Thank you, and good morning. Thank you all for joining us to discuss the first quarter 2024 financial results for Endo International plc.

Joining me on today's call is Mark Bradley, Endo Inc. Executive Vice President and CFO.

We have prepared a slide presentation to accompany today's webcast and a presentation, as well as Endo International's first quarter financial statements and MD&A are posted online in the investor section at endo.com. This call is required under the terms of Endo Inc's debt agreement.

As such, it is focused on financial results and is more streamlined than a typical earnings call. Substantially, all of Endo International's assets were acquired by Endo Inc.

on April 23, 2024, pursuant to Endo International's plan of reorganization. Endo Inc.

had no assets or liabilities prior to the asset acquisition. Endo International's first quarter financial results do not reflect the effects of the plan of reorganization or the application of fresh start accounting that is expected to apply to Endo Inc's financial statements beginning in the second quarter of 2024.

During the course of this call we may refer to non-GAAP financial measures that are not prepared in accordance with accounting principles generally accepted in the United States, and that may be different from non-GAAP financial measures used by other companies. The reconciliations of non-GAAP financial measures to the most directly comparable GAAP financial measures are contained in the earnings press release issued yesterday, unless otherwise noted therein.

We have confidentially submitted a draft registration statement with the SEC to effectuate our previously announced goal of listing our common stock on a national stock exchange. Comments by the SEC on the registration statement may require modification or reformulation of the description of our business, financial, or other information.

As a result, information we present in the future may differ in presentation or calculation from the information being presented today. Finally, I would like to remind you that the forward-looking statements in this presentation are subject to changes, risks, and uncertainties that could cause actual results to differ materially from those projected in such statements.

Additional information regarding those risk factors can be found in the forward-looking statements section of the earnings release. The slide deck accompanying this presentation and in other press releases and materials available on our website at endo.com.

The forward-looking statements in this presentation speak only as of the date of this presentation, and we undertake no obligation to update or revise any of these statements. I would now like to turn the call over to Mark Bradley to review Endo International's financial results.

Mark?

Thank you, Laure. Good morning, everyone, and thank you for joining the call this morning.

As Laure mentioned, Endo Inc. acquired substantially all of Endo International's assets on April 23rd.

Endo Inc. had no operations, assets or liabilities prior to the asset acquisition.

Accordingly, we will be reviewing Endo International's first quarter financial results. We will also discuss Endo Inc's full-year financial guidance, which will include Endo International's results through April 22nd.

Slide 4 includes a snapshot of Endo International's GAAP and non-GAAP financial results for the first quarter 2024. Endo International's first quarter 2024 enterprise revenues, adjusted growth margin, adjusted operating expenses, and adjusted EBITDA were generally in line with expectations for the quarter.

Endo International's first quarter 2024 total enterprise revenues of approximately $420 million decreased by approximately 19% compared to first quarter 2023, primarily due to decreased revenues from the generic pharmaceutical segment. Endo International's first quarter 2024 adjusted EBITDA of approximately $146 million, decreased by approximately 30% compared to first quarter 2023, primarily due to decreased revenue.

The decrease in revenues was partially offset by slightly higher adjusted gross margin due to product mix and slightly lower adjusted operating expenses compared with first quarter 2023 due to the impact of certain efficiency initiatives. On a GAAP basis, Endo International's first quarter 2024 net loss was approximately $154 million compared to a net loss of approximately $3 million in the first quarter of 2023.

This change was primarily due to decreased revenues and increased expenses incurred in connection with Endo International's Chapter 11 reorganization proceedings, partially offset by a decrease in operating expenses, primarily related to a decrease in certain litigation-related and other one-time expenses. On an adjusted basis, Endo International's first quarter 2024 net income was approximately $131 million, compared to net income of approximately $194 million in the first quarter of 2023.

This change was primarily due to decreased revenue. Turning to Slide 5.

First quarter 2024 revenues from Endo International's branded pharmaceutical segment were approximately $201 million, an increase of approximately 2% compared to first quarter 2023. This increase reflects an approximately 4% increase in revenues from the specialty products portfolio offset by an approximately 5% decrease in revenues from the established products portfolio.

The increase in revenues from the specialty products portfolio was primarily driven by increased revenues from XIAFLEX, which were partially offset by decreased revenues from SUPPRELIN LA. The decrease in revenues from the established product portfolio was primarily driven by a product discontinuation and other competitive pressures across the portfolio.

On a reported basis, first quarter 2024 revenues from XIAFLEX increased by approximately 17% compared to first quarter 2023. On a pro-forma basis, revenues from XIAFLEX increased by approximately 12% after excluding the impact of the vial-wastage rebate reserve recorded in the first quarter of 2023 that reduced first quarter 2023 reported XIAFLEX revenues.

These reserves were subsequently reversed in the fourth quarter of 2023, following the final rebate determination. Both the reported and pro-forma growth rates were driven by higher volume and higher net selling price in first quarter 2024 compared to first quarter 2023.

We are pleased with the XIAFLEX performance to date and are focused on achieving additional consumer activation and improving diagnosis rates through our DTC campaigns and personal selling efforts. As expected, first quarter 2024 XIAFLEX revenues decreased compared to fourth quarter 2023 on a reported and pro-forma basis after excluding the impact of the vial-wasted rebate reserve reversal.

Revenues from XIAFLEX are generally the lowest in the first quarter and highest in the fourth quarter of each year, as many patients tend to wait to fulfill their insurance deductibles toward the end of the year before initiating treatment. With respect to Endo International’s Sterile Injectables segment, first quarter 2024 revenues decreased by approximately 3% to approximately $98 million compared to first quarter 2023.

This decrease was primarily driven by increased competition on certain products. It was partially offset by increased revenues from VASOSTRICT and ADRENALIN due to higher sales volumes, as well as revenues from 2023 product launches.

Turning to Slide 6, first quarter 2024 revenues from Endo International's Generics portfolio were approximately $103 million, a decrease of approximately 48% compared to first quarter 2023. This decrease was primarily due to increased pricing pressure on varenicline tablets, the generic version of Chantix, and the entry of competition on dexlansoprazole, the generic version of Dexilant.

These decreases were partially offset by increased revenues from the lidocaine patch, the authorized generic of LIDODERM, driven by new business opportunities, which we expect to continue through the rest of the year. As discussed in prior presentations, varenicline enjoyed an unexpected period of market exclusivity from its launch by Endo International in August 2021 until the entry of competition in January 2023.

Competition on varenicline continued to intensify throughout 2023 and into the first quarter of 2024, which has contributed to a steady decrease in generics revenue since the fourth quarter of 2021. As we exit 2024, we do not expect to have significant individual products like varenicline in our Generic portfolio of approximately 85 products.

Accordingly, we expect much less volatility in the Generic segment going forward as our planned new product launches are expected to help offset normal annual erosion. First quarter 2024 revenues from the International Pharmaceutical segment were approximately $17 million, essentially comparable to first quarter 2023.

With respect to product launches, one Generic product was launched by Endo International in the first quarter of 2024. An additional four to six product launches are expected to be launched by Endo Inc.

over the remainder of the year. Most of the remaining product launches are expected to be Sterile Injectable products.

Turning to Slide 7, Endo International's first quarter 2024 cash flow from operations was approximately $26 million compared to approximately $62 million in first quarter 2023. First quarter 2024 pre-tax, unlevered free cash flow was approximately $61 million compared to approximately $113 million in first quarter 2023.

The decrease in unlevered free cash flow was primarily due to lower adjusted EBITDA, partially offset by lower first quarter 2024 capital expenditures, compared to first quarter 2023, primarily due to the timing of project spend. Advancing to Slide 8 and wrapping up the financial discussion, full year 2024 financial expectations for Endo Inc.

remain unchanged from the full year 2024 financial expectations issued by Endo International earlier this year. As a reminder, full year financial results will include the results of Endo International from January 1 through April 22 and the results of Endo Inc.

from April 23rd through December 31st. We still expect total revenues to be between $1.685 billion and $1.77 billion, adjusted EBITDA to be between $615 million and $645 million, and pre-tax unlevered free cash flow to be between $530 million and $590 million.

Expected revenues by segment, adjusted gross margin, and adjusted operating expenses also remain unchanged from the previously provided expectations. EBITDA is expected to be higher in the second half of the year compared to the first half of the year, given the historical and anticipated seasonality of XIAFLEX, the expected impact of new product launches, as well as the expected timing of selling, general and administrative expenses.

Finally, we expect to incur approximately $165 million of interest expense on the $2.5 billion of debt that was issued by Endo Inc. on April 23rd.

We also expect Endo Inc. to have an effective cash tax rate in the low 20% range.

With that, I'll now turn the call back to Laure to manage the Q&A process. Laure?

Thank you, Mark. Operator, can we please have our first question?

Thanks for taking my questions. On XIAFLEX, you noted that volumes and pricing were up.

I was just hoping that you could give us a breakdown between the two indications as to how they trended in the quarter, if one performed better than the other? And then on pricing, did you take price in the quarter, or was that last year that's flowing through Q1 and do you anticipate another price increase this year?

Yes, thanks Rishi for the question. So I think as we've disclosed previously the indications, 70% of the revenue comes from PD, 30% comes from DC.

The price increases on a pro forma basis after excluding the rebate adjustment that I mentioned in our prepared remarks was about 5%-ish for both indications. We took a price increase, we generally take a price increase early in the second quarter and then early in the fourth quarter of each year.

So the price increase that you're seeing that I mentioned is really from last year, it would be the impact from last year.

Okay. And then just the -- from a volume standpoint between the two indications.

I know the breakdown, but I was just hoping it was pretty much even across the two indications or was there any notable differences between the two indications on volumes?

Yeah, PD was roughly about -- PD versus DC. PD had more growth than DC.

DC was generally flat and PD was about -- it was about low double digits.

Okay, great. And then just lastly, VASOSTRICT and ADRENALIN both outperformed our expectations.

I was just hoping that you could just give us some ideas as to how we should be thinking about those two products through the year? Do you expect it to remain at these current levels or do you think it's going to drop off?

Yes. So we are -- so Q1 was slightly higher due to flu season in the first quarter.

So we're not expecting that to recur through the remainder of the year. So we are expecting VASOSTRICT to decline over the remainder of the year relative to Q1 levels.

And we're also expecting incremental competition on VASOSTRICT. And ADRENALIN, we are expecting that to steadily decline, not terribly, but steadily decline throughout the year.

It is reflected in our full year guidance due to expected competition or potential competition.

If I could just squeeze one more in. On the product launches that you have for this year, have you provided any peak revenue numbers and the timing of those peak revenue numbers?

Hey, Rishi, that's a great question. Now we've not provided revenue expectations specific to each [indiscernible] launches in totality.

As Mark indicated in his prepared comments, with those launches to be a little later in the year, we're expecting four to six yet over the rest of the year. one of them -- one more Generic that was [indiscernible] timing perspective and then up to five sterile.

Great. Thank you.

Yes, just a quick follow-up on pipeline. Have your expectations for launches this year, next year, and the out years changed at all versus your last update in terms of plan projection?

Since we did our guidance for 2024, which is in March, there's been some normal timing shift, but nothing material.

So we should -- we're still on track for that same rep. That's it for me.

Thank you.

Well, thank you, everyone, for joining us on the call this morning. We look forward to providing you with updates as we move forward.

Have a great rest of the day.