Bausch Health: Prescription for Profits or Risky Business?

With a struggle to grow and a massive debt burden, Bausch Health stock remains a very risky bet. Proceed with caution.

| More on:

As far as turnaround stories go, Bausch Health Companies (TSX:BHC) sure has its share of conflicting opinions. Its story is long and complicated. But is Bausch Health stock, which traded north of $330 back in 2015, a stock that’s worth buying today?

Let’s look into this.

The largest Canadian pharmaceutical/consumables stock

The pharmaceutical industry is dominated by the large U.S. multinational pharma companies. They have secure hold on this lucrative, trillion-dollar industry, and this hold has only gotten stronger in the last few years. So, what is Canada’s Bausch Health’s place in this world, and what is holding this company back?

Simply put, Bausch Health has a sordid history that includes unreasonable price hikes, aggressive acquisitions, and the assumption of a tremendous amount of debt. Today, the company is still paying for these transgressions, both literally and figuratively. For example, the company has paid more than $1 billion to settle these lawsuits. Also, Bausch Health is often met by skepticism, which is due to its legacy.

Bausch Health’s latest results

The company’s first-quarter results were a reflection of the difficult situation that Bausch Health still finds itself in. Reported revenue increased a mere 1%, and organic revenue growth was a better, but still paltry, +4%. Yet within the business, there are some franchises that are seeing healthy growth. For example, Bausch’s drug Relistor, which is for treating constipation, saw a 29% increase in revenue. Also, Trulance, which treats irritable bowl syndrome, saw a 19% increase in revenue.

Real growth remains elusive

But despite these glimmers of what could be, Bausch is plagued by a lacklustre overall business. In fact, revenue declined 3.7% in 2022. Furthermore, the company’s expectations for 2023 are for revenue of between $8.35 billion and $8.55 billion. This represents a growth rate between a mere 2.8% and 5.2%. At least it’s growing, I guess. The company also expects operating cash flow to come in at $625 million.

So, while I have been encouraged by the company’s cash flow generation, there are other, more pressing issues that outweigh this positive. My view is that the company has potential, but the risk remains too high.

Debt remains a problem and a limiting factor

In Bausch Health’s prior existence as Valeant Pharmaceuticals, the company piled on the debt, as it continued to fuel massive growth via acquisition. At the time, this was celebrated and rewarded by the market, and Bausch Health stock soared to more than $330 per share. But this strategy was never sustainable, and today Bausch Health remains saddled by its debt.

Obviously, Bausch is attempting to gain control over its balance sheet. Det reduction is a priority for the company. In the first quarter, the company paid off $105 million of its debt. Its debt level remains above $16 billion. This compares to its 2023 expected operating cash flow of $625 million.

The risk remains high with Bausch Health stock. It definitely does not have the typical defensive attributes of a healthcare stock. So, while it’s unfortunate, I think that it’s best to wait it out. If you’re thinking of buying BHC stock, I would wait for the risk/reward profile to improve.

Fool contributor Karen Thomas has no position in any of the stocks mentioned. The Motley Fool has no position in any of the stocks mentioned. The Motley Fool has a disclosure policy.

More on Investing

pumpjack on prairie in alberta canada
Energy Stocks

One Year On: This Monthly Dividend Stock Hasn’t Missed a Beat

Tourmaline Oil Corp. stock stands to benefit from recent supply disruptions caused by the war in Iran and an LNG…

Read more »

woman considering the future
Dividend Stocks

The Small-Print TFSA Rule That Affects Your U.S. Stocks

Fortis (TSX:FTS) is 100% tax-free if held in a TFSA. U.S. utility stocks aren't.

Read more »

man gives stopping gesture
Dividend Stocks

Is Enbridge Stock Worth Buying at Its Current Price?

Although Enbridge is one of the most reliable dividend stocks on the TSX, is it actually worth buying today?

Read more »

dividends grow over time
Tech Stocks

3 Canadian Stocks That Look Expensive (But I’d Buy Them Anyway)

Ignoring “expensive” stocks while waiting for a great bargain? The higher price may reflect a business that keeps executing, keeps…

Read more »

House models and one with REIT real estate investment trust.
Dividend Stocks

Here’s an Ideal TFSA Dividend Stock That Pays Consistent Cash

This TSX real estate stock could quietly deliver steady tax-free income for years.

Read more »

Person uses a tablet in a blurred warehouse as background
Dividend Stocks

1 Ideal TSX Dividend Stock Down 55% to Buy and Hold for a Lifetime

Tecsys stock is down but delivering record EBITDA, 23% ARR growth, and a growing AI platform. Here is why this…

Read more »

Concept of rent, search, purchase real estate, REIT
Dividend Stocks

Rates Are on Hold for Now — These 2 TSX Dividend Stocks Look Worth Owning Regardless

These TSX dividend stocks are some of the best to buy today, with reliable business models and dividend yields above…

Read more »

The TFSA is a powerful savings vehicle for Canadians who are saving for retirement.
Dividend Stocks

How to Put $25,000 in a TFSA to Work Generating Meaningful Cash Flow

Want to earn an extra $1,100 of cash flow completely tax-free. Here's how a $25,000 TFSA can become a growing…

Read more »