22 February 2026
Bausch Health Companies Inc.
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
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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.
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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.
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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.
