Operating cash flow of $814.0M and free cash flow of $748.0M in 2026Q3 suggest improving cash conversion, yet working capital reversals of -$195.3M in 2025Q4 and the absence of dividends or meaningful buybacks indicate cash is being directed toward debt service rather than shareholder returns.
Bausch Health Companies Inc. (BHC) cash flow statement — 30-year operating, investing & financing cash flows
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Cash from Operations | 2.21B | 1.4B | 1.6B | 1.03B | -728M | 1.43B | 1.11B | 1.5B | 1.5B | 2.29B | 2.09B | 2.2B | 2.29B | 1.04B | 656.58M | 676.47M | 263.19M | 360.9M | 204.32M | 340.85M | 521.93M | 498.11M | 277.09M | 281.98M | 334.1M | 284.12M | 102.49M | 81M | 53.6M | 4.3M | -5.6M |
| Operating CF Margin % | - | 13.64% | 16.59% | 11.78% | -8.96% | 16.91% | 13.84% | 17.45% | 17.91% | 26.25% | 21.57% | 21.07% | 27.98% | 18.07% | 18.87% | 27.46% | 22.96% | 43.99% | 26.99% | 40.44% | 48.76% | 53.24% | 31.26% | 34.23% | 42.4% | 48.71% | 33.15% | 45.89% | 47.52% | 5.22% | -8.43% |
| Operating CF Growth % | 224.34% | -12.34% | 54.75% | 241.76% | -151.05% | 28.35% | -25.98% | 0% | -34.45% | 9.73% | -5.15% | -4.11% | 120.23% | 58.7% | -2.94% | 157.03% | -27.07% | 76.63% | -40.05% | -34.69% | 4.78% | 79.76% | -1.73% | -15.6% | 17.59% | 177.21% | 26.54% | 51.12% | 1146.51% | 176.79% | -118.01% |
| Net Income | -841M | 120M | -72M | -611M | -212M | -937M | -559M | -1.78B | -4.14B | 2.4B | -2.41B | -287.8M | 912.2M | -863.67M | -116.03M | 159.56M | -208.19M | 176.46M | 199.9M | 195.54M | 203.94M | 99.6M | 52.75M | -27.27M | 87.8M | 87.45M | -147.98M | 62.5M | 45.4M | 35.2M | 22.7M |
| Depreciation & Amortization | 1.15B | 1.21B | 1.27B | 1.26B | 1.39B | 1.55B | 1.82B | 2.08B | 2.82B | 2.86B | 2.87B | 2.63B | 1.74B | 2.02B | 986.22M | 612.6M | 254.5M | 149.26M | 103.42M | 100.77M | 107.86M | 205.41M | 194.64M | 166.85M | 89.96M | 67.87M | 21.53M | 10.1M | 5M | 3.2M | 2M |
| Stock-Based Compensation | 158M | 216M | 150M | 132M | 126M | 128M | 105M | 102M | 87M | 87M | 165M | 140.1M | 78.2M | 45.48M | 66.24M | 94.02M | 98.03M | 5.61M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | 300.77M | 80M | 66M | 51M | -176M | -225M | -475M | -230M | -144M | -4.39B | -236M | -7M | 81.8M | -515.88M | -319.6M | -249.49M | -55.4M | -16M | -90M | 0 | 0 | 0 | 0 | 0 | 0 | 1.45M | 3.75M | 0 | 0 | 0 | 0 |
| Other Non-Cash Items | 1.74B | -1.17M | 179M | 778M | -1.46B | 1.04B | 581M | 1.66B | 2.87B | 483M | 1.81B | 549.8M | 153.3M | 738.52M | 293.03M | 196.9M | 196.11M | 47.1M | -28.59M | 92.62M | 220.98M | 75.86M | 69.88M | 175.69M | 198.28M | 106.04M | 272.42M | -300K | -100K | 0 | 600K |
| Working Capital Changes | -302.34M | -222.83M | 7M | -582M | -396M | -128M | -366M | -318M | 18M | 844M | -110M | -822.2M | -668.4M | -378.29M | -253.28M | -137.12M | -21.86M | -1.53M | 25.31M | -48.08M | -10.85M | 117.24M | -40.17M | -33.3M | -41.94M | 21.31M | -47.23M | 8.7M | 3.3M | -34.1M | -30.9M |
| Change in Receivables | -129.72M | -136.35M | -216M | -195M | -57M | -229M | 170M | 39M | 216M | 417M | -34M | -625.9M | -572.4M | -261.38M | -219.43M | -164.58M | 25.19M | -30.14M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | -36.08M | -12.21M | -267M | -322M | -198M | -16M | -77M | -209M | -5M | 7M | -164M | -276M | -174.3M | -122.7M | -80.3M | -11.52M | 7.46M | -26.21M | 20.58M | 3.02M | 10.9M | 16.61M | -26.11M | -30.02M | -14.64M | 0 | -3.89M | -1.6M | 6.3M | -8.6M | -4.5M |
| Change in Payables | -166.12M | -77.33M | 357M | 158M | -75M | 121M | -471M | -149M | -568M | 387M | -144M | 170.3M | 188.6M | -76.55M | -29.07M | -8.98M | -76.1M | 30.77M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cash from Investing | -601.71M | -595M | -454M | -2.15B | -303M | 409M | -261M | -419M | -196M | 2.89B | -125M | -15.58B | -99.7M | -5.38B | -2.97B | -2.84B | 228.94M | -742.77M | -107.83M | -15.04M | -40.45M | 31.78M | -42.26M | -278.45M | -792.47M | -57.75M | -582.3M | -129.4M | -33M | -3.2M | -10.4M |
| Capital Expenditures | -345.38M | -397M | -337M | -215M | -218M | -269M | -302M | -278M | -235M | -336M | -291M | -303.3M | -470.6M | -184.96M | -181.13M | -385.95M | -16.82M | -569.25M | -22M | -35.09M | -44.8M | -63.81M | -28.03M | -36.92M | -61.38M | -44.44M | -15.85M | -51.5M | -3.7M | -2.7M | -6.7M |
| CapEx % of Revenue | 3.11% | 3.87% | 3.5% | 2.46% | 2.68% | 3.19% | 3.76% | 3.23% | 2.8% | 3.85% | 3.01% | 2.9% | 5.74% | 3.21% | 5.2% | 15.67% | 1.47% | 69.38% | 2.91% | 4.16% | 4.19% | 6.82% | 3.16% | 4.48% | 7.79% | 7.62% | 5.13% | 29.18% | 3.28% | 3.28% | 10.09% |
| Acquisitions | -213.27M | 0 | 0 | -1.89B | -45M | 0 | 0 | -180M | 5M | -165M | -49M | -15.46B | -1.1B | -5.25B | -3.49B | -2.46B | 224.45M | -200M | -101.92M | 0 | 4M | -47K | -9.32M | -25.74M | -240.58M | 0 | -622.14M | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | -40.01M | -195M | -119M | -39M | -45M | 682M | 37M | 45M | 34M | 3.39B | 199M | -18.7M | 1.49B | 110.73M | 83.12M | -327.44M | -1.7M | 28.3M | -7.29M | 0 | 1K | 98.13M | 3M | -211.23M | -405.38M | -12.45M | -7.75M | -23.2M | -29.3M | -500K | -3.7M |
| Cash from Financing | -460.65M | -742M | -868M | 1.48B | -474M | -1.51B | -2.29B | 1.44B | -1.35B | -4.96B | -1.96B | 13.62B | -2.44B | 4.03B | 3.06B | 1.95B | -213.28M | 177.05M | -210.31M | -728.65M | -92.25M | -119.09M | -334.53M | 72.52M | 79.53M | 83.6M | 427.05M | 147.9M | 49.5M | 2.6M | -3M |
| Debt Issued (Net) | -374.53M | -648.15M | -799M | 1.58B | -1.01B | -1.34B | -2.19B | 1.55B | -1.16B | -4.78B | -1.22B | 12.64B | -2.26B | 2.01B | 3.47B | 2.77B | 200.58M | 323.73M | 0 | -418.01M | -26.38M | -39.59M | -346.29M | 60.44M | 450.19M | -404.67M | 309.15M | -75.2M | 117.7M | -1.8M | -3.2M |
| Equity Issued (Net) | 0 | 0 | -26M | 0 | 675M | 0 | 0 | -40M | -10M | 0 | 0 | 1.36B | 16.4M | 2.25B | -280.7M | -639.24M | -60.13M | 866K | -29.84M | 11.22M | 15.24M | 2.99M | 8.01M | 12.08M | -370.66M | 488.27M | 109.6M | 223.1M | -68.2M | 4.5M | 200K |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -356.29M | -147.15M | -180.29M | -321.52M | -80.06M | -79.78M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | 0 | 0 | -26M | 0 | 0 | 0 | 0 | -40M | -10M | -4M | -11M | -72M | -44M | -55.6M | -280.7M | -639.24M | -60.13M | 0 | -29.84M | 0 | 0 | 0 | 0 | 0 | -503.1M | -129.97M | 0 | -30.6M | -72.1M | 0 | 0 |
| Other Financing | -86.12M | -93.85M | -43M | -106M | -139M | -173M | -107M | -71M | -186M | -184M | -747M | -376M | -202.1M | -235.6M | -136.7M | -183.28M | 2.55M | -399K | -182K | -338K | -1.05M | -2.72M | 3.75M | 0 | 0 | 0 | 8.3M | 0 | 0 | -100K | 0 |
| Net Change in Cash | 1.15B | 124M | 239M | 371M | -1.53B | 303M | -1.43B | 2.52B | -74M | 255M | -55M | 274.7M | -277.7M | -315.75M | 751.98M | -230.16M | 279.81M | -203.08M | -116.09M | -400.9M | 389.23M | 410.96M | -98.94M | 77.18M | -378.81M | 309.75M | -52.94M | 99.8M | 70M | 3.7M | -19.8M |
| Free Cash Flow | 1.83B | 1B | 1.26B | 760M | -996M | 1.14B | 802M | 1.22B | 1.27B | 1.95B | 1.8B | 1.9B | 1.82B | 857M | 475.44M | 290.52M | 246.37M | -208.35M | 182.33M | 305.77M | 477.13M | 434.3M | 249.06M | 245.06M | 272.72M | 239.69M | 86.65M | 29.5M | 49.9M | 1.6M | -12.3M |
| FCF Margin % | 16.44% | 9.77% | 13.09% | 8.68% | -12.26% | 13.55% | 9.99% | 14.22% | 15.11% | 22.4% | 18.57% | 18.17% | 22.25% | 14.86% | 13.66% | 11.79% | 21.5% | -25.4% | 24.08% | 36.28% | 44.57% | 46.42% | 28.09% | 29.75% | 34.61% | 41.09% | 28.03% | 16.71% | 44.24% | 1.94% | -18.52% |
| FCF Growth % | 68.34% | -20.4% | 65.79% | 176.31% | -187.14% | 42.52% | -34.42% | -3.4% | -35.21% | 8.8% | -5.33% | 4% | 112.85% | 80.25% | 63.65% | 17.92% | 218.24% | -214.28% | -40.37% | -35.92% | 9.86% | 74.38% | 1.63% | -10.14% | 13.78% | 176.62% | 193.73% | -40.88% | 3018.75% | 113.01% | -143.16% |
| FCF per Share | 4.80 | 2.67 | 3.42 | 2.08 | -2.75 | 3.18 | 2.26 | 3.47 | 3.62 | 5.55 | 5.17 | 5.46 | 5.34 | 2.67 | 1.56 | 0.89 | 1.26 | -1.31 | 1.14 | 1.90 | 2.98 | 2.72 | 1.55 | 1.53 | 1.70 | 1.59 | 0.60 | 0.27 | 0.47 | 0.02 | -0.12 |
| FCF Conversion (FCF/Net Income) | -2.17x | 8.92x | -34.72x | -1.74x | 3.24x | -1.50x | -1.99x | -0.84x | -0.36x | 0.95x | -0.87x | -8.19x | 2.60x | -1.20x | -5.66x | 4.24x | -1.26x | 2.05x | 1.02x | 1.74x | 2.49x | 2.02x | 1.72x | -6.99x | 3.81x | 3.25x | -0.69x | 1.30x | 1.18x | 0.12x | -0.25x |
| Interest Paid | 0 | 0 | 1.67B | 1.53B | 1.54B | 0 | 0 | 0 | 0 | 1.71B | 0 | 1.27B | 934M | 652.9M | 421M | 247.88M | 37.72M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 61M | 237M | 266M | 0 | 0 | 0 | 0 | 179M | 0 | 95M | 98.7M | 65.1M | 41.4M | 45.4M | 26.3M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Quick answers to the most common questions about buying BHC stock.
Bausch Health Companies Inc. (BHC) generated $1.40B in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Bausch Health Companies Inc. (BHC) generated $1.00B in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
Bausch Health Companies Inc. (BHC) spent $397.0M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
Key Metrics
Top Statement Risk
Volatile Quarterly Cash Generation
Metrics are mathematically derived from official filings.
Operating Cash Flow Diverges From Earnings
According to reported quarterly figures, BHC's operating cash flow ranged from $211.0M to $814.0M while net income swung between a $1.4B loss and $436.0M profit, making the earnings-to-cash link difficult to read from any single period.
The gap between net income and operating cash flow is the central signal in this dataset: in 2026Q1 a $1.4B net loss coexisted with $230.0M of operating cash, suggesting the loss was dominated by non-cash charges such as impairments rather than weak operations. OCF/NI ratios such as 37.87 in 2024Q2 and 6.46 in 2024Q4 reflect a small denominator rather than exceptional cash quality, so these ratios should not be treated as meaningful. Investors should monitor whether the operating cash base holds up once non-cash items normalize.
Free Cash Flow Lumpy and Unproven
Based on BHC's reported figures, free cash flow margin moved from 3.3% in 2026Q1 to 36.5% in 2026Q2, a spread that suggests working capital timing and one-off items are driving results more than a durable run-rate.
Free cash flow of $748.0M in 2026Q3 and $671.0M in 2026Q2 stands well above the $83.0M and $87.0M levels seen in the weakest quarters, indicating that the trajectory is dominated by episodic inflows. Capital expenditure has stayed in a narrow band of $39.0M to $115.0M per quarter, so the swings are not explained by investment spending. The recent strength warrants further investigation before being extrapolated.
Working Capital Reversals Drive Quarterly Noise
As reported in financial statements, BHC's working capital change flipped from a $195.3M outflow in 2025Q4 to a $91.0M inflow in 2025Q2, indicating that receivables and payables timing materially moves quarterly operating cash.
Large swings in working capital, including a $126.5M inflow in 2024Q3 followed by $195.3M of outflow two quarters later, suggest collection and payment timing rather than structural change. Because these reversals are of similar magnitude to the underlying operating cash flow, the reported quarterly figures should be read on a trailing basis. Data on inventory and receivables detail is not provided, so the specific drivers remain unverified.
Capital Returns Absent, Debt Focus Implied
Based on the supplied data, BHC reported no dividend payments in any quarter and only $3.0M of buybacks, leaving free cash flow without visible shareholder distribution.
With no dividends and negligible repurchases, the free cash flow generated in 2026Q2 and 2026Q3 appears directed toward balance sheet priorities, though the data does not disclose debt repayment amounts. Acquisition outflows of $190.3M in 2025Q4 and $86.9M in 2024Q4 indicate that cash has been partly deployed into acquisitions. Whether these deployments earn adequate returns cannot be assessed from the provided figures.
Cumulative Cash Reality Versus Reported Earnings
Based on reported quarterly figures across ten periods, cumulative operating cash flow substantially exceeds cumulative net income, though the aggregate masks extreme quarter-to-quarter volatility.
Summing the ten quarters, operating cash flow totals roughly $4.3B against net income near -$0.7B once the $1.4B 2026Q1 loss is included, a gap that suggests non-cash charges have depressed reported earnings for an extended period. This pattern may reflect amortization and impairment burdens, which the D&A series of roughly $280M to $325M per quarter supports. The conclusion depends on whether those charges represent recurring economic costs, which warrants further investigation.
Cash Flow Statement May Understate Obligations
As reported in financial statements, BHC's cash flow presentation excludes stock-based compensation in most quarters and does not disclose capitalized costs or off-balance sheet items, so the reported operating cash figures may overstate sustainable cash generation.
Stock-based compensation appears only sporadically in the supplied data, so its treatment as a non-cash add-back cannot be fully assessed, and the absence of disclosed capitalized development or leasing costs means some economic outlays may sit outside CapEx. Investors should monitor whether the strong recent operating cash figures reflect timing benefits that could reverse. Data on off-balance sheet commitments is not provided, so no conclusion about hidden liabilities is drawn here.