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Gilead Sciences, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 7 May 2026: press release. Guidance figures: 3 raised, 4 lowered, 1 new, 2 kept. The quarter’s numbers.

Key takeaways

  • Revenue up 4% to $7.0 billion: Total revenues were $7.0 billion, up 4%, with higher HIV, Trodelvy and Livdelzi sales, partly offset by lower Veklury, HCV and Cell Therapy sales. Source
  • Product sales ex-Veklury up 8%: Product sales excluding Veklury were $6.8 billion, up 8%, led by HIV, Trodelvy and Livdelzi, partly offset by lower HCV and Cell Therapy sales. Source
  • Non-GAAP EPS up 12%: Non-GAAP diluted EPS was $2.03 against $1.81, driven by higher product sales and lower acquired IPR&D expenses, partly offset by higher income tax and SG&A. Source
  • Gross margin rose on royalty expiry: Product gross margin was 79.2%, against 76.7%. The company attributed the increase to the expiration of a royalty-related obligation and product mix. Source
  • Arcellx acquisition completed: Gilead completed the Arcellx acquisition at $115 per share, an implied equity value of $7.8 billion, building on the existing anito-cel collaboration. Source

“Gilead teams have delivered another strong quarter with 8% year-over-year growth in our base business and 10% growth in HIV, supported by the successful launch of Yeztugo.”

Daniel O’Day, Gilead’s Chairman and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Product sales Sourcefull year 2026$30,000 to $30,400 millionRaised from $29,600 to $30,000 million
Product sales excluding Veklury Sourcefull year 2026$29,400 to $29,800 millionRaised from $29,000 to $29,400 million
Veklury Sourcefull year 2026$600 millionKept
Diluted (loss) earnings per share Sourcefull year 2026$(3.25) to $(2.85)Lowered from $6.75 to $7.15
Non-GAAP diluted (loss) earnings per share Sourcefull year 2026$(1.05) to $(0.65)Lowered from $8.45 to $8.85
GAAP projected operating income (loss) Sourcefull year 2026$(1,000) to $(500) millionLowered from $11,400 to $11,900 million
Non-GAAP projected operating income Sourcefull year 2026$2,400 to $2,900 millionLowered from $13,800 to $14,300 million
Acquisition-related, restructuring and other expenses Sourcefull year 2026about $3,400 millionRaised from about $2,400 million
Acquired IPR&D charges Sourcefull year 2026$11.5 billionNew
Non-GAAP projected product gross margin Sourcefull year 2026about 87.0%Kept

What changed from last quarter

  • Guidance raised: Full-year product sales guidance raised to $30,000 million to $30,400 million from $29,600 million to $30,000 million. Source
  • Guidance raised: Full-year product sales excluding Veklury guidance raised to $29,400 million to $29,800 million from $29,000 million to $29,400 million. Source
  • Guidance lowered: Full-year GAAP and non-GAAP diluted EPS guidance lowered; the company said the reduction is about $9.50 per share. Source
  • Guidance lowered: Full-year GAAP and non-GAAP projected operating income guidance lowered, with GAAP now a loss of $1,000 million to $500 million. Source
  • New guidance: Full-year 2026 guidance now includes $11.5 billion of anticipated acquired IPR&D charges, which were not in the February guidance. Source
  • New: Completed the acquisition of Arcellx at $115 per share, with a one $5 contingent value right per share; the deal builds on the existing anito-cel collaboration. Source
  • New: Definitive agreement to acquire Ouro, a private company developing T cell engager therapies for autoimmune disease, with lead asset OM336. Source
  • New: Definitive agreement to acquire Tubulis, a private company developing next-generation antibody-drug conjugates, with lead asset TUB-040 in Phase 1b/2. Source
  • New: FDA granted full approval for Tecartus in adult patients with relapsed or refractory mantle cell lymphoma, following the July 2020 accelerated approval. Source
  • New: FDA accepted the new drug application for bictegravir and lenacapavir under priority review for virologically suppressed people with HIV. Source
  • New: FDA accepted the Biologics License Application for anito-cel in 4L+ relapsed or refractory multiple myeloma. Source

Results and growth drivers

  • Revenue up 4% to $7.0 billion: Total revenues were $7.0 billion, up 4%, with higher HIV, Trodelvy and Livdelzi sales, partly offset by lower Veklury, HCV and Cell Therapy sales. Source
  • Product sales ex-Veklury up 8%: Product sales excluding Veklury were $6.8 billion, up 8%, led by HIV, Trodelvy and Livdelzi, partly offset by lower HCV and Cell Therapy sales. Source
  • Diluted EPS rose on equity gains: Diluted EPS was $1.61 against $1.04. The company attributed the rise mainly to net unrealized equity gains against 2025 losses, plus higher product sales. Source
  • Non-GAAP EPS up 12%: Non-GAAP diluted EPS was $2.03 against $1.81, driven by higher product sales and lower acquired IPR&D expenses, partly offset by higher income tax and SG&A. Source

Products and segments

  • HIV sales up 10%: HIV product sales were $5.0 billion, up 10%, on higher demand and average realized price, partly offset by unfavorable inventory dynamics. Source
  • Descovy grew 38%: Biktarvy sales rose 7% to $3.4 billion. Descovy sales rose 38% to $807 million on higher average realized price and demand. Source
  • Liver Disease sales up 1%: Liver Disease portfolio sales rose 1% to $767 million, reflecting higher Livdelzi demand, partly offset by unfavorable inventory dynamics and lower HCV sales. Source
  • Trodelvy sales up 37%: Trodelvy sales rose 37% to $402 million on higher demand, favorable inventory dynamics and higher average realized price. Source

“We have raised our full year revenue guidance as a reflection of our performance,”

Daniel O’Day, Gilead’s Chairman and Chief Executive Officer

Costs, margins and tax

  • Gross margin rose on royalty expiry: Product gross margin was 79.2%, against 76.7%. The company attributed the increase to the expiration of a royalty-related obligation and product mix. Source
  • Acquired IPR&D fell to $107 million: Acquired IPR&D expenses were $107 million, mainly an $80 million upfront payment under the Genhouse collaboration, against $253 million a year earlier. Source
  • SG&A rose on HIV promotion: SG&A expenses were $1.5 billion, up from $1.3 billion, mainly from higher HIV promotional spending and equity donations to the Gilead Foundation. Source
  • R&D flat at $1.4 billion: R&D expenses were $1.4 billion, flat year over year, with lower oncology study activity and restructuring costs offset by higher virology clinical manufacturing spend. Source
  • Tax rate higher on prior benefit: Effective tax rate was 21.7%, against 20.2%; the company said a prior year state tax benefit did not recur. Non-GAAP rate was 18.3%. Source

Pipeline and regulatory milestones

  • BIC/LEN application accepted: FDA accepted the bictegravir and lenacapavir application for virologically suppressed people with HIV under priority review. Source
  • Anito-cel application accepted: FDA accepted the Biologics License Application for anito-cel in 4L+ relapsed or refractory multiple myeloma, with a PDUFA target date set. Source
  • Tecartus full approval granted: Tecartus received full FDA approval in relapsed or refractory mantle cell lymphoma; the label now includes efficacy and safety data from ZUMA-2 Cohort 3. Source
  • ARTISTRY data presented at CROI: Late-breaking Phase 3 ARTISTRY-1 and ARTISTRY-2 results for the BIC/LEN regimen were presented, showing comparable efficacy to complex regimens and Biktarvy at Week 48. Source

“Building on the strongest pipeline in Gilead’s history, we are adding potentially best-in-disease assets and platforms in oncology and inflammation”

Daniel O’Day, Gilead’s Chairman and Chief Executive Officer

Acquisitions and collaborations

  • Arcellx acquisition completed: Gilead completed the Arcellx acquisition at $115 per share, an implied equity value of $7.8 billion, building on the existing anito-cel collaboration. Source
  • Ouro deal with Galapagos split: Ouro, with lead asset OM336, a BCMAxCD3 T cell engager for autoimmune disease, is to be acquired. Galapagos framework splits the $1.675 billion upfront payment equally. Source
  • Tubulis acquisition agreed: Definitive agreement to acquire Tubulis, whose lead asset TUB-040 is a NaPi2b-directed ADC in Phase 1b/2 for platinum-resistant ovarian cancer and non-small cell lung cancer. Source

Cash, capital and shareholder returns

  • Cash fell to $8.6 billion: Cash, cash equivalents and marketable debt securities were $8.6 billion at March 31, 2026, down from $10.6 billion at December 31, 2025. Source
  • Debt repayments drove cash decline: The decrease was driven by $2.8 billion of debt repayments, $1.0 billion of dividends and $419 million of buybacks, partly offset by $2.5 billion of operating cash flow. Source
  • Free cash flow $2.4 billion: Free cash flow was $2,427 million, against $1,653 million a year earlier, after $117 million of purchases of property, plant and equipment. Source
  • Quarterly dividend declared at $0.82: The Board declared a quarterly dividend of $0.82 per share for the second quarter of 2026; future dividends remain subject to Board approval. Source

Demand, competition and Veklury

  • Cell Therapy sales down 12%: Cell Therapy product sales fell 12% to $407 million, which the company attributed to ongoing competitive headwinds. Source
  • Yescarta sales down 14%: Yescarta sales declined 14% to $332 million, primarily from in-class and out-of-class competition. Source
  • Tecartus sales down 4%: Tecartus sales declined 4% to $75 million, primarily driven by in-class competition. Source
  • Veklury falls on fewer hospitalizations: Veklury sales fell 52% to $144 million, reflecting lower COVID-19-related hospitalization rates. Full-year Veklury guidance is $600 million. Source

Coming up, as management said on 7 May 2026

  • Dividend payable June 29: The second quarter 2026 dividend is payable June 29, 2026, to stockholders of record at the close of business on June 15, 2026. Source
  • Tubulis and Ouro closings pending: Closing of the Tubulis transaction, and of the Ouro transaction, is subject to expiration or termination of certain regulatory filings and other customary conditions. Source

Figures management reported

FigureReported
Biktarvy sales Source$3.4 billion
Descovy sales Source$807 million
Trodelvy sales Source$402 million
Veklury sales Source$144 million
Cell Therapy sales Source$407 million
Yeztugo sales Source$166 million
Livdelzi sales Source$133 million
Research and development expenses Source$1.4 billion
Acquired IPR&D expenses Source$107 million
BIC/LEN PDUFA target action date SourceAugust 27, 2026
Anito-cel PDUFA target action date SourceDecember 23, 2026
Phase 3 trial readout SourceARTISTRY-1 and ARTISTRY-2 presented at CROI 2026

Risks management discussed

  • Demand: Cell Therapy sales face ongoing competitive headwinds, with Yescarta and Tecartus declining on in-class and out-of-class competition. Source
  • External: Veklury sales depend on COVID-19-related hospitalization rates, which were lower in the quarter and reduced Veklury sales by 52%. Source
  • Operational: Unfavorable inventory dynamics partly offset HIV growth, including Biktarvy and Liver Disease sales. Source
  • Financial: The effective tax rate rose, as a prior year state tax benefit did not recur in the first quarter of 2026. Source

Earlier plans management reported on

  • Not stated: Management said the ARTISTRY-1 and ARTISTRY-2 data support global regulatory filings for the BIC/LEN regimen. Source
  • Not stated: Management now refers to up to four potential launches and five Phase 3 updates in 2026; the February release named two cancer therapies and one additional HIV option. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.