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Bausch Health Companies Inc.

CIK: 8855901 Annual ReportLatest: 2026-02-19

10-K / February 19, 2026

Bausch Health Companies Inc.

Company profile

  • Global, diversified specialty pharmaceutical and medical device company.
  • Focus areas: gastroenterology (GI), hepatology, neurology, dermatology, and eye health.
  • Through its ownership of Bausch + Lomb (B+L) (about 88% ownership as of Feb 11, 2026), the company operates a fully integrated eye health business covering Vision Care, Surgical, and Pharmaceuticals.

Corporate structure and separation plan

  • Five reportable segments: Salix, International, Solta Medical, Diversified, and Bausch + Lomb.
  • The company plans to separate the eye health business into an independent public company (the B+L Separation). The separation may include monetization of all or part of the B+L stake and could occur via several structural options.
  • The separation is subject to targeted debt leverage ratios, required approvals, and may unfold over time using various structures.

Revenue and financial snapshot (recent full-year figures)

  • Consolidated revenues:
    • 2025: $10,266 million
    • 2024: $9,625 million
    • 2023: $8,757 million
  • Primary customers (share of total revenue):
    • Cencora Inc.: 18% (2025), 19% (2024), 19% (2023)
    • McKesson Corporation: 16% (2025), 15% (2024), 15% (2023)
    • Cardinal Health, Inc.: 14% (2025), 14% (2024), 13% (2023)
  • Geographic revenue (2025): U.S. approximately 60%, China approximately 5%; other countries make up the remainder.

Global footprint and portfolio

  • Markets directly or indirectly in about 90 countries.
  • Product portfolio of approximately 1,000 products.

Employees and human capital

  • Total employees: approximately 20,300 (as of December 31, 2025).
  • Bausch + Lomb employees: approximately 13,000 (of the total).
  • Company-wide employee distribution:
    • Production: about 10,300
    • Sales and marketing: about 6,800
    • General and administrative: about 1,800
    • R&D: about 1,400

Operations and infrastructure

  • Manufacturing sites: about 37 worldwide; 25 are B+L facilities.
  • Third-party manufacturing: about 28% of product sales were produced in whole or in part by third-party manufacturers in 2025.
  • R&D: around 80 pipeline projects; about 1,400 R&D and quality assurance employees across 25 R&D facilities.
  • Several sites co-locate R&D and manufacturing.

Segments and principal products

  • Salix (U.S. GI products)

    • Core product: Xifaxan (rifaximin). Xifaxan revenue: $2,212 million (2025); $1,993 million (2024); $1,810 million (2023).
    • Other Salix products: Relistor, Trulance.
  • International (outside the U.S.; excluding B+L and Solta Medical)

    • Branded pharmaceuticals, branded generics, and OTC products.
    • Examples: Bedoyecta (multivitamin), Jublia (efinaconazole) in Canada, Bisocard (bisoprolol), Diclofenac (Central/Eastern Europe), Contrave/Mysimba (weight management), Ryaltris (nasal spray), Espaven (gastrointestinal).
  • Solta Medical (global aesthetic medical devices)

    • Major systems: Thermage (non-invasive skin tightening), Clear + Brilliant (laser), Fraxel (laser skin rejuvenation), VASERlipo (liposuction adjunct).
  • Diversified (U.S. sales across multiple therapeutic areas)

    • Neuroscience: Wellbutrin XL, Aplenzin, Ativan, Mysoline, Xenazine.
    • Dermatology: Jublia, CABTREO (acne), Siliq, Arazlo, Targretin.
    • Generics: generic and authorized generic products.
    • Dentistry: Arestin.
  • Bausch + Lomb (eye health)

    • Eye care, surgical products, and pharmaceuticals.
    • Principal products: XIIDRA (lifitegrast) for dry eye disease; PreserVision AREDS/AREDS2/AREDS3 vitamins; Lumify (OTC redness reliever); MIEBO (formerly NOV03) tear evaporation treatment; contact lens solutions and lens technologies (Biotrue, Biotrue Hydration Plus, Biotrue ONEday, Lumera-like lines); Stellaris Elite cataract system.
    • Product development and regulatory activity include an NDA for next-generation Lumify and an anticipated AREDS 3 launch in 2026.

Research and development focus

  • R&D efforts are focused on refreshing the pipeline and introducing new products.
  • The company pursues collaborations, licensing, and potential acquisitions to build on its commercial footprint.

Industry position and capabilities

  • Competes across GI, neurology, dermatology, eye health, diagnostic/medical devices, and generics.
  • Faces generic competition as product exclusivities lapse and maintains focus on IP protection, regulatory compliance, and product quality.

Summary

Bausch Health is a diversified, global pharmaceutical and medical device company with five reportable segments, a portfolio of about 1,000 products, and substantial eye-health operations through its majority stake in Bausch + Lomb. The company generated about $10.3 billion in revenue in 2025, employed roughly 20,300 people, and operates 37 manufacturing sites (25 B+L facilities). The company is pursuing a separation of its eye-health business and continues product development and global commercial activities.