Earnings
BAUSCH HEALTH ANNOUNCES FIRST QUARTER 2026 RESULTS
BHC Q1 Earnings Mask Pipeline Failure with Core Cash Flow Strength

Executive Summary
- Bausch Health reported Q1 2026 consolidated revenues of $2.52 billion, up 12% on a reported basis and 7% organic versus prior year.
- GAAP net loss was $1.423 billion, primarily driven by a $1.426 billion goodwill impairment charge related to the Salix RED-C program failure.
- Adjusted Earnings per Diluted Share (non-GAAP) increased 32% year-over-year to $0.78.
- Consolidated Adjusted EBITDA reached $837 million, up 27% reported.
- Full-Year 2026 guidance was reaffirmed for revenue ($10.67 - $10.92 billion) and Adjusted EBITDA ($3.885 - $4.010 billion).
- Cash and cash equivalents stood at $1,299 million as of March 31, 2026.
- Segment performance showed Salix revenue up 18% (Xifaxan +21%) and Solta Medical up 51% reported (aided by Shibo acquisition).
Material Impact
- The Q1 results confirm the material negative development announced in January regarding the RED-C Phase 3 trial failure, resulting in a significant non-cash goodwill impairment.
- Operational performance remains robust with double-digit organic growth across key segments (Salix and Solta), offsetting the accounting hit from the pipeline write-down.
- Reaffirmation of full-year guidance indicates management confidence that core cash flows are sufficient to support operations despite the R&D setback.
- The impairment is expected given the January 23 clinical update; therefore, the market impact is likely muted compared to a surprise failure.
- Positive momentum in Solta Medical (China acquisition integration) and Salix (Xifaxan growth) provides fundamental support for earnings quality.
BHC · Price
Company Overview
- Bausch Health is a global diversified pharmaceutical company with portfolios in gastroenterology, hepatology, neurology, dermatology, dentistry, aesthetics, international pharmaceuticals, and eye health (Bausch + Lomb).
- Flagship Project: Xifaxan (Salix) remains the primary revenue driver for the BHC ex-B+L segment.
- Pipeline: Larsucosterol (alcohol-associated hepatitis) is the key remaining hepatology asset following RED-C failure; Solta Medical aesthetics devices are a secondary growth engine.
- Bausch + Lomb: Separation strategy ongoing; management favors selling equity stake over spin, timing uncertain.
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Jul 01, 2026 · 16:15