Today we'll discuss Baxter's second quarter results, along with our updated financial outlook for the full year 2026. This morning, a press release was issued with our preliminary earnings results and updated outlook. On the call, we will reference organic growth, which excludes the impact of foreign exchange, MSA revenues from Vantive, and the impacts associated with business acquisitions or divestitures. In the quarter, broad-based operating performance drove organic revenue growth of 5%.

Additionally, results reflect a tariff refund that was not contemplated in our original guidance. Free cash flow generation was again positive, which reflects our focus on strengthening financial flexibility. Second quarter global sales totaled approximately $3 billion, representing an increase of 5% on both a reported and organic basis. We saw growth across the portfolio, led by Advanced Surgery and drug compounding.

Every segment and division contributed, with sales increasing in both the U.S. Adjusted earnings for the quarter were $0.56 per diluted share versus $0.59 in the prior year period. It also includes a tariff refund of $75 million that was not assumed in our previous guidance and contributed approximately $0.11 per diluted share. Importantly, absent this benefit, margins and earnings still exceeded our expectations due to the strength of the operating performance.

What went well
  • Second-quarter results came in ahead of expectations, with broad-based operating performance driving 5% organic revenue growth as every segment and division grew across both the U.S. and international markets.
  • Advanced Surgery grew 12% to $331 million on strong hemostats and sealants demand, and drug compounding grew double digits, together leading the top-line beat.
  • Free cash flow was positive again at $181 million in the quarter ($257 million year to date), reinforcing confidence in reaching the roughly 3x net-leverage target by year-end and unlocking optionality for tuck-in M&A and buybacks.
  • Baxter raised its full-year outlook: reported sales growth to 3%-4% (from flat-to-1%), organic growth to 2%-3%, and adjusted EPS to $1.95-$2.15 (from $1.85-$2.05).
  • A $75 million IEEPA tariff refund not contemplated in prior guidance contributed roughly $0.11 per diluted share, though management stressed results still exceeded expectations excluding it.
  • The Baxter Growth and Performance System (GPS) is taking hold, with over 400 continuous-improvement events completed year to date, nearly 200 in flight, and 400 more planned, alongside launches of PeerView, the Dynamo smart stretcher, and Connex 360 momentum.
What went wrong
  • Adjusted EPS of $0.56 declined 5% year over year on previously flagged mechanical headwinds: the roll-through of higher-cost inventory produced at the end of 2025 and an unfavorable comparison to a prior-year SG&A/cost-of-sales reclassification.
  • GAAP diluted EPS was just $0.26 (GAAP net income of $135 million), well below the adjusted figure given intangible amortization and other items.
  • Margins compressed: adjusted gross margin fell 210 basis points to 38.6%, adjusted operating margin fell 90 basis points to 14.2%, and MPT's adjusted operating margin dropped 350 basis points to 19.3% on higher manufacturing costs and lower absorption.
  • The Novum IQ LVP infusion pump remains under a shipment and installation hold; corrections are only in early verification testing, weighing on infusion systems sales alongside customer returns and Spectrum transitions.
  • Injectables and anesthesia remained pressured by supply constraints (including a still-constrained contract manufacturer) and continued softness in pre-mix products.
  • The EPS guidance was raised only by the roughly $0.11 non-recurring tariff refund, implying no earnings flow-through from the higher sales outlook, as fast-growing drug compounding carries lower margins and mixes down gross margin.

Guidance Changes

MetricPeriodCurrent guidance
Reported sales growthFY20263% to 4% (FX ~+100 bps; ~$25M/30 bps Vantive MSA headwind)
Organic sales growthFY20262% to 3%
Adjusted EPS (continuing operations)FY2026$1.95-$2.15 (raise reflects the Q2 tariff refund)
Adjusted operating marginFY202613%-14% (unchanged)
Net leverageYear-end 2026~3x (increased confidence given first-half progress)
Tariff impact (net of mitigation)H2 2026~$40 million
Tax rate / share countFY2026Tax rate 18.5%-19.5%; ~518 million average diluted shares

Performance Breakdown

MetricYoYNote
Total sales +5% to $2.96B Broad-based growth led by Advanced Surgery and drug compounding, with every segment and division contributing in both the U.S. and internationally; includes a tariff refund benefit.
Medical Products & Therapies (MPT) +5% to $2.1B Infusion Therapies & Platforms up 4% on drug compounding and IV Solutions, partially offset by lower infusion systems and injectables; Advanced Surgery up 12%.
Advanced Surgery +12% to $331M Strong demand and higher volumes across the global hemostats and sealants portfolio, with steady procedure volumes and strong commercial execution.
Healthcare Systems & Technologies (HST) +4% to $801M Care & Connectivity Solutions up 5% on strong Patient Support Systems volumes and U.S. backlog execution; Front Line Care up 2% on Connex 360, partly offset by planned product exits.
Adjusted gross margin 38.6% (-210 bps) Higher-cost inventory roll-through and unfavorable cost timing comparison, partially offset by the tariff refund.
Adjusted operating margin 14.2% (-90 bps) Higher manufacturing costs and the unfavorable prior-year comparison, partly offset by the tariff refund and higher volumes; SG&A improved 80 bps to 21.9% of sales.
Adjusted diluted EPS $0.56 (-5%) Known mechanical headwinds (higher-cost inventory, SG&A/COGS reclass comparison), partially offset by an $0.11 tariff-refund benefit.
GAAP diluted EPS $0.26 GAAP net income of $135 million; GAAP operating income of $217 million (~7.3% margin).
Free cash flow $181M (Q2); $257M YTD Improved operational performance and focused working-capital execution, supporting deleveraging toward ~3x by year-end.

Earnings Call Themes & Trends

TopicPrevious mentionCurrent periodTrend
Turnaround and Baxter GPSGPS deployment in early quartersIn its third quarter since deployment, GPS is embedded in culture with 400+ improvement events completed, ~200 in flight, and 400 planned; CEO Hider framed it as 'boring in consistency, brilliant in execution,' with small accumulating gains rather than a single defining innovation.
Balance sheet and capital allocationDeleveraging priorityPositive free cash flow ($257M YTD) builds confidence in ~3x net leverage by year-end, unlocking optionality for strategic tuck-in M&A and share repurchases.
Novum IQ pump remediationShipment/installation holdCorrections identified and in early verification testing; customers operating with mitigations, and Baxter continues serving the market with its broader pump portfolio (Spectrum IQ, Novum Syringe) on the IQX platform, now enhanced by PeerView.
IV Solutions new baselinePost-Hurricane Helene rebasingGrowth now runs off a new lower baseline following clinical practice changes; management sees no material restocking, calling it the 'new norm.'
Business reorganizationSeparate pharmaceuticals and infusion unitsPharmaceuticals combined with infusion therapies into a single Infusion Therapies & Platforms (ITP) division within MPT to improve coordination and execution across shared pharmacy customers.
Hospital demand / macro monitoringManagement reports stable hospital capital demand with a solid order book and no observed change in behavior from ACA/Medicaid debates, while continuing to monitor macro uncertainty and oil prices.

Q&A Summary

Robert Marcus (JPMorgan) asked about the drivers of the top- and bottom-line beat, why EPS guidance was raised less than the Q2 beat, and whether Baxter can still grow EPS in 2027 given one-time items.
CEO Andrew Hider cited broad-based improvement (double-digit drug compounding, Advanced Surgery strength, IV Solutions off a lower baseline, CCS and Connex 360) and noted the ~$0.11 tariff refund was not previously contemplated; on 2027 he said the path runs through executing the second half of 2026, that the non-recurring tariff benefit will not repeat, and that more color will come at the appropriate time.
Travis Steed (Bank of America) asked how much of the beat came from drug compounding and pressed on why guidance was raised only by the tariff amount.
IR head Kevin Moran said drug compounding was a good chunk of the beat, grew double digits, and inherently carries lower margin that pressures mix; he explained the EPS raise essentially reflects the non-recurring $0.11 tariff refund, with the underlying second-half operating framework (higher volumes, cost actions, inventory roll-through complete) unchanged.
Larry Biegelsen (Wells Fargo) asked for a Novum IQ update and how durable Spectrum IQ is as a workhorse pump if Novum does not return.
Hider said Baxter is making progress, working closely with regulators, and supporting Novum LVP customers with mitigations; he expressed confidence in the total pump portfolio (Novum Syringe, Spectrum LVP on the IQX platform, enhanced by PeerView) while continuing to drive toward launching Novum LVP when ready.
Pito Chickering (Deutsche Bank) asked about the margin contribution of the organic revenue guidance raise given a lighter implied second-half EPS.
Kevin Moran reiterated that drug compounding drove much of the Q2 performance at lower margin, that the full-year 2%-3% organic outlook implies continued momentum, and that the EPS raise essentially reflects the one-time Q2 tariff refund, with normalized sequential improvement expected from higher volumes and cost actions.
Rick Wise (Stifel) asked where the turnaround has gone better or slower than expected and how Hider is evolving his focus.
Hider said he has been most pleased by how thoroughly the organization embraced GPS (400+ improvement events completed, ~200 in flight, 400 planned), described the flywheel from strategy to breakthroughs to KPIs to execution, and emphasized he is never satisfied but pleased with progress, stressing one quarter is one quarter and the focus is finishing 2026 strong.
Josh Jennings (TD Cowen) asked about the weighted-average market growth rate of Baxter's portfolio at steady state and which units are primed to gain share.
Hider characterized the portfolio as a low-single-digit grower overall, with Advanced Surgery and compounding as standout growers, and pointed to deleveraging toward ~3x by year-end as enabling future capital-allocation options (internal investment, tuck-in M&A) while emphasizing GPS-driven execution.

More on Baxter International Inc

Reported 2026-07-30 · figures from the Baxter International Inc Q2 2026 earnings call.

See how VectorShift works for your firm

Request Demo