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Bausch Health Companies

BHC
38
Drug Manufacturers - Specialty & Generic · Healthcare
Price
$4.83
-0.10 (-2.03%)
Market Cap
$1.80B
Winston Score
38
Winston is serious
Below-average fundamentals — multiple weak pillars.

Share count rising — dilution

+4.5% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 358.9M (2021) → 375.0M (2025)

Bausch Health Companies is a pharmaceutical company that makes and sells prescription drugs, over-the-counter medicines, and medical devices. Its products cover eye health, skin conditions, and gastrointestinal issues, sold mainly to hospitals, pharmacies, and doctors across North America and internationally. The company owns well-known brands like Xifaxan, a prescription drug for irritable bowel syndrome, and has a majority stake in Bausch + Lomb, one of the largest eye health companies in the world.

Bausch Health earns money by selling branded and generic drugs, as well as eye care products ranging from contact lenses to surgical equipment. It operates primarily in the United States, Canada, and Europe, generating roughly $8–9 billion in annual revenue. The company carries a very heavy debt load — over $20 billion — left over from an aggressive acquisition strategy years ago, and managing that debt while potentially spinning off its Bausch + Lomb stake remains the central challenge facing the business.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+10.5% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

<−1,000% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$640M/ year

Flat (+1% vs prior year)

6.1% of revenue

Below sector average (18%)

Steady R&D investment year-over-year

Insider Activity

11.5%ownership

Flat

Insiders holding steady — not selling despite ability to

Cash Position

Cash flow positive

$1.3B cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

Bausch Health Companies is a rare growth stock that's already generating positive cash flow while growing at 11%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
61.2%
Premium pricing power — 61.2% gross margin
Operating Margin
20.6%
Excellent — 20.6% operating margin
ROCE
2.7%
Weak — 2.7% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales YoY
+8.5%
Steady sales growth (8.5% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
4/8 quarters
Earnings inconsistent quarter-to-quarter

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
9.4%
Modest free cash flow (9.4%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

Debt / Equity
N/A
Data not available
Interest Cover
1.43x
Dangerous — barely covers interest (1.4x)

Interest coverage between 1 and 3. Profits cover interest, but with little room to spare.

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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