Bausch Health Cos. Inc. (BHC) recently disclosed a below-par repurchase of debt, which we viewed as a distressed exchange. We continue to believe BHC's capital structure could be unsustainable due to potentially near-term generic competition to top product Xifaxan and believe future subpar repurchases are likely due to the significant trading discount. We raised our issuer credit rating on BHC to 'CCC' from 'SD'. We raised our ratings on the repurchased unsecured notes to 'CCC-' from 'D'. We lowered our issue-level ratings on BHC's existing senior secured debt to 'CCC+' from 'B-' and our ratings on the 14% second-lien notes due 2030 and 9% unsecured notes due 2025 to 'CCC-' from 'CCC'. The negative outlook reflects the heightened risk that