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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
_____________________
Form 10-Q
________________
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 2023
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 No. 001-40235
Organon & Co.
(Exact name of registrant as specified in its charter)
Delaware
46-4838035
(State or other jurisdiction of incorporation)
(I.R.S. Employer Identification No.)
30 Hudson Street, Floor 33
Jersey City,
New Jersey
07302
(Address of principal executive offices) (zip code)
(Registrant’s telephone number, including area code) (551) 430-6900
Not Applicable
(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 ($0.01 par value)
OGN
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 such 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, smaller reporting company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and "emerging growth company" in Rule 12b-2 of the Exchange Act. (Check one):
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
The number of shares of common stock outstanding as of the close of business on April 28, 2023: 255,061,747
-1-


Table of Contents
Page No.
PART I
Item 1.
Item 2.
Item 3.
Item 4.
PART II
Item 1.
Item 1A.
Item 6.

-2-

Table of Contents
PART I - FINANCIAL INFORMATION
Item 1. Financial Statements

Organon & Co.
Condensed Consolidated Statements of Income
(Unaudited, $ in millions except shares in thousands and per share amounts)
 
Three Months Ended
March 31,
20232022
Revenues$1,538 $1,567 
Costs, Expenses and Other
Cost of sales580 561 
Selling, general and administrative435 371 
Research and development129 96 
Acquired in-process research and development and milestones8  
Restructuring costs4  
Interest expense132 97 
Exchange losses (gains)9 (4)
Other expense, net6 4 
 1,303 1,125 
Income From Operations Before Income Taxes235 442 
Taxes on Income58 94 
Net Income$177 $348 
Earnings per Share:
Basic$0.70 $1.37 
Diluted$0.69 $1.36 
Weighted Average Shares Outstanding:
Basic254,392 253,583 
Diluted256,170 255,052 

The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.
-3-

Table of Contents
Organon & Co.
Condensed Consolidated Statements of Comprehensive Income
(Unaudited, $ in millions)
 
Three Months Ended
March 31,
20232022
Net Income$177 $348 
Other Comprehensive Income (Loss), Net of Taxes:
Benefit plan net loss and prior service credit, net of amortization
 (1)
Cumulative translation adjustment
30 (15)
 30 (16)
Comprehensive Income$207 $332 

The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.
-4-

Table of Contents
Organon & Co.
Condensed Consolidated Balance Sheets
(Unaudited, $ in millions except shares in thousands and per share amounts)
March 31, 2023December 31, 2022
Assets
Current Assets
Cash and cash equivalents$459 $706 
Accounts receivable (net of allowance for doubtful accounts of $9 in
2023 and $9 in 2022)
1,445 1,475 
Inventories (excludes inventories of $87 in 2023 and $148 in 2022 classified in Other assets)
1,121 1,003 
Other current assets755 747 
Total current assets3,780 3,931 
Property, plant and equipment, net1,055 1,018 
Goodwill4,603 4,603 
Intangibles, net621 649 
Other assets704 754 
 $10,763 $10,955 
Liabilities and Equity
Current Liabilities
Current portion of long-term debt$8 $8 
Trade accounts payable996 1,132 
Accrued and other current liabilities1,150 1,188 
Income taxes payable192 184 
Total current liabilities2,346 2,512 
Long-term debt8,703 8,905 
Deferred income taxes30 19 
Other noncurrent liabilities421 411 
Contingencies (Note 15)
Organon & Co. Stockholders' Deficit
Common stock, $0.01 par value
Authorized - 500,000
Issued and outstanding - 254,432 in 2023 and 254,370 in 2022
3 3 
Accumulated deficit(206)(331)
Accumulated other comprehensive loss(534)(564)
Total Stockholders' Deficit(737)(892)
 $10,763 $10,955 
The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.
-5-

Table of Contents
Organon & Co.
Condensed Consolidated Statements of Stockholders' Equity (Deficit)
(Unaudited, $ in millions, except shares in thousands and per share amounts)

Common StockAdditional Paid-In CapitalAccumulated DeficitAccumulated
Other
Comprehensive
(Loss) Income
Total
SharesPar Value
Balance at January 1, 2022
253,550 $3 $ $(998)$(513)$(1,508)
Net income— — — 348 — 348 
Other comprehensive loss, net of taxes— — — — (16)(16)
Cash dividends declared on common stock ($0.28 per share)
— — — (71)— (71)
Stock-based compensation plans and other87 — — 15 — 15 
Net transfers to Merck & Co., Inc. including Separation Adjustments
— — — (18) (18)
Balance at March 31, 2022253,637 $3 $ $(724)$(529)$(1,250)
Balance at January 1, 2023
254,370 $3 $ $(331)$(564)$(892)
Net income— — — 177 — 177 
Other comprehensive income, net of taxes— — — — 30 30 
Cash dividends declared on common stock ($0.28 per share)
— — — (73)— (73)
Stock-based compensation plans and other62 — 21 — 21 
Balance at March 31, 2023254,432 $3 $ $(206)$(534)$(737)
The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.
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Organon & Co.
Condensed Consolidated Statements of Cash Flows
(Unaudited, $ in millions)
Three Months Ended March 31,
 20232022
Cash Flows from Operating Activities
Net income$177 $348 
Adjustments to reconcile net income to net cash flows provided by operating activities:
Depreciation28 25 
Amortization29 28 
Acquired in-process research and development and milestones8  
Deferred income taxes3 (4)
Stock-based compensation22 15 
Unrealized foreign exchange loss (gain)2 (6)
Other8 6 
Net changes in assets and liabilities
Accounts receivable39 54 
Inventories(38)14 
Other current assets(3)(37)
Trade accounts payable(139)(298)
Accrued and other current liabilities(47)(45)
Income taxes payable6 30 
Other19 (7)
Net Cash Flows Provided by Operating Activities114 123 
Cash Flows from Investing Activities
Capital expenditures(46)(33)
Acquired in-process research and development and milestones(8) 
Purchase of product rights and asset acquisition, net of cash acquired (30)
Net Cash Flows Used in Investing Activities(54)(63)
Cash Flows from Financing Activities
Repayments of debt(252)(2)
Net transfers to Merck & Co., Inc. (18)
Employee withholding taxes related to stock-based awards(1) 
Dividend payments(73)(71)
Net Cash Flows Used in Financing Activities(326)(91)
Effect of Exchange Rate Changes on Cash and Cash Equivalents19 (12)
Net Decrease in Cash and Cash Equivalents(247)(43)
Cash and Cash Equivalents, Beginning of Period706 737 
Cash and Cash Equivalents, End of Period$459 $694 
 The accompanying notes are an integral part of these interim Condensed Consolidated Financial Statements.
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Notes to Condensed Consolidated Financial Statements (unaudited)

1. Background and Nature of Operations

Organon & Co. ("Organon" or the "Company") is a global health care company with a focus on improving the health of women throughout their lives. Organon develops and delivers innovative health solutions through a portfolio of prescription therapies and medical devices within women's health, biosimilars and established brands (the "Organon Products"). Organon has a portfolio of more than 60 medicines and products across a range of therapeutic areas. The Company sells these products through various channels including drug wholesalers and retailers, hospitals, government agencies and managed health care providers such as health maintenance organizations, pharmacy benefit managers and other institutions. The Company operates six manufacturing facilities, which are located in Belgium, Brazil, Indonesia, Mexico, the Netherlands and the United Kingdom. Unless otherwise indicated, trademarks appearing in italics throughout this document are trademarks of, or are used under license by, the Organon group of companies.

The Company's operations include the following product portfolios:

Women's Health: Organon's women's health products are sold by prescription primarily in two therapeutic areas, contraception, with key brands such as Nexplanon® (etonogestrel implant) (sold as Implanon NXT™ in some countries outside the United States) and NuvaRing® (etonogestrel / ethinyl estradiol vaginal ring), and fertility, with key brands such as Follistim AQ® (follitropin beta injection) (marketed in most countries outside the United States as Puregon™). Nexplanon® is a long-acting reversible contraceptive, which is a class of contraceptives that is recognized as one of the most effective types of hormonal contraception available to patients with a low long-term average cost. Other women’s health products include the Jada® System, which is intended to provide control and treatment of abnormal postpartum uterine bleeding or hemorrhage when conservative management is warranted and a license from Daré Biosciences for the global commercial rights to Xaciato™ (clindamycin phosphate vaginal gel, 2%), an FDA-approved medication for the treatment of bacterial vaginosis ("BV") in females 12 years of age and older.

Biosimilars: Organon's current portfolio spans across immunology and oncology treatments. Organon's oncology biosimilars have been launched in more than 20 countries and Organon's immunology biosimilars have been launched in five countries. All five biosimilars in Organon's portfolio have launched in Canada, and two biosimilars; Ontruzant® (trastuzumab-dttb) and Renflexis® (infliximab-abda) have been launched in the United States.

Established Brands: Organon has a portfolio of established brands, which generally are beyond market exclusivity, including leading brands in cardiovascular, respiratory, dermatology and non-opioid pain management. A number of Organon's established brands lost exclusivity years ago and have faced generic competition for some time.

2. Basis of Presentation

The accompanying unaudited financial statements have been prepared in accordance with U.S. Generally Accepted Accounting Principles (“GAAP”) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, certain information and disclosures required by GAAP for complete consolidated financial statements are not included herein. The results of operations of any interim period are not necessarily indicative of the results of operations for the full year. In the Company's opinion, all adjustments necessary for a fair statement of these interim statements have been included and are of a normal and recurring nature. All intercompany transactions and accounts within Organon have been eliminated. These interim statements should be read in conjunction with the audited financial statements and notes thereto included in Organon's Annual Report on Form 10-K for the year ended December 31, 2022.

Use of Estimates

The presentation of these Condensed Consolidated Financial Statements and accompanying notes in conformity with U.S. GAAP require management to make estimates and assumptions that affect the amounts reported, as further described in our Form 10-K for the year ended December 31, 2022. Accordingly, actual results could differ materially from management's estimates and assumptions.

The Company continues to experience uncertainty relative to the duration and overall impact of COVID-19, specifically, in the Company's operations in China. The future operating performance in that region, particularly in the short-term, may be subject to volatility. The assessment of certain accounting matters and specifically its effect on the Company's results require consideration of forecasted financial information in the context of the information reasonably available to the Company and the future impacts of COVID-19 on the Company's operations in China as of March 31, 2023 and through the date of this report which are difficult to predict.
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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)

Recently Adopted Accounting Standards

In October 2021, the FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers, guidance to improve the accounting for contract assets and contract liabilities from acquired revenue contracts with customers in a business combination. The guidance addresses diversity in practice and inconsistency related to the recognition of an acquired contract liability, payment terms and their effect on subsequent revenue recognized by an acquirer. The guidance became effective for the Company on January 1, 2023 and its amendments will be applied prospectively to business combinations occurring on or after the effective date of the guidance. The adoption of this guidance did not have an impact on the Company's Consolidated Financial Statements for prior acquisitions; however, the impact in future periods will be dependent upon the contract assets and contract liabilities acquired in future business combinations.

Recently Issued Accounting Standards Not Yet Adopted

The following summarizes recent Accounting Standards Updates ("ASUs") issued by the FASB that could have a material impact on our consolidated financial statements.

In March 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting, optional guidance to ease the potential burden in accounting for (or recognizing the effects of) reference rate reform on financial reporting and subsequently issued clarifying amendments. The guidance provides optional expedients and exceptions for applying GAAP to contracts, hedging relationships, and other transactions that reference the London Interbank Offered Rate ("LIBOR") or another reference rate expected to be discontinued because of reference rate reform. The optional guidance is effective upon issuance and can be applied on a prospective basis at any time between January 1, 2020 and December 31, 2022, the sunset date was subsequently deferred to December 31, 2024 based on the amendment issued in December 2022 under ASU 2022-06, Reference Rate Reform (Topic 848). The Company is still evaluating the impact to its LIBOR-based debt. Based on the evaluation thus far, the Company does not anticipate a material impact to the Consolidated Financial Statements as a result of reference rate reform.

3. Acquisitions and Licensing Arrangements

Claria Medical, Inc. ("Claria")

In January 2023, the Company made a strategic investment in Claria, a privately-held company developing an investigational medical device being studied for use during minimally invasive laparoscopic hysterectomy. Under the terms of the agreement, Organon paid $8 million upfront and has the option to acquire Claria for an additional $47 million, payable if and when the option is exercised. The $8 million was expensed as Acquired in-process research and development and milestones in our Condensed Consolidated Statement of Income for the three months ended March 31, 2023.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
4. Earnings per Share ("EPS")

The calculations of basic and diluted earnings per common share are as follows:
Three Months Ended
March 31,
($ in millions and shares in thousands, except per share amounts)20232022
Net income$177 $348 
Basic weighted average number of shares outstanding254,392253,583
Stock awards and equity units (share equivalent)1,7781,469
Diluted weighted average common shares outstanding256,170255,052
EPS:
Basic$0.70 $1.37 
Diluted$0.69 $1.36 
Anti-dilutive shares excluded from the calculation of EPS6,495 4,860 

Diluted EPS is computed by giving effect to all potentially dilutive stock awards that are outstanding. The computation of diluted EPS excludes the effect of the potential exercise of stock-based awards, when the effect of the potential exercise would be anti-dilutive.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
5. Product and Geographic Information

The Company's operations include the following product portfolios, which constitute one operating segment engaged in developing and delivering innovative health solutions through its portfolio of prescription therapies within women's health, biosimilars and established brands.

Revenues of the Company's products were as follows:
Three Months Ended March 31,
20232022
($ in millions)U.S.Int'lTotalU.S.Int'lTotal
Women's Health
Nexplanon/Implanon NXT$114 $52 $165 $116 $55 $171 
Follistim AQ26 29 55 30 31 61 
NuvaRing
15 24 40 16 24 41 
Ganirelix Acetate Injection
6 23 30 8 22 30 
Marvelon/Mercilon
 37 37  24 24 
Other Women's Health (1)
26 28 54 27 26 52 
Biosimilars
Renflexis55 7 62 42 4 46 
Ontruzant13 8 21 7 15 22 
Brenzys 19 19  14 14 
Aybintio 10 10  10 10 
Hadlima 5 5  6 6 
Established Brands
Cardiovascular
Zetia2 81 83 3 96 99 
Vytorin2 28 29 2 36 38 
Atozet 128 128  119 119 
Rosuzet 18 18  22 22 
Cozaar/Hyzaar2 83 85 8 86 93 
Other Cardiovascular (1)
1 40 41 1 38 39 
Respiratory
Singulair3 117 120 3 127 130 
Nasonex 69 69 9 65 75 
Dulera38 8 46 31 9 40 
Clarinex1 39 39 1 37 38 
Other Respiratory (1)
12 5 17 12 11 22 
Non-Opioid Pain, Bone and Dermatology
Arcoxia 71 71  60 60 
Fosamax 37 38 1 40 41 
Diprospan 14 14  31 31 
Other Non-Opioid Pain, Bone and Dermatology (1)
4 59 63 3 66 69 
Other
Proscar 27 27  24 24 
Propecia2 31 33 1 29 30 
Other (1)
4 76 80 8 74 83 
Other (2)
 39 39  37 37 
Revenues$326 $1,212 $1,538 $329 $1,238 $1,567 
Totals may not foot due to rounding. Trademarks appearing above in italics are trademarks of, or are used under license by, the Organon group of companies.

(1) Includes sales of products not listed separately. Revenues from Marvelon/Mercilon were previously reported as part of Other Women's Health. Revenue from an arrangement for the sale of generic etonogestrel/ethinyl estradiol vaginal ring is included in Other Women's Health.
(2) Includes manufacturing sales to Merck and third parties for current and prior periods.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
Revenues by geographic area where derived are as follows:
Three Months Ended
March 31,
($ in millions)20232022
Europe and Canada$400 $436 
United States326 329 
Asia Pacific and Japan324 314 
China225 236 
Latin America, Middle East, Russia and Africa214 209 
Other (1)
49 43 
Revenues$1,538 $1,567 
(1) Primarily reflects manufacturing sales to Merck and third parties for current and prior periods.

6. Stock-Based Compensation Plans

The Company grants stock option awards, performance share units ("PSUs") and restricted share units ("RSUs") pursuant to its 2021 Incentive Stock Plan.

Employee stock options are granted to purchase shares of Company stock at the fair market value at the time of grant. Generally, stock options have a contractual term of ten years and vest one-third each year over a three-year period, subject to limited exceptions.

RSUs are stock awards that are granted to employees and entitle the holder to shares of common stock as the awards vest. RSU awards generally vest one-third each year over a three-year period. The fair value of the stock option and RSU awards is determined and fixed on the grant date based on the Company's stock price.

The terms of the Company's PSU awards allow the recipients of such awards to earn a variable number of common shares based on the cumulative results of specified performance factors. The Company has PSU awards based on the following performance factors:
total stockholder return of the Company relative to an index of peer companies ("relative TSR") specified in the awards
the results of the cumulative free cash flow ("FCF") of the Company over a three year period

For FCF and relative TSR awards, the Company recognizes compensation costs ratably over the performance period. The PSU awards will generally vest at the end of the three year performance period, however, the number of shares delivered will vary based upon the attained level of performance. For PSUs with a performance-based FCF goal, stock-based compensation expense is recognized based on the probability of the achievement of the financial performance metric for the respective vesting period and is assessed at each reporting date. For PSUs with a market-based relative TSR goal, stock-based compensation expense is recognized based on the estimated fair value of the award at the grant date regardless of the actual number of shares earned. PSU awards generally vest after three years.

For RSUs and PSUs, dividends declared during the vesting period are payable to the employees only upon vesting. RSU and PSU distributions will be in shares of Company stock after the end of the vesting or performance period, subject to the terms applicable to such awards.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
Stock-based compensation expenses incurred by the Company were as follows:

Three Months Ended
March 31,
($ in millions)20232022
Stock-based compensation expense recognized in:
Cost of sales$4 $3 
Selling, general and administrative 15 10 
Research and development3 2 
Total$22 $15 
Income tax benefits$5 $3 

The weighted average fair value of options was determined using the following assumptions:

Three Months Ended
March 31,
20232022
Expected dividend yield4.82 %3.12 %
Risk-free interest rate3.56 2.47 
Expected volatility42.30 43.43 
Expected life (years)5.895.89

A summary of the equity award transactions for the three months ended March 31, 2023 are as follows:

Stock OptionsRestricted Share UnitsPerformance Share Units
(shares in thousands)SharesWeighted average exercise priceWeighted average grant date fair valueSharesWeighted average grant date fair valueSharesWeighted average grant date fair value
Outstanding as of January 1, 20234,729 $34.34 $8.91 5,048 $33.27 486 $46.72 
Granted1,124 23.52 6.55 3,730 23.56   
Vested/Exercised   (1,080)32.00   
Forfeited/Cancelled(82)36.12 8.70 (221)34.54   
Outstanding as of March 31, 2023
5,771 $32.21 $8.45 7,477 $28.57 486 $46.72 

The following table summarizes information about equity awards outstanding that are vested and expected to vest and equity awards outstanding that are exercisable as of March 31, 2023:

Equity Awards Vested and Expected to VestEquity Awards That are Exercisable
(shares in thousands; aggregate intrinsic value in millions)AwardsWeighted Average Exercise PriceAggregate Intrinsic ValueRemaining TermAwardsWeighted Average Exercise PriceAggregate Intrinsic ValueRemaining Term
Stock Options5,517 $32.21 $ 7.552,536 $33.03 $ 5.90
Restricted Share Units6,809 176 2.36
Performance Share Units291 8 1.67

The amount of unrecognized compensation costs as of March 31, 2023 was $211 million, which will be recognized in operating expense ratably over the weighted average vesting period of 2.28 years.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
7. Restructuring

In 2022, Organon initiated restructuring activities to optimize its internal operations by reducing headcount through selected markets and functions. As a result of this program, the Company intends to restructure approximately 130 positions, with the majority of the position eliminations occurring in selected markets outside of the U.S. in our commercial organizations. During the three months ended March 31, 2023, $5 million of restructuring charges have been paid, with the majority of the severance payments expected to be paid by the end of the 2023 fiscal year. For the three months ended March 31, 2023, the Company recorded restructuring charges of $4 million, which relate to severance costs for eliminated positions.

Liabilities for costs associated with restructuring activities were $19 million and $20 million at March 31, 2023 and December 31, 2022, respectively, and are included primarily in Accrued and other current liabilities.

8. Taxes on Income

The effective income tax rates were 24.6% and 21.3% for the three months ended March 31, 2023 and 2022, respectively. These effective income tax rates reflect the beneficial impact of foreign earnings, offset by the impact of U.S. inclusions under the Global Intangible Low-Taxed Income regime and a partial valuation allowance recorded against non-deductible US interest expense.

On August 16, 2022, the U.S. enacted the Inflation Reduction Act of 2022. Provisions of the bill that relate to tax include the minimum tax on book income, a 1% excise tax on stock buybacks and certain tax incentives to promote clean energy. There are no impacts of the legislation to the first quarter 2023 results. The Company will continue to assess future impacts of this legislation.

9. Inventories

Inventories consisted of:
($ in millions)March 31, 2023December 31, 2022
Finished goods$479 $482 
Raw materials
58 44 
Work in process631 601 
Supplies56 44 
Total (approximates current cost)$1,224 $1,171 
Decrease to LIFO costs(16)(20)
 $1,208 $1,151 
Recognized as:
Inventories$1,121 $1,003 
Other assets87 148 
Inventories valued under the last in, first out ("LIFO") method85 77 

Amounts recognized as Other assets are comprised primarily of raw materials and work in process inventories and are not expected to be converted to finished goods that will be sold within one year. The Company has a long-term vendor supply contract that includes certain annual minimum purchase commitments.

10. Financial Instruments

Foreign Currency Risk Management

The Company has a balance sheet risk management and a net investment hedging program to mitigate against volatility of changes in foreign exchange rates.

The Company uses a balance sheet risk management program to partially mitigate the exposure of net monetary assets of its subsidiaries that are denominated in a currency other than a subsidiary's functional currency from the effects of volatility in
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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
foreign exchange. In these instances, Organon principally utilizes forward exchange contracts to partially offset the effects of exchange on exposures denominated in developed country currencies, primarily the euro, Swiss franc and Japanese yen. For exposures in developing country currencies, the Company enters into forward contracts to partially offset the effects of exchange on exposures when it is deemed economical to do so based on a cost-benefit analysis that considers the magnitude of the exposure, the volatility of the exchange rate and the cost of the hedging instrument.

Monetary assets and liabilities denominated in a currency other than the functional currency of a given subsidiary are remeasured at spot rates in effect on the balance sheet date with the effects of changes in spot rates reported in Exchange losses (gains). The forward contracts are not designated as hedges and are marked to market through Exchange losses (gains). Accordingly, fair value changes in the forward contracts help mitigate the changes in the value of the remeasured assets and liabilities attributable to changes in foreign currency exchange rates, except to the extent of the spot-forward differences. These differences are not significant due to the short-term nature of the contracts, which typically have average maturities at inception of less than one year. The notional amount of forward contracts was $1.5 billion as of March 31, 2023 and December 31, 2022, respectively. The cash flows from these contracts are reported as operating activities in the Condensed Consolidated Statements of Cash Flows.

The Company measures fair value based on the prices that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Fair value measurements are based on a three-tier hierarchy that prioritizes the inputs used to measure fair value. These tiers include: Level 1, defined as observable inputs such as quoted prices in active markets; Level 2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable; and Level 3, defined as unobservable inputs for which little or no market data exists, therefore requiring an entity to develop its own assumptions.
The following financial instruments were recorded at their estimated fair value. The recurring fair value measurement of our assets and liabilities were as follows:
($ in millions)Fair Value Measurement Level March 31, 2023December 31, 2022
Forward contracts in Other current assets
2$12 $6 
Forward contracts in Accrued and other current liabilities
26 24 

Foreign exchange risk is also managed through the use of economic hedges on foreign currency balances. See Note 11 "Long- Term Debt" for additional details. €1.987 billion in the aggregate of both the euro-denominated term loan (€737 million) and the 2.875% euro-denominated secured notes (€1.25 billion) has been designated and is effective as an economic hedge of the net investment in euro-denominated subsidiaries.

Foreign currency (losses) gains due to spot rate fluctuations on the euro-denominated debt instruments included in foreign currency translation adjustments resulting from hedge designation were as follows:
Three Months Ended
March 31,
($ in millions)20232022
Foreign currency (losses) gains in Other comprehensive income
$(42)$37 

The Condensed Consolidated Statements of Income include the impact of actual net (gains) and losses of Organon's derivative financial instruments:
Three Months Ended
March 31,
($ in millions)20232022
Foreign exchange loss (gain) in Exchange losses (gains)
9 (4)

Organon has established accounts receivable factoring agreements with financial institutions in certain countries to sell accounts receivable. Under these agreements, Organon factored $68 million and $43 million of accounts receivable as of March 31, 2023 and December 31, 2022, respectively, which reduced outstanding accounts receivable. The cash received from the financial institutions is reported within operating activities in the Condensed Consolidated Statements of Cash Flows.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
11. Long- Term Debt

The following is a summary of Organon's total debt:
($ in millions)March 31, 2023December 31, 2022
Term Loan B Facility:
LIBOR plus 300 bps term loan due 2028
$2,543 $2,793 
LIBOR plus 300 bps euro-denominated term loan due 2028 (€750 million)
800 787 
4.125% secured notes due 2028
2,100 2,100 
2.875% euro-denominated secured notes due 2028 (€1.25 billion)
1,357 1,331 
5.125% notes due 2031
2,000 2,000 
Other borrowings8 7 
Other (discounts and debt issuance costs)(97)(105)
Total principal long-term debt$8,711 $8,913 
Less: Current portion of long-term debt8 8 
Total Long-term debt, net of current portion$8,703 $8,905 

The nature and terms of our Term Loan B Facility, Notes and Other borrowings are described in detail in Note 11 "Long-Term Debt and Leases" in our 2022 Annual Report on Form 10-K.

Long-term debt was recorded at the carrying amount. The estimated fair value of long-term debt (including current portion) is as follows:
($ in millions)March 31, 2023December 31, 2022
Long-term debt
$8,236 $8,294 

Fair value was estimated using inputs other than quoted prices in active markets for identical assets and liabilities that are observable either directly or indirectly for substantially the full term of the asset or liability and would be considered Level 2 in the fair value hierarchy.

The Company made interest payments related to its debt instruments of $65 million for the three months ended March 31, 2023. The average maturity of the Company's long-term debt as of March 31, 2023 is approximately 5.7 years and the weighted-average interest rate on total borrowings as of March 31, 2023 is 5.4%.

On March 30, 2023, the Company made a discretionary prepayment of $250 million on the U.S. Dollar-denominated term loan.

The schedule of principal payments required on long-term debt for the next five years and thereafter is as follows:
($ in millions)
2023$6 
20249 
20259 
20269 
20279 
Thereafter8,766 

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
12. Accumulated Other Comprehensive Income (Loss)

Changes in Accumulated other comprehensive income (loss) by component are as follows:
($ in millions)Employee
Benefit
Plans
Cumulative
Translation
Adjustment
Accumulated Other
Comprehensive
Loss (Income)
Balance at January 1, 2022, net of taxes$(13)$(500)$(513)
Other comprehensive loss, pretax(1)(15)(16)
Tax   
Other comprehensive loss, net of taxes(1)(15)(16)
Balance at March 31, 2022, net of taxes$(14)$(515)$(529)
Balance at January 1, 2023, net of taxes$10 $(574)$(564)
Other comprehensive income, pretax 30 30 
Tax   
Other comprehensive income, net of taxes 30 30 
Balance at March 31, 2023, net of taxes$10 $(544)$(534)

13. Samsung Collaboration

The Company has an agreement with Samsung Bioepis Co., Ltd. ("Samsung Bioepis") to develop and commercialize multiple pre-specified biosimilar candidates, which have since launched and are part of the Company's product portfolio. Under the agreement, Samsung Bioepis is responsible for preclinical and clinical development, process development and manufacturing, clinical trials and registration of product candidates, and the Company has an exclusive license for worldwide commercialization with certain geographic exceptions specified on a product-by-product basis. The Company's access rights to each product under the agreement last for 10 years from each product's launch date on a market-by-market basis. Gross profits are shared equally in all markets with the exception of certain markets in Brazil where gross profits are shared 65% to Samsung Bioepis and 35% to the Company. Since the Company is the principal on sales transactions with third parties, the Company recognizes sales, cost of sales and selling, general and administrative expenses on a gross basis. Generally, profit sharing adjustments are recorded either to Cost of sales (after commercialization) or Selling, general and administrative expenses (prior to commercialization).

Samsung Bioepis is eligible for additional payments associated with pre-specified clinical and regulatory milestones. As of March 31, 2023, potential future regulatory milestone payments of $25 million remain under the agreement.

Summarized information related to this collaboration is as follows:
Three Months Ended
March 31,
($ in millions)20232022
Sales$116 $99 
Cost of sales84 65 
Selling, general and administrative18 18 

($ in millions)March 31, 2023December 31, 2022
Receivables from Samsung included in Other current assets
$20 $21 
Payables to Samsung included in Trade accounts payable
28 72 

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
14. Third-Party Arrangements

On June 2, 2021, Organon and Merck & Co., Inc. ("Merck") entered into a Separation and Distribution Agreement (the "Separation and Distribution Agreement"). Pursuant to the Separation and Distribution Agreement, Merck agreed to spin off the Organon Products into Organon, a new, publicly-traded company (the "Separation").

The Separation was completed pursuant to the Separation and Distribution Agreement and other agreements with Merck related to the Separation, including, but not limited to a tax matters agreement (the "Tax Matters Agreement" or "TMA"), an employee matters agreement (the "Employee Matters Agreement" or "EMA"), Interim Operating Model Agreements ("IOM Agreements"), Manufacturing and Supply Agreements, Intellectual Property License Agreements, Regulatory Agreements and a transition services agreement (the "Transition Service Agreement" or "TSA").

Following the Separation, certain functions continue to be provided by Merck under the TSA or are being performed using the Company's own resources or third-party service providers. Under the TSA, Merck is providing Organon various services and, similarly, Organon is providing Merck various services. The provision of services under the TSA generally will terminate within 25 months following the spin-off; however, the provision of certain services has been extended to at least 35 months. Additionally, under manufacturing and supply agreements, the Company manufactures certain products for Merck, or its applicable affiliate, and Merck manufactures certain products for the Company, or its applicable affiliate. For details on the rights and responsibilities of the parties under the agreements, refer to Note 18 to the audited Consolidated Financial Statements in the Company's 2022 Form 10-K.

For the three months ended March 31, 2023, material transactions occurred in connection with the IOM agreements.

The amounts due under such agreements were:
($ in millions)March 31, 2023December 31, 2022
Due from Merck in Accounts receivable
$344 $374 
Due to Merck in Accounts payable
521 543 

Sales and cost of sales resulting from the manufacturing and supply agreements with Merck were:
Three Months Ended
March 31,
($ in millions)20232022
Sales $30 $33 
Cost of sales 28 29 


15. Contingencies

Organon is involved in various claims and legal proceedings of a nature considered normal to its business, including product liability, intellectual property, and commercial litigation, as well as certain additional matters including governmental and environmental matters.

Organon records accruals for contingencies when it is probable that a liability has been incurred and the amount can be reasonably estimated. These accruals are adjusted periodically as assessments change or additional information becomes available. Individually significant contingent losses are accrued when probable and reasonably estimable. Legal defense costs expected to be incurred in connection with a loss contingency are accrued when probable and reasonably estimable.

Given the nature of the litigation discussed in this note and the complexities involved in these matters, Organon is unable to reasonably estimate a possible loss or range of possible loss for such matters until Organon knows, among other factors, (i) what claims, if any, will survive dispositive motion practice, (ii) the extent of the claims, including the size of any potential class, particularly when damages are not specified or are indeterminate, (iii) how the discovery process will affect the litigation, (iv) the settlement posture of the other parties to the litigation, and (v) any other factors that may have a material effect on the litigation.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
Organon's decision to obtain insurance coverage is dependent on market conditions, including cost and availability, existing at the time such decisions are made. Organon has evaluated its risks and has determined that the cost of obtaining product liability insurance outweighs the likely benefits of the coverage that is available and, as such, has no insurance for most product liabilities.

Reference is made below to certain litigation in which Merck, but not Organon, is named as a defendant. Pursuant to the Separation and Distribution Agreement, Organon is required to indemnify Merck for liabilities relating to, arising from, or resulting from such litigation.

Product Liability Litigation

Fosamax

Merck is a defendant in product liability lawsuits in the United States involving Fosamax® (alendronate sodium) (the "Fosamax Litigation"). As of March 31, 2023, approximately 3,245 cases comprising the Fosamax Litigation are pending against Merck in either federal or state court. Plaintiffs in the vast majority of these cases generally allege that they sustained femur fractures and/or other bone injuries ("Femur Fractures") in association with the use of Fosamax.

All federal cases involving allegations of Femur Fractures have been or will be transferred to a multidistrict litigation in the District of New Jersey ("Femur Fracture MDL"). In the only bellwether case tried to date in the Femur Fracture MDL, Glynn v. Merck, the jury returned a verdict in Merck's favor. In addition, in June 2013, the Femur Fracture MDL court granted Merck's motion for judgment as a matter of law in the Glynn case and held that the plaintiff's failure to warn claim was preempted by federal law.

In August 2013, the Femur Fracture MDL court entered an order requiring plaintiffs in the Femur Fracture MDL to show cause why those cases asserting claims for a femur fracture injury that took place prior to September 14, 2010, should not be dismissed based on the court's preemption decision in the Glynn case. Pursuant to the show cause order, in March 2014, the Femur Fracture MDL court dismissed with prejudice approximately 650 cases on preemption grounds. Plaintiffs in approximately 515 of those cases appealed that decision to the U.S. Court of Appeals for the Third Circuit ("Third Circuit"). In March 2017, the Third Circuit issued a decision reversing the Femur Fracture MDL court's preemption ruling and remanding the appealed cases back to the Femur Fracture MDL court. In May 2019, the U.S. Supreme Court decided that the Third Circuit had incorrectly concluded that the issue of preemption should be resolved by a jury, and accordingly vacated the judgment of the Third Circuit and remanded the proceedings back to the Third Circuit to address the issue in a manner consistent with the Supreme Court's opinion. In November 2019, the Third Circuit remanded the cases back to the District Court in order to allow that court to determine in the first instance whether the plaintiffs' state law claims are preempted by federal law under the standards described by the Supreme Court in its opinion. On March 23, 2022, the District Court granted Merck's motion and ruled that plaintiffs' failure to warn claims are preempted as a matter of law to the extent they assert that Merck should have added a Warning or Precaution regarding atypical femur fractures prior to October 2010. On July 11, 2022, the District Court entered an Order to Show Cause as to why the Court should not dismiss either with prejudice or conditionally all of plaintiffs' claims that are not dependent on the preempted failure to warn claims. On November 18, 2022, as a result of the Order to Show Cause, the District Court entered a Final Judgment resulting in the dismissal with prejudice of all plaintiffs in the MDL. On December 16, 2022, those plaintiffs filed their Notice of Appeal to the Third Circuit challenging the District Court's preemption ruling. 974 of the 975 cases previously pending in the Femur Fracture MDL have either been dismissed or are on appeal to the Third Circuit. Plaintiff's motion to remand one case back to its transferor court is pending.

As of March 31, 2023, approximately 1,990 cases alleging Femur Fractures have been filed in New Jersey state court and are pending in Middlesex County. The parties selected an initial group of cases to be reviewed through fact discovery, and Merck continued to select additional cases to be reviewed.

As of March 31, 2023, approximately 275 cases alleging Femur Fractures have been filed and are pending in California state court. All of the Femur Fracture cases filed in California state court have been coordinated before a single judge in Orange County, California.

Additionally, there are four Femur Fracture cases pending in other state courts.

Discovery is presently stayed in the Femur Fracture MDL and in the state court in California.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
Nexplanon/Implanon

Merck is a defendant in lawsuits brought by individuals relating to the use of Nexplanon and Implanon™ (etonogestrel implant). There are two filed product liability actions involving Implanon, both of which are pending in the Northern District of Ohio as well as 56 unfiled cases involving Implanon alleging similar injuries, which have been tolled under a written tolling agreement. As of March 31, 2023, Merck had 18 cases pending outside the United States, of which 12 relate to Implanon and six relate to Nexplanon.

Propecia/Proscar

As of March 31, 2023, one case remains pending in the United States, a matter involving Proscar® (finasteride) in the United States District Court for the Eastern District of California in which Merck's motion to dismiss was granted by the District Court, but the plaintiff can appeal the decision. The Company is also defending 15 product liability cases outside the United States, two of which are class actions and three of which are putative class actions.

Governmental Proceedings

From time to time, Organon's subsidiaries may receive inquiries and may be the subject of preliminary investigation activities from competition and/or other governmental authorities, including in markets outside the United States. These authorities may include regulators, administrative authorities, and law enforcement and other similar officials, and these preliminary investigation activities may include site visits, formal or informal requests or demands for documents or materials, inquiries or interviews and similar matters. Certain of these preliminary inquiries or activities may lead to the commencement of formal proceedings. Should those proceedings be determined adversely to Organon, monetary fines and/or remedial undertakings may be required. Subject to certain exceptions specified in the Separation and Distribution Agreement, Organon assumed liability for all pending and threatened legal matters related to products transferred to Organon, including competition investigations resulting from enforcement activity concerning Merck's conduct involving Organon's products. Organon could be obligated to indemnify Merck for fines or penalties, or a portion thereof, resulting from such investigations. In one such enforcement matter in Spain concerning NuvaRing, the National Commission on Markets and Competition ("CNMC") recently imposed a fine on Merck in the amount of €39 million for abuse of a dominant position in the market for contraceptive vaginal rings from June 2017 to April 2018. The CNMC decision to impose the fine has been appealed to the National High Court in Spain. If the fine ultimately stands, Organon could be obligated to indemnify Merck for a portion thereof.

Hadlima

In July 2021, Organon received a Civil Investigation Demand ("CID") from the Office of the Attorney General for the State of Washington. The CID requests answers to interrogatories, as well as various documents, regarding certain activities related to adalimumab and adalimumab biosimilars. Organon is cooperating with the government's investigation and has produced information in response to the CID.

Patent Litigation

From time to time, generic manufacturers of pharmaceutical products file Abbreviated New Drug Applications with the FDA seeking to market generic forms of Organon's products prior to the expiration of relevant patents owned by Organon. To protect its patent rights, Organon may file patent infringement lawsuits against such generic companies. Similar lawsuits defending Organon's patent rights may exist in other countries. Organon intends to vigorously defend its patents, which it believes are valid, against infringement by companies attempting to market products prior to the expiration of such patents. As with any litigation, there can be no assurance of the outcomes, which, if adverse, could result in significantly shortened periods of exclusivity for these products, potential payment of damages and legal fees, and, with respect to products acquired through acquisitions, potentially significant intangible asset impairment charges.

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Notes to Condensed Consolidated Financial Statements (unaudited) (continued)
Nexplanon

In June 2017, Microspherix LLC ("Microspherix") sued Organon in the U.S. District Court for the District of New Jersey asserting that the manufacturing, use, sale and importation of Nexplanon infringed several of Microspherix's patents that claim radio-opaque, implantable drug delivery devices. Microspherix is claiming damages from September 2014 until the patents expired in May 2021. Organon brought Inter Partes Review proceedings in the United States Patent and Trademark Office ("USPTO") and successfully stayed the district court action. The USPTO invalidated some, but not all, of the claims asserted against Organon. Organon appealed the decisions that found claims valid, and the Court of Appeals for the Federal Circuit affirmed the USPTO's decisions. The matter is no longer stayed in the district court, and Organon is currently litigating the invalidity and non-infringement of the remaining asserted claims. A claim construction hearing was held on March 2, 2022, and a claim construction order issued on February 27, 2023. This case is scheduled for trial before a jury in Camden, New Jersey starting on October 16, 2023.

Other Litigation

In addition to the matters described above, there are various other pending legal proceedings involving Organon, principally product liability and intellectual property lawsuits. While it is not feasible to predict the outcome of such proceedings, in the opinion of Organon as of March 31, 2023, either the likelihood of loss is remote or any reasonably possible loss associated with the resolution of such proceedings is not expected to be material to Organon's financial condition, results of operations or cash flows either individually or in the aggregate.

Legal Defense Reserves

Legal defense costs expected to be incurred in connection with a loss contingency are accrued when probable and reasonably estimable. Some of the significant factors considered in the review of these legal defense reserves are as follows: the actual costs incurred by Organon; the development of Organon's legal defense strategy and structure in light of the scope of its litigation; the number of cases being brought against Organon; and the costs and outcomes of completed trials and the most current information regarding anticipated timing, progression, and related costs of pre-trial activities and trials in the associated litigation. The legal defense reserve as of March 31, 2023 and December 31, 2022 was $22 million and $17 million, respectively, and represented Organon's best estimate of the minimum amount of defense costs to be incurred in connection with its outstanding litigation; however, events such as additional trials and other events that could arise in the course of its litigation could affect the ultimate amount of legal defense costs to be incurred by Organon. Organon will continue to monitor its legal defense costs and review the adequacy of the associated reserves and may determine to increase the reserves at any time in the future if, based upon the factors set forth, it believes it would be appropriate to do so.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING INFORMATION

Some statements and disclosures in this document are forward-looking statements. Forward-looking statements include all statements that do not relate solely to historical or current facts and can be identified by the use of words such as "may," "believe," "will," "expect," "project," "estimate," "anticipate," "plan" or "continue." These forward-looking statements are based on our current plans and expectations and are subject to a number of risks and uncertainties that could cause our plans and expectations, including actual results, to differ materially from the forward-looking statements. Risks and uncertainties that may affect our future results include, but are not limited to, expanded brand and class competition in the markets in which Organon operates; political and social pressures, or regulatory developments, that adversely impact demand for, availability of, or patient access to contraception or fertility products; difficulties with performance of third parties Organon relies on for its business growth; the failure of any supplier to provide substances, materials, or services as agreed; the increased cost of supply, manufacturing, packaging, and operations; difficulties developing and sustaining relationships with commercial counterparties; competition from generic products as Organon's products lose patent protection; expiration of current patents or loss of patent protection for Organon's products; difficulties and uncertainties inherent in the implementation of Organon's acquisition strategy or failure to recognize the benefits of such acquisitions; pricing pressures globally, including rules and practices of managed care groups, judicial decisions and governmental laws and regulations related to Medicare, Medicaid and health care reform, pharmaceutical reimbursement and pricing in general; and other factors discussed in Organon's most recently filed Annual Report on Form 10-K and subsequently filed Quarterly Reports on Form 10-Q and Current Reports on Form 8-K, including those discussed in the "Business," "Risk Factors," "Cautionary Factors that May Affect Future Results" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections of those reports.

General

The following Management’s Discussion and Analysis of Financial Condition and Results of Operations is intended to assist in understanding the Company’s financial condition and results of operations. The following discussion and analysis should be read in conjunction with the Company’s Condensed Consolidated Financial Statements included in Part I, Item 1 of this report and with our audited financial statements, including the accompanying notes, and Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our Annual Report on Form 10-K for the year ended December 31, 2022. Operating results discussed herein are not necessarily indicative of the results of any future period.

Organon & Co. ("Organon" or the "Company") is a global health care company with a focus on improving the health of women throughout their lives. Organon develops and delivers innovative health solutions through a portfolio of prescription therapies and medical devices within women's health, biosimilars and established brands (the "Organon Products"). Organon has a portfolio of more than 60 medicines and products across a range of therapeutic areas. The Company sells these products through various channels including drug wholesalers and retailers, hospitals, government agencies and managed health care providers such as health maintenance organizations, pharmacy benefit managers and other institutions. The Company operates six manufacturing facilities, which are located in Belgium, Brazil, Indonesia, Mexico, the Netherlands and the United Kingdom. Unless otherwise indicated, trademarks appearing in italics throughout this document are trademarks of, or are used under license by, the Organon group of companies.

Recent Developments

Business Development

Claria Medical, Inc. ("Claria")

In January 2023, the Company made a strategic investment in Claria, a privately-held company developing an investigational medical device being studied for use during minimally invasive laparoscopic hysterectomy. Under the terms of the agreement, Organon paid $8 million upfront and has the option to acquire Claria for an additional $47 million, payable if and when the option is exercised. The $8 million was expensed as Acquired in-process research and development and milestones in our Condensed Consolidated Statement of Income for the three months ended March 31, 2023.

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COVID-19 Update

COVID-19 related disruptions, including patients' inability to access health care providers, prioritization of COVID-19 patients, as well as social distancing measures, negatively affected our results during 2022 and we expect that it will continue to affect our operations, specifically, in China in 2023. During 2022 and the first quarter of 2023, our business was impacted by lockdowns in selective cities across China, which have slowed down with recent policies in China to ease the zero-COVID strategy. We believe that global health systems and patients continue to adapt to the evolving impacts of COVID-19. Due to the uncertainty that exists relative to the duration and overall impact of COVID-19 resulting from resurgences in COVID-19 infections or new strains of the virus, our future operating performance in China, particularly in the short-term, may be subject to volatility.


Operating Results

Sales Overview
Three Months Ended March 31,% Change% Change Excluding Foreign Exchange
($ in millions)20232022
United States$326 $329 — %— %
International1,212 1,238 (2)
Total$1,538 $1,567 (2)%%

Worldwide sales were $1.5 billion for the three months ended March 31, 2023, a decrease of 2% compared with 2022. Worldwide sales were negatively impacted by approximately 5%, or $71 million, due to unfavorable foreign exchange. Excluding foreign exchange, sales increases primarily reflect the performance of Marvelon™ (desogestrel and ethinyl estradiol pill) and Mercilon™ (desogestrel and ethinyl estradiol pill), resulting from the recent transaction with Bayer Healthcare where Organon gained full rights in selected territories in Southeast Asia and China during 2022, Renflexis, driven primarily by continued demand growth in the United States and Canada and Atozet™ (ezetimibe and atorvastatin calcium) (marketed outside of the United States), due to increased demand in France. This performance was partially offset by declines in Zetia® (ezetimibe) (marketed in most countries outside of the United States as Ezetrol™) and Vytorin® (ezetimibe/simvastatin) (marketed outside of the United States as Inegy™) driven by the impact of volume-based procurement ("VBP") in China and increased competition and lower performance in Europe coupled with the impact of the Diprospan™ (betamethasone cream) market actions taken during the first quarter of 2023. Within our established brands portfolio, respiratory products were positively impacted in the prior year, due to higher demand from competitors' supply disruptions in Japan.

The loss of exclusivity ("LOE") negatively impacted sales by approximately $2 million during the three months ended March 31, 2023, compared to the three months ended March 31, 2022, based on the decrease in volume period over period, mainly impacting NuvaRing in the United States. VBP in China had a $27 million negative impact on sales during the three months ended March 31, 2023, compared to the three months ended March 31, 2022. Organon expects VBP to impact the Company's established brands product portfolio for the next several quarters.

Organon's operations include a portfolio of products. Highlights of the sales of Organon's products for the three months ended March 31, 2023 and 2022 are provided below. See Note 5 "Product and Geographic Information" to the Condensed Consolidated Financial Statements for further details on sales of our products.

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Women's Health
Three Months Ended March 31,% Change% Change Excluding Foreign Exchange
($ in millions)20232022
Nexplanon/Implanon NXT$165 $171 (3)%(1)%
NuvaRing40 41 (2)(1)
Marvelon/Mercilon37 24 58 65 
Follistim AQ55 61 (10)(7)
Ganirelix Acetate Injection30 30 — 

Contraception

Worldwide sales of Nexplanon, a single-rod subdermal contraceptive implant, declined 3% for the three months ended March 31, 2023 compared to 2022, primarily due to the impact of the timing of tenders in various international markets and the impact of distributors' buying patterns in prior periods in the U.S.

Worldwide sales of NuvaRing, a vaginal contraceptive product, declined 2% for the three months ended March 31, 2023, compared to 2022, due to ongoing generic competition in the United States. We expect a continued decline in NuvaRing sales as a result of generic competition.

Worldwide sales of Marvelon and Mercilon, combined oral hormonal daily contraceptive pills not approved or marketed in the United States but available in certain countries outside the United States, increased 58% for the three months ended March 31, 2023, compared to 2022 as a result of the recent transaction with Bayer Healthcare where Organon gained full rights in selected territories in Southeast Asia and China during 2022.

Fertility

Worldwide sales of Follistim AQ, a fertility treatment, declined 10% for the three months ended March 31, 2023 compared to 2022, due to the unfavorable impact of COVID-19 in China and an unfavorable shift in customer mix and discount rates in the United States, partially offset by an increase in product demand in the United States.

Worldwide sales of Ganirelix Acetate Injection (marketed in certain countries outside the United States as Orgalutran™), a fertility treatment, remained consistent for the three months ended March 31, 2023, compared to 2022.

Biosimilars
Three Months Ended March 31,% Change% Change Excluding Foreign Exchange
($ in millions)20232022
Renflexis$62 $46 34 %34 %
Ontruzant21 22 (7)(6)
Brenzys19 14 31 36 
Hadlima(20)(16)

Renflexis is a biosimilar to Remicade (infliximab) (a trademark of Janssen Biotech, Inc.) for the treatment of certain inflammatory diseases. Sales growth of 34% for the three months ended March 31, 2023, was driven primarily by continued demand growth in the United States and Canada. We have commercialization rights to Renflexis in countries outside Europe, Korea, China, Turkey and Russia.

Ontruzant (trastuzumab-dttb) is a biosimilar to Herceptin (trastuzumab) (a trademark of Genentech, Inc.) for the treatment of HER2-overexpressing breast cancer and HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma. Sales in the three months ended March 31, 2023 declined 7%, driven by the competitive pressures in Europe offset by the continued uptake in the United States since its launch in July 2020 and the favorable phasing and timing of tenders in Brazil. We have commercialization rights to Ontruzant in countries outside of Korea and China.

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Brenzys™ (etanercept) is a biosimilar to Enbrel (etanercept) (a trademark of Immunex Corporation) for the treatment of certain inflammatory diseases. Sales in the three months ended March 31, 2023 increased 31%, primarily driven by the timing of tenders in Brazil. We have commercialization rights to Brenzys in countries outside of the United States, Europe, Korea, China and Japan.

Hadlima™ (adalimumab-bwwd) is a biosimilar to Humira (adalimumab) (a trademark of AbbVie Biotechnology Ltd.) for the treatment of certain inflammatory diseases. We have worldwide commercialization rights to Hadlima in countries outside of the EU, Korea, China, Turkey and Russia. Samsung Bioepis reached a global settlement with AbbVie permitting us to launch Hadlima outside of the United States starting in 2021 and in the United States in July 2023. Hadlima is currently approved in the United States, Australia, Canada, and Israel. Hadlima was launched in Australia and Canada in February 2021. We recorded sales of $5 million during the three months ended March 31, 2023, reflecting a decline from modest sales during the three months ended March 31, 2022 in markets outside of the U.S.

Established Brands

Established brands represents a broad portfolio of well-known brands, which generally are beyond market exclusivity, including leading brands in cardiovascular, respiratory, dermatology and non-opioid pain management, for which generic competition varies by market.

Cardiovascular
Three Months Ended March 31,% Change% Change Excluding Foreign Exchange
($ in millions)20232022
Zetia/Vytorin$112 $137 (18)%(13)%
Atozet128 119 13 
Cozaar/Hyzaar85 93 (9)(2)

Combined global sales of Zetia and Vytorin, medicines for lowering LDL cholesterol, declined 18% for the three months ended March 31, 2023, compared to 2022, primarily driven by the impact of VBP in China and increased competition and lower performance in Europe partially offset by growing demand in the retail channel in China.

Sales of Atozet, a medicine for lowering LDL cholesterol, increased 8% for the three months ended March 31, 2023, compared to 2022, primarily due to increased demand in France and the timing of customers' buying patterns in several markets in the Asia Pacific region.

Combined global sales of Cozaar® (losartan potassium), and Hyzaar® (losartan potassium and hydrochlorothiazide) (a combination of losartan potassium and hydrochlorothiazide that is marketed in Japan as Preminent™), a medicine for the treatment of hypertension, declined 9% for the three months ended March 31, 2023, compared to 2022, primarily due to wholesaler and distributor buying patterns in China, competitors' supply disruptions in various markets during 2022 and ongoing generic competition.


Respiratory
Three Months Ended March 31,% Change% Change Excluding Foreign Exchange
($ in millions)20232022
Singulair$120 $130 (8)%— %
Nasonex69 75 (8)(4)
Dulera46 40 15 16 

Worldwide sales of Singulair® (montelukast sodium), a once-a-day oral medicine for the chronic treatment of asthma and for the relief of symptoms of allergic rhinitis, declined 8% for the three months ended March 31, 2023, compared to 2022, because of the alleviation of our competitors' supply disruptions in Japan during 2022, which had positively impacted demand for Singulair in 2022, as well as the unfavorable impact of foreign exchange.
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Global sales of Nasonex® (mometasone), an inhaled nasal corticosteroid for the treatment of nasal allergy symptoms, declined 8% during the three months ended March 31, 2023, due to a $10 million milestone payment related to a regulatory approval received during 2022 partially offset by increased demand across several markets.

Global sales of Dulera®(formoterol/fumarate dihydrate), a combination medicine for the treatment of asthma, increased 15% for the three months ended March 31, 2023, compared to 2022, primarily due to volume growth, and the favorable impact from discount rates in the United States.

Non-Opioid Pain, Bone and Dermatology
Three Months Ended March 31,% Change% Change Excluding Foreign Exchange
($ in millions)20232022
Arcoxia$71 $60 17 %22 %
Diprospan14 31 (54)%(54)%

Sales of Arcoxia™ (etoricoxib) (marketed outside of the United States), a medicine for the treatment of arthritis and pain, increased 17% during the three months ended March 31, 2023 compared to 2022, primarily due to customers buying patterns in the South East Asia region and higher demand in China.

Sales of Diprospan, a corticosteroid approved for treatment of wide range of inflammatory conditions, declined 54% during the three months ended March 31, 2023 compared to 2022, due to the regulatory inspection finding at the Heist manufacturing location that impacted the manufacturing of selected injectable steroid brands. As of March 31, 2023, we have resolved the regulatory inspection findings.

Other
Three Months Ended March 31,% Change% Change Excluding Foreign Exchange
($ in millions)20232022
Proscar$27 $24 13 %22 %

Worldwide sales of Proscar, a medicine for the treatment of symptomatic benign prostate enlargement, increased 13% for the three months ended March 31, 2023, compared to 2022, primarily due to increased demand in China.

Costs, Expenses and Other
Three Months Ended March 31,% Change
($ in millions)20232022
Cost of sales$580 $561 %
Selling, general and administrative435 371 17 
Research and development129 96 34 
Acquired in-process research and development and milestones— *
Restructuring costs— *
Interest expense132 97 36 
Exchange losses (gains)(4)*
Other expense, net50 
$1,303 $1,125 16 %
* Calculation not meaningful.

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Cost of Sales

Cost of sales increased 3% for the three months ended March 31, 2023, compared to the same period in 2022, primarily due to product mix as well as higher employee-related costs and distribution related costs, which increased as a result of inflationary pressures.

Selling, General and Administrative

Selling, general and administrative expenses increased 17% for the three months ended March 31, 2023, due to higher promotional and employee-related costs and costs incurred in connection with the separation from Merck, which includes the implementation of the enterprise resource planning system.

Research and Development

Research and development expenses increased 34% for the three months ended March 31, 2023, primarily due to higher costs associated with the Company's recent acquisitions of clinical stage assets, increased clinical study activity and higher employee-related costs.

Acquired In-Process Research and Development and Milestones

For the three months ended March 31, 2023, acquired in-process research and development and milestones of $8 million related to the Claria transaction.

Restructuring Costs

For the three months ended March 31, 2023, the Company incurred $4 million of headcount related restructuring expense as part of the restructuring activities which were initiated during 2022 to optimize its internal operations.

Interest Expense

For the three months ended March 31, 2023, interest expense increased, due to increased interest rates, unamortized debt fees and discounts expensed as part of the prepayment on the U.S. Dollar-denominated term loan and the impact of exchange rates.

Exchange Losses (Gains)

For the three months ended March 31, 2023, the change in exchanges losses (gains) was driven by foreign currency translation losses as well as the impact of the portion of Euro-denominated debt not designated as a net investment hedge in the prior year period.

Other expense, net

For the three months ended March 31, 2023, other expense, net, remained relatively consistent with the prior year.

Taxes on Income

The effective income tax rates were 24.6% and 21.3% for the three months ended March 31, 2023 and 2022, respectively. These effective income tax rates reflect the beneficial impact of foreign earnings, offset by the impact of U.S. inclusions under the Global Intangible Low-Taxed Income regime and a partial valuation allowance recorded against non-deductible U.S. interest expense.

On August 16, 2022, the U.S. enacted the Inflation Reduction Act of 2022. Provisions of the bill that relate to tax include the minimum tax on book income, a 1% excise tax on stock buybacks and certain tax incentives to promote clean energy. There are no impacts of the legislation to the first quarter 2023 results. The Company will continue to assess future impacts of this legislation.

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Analysis of Liquidity and Capital Resources

Liquidity and Capital Resources

As of March 31, 2023, Organon had cash and cash equivalents of $459 million.

Working capital remained consistent at $1.4 billion as of March 31, 2023 and December 31, 2022, respectively.

Net cash provided by operating activities was $114 million for the three months ended March 31, 2023 compared to $123 million for the same period in the prior year. The decrease in cash provided by operating activities was primarily attributable to lower net income offset by the changes in working capital balances, largely reflecting a prior year reduction in the net balances due to Merck.

Net cash used in investing activities was $54 million for the three months ended March 31, 2023 compared to $63 million for the same period in the prior year, primarily reflecting the strategic investment in Claria and an increase in capital expenditures in the three months ended March 31, 2023 compared with the asset acquisition of Marvelon and Mercilon in the three months ended March 31, 2022.

Net cash used in financing activities was $326 million for the three months ended March 31, 2023 compared to $91 million for the same period in the prior year. The increase in cash used in financing activities was driven by the $250 million voluntary prepayment on the U.S. Dollar-denominated term loan.

Organon will continue to monitor the impacts of the conflict between Ukraine and Russia, which may negatively impact Organon's operations, financial position or cash flows. For the three months ended March 31, 2023 and 2022, Organon's combined revenues from Ukraine and Russia were approximately 2% of total revenues. As of March 31, 2023, the Company's assets in Ukraine and Russia are not material.

Our contractual obligations as of March 31, 2023, which require material cash requirements in the future, consist of contractual milestones, purchase obligations and lease obligations. In addition, Organon is responsible for settlement of certain tax matters, that the Company expects to pay during 2023. Refer to "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our 2022 Form 10-K for further details. The Company owes a $25 million milestone upon acceptance of the IND filing for ebopiprant. We anticipate the milestone could be triggered as early as the second quarter of 2023. As of March 31, 2023, there have been no material changes to our contractual obligations, or settlements of tax matters outside the ordinary course of business.

During the first quarter of 2023, Organon paid cash dividends of $0.28 per share. On May 4, 2023, the Board of Directors declared a quarterly dividend of $0.28 for each issued and outstanding share of the Company's common stock. The dividend is payable on June 15, 2023, to stockholders of record at the close of business on May 15, 2023.

The Company has historically generated and expects to continue to generate positive cash flow from operations. Our ability to fund our operations and anticipated capital needs is reliant upon the generation of cash from operations, supplemented as necessary by periodic utilization of our Revolving Credit Facility. Our principal uses of cash in the future will be primarily to fund our operations, working capital needs, capital expenditures, repayment of borrowings, payment of dividends and strategic business development transactions. We believe that our financing arrangements, future cash from operations, and access to capital markets will provide adequate resources to fund our future cash flow needs.

Critical Accounting Estimates

Our significant accounting policies, which include management’s best estimates and judgments, are included in Note 3 to the Consolidated Financial Statements included in our Form 10-K for the year ended December 31, 2022. See Note 2 to the Condensed Consolidated Financial Statements for information on the adoption of new accounting standards during 2023. There have been no changes to our accounting policies as of March 31, 2023. A discussion of accounting estimates considered critical because of the potential for a significant impact on the financial statements due to the inherent uncertainty in such estimates are disclosed in the Critical Accounting Estimates section of Management’s Discussion and Analysis of Financial Condition and Results of Operations included in Organon's Form 10-K for the year ended December 31, 2022.

Recently Issued Accounting Standards

For a discussion of recently issued accounting standards, see Note 2 to the Condensed Consolidated Financial Statements.

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Item 3. Quantitative and Qualitative Disclosures About Market Risk

Foreign Currency Risk

We operate on a global basis and are exposed to the risk that our earnings, cash flows and equity could be adversely affected by fluctuations in foreign exchange rates. We are primarily exposed to foreign exchange risk with respect to forecasted transactions and net assets denominated in the euro, Swiss franc, and Japanese yen. We established a balance sheet risk management program and a net investment hedge to mitigate against volatility of changes in foreign exchange rates. See Note 10 to the Condensed Consolidated Financial Statements included elsewhere in this report for further information on Organon’s risk management.

Interest Rate Risk

Our long-term debt portfolio consists of both fixed and variable-rate instruments. For any variable rate debt, interest rate changes in the underlying index rates will impact future interest expense. We do not hold any derivative contracts that hedge our interest rate risk; however, we may consider entering into such contracts in the future.

There have been no changes to Organon’s market risk during the quarter ended March 31, 2023. For a discussion of our exposure to market risk, refer to our market risk disclosures set forth under Item 7A.—Quantitative and Qualitative Disclosures About Market Risk in our Annual Report on Form 10-K for the year ended December 31, 2022.

Item 4. Controls and Procedures

Management of the Company, with the participation of its Chief Executive Officer ("CEO") and Chief Financial Officer ("CFO"), evaluated the effectiveness of the design and operation of the Company’s disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the period ending March 31, 2023. Based upon that evaluation, our CEO and our CFO concluded that, as of March 31, 2023, the end of the period covered by this report, the Company's disclosure controls and procedures were effective and provide reasonable assurance that information required to be disclosed in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the applicable rules and forms, and that it is accumulated and communicated to our management, including our CEO and our CFO, as appropriate, to allow timely decisions regarding required disclosure.

In 2022, the Company began an implementation of an enterprise resource planning ("ERP") system, which will replace the existing core financial system. The ERP system is designed to accurately maintain the Company's financial records used to report operating results. The implementation of the consolidated financial reporting module will be completed during the 2023 fiscal year and the implementation of the general ledger modules will occur in phases and will be completed by the first half of 2024. The Company will evaluate each quarter whether there are changes that materially affect, or are reasonably likely to materially affect, our internal control over financial reporting.

During the quarter ended March 31, 2023, there have been no changes in internal control over financial reporting that 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

The information called for by this Item is incorporated herein by reference to Note 15 included in Part I, Item. 1.

Item 1A. Risk Factors

There have been no material changes in the Company's risk factors from those disclosed in Item 1A. Risk Factors, in our Form 10-K for the year ended December 31, 2022.

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Item 6. Exhibits
Number
Description
*31.1
*31.2
**32.1
**32.2
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 Label 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).
*Filed herewith
**Furnished herewith
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Signatures

Pursuant to the requirements of the Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

ORGANON & CO.
Date: May 5, 2023
/s/ Kathryn DiMarco
Kathryn DiMarco
Senior Vice President Finance - Corporate Controller
Date: May 5, 2023
/s/ Matthew Walsh
Matthew Walsh
Chief Financial Officer