1.1. Peculiarities of the Pharmaceutical Sector
The Global Database (
Global Database 2021) estimates that by 2022, pharmaceuticals will contribute about USD 1.12 trillion to the global economy. Meanwhile according to
PricewaterhouseCoopers (
2019) “the industry directly contributes 0.7% of the EU’s GDP, and its total contribution is equivalent to 1.4% of the region’s GDP” (
PricewaterhouseCoopers 2019). In the Visegrad countries, this value was between 0.2% (in Slovakia) and 1.8% (in Hungary). This variation within regions is also reflected in the employment impact of the pharma industry. In a broader sense, the pharmaceutical sector includes, in addition to pharmaceuticals, the manufacture and sale of medical, biotechnological and medical devices, vaccines, and over-the-counter (OTC) medicinal products, which is taken as a reference in this paper. This industry has a number of characteristics that distinguish it from other economic sectors, both in their nature and in their contribution to key macroeconomic performance indicators. At the end of the 19th century, the concentration of companies in the chemical sector, compared with the R&D and marketing-intensive sectors, remained relatively low for a long time. The market structure was dominated by companies with stable, but relatively small, market shares. According to
Malerba and Orsenigo (
2015), through acquisitions and mergers, these companies were able to seize more than 10% of total market turnover, and this achievement was partly due to the innovative processes of new product development, patent protection, and the low cumulative nature of technological development. However, there have been serious doubts since the turn of the millennium about the innovative performance and sustainability of traditional business models of industry players that already showed exceptional economic performance by the 1990s (
Malerba and Orsenigo 2015), regardless of the specific nature of the pharmaceutical products and their manufacturing processes (
Munos 2009).
According to Scherer (
Scherer 2000), the main industry specifics are as follows:
Some medicines, due to possible undesirable side-effects, can only be obtained from legally licensed pharmacists on the recommendation and with the permission of doctors taking professional responsibility, and are sharply separated from the groups of over-the-counter (OTC) products also available in retail outlets. Sales of OTC products generated in excess of USD 114 million in 2020 worldwide, accounting for less than 10% of total pharmaceutical sales (
Statista 2021);
The consumer prices of prescription medicines are reimbursed in part or in full by insurance companies, thus ensuring the demand for all products that patients in need would not ordinarily be able to buy from their own incomes. Medical decisions limiting substitution options and insurance reimbursement make demand for prescription products price inelastic, allowing prices for patented products to be kept high;
As opposed to successful R&D, the ratio of the costs of dominantly unsuccessful R&D to sales is high. This can be covered from the high margins of successfully developed and protected original products, for which, in contrast to other industries, significant resources are reallocated to their promotion;
Prices in the industry have significant budgetary implications through health care financing.
According to
Drews (
2003), in addition to the restructuring of the industry, it is a problem that R&D activity has been degraded as a means of producing medications that are “blockbusters”. As
Bartfai and Lees (
2013) explained, the product development cycle in the pharmaceuticals and vaccines market has led to a particularly long product development cycle, coupled with the potential for high risk but also high return. Meanwhile, competition forces industry actors to open a new market with a product focused on an untreated disease, or to further develop medicines in an existing class. According to
Scherer (
2001), investing in R&D can be related to the profitability of the companies involved in three different ways: revenues from newly developed products generate higher returns than traditional products, which make up the majority of the product portfolio, thereby providing an internal source of additional R&D. Additionally, managers’ expectations of future profit opportunities may also increase demand for such investments. However, as
Cockburn (
2004) pointed out, the increase in R&D costs, especially since the late 1990s, has not been accompanied by a similar increase in new products introduced to the market. One of the reasons for this tendency is that market demands focus on the treatment of increasingly complex and difficult-to-understand diseases, while efficiency may even be affected by changes in industry structure, including that of the vertical relationships between non-profit and for-profit players, and by biotechnology equipment manufacturing companies appearing among academic research institutes and commercial actors.
DiMasi and Grabowski (
2007) estimated the present value of the total activated R&D cost of approved drugs produced exclusively with biotechnology, to be USD 1.3 billion, which was more than 60% higher than the USD 800 million cost related to new medications at the turn of the millennium (
DiMasi et al. 2003). The estimated value of total R&D expenditure increased to USD 2.5 million by the beginning of 2010, as a result of recent data analyses (
DiMasi et al. 2016). However, even after the expiration of patents, the share of generic medicines that partially cover R&D in global pharmaceutical sales was not estimated to be higher than 20% by mid-2010, while prescription medicines were sold for almost 10% of their original prices. This development also meant a reduction in the profit margin, encouraging manufacturers to expand in developing regions that provided more cost-effective operations (
Khanna 2012).
Overall, both the demand and supply sides of the pharmaceutical market are influenced by factors that are an external constraint on their long term profitable operation and need to be offset by the same non-market, external government instruments. On the demand side, such factors include the general demographic situation, patients’ awareness of medicinal therapeutic products, the prevalence of health-conscious lifestyles, the income constraints of those in need of medicines, anti-vaccination campaigns and the substitution effects of public health programs. At the same time, on the supply side, industry players are under pressure from the capital and asset requirements of pharmaceutical manufacturing, the uncertainty of research success, entry into the pharmaceutical market, and administrative and financial constraints on investment and product development in the healthcare industry.
Supporting the leading sectors in product development through R&D&I-related tax incentives plays a key role in the economic policy of the Visegrad countries (
Lengyel and Cadil 2009). Although successive Polish governments provided the least favorable conditions for the development of competitiveness, a strong change took place in 2010 (
Molendowski and Żmuda 2013;
Wojciechowski 2013). As
Owczarczuk (
2013) pointed out, the seemingly contradictory fact was that Poland had the least government incentives to develop innovation, although the Central European region had the highest rate of R&D investment. However,
Hudec and Prochádzková (
2015) emphasized that the analyzed countries were among the worst performing countries in the EU in terms of competitiveness, with the Czech Republic and Hungary standing out the most. IMS estimates also suggested that Central European EU Member States had significant potential in the pharmaceutical market: they forecasted an annual growth in the second half of the 2000s at around 8% in Poland over 5 years, 11.4% in the Czech Republic and 14.4% in Hungary (
Filtration and Separation 2006).
1.2. Content and Disclosure of Financial Assets and Income in Accordance with IFRS
In financial statements, the volume and average return on financial investments made by companies can be inferred from the financial instruments row in the balance sheet used to record assets, and the value of financial income presented to derive profit or loss. According to the interpretation of
Ramirez (
2015), financial assets, according to the International Financial Reporting Standards (IFRS) 9 standard, which replaces IAS 39 from 2018, as published by the International Accounting Standards Committee (IASB), involves cash, the contractual right to acquire or exchange a financial asset on potentially favorable terms, or the equity instrument of another entity. Although the accounting for financial assets may vary depending on the category in which they are classified, they are always measured at fair value (
Bakker et al. 2017;
EY 2015).
As described by
Bács et al. (
2017) financial instruments and derivatives should be presented in a defined structure by their nature in the Notes to IFRS financial statements, distinguishing their effect on cash flow and income, and changes in their fair value revaluation reserve. Although IAS 39 (
Lim et al. 2013), which previously regulated this field, was amended during the 2008 economic crisis, this change demonstrably reduced the accuracy of analyst forecasts for banks, which in part justified a subsequent full revision of the standard.
1.3. Impact of Profitability on Financial Investments in the Pharmaceutical Industry
Profitability trends have improved in the last year in terms of the most important corporate indicators (
Fenyves et al. 2019). By measuring the revenue-to-cost ratio, profitability indicators such as gross, net or operating profit margin (
Paramasivan and Subrahmanyan 2020) reflect a company’s ability to grow, although these indicators may already be double-edged swords for a non-profit actor involved in medication research, as their low or high values can generate criticism from the community or the governing body, respectively (
Nowiczki 2018). Industry-level analysis of profitability rates as described by
Finkler et al. (
2019) also strengthens and assists managers in assessing the financial performance of their companies and in comparing them with the market leader, while it also helps creditors in assessing the future solvency of companies. The results, in terms of sales revenue, help to determine the efficiency of the activities managed by the given companies (
Shah 2012). In contrast, according to
Subramanyam (
2014), in order to maximize the results projected on the assets of a company, it is already necessary to effectively manage, among other things, the marketing and R&D activities that are generally characteristic of the pharmaceutical industry. In the analysis of profitability indicators, examining a company on its own is neither expedient nor relevant, i.e., it is necessary to set up rankings and compare several companies (
Sheela and Karthikeyan 2012). The importance of the sectoral analysis of the different profitability ratios of capital and turnover (ROA, ROE, ROS, CROA, CROE, CROS) was highlighted in the comparative analysis of enterprises belonging to a similarly sized category in the case of decision support IT applications. In this paper the main reason for preferring ROE was that it best reflected the return expectations of investments in companies, compared with other indicators, based on the studies of several authors who analyzed the DuPont correlation (
Fenyves et al. 2019;
Paramasivan and Subrahmanyan 2020;
Subramanyam 2014;
Palepu and Healy 2013;
Bunea et al. 2019). Dashboard-based illustration of indicators effectively aids managers with benchmarking-type analyses (
Lakatos et al. 2020). Although the assessment of profitability with indicators may be distorted by uncertainties related to accounting and valuation methods, together they can provide reasonable conclusions for external and internal stakeholders to assess the management of the company (
Helfert 2001). The main hypothesis of this paper is that pharmaceutical companies make higher risk financial investment decisions (and thus realize higher financial returns on their total asset) in order to place their company in a better position in the equity investment market, which, expressed by the return of equity (ROE) indicator, best approximates the dividend expectations. Therefore, the ROE in the pharmaceutical industry in the Visegrad countries is significantly affected by the indicator of the financial income per all assets.
The high margin is mostly reduced by the significant indirect (sales, marketing, research and development) costs typical of industry players, resulting in relatively low operating ROS values for the original producers. Based on the DuPont correlation, which sheds light on the relations between profitability ratios, this may also have an impact on the values of return on all assets and on the owner’s equity (
Palepu and Healy 2013;
Wahlen et al. 2015). The profit-reducing effect of high production costs in the industry can be offset by investment in financial instruments in addition to sales revenue from the sale of successful cash products. However, this is only true if the realized return on the former investments is high enough compared, on the one hand, to the size of the capital invested and, on the other hand, to the cost of borrowing used for financing. Due to the fact that, unlike other assets that are used permanently and within a year, the result of investing in financial instruments is not realized in sales. Capital invested in financial assets alone usually reduces the velocity of circulation of assets calculated in the traditional way, resulting in a lower ROA relative to return on sales—as if all the company’s assets had been pledged solely in connection with its operations. The contribution to the return of the owner’s equity also depends on their return: the same return on assets can be ensured with a lower equity investment only if it involves borrowing to finance the company’s activities, which are typically accompanied by an interest payment obligation recognized in financial expenses. An exception may be to make better use of free supplier financing. However, the scope for pharmaceutical manufacturers to increase their payment deadlines is increasingly limited, due to the rarity of the more specialized compounds used and, as a result, their weakening bargaining position with suppliers. Fulfilment of investor expectations can thus only be achieved by increasing the amount of borrowed funds, the costs of which companies have to extract partly from the return on their own investment—ultimately forcing manufacturers to further acquisitions, market expansions and riskier behavior in pursuing financial investment strategies. Among financial investments, equity securities and shares are typically riskier, thus providing fluctuating but higher returns (dividends) than loans or borrowings, which would result in lower but predictable interest income (
Myers 1984;
Brigham and Houston 2016). As a result, due to the fierce competition in the market, which is reinforced by the effects of the COVID-19 pandemic, the trend of acquisitions is expected to further intensify. As also described by
Fenyves et al. (
2020), industry players are less likely to finance their operations with creditors, which means that the financial risk is borne only by producers who are already operating at a loss.