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    Bristol-Myers Squibb Co (BMY)

    Q1 2025 Earnings Summary

    Reported on Apr 24, 2025 (Before Market Open)
    Pre-Earnings Price$48.52Last close (Apr 23, 2025)
    Post-Earnings Price$47.94Open (Apr 24, 2025)
    Price Change
    $-0.58(-1.20%)
    • Strong Product Launches & Growth Portfolio: Management emphasized robust performance across key products, including Cobenfy, Camzyos, Breyanzi, and Opdivo Qvantig. The growth portfolio demonstrated double‐digit sales increases and strong early market uptake, underpinning long‐term revenue expansion.
    • Solid Financial Position & Operational Efficiency: The company reported a strong balance sheet with approximately $12.1 billion in cash equivalents and generated $2 billion in cash flow from operations in Q1 2025. In addition, significant cost savings initiatives—targeting $1 billion this year and $2 billion by the end of 2027—enhance its financial flexibility for future investments and M&A.
    • Robust Pipeline & R&D Productivity: With multiple upcoming Phase III trials (including 7 for Cobenfy across various indications) and a track record of over 43 major approvals in recent years, management showcased a compelling pipeline poised to drive sustainable mid- to long-term growth despite isolated trial setbacks.
    • Regulatory and policy uncertainty: Concerns over tariffs, potential changes in drug pricing rules (including MFN and IRA dynamics), and evolving transfer pricing regulations could disrupt supply chains and pressure margins, as discussed multiple times in Q&A responses.
    • Weak clinical trial signals: The failure of the ARISE adjunctive trial to meet its primary endpoint for Cobenfy raises doubts about efficacy in certain indications, which may translate into regulatory hurdles or slower market adoption.
    • Challenges in business development and pipeline progression: Despite a strong focus on BD, uncertainties around macro conditions, competitive pressures, and reliance on external innovation may impede the company’s ability to sustain long-term growth, as highlighted in discussions on BD strategy and pipeline execution.
    MetricYoY ChangeReason

    Total Revenue

    5.6% decline (from $11,865M to $11,201M)

    The decline is driven by lower net product sales, as generic erosion in the Legacy Portfolio and weaker US demand led to a reduction in overall revenue despite some offsetting performance from Growth Portfolio products.

    Net Earnings

    Swing from a loss of $11,908M to a profit of $2,462M

    The dramatic turnaround in net earnings is mainly due to a significant reduction in acquired IPRD charges and lower related expenses, which plummeted from heavy charges in Q1 2024 to minimal charges in Q1 2025, alongside improved expense management.

    Basic EPS

    Improvement from a loss of $5.89 to $1.21

    EPS improved sharply in line with the net earnings turnaround, as cost reductions and absence of one-time large expenses that affected the prior period directly contributed to a positive EPS outcome in Q1 2025.

    Net Product Sales

    Decline of about 5.8% (from $11,559M to $10,886M)

    Product sales dropped due to a mix of factors, including legacy product declines from generic competition and lower average selling prices, which offset gains from growth products.

    Operating Cash Flow

    Declined approximately 31% (from $2,834M to $1,954M)

    The significant drop in operating cash flow is primarily due to higher U.S. gross-to-net adjustments and changes in the timing of customer collections, which reduced the cash generated from core operations despite lower operating costs elsewhere.

    US Revenue

    Fell roughly 7% (from $8,476M to $7,873M)

    The decrease in US revenue is largely a result of generic erosion in key legacy products and a decline in average net selling prices, which negatively impacted domestic performance compared to the previous period.

    Marketing, Selling & Administrative Expenses

    Decreased by about 33% (from $2,367M to $1,584M)

    The sharp decline in SG&A expenses stems from the absence of one-time acquisition-related costs and cash settlements (e.g., unvested stock awards) that were incurred in Q1 2024, coupled with strategic productivity initiatives implemented in Q1 2025.

    MetricPeriodPrevious GuidanceCurrent GuidanceChange

    Revenue

    FY 2025

    Approximately $45.5 billion

    Expected to be in the range of $45.8 billion to $46.8 billion

    raised

    Gross Margin

    FY 2025

    Approximately 72%

    Approximately 72%

    no change

    Operating Expenses

    FY 2025

    Approximately $16 billion

    Approximately $16 billion with an additional impact of about $200 million due to FX

    no change

    Operating Margin

    FY 2025

    Approximately 37%

    Approximately 37%

    no change

    Other Income & Expense

    FY 2025

    Income of approximately $30 million

    Annual income of approximately $100 million

    raised

    Tax Rate

    FY 2025

    Approximately 18%

    18%

    no change

    Non-GAAP EPS

    FY 2025

    In the range of $6.55 to $6.85

    Raised midpoint by $0.15; now in the range of $6.70 to $7.00

    raised

    Legacy Portfolio Decline

    FY 2025

    Expected to decline by 18% to 20%

    Projected to decline by approximately 16% to 18%

    lowered

    Revlimid Full-Year Sales

    FY 2025

    no prior guidance

    Expected to be at the top end of the previously guided range of $2 billion to $2.5 billion

    no prior guidance

    Expense Timing

    FY 2025

    no prior guidance

    Expenses anticipated to be higher in the second half of the year compared to the first half

    no prior guidance

    Tariffs

    FY 2025

    no prior guidance

    Includes the estimated impact of current tariffs on U.S. products shipped to China

    no prior guidance

    Cost Savings

    FY 2025

    Incremental $2 billion in savings identified, with $1 billion expected in 2025 and the remainder by the end of 2027

    Expected to realize approximately $2 billion in annual cost savings by the end of 2027, with $1 billion delivered by the end of 2025

    no change

    MetricPeriodGuidanceActualPerformance
    Revenue
    Q1 2025
    Approximately $45.5B for FY 2025, with Q1 expected to be the lowest quarter due to destocking
    $11,201 million
    Met
    Gross Margin
    Q1 2025
    ~72%
    72.9% (derived from $11,201 millionMinus $3,033 million, then divided by $11,201 million)
    Beat
    OI&E
    Q1 2025
    Income of ~$30 million
    ($339 million) expense
    Missed
    Tax Rate
    Q1 2025
    ~18%
    17.1% (derived from $509 million/ $2,971 million)
    Met
    TopicPrevious MentionsCurrent PeriodTrend

    Product Launches & Growth Portfolio

    Q4 2024 emphasized strong initial launches with detailed commentary on Cobenfy, Camzyos (including label updates and patient uptake), Breyanzi, and Opdivo Qvantig driving double-digit revenue growth and strategic pipeline expansion.

    Q1 2025 continued to highlight these products with robust sales numbers (e.g. Cobenfy’s $27M, Opdivo Qvantig’s $9M) and very positive patient/physician feedback, emphasizing early prescriptions and market adoption.

    Consistent emphasis with enhanced execution: The narrative remains positive with continued momentum; however, there is greater focus on early treatment adoption and operational excellence.

    Robust Pipeline & R&D Productivity

    In Q4 2024, the discussion was focused on accelerated Phase III trials (e.g. ODYSSEY, ADEPT 2) and a “laser-like focus” on shortening timelines, with a broad pipeline of advanced candidates and diversified approvals.

    Q1 2025 reinforced the importance of Phase III trials and diversified approvals while also emphasizing upcoming catalysts and addressing some setbacks without shifting long‐term strategy.

    Steady commitment with nuanced shifts: While the overall focus on pipeline strength is consistent, Q1 2025 introduces acknowledgment of specific setbacks yet reaffirms a strong strategic position.

    Cost-saving Initiatives & Operational Efficiency

    Q4 2024 stressed an expanded cost-saving program targeting an additional $2 billion in incremental run-rate savings, with detailed focus on organizational re-engineering, improved operating margins, strong cash flow from operations ($4.4B), and aggressive debt reduction.

    Q1 2025 continued this narrative with highlights on operational efficiency through lower operating expenses ($500M lower YoY), achievement of $1B in savings by 2025, $2B annual savings by 2027, and robust cash flows ($2B), reinforcing balance sheet strength.

    Consistent focus and execution: The cost-saving and efficiency measures remain a core pillar, with Q1 2025 reinforcing financial discipline and operational improvements.

    Regulatory & Policy Uncertainty

    Q4 2024 focused mainly on drug pricing rules (e.g. IRA-related pricing issues) and touched on novel endpoint acceptance (e.g. MRD inclusion) with no explicit discussion of tariffs or transfer pricing.

    Q1 2025 broadened the discussion to include concerns over tariffs, transfer pricing, and detailed engagement with policy makers on complex drug pricing challenges, while also reiterating U.S. innovation support.

    Expanded scope: While pricing and endpoints remained key, Q1 2025 expanded the focus to include further regulatory dimensions (tariffs and transfer pricing), showing a more comprehensive risk management approach.

    Clinical Trial Performance Challenges

    Q4 2024 did not mention any significant trial setbacks or delays; the discussion was centered on the acceleration of multiple Phase III studies and positive trial timelines.

    Q1 2025 acknowledged weak signals including setbacks in the Camzyos ODYSSEY and Cobenfy ARISE studies, and delays in readouts, though these were downplayed as not impacting overall growth strategy.

    Shift from optimism to cautious realism: Whereas earlier calls emphasized acceleration, Q1 2025 introduces acknowledged challenges in trial performance, representing a more balanced reporting of risks.

    Business Development & External Innovation Challenges

    Q4 2024 emphasized BD as a strategic priority with disciplined acquisitions (e.g. the Karuna example) and alignment to high-potential therapeutic areas, without detailed mention of macro risks.

    Q1 2025 maintained BD as a top priority but also addressed broader macro condition risks, reaffirming strong financial positioning and a proactive approach to external innovation while mitigating exogenous risks.

    Consistent strategic priority with deeper risk acknowledgment: The fundamental BD approach remains unchanged, but there is a more explicit discussion of macro and external challenges in the current period.

    LOE Impacts & Generic Competition

    Q4 2024 detailed significant revenue risks for legacy products such as Revlimid and POMALYST due to generic competition and LOE, forecasting a steep portfolio decline and market share erosion.

    Q1 2025 acknowledged LOE impacts on legacy portfolios, but described a more moderate decline (16%-18%) with Revlimid performing at the top end of guidance and growth portfolio offsets mitigating the challenges.

    Evolving sentiment: The narrative shifted from stressing steep revenue declines to a more balanced view where strong growth products help soften the impact of legacy portfolio losses.

    Pipeline Diversification with Emerging Assets

    Q4 2024 provided significant focus on emerging pipeline assets, highlighting innovative programs like CELMoD initiatives, LPA1, and CD19 XT as part of the next wave of transformational opportunities.

    Q1 2025 did not specifically mention LPA1 and CD19 XT and only broadly referenced new pivotal studies including CELMoD-related developments, indicating less detailed focus on emerging assets.

    Reduced emphasis: There is a notable drop in discussion of specific emerging programs (LPA1 and CD19 XT) in Q1 2025, suggesting a potential shift in focus or a temporary deprioritization in public commentary.

    1. Long-term Guidance
      Q: Future EPS and trough share levels?
      A: Management did not offer specific long-term EPS guidance, stressing that the focus remains on disciplined execution and sustainable growth. They noted that transfer pricing follows tax law, so tariff concerns don’t affect these numbers.

    2. Tariff Impact
      Q: How will tariffs affect operations?
      A: The team highlighted their flexible, global manufacturing network and onshoring efforts, which should mitigate any negative tariff effects. They are actively engaging with policymakers to ensure trade rules support innovation.

    3. Cobenfy Outlook
      Q: Is adjunctive failure a concern?
      A: Management emphasized that, although adjunctive study results weren’t as hoped, it won’t impact Cobenfy’s strong monotherapy adoption. Physicians remain attracted by its safety and efficacy profile.

    4. Gross-to-Net Trends
      Q: Will discount rates increase this year?
      A: They expect a rise in full-year gross-to-net impact, as Q1 true-up reflected a one-off benefit; nearly 100% access in Medicaid and Medicare will drive modest increases in rebates over time.

    5. Pipeline Progress
      Q: What about upcoming trial catalysts?
      A: The leadership expressed optimism about pipeline catalysts, noting that key Phase I trials—such as the study for RYZ101 in small cell lung cancer—should soon provide more clarity on safety and efficacy.

    6. Capital Allocation
      Q: What drives the renewed BD focus?
      A: Business development remains a top priority, with management targeting growth-enhancing science regardless of deal size. This strategic focus is central to improving the company’s long-term performance.