Biggest changeEurope Rest of World Total Change Product sales: HIV Biktarvy $ 10,855 $ 1,509 $ 1,060 $ 13,423 $ 9,692 $ 1,253 $ 905 $ 11,850 13 % Descovy 1,902 100 110 2,113 1,771 100 114 1,985 6 % Genvoya 1,498 180 84 1,762 1,752 205 103 2,060 (14) % Odefsey 957 290 41 1,288 1,012 294 44 1,350 (5) % Symtuza - Revenue share (1) 450 130 12 592 382 133 13 529 12 % Other HIV (2) 257 129 48 434 238 116 47 401 8 % Total HIV 15,918 2,339 1,355 19,612 14,848 2,102 1,226 18,175 8 % Liver Disease Sofosbuvir/Velpatasvir (3) 922 299 374 1,596 859 323 355 1,537 4 % Vemlidy 486 44 428 959 410 38 414 862 11 % Other Liver Disease (4) 192 202 73 467 152 150 83 385 21 % Total Liver Disease 1,601 545 876 3,021 1,421 511 852 2,784 9 % Veklury 892 284 623 1,799 972 408 805 2,184 (18) % Oncology Cell Therapy Tecartus 234 138 31 403 245 110 15 370 9 % Yescarta 662 666 242 1,570 811 547 140 1,498 5 % Total Cell Therapy 896 804 274 1,973 1,055 658 156 1,869 6 % Trodelvy 902 294 119 1,315 777 217 68 1,063 24 % Total Oncology 1,798 1,098 393 3,289 1,833 875 224 2,932 12 % Other AmBisome 44 276 212 533 43 260 189 492 8 % Other (5) 255 34 68 356 261 40 66 367 (3) % Total Other 299 310 280 889 304 301 255 859 3 % Total product sales 20,508 4,576 3,526 28,610 19,377 4,197 3,361 26,934 6 % Royalty, contract and other revenues 82 58 4 144 62 114 7 182 (21) % Total revenues $ 20,591 $ 4,634 $ 3,529 $ 28,754 $ 19,438 $ 4,310 $ 3,368 $ 27,116 6 % _______________________________ (1) Represents our revenue from cobicistat (“C”), emtricitabine (“FTC”) and tenofovir alafenamide (“TAF”) in Symtuza (darunavir/C/FTC/TAF), a fixed dose combination product commercialized by Janssen Sciences Ireland Unlimited Company (“Janssen”).
Biggest changeEurope Rest of World Total Change Product sales: HIV Biktarvy $ 11,467 $ 1,676 $ 1,190 $ 14,334 $ 10,855 $ 1,509 $ 1,060 $ 13,423 7 % Descovy 2,559 93 105 2,758 1,902 100 110 2,113 31 % Genvoya 1,281 148 69 1,498 1,498 180 84 1,762 (15) % Odefsey 881 246 40 1,167 957 290 41 1,288 (9) % Symtuza - Revenue share (1) 363 120 12 495 450 130 12 592 (16) % Other HIV (2) 352 109 40 500 257 129 48 434 15 % Total HIV 16,904 2,392 1,456 20,752 15,918 2,339 1,355 19,612 6 % Liver Disease Sofosbuvir/Velpatasvir (3) 636 292 344 1,272 922 299 374 1,596 (20) % Vemlidy 507 49 514 1,070 486 44 428 959 12 % Other Liver Disease (4) 476 330 69 874 192 202 73 467 87 % Total Liver Disease 1,619 671 927 3,217 1,601 545 876 3,021 6 % Veklury 470 151 290 911 892 284 623 1,799 (49) % Oncology Cell Therapy Tecartus 153 158 32 344 234 138 31 403 (15) % Yescarta 595 598 303 1,495 662 666 242 1,570 (5) % Total Cell Therapy 748 755 335 1,839 896 804 274 1,973 (7) % Trodelvy 877 347 173 1,397 902 294 119 1,315 6 % Total Oncology 1,626 1,102 508 3,236 1,798 1,098 393 3,289 (2) % Other AmBisome 20 267 221 509 44 276 212 533 (5) % Other (5) 177 32 81 290 255 34 68 356 (19) % Total Other 197 300 302 799 299 310 280 889 (10) % Total product sales 20,816 4,617 3,483 28,915 20,508 4,576 3,526 28,610 1 % Royalty, contract and other revenues 60 447 20 527 82 58 4 144 NM Total revenues $ 20,876 $ 5,064 $ 3,503 $ 29,443 $ 20,591 $ 4,634 $ 3,529 $ 28,754 2 % _______________________________ NM - Not Meaningful (1) Represents our revenue from cobicistat (“C”), emtricitabine (“FTC”) and tenofovir alafenamide (“TAF”) in Symtuza (darunavir/C/FTC/TAF), a fixed dose combination product commercialized by Janssen Sciences Ireland Unlimited Company.
Based on our evaluation, and in connection with the preparation of the financial statements for the third quarter, we performed an interim impairment test and determined that the revised estimated fair value of the NSCLC IPR&D intangible asset was below its carrying value.
Based on our evaluation, and in connection with the preparation of the financial statements for the third quarter of 2024, we performed an interim impairment test and determined that the revised estimated fair value of the NSCLC IPR&D intangible asset was below its carrying value.
See Note 11. Debt and Credit Facilities of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K for additional information on our long-term debt and related interest rates.
See Note 10. Debt and Credit Facilities of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K for additional information on our long-term debt and related interest rates.
See Note 7. Collaborations and Other Arrangements of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K. (2) Includes Atripla, Complera/Eviplera, Emtriva, Stribild, Sunlenca, Truvada and Tybost. (3) Includes Epclusa and the authorized generic version of Epclusa sold by Gilead’s separate subsidiary, Asegua Therapeutics LLC (“Asegua”).
See Note 7. Collaborations and Other Arrangements of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K. (2) Includes Atripla, Complera/Eviplera, Emtriva, Stribild, Sunlenca, Truvada, Tybost and Yeztugo/Yeytuo. (3) Includes Epclusa and the authorized generic version of Epclusa sold by Gilead’s separate subsidiary, Asegua Therapeutics LLC (“Asegua”).
Risk Factors). Additional information related to the comparison of our results of operations and liquidity and capital resources between the years 2023 and 2022 is included in Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations of our 2023 Form 10-K filed with U.S. Securities and Exchange Commission . Management Overview Gilead Sciences, Inc.
Risk Factors). Additional information related to the comparison of our results of operations and liquidity and capital resources between the years 2024 and 2023 is included in Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations of our 2024 Form 10-K filed with U.S. Securities and Exchange Commission . Management Overview Gilead Sciences, Inc.
We manage our R&D expenses by identifying the R&D activities we expect to be performed during a given period and then prioritizing efforts based on scientific data, probability of successful technical development and regulatory approval, market potential, available human and capital resources and other considerations.
We manage these expenses by identifying the R&D activities we expect to be performed during a given period and then prioritizing efforts based on scientific data, probability of successful technical development and regulatory approval, market potential, available human and capital resources and other considerations.
However, historical results are not indicative of future results. 46 Valuation of Intangible Assets Determining the fair values of intangible assets, whether as part of a business combination or impairment assessment, involves the use of a probability-weighted income approach that discounts expected future cash flows to present value and requires the use of critical estimated inputs, including: • identification of product candidates with sufficient substance requiring separate recognition; • estimates of projected future cash flows, including revenues and operating profits related to the products or product candidates, which, for example, include significant inputs such as addressable patient population, treatment duration and projected market share; • the probability of technical and regulatory success for unapproved product candidates considering their stages of development; • the time and resources needed to complete the development and approval of product candidates; • an appropriate discount rate based on the estimated weighted-average cost of capital for companies with profiles similar to our profile, representing the rate that market participants would use to value the intangible assets; • the life of the potential commercialized products and associated risks, including the inherent difficulties and uncertainties in developing a product candidate such as obtaining FDA and other regulatory approvals; and • risks related to the viability of and potential alternative treatments in any future target markets.
Valuation of Intangible Assets Determining the fair values of intangible assets, whether as part of a business combination or impairment assessment, involves the use of a probability-weighted income approach that discounts expected future cash flows to present value and requires the use of critical estimated inputs, including: • identification of product candidates with sufficient substance requiring separate recognition; • estimates of projected future cash flows, including revenues and operating profits related to the products or product candidates, which, for example, include significant inputs such as addressable patient population, treatment duration and projected market share; • the probability of technical and regulatory success for unapproved product candidates considering their stages of development; • the time and resources needed to complete the development and approval of product candidates; • an appropriate discount rate based on the estimated weighted-average cost of capital for companies with profiles similar to our profile, representing the rate that market participants would use to value the intangible assets; • the life of the potential commercialized products and associated risks, including the inherent difficulties and uncertainties in developing a product candidate such as obtaining FDA and other regulatory approvals; and • risks related to the viability of and potential alternative treatments in any future target markets.
While we are not aware of any trends at this time that are reasonably likely to materially impact our future cash requirements and sources of funds, such requirements and funds will depend on many factors, including but not limited to the following: • the commercial performance of our current and future products; • the progress and scope of our R&D efforts and those of our collaboration partners, including preclinical studies and clinical trials; • the cost, timing and outcome of regulatory reviews; • the expansion of our sales and marketing capabilities; 45 • the acquisition of additional manufacturing capabilities or office facilities on acceptable terms; • the acquisition of other companies or new products on acceptable terms; • the issuance of new debt or equity in the market on acceptable terms; • the favorability of repaying certain long-term debt obligations prior to maturity dates; • future dividends subject to declaration by our Board of Directors (see “Dividends” in Part II, Item 5 of this 10-K); • the favorability of repurchasing shares (see “Issuer Purchases of Equity Securities” in Part II, Item 5 of this 10-K); • the establishment of additional collaborative relationships with other companies on acceptable terms; and • costs associated with the defense, settlement and adverse results of government investigations and litigation (see Note 13.
Debt and Credit Facilities) and access other external capital through future debt or equity offerings. 45 While we are not aware of any trends at this time that are reasonably likely to materially impact our future cash requirements and sources of funds, such requirements and funds will depend on many factors, including but not limited to the following: • the commercial performance of our current and future products; • the progress and scope of our R&D efforts and those of our collaboration partners, including preclinical studies and clinical trials; • the cost, timing and outcome of regulatory reviews; • the expansion of our sales and marketing capabilities; • the acquisition of additional manufacturing capabilities or office facilities on acceptable terms; • the acquisition of other companies or new products on acceptable terms; • the issuance of new debt or equity in the market on acceptable terms; • the favorability of repaying certain long-term debt obligations prior to maturity dates; • future dividends subject to declaration by our Board of Directors (see “Dividends” in Part II, Item 5 of this 10-K); • the favorability of repurchasing shares (see “Issuer Purchases of Equity Securities” in Part II, Item 5 of this 10-K); • the establishment of additional collaborative relationships with other companies on acceptable terms; and • costs associated with the defense, settlement and adverse results of government investigations and litigation (see Note 12.
These inputs are subject to uncertainty due to potential changes in facts and circumstances, economic and political conditions, changes to existing tax laws and new regulations or interpretations by tax authorities. Changes in these conditions could have a material adverse impact on our results of operations and financial position. See Note 16.
These inputs are subject to uncertainty due to potential changes in facts and circumstances, economic and political conditions, changes to existing tax laws and new regulations or interpretations by tax authorities. Changes in these conditions could have a material adverse impact on our results of operations and financial position.
Based on our evaluation of the study results and all other data currently available, and in connection with the preparation of the financial statements for the first quarter, we performed an interim impairment test and determined that the revised estimated fair value of the NSCLC IPR&D intangible asset was below its carrying value.
Based on our evaluation of the study results and all other data available at the time, and in connection with the preparation of the financial statements for the first quarter of 2024, we performed an interim impairment test and determined that the revised estimated fair value of the NSCLC IPR&D intangible asset was below its carrying value.
Capital Resources As of December 31, 2024, our material cash requirements for the operations of our business consisted primarily of the current and long-term liabilities noted on our Consolidated Balance Sheets as well as other commitments, including the following notable items: • payments of outstanding borrowings, including interest on long-term debt (see Note 11.
Capital Resources As of December 31, 2025, our material cash requirements for the operations of our business consisted primarily of the current and long-term liabilities noted on our Consolidated Balance Sheets as well as other commitments, including the following notable items: • payments of outstanding borrowings, including interest on long-term debt (see Note 10.
The Organisation for Economic Co-operation and Development has a framework to implement a global minimum corporate tax of 15% for companies with global revenues and profits above certain thresholds (referred to as Pillar Two), with certain aspects effective January 1, 2024 and other aspects effective January 1, 2025.
The Organisation for Economic Co-operation and Development (“OECD”) has developed a framework to implement a global minimum corporate tax of 15% for companies with global revenues and profits above certain thresholds (referred to as “Pillar Two”), with certain aspects effective January 1, 2024 and other aspects effective January 1, 2025.
Income Taxes of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K for additional information. 47
See Note 15. Income Taxes of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K for additional information.
To arrive at the revised estimated fair value, we used a probability-weighted income approach that discounts expected future cash flows to present value, which requires the use of Level 3 fair value measurements and inputs, including critical estimated inputs, such as: revenues and operating profits related to the planned utilization of SG in NSCLC, which, include inputs such as addressable patient population, projected market share, treatment duration, and the life of the potential commercialized product; the probability of technical and regulatory success; the time and resources needed to complete the development and approval of SG in NSCLC; an appropriate discount rate based on the estimated weighted-average cost of capital for companies with profiles similar to our profile; and risks related to the viability of and potential alternative treatments in any future target markets.
To arrive at the revised estimated fair values as of June 30, 2025 and December 31, 2025, we used a probability-weighted income approach that discounts expected future cash flows to present value, which requires the use of Level 3 fair value measurements and inputs, including critical estimated inputs, such as: revenues and operating profits related to the planned utilization of bulevirtide outside of the European Union (“EU”), which includes inputs such as addressable patient population, projected market share, treatment duration, and the life of the potential commercialized product; the probability of technical and regulatory success; the time and resources needed to complete the development and approval of bulevirtide outside of the EU; an appropriate discount rate based on the estimated weighted-average cost of capital for companies with profiles similar to our profile; and risks related to the viability of and potential alternative treatments in any future target markets.
Based on our evaluation of our current position of liquidity, available capital resources and our material cash requirements, we believe that we can satisfy our capital needs for the next 12 months and the foreseeable future. Liquidity Cash and cash equivalents were $10.0 billion as of December 31, 2024.
Based on our evaluation of our current position of liquidity, available capital resources and our material cash requirements, we believe that we can satisfy our capital needs for the next 12 months and the foreseeable future. Liquidity Cash and cash equivalents were $7.6 billion and marketable debt securities were $3.0 billion as of December 31, 2025.
We are committed to advancing innovative medicines to prevent and treat life-threatening diseases, including HIV, viral hepatitis, coronavirus disease 2019 (“COVID-19”), cancer and inflammation. We operate in more than 35 countries worldwide, with headquarters in Foster City, California.
We are committed to advancing innovative medicines to prevent and treat life-threatening diseases, including HIV, viral hepatitis, COVID-19 and cancer. We operate in more than 35 countries worldwide, with headquarters in Foster City, California.
Please refer to “Results of Operations” below for further information on 2024 results. Outlook As we look to 2025, we expect to see continued increases in demand for our products overall, bolstered by the growth of our HIV business.
Please refer to “Results of Operations” below for further information on 2025 results. Outlook As we look to 2026, we expect to see continued growth for our product sales overall, bolstered by increased demand in our HIV business.
For example, in the second quarter of 2023, we recorded an accrual of $525 million in Other current liabilities on our Consolidated Balance Sheets for settlements with certain plaintiffs in the HIV antitrust litigation, which we paid in the second half of 2023. Also, we accrued approximately $200 million for a potential settlement with the U.S.
For example, in the second quarter of 2023, we recorded an accrual of $525 million in Other current liabilities on our Consolidated Balance Sheets for settlements with certain plaintiffs in the HIV antitrust litigation, which we paid in the second half of 2023.
Also, on February 11, 2025, we announced that our Board of Directors declared a quarterly dividend of $0.79 per share of our common stock, with a payment date of March 28, 2025 to all stockholders of record as of the close of business on March 14, 2025. Future dividends are subject to declaration by our Board of Directors.
On February 10, 2026, we announced that our Board of Directors declared a quarterly dividend of $0.82 per share of our common stock, with a payment date of March 30, 2026 to all stockholders of record as of the close of business on March 13, 2026. Future dividends are subject to declaration by our Board of Directors.
Leases); • payments related to certain unconditional inventory purchase obligations and capital expenditures. There were no changes to such commitments in the current year that would have a material impact on our ability to meet short- or long-term cash requirements; • payments related to our acquisitions, including contingent consideration (see Notes 3. Fair Value Measurements and 6.
There were no changes to such commitments in the current year that would have a material impact on our ability to meet short- or long-term cash requirements; • payments related to our acquisitions, including contingent consideration (see Notes 3. Fair Value Measurements and 6. Acquisitions); and • milestone and other payments related to collaboration agreements (see Note 7.
Net income attributable to Gilead was $480 million and diluted earnings per share attributable to Gilead was $0.38 in 2024, compared to net income attributable to Gilead of $5.7 billion and $4.50 diluted earnings per share attributable to Gilead in 2023.
Net income attributable to Gilead was $8.5 billion and diluted earnings per share attributable to Gilead was $6.78 in 2025, compared to net income attributable to Gilead of $480 million and $0.38 diluted earnings per share attributable to Gilead in 2024.
Financing Activities Net cash used in financing activities in 2024 was primarily the result of $2.0 billion for debt repayments, $3.9 billion for dividend payments and $1.2 billion for common stock repurchases, partially offset by $3.5 billion in net proceeds from the issuance of senior unsecured notes in November 2024.
In 2024, we utilized cash of $3.9 billion for dividend payments, $2.0 billion for repayment of debt and other obligations, and $1.2 billion for common stock repurchases, partially offset by $3.5 billion in net proceeds from the issuance of senior unsecured notes in November 2024.
The table below summarizes our cash flow activities, followed by our analysis of changes and trends: Year Ended December 31, (in millions) 2024 2023 Net cash provided by (used in): Operating activities $ 10,828 $ 8,006 Investing activities (3,449) (2,265) Financing activities (3,433) (5,125) Effect of exchange rate changes on cash and cash equivalents (40) 57 Net change in cash and cash equivalents $ 3,906 $ 673 Operating Activities Net cash provided by operating activities is our primary source of funds, driven mainly by collections on product sales, partially offset by operating spend.
The table below summarizes our cash flow activities, followed by our analysis of changes and trends: Year Ended December 31, (in millions, except percentages) 2025 2024 Change Net cash provided by (used in): Operating activities $ 10,019 $ 10,828 (7) % Investing activities (4,793) (3,449) 39 % Financing activities (7,745) (3,433) NM Effect of exchange rate changes on cash and cash equivalents 92 (40) NM Net change in cash and cash equivalents $ (2,428) $ 3,906 NM 44 Operating Activities Net cash provided by operating activities is our primary source of funds, driven mainly by collections on product sales, partially offset by operating spend.
The following table summarizes our key financial results for the year and period-over-period changes: Year Ended December 31, (in millions, except percentages and per share amounts) 2024 2023 Change Total revenues $ 28,754 $ 27,116 6 % Net income attributable to Gilead $ 480 $ 5,665 (92) % Diluted earnings per share attributable to Gilead $ 0.38 $ 4.50 (92) % Total revenues increased 6% to $28.8 billion in 2024, compared to 2023, primarily due to higher sales in HIV, Oncology and Liver Disease, partially offset by lower sales of Veklury.
The following table summarizes our key financial results for the year and period-over-period changes: Year Ended December 31, (in millions, except percentages and per share amounts) 2025 2024 Change Total revenues $ 29,443 $ 28,754 2 % Net income attributable to Gilead $ 8,510 $ 480 NM Diluted earnings per share attributable to Gilead $ 6.78 $ 0.38 NM _______________________________ NM - Not Meaningful 37 Total revenues increased 2% to $29.4 billion in 2025, compared to 2024, primarily due to: • Higher product sales primarily driven by HIV and Liver Disease products, partially offset by lower sales of Veklury; and • Higher royalty, contract and other revenues.
Foreign Currency Exchange Impact We generally face exposure to movements in foreign currency exchange rates, primarily in the Euro. We use foreign currency exchange contracts to hedge a portion of our foreign currency exposures. Approximately 27% and 26% of our product sales were denominated in foreign currencies during 2024 and 2023, respectively.
We use foreign currency exchange contracts to hedge a portion of our foreign currency exposures. Approximately 26% and 27% of our product sales were denominated in foreign currencies during 2025 and 2024, respectively.
The following represents a summary of notable business updates and events during 2024, including certain items from our press releases, which readers are encouraged to review in full as available on our website at www.gilead.com. The content on the referenced website does not constitute a part of and is not incorporated by reference into this Annual Report on Form 10-K.
The following represents a summary of notable business updates and events since the filing of our Annual Report on Form 10-K for the year ended December 31, 2024, including certain items from our press releases, which readers are encouraged to review in full as available on our website at www.gilead.com.
The following table summarizes our Selling, general and administrative expenses and period-over-period changes: Year Ended December 31, (in millions, except percentages) 2024 2023 Change Selling and marketing expenses $ 3,453 $ 3,272 6 % General and administrative expenses 2,638 2,818 (6) % Selling, general and administrative expenses $ 6,091 $ 6,090 — % Selling, general and administrative expenses were $6.1 billion and remained relatively flat in 2024, compared to 2023.
The following table summarizes our Selling, general and administrative expenses and period-over-period changes: Year Ended December 31, (in millions, except percentages) 2025 2024 Change Selling and marketing expenses $ 3,522 $ 3,453 2 % General and administrative expenses 2,252 2,638 (15) % Selling, general and administrative expenses $ 5,774 $ 6,091 (5) % Selling, general and administrative expenses decreased 5% to $5.8 billion in 2025, compared to 2024.
Attorney’s Office for the Southern District of New York, on our Consolidated Balance Sheets as of December 31, 2024. Income Taxes We are subject to income taxes in the U.S. and various foreign jurisdictions, including Ireland.
Also, as of December 31, 2024, we accrued approximately $200 million on our Consolidated Balance Sheets for a potential settlement with the U.S. Attorney’s Office for the Southern District of New York, which we eventually entered into in April 2025 and subsequently paid. Income Taxes We are subject to income taxes in the U.S. and various foreign jurisdictions, including Ireland.
Changes in working capital balances, generally associated with the timing of collections and payments, as well as unanticipated payments related to litigation, taxes or other matters, may create some variation in any given year. Net cash provided by operating activities increased in 2024 mainly due to higher collections on sales and lower income tax and operating payments.
Changes in working capital balances, generally associated with the timing of collections and payments, as well as unanticipated payments related to litigation, taxes or other matters, may create some variation in any given year.
In particular: • Biktarvy sales increased primarily due to higher demand, including patients switching from Genvoya and other Gilead HIV products.
In particular: • Biktarvy sales increased 7% primarily due to higher demand, including patients switching from Genvoya and other Gilead HIV products, partially offset by lower average realized price due to the U.S.
Critical inputs to the accruals recorded and disclosures provided in relation to these matters include the probability of a certain outcome of the case, the determination as to whether an exposure is reasonably estimable and the amount of potential exposure.
Commitments and Contingencies of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. 47 Critical inputs to the accruals recorded and disclosures provided in relation to these matters include the probability of a certain outcome of the case, the determination as to whether an exposure is reasonably estimable and the amount of potential exposure.
Our R&D portfolio includes over 100 pre-clinical and clinical-stage programs across our core therapeutic areas. We plan to continue investing in our business and R&D pipeline both internally and externally through partnerships and select business development transactions.
We plan to continue investing in our business and R&D pipeline both internally and externally through partnerships and select business development transactions.
Net cash used in financing activities may vary in any given year depending primarily on the timing of debt repayments and proceeds from debt offerings and the amount of common stock repurchases. Subsequently, in February 2025, we repaid $1.75 billion of principal balance related to our senior unsecured notes due February 2025.
Net cash used in financing activities may vary in any given year depending primarily on the timing of debt repayments and proceeds from debt offerings and the amount of common stock repurchases.
Acquired In-Process Research and Development Expenses Acquired in-process research and development expenses are recorded when incurred and reflect costs of externally-developed IPR&D projects, acquired directly in a transaction other than a business combination, that do not have an alternative future use, including upfront and pre-commercialization milestone payments related to various collaborations and the costs of rights to IPR&D projects. 41 Acquired in-process research and development expenses were $4.7 billion in 2024, primarily related to the following transactions: • $3.8 billion CymaBay acquisition; • $320 million Janssen Pharmaceutica NV future royalty obligation extinguishment related to seladelpar; • $100 million Arcus Biosciences, Inc. collaboration continuation fee; • $68 million Arcellx, Inc.
Acquired In-Process Research and Development Expenses Acquired in-process research and development expenses are recorded when incurred and reflect costs of externally-developed IPR&D projects, acquired directly in a transaction other than a business combination, that do not have an alternative future use, including upfront and pre-commercialization milestone payments related to various collaborations and the costs of rights to IPR&D projects.
Unfavorable movements in Other (income) expense, net in 2024, compared to 2023, primarily related to higher net losses from equity securities and lower interest income due to lower average cash balances. 43 Income Taxes The following table summarizes our Income tax expense and period-over-period changes: Year Ended December 31, (in millions, except percentages) 2024 2023 Change Income before income taxes $ 690 $ 6,859 $ (6,169) Income tax expense $ 211 $ 1,247 $ (1,036) Effective tax rate 30.5 % 18.2 % 12.4 % Our effective tax rate increased in 2024, compared to 2023, primarily due to: • The non-deductible acquired IPR&D expense recorded in connection with our first quarter 2024 acquisition of CymaBay; • A decrease in unrecognized tax benefits as a result of reaching agreement with a tax authority on certain tax positions in 2023; partially offset by • A non-recurring tax benefit associated with a legal entity restructuring; • A decrease in state deferred tax liabilities associated with the $4.2 billion NSCLC IPR&D intangible asset impairment charge; • Settlements with tax authorities in 2024; and • Remeasurement of certain deferred tax liabilities related to acquired intangible assets.
Favorable movements in Other (income) expense, net in 2025, compared to 2024, primarily related to net unrealized gains from equity securities compared to net unrealized losses in 2024, as well as higher interest income. 43 Income Taxes The following table summarizes our Income tax (benefit) expense and period-over-period changes: Year Ended December 31, (in millions, except percentages) 2025 2024 Change Income before income taxes $ 9,796 $ 690 $ 9,106 Income tax expense $ 1,286 $ 211 $ 1,075 Effective tax rate 13.1 % 30.5 % NM _______________________________ NM - Not Meaningful Our effective tax rate decreased in 2025, compared to 2024, primarily due to: • The non-deductible acquired IPR&D expense recorded in connection with our acquisition of CymaBay in 2024, which did not repeat in 2025; • A settlement with a tax authority related to a prior year legal entity restructuring; and • Favorable changes in the fair value of our equity securities that are non-taxable for income tax purposes; partially offset by • A tax benefit associated with a legal entity restructuring in 2024; and • A decrease in state deferred tax liabilities associated with the $4.2 billion NSCLC IPR&D intangible asset impairment charge in 2024.
Interest Expense and Other (Income) Expense, Net The following table summarizes our Interest expense and Other (income) expense, net and period-over-period changes: Year Ended December 31, (in millions, except percentages) 2024 2023 Change Interest expense $ 977 $ 944 3 % Other (income) expense, net $ (6) $ (198) (97) % Loss from equity securities, net $ 274 $ 167 64 % Interest income $ (281) $ (376) (25) % Other, net $ 2 $ 11 (84) % Interest expense increased 3% to $977 million in 2024, compared to 2023, primarily due to a higher average interest rate on long-term debt.
Interest Expense and Other (Income) Expense, Net The following table summarizes our Interest expense and Other (income) expense, net and period-over-period changes: Year Ended December 31, (in millions, except percentages) 2025 2024 Change Interest expense $ 1,024 $ 977 5 % Other (income) expense, net $ (798) $ (6) NM (Gain) loss from equity securities, net $ (451) $ 274 NM Interest income $ (349) $ (281) 24 % Other, net $ 1 $ 2 (41) % _______________________________ NM - Not Meaningful Interest expense increased 5% to $1.0 billion in 2025, compared to 2024, primarily due to higher debt balances and a higher weighted-average interest rate on the debt.
Meanwhile, we maintained our financial position through repayment of senior notes coming due and the issuance of new senior notes, and provided shareholder returns through dividends and share repurchases.
Meanwhile, we maintained our financial position by lowering operating expenses, repaying senior notes coming due and providing shareholder returns through dividends and share repurchases.
Rebates and chargebacks are based on contractual arrangements or statutory requirements and include amounts due to payers and healthcare providers under various programs. These amounts may vary by product, payer and individual plans. Rebates and chargebacks are estimated primarily based on product sales, and expected payer mix and discount rates, which require significant estimates and judgment.
Rebates and Chargebacks Rebates and chargebacks include amounts due to payers and healthcare providers under various programs based on contractual arrangements or statutory requirements, which may vary by product, payer and individual plans and may not be known at the time of sale.
Year in Review During 2024, we delivered growth in our HIV, Oncology and Liver Disease product sales and continued to invest in our business and research and development (“R&D”) pipeline through advancement of our portfolio and broadening of available therapies, including through acquisitions and collaborations.
As evidenced by various late-stage clinical trial updates in HIV and oncology, we continued to invest in our business and research and development (“R&D”) pipeline through advancement of our portfolio and broadening of available therapies, including through acquisitions and collaborations.
Personnel, infrastructure and other support costs increased mainly due to higher compensation expenses, increases in restructuring costs, and stock-based compensation expenses and other integration costs related to the acquisition of CymaBay.
Personnel, infrastructure and other support costs decreased primarily due to the impact of stock-based compensation expenses and other integration costs related to the acquisition of CymaBay in 2024, which did not repeat in 2025, as well as lower restructuring costs.
Acquisitions); and • milestone and other payments related to collaboration agreements (see Note 7. Collaborations and Other Arrangements). We are contractually obligated to make payments to our collaboration partners upon the achievement of various development, regulatory and commercial milestones as well as royalty payments.
Collaborations and Other Arrangements). We are contractually obligated to make payments to our collaboration partners upon the achievement of various development, regulatory and commercial milestones as well as royalty payments. These payments are contingent upon the occurrence of various future events, substantially all of which have a high degree of uncertainty of occurring.
In January 2024, we received data from our Phase 3 EVOKE-01 study of Trodelvy evaluating sacituzumab govitecan-hziy (“SG”) indicating that the study did not meet its primary endpoint of overall survival in previously treated metastatic NSCLC, thus triggering a review for potential impairment of the NSCLC IPR&D intangible asset.
Our revised discounted cash flows for the June 30, 2025 and December 31, 2025 fair value estimations primarily reflected the updated expectations for bulevirtide’s potential market share outside of the EU. 2024 Impairments In January 2024, we received data from our Phase 3 EVOKE-01 study of Trodelvy evaluating SG indicating that the study did not meet its primary endpoint of overall survival in previously treated metastatic non-small cell lung cancer (“NSCLC”), thus triggering a review for potential impairment of the NSCLC IPR&D intangible asset.
Liquidity and Capital Resources We regularly analyze our ability to generate and obtain adequate amounts of cash to meet our short-term and long-term requirements and plans.
We do not expect Pillar Two, including the side-by-side framework, to have a material impact on our results of operations, liquidity or capital resources. Liquidity and Capital Resources We regularly analyze our ability to generate and obtain adequate amounts of cash to meet our short-term and long-term requirements and plans.
The following table summarizes the consolidated activities and ending balances in our rebates and chargebacks accounts, including adjustments made relating to previous years’ sales as a result of changes in estimates: (in millions) Balance at Beginning of Year Decrease/(Increase) to Product Sales Payments Balance at End of Year Year ended December 31, 2024: Activity related to 2024 sales $ — $ 15,808 $ (11,508) $ 4,300 Activity related to sales prior to 2024 4,493 (350) (3,797) 345 Total $ 4,493 $ 15,458 $ (15,305) $ 4,646 Year ended December 31, 2023: Activity related to 2023 sales $ — $ 14,577 $ (10,389) $ 4,187 Activity related to sales prior to 2023 4,028 (302) (3,421) 306 Total $ 4,028 $ 14,275 $ (13,810) $ 4,493 We assess and update our estimates each reporting period to reflect actual claims and other current information.
In developing our estimates of rebates and chargebacks, we consider the following: • product sales, including product mix and pricing; • historical and estimated payer mix; • statutory discount requirements and contractual terms; • historical claims experience and processing time lags; • estimated patient population; • known market events or trends; • market research; • channel inventory data obtained from our major U.S. wholesalers; and • other pertinent internal or external information. 46 The following table summarizes the consolidated activities and ending balances in our rebates and chargebacks accounts, including adjustments made relating to previous years’ sales as a result of changes in estimates: (in millions) Balance at Beginning of Year Decrease/(Increase) to Product Sales Payments Balance at End of Year Year ended December 31, 2025: Activity related to 2025 sales $ — $ 17,880 $ (13,064) $ 4,816 Activity related to sales prior to 2025 4,646 (378) (3,903) 365 Total $ 4,646 $ 17,503 $ (16,967) $ 5,181 Year ended December 31, 2024: Activity related to 2024 sales $ — $ 15,808 $ (11,508) $ 4,300 Activity related to sales prior to 2024 4,493 (350) (3,797) 345 Total $ 4,493 $ 15,458 $ (15,305) $ 4,646 We assess and update our estimates each reporting period to reflect actual claims and other current information.
(4) Includes ledipasvir/sofosbuvir (Harvoni and the authorized generic version of Harvoni sold by Asegua), Hepcludex, Hepsera, Livdelzi, Sovaldi, Viread and Vosevi. (5) Includes Cayston, Jyseleca, Letairis, Ranexa and Zydelig. HIV HIV product sales increased 8% to $19.6 billion in 2024, compared to 2023, primarily due to higher demand and higher average realized price.
(4) Includes ledipasvir/sofosbuvir (Harvoni and the authorized generic version of Harvoni sold by Asegua), Hepcludex, Hepsera, Livdelzi/Lyvdelzi, Sovaldi, Viread and Vosevi. (5) Includes Cayston, Jyseleca, Letairis and Zydelig.
General and administrative expenses decreased mainly due to lower expenses related to legal matters, partially offset by stock-based compensation expenses and other integration costs related to the acquisition of CymaBay, and higher restructuring costs.
General and administrative expenses decreased primarily due to lower expenses related to corporate initiatives and legal matters, as well as the impact of stock-based compensation expenses and other integration costs related to the acquisition of CymaBay in 2024, which did not repeat in 2025, partially offset by donations of equity securities made to the Gilead Foundation.
To a lesser extent, the increase was also due to higher average realized price. • Descovy sales increased primarily due to higher demand, partially offset by lower average realized price. 39 Liver Disease Liver Disease product sales increased 9% to $3.0 billion in 2024, compared to 2023, primarily due to higher demand in products for chronic hepatitis C virus, HBV and, in Europe, chronic hepatitis delta virus, as well as the launch of Livdelzi for treatment of PBC.
Medicare Part D program redesign; and • Descovy sales increased 31% primarily due to higher demand and average realized price. 39 Liver Disease Liver Disease product sales increased 6% to $3.2 billion in 2025, compared to 2024, primarily due to higher demand for Livdelzi and products for chronic hepatitis B virus and chronic hepatitis D virus, partially offset by lower average realized price across all Liver Disease products, most notably for chronic hepatitis C virus, inclusive of the U.S.
Investing Activities Net cash used in investing activities was notably higher in 2024 primarily related to the $3.9 billion net cash payment for the CymaBay acquisition, partially offset by proceeds from the liquidation of marketable debt securities to fund that acquisition.
In 2025, we utilized cash primarily for purchases of marketable debt securities and payments related to the Interius acquisition and various collaborations. In 2024, we utilized cash primarily for the $3.9 billion CymaBay acquisition and purchases of equity securities, partially offset by cash received from the liquidation of marketable debt securities.
The following table provides a breakout of expenses by major cost type: Year Ended December 31, (in millions) 2024 2023 Personnel, infrastructure and other support costs $ 3,555 $ 3,204 Clinical studies and other costs 2,352 2,514 Total $ 5,907 $ 5,718 Research and development expenses increased 3% to $5.9 billion in 2024, compared to 2023.
The following table summarizes our Research and development expenses and period-over-period changes: Year Ended December 31, (in millions, except percentages) 2025 2024 Change Personnel, infrastructure and other support costs $ 3,427 $ 3,555 (4) % Clinical studies and other costs 2,372 2,352 1 % Research and development expenses $ 5,799 $ 5,907 (2) % Research and development expenses decreased 2% to $5.8 billion in 2025, compared to 2024.
Gross-to-Net Deductions A substantial portion of our product sales is subject to significant discounts from list price, including government and commercial rebates and chargebacks, as well as other deductions, including patient co-pay assistance, cash discounts for prompt payment, distributor fees, and sales return provisions.
Gross-to-Net Deductions Product sales are recorded n et of estimated gross-to-net deductions, including rebates and chargebacks, patient co-pay assistance, prompt pay discounts, distributor fees, sales return provisions and other related deductions.
Foreign currency exchange, net of hedges, had an unfavorable impact on our total product sales of $163 million in 2024, based on a comparison using foreign currency exchange rates from 2023. 40 Costs and Expenses The following table summarizes our costs and expenses and period-over-period changes: Year Ended December 31, (in millions, except percentages) 2024 2023 Change Cost of goods sold $ 6,251 $ 6,498 (4) % Product gross margin 78.2 % 75.9 % 228 bps Research and development expenses $ 5,907 $ 5,718 3 % Acquired in-process research and development expenses $ 4,663 $ 1,155 NM In-process research and development impairments $ 4,180 $ 50 NM Selling, general and administrative expenses $ 6,091 $ 6,090 — % _______________________________ NM - Not Meaningful Product Gross Margin Product gross margin increased to 78.2% in 2024, compared to 2023, primarily due to prior year restructuring expenses related to changes in our manufacturing strategy, which resulted in write-offs of certain manufacturing facilities, related inventories and other costs totaling $479 million.
Royalty, Contract and Other Revenues Royalty, contract and other revenues increased to $527 million in 2025, compared to 2024, primarily due to recognition of $400 million of previously constrained revenues from the sale of certain intellectual property. 40 Costs and Expenses The following table summarizes our costs and expenses and period-over-period changes: Year Ended December 31, (in millions, except percentages) 2025 2024 Change Cost of goods sold $ 6,234 $ 6,251 — % Product gross margin 78.4 % 78.2 % 29 bps Research and development expenses $ 5,799 $ 5,907 (2) % Acquired in-process research and development expenses $ 1,024 $ 4,663 (78) % In-process research and development impairments $ 590 $ 4,180 (86) % Selling, general and administrative expenses $ 5,774 $ 6,091 (5) % Product Gross Margin Product gross margin was 78.4% in 2025 and remained relatively flat compared to 2024.
Collaborations and Other Arrangements of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K for additional information. In-Process Research and Development Impairments As of December 31, 2023, our indefinite-lived IPR&D intangible asset related to Trodelvy for metastatic NSCLC was approximately $5.9 billion.
See Note 6. Acquisitions and Note 7. Collaborations and Other Arrangements of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K for additional information.
For example, we entered into an agreement with LEO Pharma A/S in early 2025 to develop and commercialize their pre-clinical oral signal transducer and activator of transcription 6 programs for the potential treatment of inflammatory diseases.
Inflammation • Received conditional marketing authorization from the EC for seladelpar for the treatment of PBC in combination with ursodeoxycholic acid (“UDCA”) in adults who have an inadequate response to UDCA alone, or as monotherapy in those unable to tolerate UDCA. • Entered into a strategic partnership with LEO Pharma A/S (“LEO Pharma”) to develop and commercialize their pre-clinical oral signal transducer and activator of transcription 6 programs for the potential treatment of inflammatory diseases.
Our anticipated sources of funds to satisfy the above material cash requirements for the short- and long-term include our current balances of cash and cash equivalents as well as future cash flows from operations. If needed, we also have the ability to utilize our $2.5 billion revolving credit facility (see Note 11.
As such, these obligations are not recorded on our Consolidated Balance Sheets until the events triggering milestone payments occur. Our anticipated sources of funds to satisfy the above material cash requirements for the short- and long-term include our current balances of cash and cash equivalents as well as future cash flows from operations.
As a result, we recognized a partial impairment charge of $1.8 billion in In-process research and development impairments on our Consolidated Statements of Operations during the third quarter of 2024.
As a result, we recognized partial impairment charges of $190 million and $400 million in In-process research and development impairments on our Consolidated Statements of Operations for the second and fourth quarters of 2025, respectively, for a total of $590 million for the year ended December 31, 2025.
Debt and Credit Facilities); • income tax payments, including the remaining obligations for the one-time repatriation transition tax from the Tax Cuts and Jobs Act, as well as potential payments related to uncertain tax positions (see Note 16. Income Taxes); • payments of operating lease obligations (see Note 12.
Debt and Credit Facilities); • income tax payments, including potential payments related to uncertain tax positions (see Note 15. Income Taxes); • payments of operating lease obligations (see Note 11. Leases); • payments related to certain unconditional inventory purchase obligations and capital expenditures.
Legal Contingencies We are a party to various legal actions. Certain significant matters are described in Note 13. Commitments and Contingencies of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
Legal Contingencies We are a party to various legal actions. Certain significant matters are described in Note 12.
Trodelvy Trodelvy product sales increased 24% to $1.3 billion in 2024, compared to 2023, primarily due to higher demand across all regions.
Trodelvy Trodelvy product sales increased 6% to $1.4 billion in 2025, compared to 2024, primarily due to higher demand in breast cancer treatment, partially offset by the indication withdrawal in bladder cancer treatment.
In addition, as part of our overall investment approach to fund the advancement of our pipeline and commercialization of our products, we will continue to focus on disciplined operating expense management. Our ability to deliver on our strategy and 2025 objectives is subject to a number of uncertainties. Please refer to Part I, Item 1A.
As part of our overall investment approach to fund the advancement of our pipeline and commercialization of our products, we will continue to focus on disciplined operating expense management. 38 Results of Operations Revenues The following table summarizes our Total revenues and period-over-period changes: Year Ended December 31, 2025 Year Ended December 31, 2024 (in millions, except percentages) U.S.
These payments are contingent upon the occurrence of various future events, substantially all of which have a high degree of uncertainty of occurring. If milestones for multiple products covered by these arrangements happen to be reached in the same reporting period, the aggregate cash requirement could be material.
If milestones for multiple products covered by these arrangements happen to be reached in the same reporting period, the aggregate cash requirement could be material. It is not possible to predict with reasonable certainty whether these milestones will be achieved or the timing for achievement.
Veklury Veklury product sales decreased 18% to $1.8 billion in 2024, compared to 2023, primarily due to decreased rates of COVID-19-related hospitalizations.
Medicare Part D program redesign impact. Veklury Veklury product sales decreased 49% to $911 million in 2025, compared to 2024, primarily due to lower COVID-19-related hospitalizations. Oncology Cell Therapy Cell Therapy product sales decreased 7% to $1.8 billion in 2025, compared to 2024, primarily due to lower demand reflecting ongoing competitive headwinds.
Oncology Cell Therapy Cell Therapy product sales increased 6% to $2.0 billion in 2024, compared to 2023, primarily due to increased demand outside the U.S. for Yescarta and Tecartus and higher average realized price, partially offset by lower demand in the U.S.
HIV HIV product sales increased 6% to $20.8 billion in 2025, compared to 2024, primarily due to higher demand for treatment and prevention, with average realized price being relatively flat despite the U.S. Medicare Part D program redesign impact.
We anticipate that strong, demand-led volume growth in 2025 will be offset by: (i) the effects of the Inflation Reduction Act, which is expected to increase our payment obligations under the redesigned Medicare Part D discount program; (ii) an expected decrease in our Veklury product sales reflecting lower rates of COVID-19-related hospitalizations; and (iii) the impact of the U.S. dollar strengthening against major foreign currencies.
We anticipate that such growth will be partially offset by the impact of various policy-related developments in the U.S., as well as an expected decrease in our Veklury product sales due to lower rates of COVID-19-related hospitalizations and an expected decrease in our Cell Therapy product sales reflecting ongoing competitive headwinds.
Our strategic priorities to deliver on these ambitions include: (i) maximize near-term revenue growth; (ii) maximize impact of long-acting HIV therapies; and (iii) expand and deliver on oncology programs.
Our strategic priorities, as refreshed in late 2025, to deliver on these ambitions include: (i) maximize impact of long-acting HIV therapies; (ii) accelerate our pipeline build in oncology and inflammation; (iii) adopt and scale artificial intelligence to transform how we work; (iv) prioritize investments for highest impact; and (v) strengthen collaboration to accelerate innovation.
Our revised discounted cash flows for the September 30, 2024 fair value estimation primarily reflected the removal of cash flows associated with second-line plus patients. There were no IPR&D impairment charges in the three months ended December 31, 2024.
Our revised discounted cash flows for the September 30, 2024 fair value estimation primarily reflected the removal of cash flows associated with second-line plus patients, and the remaining carrying value as of that date reflects Trodelvy’s opportunity as a combination therapy in first-line metastatic NSCLC patients supported by its ongoing Phase 3 clinical trial in this patient population.
Rebates and Chargebacks Rebates and chargebacks are determined using a complex estimation process which requires significant judgment by management in part due to the lag between the date of the product sales and the date the related rebates or chargeback claims are settled.
As a result, our recorded amounts for rebates and chargebacks are determined using a complex estimation process that requires significant management judgment.
Certain countries in which we operate have adopted Pillar Two legislation and other countries are in the process of introducing legislation to implement Pillar Two. We do not expect Pillar Two to have a material impact on our results of operations, liquidity or capital resources.
Certain countries in which we operate have enacted Pillar Two legislation, and other countries are in the process of introducing legislation to implement Pillar Two. In January 2026, the OECD announced additional administrative guidance, including a “side-by-side” framework intended to coordinate the application of Pillar Two with existing minimum tax regimes in certain jurisdictions.
In 2023, we utilized cash of $2.3 billion for debt repayments, $3.8 billion for dividend payments and $1.0 billion for common stock repurchases, partially offset by $2.0 billion in net proceeds from the issuance of senior unsecured notes in September 2023. The year-over-year changes were due mostly to higher cash provided by new debt issuances.
In 2025, we utilized cash of $4.0 billion for dividend payments, $1.9 billion for common stock repurchases and $1.8 billion for repayment of debt.