Bausch Health Reports Q4 Revenue of $2.8B
Reports Q4 revenue $2.8B, consensus $2.71B. "The fourth quarter marks our eleventh consecutive quarter of year-over-year growth in Revenue and Adjusted EBITDA for Bausch Health, excluding Bausch + Lomb. These results highlight our global team's unwavering commercial rigor and operational excellence, as full-year results came in above our guidance on all key metrics. Our newly acquired full-service aesthetics distribution business in China expands our geographical reach, provides direct access to a large customer base, and allows us to better address market demand for aesthetic treatments, strengthening our global aesthetics franchise and our commitment to excellence in China. As we move into 2026, we remain committed to commercial and operational excellence, along with the proactive pursuit of initiatives that expand our portfolio and enhance our long-term outlook," said CEO Thomas Appio.
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- Market Expansion: Bausch Health and Solta Medical have launched the Clear + Brilliant®Touch laser in Canada, marking a significant step in expanding their market share amid growing demand for non-invasive skin rejuvenation treatments.
- Technological Innovation: Approved by Health Canada in May 2025, the device features dual-wavelength laser technology that offers customizable treatment options suitable for various skin types and ages, enhancing treatment flexibility and effectiveness.
- Clinical Support: The Clear + Brilliant® laser platform is backed by over 15 clinical studies, effectively improving skin appearance and addressing early signs of aging, further solidifying Solta Medical's leadership in the global aesthetics market.
- Strategic Importance: This product launch not only strengthens Bausch Health's competitiveness in the aesthetics sector but also reflects the company's recognition of Canada's growth potential, aiming to meet the increasing consumer demand through innovative technology.
- Clinical Milestone: ARESTIN® (minocycline HCl) microspheres, the only FDA-approved locally applied antibiotic, has been clinically used for 25 years, aiding over one billion people in managing periodontal disease, highlighting its significance in oral health management.
- Innovative Treatment Method: Utilizing microsphere technology, ARESTIN delivers antibiotics directly into the periodontal pocket, gradually releasing the medication, which significantly enhances treatment efficacy and fills a gap in periodontal disease management, promoting non-surgical treatment advancements.
- Market Expansion Strategy: OraPharma's recent commercial expansion into Canada and Puerto Rico aims to improve treatment options for patients in these regions, reflecting the company's commitment to addressing unmet needs and further solidifying its market position in dentistry.
- Future Development Vision: Bausch Health executives emphasize that while celebrating past achievements, the focus will remain on innovation and deeper collaboration with the dental community to drive ongoing improvements in periodontal health.
- Consistent Growth: Bausch Health achieved its 11th consecutive quarter of revenue and adjusted EBITDA growth, with full-year results exceeding guidance on all key metrics, demonstrating robust market performance and ongoing operational efficiencies.
- Strategic Acquisition: The company acquired Shibo, a full-service aesthetics distribution platform in China, on December 1, 2025, enhancing its direct commercial presence in one of the largest global aesthetics markets, which is expected to further boost market share and customer base.
- Financial Performance: Fourth-quarter revenue reached $1.391 billion, a 9% year-over-year increase, while adjusted EBITDA was $773 million, up 13%, reflecting strong performance in core products like Xifaxan and Thermage.
- Future Outlook: Management anticipates 2026 revenues between $5.25 billion and $5.4 billion, with adjusted EBITDA expected between $2.875 billion and $2.95 billion, indicating steady growth despite challenges from patent expirations and regulatory changes.
- Sustained Growth: Bausch Health reported Q4 2025 revenue of $1.391 billion, a 9% year-over-year increase, reflecting strong performance across markets and further solidifying its position in the global pharmaceutical industry.
- Adjusted EBITDA Growth: Adjusted EBITDA reached $773 million, up 9% from the previous year, exceeding expectations and demonstrating effective management in cost control and growth investments, enhancing future financial flexibility.
- Strategic Acquisition: The acquisition of Shibo, a full-service aesthetics distribution platform in China in December 2025, strengthens direct commercial presence in the largest global aesthetics market, expected to drive future revenue growth and market share expansion.
- Debt Structure Optimization: Through a $1.7 billion debt exchange, Bausch Health significantly improved its debt maturity profile, enhancing financial stability and providing greater flexibility for future business development.
- Earnings Miss: Bausch Health's Q4 2025 financial results revealed a GAAP EPS of -$0.30, significantly below the expected $0.42, causing a ~4% drop in after-hours trading.
- Revenue Growth vs. Rising Expenses: The company reported revenue of approximately $2.8 billion, a 9.5% year-over-year increase that beat the consensus of $2.71 billion; however, a 16% YoY increase in expenses to ~$2.3 billion negatively impacted profitability.
- Positive Revenue Guidance: Bausch provided a 2026 revenue guidance of $10.625 billion to $10.875 billion, exceeding the consensus estimate of $10.52 billion, indicating confidence in future growth prospects.
- Improved Cash Position: By the end of 2025, Bausch's cash, cash equivalents, and restricted cash totaled $1.325 billion, up from $1.2 billion on December 31, 2024, reflecting better liquidity management.







