Consistent Top-Line and EBITDA Growth
Bausch Health (excluding Bausch & Lomb) reported revenue of $1.280 billion, up 14% reported and 9% organic year-over-year, and adjusted EBITDA of $673 million, up 17% year-over-year. The company has now delivered 12 consecutive quarters of year-over-year growth in both revenue and adjusted EBITDA for the Bausch Health segment (ex-B&L).
Strong Consolidated Financial Results
Consolidated revenue was $2.524 billion, up 12% reported (7% organic). Consolidated adjusted EBITDA rose to $837 million, a $176 million increase or 27% year-over-year. Adjusted gross margin improved to 70.9%, up 100 basis points.
Healthy Cash Flow and Debt Reduction
Adjusted operating cash flow was $374 million consolidated and $319 million for Bausch Health (ex-B&L), nearly $200 million higher than Q1 2025 for the segment. Net debt (ex-B&L) decreased by approximately $150 million in the quarter despite approximately $160 million of litigation-related outflows.
Salix and Xifaxan Performance
Salix revenues were $639 million, up 18% reported (+$97 million). Xifaxan grew 21% year-over-year with total scripts in commercial and Medicare channels up 6% and new-to-brand scripts up 3%. Management cited strong physician engagement and improved patient access as drivers.
Exceptional Solta Growth, Especially in China
Solta Medical revenues were $171 million, up 51% reported and 19% organic; segment profit grew 42% reported. China revenues grew 193% year-over-year and volume up 52% (integration of Shibo distributor contributed to pricing and volume gains). China is now Solta's largest geography.
Geographic and Product Momentum
EMEA achieved its 13th consecutive quarter of organic revenue growth (EMEA organic +3%). Solta also showed broad momentum in South Korea (+17%) and positive growth in the U.S., EMEA and Canada (high single to low double-digit reported growth outside APAC).
Reaffirmed 2026 Guidance
Company reaffirmed full-year 2026 guidance (Bausch Health ex-B&L): revenue $5.250B–$5.400B (midpoint ≈ +3% YoY), adjusted EBITDA $2.875B–$2.950B (midpoint ≈ +4% YoY) and adjusted operating cash flow $1.200B–$1.275B (midpoint ≈ +4% YoY). Guidance incorporates anticipated new tariffs effective Sept 29, 2026.
Progress in R&D and Targeted Pipeline Development
Advancing larsucosterol into a U.S.-only Phase III for alcohol-associated hepatitis with design changes (U.S.-focused enrollment, randomization within 9 days of presentation and larger, well-powered trial). Company is prioritizing indications across acquired and in-house assets and applying AI to accelerate R&D and clinical operations.
AI-Enabled Commercial and R&D Productivity Gains
Company reported a 20% surge in sales productivity from AI-enabled customer insights (initially for Xifaxan) and early AI programs for Relistor showing ~20%+ lift in new prescriptions for targeted HCP cohorts. AI also used to speed site selection, recruitment and pharmacovigilance workflows.