BMS leaned into large acquisitions to backfill the cliff: Karuna (closed March 2024), RayzeBio (closed February 2024) and Mirati (closed January 2024). 2024 cash flows show over 21.8 billion dollars of acquisition and other payments; share repurchases paused in 2024 after 5.2 billion dollars in 2023. The strategy diversifies into neuroscience and radiopharma and adds Krazati in oncology, but raises integration and return‑on‑capital risks; 2024 GAAP results were heavily impacted by 13.4 billion dollars of acquired IPR&D expense.
We view capital allocation as mixed until new assets deliver durable cash returns.







