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GILEAD SCIENCES, INC. (GILD)·Q2 2025 Earnings Summary
Executive Summary
- Q2 2025 revenue was $7.08B, up 2% YoY and 6% QoQ; non-GAAP diluted EPS was $2.01, flat YoY and up ~11% QoQ. Both revenue and EPS exceeded S&P Global consensus (revenue: $6.96B*, EPS: $1.96*) .
- HIV revenue rose 7% YoY to $5.09B on strong Biktarvy ($3.53B, +9% YoY) and Descovy ($653M, +35% YoY); Veklury fell 44% YoY to $121M amid lower COVID hospitalizations .
- FY25 guidance raised: product sales to $28.3–$28.7B (prior $28.2–$28.6B), ex‑Veklury to $27.3–$27.7B (prior $26.8–$27.2B), non‑GAAP EPS to $7.95–$8.25 (prior $7.70–$8.10); Veklury cut to ~$1.0B (prior $1.4B) .
- Catalyst: FDA approved Yeztugo (lenacapavir) as the first and only twice‑yearly PrEP option; management emphasized “historic” potential to transform HIV prevention and is executing a robust launch and access strategy .
What Went Well and What Went Wrong
What Went Well
- HIV franchise strength: HIV sales +7% YoY to $5.09B; Biktarvy +9% YoY to $3.53B with >51% U.S. share, and Descovy +35% YoY to $653M on demand and pricing favorability .
- Guidance raised on base business momentum: ex‑Veklury product sales up $0.5B at midpoint, non‑GAAP EPS raised $0.25 range; CFO reiterated disciplined OpEx and ~86% non‑GAAP gross margin .
- Transformational PrEP approval: Yeztugo FDA approval; CEO said, “This is truly a milestone moment…could bend the arc of the epidemic,” while CCO highlighted rapid early uptake and payer progress (J‑code effective Oct 1) .
What Went Wrong
- COVID normalization: Veklury sales down 44% YoY to $121M; FY25 Veklury guidance reduced by $400M to ~$1.0B .
- Cell therapy headwinds: Kite product sales down 7% YoY to $485M; Yescarta -5% YoY to $393M and Tecartus -14% YoY to $92M amid competitive pressures .
- Higher R&D and IPR&D impairment: R&D expense rose to $1.49B; $190M IPR&D impairment (MYR‑related) pressured GAAP EPS, partly offset by equity gains .
Financial Results
Headline financials vs prior periods and estimates
Values with asterisk retrieved from S&P Global.
Q2 2025 vs Q2 2024
Segment breakdown (Q2 2025 vs Q2 2024)
Key product KPIs (Q2 2025 vs Q2 2024)
Guidance Changes
Earnings Call Themes & Trends
Management Commentary
- CEO: “This was a very successful second quarter…with the FDA approval of lenacapavir…Our strong growth…driven by Biktarvy, Descovy, Trodelvy and Livdelzi…we are increasing revenue and earnings guidance for the year.” .
- CEO on Yeztugo: “This is truly a milestone moment…that could bend the arc of the epidemic.” .
- CCO on Yeztugo launch: “Unaided awareness among HCPs was 72%…first prescription within hours…J‑code confirmed for October 1…state Medicaid wins in CA and FL.” .
- CFO: “We are updating FY25 guidance: ex‑Veklury $27.3–$27.7B; Veklury ~$1.0B; non‑GAAP EPS $7.95–$8.25; non‑GAAP gross margin ~86%…SG&A declining mid‑ to high‑single‑digit.” .
Q&A Highlights
- Yeztugo uptake curve and access: Management stressed early positive signals, robust field reimbursement, and payer engagement; expects staged access ramp to ~75% at 6 months and ~90% at 12 months .
- Medicaid MFN risk: Team engaging policymakers; HIV has strong safety‑net coverage; near‑term impact not expected; HIV Medicaid mix “mid‑ to lower‑20s%” .
- USPSTF preventive coverage: Current guidelines supportive; even if changed, Gilead expects to work with payers to preserve access; PrEP market grew pre‑guidelines .
- Weekly HIV combo (WONDERS) clinical hold: Parsing causality; multiple molecules in portfolio; Phase 3 lenacapavir+islatravir update in 2026, launch 2027 .
- OUS opportunity for Yeztugo: Larger ex‑U.S. potential vs Descovy given innovation and unmet need; reimbursement will take time .
- Logistics for injectable PrEP: Offering buy‑and‑bill, specialty pharmacy, and alternate sites; cross‑functional pods support smooth customer experience .
- Why not raise Yeztugo guidance yet: Too early (~6 weeks in); focus on expanding covered lives and pulling through scripts to injections .
Estimates Context
- Q2 2025 actuals vs consensus: Revenue $7,082MM vs $6,964MM*; non‑GAAP EPS $2.01 vs $1.96* — both beats. Q1 2025 revenue missed ($6,667MM vs $6,823MM*), EPS beat ($1.81 vs $1.78*). Q4 2024 revenue and EPS both beat ($7,569MM vs $7,154MM*; $1.90 vs $1.70*) .
Values with asterisk retrieved from S&P Global.
Key Takeaways for Investors
- Base business momentum and HIV strength drove a clean top‑line and EPS beat; guidance raise underscores management confidence for 2H25 execution .
- Yeztugo is a major multi‑year growth catalyst; early launch signals (awareness, payer wins, J‑code) point to solid adoption once coverage scales — monitor access progression and injection conversion rates in Q3/Q4 .
- Expect continued Veklury drag (~$1.0B FY25) and Kite headwinds near term; watch outpatient adoption, label changes, and pivotal anito‑cel data later this year for cell therapy reacceleration potential .
- Trodelvy trajectory improving with first‑line mTNBC data; filings in 2026 could expand the addressable market and duration, supporting oncology growth .
- Operating discipline intact: ~86% non‑GAAP GM, SG&A down mid‑ to high‑single‑digits; supports margin resilience amid higher R&D and market investments .
- Policy risks (Part D, tariffs, Medicaid MFN) remain manageable per management; limited near‑term assumption changes embedded in guidance — track updates but base case neutral .
- Near‑term trade: Position for incremental Yeztugo launch updates and potential estimate revisions upward on HIV momentum; medium‑term thesis benefits from PrEP adoption curve, 1L Trodelvy, and anito‑cel 2026 launch potential .
Appendix: Additional Data
Detailed non‑GAAP reconciliation references
- Non‑GAAP EPS and margin reconciliations for Q2 2025 provided in the press release/8‑K –.
- FY25 non‑GAAP guidance reconciliations provided .
Yeztugo approval and access strategy
- FDA approval press release with trial efficacy and access programs –.