Consecutive Growth Streak and Full-Year Outperformance
11th consecutive quarter of growth in both revenue and adjusted EBITDA; full year 2025 revenue (Bausch Health ex Bausch + Lomb) grew 7% reported and 6% organic year-over-year, with double-digit adjusted EBITDA growth for the full year (excluding Bausch + Lomb).
Strong Q4 Revenue and EBITDA
Consolidated Q4 revenue of $2.796 billion, up 9% year-over-year; Bausch Health (ex B&L) Q4 revenue $1.391 billion, up 9% reported. Consolidated adjusted EBITDA for Q4 was $1.52 billion, up 13% year-over-year; Bausch Health (ex B&L) Q4 adjusted EBITDA was $773 million, up 9% year-over-year.
Robust Cash Generation and Debt Reduction
Generated over $1 billion in adjusted operating cash flow for 2025; consolidated Q4 adjusted operating cash flow $515 million and Bausch Health (ex B&L) Q4 adjusted operating cash flow $362 million. Net debt reduced by approximately $320 million in Q4 and by several hundred million over the year.
Capital Structure Improvements
Completed a $1.7 billion secured debt exchange (pushing maturities ~4 years) and executed $9.6 billion of refinancing transactions in 2025; repaid a $300 million accounts receivable facility and captured $80 million of debt discounts, leaving less than $700 million of maturities outstanding through end-2027.
Commercial Strength: Salix and Solta Performance
Salix Q4 revenue $693 million, up 9% year-over-year and ahead of expectations; full-year Salix double-digit top-line growth. Solta delivered double-digit top-line growth for the full year (Solta full-year growth cited as 18%), and management expects continued double-digit growth in 2026 supported by the China distribution acquisition.
Product-Level Growth Drivers
Xifaxan grew 11% for the year; Thermage revenue grew 19%; other products such as Ryaltris and CABTREO also showed strong growth, contributing to diversified portfolio performance (three of four segments grew revenue in 2025 and three improved profitability).
Strategic M&A to Strengthen China Presence
Completed acquisition of Shibo (full-service aesthetics distributor) on December 1, 2025 to bring Solta's China distribution, sales and marketing fully in-house — intended to reclaim China as Solta's #1 geography and drive higher utilization and direct provider engagement.
Advancement of Larsucosterol (DURECT Acquisition)
Began enrollment in Phase III study for larsucosterol (alcohol-associated hepatitis) shortly after acquisition; Phase III is U.S.-only, ~350 patients, primary endpoint 90-day transplant-free survival, targeting effect size consistent with Phase II (DURECT observed >50% reduction in 90-day mortality in Phase II).
2026 Guidance Reflects Continued Growth
Guidance for 2026 (Bausch Health ex B&L): revenues $5.25–$5.40 billion (midpoint ≈ +3% year-over-year), adjusted EBITDA $2.875–$2.95 billion (midpoint ≈ +4%), and adjusted operating cash flow $1.20–$1.275 billion (midpoint ≈ +4%); company expects stronger growth in H1 2026 due to phasing effects.