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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

  • Q1 2026 net sales reached $468.3 million, up from $207.2 million year-over-year, driven by Acthar Gel and XIAFLEX growth and the Endo business combination.

  • Acthar Gel net sales rose 47% to $170 million, marking the ninth consecutive quarter of growth and record new patient starts due to SelfJect adoption.

  • XIAFLEX net sales increased 11% to $134 million, supported by higher demand, pricing, and new awareness campaigns.

  • Completed merger with Endo in July 2025 and separation of Par Health in November 2025; results reflect continuing operations and pro forma comparisons.

  • Loss from continuing operations was $113.5 million to $114 million, mainly due to higher SG&A, interest, R&D, and non-cash merger-related expenses.

Financial highlights

  • Q1 2026 net sales were $468.3 million, up 126% year-over-year, led by Acthar Gel and XIAFLEX.

  • Adjusted EBITDA from continuing operations was $174 million, up 37% year-over-year, reflecting core brand growth and synergy contributions.

  • Gross profit was $186.6 million, with a gross margin of approximately 39.9%.

  • SG&A expenses increased by $95.7 million (83.3%) year-over-year, mainly due to higher headcount, advertising, and professional services.

  • Interest expense rose to $45.6 million from $28.5 million year-over-year due to assumed Endo debt.

Outlook and guidance

  • Reaffirmed 2026 guidance: net sales of $1.94–$2.00 billion and adjusted EBITDA of $730–$760 million, including merger synergies.

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

  • On track to achieve $150 million annual pre-tax run-rate synergies by the third anniversary of the merger, with $23 million realized in Q1 2026 and ~$100 million planned for 2026.

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

  • Preparing for a potential NYSE listing in H2 2026, subject to board and regulatory approvals.

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