Healthcare

Healthcare

Key figures

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Change

€ million

 

2024

 

2023

 

€ million

 

%

Net sales

 

8,455

 

8,053

 

401

 

5.0%

Operating result (EBIT)1

 

2,481

 

2,225

 

256

 

11.5%

Margin (% of net sales)1

 

29.3%

 

27.6%

 

 

 

 

EBITDA2

 

3,021

 

2,545

 

476

 

18.7%

Margin (% of net sales)1

 

35.7%

 

31.6%

 

 

 

 

EBITDA pre1

 

2,995

 

2,543

 

452

 

17.8%

Margin (% of net sales)1

 

35.4%

 

31.6%

 

 

 

 

1

Not defined by International Financial Reporting Standards (IFRS).

2

Not defined by International Financial Reporting Standards (IFRS); EBITDA corresponds to operating result (EBIT) adjusted by depreciation, amortization, impairment losses, and reversals of impairment losses.

Development of sales and results of operations

The development of net sales in the individual quarters in comparison with 2023 as well as the respective organic growth rates are presented in the following graph:

Healthcare

Net sales and organic growth1 by quarter2
€ million/organic growth in %

Healthcare – Net sales and organic growth by quarter (Bar chart)
1 Not defined by International Financial Reporting Standards (IFRS).
2 Quarterly breakdown unaudited.

Net sales of the key product lines and products developed as follows in 2024:

Healthcare

Net sales by major product lines/products

 

 

€ million

 

2024

 

Share

 

Organic growth1

 

Exchange rate effects1

 

Total change1

 

2023

 

Share

Oncology

 

2,009

 

24%

 

12.7%

 

-2.2%

 

10.5%

 

1,819

 

22%

thereof: Erbitux®

 

1,162

 

14%

 

15.7%

 

-2.4%

 

13.3%

 

1,025

 

13%

thereof: Bavencio®

 

735

 

9%

 

5.0%

 

-1.9%

 

3.0%

 

713

 

9%

Neurology & Immunology

 

1,688

 

20%

 

2.3%

 

-0.9%

 

1.4%

 

1,665

 

21%

thereof: Mavenclad®

 

1,062

 

13%

 

12.3%

 

-1.2%

 

11.1%

 

956

 

12%

thereof: Rebif®

 

626

 

7%

 

-11.1%

 

-0.5%

 

-11.6%

 

709

 

9%

Fertility

 

1,528

 

18%

 

0.8%

 

-2.1%

 

-1.3%

 

1,547

 

19%

thereof: Gonal-f®

 

833

 

10%

 

0.9%

 

-2.6%

 

-1.7%

 

847

 

11%

Cardiovascular, Metabolism & Endocrinology

 

2,949

 

35%

 

8.5%

 

-2.7%

 

5.8%

 

2,786

 

35%

thereof: Glucophage®

 

954

 

11%

 

11.1%

 

-3.0%

 

8.1%

 

882

 

11%

thereof: Concor®

 

611

 

7%

 

9.4%

 

-2.4%

 

7.0%

 

571

 

7%

thereof: Euthyrox®

 

619

 

7%

 

11.8%

 

-2.3%

 

9.5%

 

565

 

7%

thereof: Saizen®

 

366

 

4%

 

12.5%

 

-2.4%

 

10.1%

 

332

 

4%

Other

 

280

 

3%

 

 

 

 

 

 

 

235

 

3%

Healthcare

 

8,455

 

100%

 

7.0%

 

-2.0%

 

5.0%

 

8,053

 

100%

1

Not defined by International Financial Reporting Standards (IFRS).

  • In fiscal 2024, the oncology drug Erbitux® (cetuximab) saw organic net sales growth in the mid-teen percentage range, driven by all regions. This was attributable to factors including weaker pandemic-related sales in China in 2023 as well as its inclusion in reimbursement programs for pharmaceuticals in several countries.
  • In immuno-oncology, the oncology drug Bavencio® (avelumab) recorded solid year-on-year organic net sales growth in the reporting period. A sales decrease in the high-teen percentage range in the North America region was driven by lower demand due to alternative treatments for patients with locally advanced or metastatic urothelial carcinoma. This decline was more than offset by growth in the other regions.
  • Mavenclad® for the oral short-course treatment of highly active relapsing multiple sclerosis (MS) recorded organic net sales growth in the region of 12% in fiscal 2024, thus achieving blockbuster status with total net sales of more than US$ 1 billion for the second year in succession. This favorable sales growth was driven by all regions, but especially by higher demand in the North America, Europe and Latin America regions.
  • Rebif®, which is used to treat relapsing forms of multiple sclerosis, saw an organic net sales decline in the region of 11% in fiscal 2024. This was attributable to the ongoing difficult competitive situation in the interferon market due to competition from oral dosage forms and high-efficacy MS therapies, which are expected to cause further declines in sales in the future.
  • Net sales in the Fertility product line in the reporting period were broadly unchanged year on year. Gonal‑f®, the leading recombinant hormone used in the treatment of infertility, also recorded largely stable organic net sales performance compared with the previous year. Similarly, other Fertility products remained essentially unchanged year-on-year overall.
  • The Cardiovascular, Metabolism & Endocrinology franchise, which includes drugs for the treatment of cardiovascular, thyroid, diabetes and growth disorders as well as diabetes, generated strong organic net sales growth in fiscal 2024, thanks to higher demand. Net sales of the diabetes drug Glucophage® saw growth of around 11%, driven by all regions. The beta-blocker Concor® also recorded strong organic sales growth, while the thyroid product Euthyrox® achieved year-on-year organic sales growth of around 12%. Saizen®, a medication for treating various growth hormone deficiencies, saw organic sales growth in the low-teen percentage range compared with the previous year as a result of higher demand as well as stock-outs of a competing product.
Healthcare

Product sales and organic growth1 of Erbitux®, Glucophage® and Mavenclad® by region – 2024

 

 

 

 

Total

 

Europe

 

North America

 

Asia-Pacific (APAC)

 

Latin America

 

Middle East and Africa (MEA)

Erbitux®

 

€ million

 

1,162

 

461

 

 

502

 

134

 

66

 

Organic growth1

 

15.7%

 

10.9%

 

 

10.9%

 

61.6%

 

19.7%

 

Share

 

100%

 

40%

 

 

43%

 

11%

 

6%

Mavenclad®

 

€ million

 

1,062

 

376

 

563

 

21

 

58

 

44

 

Organic growth1

 

12.3%

 

6.0%

 

15.0%

 

6.3%

 

39.3%

 

8.8%

 

Share

 

100%

 

35%

 

53%

 

2%

 

6%

 

4%

Glucophage®

 

€ million

 

954

 

136

 

 

502

 

214

 

102

 

Organic growth1

 

11.1%

 

7.7%

 

 

9.7%

 

12.5%

 

20.7%

 

Share

 

100%

 

14%

 

 

53%

 

22%

 

11%

1

Not defined by International Financial Reporting Standards (IFRS).

Net sales in the Healthcare business sector by region in 2024 developed as follows:

Healthcare

Net sales by region

 

 

 

 

 

 

 

 

€ million

 

2024

 

Share

 

Organic growth1

 

Exchange rate effects1

 

Acqui­sitions/divest­ments1

 

Total change

 

2023

 

Share

Europe

 

2,720

 

32%

 

8.2%

 

-1.2%

 

 

7.0%

 

2,541

 

31%

North America

 

1,778

 

21%

 

-0.6%

 

-0.2%

 

 

-0.8%

 

1,793

 

22%

Asia-Pacific (APAC)

 

2,305

 

27%

 

6.1%

 

-2.8%

 

 

3.3%

 

2,232

 

28%

Latin America

 

1,056

 

13%

 

18.3%

 

-5.9%

 

 

12.3%

 

941

 

12%

Middle East and Africa (MEA)

 

595

 

7%

 

11.0%

 

-2.1%

 

 

8.9%

 

546

 

7%

Healthcare

 

8,455

 

100%

 

7.0%

 

-2.0%

 

 

5.0%

 

8,053

 

100%

1

Not defined by International Financial Reporting Standards (IFRS).

The following table presents the composition of EBITDA pre in fiscal 2024 in comparison with 2023. The IFRS figures have been modified to reflect the elimination of adjustments included in the functional costs.

Healthcare

Reconciliation EBITDA pre1

 

 

 

 

 

 

 

 

 

 

2024

 

2023

 

Change

€ million

 

IFRS

 

Elimination of adjustments

 

Pre1

 

IFRS

 

Elimination of adjustments

 

Pre1

 

Pre1

Net sales

 

8,455

 

 

8,455

 

8,053

 

 

8,053

 

5.0%

Cost of sales

 

-2,201

 

 

-2,201

 

-2,029

 

-1

 

-2,030

 

8.4%

Gross profit

 

6,254

 

 

6,254

 

6,024

 

-1

 

6,023

 

3.8%

Marketing and selling expenses

 

-1,713

 

3

 

-1,710

 

-1,668

 

29

 

-1,639

 

4.3%

Administration expenses

 

-313

 

12

 

-301

 

-314

 

20

 

-294

 

2.6%

Research and development costs

 

-1,503

 

9

 

-1,493

 

-1,657

 

2

 

-1,655

 

-9.8%

Impairment losses and reversals of impairment losses on financial assets (net)

 

2

 

 

2

 

-41

 

 

-41

 

>100.0%

Other operating income and expenses

 

-247

 

110

 

-137

 

-120

 

-41

 

-161

 

-15.4%

Operating result (EBIT)1

 

2,481

 

 

 

 

 

2,225

 

 

 

 

 

 

Depreciation/amortization/impairment losses/reversals of impairment losses

 

540

 

-160

 

380

 

320

 

-10

 

310

 

22.5%

EBITDA2

 

3,021

 

 

 

 

 

2,545

 

 

 

 

 

 

Restructuring expenses

 

8

 

-8

 

 

32

 

-32

 

 

 

Integration expenses/IT expenses

 

11

 

-11

 

 

20

 

-20

 

 

 

Gains (-)/losses (+) on the divestment of businesses

 

-45

 

45

 

 

-53

 

53

 

 

 

Acquisition-related adjustments

 

 

 

 

 

 

 

 

Other adjustments

 

 

 

 

 

 

 

 

EBITDA pre1

 

2,995

 

 

2,995

 

2,543

 

 

2,543

 

17.8%

of which: organic growth1

 

 

 

 

 

 

 

 

 

 

 

 

 

22.7%

of which: exchange rate effects

 

 

 

 

 

 

 

 

 

 

 

 

 

-5.0%

of which: acquisitions/divestments

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Not defined by International Financial Reporting Standards (IFRS).

2

Not defined by International Financial Reporting Standards (IFRS); EBITDA corresponds to operating result (EBIT) adjusted by depreciation, amortization, impairment losses, and reversals of impairment losses.

  • In fiscal 2024, gross profit after the elimination of adjustments saw a moderate increase, whereas the gross margin, at 74.0% (2023: 74.8%), decreased slightly year on year.
  • Marketing and selling expenses moderately increased in the reporting period. Among other things, this was due to the termination of the strategic alliance with Pfizer Inc., USA (Pfizer), to co-develop and co-commercialize the oncology medicine Bavencio® with effect from June 30, 2023, which has resulted in increased selling activities at the Group since the second half of 2023.
  • Administrative expenses after eliminating adjustments saw a moderate year-on-year increase in fiscal 2024, whereas research and development costs after eliminating adjustments declined strongly in the reporting period. This was mainly due to reduced development activity following the termination of the xevinapant development program in the second quarter of 2024 and the evobrutinib development program in the fourth quarter of 2023.
  • In fiscal 2024, the negative net balance of other operating expenses and income after eliminating adjustments declined compared with the previous year. This positive development was mainly due to effects from the termination of the strategic alliance with Pfizer to co-develop and co-commercialize the oncology medicine Bavencio®. The royalty payments to Pfizer that replaced the profit share payments for Bavencio® in other operating expenses have since been included in cost of sales, which led to a corresponding decrease in other operating expenses. This effect more than offset the absence of income from the disposal of a non-strategic brand in the previous year.
  • EBITDA pre saw growth in the high-teen percentage range in fiscal 2024, resulting in an EBITDA pre margin of 35.4% (2023: 31.6%).

The development of EBITDA pre in the individual quarters in comparison with 2023 is presented in the following overview:

Healthcare

EBITDA pre1 and change by quarter2
€ million/change in %

Healthcare – EBITDA pre and change by quarter (Bar chart)
1 Not defined by International Financial Reporting Standards (IFRS).
2 Quarterly breakdown unaudited.

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