LongALCNovember 2, 2026

Pershing Square Inc. on Alcon Inc.

Thesis

Pershing Square believes Alcon offers an attractive opportunity to invest in a high-quality medical technology business at an unusually depressed valuation. The company reported strong second-quarter operating performance, including meaningful margin expansion and earnings above expectations, and increased its full-year guidance to 12% to 15% constant-currency EPS growth. Despite this momentum, Alcon trades at approximately 17 times earnings, its lowest historical valuation and a substantial discount to the high-20s earnings multiple it has averaged since becoming publicly traded. Pershing Square attributes much of the valuation discount to broader weakness in European medical technology equities rather than deterioration in Alcon's underlying business. The fund expects sustained mid-teens earnings growth over the next three to five years, complemented by the potential for a substantial valuation multiple recovery. The combination of earnings compounding and multiple expansion is expected to generate meaningful long-term shareholder returns.

“Alcon is currently trading at 17 times earnings, its lowest-ever multiple”
Pershing Square Inc. — Q3 2026 Letter to Shareholders

Key risks

  • Persistent weakness in medical technology sector valuations could prevent Alcon's earnings multiple from recovering toward historical levels.
  • The company may fail to sustain its recent margin expansion or achieve its upgraded 12% to 15% constant-currency earnings growth guidance.
  • The foreign exchange tailwind supporting the current earnings outlook may diminish or reverse.
  • Investor sentiment toward European-listed medical technology companies may remain weak despite improving company fundamentals.