Financial Performance - Total revenues for 2025 were $48,194 million, a slight decrease from $48,300 million in 2024 and an increase from $45,006 million in 2023[15]. - The United States accounted for 69% of total revenues in 2025, down from 71% in 2024, while international revenues increased to 29% from 27%[15]. Product Development and Innovation - The company focuses on innovative medicines in oncology, hematology, immunology, cardiovascular, and neuroscience, aiming for long-term value creation[14]. - Key marketed products include Opdivo, Yervoy, and Breyanzi, with ongoing potential for expansion in various cancer treatments[19]. - The growth portfolio includes innovative therapies such as CAR-T cell therapies and biologics, which are expected to contribute to future revenue growth[18]. - The R&D pipeline focuses on oncology, hematology, immunology, cardiovascular diseases, and neuroscience, with an emphasis on novel modalities such as cell therapies and biologics[58]. - The company has over 45 unique assets in its development pipeline, emphasizing a balance of early-stage and late-stage programs[66]. - The company has a diverse pipeline of investigational compounds, including BMS-986495 for Alzheimer's Disease and COBENFY for schizophrenia, with multiple indications in various phases of development[82]. Regulatory and Market Exclusivity - Regulatory exclusivity for biologics lasts 12 years, while chemical products receive 5 years, impacting the competitive landscape for the company's offerings[32][31]. - The estimated minimum market exclusivity date for Abecma in the U.S. is 2036, in the EU is 2035, and in Japan is 2037[46]. - Eliquis has a patent expiration in the U.S. set for 2028, with generics allowed to launch under settlement agreements, while in the EU, the relevant patents expire in November 2026[50]. - The EU provides an "8+2+1" regulatory exclusivity regime, allowing generics to file for marketing authorization after 8 years, but they cannot commercialize until 10 or 11 years have passed[38]. - In Japan, new chemical entities receive 8 years of regulatory exclusivity, which can be extended if pediatric studies are completed[40]. Research and Development (R&D) Investments - R&D expenses were $10.0 billion in 2025, $11.2 billion in 2024, and $9.3 billion in 2023, with acquired IPRD expenses of $3.7 billion in 2025, $13.4 billion in 2024, and $913 million in 2023[63]. - The company opened R&D facilities in Cambridge, Massachusetts in 2023 and Hyderabad, India in 2024, and plans to open a new facility in San Diego, California in 2026[65]. - The company considers registrational studies as significant R&D programs, which may include investigational compounds in Phases II and III development[61]. - The company supplements its internal R&D with acquisitions, alliances, and collaborative agreements to enhance its pipeline[66]. - The company emphasizes leadership, innovation, productivity, and quality as key strategies for success in its R&D activities[66]. Manufacturing and Supply Chain - The company has significant manufacturing operations in the U.S., Puerto Rico, the Netherlands, Ireland, and Switzerland, supporting its global distribution strategy[14]. - The company completed the construction of new state-of-the-art cell therapy manufacturing facilities in Devens, Massachusetts in 2023 and in Leiden, Netherlands in 2025[65]. - The company continues to invest in its manufacturing capabilities, including a radiopharmaceutical manufacturing facility opened in Indianapolis, Indiana in 2025[65]. - The company is expanding its use of third-party manufacturers for drug product and finished goods manufacturing to maintain a stable supply of products[123]. - The company has a flexible manufacturing network to improve efficiency and minimize unnecessary product transfers, which is crucial given the complexity of pharmaceutical manufacturing processes[121]. Market Competition and Pricing Strategies - The company faces competition from both global research-based drug companies and generic manufacturers, necessitating a focus on innovation and market differentiation[14]. - The company faces intense competition in the oncology market, particularly for its IO products like Opdivo, which are subject to competition from both existing and new therapies[95]. - Pricing strategies are influenced by the clinical value of innovations and the need to sustain investment in R&D, with a focus on enhancing patient access through tiered pricing and support programs[99]. Regulatory Environment and Compliance - The company is subject to extensive global regulations affecting product testing, approval, and marketing, which can delay product introductions[102]. - The FDA's regulatory review process is resource-intensive, impacting the time and cost to bring new products to market[103]. - The company is monitoring state laws seeking additional rebates and limiting drug spending due to budget pressures[100]. - Multiple states are pursuing legislation to change drug pricing and reimbursement, which could significantly impact access, coverage, and reimbursement of products, potentially affecting revenues and operations[118]. Employee and Operational Management - As of December 31, 2025, the company employed approximately 32,500 employees across 43 countries, with 54% located in the U.S. and 46% outside the U.S.[132]. - The company is investing in next-generation platforms for employee development, including tools for internal mobility and just-in-time learning resources[134]. - The company maintains a commitment to quality across all operations, ensuring product safety and effectiveness through rigorous testing and quality control measures[125]. Financial Risks and Currency Exposure - Company is exposed to significant foreign exchange risk, primarily with the euro and Japanese yen, affecting revenues, earnings, and cash flow[377]. - A 10% appreciation in the currencies being hedged would decrease the fair value of foreign exchange contracts by $428 million and $455 million as of December 31, 2025 and 2024, respectively[378]. - Cross-currency swap contracts are used to manage risks from long-term debt in euros, with a 10% appreciation in the underlying currencies decreasing the fair value of these contracts by $8 million in 2025 and increasing it by $49 million in 2024[379]. - A 1% increase in long-term interest rates would decrease the fair value of long-term debt by $3.5 billion and $3.6 billion as of December 31, 2025 and 2024, respectively[382]. - Company employs fixed-to-floating interest rate swap contracts to balance fixed and floating rate debt, with no material adverse impact expected from a 1% increase in interest rates[381]. - Company monitors investments to minimize credit risk, only investing in high credit quality institutions[383]. - Derivative instruments expose the company to credit risk if counterparties fail to perform, with a policy in place to diversify derivatives to mitigate this risk[384].
Bristol-Myers Squibb(BMY) - 2025 Q4 - Annual Report