Q1 2025 Earnings Summary
- The U.S. Healthcare segment, including VillageMD and Shields Health Solutions, is showing strong revenue and profit growth, indicating potential for continued expansion and profitability in this segment. Shields Health Solutions had a "terrific quarter" with strong client renewals and increasing profit margins.
- The company's investments in micro fulfillment centers (MFCs) are improving operational efficiency, reducing costs, and enhancing the in-store experience. Over 4,500 stores are now being serviced by MFCs, with plans to expand to 6,000 stores, leading to increased ability to counsel patients and provide higher-order clinical services that bring additional reimbursements.
- Walgreens is successfully renegotiating pharmacy benefit manager (PBM) contracts to improve reimbursement rates, particularly for higher-cost drugs, and is rebalancing brand and generic pricing to better reflect the current environment, which should enhance pharmacy margins. Additionally, they are achieving better-than-expected prescription retention during store closures, indicating they can improve profitability by closing underperforming stores without significant customer loss.
- Persistent challenges in the U.S. Retail Pharmacy segment, particularly in the front-end retail business, due to continued deterioration in consumer discretionary spending and shifting consumer behavior. The company notes that the consumer remains under pressure from accumulated inflation and higher interest rates, impacting discretionary categories and leading to a decline in comparable retail sales.
- Uncertainty in achieving long-term positive cash flow generation amid ongoing operational and financial challenges. The company acknowledges that while they improved free cash flow in the quarter, they have more work to do to strengthen their balance sheet and ensure longer-term positive cash flow. They are not providing multiyear cash flow guidance and mention that higher legal payments and planned investments are impacting cash flow.
- Ongoing reimbursement pressures in the pharmacy business, with the company stating that despite progress in contract negotiations for 2025, there is "still a ton to do" over the next several years. This suggests that reimbursement pressures may continue to impact profitability in the pharmacy segment.
| Metric | YoY Change | Reason |
|---|---|---|
Total Revenue | +5.1% (from $36.707B in Q1 2024 to $38.588B in Q1 2025) | Increased sales across all segments—notably U.S. Retail Pharmacy, U.S. Healthcare, and International—supported overall revenue growth. This improvement builds on previous periods’ strength in pharmacy execution and market demand, which continued to drive higher revenue performance vs.. |
U.S. Retail Pharmacy | +5% (from $28.944B in Q1 2024 to $30.380B in Q1 2025) | Stronger pharmacy sales and prescription volume contributed to a steady revenue boost in this segment compared to the prior period, reflecting persistent consumer demand and operational enhancements despite previous challenges. These improvements follow earlier periods where performance gains were partially offset by cost pressures, but the revenue uplift has now materialized further vs.. |
U.S. Healthcare | +11% (from $1.931B in Q1 2024 to $2.152B in Q1 2025) | Marked growth driven by increased volumes in healthcare services—possibly from expanded service offerings or higher utilization in areas like Shields—helped reverse some earlier operational setbacks. Compared to Q1 2024, robust revenue performance in U.S. Healthcare suggests better execution and recovery from prior issues such as clinic closures vs.. |
International | +3.9% (from $5.832B in Q1 2024 to $6.060B in Q1 2025) | Modest improvement fueled by market strength in key regions (Germany and Boots UK), despite currency headwinds, boosted growth to a modest 3.9% increase. This builds on previous period performance where favorable mix and local market improvements were already contributing, albeit at a slower pace vs.. |
Operating (Loss) Income | Deteriorated from a $39M loss in Q1 2024 to a $245M loss in Q1 2025 | Significantly higher non-cash impairment charges and rising operational costs—including increased expenses from optimization and legal settlements—widened the operating loss compared to the prior period. The deterioration is accentuated by previous Q1 performance, where lower impairment charges and cost pressures meant a relatively smaller loss, now exacerbated by additional burdens vs.. |
Net (Loss) Earnings | Widened from a $278M loss in Q1 2024 to a $605M loss in Q1 2025 | A combination of larger operating losses and additional non-operating charges such as increased legal expenses and derivative adjustments drove net loss nearly double. This contrasts with the prior period where net losses were substantial but less severe, indicating that adverse adjustments have deepened the negative bottom line vs.. |
Cash and Cash Equivalents | -10% (declined from $784M in Q1 2024 to $702M in Q1 2025) | A decline in cash levels is due to negative operating cash flows and increased financing outflows, likely tied to settling legal claims and debt adjustments. While previous periods saw a relatively stronger cash position supported by asset sales and cost controls, the current period’s heavier financing activities have eroded available liquidity vs.. |
| Metric | Period | Previous Guidance | Current Guidance | Change |
|---|---|---|---|---|
Retail Comparable Sales | FY 2025 | negative 2% to negative 3% | negative 4% to negative 5% | lowered |
Adjusted EPS | FY 2025 | $1.40 to $1.80 | $1.40 to $1.80 | no change |
Working Capital Initiatives | FY 2025 | $500 million | $500 million | no change |
Capital Expenditures (CapEx) | FY 2025 | $150 million | $150 million | no change |
Footprint Optimization Program | FY 2025 | no prior guidance | $100 million in Adjusted Operating Income benefit | no prior guidance |
NADAC Changes Impact | FY 2025 | no prior guidance | less than $50 million negative impact on pharmacy margin | no prior guidance |
| Topic | Previous Mentions | Current Period | Trend |
|---|---|---|---|
U.S. Healthcare Segment (VillageMD, Shields) performance and expansion | Q4 2024: Cost reductions and slightly higher risk-based contribution. Q3 2024: Second consecutive quarter of positive EBITDA. Q2 2024: First quarter of positive EBITDA, 20% pro forma growth. | VillageMD at $1.6B (+9% YoY) despite closures; Shields up 30%, driving better-than-expected segment contribution. Adjusted EBITDA up $70M. | Consistently strong growth; closures dampen momentum but positive profitability trends continue. |
Store closures / footprint optimization | Q4 2024: Planned 1,200 closures over 3 years, 500 in FY25. Q3 2024: 25% of U.S. stores under review. Q2 2024: Comprehensive footprint review, closing underperformers. | Ramping to 450+ closures, high script retention, $100M AOI benefit in FY25. Retained stores outperform by 250–390 bps. | Accelerated closures show strong cost and operational focus. |
PBM contract negotiations and reimbursement pressures | Q4 2024: 80% visibility into 2025 rates, multiyear reset in progress. Q3 2024: Called out outdated reimbursement model. Q2 2024: Testing cost-plus and performance-based contracts. | Reduced reimbursement pressures for 2025 from restructured contracts; carved out high-cost drugs, expanding alternate payment models. | Continuing push for fairer reimbursements; still a major margin focus. |
Micro fulfillment centers (MFCs) for operational efficiency | Q4 2024: Cited as inventory optimization lever. Q3 2024: No mention. Q2 2024: 11 MFCs supporting 4,600 stores, paused rollout for optimization. | MFCs now serving 4,800 stores; shipped volume +23% YoY, driving lower in-store fills and freeing pharmacists for clinical services. | Steady operational gains; broader coverage and cost efficiency improvements. |
Front-end retail consumer environment and discretionary spending | Q4 2024: Pressured nonessential categories, refined promotions. Q3 2024: Sustained pullback, price sensitivity. Q2 2024: 4.3% retail sales decline. | Persistent decline in discretionary spend, worsened by warmer season and inflation pressures; promotions impacting margins. | Ongoing softness in discretionary purchases; value-seeking consumers remain a headwind. |
Balance sheet strengthening, debt reduction, and free cash flow generation | Q4 2024: Net debt cut by $2B; $500M working-cap gains, $150M CapEx cuts ahead. Q3 2024: Positive free cash flow aided by cost savings. Q2 2024: FCF down $2B YoY but expected improvement in H2. | Focused on asset sales (e.g., Village Medical) to reduce net debt; improved free cash flow from lower CapEx and working-capital measures. | Steady deleveraging and cash preservation signals a more disciplined capital approach. |
Sale-leaseback program changes | Q4 2024: Wind-down causes $400M AOI headwind in FY25. Q3 2024: $0.75 EPS headwind in FY25. Q2 2024: Early wind-down, $125M AOI headwind. | Prior gains created a $184M AOI headwind; not impacting free cash flow. | Phasing out sale-leasebacks, creating near-term AOI headwinds but no direct FCF drag. |
Potential risk of dividend reduction | Q4 2024: Flexible approach; discussions with Board. Q3 & Q2 2024: Not mentioned. | Dividend size under evaluation, but no finalized decision. | Newly raised concern; may reflect deeper capital allocation shifts. |
Rising legal payments impacting cash flow | Q4 2024: $934M in FY24, $1.5B projected for FY25. Q3 2024: $785M in first nine months. Q2 2024: $700M in first half. | Higher run rate in Q1 2025, expected to moderate after FY26. | Elevated near term, recognized as a drag on free cash flow. |
Goodwill impairment charges related to VillageMD | Q4 2024: Noncash charges affected GAAP net loss. Q3 2024: Carryover from Q2. Q2 2024: $12.4B impairment ($5.8B after-tax). | Not mentioned in Q1 2025 [No doc references]. | No new impairments noted, prior charges still relevant in historical results. |
Cost savings and restructuring initiatives | Q4 2024: $1B+ cost savings in FY24, expanded closures. Q3 2024: Store footprint optimization, $1B cost savings target. Q2 2024: $1B cost savings, location optimization, CapEx and working-cap targets. | Increased store and labor optimization, MFC improvements, on track for $500M working capital and $150M CapEx cuts. | Ongoing broad measures driving efficiency gains and supporting turnaround. |
Specialty pharmacy services and data analytics expansion | Q4 2024: Emphasized as a core asset for payers and pharma. Q3 2024: Specialty pharmacy leadership consolidated. Q2 2024: Not mentioned. | Discussed specialty pharmacy importance in complex drug management; no explicit new data analytics push. | Focus continues on specialty services; data analytics references remain limited. |
Ongoing challenges in pharmacy margins | Q4 2024: Net reimbursement and brand inflation issues. Q3 2024: Brand mix/reimbursement pressure. Q2 2024: Similar mix and reimbursement constraints. | Margin decline from brand inflation, mix, net reimbursement pressure; minimal NADAC impact in Q1. | Persistent margin headwinds; reimbursement model still under strain. |
VillageMD clinic closures | Q4 2024: Part of cost reductions, future margin lift. Q3 2024: Partially offset sales growth. Q2 2024: 160 closures announced. | 9% sales growth despite closures; smaller platform with economic benefits. | Ongoing footprint rationalization but maintaining positive revenue momentum. |
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Reimbursement Pressure and Contracts
Q: Are actions reducing 2025 reimbursement pressure?
A: Yes, we're seeing reduced pressure in 2025 compared to previous years due to restructuring our contracts with PBMs. We've rebalanced brand and generic reimbursements and aligned with PBMs to create categories for higher-cost drugs like GLP-1s. This new construct provides stability today and positions us for better visibility and improvement in future years. -
Free Cash Flow and CapEx
Q: Can you talk about confidence in positive free cash flow?
A: We're broadly in line with our previous commentary and feel good about working capital improvements. We achieved higher-than-expected reductions in capital expenditures in the quarter, exceeding our target of $150 million. While not sharing specific guidance, we're confident in our ability to improve operating performance over time, which will positively impact free cash flow. -
Procurement and Cencora Partnership
Q: How are you maximizing procurement with Cencora?
A: We're working closely with Cencora to modernize our drug purchasing processes to be world-class. While we haven't built any changes into our fiscal 2025 expectations, we're engaging with them to incrementally and transformationally improve procurement, which will benefit both parties as our volumes increase. -
Store Closures and Footprint Optimization
Q: Will footprint optimization impact grow over time?
A: We're on track to close 500 locations in fiscal year 2025, having closed about 70 stores in the quarter. The annualized operating income benefit is expected to be $100 million this year. As we continue this plan over three years, these benefits will scale over time. -
Peer's Cost-Plus Model Impact
Q: Does peer's cost-plus model offer opportunities?
A: The peer's announcement didn't surprise us; it's similar to what we've been doing in our contracts by realigning brand and generic reimbursements. We are willing to help payers win in configurations that work for them, aiming for a sustainable pharmacy model. -
Healthcare Segment Performance
Q: Which healthcare subsegments outperformed?
A: VillageMD had a great quarter, growing off a smaller focused platform after facility closures. Shields saw strong revenue and profit growth with very high client renewals. CareCentrix also performed well, selling through new relationships, contributing to the overperformance. -
Merchandising Strategy Execution
Q: How are you addressing front-end pressures?
A: We're executing several initiatives, including revamping our team, enhancing our loyalty program, and introducing new categories like superfoods, sports nutrition, and women's wellness. We've launched over 60 own-brand items this quarter to meet customers' needs with the right products at the right prices. -
Timing of Stabilizing Free Cash Flow
Q: When will you stabilize free cash flow?
A: While not providing multi-year cash flow guidance today, we're focused on improving operating performance over time. Factors like operating improvements, CapEx reduction, working capital streamlining, and lower legal payments will positively impact future cash flows from fiscal 2026 onwards. -
Recontracting Impact on Pharmacy Costs
Q: How will recontracting affect pharmacy costs?
A: Changing reimbursement structures isn't inherently a cost increase or decrease; it depends on negotiations. We haven't seen a cost increase ourselves. Our focus is on managing specialty pharmacy costs by ensuring the right patients receive the right drugs, which helps manage overall pharmacy costs effectively. -
Micro Fulfillment Centers Rollout
Q: What's the plan for micro fulfillment centers?
A: We're pleased with the progress, operating over 4,500 stores through micro fulfillment centers now, aiming to reach 6,000 stores in the next 12 months. This enhances efficiency and allows store staff to focus on higher-value activities like patient counseling. -
Script Retention Amid Store Closures
Q: How is script retention during store closures?
A: Script retention has been better than expected. We track it internally, and our new processes have improved patient experience when their store closes, leading to successful transfers to receiving stores.
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