Mallinckrodt
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Mallinckrodt (MNK) investor relations material

Mallinckrodt Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary12 May, 2026

Executive summary

  • Achieved strong double-digit top-line growth and significant adjusted EBITDA expansion in Q1 2026, driven by Acthar Gel and XIAFLEX, with record new patient starts and successful commercial execution.

  • Completed merger with Endo and separation of Par Health in 2025; results reflect continuing operations and pro forma comparisons, excluding divested businesses.

  • INOmax product line stabilized with strong U.S. EVOLVE placements and double-digit growth in Japan, though Q1 2026 net sales declined 6%.

  • Preparing for a potential NYSE listing in the second half of 2026, subject to board and regulatory approvals.

  • Loss from continuing operations was $114 million, reflecting non-cash expenses from fair value adjustments and merger-related costs.

Financial highlights

  • Q1 2026 net sales reached $468 million, up 20% year-over-year, led by Acthar Gel and XIAFLEX; gross profit was $186.6 million.

  • Adjusted EBITDA was $174 million, reflecting core brand growth, synergy contributions, and a 37% increase year-over-year.

  • Acthar Gel net sales grew 47% to $170 million; XIAFLEX net sales rose 11% to $134 million.

  • TERLIVAZ sales increased 42% year-over-year.

  • Basic loss per share from continuing operations was $2.87.

Outlook and guidance

  • Reaffirmed 2026 guidance: net sales of $1.94–$2 billion and adjusted EBITDA of $730–$760 million, including merger synergies.

  • Acthar Gel net sales expected to grow mid-teens; XIAFLEX mid- to high-single digits.

  • Guidance excludes potential acquisition or divestiture activity, including the possible sale of the PERCOCET business.

  • On track to achieve $150 million annual pre-tax run rate synergies by third anniversary of merger.

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