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Bausch Health Companies (TSE:BHC)
TSX:BHC

Bausch Health Companies (BHC) AI Stock Analysis

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TSE:BHC

Bausch Health Companies

(TSX:BHC)

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Neutral 55 (OpenAI - 5.2)
Rating:55Neutral
Price Target:
C$7.50
▲(2.32% Upside)
Action:ReiteratedDate:02/20/26
The score is primarily held back by elevated balance-sheet leverage/negative equity despite improving operating performance and generally positive cash generation. Technical signals are also weak (below key moving averages with negative MACD). These are partly offset by a reasonable P/E and a constructive earnings call with modest 2026 growth guidance and ongoing capital-structure improvements, tempered by R&D setbacks and Xifaxan-related medium-term risks.
Positive Factors
Multi‑quarter Revenue & EBITDA Growth
A sustained streak of multi‑quarter revenue and adjusted EBITDA growth shows durable commercial execution across products and geographies. This consistent top‑and‑operating‑level expansion supports reinvestment, improves cash conversion prospects, and reduces single‑product concentration risk over the medium term.
Strong Cash Generation & Debt Paydown
Robust adjusted operating cash flow and noted net debt reduction provide ongoing capacity to service interest, refinance maturities, and fund targeted M&A or R&D. Stable cash generation is a durable buffer against leverage risk and enables strategic flexibility even with elevated liabilities.
Late‑stage Pipeline Advancement
Initiation of a U.S. Phase III trial for larsucosterol represents a structural upside if successful, adding a high‑value, late‑stage asset to the portfolio. A successful Phase III would materially diversify revenue sources and improve long‑term growth prospects beyond legacy products.
Negative Factors
Very High Leverage & Negative Equity
Heavy debt and negative equity materially weaken balance‑sheet flexibility and elevate refinancing and downturn risk. Even with positive cash flow, high leverage constrains capital allocation, increases vulnerability to interest‑rate or revenue shocks, and limits strategic optionality over the medium term.
Xifaxan Policy & Lifecycle Headwinds
Xifaxan faces structural policy and IP risks that can materially reduce future revenues as Medicare rebate changes and generic entry loom. Given Xifaxan's contribution to sales and EBITDA, sustained downside there would pressure margins and cash flow predictability over the 2–4 year horizon.
Inconsistent Net Profitability
Earnings have been volatile with thin net margins and intermittent losses, indicating limited bottom‑line conversion despite solid gross margins. Persistent profitability inconsistency raises execution risk for sustaining investment, servicing debt, and delivering reliable shareholder returns over the medium term.

Bausch Health Companies (BHC) vs. iShares MSCI Canada ETF (EWC)

Bausch Health Companies Business Overview & Revenue Model

Company DescriptionBausch Health Companies Inc., together with its subsidiaries, develops, manufactures, and markets a range of pharmaceutical, medical device, and over-the-counter (OTC) products primarily in the therapeutic areas of eye health, gastroenterology, and dermatology. The company operates through five segments: Bausch + Lomb, Salix, International Rx, Ortho Dermatologics, and Diversified Products. The Bausch + Lomb segment offers products with a focus on the vision care, surgical, and consumer, surgical, and ophthalmic pharmaceuticals products. The Salix segment provides gastroenterology products in the United States. The International Rx segment offers Solta products, branded and generic pharmaceutical products, OTC products, and medical device products, and Bausch + Lomb products in Canada, Europe, Asia, Australia, Latin America, Africa, and the Middle East. The Ortho Dermatologics segment provides dermatological products in the United States; and Solta medical aesthetic devices internationally. The Diversified Products segment offers pharmaceutical products in the areas of neurology and other therapeutic classes, as well as generic and dentistry products in the United States. The company was formerly known as Valeant Pharmaceuticals International, Inc. and changed its name to Bausch Health Companies Inc. in July 2018. Bausch Health Companies Inc. is headquartered in Laval, Canada.
How the Company Makes MoneyBausch Health generates revenue through several key streams, primarily from its pharmaceutical segment, which includes sales of prescription medications for various therapeutic areas such as dermatology, ophthalmology, and gastroenterology. The company also earns revenue from its vision care products, including both contact lenses and lens care solutions. Additionally, Bausch Health has established partnerships and collaborations with other healthcare organizations and research institutions, which contribute to its revenue through co-development and licensing agreements. The company's strategy includes focusing on high-growth segments and enhancing its product portfolios through acquisitions and innovation, further bolstering its financial performance.

Bausch Health Companies Earnings Call Summary

Earnings Call Date:Feb 18, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:Apr 30, 2026
Earnings Call Sentiment Positive
The call conveyed a generally positive operational and financial picture: strong revenue and EBITDA growth, robust cash generation (> $1 billion adjusted operating cash flow for 2025), meaningful debt and maturity profile improvements, targeted M&A to strengthen strategic footholds (notably in China), and advancement of a promising larsucosterol Phase III program. Key negatives include the RED-C Phase III failures, one-time Q4 impacts related to Solta China integration, margin pressure (adjusted gross margin down 80 bps), a Q4 timing-related reduction in adjusted operating cash flow for the Bausch Health segment, and medium-term risks to Xifaxan from Medicare rebate changes and generic/patent litigation uncertainty that imply a likely EBITDA step-down in 2027. Overall, the positives (consistent multi-quarter growth, strong cash flow, balance sheet repair, and targeted BD/portfolio investments) outweigh the setbacks, though the company flagged clear near- and medium-term headwinds that investors should monitor.
Q4-2025 Updates
Positive Updates
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.
Negative Updates
RED-C Phase III Failures
RED-C Phase III trials did not meet primary endpoints despite being safe and well tolerated; management expressed disappointment and is reviewing the full dataset to determine next steps — a material R&D setback for that program.
Xifaxan Long-Term Uncertainty and Policy Headwinds
While Xifaxan grew 11% in 2025, management noted one-time benefits in 2025 (residual Medicaid volume and gross-to-net adjustments) and potential headwinds from upcoming Medicare/CMS rebate changes (effective 2027) and patent/generic risk (LOE/generic activity anticipated around 2028), implying potential pressure on future sales and EBITDA.
Solta Q4 China Transition Impact
Solta Q4 revenue $137 million, down 1% reported (flat organic); transition to direct distribution in China and a November sales pause caused a one-time EBITDA hit of approximately $10–$15 million in the quarter and suppressed Q4 results (company estimates Solta would have been up mid-single digits excluding the one-time impact).
Q4 Operating Cash Flow Timing and Margin Pressure
Bausch Health (ex B&L) Q4 adjusted operating cash flow declined by $205 million year-over-year, primarily due to timing of cash interest payments following refinancing. Adjusted gross margin was 71.6%, down 80 basis points year-over-year.
International Market Variability and Canadian Weakness
International Q4 revenues $306 million (+10% reported, +2% organic) with mixed geography performance: EMEA and LatAm strong (LatAm reported +22%, organic +11%), while Canada contracted 6% due to reduced Wellbutrin volume amid increased generic competition.
Expectations of EBITDA Step-Down in 2027
Management indicated the average of 2026 and 2027 EBITDA would be roughly similar to 2025, implying a dip in 2027 versus 2025 levels (company commentary and modeling imply a 2027 EBITDA around ~$2.7 billion based on provided guidance/phasing), reflecting expected policy and lifecycle headwinds.
Patent/Generic Litigation Uncertainties
Ongoing patent litigation and ANDA challenges: Teva first-filer status and cases in D.C. and New Jersey courts are in progress; outcomes and timing are uncertain and could affect exclusivity timing for Xifaxan.
Company Guidance
Bausch Health (excluding Bausch + Lomb) guided 2026 revenue of $5.25–$5.40 billion (midpoint ≈ +3% year‑over‑year), adjusted EBITDA of $2.875–$2.95 billion (midpoint ≈ +4% YoY) and adjusted operating cash flow of $1.20–$1.275 billion (midpoint ≈ +4% YoY), with guidance stated at current FX rates and expected to be stronger in H1 2026 given some temporary H2 2025 benefits; for context, Q4 FY25 results for the same scope were revenue $1.391 billion (+9% reported), adjusted EBITDA $773 million (+9%), and adjusted operating cash flow $362 million (down $205 million YoY due to interest‑timing), and full‑year FY25 performance was revenue +7% (6% organic) with double‑digit adjusted EBITDA growth and over $1 billion in adjusted operating cash flow.

Bausch Health Companies Financial Statement Overview

Summary
Operating trends are improving (2025 revenue up ~26% with better EBIT/EBITDA margins), and operating/free cash flow has generally been positive. However, the balance sheet is a major constraint: very high debt and negative equity elevate refinancing/downturn risk, and net profitability has been thin and historically inconsistent.
Income Statement
62
Positive
Revenue growth accelerated meaningfully in 2025 (up ~26% vs. low-single-digit growth in 2023–2024), and operating profitability improved, with EBIT and EBITDA margins rising versus prior years. However, bottom-line profitability remains thin and inconsistent: while 2025 returned to a small profit (net margin ~1.5%), the company posted losses in most of the prior five years, highlighting ongoing earnings volatility and limited net income conversion despite solid gross margins.
Balance Sheet
22
Negative
Leverage remains the key weakness. Total debt is very high (roughly $21–24B across the period) and stockholders’ equity is negative in most recent years (including 2025), which materially weakens balance-sheet flexibility and makes leverage metrics unfavorable and less informative. While total assets are sizable, the combination of heavy debt and negative equity elevates refinancing and downturn risk.
Cash Flow
55
Neutral
Cash generation is generally a support: operating cash flow has been positive in most years and free cash flow was positive in 2023–2025, providing capacity to service obligations. That said, cash flow has not been consistently stable (notably negative operating and free cash flow in 2022), and 2025 free cash flow declined year over year (~10%), suggesting execution and working-capital swings can meaningfully impact cash conversion.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue10.45B9.63B8.76B8.12B8.43B
Gross Profit6.36B6.84B6.20B5.76B6.04B
EBITDA3.45B2.82B2.20B2.88B3.26B
Net Income159.75M-46.00M-592.00M-212.00M-937.00M
Balance Sheet
Total Assets26.32B26.52B27.35B25.69B29.20B
Cash, Cash Equivalents and Short-Term Investments1.32B1.18B947.00M564.00M582.00M
Total Debt21.21B21.62B22.39B20.77B22.65B
Total Liabilities25.94B26.84B27.43B25.43B29.24B
Stockholders Equity-552.99M-1.28B-1.02B-692.00M-106.00M
Cash Flow
Free Cash Flow974.77M1.26B760.00M-996.00M1.14B
Operating Cash Flow1.38B1.60B1.03B-728.00M1.43B
Investing Cash Flow-605.42M-454.00M-2.15B-303.00M409.00M
Financing Cash Flow-709.20M-868.00M1.48B-474.00M-1.51B

Bausch Health Companies Technical Analysis

Technical Analysis Sentiment
Negative
Last Price7.33
Price Trends
50DMA
8.80
Negative
100DMA
8.97
Negative
200DMA
8.88
Negative
Market Momentum
MACD
-0.26
Positive
RSI
31.67
Neutral
STOCH
5.04
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TSE:BHC, the sentiment is Negative. The current price of 7.33 is below the 20-day moving average (MA) of 8.09, below the 50-day MA of 8.80, and below the 200-day MA of 8.88, indicating a bearish trend. The MACD of -0.26 indicates Positive momentum. The RSI at 31.67 is Neutral, neither overbought nor oversold. The STOCH value of 5.04 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for TSE:BHC.

Bausch Health Companies Risk Analysis

Bausch Health Companies disclosed 58 risk factors in its most recent earnings report. Bausch Health Companies reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Bausch Health Companies Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
C$384.60M12.8116.32%94.28%5.23%
60
Neutral
C$1.33B-104.58-0.88%22.20%
58
Neutral
C$940.69M-9.05-10.92%3.56%-0.94%-540.90%
57
Neutral
C$608.19M-38.64-0.48%18.70%88.31%
55
Neutral
C$2.72B16.118.68%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
C$136.35M-8.21-20.49%0.73%33.51%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TSE:BHC
Bausch Health Companies
7.33
-2.84
-27.93%
TSE:GUD
Knight Therapeutics
6.16
0.71
13.03%
TSE:CPH
Cipher Pharmaceuticals
15.16
4.24
38.83%
TSE:CRON
Cronos Group
3.51
0.74
26.71%
TSE:HLS
HLS Therapeutics Inc
4.36
0.37
9.27%
TSE:DHT.UN
DRI Healthcare
17.10
5.67
49.66%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 20, 2026