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Side-by-side financial comparison of Bausch Health Companies Inc. (BHC) and TWILIO INC (TWLO). Click either name above to swap in a different company.

Bausch Health Companies Inc. is the larger business by last-quarter revenue ($2.8B vs $1.4B, roughly 2.0× TWILIO INC). TWILIO INC runs the higher net margin — 6.4% vs -3.7%, a 10.1% gap on every dollar of revenue. Bausch Health Companies Inc. produced more free cash flow last quarter ($403.0M vs $132.0M). Over the past eight quarters, TWILIO INC's revenue compounded faster (14.0% CAGR vs 14.0%).

Bausch Health Companies Inc. is a global, diversified American-Canadian pharmaceutical company. Its global corporate headquarters are located in Laval, Quebec, Canada, and its U.S. headquarters are in Bridgewater, New Jersey. It develops, manufactures and markets a range of pharmaceutical products in gastroenterology, hepatology, neurology, dermatology, dentistry, medical aesthetics, and international pharmaceuticals. Bausch Health manufactures and markets branded pharmaceuticals, generic ph...

Twilio Inc. is an American cloud communications company based in San Francisco, California, which provides programmable communication tools for making and receiving phone calls, sending and receiving text messages, and performing other communication functions using its web service APIs.

BHC vs TWLO — Head-to-Head

Bigger by revenue
BHC
BHC
2.0× larger
BHC
$2.8B
$1.4B
TWLO
Higher net margin
TWLO
TWLO
10.1% more per $
TWLO
6.4%
-3.7%
BHC
More free cash flow
BHC
BHC
$271.0M more FCF
BHC
$403.0M
$132.0M
TWLO
Faster 2-yr revenue CAGR
TWLO
TWLO
Annualised
TWLO
14.0%
14.0%
BHC

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
BHC
BHC
TWLO
TWLO
Revenue
$2.8B
$1.4B
Net Profit
$-103.0M
$90.0M
Gross Margin
48.6%
Operating Margin
17.0%
7.7%
Net Margin
-3.7%
6.4%
Revenue YoY
9.3%
Net Profit YoY
-205.1%
EPS (diluted)
$-0.30
$0.57

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
BHC
BHC
TWLO
TWLO
Q1 26
$1.4B
Q4 25
$2.8B
$1.4B
Q3 25
$2.7B
$1.3B
Q2 25
$2.5B
$1.2B
Q1 25
$2.3B
$1.2B
Q4 24
$2.6B
$1.2B
Q3 24
$2.5B
$1.1B
Q2 24
$2.4B
$1.1B
Net Profit
BHC
BHC
TWLO
TWLO
Q1 26
$90.0M
Q4 25
$-103.0M
$-45.9M
Q3 25
$179.0M
$37.2M
Q2 25
$148.0M
$22.4M
Q1 25
$-58.0M
$20.0M
Q4 24
$98.0M
$-12.5M
Q3 24
$-85.0M
$-9.7M
Q2 24
$10.0M
$-31.9M
Gross Margin
BHC
BHC
TWLO
TWLO
Q1 26
48.6%
Q4 25
48.5%
Q3 25
48.6%
Q2 25
49.1%
Q1 25
49.6%
Q4 24
50.2%
Q3 24
51.0%
Q2 24
51.3%
Operating Margin
BHC
BHC
TWLO
TWLO
Q1 26
7.7%
Q4 25
17.0%
4.2%
Q3 25
23.1%
3.1%
Q2 25
17.5%
3.0%
Q1 25
12.2%
2.0%
Q4 24
21.8%
1.1%
Q3 24
12.7%
-0.4%
Q2 24
16.2%
-1.8%
Net Margin
BHC
BHC
TWLO
TWLO
Q1 26
6.4%
Q4 25
-3.7%
-3.4%
Q3 25
6.7%
2.9%
Q2 25
5.8%
1.8%
Q1 25
-2.6%
1.7%
Q4 24
3.8%
-1.0%
Q3 24
-3.4%
-0.9%
Q2 24
0.4%
-2.9%
EPS (diluted)
BHC
BHC
TWLO
TWLO
Q1 26
$0.57
Q4 25
$-0.30
$-0.28
Q3 25
$0.48
$0.23
Q2 25
$0.40
$0.14
Q1 25
$-0.16
$0.12
Q4 24
$0.24
$-0.10
Q3 24
$-0.23
$-0.06
Q2 24
$0.03
$-0.19

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
BHC
BHC
TWLO
TWLO
Cash + ST InvestmentsLiquidity on hand
$1.3B
$542.0M
Total DebtLower is stronger
$20.8B
Stockholders' EquityBook value
$-554.0M
$7.8B
Total Assets
$26.4B
$9.6B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
BHC
BHC
TWLO
TWLO
Q1 26
$542.0M
Q4 25
$1.3B
$682.3M
Q3 25
$1.3B
$734.8M
Q2 25
$1.7B
$969.2M
Q1 25
$1.1B
$467.1M
Q4 24
$1.2B
$421.3M
Q3 24
$719.0M
$584.0M
Q2 24
$595.0M
$755.1M
Total Debt
BHC
BHC
TWLO
TWLO
Q1 26
Q4 25
$20.8B
$992.3M
Q3 25
$21.0B
$991.9M
Q2 25
$21.7B
$991.4M
Q1 25
$21.5B
$991.0M
Q4 24
$21.6B
$990.6M
Q3 24
$21.5B
$990.2M
Q2 24
$21.7B
$989.8M
Stockholders' Equity
BHC
BHC
TWLO
TWLO
Q1 26
$7.8B
Q4 25
$-554.0M
$7.8B
Q3 25
$-565.0M
$7.9B
Q2 25
$-764.0M
$8.0B
Q1 25
$-1.2B
$8.0B
Q4 24
$-1.3B
$8.0B
Q3 24
$-1.2B
$8.2B
Q2 24
$-1.2B
$8.7B
Total Assets
BHC
BHC
TWLO
TWLO
Q1 26
$9.6B
Q4 25
$26.4B
$9.8B
Q3 25
$26.8B
$9.7B
Q2 25
$27.3B
$9.8B
Q1 25
$26.4B
$9.8B
Q4 24
$26.5B
$9.9B
Q3 24
$26.5B
$10.0B
Q2 24
$26.5B
$10.5B
Debt / Equity
BHC
BHC
TWLO
TWLO
Q1 26
Q4 25
0.13×
Q3 25
0.13×
Q2 25
0.12×
Q1 25
0.12×
Q4 24
0.12×
Q3 24
0.12×
Q2 24
0.11×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
BHC
BHC
TWLO
TWLO
Operating Cash FlowLast quarter
$495.0M
$153.0M
Free Cash FlowOCF − Capex
$403.0M
$132.0M
FCF MarginFCF / Revenue
14.4%
9.4%
Capex IntensityCapex / Revenue
3.3%
Cash ConversionOCF / Net Profit
1.70×
TTM Free Cash FlowTrailing 4 quarters
$1.0B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
BHC
BHC
TWLO
TWLO
Q1 26
$153.0M
Q4 25
$495.0M
$271.6M
Q3 25
$405.0M
$263.6M
Q2 25
$289.0M
$277.1M
Q1 25
$211.0M
$191.0M
Q4 24
$601.0M
$108.4M
Q3 24
$405.0M
$204.3M
Q2 24
$380.0M
$213.3M
Free Cash Flow
BHC
BHC
TWLO
TWLO
Q1 26
$132.0M
Q4 25
$403.0M
Q3 25
$314.0M
Q2 25
$190.0M
Q1 25
$96.0M
Q4 24
$495.0M
Q3 24
$334.0M
Q2 24
$302.0M
FCF Margin
BHC
BHC
TWLO
TWLO
Q1 26
9.4%
Q4 25
14.4%
Q3 25
11.7%
Q2 25
7.5%
Q1 25
4.2%
Q4 24
19.3%
Q3 24
13.3%
Q2 24
12.6%
Capex Intensity
BHC
BHC
TWLO
TWLO
Q1 26
Q4 25
3.3%
Q3 25
3.4%
Q2 25
3.9%
Q1 25
5.1%
Q4 24
4.1%
Q3 24
2.8%
Q2 24
3.2%
Cash Conversion
BHC
BHC
TWLO
TWLO
Q1 26
1.70×
Q4 25
Q3 25
2.26×
7.08×
Q2 25
1.95×
12.36×
Q1 25
9.54×
Q4 24
6.13×
Q3 24
Q2 24
38.00×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

BHC
BHC

Bausch Lomb$1.4B50%
Salix Segment$693.0M25%
International Rx$306.0M11%
Diversified Segment$255.0M9%
Solta Medical Segment$137.0M5%

TWLO
TWLO

Segment breakdown not available.

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