Sanofi annual report, Q4 FY2020

Business context and reporting period

Sanofi’s annual report on Form 20-F covers the fiscal year ended December 31, 2020; it is not a quarterly filing. The supplied filing text does not provide standalone fourth-quarter results. Sanofi is a global healthcare company with Pharmaceuticals, Vaccines and Consumer Healthcare activities. Financial statements are prepared under IFRS as issued by the IASB and endorsed by the EU.

Financial performance

Metric20202019
Net sales€36.041bn; down 0.2% reported, up 3.3% at constant exchange rates (CER)€36.126bn
Gross profit / margin€25.212bn / 70.0%€25.655bn / 71.0%
Operating income€14.141bn€3.125bn
Net income attributable to Sanofi shareholders€12.314bn€2.806bn
Business net income / business EPS€7.347bn / €5.86€7.050bn / €5.64
Business operating income / margin€9.762bn / 27.1%€9.349bn / 25.9%
Net cash from operating activities / free cash flow€7.449bn / €6.982bn€7.744bn / €6.014bn
Net debt / gearing ratio€8.790bn / 13.9%€15.107bn / 25.6%

Operating income and IFRS net income rose sharply, principally because of a €7.382bn gain on the Regeneron divestment and much lower intangible impairment charges than in 2019. Business net income and business EPS are non-GAAP measures; business net income rose 4.2% and business EPS 3.9%. R&D expense declined 8.1% to €5.529bn, or 15.3% of sales, from 16.7% in 2019. Selling and general expenses fell 5.0% to €9.390bn.

Operating cash flow decreased €295m year over year. Investing activities provided €3.588bn, including €10.370bn net proceeds from the Regeneron share sale, partly offset by €5.217bn of cash outflows for the Synthorx and Principia acquisitions. Financing activities used €6.485bn, including €3.937bn of dividends. Cash and cash equivalents were €13.915bn; total debt was €22.631bn. Sanofi also had €8bn of undrawn confirmed credit facilities, with no financial-ratio covenants. Lease liabilities are excluded from the company’s net-debt measure.

Material changes versus 2019

  • Sales growth at CER was led by Specialty Care (+22.4%), especially Dupixent, and Vaccines (+8.8%); General Medicines fell 7.6% and Consumer Healthcare fell 1.9% at CER.
  • Dupixent sales rose 73.9% at CER to €3.534bn. Influenza vaccine sales rose 37.9% at CER to €2.472bn. Diabetes sales fell 4.8% at CER, while Cardiovascular and Established Prescription Products fell 8.8%.
  • Foreign exchange reduced reported sales growth by 3.5 percentage points. Reported net sales were nearly flat despite CER growth.
  • Gross margin declined one percentage point, reflecting price pressure, notably for Plavix and Aprovel in China and diabetes products in the US.
  • Generic and biosimilar competition was associated with a €525m reported sales decline across listed products. Sanofi expects further erosion in 2021, including Jevtana competition in Europe from March 2021.
  • Sanofi sold most of its Regeneron investment, retained 279,766 shares at year-end, and ended equity-method accounting for Regeneron. It acquired Synthorx and Principia and took control of US and Puerto Rico Plavix commercialization.

Outlook, risks and unusual items

  • Strategy priorities are growth, innovation, efficiency and organizational transformation. Sanofi targets €2.5bn of savings by 2022; it reported approximately €1.7bn achieved in 2020. Management’s ambition is for Dupixent to exceed €10bn in sales. Vaccines are expected to deliver mid-to-high single-digit sales growth over 2018–2025.
  • The proposed 2020 dividend is €3.20 per share, subject to shareholder approval; the stated payout is 54.6% of business net income.
  • COVID-19 disrupted travel and routine vaccination activity, some Consumer Healthcare demand, clinical programs and product launches. The Sanofi/GSK COVID-19 vaccine program was delayed after an insufficient immune response in older adults; the filing expected availability in Q4 2021, subject to successful development. Fitusiran dosing was paused after thrombotic events and later resumed under amended protocols; regulatory submissions were expected to be delayed by up to approximately 18 months.
  • In November 2020, the FDA issued a Complete Response Letter for sutimlimab due to manufacturing-facility inspection deficiencies, not clinical or safety deficiencies. Approval depended on resolving those observations.
  • Material exposures include pricing and reimbursement pressure, patent expiry and litigation, manufacturing and supply risks, customer concentration, foreign exchange, cyber threats, and product-liability, tax and environmental matters. Provisions for product liability, litigation and other risks were €1.262bn; environmental provisions were €713m. Management cautions that litigation outcomes are uncertain.
  • As a post-year-end development disclosed in the filing, a Hawaii court imposed $834m in penalties jointly against Sanofi and BMS in a Plavix case, allocating €417.006m to Sanofi; both companies appealed. Sanofi also disclosed ongoing insulin-pricing investigations and litigation, and Zantac-related litigation; the potential financial impact was not clear in the filing.

Most important facts for investors to verify

  • Standalone Q4 2020 sales, earnings and cash flow: the supplied text does not provide clear quarterly values.
  • Underlying earnings and margin trends excluding the €7.382bn Regeneron gain, acquisition effects and other adjustments; reconcile non-GAAP measures to IFRS results.
  • 2021 sales erosion from generics, biosimilars, China price controls and US pricing, including the impact on Lantus, Plavix, Aprovel and Jevtana.
  • Resolution and financial consequences of major litigation and investigations, including the Hawaii judgment, insulin pricing and Zantac cases.
  • Delivery of savings and pipeline milestones, and the timing, regulatory progress and commercial prospects of COVID-19 and other vaccine candidates.
  • Whether proposed dividend approval and cash generation support shareholder returns while funding acquisitions, R&D and debt obligations.