferalgan and Fervex products. Below are international products that had estimated levels of inventory in the distribution channel in excess of one month at June 30, 2019.

Dafalgan, an analgesic product sold principally in Europe, had 1.2 months of inventory on hand internationally at direct customers compared to also 1.2 months of inventory on hand at March 31, 2019. The level of inventory on hand was primarily due to the ordering patterns of pharmacists in France.

Efferalgan, an analgesic product sold principally in Europe, had 1.8 months of inventory on hand internationally at direct customers compared to 1.7 months of inventory on hand at March 31, 2019. The level of inventory on hand was primarily due to the ordering patterns of pharmacists in France.

Fervex, a cold and flu product, had 2.6 months of inventory on hand at direct customers compared to 3.1 months of inventory on hand at March 31, 2019. The level of inventory on hand was primarily due to the ordering patterns of pharmacists in France.

Perfalgan, an analgesic product, had 2.5 months of inventory on hand internationally at direct customers compared to 2.2 months of inventory on hand at March 31, 2019. The level of inventory on hand was primarily in the Gulf Countries due to extended delivery lead time.

In the U.S., we generally determine our months on hand estimates using inventory levels of product on hand and the amount of out-movement provided by our three largest wholesalers, which account for approximately 97% of total gross sales of U.S. products. Factors that may influence our estimates include generic competition, seasonality of products, wholesaler purchases in light of increases in wholesaler list prices, new product launches, new warehouse openings by wholesalers and new customer stockings by wholesalers. In addition, these estimates are calculated using third-party data, which may be impacted by their recordkeeping processes.

Our non-U.S. businesses have significantly more direct customers. Information on available direct customer product level inventory and corresponding out-movement information and the reliability of third-party demand information varies widely. We limit our direct customer sales channel inventory reporting to where we can influence demand. When this information does not exist or is otherwise not available, we have developed a variety of methodologies to estimate such data, including using historical sales made to direct customers and third-party market research data related to prescription trends and end-user demand. Given the difficulties inherent in estimating third-party demand information, we evaluate our methodologies to estimate direct customer product level inventory and to calculate months on hand on an ongoing basis and make changes as necessary. Factors that may affect our estimates include generic competition, seasonality of products, price increases, new product launches, new warehouse openings by direct customers, new customer stockings by direct customers and expected direct customer purchases for governmental bidding situations. As such, all of the information required to estimate months on hand in the direct customer distribution channel for non-U.S. business for the quarter ended September 30, 2019 is not available prior to the filing of this Quarterly Report on Form 10-Q. We will disclose any product with inventory levels in excess of one month on hand or expected demand for the current quarter, subject to a de minimis exception, in the next annual report on Form 10-K.


33




Expenses
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
% Change
 
2019
 
2018
 
% Change
Cost of products sold
$
1,810

 
$
1,648

 
10
 %
 
$
5,646

 
$
4,857

 
16
 %
Marketing, selling and administrative
1,055

 
1,104

 
(4
)%
 
3,137

 
3,215

 
(2
)%
Research and development
1,382

 
1,280

 
8
 %
 
4,061

 
4,965

 
(18
)%
Other income (net)
411

 
(508
)
 
**

 
252

 
(912
)
 
**

Total Expenses
$
4,658

 
$
3,524

 
32
 %
 
$
13,096

 
$
12,125

 
8
 %
**    In excess of +/- 100%

Cost of products sold increased due to higher royalties and profit sharing ($162 million in the third quarter and $589 million year-to-date) resulting primarily from higher Eliquis sales, a $113 million impairment charge to reduce the carrying value of assets held-for-sale to their estimated fair value in 2019 and higher product costs, partially offset by foreign exchange and lower start-up costs.

Marketing, selling and administrative expenses decreased in the third quarter due to lower advertising, promotion, commercial and sales force expenses attributed to transformation initiatives and foreign exchange impact of 1% and decreased year-to-date due to foreign exchange impact of 2%.

Research and development increased in the third quarter due to continued investment of IO and other immunoscience development programs and decreased year-to-date due to Nektar related charges in 2018.

Significant charges included in Research and development were as follows:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
Dollars in Millions
2019
 
 
2018
 
2019
 
 
2018
 
Nektar
$

 
 
$

 
$

 
 
$
1,050

(a) 
IFM

 
 

 
25

(b) 
 
25

(b) 
Cormorant

 
 

 

 
 
60

(b) 
License and asset acquisition charges

 
 

 
25

 
 
1,135

 
 
 
 
 
 
 
 
 
 
 
 
IPRD impairments

 
 

 
32

 
 

 
Site exit costs
20

 
 
18

 
58

 
 
57

 
Research and development significant charges
$
20

 
 
$
18

 
$
115

 
 
$
1,192

 
(a)
Upfront payment
(b)
Milestone payment


34




As discussed in further detail below, Other income (net) decreased in both periods primarily due to a $1.5 billion pension settlement charge, partially offset by a $1.2 billion gain on sale of the UPSA business. Equity investments fair value adjustments also contributed to the decreases in Other income (net) in the third quarter 2019.

Items included in Other income (net) were as follows:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Interest expense
$
209

 
$
44

 
$
377

 
$
135

Investment income
(173
)
 
(44
)
 
(348
)
 
(118
)
Equity investment losses/(gains)
261

 
(97
)
 
15

 
244

Provision for restructuring
10

 
45

 
32

 
102

Acquisition expenses
7

 

 
475

 

Integration expenses
96

 

 
224

 

Litigation and other settlements
(1
)
 
11

 

 
10

Equity in net income of affiliates

 
(22
)
 

 
(73
)
Divestiture gains
(1,179
)
 
(108
)
 
(1,171
)
 
(178
)
Royalties and licensing income
(356
)
 
(338
)
 
(967
)
 
(1,058
)
Transition and other service fees
(7
)
 

 
(11
)
 
(5
)
Pension and postretirement
1,537

 
(10
)
 
1,607

 
(40
)
Intangible asset impairment

 

 
15

 
64

Other
7

 
11

 
4

 
5

Other income (net)
$
411

 
$
(508
)
 
$
252

 
$
(912
)

Interest expense includes $249 million of interest incurred on the $19.0 billion of new notes issued in May 2019.
Investment income includes $153 million of interest income earned on the net proceeds of the new notes.
Equity investment losses/(gains) includes fair value adjustments related to our equity investments in Nektar and uniQure N.V. and an $80 million gain related to the termination of our Europe and Asia partnership with Sanofi in 2019.
Acquisition expenses include the following items related to the pending Celgene acquisition: (1) upfront bridge facility commitment fee amortization of $103 million, (2) fair value adjustment of $277 million related to the forward starting interest rate swap option contracts and deal contingent forward starting interest rate swap contracts and (3) financial advisory, legal, proxy filing and other regulatory fees of $95 million.
Integration expenses include consulting fees incurred in connection with pre-integration planning activities.
Equity in net income of affiliates was related to our Europe and Asia partnership with Sanofi, which was terminated in 2019.
Divestiture gains includes the $1.2 billion gain on sale of the UPSA business in the third quarter 2019.
Royalties and licensing income primarily includes diabetes royalties of $497 million in both periods and Keytruda* royalties of $373 million in 2019 and $241 million in 2018. In addition, Erbitux* royalties of $145 million, a $50 million fee for amending a royalty rate and a $25 million sales-based milestone were included in 2018.
Pension and postretirement includes the pension settlement charges of $1.5 billion in the third quarter 2019 relating to the termination of the Bristol-Myers Squibb Retirement Income Plan.
Intangible asset impairment includes $64 million in 2018 for an out-licensed asset obtained in the acquisition of ZymoGenetics, Inc., which did not meet its primary endpoint in a Phase II clinical study.

Income Taxes
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Earnings Before Income Taxes
$
1,349

 
$
2,167

 
$
5,104

 
$
4,463

Provision for Income Taxes
(17
)
 
255

 
584

 
674

Effective Tax Rate
(1.3
)%
 
11.8
 %
 
11.4
 %
 
15.1
 %
 
 
 
 
 
 
 
 
Impact of Specified Items
(13.1
)%
 
(1.5
)%
 
(3.6
)%
 
(0.8
)%

The reduction in the effective tax rate was primarily due to jurisdictional tax rates and other tax impacts attributed to pension settlement charges, gain on sale of the UPSA business divestiture and other specified items. Tax reserve releases due to lapse of statutes were $81 million and $49 million in the three months ended September 30, 2019 and 2018, respectively. Refer to “Item 1. Financial Statements—Note 7. Income Taxes” for additional information on the tax impact of specified items.


35




Non-GAAP Financial Measures

Our non-GAAP financial measures, such as non-GAAP earnings and related EPS information, are adjusted to exclude certain costs, expenses, gains and losses and other specified items that are evaluated on an individual basis. These items are adjusted after considering their quantitative and qualitative aspects and typically have one or more of the following characteristics, such as being highly variable, difficult to project, unusual in nature, significant to the results of a particular period or not indicative of future operating results. Similar charges or gains were recognized in prior periods and will likely reoccur in future periods including (1) acquisition and integration expenses, (2) restructuring costs, (3) accelerated depreciation and impairment of property, plant and equipment and intangible assets, (4) R&D charges or other income resulting from upfront or contingent milestone payments in connection with the acquisition or licensing of third-party intellectual property rights, (5) divestiture gains or losses, (6) pension, legal and other contractual settlement charges, (7) interest expense on the new notes issued in May 2019 in connection with our pending acquisition of Celgene and interest income earned on the net proceeds of those notes and (8) debt redemption gains or losses, among other items. Deferred and current income taxes attributed to these items are also adjusted for considering their individual impact to the overall tax expense, deductibility and jurisdictional tax rates. We also provide international revenues for our priority products excluding the impact of foreign exchange. Reconciliations of these non-GAAP measures to the most comparable GAAP measures are included in Exhibit 99.2 to our Form 8-K filed on October 31, 2019 and are incorporated herein by reference.

Non-GAAP information is intended to portray the results of our baseline performance, supplement or enhance management, analysts and investors overall understanding of our underlying financial performance and facilitate comparisons among current, past and future periods. For example, non-GAAP earnings and EPS information is an indication of our baseline performance before items that are considered by us to not be reflective of our ongoing results. In addition, this information is among the primary indicators we use as a basis for evaluating performance, allocating resources, setting incentive compensation targets and planning and forecasting for future periods. This information is not intended to be considered in isolation or as a substitute for net earnings or diluted EPS prepared in accordance with GAAP.


36




Specified items were as follows:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
 
2019
 
2018
Impairment charges
$
9

 
$

 
$
118

 
$
10

Accelerated depreciation and other shutdown costs
13

 
13

 
55

 
30

Cost of products sold
22

 
13

 
173

 
40

 
 
 
 
 
 
 
 
Marketing, selling and administrative

 

 
1

 
1

 
 
 
 
 
 
 
 
License and asset acquisition charges

 

 
25

 
1,135

IPRD impairments

 

 
32

 

Site exit costs and other
20

 
18

 
58

 
57

Research and development
20

 
18

 
115

 
1,192

 
 
 
 
 
 
 
 
Interest expense
166

 

 
249

 

Investment income
(99
)
 

 
(153
)
 

Equity investment losses/(gains)
261

 
(97
)
 
15

 
244

Provision for restructuring
10

 
45

 
32

 
102

Acquisition expenses
7

 

 
475

 

Integration expenses
96

 

 
224

 

Divestiture gains
(1,179
)
 
(108
)
 
(1,171
)
 
(176
)
Royalties and licensing income
(9
)
 

 
(9
)
 
(75
)
Pension and postretirement
1,545

 
27

 
1,638

 
95

Intangible asset impairment

 

 

 
64

Other income (net)
798

 
(133
)
 
1,300

 
254

 


 


 


 


Increase/(decrease) to pretax income
840

 
(102
)
 
1,589

 
1,487

 
 
 
 
 
 
 
 
Income taxes on items above
(275
)
 
1

 
(423
)
 
(225
)
Income taxes attributed to U.S. tax reform

 
(20
)
 

 
(49
)
Income taxes
(275
)
 
(19
)
 
(423
)
 
(274
)
 


 


 


 


Increase/(decrease) to net earnings
$
565

 
$
(121
)
 
$
1,166

 
$
1,213


The reconciliations from GAAP to Non-GAAP were as follows:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Dollars in Millions, except per share data
2019
 
2018
 
2019
 
2018
Net Earnings Attributable to BMS used for Diluted EPS Calculation – GAAP
$
1,353

 
$
1,901

 
$
4,495

 
$
3,760

Specified Items
565

 
(121
)
 
1,166

 
1,213

Net Earnings Attributable to BMS used for Diluted EPS Calculation – Non-GAAP
$
1,918

 
$
1,780

 
$
5,661

 
$
4,973

 
 
 
 
 
 
 
 
Average Common Shares Outstanding – Diluted
1,634

 
1,636

 
1,636

 
1,637

 
 
 
 
 
 
 
 
Diluted EPS Attributable to BMS – GAAP
$
0.83

 
$
1.16

 
$
2.75

 
$
2.30

Diluted EPS Attributable to Specified Items
0.34

 
(0.07
)
 
0.71

 
0.74

Diluted EPS Attributable to BMS – Non-GAAP
$
1.17

 
$
1.09

 
$
3.46

 
$
3.04



37




FINANCIAL POSITION, LIQUIDITY AND CAPITAL RESOURCES

Our net cash position was as follows:
Dollars in Millions
September 30,
2019
 
December 31,
2018
Cash and cash equivalents
$
30,489

 
$
6,911

Marketable securities – current
2,053

 
1,973

Marketable securities – non-current
925

 
1,775

Total cash, cash equivalents and marketable securities
33,467

 
10,659

Short-term debt obligations
(569
)
 
(1,703
)
Long-term debt
(24,390
)
 
(5,646
)
Net cash position
$
8,508

 
$
3,310


Cash, cash equivalents and marketable securities held in the U.S. increased to approximately $31.9 billion at September 30, 2019 due to the $18.8 billion of net proceeds from the notes issued in May 2019. The net proceeds were invested in money market funds and will be used to fund a portion of the cash consideration for the Celgene acquisition. We believe that our existing cash, cash equivalents and marketable securities, together with cash generated from operations and issuance of commercial paper in the U.S. as well as borrowing available under our credit facilities, will be sufficient to satisfy our anticipated cash needs for at least the next few years, which include dividends, capital expenditures, milestone payments, working capital and deemed repatriation transition tax. In addition, we expect to have sufficient cash available and borrowing capacity to fund the aggregate cash portion of the merger consideration to Celgene shareholders. We anticipate funding the cash consideration for the Celgene acquisition through a combination of available cash, borrowings under the term loan established earlier in the year and short-term borrowings.

Management continuously evaluates our capital structure to ensure that we are financed efficiently, which may result in the repurchase of common stock and debt securities, termination of interest rate swap contracts prior to maturity and issuance of debt securities. We repurchased 6.5 million shares of our common stock for $300 million during the nine months ended September 30, 2019. The remaining share repurchase capacity under our stock repurchase program was $1.0 billion as of September 30, 2019. We are evaluating opportunities to enter the market and may make repurchases from time to time depending on a variety of factors, including price, general business and market conditions and alternative uses of capital. We announced plans to initiate a $7.0 billion accelerated share repurchase program following the closing of the pending acquisition of Celgene, subject to Board of Director's approval and may under certain circumstances purchase CVRs issued in connection with the Celgene acquisition.

Dividend payments were $2.0 billion in the nine months ended September 30, 2019. Dividends declared per common share were $1.23 in the nine months ended September 30, 2019. Dividend decisions are made on a quarterly basis by our Board of Directors. The merger agreement prohibits us from declaring, setting aside or paying any dividend or other distribution other than our regular cash dividend in the ordinary course of business consistent with past practice in an amount not to exceed $0.41 per share per quarter. Annual capital expenditures were approximately $1.0 billion in 2018 and are expected to be approximately $800 million in 2019 and $600 million in 2020. We continue to expand our biologics manufacturing capabilities and other facility-related activities. For example, we have constructed a new large-scale biologics manufacturing facility in Ireland that will produce multiple therapies for our growing biologics portfolio when approved for commercial use in early 2020.

Our investment portfolio includes non-current marketable securities, which are subject to changes in fair value as a result of interest rate fluctuations and other market factors. Our investment policy establishes limits on the amount and time to maturity of investments with any institution. The policy also requires that investments are only entered into with corporate and financial institutions that meet high credit quality standards. Refer to “Item 1. Financial Statements—Note 9. Financial Instruments and Fair Value Measurements” for further information.

Under our commercial paper program, we may issue a maximum of $5 billion unsecured notes that have maturities of not more than 366 days from the date of issuance. There were no commercial paper borrowings outstanding as of September 30, 2019.

As of September 30, 2019, we had four revolving credit facilities totaling $6.0 billion, which consisted of a 364-day $2.0 billion facility expiring in January 2020, a $1.0 billion facility expiring in January 2022 and two five-year $1.5 billion facilities that were extended to September 2023 and July 2024, respectively. The facilities provide for customary terms and conditions with no financial covenants and may be used to provide backup liquidity for our commercial paper borrowings. Our $1.0 billion facility and our two $1.5 billion revolving facilities are extendable annually by one year on the anniversary date with the consent of the lenders. Our 364-day $2.0 billion facility can be renewed for one year on each anniversary date, subject to certain terms and conditions. No borrowings were outstanding under any revolving credit facility at September 30, 2019 and December 31, 2018.


38




In connection with our pending acquisition of Celgene, we entered into a bridge commitment letter that provided for up to $33.5 billion in a 364-day senior unsecured bridge facility in January 2019, which would have been funded only to the extent certain anticipated credit agreements were not entered into and debt issuances were not completed prior to the completion of the acquisition. We terminated the bridge facility upon receipt of proceeds from our issuance of $19.0 billion of new notes in May 2019.

We also entered into an $8.0 billion term loan credit agreement consisting of a $1.0 billion 364-day tranche, a $4.0 billion three-year tranche and a $3.0 billion five-year tranche in connection with the pending Celgene acquisition. The term loan is subject to customary terms and conditions and does not have any financial covenants. No amounts will be borrowed under the term loan prior to the closing of the pending acquisition of Celgene. If drawn upon, the proceeds under the term loan will be used to fund a portion of the cash to be paid in the pending acquisition of Celgene and the payment of related fees and expenses.

In April 2019 we commenced an exchange offer for any and all outstanding notes issued by Celgene for up to $19.85 billion aggregate principal amount of new notes to be issued by us and cash. In conjunction with the offer to exchange the Celgene notes, we concurrently solicited consents to adopt certain proposed amendments to each of the indentures governing the Celgene notes to eliminate substantially all of the restrictive covenants in such indentures. In May 2019, we announced that the requisite number of consents had been received to adopt the proposed amendments with respect to all Celgene notes and that Celgene executed supplemental indentures to the Celgene indentures implementing the amendments, which were effective upon execution but will only become operative upon the settlement of the exchange offer and consent solicitations. As of October 29, 2019, approximately 88% of the total aggregate principal amount of Celgene notes have been validly tendered for notes to be issued by us since the exchange offer was commenced. The exchange offer and consent solicitations are conditioned upon the closing of the pending Celgene acquisition and we expect to extend the expiration of the offer and consent solicitations until the acquisition closes.

In May 2019 we issued an aggregate principal amount of $19.0 billion of floating rate and fixed rate unsecured senior notes at maturities ranging from 18 months to 30 years. The net proceeds will be used to fund a portion of the aggregate cash portion of the merger consideration to be paid to Celgene shareholders and to pay related fees and expenses. Any remaining proceeds may be used by us for general corporate purposes. Interest is payable semi-annually in the case of the fixed rate notes and quarterly in the case of the floating rate notes. The notes rank equally in right of payment with all of our existing and future senior unsecured indebtedness and the fixed rate notes are redeemable at any time, in whole, or in part, at varying specified redemption prices plus accrued and unpaid interest. All of the notes are subject to special mandatory redemption at a redemption price equal to 101% of the aggregate principal amount of the notes plus accrued and unpaid interest if the pending acquisition of Celgene is not completed by July 30, 2020 or we inform the trustee of the notes that we will not pursue the consummation of the Celgene acquisition.

Following the announcement of our pending acquisition of Celgene, we entered into forward starting interest rate swap option contracts, with a total notional value of $7.6 billion, to hedge future interest rate risk associated with the anticipated issuance of long-term debt to fund the acquisition. In April 2019, we entered into deal contingent forward starting interest rate swap contracts, with an aggregate notional principal amount of $10.4 billion, to hedge interest rate risk associated with the anticipated issuance of long-term debt to fund the Celgene acquisition and terminated the forward starting interest rate swap option contracts. The deal contingent forward starting interest rate swap contracts were unwound upon our May 2019 issuance of the new notes.

Additional regulations in the U.S. could be passed in the future including additional healthcare reform initiatives, further changes to tax laws, additional pricing laws and potential importation restrictions which may reduce our results of operations, operating cash flow, liquidity and financial flexibility. We continue to monitor the potential impact of the economic conditions in certain European and other countries and the related impact on prescription trends, pricing discounts and creditworthiness of our customers. We believe these economic conditions will not have a material impact on our liquidity, cash flow or financial flexibility.

The UK voted to depart from the EU during June 2016. Similar to other companies in our industry, certain regulatory, trade, labor and other aspects of our business will likely be affected over time. However, we currently do not believe that these matters and other related financial effects will have a material impact on our consolidated results of operations, financial position or liquidity. Our sales in the UK represent less than 3% of our consolidated revenues.


39




Credit Ratings

BMS's current long-term and short-term credit ratings assigned by Moody's Investors Service are A2 and Prime-1, respectively, and BMS's current long-term and short-term credit ratings assigned by Standard & Poor's are A+ and A-1+, respectively. The long-term ratings reflect the agencies' opinion that we have a low default risk but are somewhat susceptible to adverse effects of changes in circumstances and economic conditions. The short-term ratings reflect the agencies' opinion that we have good to extremely strong capacity for timely repayment. The current long-term ratings do not reflect any impact from the pending acquisition of Celgene. In January 2019, Moody's placed BMS under review for downgrade and Standard & Poor's placed BMS on CreditWatch with negative implications, each following the announcement to acquire Celgene. We expect our credit ratings to remain at an investment grade level and we do not expect the changes to impact our ability to access short-term or long-term financing. However, we cannot guarantee the future actions of Moody's and/or Standard & Poor's. Any credit rating downgrade may affect the interest rate of any debt we may incur, the fair market value of existing debt and our ability to access the capital markets generally.

Cash Flows

The following is a discussion of cash flow activities:
 
Nine Months Ended September 30,
Dollars in Millions
2019
 
2018
Cash flow provided by/(used in):
 
 
 
Operating activities
$
6,029

 
$
3,511

Investing activities
2,266

 
(538
)
Financing activities
15,298

 
(2,957
)

Operating Activities

Cash flow from operating activities represents the cash receipts and disbursements from all of our activities other than investing and financing activities. Operating cash flow is derived by adjusting net earnings for noncontrolling interest, non-cash operating items, gains and losses attributed to investing and financing activities and changes in operating assets and liabilities resulting from timing differences between the receipts and payments of cash and when the transactions are recognized in our results of operations. As a result, changes in cash from operating activities reflect the timing of cash collections from customers and alliance partners; payments to suppliers, alliance partners and employees; customer discounts and rebates; and tax payments in the ordinary course of business. For example, annual employee bonuses are typically paid in the first quarter of the subsequent year. In addition, cash collections continue to be impacted by longer payment terms for certain biologic products in the U.S., primarily our IO products including Opdivo, Yervoy and Empliciti (90 days). The longer payment terms are used to more closely align with the insurance reimbursement timing for physicians and cancer centers following administration to the patients.

The $2.5 billion change in cash flow from operating activities compared to 2018 was primarily attributable to:
Higher cash collections and timing of payments in the ordinary course of business of approximately $2.2 billion including lower working capital requirements; and
Lower R&D licensing and collaboration payments of approximately $1.1 billion primarily due to the Nektar transaction in 2018.
Partially offset by:
Higher income tax payments of approximately $400 million; and
Approximately $400 million of Celgene acquisition and integration related payments in 2019.

Investing Activities

Cash requirements from investing activities include cash used for acquisitions, manufacturing and facility-related capital expenditures and purchases of marketable securities with original maturities greater than 90 days at the time of purchase reduced by proceeds from business divestitures (including royalties) and the sale and maturity of marketable securities.

The $2.8 billion change in cash flow from investing activities compared to 2018 was primarily attributable to:
Lower net acquisition and other payments of approximately $1.2 billion primarily due to the purchase of Nektar common stock and Flexus contingent consideration payment in 2018;
Higher business divestiture proceeds of approximately $1.1 billion primarily due to the sale of the UPSA business; and
Higher net sales and maturities of marketable securities with maturities greater than 90 days of approximately $400 million.


40




Financing Activities

Cash requirements from financing activities include cash used to pay dividends, repurchase common stock and repay long-term debt and other borrowings reduced by proceeds from the exercise of stock options and issuance of long-term debt and other borrowings.

The $18.3 billion change in cash flow from financing activities compared to 2018 was primarily due to higher net borrowing activity of approximately $18.3 billion resulting from the issuance of new notes in connection with the pending acquisition of Celgene.

Product and Pipeline Developments

Our R&D programs are managed on a portfolio basis from early discovery through late-stage development and include a balance of early-stage and late-stage programs to support future growth. Our late stage R&D programs in Phase III development include both investigational compounds for initial indications and additional indications or formulations for marketed products. Spending on these programs represent approximately 35-45% of our annual R&D expenses in the last three years. Opdivo was the only investigational compound or marketed product that represented greater than 10% of our R&D expenses in the last three years. Our late-stage development programs could potentially have an impact on our revenue and earnings within the next few years if regulatory approvals are obtained and products are successfully commercialized. The following are the developments in our marketed products and our late-stage pipeline:

41




Product
Indication
Date
Developments
Opdivo
CRC
March 2019
Ono, our alliance partner for Opdivo in Japan, announced the submission of a supplemental application of Opdivo in Japan for additional indication of MSI-H unresectable advanced or recurrent CRC that has progressed following chemotherapy for a partial change in the approved items of the manufacturing and marketing approval. This is mainly based on the result from Phase II CheckMate-142 study evaluating Opdivo in patients with MSI-H or dMMR recurrent or metastatic CRC that has progressed on or after, or been intolerant of, at least one previous line of treatment with chemotherapy including fluoropyrimidine anticancer drugs.
ESCC
September 2019
Announced results from the Phase III ATTRACTION-3 trial evaluating Opdivo versus chemotherapy for the treatment of patients with unresectable advanced or recurrent ESCC refractory or intolerant to combination therapy with fluoropyrimidine and platinum-based drugs. For the primary endpoint of overall survival, Opdivo demonstrated a statistically significant improvement over chemotherapy, with a 23% reduction in risk of death and a 2.5-month improvement in median overall survival compared to patients treated with chemotherapy. The safety profile for Opdivo in this trial was consistent with previously reported studies in ESCC and other solid tumors.
May 2019
Ono, our alliance partner for Opdivo in Japan, announced the submission of a supplemental application of Opdivo for indication of unresectable advanced or recurrent esophageal cancer in Japan for a partial change in approved items of manufacturing and marketing approval.
GBM
September 2019
Announced Phase III CheckMate-548 trial evaluating the addition of Opdivo to the current standard of care (temozolomide and radiation therapy) versus the standard of care alone did not meet one of its primary endpoints, progression-free survival, in patients with newly diagnosed GBM that is MGMT-methylated. The data monitoring committee recommended that the trial continue as planned to allow the other primary endpoint, overall survival, to mature. The Company remains blinded to all study data.
May 2019
Announced Phase III CheckMate-498 trial evaluating Opdivo plus radiation versus temozolomide plus radiation in patients with newly diagnosed MGMT-unmethylated GBM did not meet its primary endpoint of overall survival at final analysis.
HCC
June 2019
Announced topline results from CheckMate-459, a randomized Phase III study evaluating Opdivo versus sorafenib as a first-line treatment in patients with unresectable HCC. The trial did not achieve statistical significance for its primary endpoint of overall survival per the pre-specified analysis.
Melanoma
October 2019
Announced the EC approval of Opdivo flat dosing schedule of 240 mg infused over 30 minutes every two weeks or 480 mg infused over 60 minutes every four weeks for the adjuvant treatment of adult patients with melanoma with involvement of lymph nodes or metastatic disease who have undergone complete resection.
September 2019
Announced results of a three-year analysis of efficacy data from the Phase III CheckMate-238 study evaluating adjuvant use of Opdivo 3 mg/kg versus Yervoy 10 mg/kg in patients with Stage III or Stage IV melanoma who were at high risk of recurrence following complete surgical resection. At three years of follow-up, Opdivo continues to demonstrate superior recurrence-free survival compared to Yervoy, the active control, with recurrence-free survival rates of 58% and 45%, respectively.
August 2019
Announced, with our alliance partner Nektar, that the FDA has granted Breakthrough Therapy Designation for investigational agent bempegaldesleukin (NKTR-214) in combination with Opdivo for the treatment of patients with previously untreated unresectable or metastatic melanoma. The Breakthrough Therapy Designation is based on clinical data which were recently reported in the 2019 American Society of Clinical Oncology Annual Meeting from the cohort of patients with metastatic melanoma that were treated with the doublet therapy in the ongoing PIVOT-02 Phase I/II clinical study.
NSCLC
September 2019
Announced long-term pooled efficacy and safety results from the Phase III CheckMate-017 and CheckMate-057 studies in patients with previously treated advanced NSCLC. At five years, patients treated with Opdivo continued to experience long-term overall survival (OS) benefit versus docetaxel. OS rate at five years were 13.4% for Opdivo and 2.6% for docetaxel. The OS benefit for Opdivo-treated patients was observed across all subgroups.
April 2019
Announced results from pooled analyses of survival data from four studies (CheckMate-017, -057, -063 and -003) in patients with previously-treated advanced NSCLC who were treated with Opdivo. In the pooled analysis of the four studies, 14% of all Opdivo-treated patients were alive at four years. Notably, in patients with PD-L1 greater than or equal to 1% and less than 1%, four-year overall survival rate were 19% and 11%, respectively.
SCCHN
September 2019
Received approval in China for Opdivo, as a monotherapy in treatment of patients with SCCHN with disease progression on or after platinum-based therapy, and whose tumors have PD-L1 positive expression (defined as ≥1% of tumor cells expressing PD-L1)
January 2019
Acceptance in China of sBLA filing for patients who had previously been treated for metastatic or recurrent SCCHN.

42




Product
Indication
Date
Developments
Opdivo+Yervoy

HCC
June 2019
Announced first results from Opdivo+Yervoy cohort of the Phase I/II CheckMate-040 study, evaluating the IO combination in patients with advanced HCC previously treated with sorafenib. With a minimum follow-up of 28 months, the blinded independent central review objective response rate was 31% per Response Evaluation Criteria in Solid Tumors version 1.1. At the time of data cutoff the median duration of response was 17.5 months.
mCRPC
February 2019
Announced results from an interim analysis of the Phase II CheckMate-650 trial evaluating Opdivo+Yervoy in patients with mCRPC showed that among 32 asymptomatic or minimally symptomatic patients whose disease had progressed after second-generation hormone therapy and who had not received chemotherapy (cohort 1), with a median follow-up of 11.9 months, the objective response rate was 25%. Additionally, among 30 patients whose disease progressed after taxane-based chemotherapy (cohort 2), with a median follow-up of 13.5 months, the objective response rate was 10%.
Melanoma
September 2019
Announced five-year results from the Phase III CheckMate-067 clinical trial, which continues to demonstrate improved overall survival with the first-line combination of Opdivo+Yervoy, versus Yervoy alone, in patients with advanced metastatic melanoma. With a minimum follow-up of 60 months (five years), five-year overall survival rates were 52% for the Opdivo+Yervoy combination, 44% for Opdivo alone, and 26% for Yervoy alone.
June 2019
Announced five-year analysis of the Phase I CA209-004 study, the longest follow-up for the Opdivo+Yervoy combination in patients with previously treated or untreated advanced melanoma to date. The analysis showed that with a median follow-up of 43.1 months (range: 0.9-76.7) in all patients, at four years or longer, overall survival rates were stable at 57%.
June 2019
Announced that an analysis exploring long-term quality of life (QoL) and symptom burden in the Phase III CheckMate-067 study found that QoL was maintained during the treatment-free interval, the period where a patient is off study treatment and free of subsequent therapy, in patients with previously untreated unresectable or metastatic melanoma following discontinuation of therapy with Opdivo or Opdivo+Yervoy.
March 2019
Received FDA full approval for Opdivo in combination with Yervoy for the treatment of patients with unresectable or metastatic melanoma based on additional longer term efficacy data from CheckMate-067 (4-year overall survival) without restrictions in patient population. This approval fulfills two Post Marketing Requirements to verify and describe clinical benefit, thereby converting prior accelerated approval to full approval for nivolumab in combination with ipilimumab for patients with unresectable or metastatic melanoma and nivolumab monotherapy for BRAF Mutant subjects with unresectable or metastatic melanoma. Importantly, based on FDA review of the CheckMate-067 4-year overall survival data, the results of exploratory analyses by PD-L1 tumor expression have been removed entirely from the label.
NSCLC
October 2019
Announced results from Phase III CheckMate-9LA trial evaluating Opdivo plus low-dose Yervoy given concomitantly with two cycles of chemotherapy as first-line treatment for patients with advanced NSCLC, met its primary endpoint of superior overall survival at a pre-specified interim analysis. The comparator in this study was chemotherapy alone for up to four cycles followed by optional maintenance therapy. The safety profile of Opdivo plus low-dose Yervoy and two cycles of chemotherapy in CheckMate-9LA was reflective of the known safety profiles of the immunotherapy and chemotherapy components in first-line NSCLC.
September 2019
Announced results from Part 1 of the Phase III CheckMate-227 trial evaluating Opdivo plus low-dose Yervoy as first-line treatment for patients with advanced NSCLC. Opdivo plus low-dose Yervoy met the independent co-primary endpoint of overall survival, demonstrating superior benefit compared to chemotherapy in patients whose tumors expressed PD-L1 ≥1%. Additionally, in an exploratory analysis, results showed improved overall survival for patients treated with the combination of Opdivo plus low-dose Yervoy with PD-L1 <1%. The two-year survival rate for patients treated with the combination regimen was 40% for both patients whose tumors expressed PD-L1 ≥1% and patients whose tumors expressed PD-L1 <1%. In the chemotherapy control arm, two-year survival rates were 33% and 23%, respectively.
July 2019
Announced Part 2 of the Phase III CheckMate-227 study evaluating Opdivo plus chemotherapy versus chemotherapy did not meet its primary endpoint of overall survival in first-line non-squamous NSCLC patients regardless of PD-L1 status.
January 2019
Announced voluntary withdrawal of the Company's sBLA for the Opdivo plus low-dose Yervoy for treatment of first-line advanced NSCLC in patients with TMB greater than or equal to 10 mutations per megabase as data from CheckMate-227, Part 1a. After discussions with FDA, the Company believes further evidence on the relationship between TMB and PD-L1 is required to fully evaluate the impact of Opdivo plus Yervoy on overall survival in first-line NSCLC patients. This analysis will require availability of the final data from CheckMate-227, Part 1a, which could not be provided on time within the review cycle of the current application.
RCC
February 2019
Announced new results from the Phase III CheckMate-214 study, showing that therapy with Opdivo plus low-dose Yervoy continued to demonstrate long-term survival benefits in patients with previously untreated advanced or metastatic RCC.
January 2019
Announced the EC approval of Opdivo plus low-dose Yervoy for previously untreated patients with intermediate and poor-risk advanced RCC.
SCCHN
April 2019
Announced topline results from the Phase II CheckMate-714 trial evaluating Opdivo versus Opdivo+Yervoy in patients with recurrent or metastatic SCCHN. The study did not meet its primary endpoints.

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Product
Indication
Date
Developments
Eliquis
NVAF/ACS
September 2019
Announced findings from NAXOS (EvaluatioN of ApiXaban in strOke and Systemic embolism prevention in patients with nonvalvular atrial fibrillation in the real-life setting in France), the largest real-world data analysis on OAC effectiveness and safety in Europe among patients with NVAF. In this analysis, Eliquis use was associated with a lower rate of major bleeding compared to a vitamin K antagonist, rivaroxaban and dabigatran. These data were featured as a late-breaking oral presentation at the European Society of Cardiology Congress 2019 in Paris, France.
March 2019
Announced results from the Phase IV AUGUSTUS trial evaluating Eliquis versus vitamin K antagonists (VKAs) in patients with NVAF and ACS and/or undergoing PCI. Results show that in patients receiving a P2Y12 inhibitor with or without aspirin (antiplatelet therapies), the proportion of patients with major or clinically relevant non-major (CRNM) bleeding at six months was significantly lower for those treated with Eliquis compared to those treated with a VKA.
Orencia
JIA
April 2019
Received the EC notification on the adoption of the approval on our Orencia solution for subcutaneous injection in pre-filled syringe extension application (50 mg & 87.5 mg strength) and extension of indication for the treatment of polyarticular JIA in pediatric patients two years of age and older.
RA
June 2019
Announced data from a Phase IV mechanistic study exploring differences in the cellular and molecular mechanisms by which Orencia and another treatment, adalimumab, interfere with disease progression in moderate-to-severe early RA patients seropositive for certain autoantibodies. Among 80 adult patients with early moderate-to-severe RA who had never been treated with a biologic medication and tested positive for autoantibodies called anti-citrullinated protein antibody and rheumatoid factor, numerically higher efficacy responses were seen with Orencia at week 24. These results, which are from a prospective analysis of the Early AMPLE head-to-head trial, are featured in a late-breaking oral presentation at the Annual European Congress of Rheumatology.
March 2019
Announced the submission of supplemental applications of “Orencia for Intravenous Infusion 250mg,” “Orencia 125mg Syringe for Subcutaneous Injection 1mL” and “Orencia 125mg Autoinjector for Subcutaneous Injection 1mL” to include the description of “inhibition of the structural damage of the joints” in the currently approved indication of RA for a partial change in approved items of the manufacturing and marketing approval in Japan.
Sprycel
ALL
February 2019
Announced the EC approval of Sprycel, in both tablet and powder for oral suspension formulations, in combination with chemotherapy for the treatment of pediatric patients with newly diagnosed Philadelphia chromosome-positive ALL.
Empliciti
Multiple Myeloma
August 2019
Announced that the EC has approved Empliciti plus pomalidomide and low-dose dexamethasone (EPd) for the treatment of adult patients with RRMM who have received at least two prior therapies, including lenalidomide and a proteasome inhibitor, and have demonstrated disease progression on the last therapy.
June 2019
Announced updated data from ELOQUENT-3, the international randomized Phase II study evaluating Empliciti plus pomalidomide and dexamethasone (EPd) versus pomalidomide and dexamethasone (Pd) alone in patients with RRMM. In a non-prespecified analysis conducted to provide a descriptive assessment of overall survival after extended follow-up of at least 18.3 months, patients treated with EPd continued to experience sustained and clinically relevant overall survival and progression-free survival benefits compared with patients treated with Pd. These data were presented at the 24th Congress of the European Hematology Association in a poster display.
February 2019
Completed filing of a supplemental Japanese New Drug Application (sJNDA) for Empliciti in combination with pomalidomide and dexamethasone for the treatment of patients with multiple myeloma who have received at least two prior therapies, including Revlimid* and proteasome inhibitor. The sJNDA filing was submitted based on the results of a global phase II study. The orphan designation was already granted for the indication of RRMM at the initial JNDA. This sJNDA will also be reviewed under “priority review.”

Critical Accounting Policies

The preparation of financial statements requires the use of estimates and assumptions that affect the reported amounts of assets and liabilities and the reported amounts of revenue and expenses. Our critical accounting policies are those that significantly impact our financial condition and results of operations and require the most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. Because of this uncertainty, actual results may vary from these estimates. For a discussion of our critical accounting policies, refer to “—Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our 2018 Form 10-K. There have been no material changes to our critical accounting policies during the nine months ended September 30, 2019. For information regarding the impact of recently adopted accounting standards, refer to “Item 1. Financial Statements—Note.1 Basis of Presentation and Recently Issued Accounting Standards.”


44




Cautionary Statement Regarding Forward-Looking Statements

This Quarterly Report on Form 10-Q (including documents incorporated by reference) and other written and oral statements we make from time to time contain certain “forward-looking” statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Exchange Act. You can identify these forward-looking statements by the fact they use words such as “should,” “could,” “expect,” “anticipate,” “estimate,” “target,” “may,” “project,” “guidance,” “intend,” “plan,” “believe,” “will” and other words and terms of similar meaning and expression in connection with any discussion of future operating or financial performance. All statements that are not statements of historical facts are, or may be deemed to be, forward-looking statements. Such forward-looking statements are based on historical performance and current expectations and projections about our future financial results, goals, plans and objectives and involve inherent risks, assumptions and uncertainties, including internal or external factors that could delay, divert or change any of them in the next several years, that are difficult to predict, may be beyond our control and could cause our future financial results, goals, plans and objectives to differ materially from those expressed in, or implied by, the statements. These statements are likely to relate to, among other things, our goals, plans and objectives regarding our financial position, results of operations, cash flows, market position, product development, product approvals, sales efforts, expenses, performance or results of current and anticipated products, our pending acquisition of Celgene, the successful closing of the Otezla* divestiture and use of proceeds therefrom and the outcome of contingencies such as legal proceedings and financial results. No forward-looking statement can be guaranteed. We included in this Quarterly Report on Form 10-Q, in the 2018 Form 10-K, particularly under the caption “Item 1A. Risk Factors,” and in our other filings with the SEC additional information on the factors that we believe could cause actual results to differ materially from any forward-looking statement.

Although we believe that we have been prudent in our plans and assumptions, no assurance can be given that any goal or plan set forth in forward-looking statements can be achieved and readers are cautioned not to place undue reliance on such statements, which speak only as of the date made. Additional risks that we may currently deem immaterial or that are not presently known to us could also cause the forward-looking events discussed in this Quarterly Report on Form 10-Q not to occur. Except as otherwise required by applicable law, we undertake no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events, changed circumstances or otherwise after the date of this Quarterly Report on Form 10-Q.

Item 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

For a discussion of our market risk, refer to “Item 7A. Quantitative and Qualitative Disclosures about Market Risk” in our 2018 Form 10-K.

Item 4. CONTROLS AND PROCEDURES

Management carried out an evaluation, under the supervision and with the participation of its chief executive officer and chief financial officer, of the effectiveness of the design and operation of its disclosure controls and procedures, as defined in Exchange Act Rules 13a-15(e) and 15d-15(e), as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on this evaluation, our principal executive officer and principal financial officer concluded that as of September 30, 2019, such disclosure controls and procedures are effective.

There were no changes in the Company’s internal control over financial reporting during the quarter ended September 30, 2019 that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

PART II—OTHER INFORMATION

Item 1. LEGAL PROCEEDINGS

Information pertaining to legal proceedings can be found in “Item 1. Financial Statements—Note 18. Legal Proceedings and Contingencies,” to the interim consolidated financial statements, and is incorporated by reference herein.

Item 1A. RISK FACTORS

There have been no material changes from the risk factors disclosed in the Company’s 2018 Form 10-K.


45




Item 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

The following table summarizes the surrenders of our equity securities during the three months ended September 30, 2019
Period
Total Number of Shares Purchased(a)
 
Average Price Paid per Share(a)
 
Total Number of Shares Purchased as Part of Publicly Announced Programs(b)
 
Approximate Dollar Value of Shares that May Yet Be Purchased Under the Programs(b)
Dollars in Millions, Except Per Share Data
 
 
 
 
 
 
 
July 1 to 31, 2019
856,422

 
$
44.68

 
850,000

 
$
1,310

August 1 to 31, 2019
5,689,379

 
46.10

 
5,682,970

 
1,048

September 1 to 30, 2019
5,097

 
48.09

 

 
1,048

Three months ended September 30, 2019
6,550,898

 
 
 
6,532,970

 
 
(a)
Includes shares repurchased as part of publicly announced programs and shares of common stock surrendered to the Company to satisfy tax-withholding obligations in connection with the vesting of awards under our long-term incentive program.
(b)
In May 2010, the Board of Directors authorized the repurchase of up to $3.0 billion of our common stock and in June 2012 increased its authorization for the repurchase of our common stock by an additional $3.0 billion. In October 2016, the Board of Directors approved a new stock repurchase program authorizing the repurchase of an additional $3.0 billion of our common stock. As a result of these actions, the total authorized amount of the stock repurchase program is $9.0 billion. The remaining share repurchase capacity under the program was $1.0 billion as of September 30, 2019. The stock repurchase program does not have an expiration date. Refer to “Item 1. Financial Statements—Note 16. Equity” for information on the share repurchase program.


46




Item 6. EXHIBITS

Exhibits (listed by number corresponding to the Exhibit Table of Item 601 in Regulation S-K). The Exhibits designated by the symbol ‡‡ are management contracts or compensatory plans or arrangements required to be filed pursuant to Item 15.
Exhibit No.
 
Description
 
 
 
 
 
 
 
 
 
101.INS
 
XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH
 
XBRL Taxonomy Extension Schema Document.
101.CAL
 
XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF
 
XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB
 
XBRL Taxonomy Extension Lable Linkbase Document.
101.PRE
 
XBRL Taxonomy Extension Presentation Linkbase Document.
104
 
Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).
*
Indicates, in this Quarterly Report on Form 10-Q, brand names of products, which are registered trademarks not solely owned by the Company or its subsidiaries. Abilify is a trademark of Otsuka Pharmaceutical Co., Ltd.; Atripla is a trademark of Gilead Sciences, Inc.; Byetta is a trademark of Amylin Pharmaceuticals, LLC; Erbitux is a trademark of ImClone LLC; Gleevec is a trademark of Novartis International AG; Keytruda is a trademark of Merck Sharp & Dohme Corp; Onglyza is a trademark of AstraZeneca AB; Otezla and Revlimid are trademarks of Celgene Corporation; and Plavix is a trademark of Sanofi S.A. Brand names of products that are in all italicized letters, without an asterisk, are registered trademarks of BMS and/or one of its subsidiaries.


47




SUMMARY OF ABBREVIATED TERMS

Bristol-Myers Squibb Company and its consolidated subsidiaries may be referred to as Bristol-Myers Squibb, BMS, the Company, we, our or us in this Quarterly Report on Form 10-Q, unless the context otherwise indicates. Throughout this Quarterly Report on Form 10-Q we have used terms which are defined below:
2018 Form 10-K
Annual Report on Form 10-K for the fiscal year ended December 31, 2018
JIA
juvenile idiopathic arthritis
ACS
acute coronary syndrome
LIBOR
London Interbank Offered Rate
ALL
acute lymphoblastic leukemia
Lilly
Eli Lilly and Company
Amgen
Amgen Inc.
LOE
loss of exclusivity
Amylin
Amylin Pharmaceuticals, Inc.
mCRPC
metastatic castration-resistant prostate cancer
aNDA
abbreviated new drug applications
MDL
multi-district litigation
AstraZeneca
AstraZeneca PLC
MGMT
O6-methylguanine-DNA methyltransferase
Catalent
Catalent, Inc.
MSI-H
high microsatellite instability
Celgene
Celgene Corporation
Nektar
Nektar Therapeutics
CERCLA
U.S. Comprehensive Environmental Response, Compensation and Liability Act
NKT
natural killer T cells
CHMP
Committee for Medicinal Products for Human Use
NSCLC
non-small cell lung cancer
CML
chronic myeloid leukemia
NVAF
non-valvular atrial fibrillation
Cormorant
Cormorant Pharmaceuticals
Ono
Ono Pharmaceutical Co., Ltd.
CRC
colorectal cancer
OTC
over-the-counter
dMMR
DNA mismatch repair deficient
Otsuka
Otsuka Pharmaceutical Co., Ltd.
EC
European Commission
PCI
percutaneous coronary intervention
EMA
European Medicines Agency
PD-1
programmed cell death protein 1
EPO
European Patent Office
PD-L1
programmed death-ligand 1
EPS
earnings per share
Pfizer
Pfizer, Inc.
ERISA
Employee Retirement Income Security Act of 1974
PsA
psoriatic arthritis
ESCC
esophageal squamous cell carcinoma
Quarterly Report on Form 10-Q
Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2019
EU
European Union
R&D
research and development
FASB
Financial Accounting Standards Board
RA
rheumatoid arthritis
FDA
U.S. Food and Drug Administration
RCC
renal cell carcinoma
Flexus
Flexus Biosciences, Inc.
RRMM
relapsed/refractory multiple myeloma
FTC
U.S. Federal Trade Commission
Sanofi
Sanofi S.A.
GAAP
U.S. generally accepted accounting principles
sBLA
supplemental Biologics License Application
GBM
glioblastoma multiforme
SCCHN
squamous cell carcinoma of the head and neck
GTN
gross-to-net
SEC
Securities and Exchange Commission
HCC
hepatocellular carcinoma
TMB
tumor mutational burden
HIV
human immunodeficiency viruses
U.S.
United States
IFM
IFM Therapeutics, Inc.
UK
United Kingdom
IDO-1
indoleamine-pyrrole 2, 3-dioxygenase 1
VAT
value added tax
IO
immuno-oncology
VTE
venous thromboembolic
IPRD
in-process research and development
 
 

48




SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. 
 
 
 
BRISTOL-MYERS SQUIBB COMPANY
(REGISTRANT)
 
 
 
 
Date:
October 31, 2019
 
By:
/s/ Giovanni Caforio
 
 
 
 
Giovanni Caforio
Chairman of the Board and Chief Executive Officer
 
 
 
 
Date:
October 31, 2019
 
By:
/s/ Charles Bancroft
 
 
 
 
Charles Bancroft
Chief Financial Officer

49