With a combined revenue of $21 trillion and $2.1 trillion in profits, the 2026 Fortune 500 is the definitive list of America's largest companies.

Fortune 500

Almost $20 trillion in revenue—and a record-breaking $1.87 trillion in profits. Introducing the 2025 Fortune 500, the definitive list of the biggest companies in America.

The 300 companies on this year’s list brought in over $12.6 trillion in revenue for the latest 12 months, with the median revenue figure at $22 billion.

America's Most Innovative Companies

Industries included in the sector are insurance and managed care, medical products and facilities, pharmacy services, and pharmaceutical companies.

Fortune Sector Leaders: Health Care

The Fortune 500, in its 70th year in 2024, ranks the biggest U.S. companies by revenue.

The 200 companies on this list are transforming industries from the inside out.

The Fortune 500, in its 69th year in 2023, ranks the biggest U.S. companies by revenue.

This year’s Fortune 500 marks the 68th running of the list.

This year’s Fortune 500 marks the 67th running of the list.

The pharmaceutical and medical equipment company makes products that aid in the treatment of health conditions such as kidney disease and hemophilia.

This year's Fortune 500 marks the 66th running of the list.

F500-2020-282-Baxter-International

This Deerfield, Ill. company makes devices and other products to treat hemophilia, kidney disease, immune disorders, and other chronic and acute medical conditions.

This year's Fortune 500 marks the 65th running of the list.

This year's Fortune 500 marks the 64th running of the list.

This year's Fortune 500 marks the 63rd running of the list.

This year's Fortune 500 marks the 62nd running of the list.

This year's Fortune 500 marks the 61st running of the list. Wal-Mart claims the top spot again. See who made the list.

World's Most Admired Companies

Wal-Mart stayed on top as its sales crept closer to half-a-trillion dollars. Apple moved into the top five. And UnitedHealth Group continued its steady climb. 

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Through its subsidiaries, Baxter provides a portfolio of health care products in the U.S. through three segments: medical products and therapies, health care systems and technologies, and pharmaceuticals. Founded in 1931 with headquarters in Deerfield, Ill., it operates in Eastern Europe, the Middle East, Africa, Latin America, Asia, Western Europe, Canada, Japan, Australia, and New Zealand.

Q2 2026

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Baxter International (BAX): Company Profile, Stock Price, News, Rankings

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Baxter International

baxter international

Good morning, ladies and gentlemen, welcome to Baxter International's first quarter 2026 earnings call. Your lines will remain in a listen-only mode until the question and answer segment of today's call. At that time, if you have a question, you will need to press the star and one key on your touch-tone phone. If anyone should require assistance during the conference, please press the star then zero on your touch-tone phone. As a reminder, this call is being recorded by Baxter and is copyrighted material. It cannot be recorded or rebroadcast without Baxter's permission. If you have any objections, please disconnect at this time. I would now like to turn the call over to Mr. Kevin Moran, Vice President, Investor Relations at Baxter International. Mr. Moran, you may begin.

Good morning and welcome. Today, we'll discuss Baxter's first quarter results along with our financial outlook for the full year 2026. This morning, a press release was issued with our preliminary earnings results and reiterated outlook. The press release and investor presentation are available on the investor section of the Baxter website. Joining me today are Andrew Hider, President and Chief Executive Officer, and Anita Zielinski, Interim Chief Financial Officer, Chief Accounting Officer and Controller. During the call, we will be making forward-looking statements, including comments regarding our reiterated financial outlook for the full year 2026, and the anticipated drivers of the second quarter and second half 2026 performance.

The anticipated impact of various regulatory and operational matters, including ones related to our infusion pump platform and ongoing supply chain challenges, and commentary regarding the global macroeconomic environment, including estimated impacts of tariffs and broader inflationary pressures.

Forward-looking statements involve risks and uncertainties, which could cause our actual results to differ materially from our current expectations. Please refer to today's press release, the forward-looking statement slide at the beginning of our investor presentation, and our SEC filings for more detail. In addition, please note that on today's call, all of our comments will be on a non-GAAP basis unless they are specifically called out as GAAP. Non-GAAP financial measures are used to help investors understand Baxter's ongoing business performance. GAAP to non-GAAP reconciliations can be found in the schedules attached in our press release and our investor presentation.

On the call, we will reference organic growth, which excludes the impact of foreign exchange, MSA revenues from Vantive, and impacts associated with business acquisitions or divestitures. As a reminder, continuing operations excludes Baxter's kidney care business, which is now reported as discontinued operations.

Finally, Andrew, Anita, and I will take questions following the prepared remarks, and we kindly ask that you limit yourself to one question and one brief follow-up so that we can give as many people on the queue an opportunity. With that, I'd like to turn the call over to Andrew.

Thank you, Kevin. Good morning, everyone. Welcome, Anita, who is serving as interim CFO until we appoint a permanent successor while continuing her duties as Chief Accounting Officer and Controller. I have full confidence that Anita's stewardship, supported by the diligence of our finance team, will help ensure continuity and a seamless transition while also supporting our turnaround, including efforts to strengthen our balance sheet. I'd also like to thank Joel for his contributions and partnership during his time with Baxter. We wish him all the best.

We have launched a comprehensive search for a permanent successor, and I look forward to providing an update when appropriate. In the meantime, my focus remains on executing our turnaround, including stabilizing the business, strengthening the balance sheet, and driving a culture of continuous improvement. The Baxter team is working hard and made progress on all three fronts in the quarter.

I'll cover this in more detail in a few minutes. For the first quarter, financial results were in line with our overall expectations, and we are on track to deliver on our guidance for the full year. Although we are not satisfied with where our performance stands today, we have a roadmap in place to improve results and drive shareholder value. I have clear insights into the challenges facing our business. We believe we are taking the actions necessary to fulfill the company's potential.

As I have come to learn through my immersive nine months as CEO and deep engagement with customers, employees, and our leaders, Baxter is a foundation of good businesses with leading positions and the potential to outgrow our markets, expand margins, and increase cash flow. We are focused on delivering not only better, but also more consistent and predictable performance.

With that, let me provide a high-level overview of our performance within the quarter. First quarter global sales from continuing operations totaled $2.7 billion, representing an increase of 3% year-over-year on a reported basis, and a decline of 1% on an organic basis. Adjusted earnings from continuing operations for the quarter were $0.36 per diluted share versus $0.55 in the prior year period. As we stated in our last call, we expected the first quarter to be challenging, including difficult prior year comps. In the first quarter of 2025, we saw a one-time distributor build following Hurricane Helene, which benefited the MPT segment. In the prior year, operating margins realized a benefit due to the timing of certain functional costs being reclassified.

In the quarter, we saw the expected headwinds from both tariffs and higher manufacturing costs, including absorption pressure operating margin. While we did not see material impact from Novum LVP related returns in the quarter, we believe it's prudent to continue to factor this possibility into our full year guidance. We remain focused on supporting our current Novum customers with their implementation of currently available mitigations. We continue to work diligently to finalize hardware and software corrections to resolve the active field actions. Once available, we will implement the corrections in coordination with regulatory authorities, including any necessary submissions. Looking at the overall demand environment, we continue to believe we are in attractive end markets. Advanced Surgery, for example, had another great quarter, growing 10%, and we are sustaining a strong order book in our Care and Connectivity Solutions business.

We continue to monitor the direct and broader macroeconomic effects of higher oil prices and conflict in the Middle East. Our Middle East exposure is less than 2% of total revenue. Importantly, our exposure to fuel today is less than half of what it was historically, given the divestiture of the Kidney business. That said, this is obviously a fluid situation which we are actively monitoring. In the event the landscape changes, it will not be Baxter specific, and we are prepared to navigate any unforeseen dynamic with rigor and agility. To support our customers, we are continuing to advance innovation in targeted areas of the portfolio. This includes positive response from customers and strong order growth from Dynamo, a smart hospital stretcher designed to improve patient safety and care team efficiency.

In the quarter, we also launched the IV Verify Line Labeling System, an automated solution that supports safer medication administration, and the XR Spine surgical table, which is designed to support surgical teams across a range of spine procedures. We also have an active pipeline of differentiated solutions with integrated AI functionality designed to accelerate future growth. We are already leveraging AI in our Connected Care Foundation, which unifies Baxter's unique data set provided by Internet of Things devices like beds, pumps, and vitals to provide actionable data and analysis. In addition, we are using AI in Front Line Care to develop products that strengthen clinical insights and operational efficiency. Overall, our performance in the first quarter was in line with how we expected the year to begin, with a few puts and takes across the portfolio.

Importantly, our results support the broader framework we laid out for 2026, including known mechanical headwinds and a more challenging comparison to the prior year in the first half and improving performance in the second half. It is still early in our turnaround, but we're on the right track and showing progress on our three strategic priorities. The first of those priorities is stabilizing the business, specifically in areas that require increased focus. As an example, last quarter, we referenced back order challenges at one of our manufacturing facilities that was impacting revenue and driving unfavorable mix within pharma. During the quarter, we made significant progress in clearing back orders in addition to increasing throughput. The second priority is strengthening the balance sheet. That includes improving free cash flow to support deleveraging.

I'm encouraged with the positive free cash flow generation in the quarter, which reflects early success in our effort to improve working capital efficiency. While we still have more work to do, this is a solid step in the right direction and reinforces my confidence that the actions we are taking will strengthen cash generation and our overall financial flexibility over time. Our near-term capital deployment priority is debt paydown, and we continue to target net leverage of approximately 3x by the end of 2026. Once we reach our leverage goal, we will have a stronger balance sheet with more optionality to drive shareholder value, including strategic tuck-in M&A that enhances our customer offerings and growth profile as well as the option to return capital through share repurchases. Turning to our third priority, driving continuous improvement.

It has been almost six months since we rolled out the Baxter Growth and Performance System, or GPS, which is focused on simplifying processes, leveraging data, and strengthening performance management. In the time since launch, we have delayered management teams and pushed down P&L responsibility directly to leaders of each of our operating businesses. We are setting rigorous KPI measures to drive accountability and continuing to embed the operating discipline into our culture to enable better execution, consistency, and improved performance over time. We have also started to deploy AI tools to accelerate efficiency gains within internal quality workflows, such as the customer correspondence portal and AI-assisted corrective field action communications scheduled to be deployed later this year.

Looking forward, we will thoughtfully embed AI directly into internal process improvements, frontline workflows, and manufacturing at enterprise scale with the goal of strengthening speed, consistency, reliability, while also maintaining rigorous governance and a focus on patient safety. Baxter GPS is becoming part of how the company runs the business. We kicked off the year with 10 President Kaizen events, and we've now launched more than 230 continuous improvement events. We're building a stronger culture of continuous improvement through leader training and establishing a lean community of practice. To date, much of our focus has been concentrated on cash flow, service reliability, and speed to market. While we are still in the early stages of organization-wide adoption, we are seeing strong traction.

Ultimately, the purpose of GPS is to enable a consistent approach across the enterprise to identify problems and opportunities earlier than improved visibility, simplified processes, and drive accountability. This is not a short-term initiative. It is the new core of how we will operate going forward and improve execution to deliver on Baxter's full potential. I want to take a moment to thank our more than 37,000 Baxter colleagues around the world for their resilience and dedication to our mission.

As the oars begin rowing in the same direction and speed, the power we will collectively generate will be hard to stop. We continue to believe that our long-term earnings power is meaningfully better than today's level. We are taking decisive steps in the early stages of our turnaround to get us there. We have streamlined the organization for greater accountability.

We have launched Baxter GPS to drive continuous improvement and competitive advantage. We have heightened our focus on innovation to better meet our customers' needs, all to drive improved performance and long-term shareholder value creation. I will now turn the call over to Anita to provide more detail on our first quarter results, including segment level performance, as well as our 2026 guidance, which we are reiterating today. Anita, over to you.

Thanks, Andrew. Good morning, everyone. I'm happy to be joining the call this morning to cover the details of Baxter's first quarter financial performance, as well as commentary and our outlook for the remainder of 2026. First quarter 2026 global sales from continuing operations totaled $2.7 billion and increased 3% on a reported basis and declined 1% on an organic basis. On the bottom line, adjusted earnings from continuing operations were $0.36 per share, a decrease of 35%. As expected and previously discussed, results reflect an unfavorable comparison to first quarter 2025, which benefited from a timing shift in expense recognition. This benefit in the prior year related to an updated estimate which resulted in the reclassification of certain functional costs from SG&A to cost of sales. This was approximately a $50 million headwind in the quarter.

Additionally and as expected, we saw higher costs related to tariffs which were not present in the prior year period and higher manufacturing costs, including lower absorption. I'll walk through our results by reportable segment. Commentary regarding sales growth will be on an organic basis. Sales in our Medical Products & Therapies segment, or MPT, were $1.3 billion and declined 2% in the quarter. Within MPT, sales of our Infusion Therapies and Technologies, or ITT division, totaled $981 million and declined 5%. Performance in the quarter reflects lower infusion pump sales due to the previously discussed ship and installation hold of Novum LVP and an unfavorable comparison to the prior year due to a one-time distributor build within IV solutions following Hurricane Helene. Within IV solutions, performance in the quarter was in line with our expectations.

As previously shared, clinical practice changes in the market have created a new baseline in demand. In Infusion Systems, results in the quarter reflected the net impact of lower sales due to the ongoing shipment and installation hold of the Novum LVP, customer returns, and transitions to Spectrum. Sales in Advanced Surgery totaled $304 million and grew 10%. Results in the quarter reflected continued strong demand and increased volumes for our global portfolio of hemostats and sealants, strong commercial execution across regions, and steady procedure volumes. MPT's adjusted operating margin totaled 14.5% for the quarter, decreasing 480 basis points. This reflects the same drivers as total Baxter, including the unfavorable year-over-year comparison related to cost timing, tariffs, and higher manufacturing costs, including absorption.

In the Healthcare Systems & Technologies segment, or HST, sales in the quarter totaled $705 million, decreasing 2% due to a decline in the Front Line Care division. Within HST, sales of our Care and Connectivity Solutions, or CCS division, were $435 million, flat compared to the prior year period. The Patient Support Systems, or PSS portfolio, which is the largest business within CCS, saw growth in the quarter and continues to see momentum, including a strong capital order book within the U.S. This was offset by our care communications portfolio, which is impacted by the timing of installations. To date, we have not observed a slowdown in U.S. hospital capital spending. Given the broader macroeconomic uncertainty, we continue to closely monitor the situation. Front Line Care sales were $270 million and declined 4%.

Performance in the quarter reflects the timing of government orders and large customer deals. It also includes planned global exits in the portfolio. HST adjusted operating margin totaled 9.4% for the quarter, decreasing 380 basis points. These results reflect an unfavorable year-over-year comparison related to previously discussed cost timing and higher costs related to tariffs. Moving on to our pharmaceutical segment. Sales in the quarter totaled $621 million, increasing 1%. Within pharmaceuticals, sales of our injectables and anesthesia division were $301 million, a decline of 13%. Consistent with last quarter, the injectables portfolio was negatively impacted by supply constraints and continued softness in certain pre-mixed products. As Andrew referenced, during the quarter, we made significant progress in clearing back orders at one of our manufacturing facilities.

Additionally, supply constraints associated with a disruption at a contract manufacturer contributed to the performance in the quarter. While we are working closely with the manufacturer to help improve supply of these products, we do expect limited supply into 2027. Our anesthesia portfolio also declined low double digits, reflecting continued softer demand for inhaled anesthesia products globally. Drug Compounding grew 20% and continues to reflect strong demand for our services. Pharmaceuticals adjusted operating margin totaled 7.4% for the quarter, decreasing 340 basis points. This reflects the previously discussed unfavorable year-over-year comparison related to cost timing, price erosion, and an unfavorable product mix within injectables, driven in part by supply constraints impacting select higher-margin products.

Other sales, which represent sales not allocated to a segment and primarily include sales of products and services provided directly through certain manufacturing facilities, were $14 million in the quarter. MSA revenue from Vantive totaled $76 million. As a reminder, these sales are included in our reported growth, but they are not reflected in our organic growth. Now, moving through the rest of the P&L. First quarter adjusted gross margins from continuing operations were 36.8%, a decrease of 500 basis points driven by the previously discussed headwinds and cost of goods sold. First quarter adjusted SG&A from continuing operations totaled $614 million or 22.7% of sales, slightly lower than the prior year. Adjusted R&D spending from continuing operations in the quarter totaled $124 million or 4.6% of sales.

TSA income and other reimbursements totaled $42 million in the quarter, in line with our expectations. Altogether, these factors resulted in an adjusted operating margin of 11% on a continuing operations basis, a decrease of 390 basis points, reflecting the same underlying drivers discussed earlier in relation to earnings per share. Net interest expense and other expense from continuing operations totaled $67 million in the quarter. The continuing operations adjusted tax rate for the quarter was 18.3%, driven primarily by mix of earnings across jurisdictions. In total, adjusted earnings from continuing operations were $0.36 per share for the quarter. Before turning to our 2026 outlook, I want to comment on cash flow and liquidity. First quarter free cash flow was $76 million. This compares to negative $221 million in the first quarter of 2025.

Performance in the quarter reflects improved cash flow generation, including progress across targeted areas of working capital, as well as continued focus on execution. We remain focused on strengthening cash flow generation and maintaining discipline around working capital, which are foundational elements of our financial strategy. Improving the balance sheet continues to be a key priority, and we intend to deploy cash towards reducing leverage in line with our capital allocation framework. Now turning to our outlook for the full year 2026, which we are reiterating. For the full year, we continue to expect total sales growth to be flat to 1% growth on a reported basis. This reflects current foreign exchange rates, which are expected to contribute approximately 100 basis points to top-line growth for the year.

In addition, reported sales are expected to include a headwind of approximately $25 million from MSA revenues from Vantive, representing approximately 30 basis points of impact on reported growth. Excluding the impact of foreign currency and MSA revenues, we expect approximately flat organic sales growth for 2026. As it relates to the segments, there are no changes to our organic sales assumptions. In MPT, we expect full year organic sales to be flat to slightly up. This reflects the uncertain timing for the resolution of the Novum ship and installation hold.

Although we did not see a material impact from customer returns in the first quarter, we continue to believe it's prudent to include the potential impact from various customer responses in our guidance. Our guidance also assumes that the ship and installation hold will remain in place for the full year.

In HST, we continue to expect full year organic sales to grow low single digits, supported by anticipated contributions from both the Care and Connectivity Solutions and Front Line Care divisions. In pharmaceuticals, we expect full year organic sales to be approximately flat. This reflects ongoing pressures in injectables and anesthesia related to softer market demand, continuing supply challenges, and IV push utilization trends that have been discussed in prior quarters. We expect this to be offset by continued growth in Drug Compounding.

Turning to our outlook for other P&L line items, beginning with tariffs, we continue to estimate a full year impact net of mitigating actions to be approximately $80 million, which represents a year-over-year headwind of approximately $40 million as we experience a full year impact. TSA income and other reimbursements are expected to range from $130 million-$140 million.

We continue to expect full year adjusted operating margin from Continuing Operations to range between 13%-14%. We expect our non-operating expenses, which include net interest expense and other income and expense, to total between $280 million-$300 million, reflecting higher interest expense and a lower contribution from other income. On a Continuing Operations basis, we anticipate a full year tax rate to range between 18.5% and 19.5%. We expect our diluted share count to average approximately 518 million shares for the year. Based on all these factors, we continue to expect full year adjusted earnings on a Continuing Operations basis of $1.85-$2.05 per diluted share.

While we are not providing quarterly guidance, I will offer some additional color on how we expect performance to progress over the remainder of the year. Overall, we are reiterating the broader framework we previously laid out for 2026, including the rollout of known mechanical headwinds and a more challenging comparison to the prior year in the first half, followed by expected improvement in the second half. We now expect second quarter earnings to be similar to the first quarter, with slight improvement in volumes. This reflects the continuation of the higher manufacturing costs, including absorption headwinds within ITT, which are expected to be more pronounced in the second quarter.

As we previously shared, as we move into the second half of the year, we expect to have fully rolled through the absorption headwinds in addition to realizing an anticipated benefit from the previously discussed actions taken earlier in the year to rightsize our cost structure. Within HST, we expect growth in the second half supported by new product launches, including Connex 360 and Dynamo. Our order book in the U.S. continues to support visibility into improved performance in the second half. In pharmaceuticals, we continue to expect the previously discussed headwinds to persist through the first half of the year. As we move into the second half, we anticipate a more favorable comparison and improved performance. Taken together, we continue to expect a second half improvement in organic sales growth, operating margin, and adjusted earnings.

For clarity, I will now provide a bridge from expected first half to second half margins. First, we expect improvement in volumes in the back half, consistent with typical seasonality we've seen in prior years and the associated incremental operating leverage that comes with it. This represents approximately half of the anticipated operating margin improvement from the first half to the second half, roughly 250 basis points of the total 500 basis point implied expansion. Second, we expect to realize the benefits from the cost structure actions taken earlier this year. This represents around 25% of the improvement to operating margins, roughly 125 basis points. To be clear, these actions are largely complete, and we expect them to be realized in the second half.

Third, we expect to roll through the higher cost inventory produced in the second half of 2025 in Q2. This represents the remaining 25% of the anticipated improvement to operating margins or roughly another 125 basis points of expansion. With respect to free cash flow, we continue to expect free cash flow to be back half weighted consistent with 2025. This reflects normal seasonality, the expected cadence of earnings, and the expected benefit of recent cost structure actions. In closing, I just want to reiterate that I'm excited to see the traction within the organization from Baxter GPS, and I look forward to it driving improved operational discipline and support more consistent execution across the business. With that, we can now open up the call for Q&A.

Thank you. We will now begin the question and answer session. If you have a question, please press the star and one key on your touch tone phone. If you wish to remove yourself from the queue, please again, press the star and one. If you are using a speaker phone, please lift the handset to ask your question. That we may be respectful of everyone's time, please limit your comments to one question with one brief follow-up if necessary.

We appreciate everyone's consideration as we would like to provide as many of you as possible the opportunity to ask a question. We will pause for a moment while the list is being compiled. I would like to remind participants that this call is being recorded, and a digital replay will be available on the Baxter International website for 60 days at www.baxter.com.

Our first question comes from Robbie Marcus of JPM. Your question, please.

Oh, great. Good morning, and congrats on the better than expected quarter. Two for me. First one, just wanted to get thoughts on how first quarter translates into the reiterated guide. How much of this is conservatism? How much of this is pull forward or different assumptions moving forward? More specifically, especially as we look to 2Q, the street's right around flat organic sales growth. How do you feel about that? I got a follow-up.

Hey, Robbie. This is Kevin. Let me take this one just from a near term modeling perspective. In Q1, I'd say it came in overall in line with our expectations. The one piece to call out there is we've been transparent about the potential risk of responses from Novum customers. We did not see a material impact in the quarter. As Andrew referenced in his prepared remarks, we think it's prudent to continue to contemplate that in the guidance. As we move to Q2, I'd say in line with our original expectations, we do expect some sequential improvement Q1 to Q2 on the top line, but still pressured year-over-year like we saw in Q1. I think about it as pretty consistent year-over-year drivers from what we saw in Q1.

For example, the headwind from Novum sales, this will be the last quarter before we lap it. Andrew, again, talked about the risk of potential returns for Novum. We've talked about pressures and injectables. We also said that HST's growth is going to come from the back half. The first half, you know, we expect to be pressured, then we expect growth in the second half. To kind of sum it all up, you know, the full year reiterated our expectation of approximately flat. Kind of known pressures in the first half, then an improvement in the second.

Great. Maybe if I could shift the focus to 2027. You have a good amount of TSAs and MSAs rolling off. There is still a lot of end market uncertainty. Maybe highlight if there are some of the key new product launches we can be looking for next year. I guess the real concern out there from investors is, can EPS be a positive growth number, yes, next year. If you're willing to comment on that, you know, how you get there and some of the top and bottom line drivers. Appreciate it.

Hey, Robbie. Good morning. Just a couple items. I'm gonna start with what we've said. I'll walk through our view, and then I do wanna walk a little bit on the innovation. Look, while we're not providing guidance, as you're well aware, what we have gone through is that we're gonna be rolling out the TSAs, and we expect to cover this. We would expect to have modest growth within 2027. You know, we would also look to that to say we would expect to grow earnings modestly as well. When we look at our product set, not only do we have confidence in our position with customers, and we're continuing to really outline and gain confidence in our ability to execute for our customers.

We've launched some exciting new products and, you know, I've outlined a few of these, but just to walk through, you know, we talk about Connex 360 being a key product that we've launched, and we've seen favorable insight from customers as well as engagement with customers, as well as our Dynamo Stretcher, which is a connected stretcher. I'll tell you, we worked very closely with customers around the design, development, and launch of this product and have had very strong feedback. It's a competitive market, certainly we have to earn our right, but we've seen very favorable discussions with customers and favorable uptick from engagement.

I also highlighted two more, you know, while minor, still proving the point around we are outlining innovation and its impact on the future of Baxter. We're going to continue to drive innovation as a key element of our future. We invest here. We expect a strong engagement with our customers through this process, and we would look to innovation being a certainly a key element of our overall growth in the future.

David Roman of Goldman Sachs is on the line with a question. Please state your question.

Excuse me. Thank you. Good morning, everyone. Maybe we could just dive into a couple of the businesses here. Maybe I'll start with MPT. There are a lot of moving parts here considering the dynamics with Novum, IV conservation. Can you unpack for us a little bit what's going on beyond some of those businesses? For example, with the IV set business. How do you protect the pump disposal business? Given the Novum dynamics, and I think that's something like 4x-5x the size of your capital business and higher margins, what are the things that can get this business back to growth besides just the stabilization in IV utilization?

Yeah. A couple things here, David, and good morning. Let me start with our overall pump portfolio. You know, I outlined a bit around Novum, I won't dig into that. We have launched Novum Syringe and that is a nice addition for Baxter. Additionally, we also have Spectrum and Spectrum, our LVP platform. We continue to support the overall market. We've had obviously strong feedback from customers. We put this product on our IQX, that allows us to have communication with our pump portfolio.

Overall, we feel we continue to have strong interest in our Spectrum LVP pump, and we feel good about our offerings, especially the value proposition we bring to customers in this space. With that, we would expect sets to be in line with that confidence. Just as a reminder, we do expect our pump revenue to grow in the back half of the year, and we're staying very close to our customer base through this.

Maybe as a follow-up, I appreciate the bridge from first half to second half walk on operating margins. As you sit here today, a lot of things that you're laying out are contemplated on expectations for the second half of the year. Can you maybe just go into a little bit more detail about what are the signposts that you're seeing, whether it's KPIs or orders or other customer dynamics that give you that confidence to embed such a significant ramp in the back half of the year?

Maybe I'll walk through the confidence, and then we can certainly go into buckets if needed. Overall, I would say, first and foremost, we And you've known this business. We do have a seasonality aspect that we've continued to look at, and we are validating. Number two, when I speak to customers, when we engage around our product set, we see strong interest. You know, we've looked at, you know, there's some e-elements, right? We've talked through in the past our IV solutions business and it's right sizing. We would expect that to normalize within 2026, which we've outlined.

Number two, we continue to look at HST as more a back half area, and we've seen continued strong interest in our product portfolio. Within Q1, we did have a little nuance within Front Line Care on timing. We would expect that to normalize out throughout the year, and we would expect HST to grow at, call it, low single digits. Overall, we're feeling confident in our view, and it's a credible path for our ability to execute and not only deliver on the growth or excuse me, what we've said in our earnings on growth, but also in our operating margin expansion. Overall, I would say we continue to look at the business. We continue to outline our KPIs to ensure we've got clarity and focus around executing within the year.

Larry Biegelsen with Wells Fargo is on the line with a question. Please state your question.

Good morning. Thanks for taking the question. You know, Andrew, I wanted to ask on inflation, you know, what's embedded in the operating margin guidance for gross margin in 2026? How are you absorbing the increased cost pressures from, you know, oil, freight, chips, et cetera, you know, since the Q1 call? You know, oil, it looks like it's up about $50 a barrel, you know, since you know, last reported. I had one follow-up.

Yeah. Good morning, Larry. Let me walk through a couple items here, and I'll outline how we view this as well as how we're executing towards it. To lay this out specifically, as we view oil and its impact, reminder that we sold our kidney care business. With that sale, we've gone, call it, less than 50% now as an impact on oil prices to our P&L. If oil stays flat as it is today, we do see this as something we can manage and mitigate and will not have a material impact in 2026. Additionally, as we see other areas, our team, and as you would expect, has taken a very proactive approach to managing our supply chain and our supply channel.

We are engaging very deeply with our suppliers. Where needed, we've started to look at dual sourcing, really outlining, ensuring we minimize the impact and use this as a competitive advantage for the long term. What I can state is as we look at our ability to minimize inflation, we've largely outlined how we wanna drive this. That said, Baxter is not immune, and we continue to be very proactive. We continue to monitor. You know, we use something called daily visual management around managing and ensuring we have our supply base understood. We're not immune to macro trends, and we continue to outline where we see issue, how do we impact, and how do we drive that to minimize the overall impact on the business.

That's helpful. Andrew, maybe a high-level question. You know, with more time under your belt now, anything more you can share about the turnaround plan and any strategic changes that we could anticipate at Baxter? Thank you.

Yeah, and look, just to walk through. I took this job nine months ago, and I'll tell you, I saw a compelling opportunity to create significant value, both not only near term but over the long term. Since then, my conviction has only gained and strengthened, and I am fully committed to restoring Baxter as an industry-leading company. Now why has that gained traction? As a CEO, something called standard work. Part of my standard work is to visit facilities, engage with our teams on how we produce products, how we drive operations as a strategic competitive advantage, as well as customers. And I'll tell you, the feedback from our customers is that Baxter is a trusted brand.

It is a brand in which they look to Baxter for innovation, for capability, and to really enabling their workflow to be at a more systematic and simpler process. So we have the ability to drive that. We're early in our journey, so we've started to gain traction. We've started to see really the efforts around GPS, and I highlighted a few of those, and I guess one of them I would highlight is we've done over 230 events in Q1. No single event dictates success. It's the momentum and the build on our structure and our foundation for the future. Look, this quarter, we met what we said we'd meet. By no means are we saying this is the end.

We are laser-focused on the year. We're laser-focused on the future. We've got a lot of work to do. We've seen nice progress towards adoption of the fundamentals for how we wanna get to the future and how to drive the business forward.

Vijay Kumar of Evercore ISI is on the line with a question. Please state your question.

Good morning, Andrew Hider, thank you for taking my question. Just looking at the Q1 performance here, excluding the comps, you guys did up low singles, right, on an underlying basis. The guidance here is calling for flattish organic. Maybe just walk us through on why wouldn't, you know, Q1 trends sustain? What are you assuming for Novum step down or returns, if you will? Maybe comment on HST and the order performance. I know there was some timing element. Would it order through, what gives you confidence for HST growth in back half?

Hi, Vijay. This is Kevin. I can take this one from a modeling perspective and reiterate some of the comments I shared with Robbie. I guess overall, Q1 came in line with the expectations. Again, the one item to note there is we've been very clear and transparent about contemplating the potential risk from responses from Novum customers. We did not see a material impact in the quarter. However, we think it's prudent to continue to reflect that in our guidance going forward. When we think about Q2, it's gonna be a lot of the same dynamics and year-over-year headwinds that impacted Q1. Injectables, Novum, the potential for Novum returns. We've said HST's growth is gonna come from the back half of the year. We do expect some sequential improvement in volumes in Q2.

It's still going to be pressured year-over-year.

Sorry, HST and the order growth in the quarter?

I'm sorry, Vijay. We're having trouble hearing you. Trends of what?

The timing we saw in the quarter. Got it. Thank you.

You know, Vijay, I walked through this, but let me get a little bit more specific. Within Q1, the HST performance was largely driven by our Front Line Care business. There was some timing aspects within that portfolio. Plus, we did have some planned exits within the portfolio, and these were planned. CCS came in roughly flat for the quarter. Within that, we did see growth in PSS, which is the largest piece of our business for CCS. Giving a lot of items here. Net-net, we do expect this business to grow low single digits before the year. Q1 did have for HST a pretty big number last year. As you recall, last year was a big comp to come off of.

We would expect it to be weighted, our growth weighted to the back half. We've seen strong demand for our Connected Care business as well as how we look at the timing for FLC. Overall, again, reiterating, we expect this business to grow low single digits and to be back half-weighted.

Matt Miksic of Barclays is on the line with a question. Please state your question.

Hey, good morning. Thanks for taking the questions and the color. Congrats on a great start to the year. Yeah, I wanted to follow up on just a couple of things. One on the sort of general macro, you know, factors that are causing some concerns, I guess, and in the past had been a challenge for Baxter. I think the expectation was that was going to be tougher. David talked a little bit about oil. You know, components and chips and supply chains, you know, one of the companies in this space reported some issues around ships that had been a problem.

You know, how are you mitigating those and how far out into the future do you feel like you are kind of set, you know, through the end of the year or, you know, through the next couple of quarters? I had one follow-up.

Good morning. look, I'll walk from specifically chips. That's overall. From a memory chip standpoint, at this stage, we've not experienced material shortages or supply disruptions. Now that said, we're taking a very proactive approach to managing risk and through, you know, many areas that we're doing through disciplined forecasting, through supplier engagement, dual sourcing efforts, certainly something that we continue to look at. As I've stated earlier, Baxter's not immune. We've outlined this risk early on. We are taking countermeasures around how to minimize this. It's something we are going to continue to stay close to and something we're gonna continue to monitor. To date, we have not experienced a material shortage.

Okay. Just a follow-up on some of the growthier areas. You know, as we all know and, as you know, sort of the search for growth drivers and innovation and shiny object, if you will, has been, you know, one of the quests of Baxter for some time. Listening to you the last, you know, six months or so and on this call talk about some of the getting after some of the growth engines that you have within the portfolio, in surgery or, you know, I don't know if it's in HST or in Connected Care, it seems like a slightly different take on putting R&D to work to generate growth, maybe putting more wood behind arrows you already have.

If you could talk a little bit about that, you know, in the near and intermediate term, that'd be great. Thanks.

Absolutely. I'm gonna start in an area and I will answer the question, but I just, I want to be very clear. We will be known as very disciplined capital allocators. I say that to start because obviously I've outlined the debt repayment. The second piece of that is invest for growth, and part of that is how we invest in innovation. We've outlined that in the past. As a reminder, I view innovation as base hits, not walk-off grand slams. Why do I say base hits? Because we need to have that constant drive to always be in front of our customers, listening, turning that into actionable insights, and driving products that overcome the obstacles that our customers face.

We've now positioned our business to be decentralized, think about us as being very focused on the end markets we serve, building it into our process and how we drive innovation. As we look at innovation, it is an enabler for our future. Things take time, I'll be very clear on that. It's early days. It's early stages. We've started to see some movement, why do I know that with confidence? We do QBRs, which is a quarterly business review, with our innovation leaders similar to our businesses. It's the same expectation around where we spend our money and understanding that drive and making sure that we are laser-focused on driving growth and driving expansion for our customers to enable their success. We've had a couple early successes.

We have some early wins, I outlined a few of those with Connex 360 as well as Dynamo. We've launched a few more products in the quarter that while, they're certainly, you know, a niche area of focus offers a continued path for our customers to see the impact from innovation. I would just say over time you'll see us on that cadence of focusing on how do we expand our value for customers and ultimately drive it from an ROIC perspective back to our shareholders.

Matt Taylor of Jefferies is on the line with a question. Please state your question.

Hi. Thanks for taking the question. A couple follow-ups. I just wanted to know better what you were assuming for the Novum returns, just so we can understand if there aren't returns, what the upside could be.

Hey, Matt. This is Kevin. We haven't explicitly quantified what the potential risk is for returns. As you can imagine, this is something we continuously evaluate from an accounting perspective and, you know, from a guidance perspective. Thus far to date, you know, since the ship and installation hold, it has been fairly immaterial to our results. Again, but we just think it's prudent to assume that this potential could happen. We have talked about our total pump portfolio, you know, being less than 2% of sales, and that includes both Novum and Spectrum. You can at least ring-fence the size of our total pump portfolio, of which some of that would be related to Novum.

Gotcha. Can I ask a follow-up on the inflation issues? You said that oil would be manageable in 2026. I guess my question is, if it stays elevated, is it still manageable in 2027, or can you provide any framing of the exposure there next year.

... as your, you know, inventory rolls through, hedges roll off, et cetera?

I'll just kinda reiterate what I stated a little earlier and then we can walk through the other aspect. What I stated earlier was if oil stays at its current level, we have been able to mitigate, and we would not see a material challenge on 2026. As far as 2027 goes. Well, we're not giving guidance today. That said, we're very focused on every aspect of our business that's gonna be a part of the supply chain and potential areas that we would wanna mitigate.

Joanne Wuensch with Citi is on the line with a question. Please state your question.

Good morning, and thank you for taking the questions. I'll just put the two up front. How do I think about the recovery in injectables and anesthesia? It sounds like that also has a back half improvement. Could you please comment on the CFO search? Thank you so much.

Let me walk through this aspect, I'll walk through pharma specifically and get into couple of areas on it. First, we have taken pharma, we've outlined this, and we've combined this with our ITT business. Lot of synergies across that business, you know, simply put, what we do really well is take high value solutions that are patient impact, we make it easy for our customers to utilize that in their setting. We've been able to bring that together. Very, you know, the team is excited about what that brings.

We have seen a couple challenges in this business and one of them, I outlined last quarter and into this quarter, we had a challenge in one of our operations. The team took GPS approach. They outlined where we had the challenge. They took short term and drove the business and aligning around long-term countermeasure to enable this business to longer term be back on track. We've been able to mitigate this, and we saw that trend throughout the quarter. Additionally, we also have a challenge with a contract manufacturer. I'll tell you, having been personally engaged in this is going to take time. We are working very closely with them.

We have people on site to work with them to improve the supply, but this will take some time, and we are staying very close to this, as it's important for our customers to get this product back on track. As far as longer term, when we think about this business, the fit, the area is really aligned around our ability to bring strong capability to the markets and, you know, and compounding has been a piece of that as well around high value, high growth, where we focus on ensuring that we also identify margin and how we attack the margin. As far as the CFO goes, look, that is well underway. We have started the search.

We are seeing a tremendous interest. You know, many of the variables that brought me to Baxter around, you know, our strong position with customers, the brand, and potential for the future is the same that we're seeing. It's well underway. We're in a fortunate position with Anita being in place and the broader team continuing to execute and aligned around executing. We're focused on getting a CFO that understands execution as well as knows our business. You can expect we'll update at the appropriate time.

Jayson Bedford of Raymond James is on the line with a question. Please state your question.

Baxter International (BAX) Q1 2026 Earnings Call Transcript

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