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Bausch Health (BHC) investor relations material
Bausch Health Q1 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Achieved 12 consecutive quarters of year-over-year revenue and adjusted EBITDA growth, with consolidated revenue rising 12% to $2.524 billion, driven by Salix, Solta Medical, Bausch + Lomb, and International segments.
Adjusted EBITDA grew 27% to $837 million, while adjusted net income rose 35% to $296 million; adjusted EPS increased 32% to $0.78.
GAAP net loss widened to $1,423 million due to a $1,426 million goodwill impairment in the Salix segment after failed Phase 3 trials.
Cash flow from operations increased to $230 million, with adjusted cash flow from operations at $374 million; net debt reduced by over $100 million.
Focused on R&D innovation, business development, and optimizing capital structure, including major refinancing and acquisitions.
Financial highlights
Total revenue reached $2.524 billion (+12% YoY); adjusted EBITDA was $837 million (+27% YoY); adjusted net income was $296 million.
Adjusted gross margin improved 100 bps to 70.9% year-over-year.
Operating loss was $950 million, mainly due to the goodwill impairment.
Cash and cash equivalents stood at $1,299 million as of March 31, 2026.
Adjusted cash flow from operations was $374 million, up from $138 million in Q1 2025.
Outlook and guidance
Full-year 2026 revenue guidance: $10.67–$10.92 billion; adjusted EBITDA: $3.89–$4.01 billion; adjusted cash flow from operations: $1.20–$1.28 billion.
Bausch Health (excluding Bausch + Lomb) revenue guidance: $5.25–$5.40 billion; adjusted EBITDA: $2.88–$2.95 billion.
Guidance includes anticipated impact of new pharma tariffs effective September 2026 and ongoing uncertainty from evolving trade measures.
Management expects to remain in compliance with debt covenants and meet debt service obligations over the next twelve months.
Bausch + Lomb segment guidance increased to $5.42–$5.52 billion in revenue and $1.01–$1.06 billion in adjusted EBITDA.
- 11th straight quarter of revenue and EBITDA growth, with strong outlook and lower net debt.BHC
Q4 202513 Apr 2026 - Board recommends approval of all proposals, with strong focus on pay-for-performance and ESG.BHC
Proxy filing8 Apr 2026 - Director elections, executive pay, and auditor appointment up for virtual shareholder vote.BHC
Proxy filing8 Apr 2026 - Q2 2024 revenue up 11% to $2.40B, adjusted EBITDA up 10%, and debt reduced by $360M.BHC
Q2 20242 Feb 2026 - Q3 revenue up 12%, Adjusted EBITDA up 10%, guidance raised, and all segments grew.BHC
Q3 202417 Jan 2026 - Strong 2024 results and 2025 growth outlook driven by GI, aesthetics, and neuroscience franchises.BHC
44th Annual J.P. Morgan Healthcare Conference15 Jan 2026 - Full-year revenue and adjusted EBITDA rose 10%, with all segments contributing to growth.BHC
Q4 202429 Dec 2025 - Q1 2025 revenue up 5% to $2.26B; $7.9B refinancing extends debt maturities and boosts flexibility.BHC
Q1 202522 Dec 2025 - Growth in GI, Solta, and international markets, with XIFAXAN exclusivity and trial data as key focus.BHC
Evercore ISI 8th Annual HealthCONx Conference3 Dec 2025
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