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Genzyme Reports Financial Results for Fourth Quarter of 2006 and Full Year

                Company Provides Confident Outlook for 2007

    CAMBRIDGE, Mass., Feb. 14 /PRNewswire-FirstCall/ -- Genzyme Corporation
(Nasdaq: GENZ) today announced fourth-quarter and full-year financial
results for 2006. The company also offered a confident outlook for the
coming year, during which it expects to generate strong revenue and
earnings growth, expand the availability of its products in existing and
new markets, report data from approximately ten pivotal studies, and
continue to make significant investments in research and manufacturing.
    "Last year was a productive year in which we delivered strong results
and set the stage for continued future growth," said Henri A. Termeer,
chairman and chief executive officer of Genzyme Corp. "We sustained a
non-GAAP earnings growth rate of approximately 20 percent, launched a very
exciting new product in Myozyme(R), and advanced many promising late-stage
development programs that will become highly visible during the course of
this year. Our cash flow remained particularly strong. This allowed us to
absorb an acquisition that brought us an important new product candidate in
Mozobil(TM), and to continue making substantial investments in
manufacturing facilities, while still increasing our cash position."
    Fourth-quarter revenue increased 17 percent to a record $854.2 million,
up from $728.7 million in the same period a year earlier. For the year,
revenue grew 17 percent to $3.2 billion from $2.7 billion in the previous
year. Genzyme's top line has increased at a compound annual rate of 27
percent since 2000, highlighting both the strength and the sustainability
of the company's growth. This year, Genzyme expects revenue to increase to
$3.6-$3.8 billion.
    In the fourth quarter, Genzyme recorded a charge related to its
November 2006 acquisition of AnorMED Inc. This charge led to a GAAP net
loss of $268.2 million, or $1.02 per diluted share, compared to net income
of $106.6 million, or $0.39 per diluted share, in the same quarter a year
ago. On a non-GAAP basis, Genzyme's fourth-quarter net income grew 29
percent to $209.0 million, compared with $162.7 million in the fourth
quarter last year. Non-GAAP earnings per diluted share grew 28 percent to
$0.77, compared with $0.60 in last year's fourth quarter.
    GAAP figures for the quarter include the following pre-tax items: (1) a
charge of $552.9 million to write off in-process research and development
acquired from AnorMED; (2) an amortization expense of $53.2 million; (3) a
stock-compensation expense of $48.4 million; and (4) a charge of $7.9
million for the settlement of a case before the Competition Appeal Tribunal
relating to Genzyme's homecare business in the United Kingdom.
    For the year, Genzyme reported a GAAP net loss of $16.8 million, or
$0.06 per diluted share, reflecting the AnorMED charge. This compares with
2005 net income of $441.5 million, or $1.65 per diluted share. On a
non-GAAP basis, net income increased 23 percent to $742.7 million, compared
with $603.2 million in 2005. Non-GAAP earnings increased 21 percent to
$2.77 per diluted share, compared with $2.28 per diluted share in 2005.
    For 2007, Genzyme anticipates GAAP earnings of $1.90-$2.00 per diluted
share. Last month, the company provided non-GAAP EPS guidance of
$3.10-$3.20 per diluted share excluding the impact of the AnorMED
acquisition. Genzyme is raising this guidance by $0.10 to $3.20-$3.30 per
diluted share based on the strength of the fourth quarter.
    Genzyme expects the impact of the AnorMED transaction, including
increased operating expenses and decreased interest income, to reduce
earnings by $0.15 per diluted share. Therefore, the company's revised 2007
non-GAAP earnings guidance is $3.05-$3.15 per diluted share. This estimate
excludes an anticipated amortization expense of $0.49 per diluted share, an
anticipated stock-compensation expense of $0.58 per diluted share, and the
expected $0.08 per diluted share impact of contingent convertible debt.
    For the first quarter of 2007, Genzyme expects non-GAAP earnings per
diluted share in the low $0.70s.
    Product Sales
    Genzyme today also provided 2007 revenue guidance for its major
products and businesses:
     - Sales of Myozyme(R) (alglucosidase alfa) are expected to increase to
       $155-$180 million this year.  The product was launched in Europe and
       the United States during the second quarter of 2006, and sales last
       year were $59 million.  Myozyme is the first treatment ever developed
       for Pompe disease, a progressive, debilitating and often fatal
       neuromuscular disorder.  The product has been rapidly adopted by
       physicians and consistently supported by reimbursement authorities, and
       Genzyme is optimistic about the product's long-term growth potential.
       This year, the company expects to launch Myozyme in Japan, Brazil and a
       number of additional markets.

     - Sales of Fabrazyme(R) (agalsidase beta) are expected to reach $415-$425
       million this year, compared with $359 million in 2006.  Fabrazyme's
       growth is being driven by the number of patients beginning treatment
       and by clinical studies that distinguish the product in the market.
       Results from the Phase 4 trial of Fabrazyme were published in December
       in Annals of Internal Medicine.  The trial showed that Fabrazyme
       reduced the risk of major clinical events that cause death and
       disability in Fabry disease.  It is the only major outcomes study to be
       conducted involving Fabry patients.

     - Sales of Cerezyme(R) (imiglucerase for injection) are expected to reach
       $1.060-$1.075 billion this year, compared with $1.0 billion in 2006.  A
       research study published in the January issue of the Journal of Bone
       and Mineral Research demonstrated that long-term use of Cerezyme
       significantly improved bone mineral density in patients with Type 1
       Gaucher disease.  Cerezyme is the standard of care for patients with
       Type 1 Gaucher disease.   Patients with Gaucher disease are at
       increased risk for developing bone complications.

     - Sales of Renagel(R) (sevelamer hydrochloride), a phosphate binder for
       patients with end-stage renal disease on hemodialysis, are expected to
       reach $580-$590 million this year, compared with $515 million in 2006.
       The product's growth is being driven by a number of factors, including
       the communication of data highlighting the clinical and economic
       benefits of the product.  Results from the RIND study published last
       month in Kidney International showed that patients using Renagel
       experienced a significantly lower rate of death compared with patients
       using calcium-based phosphate binders.  At the American Society of
       Nephrology meeting in November, investigators presented three-year
       hospitalization and health economic data from the DCOR study showing
       that patients using Renagel experienced lower rates of hospitalization,
       fewer days in the hospital, and reduced overall health care
       expenditures compared to patients treated with calcium-based phosphate
       binders.

     - Sales of Synvisc(R) (hylan G-F 20) are expected to reach $250-$265
       million this year, compared with $234 million in 2006.  Synvisc is a
       market-leading viscosupplement used to treat pain associated with
       osteoarthritis of the knee.  The product's near-term growth will be
       driven by its clinical advantages over competing products and by the
       expanding global market for viscosupplementation products.

     - Total revenue for the Diagnostics/Genetics business is expected to
       reach $385-$405 million this year, compared with $356 million in 2006.

    Gross Margin
    Genzyme's non-GAAP gross margin is expected to be approximately 77-78
percent of revenue this year, consistent with the gross margin for 2006.
    Expenses
    Non-GAAP selling, general and administrative expenses are expected to
be $1.020-$1.040 billion this year and remain relatively consistent as a
percentage of revenue with SG&A expenses in 2006. SG&A spending reflects
the full-year impact of the introduction of Myozyme in Europe and the
United States and the expected launch of the product in additional major
markets; the planned expansion of sales and marketing support for Synvisc;
and the continued growth of Genzyme's international commercial
infrastructure.
    Non-GAAP research and development spending is expected to increase to
approximately $640-$650 million this year, compared with $565 million in
2006. Genzyme is conducting more late-stage trials now than at any point in
its history. Over the next year and a half, Genzyme expects to initiate,
conduct or complete 20 pivotal trials for new products or new indications,
which will expand and further diversify the company's portfolio and
contribute to its long-term growth.
    Tax Rate
    Genzyme's non-GAAP net tax rate this year is expected to be
approximately 32 percent. The GAAP tax rate is expected to be 31 percent.
    Capital Expenditures
    Capital expenditures are expected to total approximately $325-$375
million this year. Genzyme continues to make a significant investment in
manufacturing capacity to support the growth of existing products and to
prepare for the launch of products in late-stage development. The company
is also completing the construction of two new laboratory buildings to
expand its research and development capacity.
    Pipeline Outlook
    Genzyme expects to make significant progress this year within its late-
stage clinical pipeline:
    Genetic Diseases
     - Results from the ongoing post-marketing study of Myozyme involving
       patients with late-onset Pompe disease are expected later this year and
       will be submitted to regulatory authorities in 2008.  The 90-patient
       trial is intended to provide further support for Myozyme's use.
     - Enrollment is continuing in an international, multi-center phase 2
       clinical trial evaluating the safety and efficacy of the small molecule
       GENZ-112638 for the treatment of Gaucher disease.  The trial will help
       determine the potential of this compound as an alternative or adjunct
       to enzyme replacement therapy.
     - Enrollment has begun in a Phase 1 clinical trial of a potential enzyme
       replacement therapy for the treatment of ASM-deficient Niemann Pick
       disease.

    Kidney Disease
     - Genzyme has submitted a New Drug Application to the FDA for sevelamer
       carbonate tablets-a next-generation version of Renagel.  Genzyme
       expects to launch the product commercially in 2008 under the trade name
       Renvela(TM).  Following the anticipated approval of Renvela for the
       control of serum phosphorus in patients with chronic kidney disease on
       dialysis, Genzyme plans to submit a supplemental NDA seeking marketing
       approval for the product's use in treating hyperphosphatemic patients
       with chronic kidney disease who are not on dialysis.  The company also
       intends to seek approval for a powder form of Renvela to be taken once
       per day, which may provide patients with a more convenient formulation
       and dosing schedule that could help improve compliance.

    Orthopaedics
     - Genzyme plans in the first half of this year to request an amendment to
       the Synvisc product label in the United States and Europe to include a
       single-injection regimen.  This change has the potential to
       significantly expand the market for the product.  In December, Genzyme
       reported preliminary results from a study showing that patients who
       received Synvisc through a single-injection regimen achieved a
       statistically significant improvement in pain from osteoarthritis of
       the knee over 26 weeks compared with those using placebo.  Currently
       Synvisc is delivered through three injections given at one-week
       intervals.
     - Results from the pivotal trial of Hylastan(TM), a next-generation
       viscosupplement, are expected this year, and Genzyme anticipates filing
       for U.S. and European approval of the product later this year.
       Hylastan is also designed to be administered using a single-injection
       regimen.

    Immune and Infectious Diseases
     - Results from the phase 3 trial of tolevamer are expected to be
       available during the second half of this year.  Pending a positive
       outcome, the first commercial approval is anticipated in 2008.
       Tolevamer is a novel polymer therapy that could be the first non-
       antibiotic treatment for Clostridium difficile-associated disease, a
       widespread and growing global problem primarily affecting patients in
       hospitals and nursing homes.  The prevalence and impact of Clostridium
       difficile are becoming increasingly more visible as public health
       officials and others look for new ways to manage this disease.
     - Genzyme expects to initiate two phase 3 studies of alemtuzumab
       (Campath) for the treatment of relapsing-remitting multiple sclerosis
       in 2007, the first in previously untreated patients and the second in
       patients who have progressed on other therapies.  The company is
       currently developing protocols for each of these studies to submit to
       the FDA for review and expects to initiate the study in previously
       untreated patients during the first half of this year.

    Transplant
     - Results from two pivotal clinical trials of Mozobil (plerixafor) are
       expected mid-year.  The first study involves patients with multiple
       myeloma, and the second involves patients with non-Hodgkin's lymphoma.
       Mozobil is an experimental product in late-stage clinical development
       that is designed to improve the outcome of stem cell transplantation in
       patients with blood cancers.  Genzyme obtained this promising new
       product candidate through its acquisition of AnorMED.

    Cancer
     - Genzyme is working to broaden the indications for its drugs Campath(R)
       (alemtuzumab) and Clolar(R) (clofarabine injection) to benefit larger
       patient populations.  Genzyme and partner Bayer Schering Pharma AG
       expect to submit U.S. and European applications this year to expand
       Campath's current label to include first-line treatment of B-cell
       chronic lymphocytic leukemia.  Data from the CAM 307 trial presented at
       the annual American Society of Hematology meeting demonstrated that
       Campath significantly improved progression-free survival in comparison
       to chlorambucil in previously untreated B-CLL patients, with Campath
       reducing the risk of disease progression or death by 42 percent.
       Campath received accelerated U.S. approval in 2001, and CAM307 was the
       primary post-approval commitment study designed to support full
       approval.  Campath is currently indicated for the treatment of B-CLL in
       patients who have been treated with alkylating agents and who have
       failed fludarabine therapy.
     - Genzyme is seeking to expand Clolar's indication to include adult
       patients with acute myelogenous leukemia (AML).  The product is
       currently indicated for the treatment of pediatric patients with
       relapsed or refractory acute lymphoblastic leukemia after at least two
       prior regimens.  In November, Genzyme began a trial examining the
       safety and effectiveness of Clolar in previously untreated, older adult
       patients with AML who are unlikely to benefit from standard induction
       therapy.  This was the second pivotal clinical study of clofarabine in
       adult patients with AML to begin last year, and it is expected to
       provide substantial support for expanding the current product label,
       which Genzyme intends to pursue next year.

    About Genzyme
    One of the world's leading biotechnology companies, Genzyme is
dedicated to making a major positive impact on the lives of people with
serious diseases. Since 1981, the company has grown from a small start-up
to a diversified enterprise with more than 9,000 employees in locations
spanning the globe and 2006 revenues of $3.2 billion. Genzyme has been
selected by FORTUNE as one of the "100 Best Companies to Work for" in the
United States.
    With many established products and services helping patients in nearly
90 countries, Genzyme is a leader in the effort to develop and apply the
most advanced technologies in the life sciences. The company's products and
services are focused on rare inherited disorders, kidney disease,
orthopaedics, cancer, transplant and immune diseases, and diagnostic
testing. Genzyme's commitment to innovation continues today with a
substantial development program focused on these fields, as well as heart
disease and other areas of unmet medical need.
    This press release contains forward-looking statements, including:
estimates for earnings, revenues, gross margin, expenses, tax rate and
capital expenditure levels for 2007; anticipated progress of clinical
trials and regulatory filing and action estimates, including for tolevamer,
alemtuzumab- MS, GENZ-112638, sevelamer carbonate, hylastan, Clolar in
adult AML, CAM-307, and Mozobil in multiple myeloma and non-Hodgkin's
lymphoma; expected drivers of Genzyme's future growth, as well as the
growth drivers for certain products, including Synvisc, Renagel, Fabrazyme
and Myozyme; expectations regarding launches of Myozyme in new territories;
plans to seek a Synvisc label change and the timing thereof; an estimate of
the number of clinical trials Genzyme plans to initiate, conduct or
complete in 2007; and other statements regarding Genzyme's future
performance and strategy. These statements are subject to risks and
uncertainties that could cause actual results to differ materially from
those forecast in these forward-looking statements. These risks and
uncertainties include, among others, Genzyme's ability to successfully
complete preclinical and clinical development of its products and services,
Genzyme's ability to expand the use of current products in existing and new
indications; Genzyme's ability to maintain and obtain regulatory approvals
for products and services, and the timing of receipt of such approvals;
Genzyme's ability to maintain and enforce intellectual property rights;
Genzyme's ability to successfully identify and market to new patients; the
scope of third-party reimbursement coverage for Genzyme's products and
services; Genzyme's ability to manufacture products and product candidates
in a timely and cost effective manner; and the risks and uncertainties
described in Genzyme's SEC reports filed under the Securities Exchange Act
of 1934, including the factors discussed under the caption "Factors
Affecting Future Operating Results" in Genzyme's Quarterly Report on Form
10-Q for the period ended September 30, 2006. Genzyme cautions investors
not to place substantial reliance on the forward-looking statements
contained in this press release. These statements speak only as of February
14, 2007 and Genzyme undertakes no obligation to update or revise the
statements.
    This press release includes certain non-GAAP financial measures that
involve adjustments to GAAP figures. Genzyme believes that these non-GAAP
financial measures, when considered together with the GAAP figures, can
enhance an overall understanding of Genzyme's past financial performance
and its prospects for the future. The non-GAAP financial measures are
included with the intent of providing both management and investors with a
more complete understanding of underlying operational results and trends.
In addition, these non-GAAP financial measures are among the primary
indicators Genzyme management uses for planning and forecasting purposes
and measuring the company's performance. These non-GAAP financial measures
are not intended to be considered in isolation or as a substitute for GAAP
figures. A reconciliation of the non-GAAP to GAAP figures follows this
press release.
    Genzyme(R), Myozyme(R), Fabrazyme(R), Cerezyme(R), Renagel(R),
Synvisc(R), Campath(R) and Clolar(R) are registered trademarks and
Mozobil(TM), Renvela(TM), Hylastan(TM) are trademarks of Genzyme
Corporation or its subsidiaries. All rights reserved.
    Conference Call Information
    Genzyme Corporation will host a conference call today at 11:00 a.m.
Eastern Time to discuss fourth-quarter and full-year 2006 financial results
and financial guidance for 2007. If you would like to participate in the
call, please dial 706-679-8722. This call will also be Webcast on the
investor events section of http://www.genzyme.com. A replay of the Webcast and
call will be available from 2:15 p.m. Eastern through midnight on February
28, 2007. For the replay, please dial 706-645-9291 and refer to reservation
number 4245727.
    Upcoming Events
    Genzyme Corporation will host a conference call April 25 at 11:00 a.m.
Eastern Time to discuss first-quarter financial results. To participate in
the call, please dial 773-799-3828 and refer to pass code "Genzyme." A
replay of this call will be available by dialing 402-220-4870. This call
will also be Webcast live on the investor events section of
http://www.genzyme.com. Replays of the call and the Webcast will be available
until midnight on May 2, 2007.
    Genzyme's press releases and other company information are available at
http://www.genzyme.com and by calling Genzyme's investor information line at
1-800- 905-4369 within the United States or 1-703-797-1866 outside the
United States.
     Media Contact:        Investor Contact:
     Bo Piela              Sally Curley
     (617) 768-6579        (617) 768-6140



    GENZYME CORPORATION (GENZ)
    Consolidated Statements of
    Operations
    (Unaudited, amounts in
     thousands, except per         Three Months Ended         Year Ended
     share amounts)                  December 31,            December 31,
                                   2006        2005        2006        2005

    Total revenues               $854,241    $728,691  $3,187,013  $2,734,842

    Operating costs and
     expenses:
     Cost of products and
      services sold (1)           198,712     188,601     735,671     632,652
     Selling, general and
      administrative (1)          266,551     207,613   1,010,400     787,839
     Research and development
      (1)                         166,394     138,186     649,951     502,657
     Amortization of
      intangibles                  53,238      49,494     209,355     181,632
     Purchase of in-process
      research and development
      (2)                         552,900       7,000     552,900      29,200
     Charge for impaired
      goodwill (3)                    -           -       219,245         -
     Total operating costs and
      expenses                  1,237,795     590,894   3,377,522   2,133,980
    Operating income (loss)      (383,554)    137,797    (190,509)    600,862

    Other income (expenses):
     Equity in income (loss)
      of equity method
      investments                   5,075       1,346      15,705         151
     Minority interest              2,677       2,731      10,418      11,952
     Gain on investments in
      equity securities (4)        (1,807)        526      73,230       5,698
     Other                           (714)       (707)     (2,045)     (1,535)
     Investment income             16,600       9,194      56,001      31,429
     Interest expense              (3,233)     (4,615)    (15,478)    (19,638)
     Total other income
      (expenses)                   18,598       8,475     137,831      28,057
    Income (loss) before
     income taxes (1)            (364,956)    146,272     (52,678)    628,919
    (Provision for) benefit
     from income taxes (1)         96,722     (39,626)     35,881    (187,430)
    Net income (loss) (1)       $(268,234)   $106,646    $(16,797)   $441,489

    Net income (loss) per share:
      Basic                        $(1.02)      $0.41      $(0.06)      $1.73

      Diluted (1,5)                $(1.02)      $0.39      $(0.06)      $1.65

    Weighted average shares
     outstanding:
      Basic                       262,803     258,535     261,124     254,758

      Diluted (1,5)               262,803     276,428     261,124     272,224


    (1) Reflects the adoption of Financial Accounting Standards Board, or
        FASB, Statement of Financial Accounting Standards No., or FAS, 123R,
        "Share-Based Payment, an amendment of FASB Statement Nos. 123 and 95,"
        using the modified prospective basis effective January 1, 2006. For
        the three months ended December 31, 2006, in accordance with the
        provisions of FAS 123R, we recorded pre-tax charges for stock
        compensation expense totaling $(48,365)K, of which $(8,537)K were
        charged to cost of products and services sold, $(25,262)K were charged
        to selling, general and administrative expense and $(14,566)K were
        charged to research and development expense.  In addition, we recorded
        $14,094K of related tax benefits.  For the year ended December 31,
        2006, in accordance with the provisions of FAS 123R, we recorded pre-
        tax charges for stock compensation expense totaling $(208,500)K, of
        which $(21,430)K were charged to cost of products and services sold,
        $(121,822)K were charged to selling, general and administrative
        expense and $(65,248)K were charged to research and development
        expense. In addition, we recorded $66,331K of related tax benefits.
        Diluted earnings per share and diluted weighted average shares
        outstanding for the three months ended and the year ended December 31,
        2006 were computed in accordance with the provisions of FAS 123R.

    (2) Includes charges for the purchase of in-process research and
        development of $(552,900)K related to our acquisition of AnorMED, Inc.
        in November 2006, $(7,000)K related to our acquisition of gene therapy
        assets from Avigen, Inc. in December 2005, $(12,700)K related to our
        acquisition of Bone Care International, Inc. in July 2005 and
        $(9,500)K related to our acquisition of Verigen AG in February 2005.

    (3) Represents the write off of the goodwill related to our Genetics
        reporting unit.  In accordance with FAS 142, "Goodwill and Other
        Intangible Assets," we completed the annual impairment tests for our
        $1.3 billion of net goodwill in the third quarter of 2006 and
        determined that the fair value of the net assets of our Genetics
        reporting unit was lower than the carrying value, indicating potential
        impairment.  Based on our analysis, we concluded that the goodwill
        assigned to our Genetics reporting unit is fully impaired.

    (4) For the year ended December 31, 2006, includes pre-tax gains of
        $69,359K related to the liquidation of our investment in the common
        stock of Cambridge Antibody Technology Group plc in May and June 2006.

    (5) Net loss per share on a diluted basis and weighted average shares -
        diluted for the three months and the year ended December 31, 2006
        exclude: (i) the effect of options, stock purchase rights and warrants
        to purchase shares of Genzyme Stock and (ii) the potentially dilutive
        effect of the assumed conversion of our convertible senior notes
        because the effect of these securities would be anti-dilutive due to
        our net loss for each of those periods.

        Net income per share on a diluted basis and weighted average shares -
        diluted for the three months and the year ended December 31, 2005
        reflect the adoption of Emerging Issues Task Force Issue No. 04-8,
        "The Effect of Contingently Convertible Debt on Diluted Earnings Per
        Share," or EITF 04-8.  As a result of the adoption of EITF 04-8, the
        9,686K shares issuable upon conversion of our $690,000K in principal
        of 1.25% convertible senior notes, which were issued in December 2003,
        are now included in diluted weighted average shares for purposes of
        computing diluted earnings per share, unless the effect would be anti-
        dilutive.  In accordance with EITF 04-8, interest and debt fees
        related to the notes of $1,874K, net of tax, for the three months
        ended December 31, 2005, and $7,496K, net of tax, for the year ended
        December 31, 2005, have been added back to net income and 9,686K
        shares have been added to diluted weighted average shares outstanding
        for each of those periods for purposes of computing diluted earnings
        per share.



    GENZYME CORPORATION (GENZ)
    Condensed Consolidated Balance Sheets    December 31,  December 31,
    (Unaudited, amounts in thousands)           2006          2005

    Cash and all marketable securities       $1,285,604    $1,089,102
    Other current assets                      1,370,095     1,179,093
    Property, plant and equipment, net        1,610,593     1,320,813
    Intangibles, net (1)                      2,790,819     3,078,461
    Other assets                                126,735       211,396
     Total assets                            $7,183,846    $6,878,865

    Current liabilities                        $667,915      $550,023
    Noncurrent liabilities                      853,779     1,178,975
    Stockholders' equity                      5,662,152     5,149,867
     Total liabilities and
      stockholders' equity                   $7,183,846    $6,878,865

    (1)  As of December 31, 2006, reflects a charge for impairment of goodwill
         of $(219,245)K recorded in the third quarter of 2006 to write off the
         goodwill related to our Genetics reporting unit.



                             GENZYME CORPORATION
                 RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                     Year to Date as of December 31, 2006
                (Amounts in thousands, except per share data)

                                       Gain/(Loss)
                                           on
                                         Invest-
                                          ments
                                            in    Settle-
                                   OFT    Equity   ment   Impairment
                                  Settle- Securi-  of Tax    of     Amortiza-
                        NON-GAAP   ment    ties    Audits  Goodwill   tion
    Income Statement
     Classification:

    Total revenues   $3,187,013

    Cost of products
     and services
     sold             $(714,241)

    Selling, general
     and administra-
     tive             $(879,266) $(7,936)

    Research and
     development      $(565,375)

    Amortization of
     intangibles             $-                                     $(209,355)

    Purchase of in-
     process research
     and development         $-

    Charge for
     impaired goodwill       $-                          $(219,245)

    Equity in income
     (loss) of equity
     method investments  $5,357

    Minority interest       $66

    Gains (losses) on
     investments in
     equity securities   $6,764          $66,466

    Other               $(2,045)

    Investment income   $55,997

    Interest Expense   $(15,478)


    Summary:

    Income (loss)
     before income
     taxes           $1,078,792 $(7,936) $66,466    $-   $(219,245) $(209,355)

    (Provision for)
     benefit from
     income taxes     $(336,090)  2,920  (24,459) 31,748    69,823     77,043

    Net income (loss)
     allocated to
     Genzyme Stock     $742,702 $(5,016) $42,007 $31,748 $(149,422) $(132,312)


    Net income (loss)
     per share of
     Genzyme Stock:
       Basic              $2.84   (0.02)   $0.16   $0.12    $(0.57)    $(0.51)

       Diluted (1,2)      $2.77   (0.02)   $0.15   $0.11    $(0.54)    $(0.48)

    Weighted average
     shares
     outstanding:
       Basic            261,124

       Diluted (1,2,3)  268,016



                             GENZYME CORPORATION
                 RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                     Year to Date as of December 31, 2006
                (Amounts in thousands, except per share data)

                              Dilution
                               Due to
                               Common
                    FAS 123R   Stock              Effect of         GAAP
                    Expense  Equivalents  IPR&D    FIN 46        As Reported

    Income
     Statement
     Classification:

    Total revenues                                                 $3,187,013

    Cost of
     products and
     services sold  $(21,430)                                       $(735,671)

    Selling,
     general and
     administra-
     tive          $(121,822)                       $(1,376)      $(1,010,400)

    Research and
     development    $(65,248)                      $(19,328)        $(649,951)

    Amortization of
     intangibles                                                    $(209,355)

    Purchase of in-
     process
     research and
     development                        $(552,900)                  $(552,900)

    Charge for
     impaired
     goodwill                                                       $(219,245)

    Equity in
     income (loss)
     of equity
     method
     investments                                    $10,348           $15,705

    Minority
     interest                                       $10,352           $10,418

    Gains (losses)
     on investments
     in equity
     securities                                                       $73,230

    Other                                                             $(2,045)

    Investment
     income                                              $4           $56,001

    Interest
     Expense                                                         $(15,478)


    Summary:

    Income (loss)
     before income
     taxes         $(208,500)      $-   $(552,900)      $(0)         $(52,678)

    (Provision for)
     benefit from
     income taxes     66,331        -     148,565         0            35,881

    Net income(loss)
     allocated to
     Genzyme Stock $(142,169)      $-   $(404,335)      $(0)         $(16,797)


    Net income (loss)
     per share of
     Genzyme Stock:
       Basic          $(0.54)      $-      $(1.54)       $-            $(0.06)

       Diluted
        (1,2)         $(0.52)      $-      $(1.54)       $-            $(0.06)

    Weighted
     average shares
     outstanding:
       Basic                                                          261,124

       Diluted
        (1,2,3)                 6,892                                 261,124


    (1) GAAP As-Reported diluted net loss per share for the year ended
        December 31, 2006 excludes the dilutive effect of options, stock
        purchase rights and warrants to purchase shares of Genzyme Stock, and
        the potentially dilutive effect of our 1.25% convertible notes because
        the effect would be anti-dilutive to our net loss for the period.

    (2) Non-GAAP basic and diluted earnings per share reflects the sum of
        the quarterly Non-GAAP diluted earnings per share activity for Q1-Q4
        2006.

    (3) Common stock equivalents are included in the diluted earnings per
        share to the extent they are considered to be dilutive.  Due to the
        significant IPR&D charge for AnorMED of $552,900K, Genzyme had a GAAP
        net loss for the year ended December 31, 2006 and therefore the common
        stock equivalents are excluded from GAAP earnings as they would be
        anti-dilutive.  Conversely, on a Non-GAAP basis, Genzyme produced a
        net profit and, therefore, the common stock equivalents are included
        in the Non-GAAP diluted earnings per share as they would be dilutive.
        Non-GAAP diluted earnings per share excludes the potentially dilutive
        effect of our 1.25% convertible notes.



                               GENZYME CORPORATION
                   RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                  For the Three Months Ended December 31, 2006
                  (Amounts in thousands, except per share data)

                                       Dilution
                                        Due to
                                       Common
                                        Stock
                                       Equiva-     OFT     Amortiz-
                              NON-GAAP  lents   Settlement  ation     IPR&D

    Income Statement
     Classification:

    Total revenues             $854,241

    Cost of products and
     services sold            $(190,175)

    Selling, general and
     administrative           $(233,001)         $(7,936)

    Research and development  $(146,957)

    Amortization of
     intangibles                   $-                     $(53,238)

    Purchase of in-process
     research and
     development                   $-                               $(552,900)

    Charge for impaired
     goodwill                      $-

    Equity in income (loss)
     of equity method
     investments                 $2,465

    Minority interest               $66

    Gains (losses) on
     investments in equity
     securities                 $(1,807)

    Other                         $(714)

    Investment income           $16,598

    Interest expense            $(3,233)


    Summary:

    Income (loss) before
     income taxes              $297,483     $-   $(7,936) $(53,238) $(552,900)

    (Provision for) benefit
     from income taxes          (88,449)     -     2,920    19,592    148,565

    Net income (loss)          $209,034     $-   $(5,016) $(33,646) $(404,335)


    Net income (loss) per
     share of Genzyme Stock:
      Basic                       $0.80     $-    $(0.02)   $(0.13)    $(1.54)

      Diluted (1)                 $0.77   $0.02   $(0.02)   $(0.13)    $(1.54)

    Weighted average shares
     outstanding:
      Basic                     262,803

      Diluted (1,2)             269,732   6,929



                               GENZYME CORPORATION
                   RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                  For the Three Months Ended December 31, 2006
                  (Amounts in thousands, except per share data)

                                         NON-GAAP
                            FAS 123R  Before Effect  Effect of       GAAP
                             Expense   of FIN 46      FIN 46       As Reported

    Income Statement
     Classification:

    Total revenues                       $854,241                   $854,241

    Cost of products and
     services sold           $(8,537)   $(198,712)                 $(198,712)

    Selling, general and
     administrative         $(25,262)   $(266,199)      $(352)     $(266,551)

    Research and
     development            $(14,566)   $(161,523)    $(4,871)     $(166,394)

    Amortization of
     intangibles                         $(53,238)                  $(53,238)

    Purchase of in-process
     research and
     development                        $(552,900)                 $(552,900)

    Charge for impaired
     goodwill                                $-                         $-

    Equity in income (loss)
     of equity method
     investments                           $2,465      $2,610         $5,075

    Minority interest                         $66      $2,611         $2,677

    Gains (losses) on
     investments in equity
     securities                           $(1,807)                   $(1,807)

    Other                                   $(714)                     $(714)

    Investment income                     $16,598          $2        $16,600

    Interest expense                      $(3,233)                   $(3,233)


    Summary:

    Income (loss) before
     income taxes           $(48,365)   $(364,956)         $-      $(364,956)

    (Provision for) benefit
     from income taxes        14,094       96,722           -         96,722

    Net income (loss)       $(34,271)   $(268,234)         $-      $(268,234)


    Net income (loss) per
     share of Genzyme Stock:
      Basic                   $(0.13)      $(1.02)         $-         $(1.02)

      Diluted (1)             $(0.13)      $(1.02)         $-         $(1.02)

    Weighted average shares
     outstanding:
      Basic                               262,803           -        262,803

      Diluted (1,2)                       262,803           -        262,803


    (1) GAAP As-Reported diluted net loss per share for the three months
        ended December 31, 2006 excludes the dilutive effect of options, stock
        purchase rights and warrants to purchase shares of Genzyme Stock, and
        the potentially dilutive effect of our 1.25% convertible notes
        because the effect would be anti-dilutive to our net loss for the
        period.

    (2) Common stock equivalents are included in the diluted earnings per
        share to the extent they are considered to be dilutive.  Due to the
        significant IPR&D charge for AnorMED of $552,900K, Genzyme had a GAAP
        net loss for the quarter and therefore the common stock
        equivalents are excluded from GAAP earnings as they would be anti-
        dilutive.  Conversely, on a Non-GAAP basis, Genzyme produced a net
        profit and, therefore, the common stock equivalents are included in
        the Non-GAAP diluted earnings per share as they would be dilutive.
        Non-GAAP diluted earnings per share excludes the potentially dilutive
        effect of our 1.25% convertible notes.



                               GENZYME CORPORATION
                   RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                         Quarter Ended September 30, 2006
                  (Amounts in thousands, except per share data)

                                        Dilution
                                         Due to
                                      Contingently   Settle-
                                       Convertible    ment   Impair-
                                          Debt       of Tax  ment of  Amortiz-
                              Non-GAAP  (EITF 04-8)  Audits  Goodwill  ation

    Income Statement
     Classification:

    Total revenues             $808,574

    Cost of products and
     services sold            $(179,013)

    Selling, general and
     administrative           $(214,944)

    Research and development  $(142,981)

    Amortization of
     intangibles                   $-                                $(50,542)

    Charge for impaired
     goodwill                      $-                     $(219,245)

    Purchase of in-process
     research and
     development                   $-

    Equity in income (loss)
     of equity method
     investments                 $1,985

    Minority interest              $-

    Gains on sales of
     investments in equity
     securities                    $128

    Other                         $(873)

    Investment income           $16,759

    Interest expense            $(3,772)


    Summary:

    Income (loss) before
     income taxes              $285,863     $-      $-    $(219,245) $(50,542)

    Provision for income
     taxes                     $(89,952)    $-    31,748     69,823    18,599

    Net income allocated to
     Genzyme Stock             $195,911     $-   $31,748  $(149,422) $(31,943)


    Net income per share of
     Genzyme Stock:
      Basic                       $0.75     $-      $0.12     $(0.57)  $(0.12)

      Diluted (1)                 $0.73   $(0.02)   $0.11     $(0.54)  $(0.11)

    Weighted average shares
     outstanding:
      Basic                     261,541

      Diluted (1)               268,585    9,686



                               GENZYME CORPORATION
                   RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                         Quarter Ended September 30, 2006
                  (Amounts in thousands, except per share data)

                                        NON-GAAP
                            FAS 123R  Before Effect  Effect of      GAAP
                             Expense   of FIN 46      FIN 46     As Reported

    Income Statement
     Classification:

    Total revenues                     $808,574                     $808,574

    Cost of products and
     services sold           $(5,663) $(184,676)                   $(184,676)

    Selling, general and
     administrative         $(24,421) $(239,365)       $(335)      $(239,700)

    Research and
     development            $(14,556) $(157,537)     $(4,756)      $(162,293)

    Amortization of
     intangibles                       $(50,542)                    $(50,542)

    Charge for impaired
     goodwill                         $(219,245)                   $(219,245)

    Purchase of in-process
     research and
     development                           $-                           $-

    Equity in income (loss)
     of equity method
     investments                         $1,985       $2,545          $4,530

    Minority interest                      $-         $2,545          $2,545

    Gains on sales of
     investments in equity
     securities                            $128                         $128

    Other                                 $(873)                       $(873)

    Investment income                   $16,759           $1         $16,760

    Interest expense                    $(3,772)                     $(3,772)


    Summary:

    Income (loss) before
     income taxes           $(44,640)  $(28,564)          $-        $(28,564)

    Provision for income
     taxes                    14,312    $44,530                       44,530

    Net income allocated to
     Genzyme Stock          $(30,328)   $15,966           $-         $15,966


    Net income per share of
     Genzyme Stock:
      Basic                   $(0.12)     $0.06           $-           $0.06

      Diluted (1)             $(0.11)     $0.06           $-           $0.06

    Weighted average shares
     outstanding:
      Basic                             261,541      261,541         261,541

      Diluted (1)                       278,271      278,271         278,271


    (1)  GAAP As-Reported diluted earnings per share and diluted weighted
         average shares outstanding reflect the adoption of EITF 04-8. In
         accordance with the provisions of EITF 04-8, interest and debt fees
         related to our 1.25% convertible senior notes of $1,874K, net of
         tax, have been added back to net income and approximately 9,686K
         shares have been added to diluted weighted average shares for
         purposes of computing GAAP As-Reported diluted earnings per share.



                              GENZYME CORPORATION
                  RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                          Quarter Ended June 30, 2006
                 (Amounts in thousands, except per share data)

                                                Dilution
                                                 Due to    Gain/(Loss)
                                              Contingently  on Invest-
                                               Convertible  ments in
                                                  Debt      Equity    Amortiz-
                                      NON-GAAP (EITF 04-8) Securities   ation
    Income Statement
     Classification:

    Total revenues                     $793,356

    Cost of products and services
     sold                             $(180,406)

    Selling, general and
     administrative                   $(220,395)

    Research and development          $(138,565)

    Amortization of intangibles            $-                        $(52,883)

    Purchase of in-process
     research and development              $-

    Equity in loss of equity
     method investments                  $1,105

    Minority interest                      $-

    Gains on investments in equity
     securities                            $501             $66,466

    Other                                 $(319)

    Investment income                   $12,562

    Interest expense                    $(4,035)


    Summary:

    Income (loss) before income
     taxes                             $263,804      $-     $66,466  $(52,883)

    Provision for income taxes         $(82,581)      -     (24,459)   19,461

    Net income allocated to
     Genzyme Stock                     $181,223      $-     $42,007  $(33,422)


    Net income per share of
     Genzyme Stock:
      Basic                               $0.70      $-       $0.16    $(0.13)

      Diluted (1)                         $0.68    $(0.02)    $0.15    $(0.12)

    Weighted average shares
     outstanding:
      Basic                             260,444

      Diluted (1)                       266,626



                              GENZYME CORPORATION
                  RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                          Quarter Ended June 30, 2006
                 (Amounts in thousands, except per share data)

                                        NON-GAAP
                           FAS 123R   Before Effect   Effect of     GAAP
                            Expense     of FIN 46      FIN 46     As Reported

    Income Statement
     Classification:

    Total revenues                     $793,356                     $793,356

    Cost of products and
     services sold           $(4,927) $(185,333)                   $(185,333)

    Selling, general and
     administrative         $(52,692) $(273,087)       $(393)      $(273,480)

    Research and
     development            $(25,269) $(163,834)     $(5,107)      $(168,941)

    Amortization of
     intangibles                       $(52,883)                    $(52,883)

    Purchase of in-process
     research and
     development                            $-                           $-

    Equity in loss of equity
     method investments                  $1,105       $2,749          $3,854

    Minority interest                       $-        $2,750          $2,750

    Gains on investments in
     equity securities                  $66,967                      $66,967

    Other                                 $(319)                       $(319)

    Investment income                   $12,562           $1         $12,563

    Interest expense                    $(4,035)                     $(4,035)


    Summary:

    Income (loss) before
     income taxes           $(82,888)  $194,499          $(0)       $194,499

    Provision for income
     taxes                    27,577    (60,002)           -         (60,002)

    Net income allocated to
     Genzyme Stock          $(55,311)  $134,497          $(0)       $134,497


    Net income per share of
     Genzyme Stock:
      Basic                   $(0.21)     $0.52           $-           $0.52

      Diluted (1)             $(0.20)     $0.49           $-           $0.49

    Weighted average shares
     outstanding:
      Basic                             260,444            -         260,444

      Diluted (1)                       276,312            -         276,312


    (1) GAAP As-Reported diluted earnings per share and diluted weighted
        average shares outstanding reflect the adoption of EITF 04-8. In
        accordance with the provisions of EITF 04-8, interest and debt fees
        related to our 1.25% convertible senior notes of $1,874K, net of
        tax, have been added back to net income and approximately 9,686K
        shares have been added to diluted weighted average shares for
        purposes of computing GAAP As-Reported diluted earnings per share.



                               GENZYME CORPORATION
                   RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                          Quarter Ended March 31, 2006
                  (Amounts in thousands, except per share data)

                                                Dilution
                                                 Due to
                                              Contingently
                                               Convertible
                                                  Debt      Amortiz-  FAS 123R
                                     NON-GAAP  (EITF 04-8)   ation     Expense

    Income Statement
     Classification:

    Total revenues                     $730,842

    Cost of products and services
     sold                             $(164,647)                      $(2,303)

    Selling, general and
     administrative                   $(210,926)                     $(19,447)

    Research and development          $(136,872)                     $(10,857)

    Amortization of intangibles            $-              $(52,692)

    Purchase of in-process
     research and development              $-

    Equity in loss of equity
     method investments                   $(198)

    Minority interest                      $-

    Gains on investments in equity
     securities                          $7,942

    Other                                 $(139)

    Investment income                   $10,078

    Interest expense                    $(4,438)


    Summary:

    Income (loss) before income
     taxes                             $231,642        $-  $(52,692) $(32,607)

    Provision for income taxes          (75,108)        -    19,391    10,348

    Net income allocated to
     Genzyme Stock                     $156,534        $-  $(33,301) $(22,259)

    Net income per share of
     Genzyme Stock:
      Basic                               $0.60        $-    $(0.13)   $(0.09)

      Diluted (1)                         $0.59    $(0.01)   $(0.12)   $(0.08)

    Weighted average shares
     outstanding:
      Basic                             259,709

      Diluted (1)                       267,123



                               GENZYME CORPORATION
                   RECONCILIATION OF GAAP TO NON-GAAP EARNINGS
                          Quarter Ended March 31, 2006
                  (Amounts in thousands, except per share data)

                                    NON-GAAP
                                     Before
                                     Effect        Effect of        GAAP
                                   of FIN 46         FIN 46      As Reported
    Income Statement
     Classification:

    Total revenues                   $730,842                        $730,842

    Cost of products and services
     sold                           $(166,950)                      $(166,950)

    Selling, general and
     administrative                 $(230,373)         $(296)       $(230,669)

    Research and development        $(147,729)       $(4,594)       $(152,323)

    Amortization of intangibles      $(52,692)                       $(52,692)

    Purchase of in-process
     research and development              $-                              $-

    Equity in loss of equity
     method investments                 $(198)        $2,444           $2,246

    Minority interest                      $-         $2,446           $2,446

    Gains on investments in equity
     securities                        $7,942                          $7,942

    Other                               $(139)            $-            $(139)

    Investment income                 $10,078             $-          $10,078

    Interest expense                  $(4,438)                        $(4,438)


    Summary:

    Income (loss) before income
     taxes                           $146,343             $-         $146,343

    Provision for income taxes        (45,369)             -          (45,369)

    Net income allocated to
     Genzyme Stock                   $100,974             $-         $100,974


    Net income per share of
     Genzyme Stock:
      Basic                             $0.39             $-            $0.39

      Diluted (1)                       $0.37             $-            $0.37

    Weighted average shares
     outstanding:
      Basic                           259,709              -          259,709

      Diluted (1)                     276,809              -          276,809


    (1) GAAP As-Reported diluted earnings per share and diluted weighted
        average shares outstanding reflect the adoption of EITF 04-8. In
        accordance with the provisions of EITF 04-8, interest and debt fees
        related to our 1.25% convertible senior notes of $1,874K, net of
        tax, have been added back to net income and approximately 9,686K
        shares have been added to diluted weighted average shares for
        purposes of computing GAAP As-Reported diluted earnings per share.



    GENZYME 2007 GUIDANCE
    ($ millions except per share)

                                                          2007 Guidance
    DESCRIPTION                                               Ranges
    Renagel                                           $580              $590
       Total Renal                                     685               705

    Cerezyme                                         1,060             1,075
    Fabrazyme                                          415               425
    Myozyme                                            155               180
       Total Therapeutics                            1,730             1,790

       Total Transplant                                185               200

    Synvisc                                            250               265
       Total Biosurgery                                435               460

       Total Diag/Genetics                             385               405

       Total Other                                     180               190
    TOTAL REVENUE                                   $3,600            $3,800

    **GROSS MARGIN                                     77%               78%

    **SG&A                                          (1,020)           (1,040)
    **R&D                                             (640)             (650)
    Net Interest / Other                                55                60

    TAX RATE - GAAP                                 approx.               31%
    *TAX RATE - NON-GAAP                            approx.               32%

    GENZ GAAP EPS                                    $1.90             $2.00
    AMORTIZATION                                    approx.            $0.49
    FAS123 EXPENSE                                  approx.            $0.58
    CONTINGENT CONVERTIBLE DEBT                     approx.            $0.08
    **GENZ NON-GAAP EPS                              $3.05             $3.15

    ***WTD AVERAGE SHARES O/S                          272               275

    CAPITAL EXPENDITURES                              $325              $375


    This financial guidance, which is provided as part of a press release
    dated February 14, 2007, is subject to all of the qualifications and
    limitations described therein.  Actual results may differ from these
    forward-looking statements due to the numerous factors described in the
    press release.

    *   Non-GAAP tax rate excludes the impact of amortization, one-time
        events, FIN 46, FAS123 expense and EITF 04-08.
    **  Non-GAAP excludes the impact of amortization, one-time events,
        FIN 46, FAS123 expense and EITF 04-08.
    *** WTD Average Shares Outstanding excludes the impact of EITF 04-08 .


SOURCE Genzyme Corporation




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    CONTACT:
    Media, Bo Piela, +1-617-768-6579, or
    Investors, Sally Curley, +1-617-768-6140, both of Genzyme
    Corporation