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Horizon Therapeutics plc Reports Record Fourth-Quarter and Full-Year 2020 Financial Results; Announces Full-Year 2021 Guidance

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Horizon Therapeutics plc (Nasdaq: HZNP) reported record financial results for Q4 and the full year 2020, highlighting a 105% increase in Q4 net sales to $745.3 million and 69% growth in FY 2020 to $2.2 billion. The company announced positive guidance for 2021, projecting net sales between $2.70 billion to $2.80 billion. CEO Tim Walbert emphasized the successful launch of TEPEZZA and a definitive agreement to acquire Viela Bio, adding to its robust pipeline. However, net income saw a significant decline of 68% in Q4.

Positive
  • Q4 2020 net sales increased by 105% to $745.3 million.
  • FY 2020 net sales grew by 69% to $2.2 billion.
  • Guidance for FY 2021 net sales of $2.70 billion to $2.80 billion, reflecting 25% growth.
  • Successful launch of TEPEZZA, contributing significantly to sales.
  • Pending acquisition of Viela Bio will enhance product pipeline and growth potential.
Negative
  • Q4 2020 net income decreased by 68% to $190.6 million.
  • Diluted EPS for Q4 2020 fell by 71% to $0.82.
  • The expected reduction in adjusted EBITDA by approximately $140 million due to the Viela acquisition.

Horizon Therapeutics plc (Nasdaq: HZNP) today announced record fourth-quarter and full-year 2020 financial results and provided full-year 2021 net sales and adjusted EBITDA guidance.

“Our outperformance in 2020 capped off a breakthrough year for Horizon,” said Tim Walbert, chairman, president and chief executive officer, Horizon. “The launch of TEPEZZA, one of the most successful rare disease medicine launches ever, strengthened our position as one of the fastest growing biotech companies. Our recently announced agreement to acquire Viela further strengthens this position by adding a deep mid-stage biologics pipeline and an on-market rare disease biologic, UPLIZNA. This significant progress allows us to build on the value we provide to patients and our shareholders.”

Financial Highlights
 
(in millions except for per share amounts and percentages)   Q4 20 Q4 19 %
Change
FY 20 FY 19 %
Change
 
Net sales

$

      745.3

$

      363.5

        105

 

$

   2,200.4

$

   1,300.0

69

 

Net income

 

         190.6

 

         592.8

        (68

)

 

          389.8

 

          573.0

           (32

)

Non-GAAP net income

 

         298.5

 

         116.6

        156

 

 

          857.6

 

          390.2

120

 

Adjusted EBITDA

 

         371.0

 

         139.9

        165

 

 

          998.7

 

          482.8

107

 

 
Earnings per share - diluted

 

           0.82

 

           2.84

        (71

)

 

            1.81

 

            2.90

           (38

)

Non-GAAP earnings per share - diluted

 

           1.28

 

           0.56

        129

 

 

            3.88

 

            1.94

           100

 

Fourth-Quarter and Recent Company Highlights

  • Pending Acquisition of Viela Bio, Inc.: On Jan. 31, 2021, the Company entered into a definitive agreement to acquire Viela, a biotechnology company with a deep, mid-stage biologics pipeline for autoimmune and severe inflammatory diseases, an experienced R&D team and UPLIZNA, a recently approved biologic medicine for a rare disease. The acquisition represents a significant step forward in advancing the Company’s strategy to expand its pipeline to accelerate long-term sustainable growth by adding four pipeline candidates currently in nine development programs. Per the agreement, the Company will acquire all of Viela’s common stock for $53.00 per share in cash, which represents a fully diluted equity value of approximately $2.67 billion, net of Viela’s cash and cash equivalents. The transaction is expected to close by the end of the first quarter of 2021.

  • TEPEZZA Supply Update: In January 2021, the Company submitted a prior approval supplement to the U.S. Food and Drug Administration (FDA) to support increased scale production of TEPEZZA drug product for the treatment of Thyroid Eye Disease (TED). The submission includes data to support more drug product output with each manufacturing slot than is currently approved by the FDA. The Company will continue to discuss potential additional data requirements and the approval timeline with the FDA. The Company continues to expect that the disruption could last through the first quarter of 2021. As previously announced on Dec. 17, 2020, this increased production scale became necessary due to government-mandated COVID-19 vaccine production orders pursuant to the Defense Production Act of 1950 (DPA) that dramatically reduced the number of drug product production slots available to Horizon at the Company’s drug product contract manufacturer of TEPEZZA.

  • Entered into Agreement with Halozyme to Develop a TEPEZZA Subcutaneous (SC) Formulation: On Nov. 21, 2020, the Company and Halozyme Therapeutics, Inc. entered into a global collaboration and license agreement for exclusive access to Halozyme’s ENHANZE® drug delivery technology for subcutaneous formulation of medicines targeting IGF-1R. The Company intends to use ENHANZE to develop a SC formulation of TEPEZZA, potentially shortening drug administration time, reducing healthcare practitioner time and offering additional flexibility and convenience for patients.

  • Completed Enrollment in KRYSTEXXA PROTECT Trial: In January 2021, the Company completed enrollment in the PROTECT open-label trial. The trial, which is evaluating KRYSTEXXA to improve the management of uncontrolled gout for adults with a kidney transplant, had a total enrollment of 20 patients. Results are expected in the fourth quarter of 2021. In October 2020, the Company announced interim data from the PROTECT trial that were encouraging with respect to the ability of KRYSTEXXA to treat uncontrolled gout in this very sensitive transplant population without compromising kidney function.

  • Announced Two New KRYSTEXXA Trials to Impact the Patient Experience and Broaden the Patient Population: The Company recently announced it is planning to initiate two new KRYSTEXXA trials in the first half of 2021. The KRYSTEXXA monthly dosing open-label trial is evaluating a monthly dosing regimen of KRYSTEXXA with methotrexate to treat people with uncontrolled gout. The current dosing schedule for KRYSTEXXA is every other week. The KRYSTEXXA retreatment open-label trial is evaluating KRYSTEXXA with methotrexate in patients who have previously failed on KRYSTEXXA. In addition, in October, the Company enrolled the first patient in its open-label shorter infusion duration trial, which is evaluating a shorter infusion duration of KRYSTEXXA with methotrexate. The current infusion time is two hours or longer.

  • New TEPEZZA Clinical Data Presented at Medical Meetings: New TEPEZZA data were presented at the virtual American Academy of Ophthalmology (AAO) Annual Meeting in November, including data from the OPTIC 48-week follow-up study and OPTIC-X clinical trial that demonstrated a durable response. In addition, case studies of 21 chronic TED patients who showed benefit after treatment with TEPEZZA were presented at the virtual Fall Symposium of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) in November. This adds to the growing body of evidence supporting the use of TEPEZZA in chronic TED patients, with approximately 30 chronic TED patients across multiple case reports who have consistently demonstrated benefit.

  • KRYSTEXXA Immunomodulation RECIPE Trial Achieved 86 Percent Response Rate: In November, data were presented from the investigator-initiated RECIPE randomized controlled trial (RCT), evaluating the effect of co-administration of KRYSTEXXA with mycophenolate mofetil (MMF) to increase the complete response rate of KRYSTEXXA, with 86 percent of patients receiving KRYSTEXXA co-administered with MMF achieving the primary endpoint of serum uric acid (sUA) less than or equal to 6 mg/dL at 12 weeks, compared to 40 percent of placebo patients on KRYSTEXXA monotherapy (p-value 0.01). After 12 weeks off of MMF therapy but continuing on KRYSTEXXA therapy, 68 percent of patients achieved a sustained response, compared to 30 percent of placebo patients. The combination was well tolerated with no new safety signals. This trial adds to the growing body of evidence supporting the immunomodulation treatment approach where complete response rates have ranged between 70 and 100 percent.

  • Established Scholarship Endowments to Foster Equity in Education: In December, the Company announced that it provided $1 million to endow scholarships to be awarded to economically disadvantaged students and students of color at Howard University and in a joint health professionals program at Lake Forest College and Rosalind Franklin University. This adds to the Company’s efforts to combat racism and foster inclusion, which includes a $500,000 donation to community organizations that are addressing racial inequality and racism, as well as internal efforts within the Company to further embed inclusion, diversity, equity and allyship at all levels of the organization.

  • Received Continued Recognition as a Best Workplace: In 2020, the Company received 13 workplace-related recognitions, including six in the fourth quarter, reflecting the high level of engagement of its employees. Horizon was named to the following lists in the fourth quarter:
    • Fortune Best Small & Medium Workplaces™;
    • Great Place to Work’s 2020 Best Workplaces for Parents™;
    • National Association for Business Resources’ 2020 Best and Brightest Companies to Work For in the Nation®;
    • Chicago Tribune Top Workplaces 2020;
    • San Francisco Bay Area’s 2020 Best and Brightest Companies to Work For®; and
    • Dave Thomas Foundation for Adoption Best Adoption-Friendly Workplace™ list.

Key Research and Development Programs

  • HZN-825 Diffuse Cutaneous Systemic Sclerosis Program: HZN-825 is an LPAR1 antagonist in development for the treatment of diffuse cutaneous systemic sclerosis (dcSSc), a rare, chronic autoimmune disease marked by fibrosis, or skin thickening, with no FDA-approved treatment options. The Company expects to begin a Phase 2b pivotal trial in the first half of 2021 with the primary endpoint of forced vital capacity after 52 weeks of treatment.

  • HZN-825 Interstitial Lung Disease Program: As part of its strategy to further explore the potential fibrosis-mediating benefits of LPAR1 antagonism, in mid-2021, the Company expects to begin a Phase 2b pivotal trial with HZN-825 in idiopathic pulmonary fibrosis (IPF), the most common form of interstitial lung disease. IPF is a rare progressive lung disease with a median survival of less than five years with significant unmet need.

  • TEPEZZA Trial in Chronic TED: The Company expects to initiate a randomized, placebo-controlled trial of TEPEZZA in patients with chronic TED in the second quarter of 2021, assuming normalized supply of TEPEZZA. In chronic TED, the disease is no longer progressive; however, significant disease manifestations such as proptosis (eye bulging) and diplopia (double vision) remain. Although the prescribing information for TEPEZZA includes chronic TED patients, the Company is conducting the trial to generate clinical data to better inform payers and physicians about the use of TEPEZZA in chronic TED.

  • TEPEZZA Subcutaneous (SC) Administration Program: The Company has initiated a pharmacokinetic trial to explore SC dosing of TEPEZZA, which is currently administered by infusion. The objective of the trial is to inform the potential for additional administration options for TEPEZZA, which could provide greater flexibility for patients and physicians. The TEPEZZA SC administration program includes evaluating Halozyme’s ENHANZE drug delivery technology for a SC formulation of TEPEZZA, with initial early clinical work expected to begin in 2021.

  • TEPEZZA dcSSc Exploratory Trial: As part of its evaluation of additional potential indications for TEPEZZA, the Company is planning to initiate an exploratory trial in dcSSc by mid-2021, assuming normalized supply of TEPEZZA.

  • KRYSTEXXA MIRROR Randomized Controlled Trial: The Company is currently evaluating the efficacy and safety of the concomitant use of KRYSTEXXA with methotrexate to increase the complete response rate of KRYSTEXXA in the MIRROR RCT. The primary endpoint of the trial is the proportion of sUA responders (sUA of less than 6 mg/dL) at six months, with secondary endpoints out to 12 months. The registrational trial is designed to enable the submission of results to the FDA to potentially update the prescribing information. The MIRROR RCT follows the MIRROR open-label trial completed in 2019 that demonstrated a 79 percent complete response rate for patients using KRYSTEXXA with methotrexate, nearly double the 42 percent response rate in the KRYSTEXXA Phase 3 clinical program, which evaluated KRYSTEXXA alone. Methotrexate is the immunomodulator most used by rheumatologists and has been shown to reduce anti-drug antibody formation to biologic therapies when used in conjunction with these therapies.

  • KRYSTEXXA PROTECT Trial in Kidney Transplant Patients with Uncontrolled Gout: In January 2021, the Company completed enrollment of 20 patients in the PROTECT open-label trial, evaluating KRYSTEXXA to improve management of uncontrolled gout for adults with a kidney transplant. Kidney transplant patients have more than a tenfold increase in the prevalence of gout when compared to the general population, and literature suggests that persistently high sUA levels can be associated with organ rejection. Managing uncontrolled gout is one of the most common and significant unmet needs of kidney transplant patients.

  • KRYSTEXXA Shorter Infusion Duration Trial: In October 2020, the Company enrolled the first patient in its shorter infusion duration trial to evaluate the impact of administering KRYSTEXXA over a significantly shorter infusion duration. Currently, KRYSTEXXA is infused over a two-hour or longer timeframe. A shorter infusion duration administration could meaningfully impact the experience for patients, physicians and sites of care.

  • KRYSTEXXA Monthly Dosing Trial: The Company is planning to initiate an open-label trial evaluating a monthly dosing regimen of KRYSTEXXA with methotrexate to treat people with uncontrolled gout. The current dosing schedule for KRYSTEXXA is every other week. The goal of the trial is to explore whether a monthly dosing regimen can provide similar outcomes as the current dosing schedule. The trial is expected to initiate in the first half of 2021.

  • KRYSTEXXA Retreatment Trial: The Company is planning to initiate an open-label trial evaluating KRYSTEXXA with methotrexate in patients who have previously failed KRYSTEXXA. The goal of the trial is to evaluate whether patients can benefit from KRYSTEXXA with methotrexate after developing an immune response to KRYSTEXXA when taken alone. Patients who have previously failed on KRYSTEXXA have limited options available to address their uncontrolled gout. The trial is expected to initiate in the first half of 2021.

Fourth-Quarter Financial Results

Note: For additional detail and reconciliation of non-GAAP financial measures to the most directly comparable GAAP financial measures, please refer to the tables at the end of this release.

  • Net Sales: Fourth-quarter 2020 net sales were $745.3 million, an increase of 105 percent compared to the fourth quarter of 2019.
  • Gross Profit: Under U.S. GAAP, the fourth-quarter 2020 gross profit ratio was 78.2 percent compared to 73.9 percent in the fourth quarter of 2019. The non-GAAP gross profit ratio in the fourth quarter of 2020 was 87.1 percent compared to 90.0 percent in the fourth quarter of 2019.
  • Operating Expenses: Research and development (R&D) expenses were 9.5 percent of net sales and selling, general and administrative (SG&A) expenses were 37.2 percent of net sales. Non-GAAP R&D expenses were 5.2 percent of net sales, and non-GAAP SG&A expenses were 32.3 percent of net sales.
  • Income Tax Expense: In the fourth quarter of 2020, income tax expense on a GAAP and non-GAAP basis was $39.0 million and $61.6 million, respectively.
  • Net Income: On a GAAP basis in the fourth quarter of 2020, net income was $190.6 million. Fourth-quarter 2020 non-GAAP net income was $298.5 million.
  • Adjusted EBITDA: Fourth-quarter 2020 adjusted EBITDA was $371.0 million.
  • Earnings per Share: On a GAAP basis diluted earnings per share in the fourth quarter of 2020 and 2019 was $0.82 and $2.84, respectively. Non-GAAP diluted earnings per share in the fourth quarter of 2020 and 2019 was $1.28 and $0.56, respectively. Weighted average shares outstanding used for calculating GAAP and non-GAAP diluted earnings per share in the fourth quarter of 2020 were 232.9 million.

 

Fourth-Quarter Segment Results

 

Management uses net sales and segment operating income to evaluate the performance of the Company’s two segments, the orphan segment and the inflammation segment. While segment operating income contains certain adjustments to the directly comparable GAAP figures in the Company’s consolidated financial results, it is considered to be prepared in accordance with GAAP for purposes of presenting the Company’s segment operating results.

 

Orphan Segment

 
 
(in millions except for percentages)   Q4 20   Q4 19   %
Change
FY 20 FY 19 %
Change
   
TEPEZZA®  

 

                 343.7

 

                       -  

NM

 

 

                820.0

 

                        -  

NM

 

KRYSTEXXA®  

 

                 128.9

 

                110.7

16

 

 

                405.9

 

                 342.4

19

 

RAVICTI®(1)  

 

                   70.2

 

                   68.5

3

 

 

                261.6

 

                 228.8

14

 

PROCYSBI®  

 

                   47.3

 

                   40.8

                16

 

 

                170.1

 

                 161.9

5

 

ACTIMMUNE®  

 

                   35.7

 

                   28.4

26

 

 

                118.8

 

                 107.3

11

 

BUPHENYL®(1)  

 

                     2.2

 

                     1.6

32

 

 

                   10.6

 

                     9.8

                       8

 

QUINSAIRTM  

 

                     0.2

 

                     0.3

(25

)

 

                     0.7

 

                     0.8

(15

)

Orphan Net Sales  

 $

             628.2

 $

             250.3

151

 

 $

         1,787.7

 $

             851.0

110

 

   
Orphan Segment Operating Income  

 $

             303.0

 $

               83.3

264

 

 $

             783.6

 $

             263.3

198

 

(1)

 

On Oct. 27, 2020, the Company sold its rights to develop and commercialize RAVICTI® and BUPHENYL® in Japan to Medical Need Europe AB, part of the Immedica Group. The Company has retained the rights to RAVICTI and BUPHENYL in North America.

  • Fourth-quarter 2020 net sales of the orphan segment, the Company’s strategic growth segment, were $628.2 million, an increase of 151 percent over the prior year’s quarter, driven by the strong performance of TEPEZZA, KRYSTEXXA, PROCYSBI and ACTIMMUNE. The orphan segment represented 84 percent of total fourth-quarter net sales.
  • Fourth-quarter 2020 orphan segment operating income was $303.0 million, which includes significant investment spend associated with the commercial launch of TEPEZZA.

Inflammation Segment

 
(in millions except for percentages)  

Q4 20

Q4 19

%
Change

FY 20

FY 19

%
Change

   
  PENNSAID 2%®  

 

                   51.1

 

                   57.0

(10

)

 

                178.0

 

                 200.8

(11

)

  DUEXIS®  

 

                   38.3

 

                   26.3

45

 

 

                125.3

 

                 115.7

8

 

  RAYOS®  

 

                   21.0

 

                   19.5

8

 

 

                   71.8

 

                   78.6

(9

)

  VIMOVO®(1)  

 

                     6.7

 

                   10.4

(35

)

 

                   37.6

 

                   52.1

(28

)

  MIGERGOT®(2)  

 

                        -  

 

                       -  

NM

 

 

                       -  

 

                     1.8

NM

 

Inflammation Net Sales  

 $

             117.1

 $

             113.2

3

 

 $

             412.7

 $

             449.0

(8

)

   
Inflammation Segment Operating Income   

 $

                66.9

   

 $

               56.2

19

 

 $

             212.1

 $

             217.9

(3

)

(1)

 

On Feb. 27, 2020, Dr. Reddy’s Laboratory initiated an at-risk launch of generic VIMOVO in the United States.

(2)

 

In June 2019, the Company divested the rights to MIGERGOT.

  • Fourth-quarter 2020 net sales of the inflammation segment were $117.1 million, and segment operating income was $66.9 million.

Cash Flow Statement and Balance Sheet Highlights

  • On a GAAP basis, operating cash flow in the fourth quarter of 2020 was $409.8 million. Non-GAAP operating cash flow was $411.2 million.
  • As of Dec. 31, 2020, the Company had cash and cash equivalents of $2.080 billion.
  • As of Dec. 31, 2020, the total principal amount of debt outstanding was $1.018 billion. As of Dec. 31, 2020, the gross-debt-to-last-12-months adjusted EBITDA leverage ratio was 1.0 times, compared to 2.9 times as of Dec. 31, 2019.

2021 Guidance

The Company expects full‐year 2021 net sales to range between $2.70 billion and $2.80 billion, representing 25 percent growth at the midpoint. The Company expects TEPEZZA full-year 2021 net sales of greater than $1.275 billion and KRYSTEXXA full-year 2021 net sales of greater than $500 million. Full-year 2021 adjusted EBITDA is expected to range between $1.14 billion and $1.18 billion, representing 16 percent growth at the midpoint. The Company’s guidance assumes FDA approval of the increased scale drug product manufacturing process of TEPEZZA and the successful completion of future committed manufacturing slots for TEPEZZA and does not reflect the potential impact of the operations of Viela following the close of the acquisition, which is expected to occur by the end of first quarter of 2021, and which would result in an expected reduction of full-year 2021 adjusted EBITDA of approximately $140 million.

Webcast

At 8 a.m. EST / 1 p.m. IST today, the Company will host a live webcast to review its financial and operating results and provide a general business update. The live webcast and a replay may be accessed at http://ir.horizontherapeutics.com. Please connect to the Company's website at least 15 minutes prior to the live webcast to ensure adequate time for any software download that may be needed to access the webcast. A replay of the webcast will be available approximately two hours after the live webcast.

About Horizon

Horizon is focused on researching, developing and commercializing medicines that address critical needs for people impacted by rare and rheumatic diseases. Our pipeline is purposeful: we apply scientific expertise and courage to bring clinically meaningful therapies to patients. We believe science and compassion must work together to transform lives. For more information on how we go to incredible lengths to impact lives, please visit www.horizontherapeutics.com and follow us on Twitter, LinkedIn, Instagram and Facebook.

Note Regarding Use of Non-GAAP Financial Measures

EBITDA, or earnings before interest, taxes, depreciation and amortization, and adjusted EBITDA are used and provided by Horizon as non-GAAP financial measures. Horizon provides certain other financial measures such as non-GAAP net income, non-GAAP diluted earnings per share, non-GAAP gross profit and gross profit ratio, non-GAAP operating expenses, non-GAAP operating income, non-GAAP tax rate and non-GAAP operating cash flow, each of which include adjustments to GAAP figures. These non-GAAP measures are intended to provide additional information on Horizon’s performance, operations, expenses, profitability and cash flows. Adjustments to Horizon’s GAAP figures as well as EBITDA exclude acquisition and/or divestiture-related expenses, charges related to the discontinuation of ACTIMMUNE development for Friedreich’s ataxia, gain or loss from divestiture, gain or loss from sale of assets, upfront, progress and milestone payments related to license and collaboration agreements, litigation settlements, loss on debt extinguishment, costs of debt refinancing, drug manufacturing harmonization costs, restructuring and realignment costs, the income tax effect on pre-tax non-GAAP adjustments and other non-GAAP income tax adjustments, as well as non-cash items such as share-based compensation, depreciation and amortization, non-cash interest expense, long-lived asset impairment charges and other non-cash adjustments. Certain other special items or substantive events may also be included in the non-GAAP adjustments periodically when their magnitude is significant within the periods incurred. Horizon maintains an established non-GAAP cost policy that guides the determination of what costs will be excluded in non-GAAP measures. Horizon believes that these non-GAAP financial measures, when considered together with the GAAP figures, can enhance an overall understanding of Horizon’s financial and operating performance. The non-GAAP financial measures are included with the intent of providing investors with a more complete understanding of the Company’s historical and expected 2021 financial results and trends and to facilitate comparisons between periods and with respect to projected information. In addition, these non-GAAP financial measures are among the indicators Horizon’s management uses for planning and forecasting purposes and measuring the Company's performance. For example, adjusted EBITDA is used by Horizon as one measure of management performance under certain incentive compensation arrangements. These non-GAAP financial measures should be considered in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. The non-GAAP financial measures used by the Company may be calculated differently from, and therefore may not be comparable to, non-GAAP financial measures used by other companies. Horizon has not provided a reconciliation of its full-year 2021 adjusted EBITDA outlook to an expected net income (loss) outlook because certain items such as acquisition/divestiture-related expenses and share-based compensation that are a component of net income (loss) cannot be reasonably projected due to the significant impact of changes in Horizon’s stock price, the variability associated with the size or timing of acquisitions/divestitures and other factors. These components of net income (loss) could significantly impact Horizon’s actual net income (loss).

Forward-Looking Statements

This press release contains forward-looking statements, including, but not limited to, statements related to Horizon’s full-year 2021 net sales and adjusted EBITDA guidance; expected financial performance and operating results in future periods, including potential growth in net sales of certain of Horizon’s medicines; the acquisition of Viela Bio, Inc. and the benefits and other impacts thereof; development and commercialization plans; expected timing of clinical trials, studies and regulatory submissions; potential market opportunity for and benefits of Horizon’s medicines and medicine candidates; and business and other statements that are not historical facts. These forward-looking statements are based on Horizon’s current expectations and inherently involve significant risks and uncertainties. Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of these risks and uncertainties, which include, without limitation, risks that Horizon’s actual future financial and operating results may differ from its expectations or goals; Horizon’s ability to grow net sales from existing medicines; impacts of the COVID-19 pandemic and actions taken to slow its spread, including impacts on supplies and net sales of Horizon’s medicines and potential delays in clinical trials; risks associated with acquisitions, such as the risk that closing conditions will not be satisfied, that the businesses will not be integrated successfully, that such integration may be more difficult, time-consuming or costly than expected or that the expected benefits of the transaction will not occur; the availability of coverage and adequate reimbursement and pricing from government and third-party payers; risks relating to Horizon’s ability to successfully implement its business strategies; risks inherent in developing novel medicine candidates and existing medicines for new indications; risks associated with regulatory approvals; risks in the ability to recruit, train and retain qualified personnel; competition, including potential generic competition; the ability to protect intellectual property and defend patents; regulatory obligations and oversight, including any changes in the legal and regulatory environment in which Horizon operates and those risks detailed from time-to-time under the caption "Risk Factors" and elsewhere in Horizon’s filings and reports with the SEC. Horizon undertakes no duty or obligation to update any forward-looking statements contained in this press release as a result of new information.

Horizon Therapeutics plc
Consolidated Statements of Operations
(in thousands, except share and per share data)
   
 

Three Months Ended December 31,

 

Twelve Months Ended December 31,

 

2020

 

2019

 

2020

 

2019

   (Unaudited) 
Net sales  

 $

            745,314

 

 $

               363,545

 

 $

        2,200,429

 

 $

             1,300,029

 

Cost of goods sold  

 

               162,289

 

 

                    94,921

 

 

               532,695

 

 

                    362,175

 

Gross profit  

 

               583,025

 

 

                  268,624

 

 

            1,667,734

 

 

                    937,854

 

   
OPERATING EXPENSES:  
Research and development  

 

                 70,881

 

 

                    28,558

 

 

               209,364

 

 

                    103,169

 

Selling, general and administrative  

 

               276,956

 

 

                  185,391

 

 

               973,227

 

 

                    697,111

 

(Gain)/Loss on sale of assets  

 

                 (4,883

)

 

                              -

 

 

                  (4,883

)

 

                      10,963

 

Total operating expenses  

 

               342,954

 

 

                  213,949

 

 

            1,177,708

 

 

                    811,243

 

Operating income  

 

               240,071

 

 

                    54,675

 

 

               490,026

 

 

                    126,611

 

   
OTHER EXPENSE, NET:  
Interest expense, net  

 

               (11,516

)

 

                  (17,098

)

 

               (59,616

)

 

                    (87,089

)

Loss on debt extinguishment  

 

                           -

 

 

                              -

 

 

               (31,856

)

 

                    (58,835

)

Foreign exchange (loss) gain  

 

                     (603

)

 

                             58

 

 

                     (297

)

 

                              33

 

Other income (expense), net  

 

                    1,597

 

 

                        (751

)

 

                    3,388

 

 

                          (944

)

Total other expense, net  

 

               (10,522

)

 

                  (17,791

)

 

               (88,381

)

 

                 (146,835

)

   
Income (Loss) before expense (benefit) for income taxes  

 

               229,549

 

 

                    36,884

 

 

               401,645

 

 

                    (20,224

)

Expense (benefit) for income taxes  

 

                 38,992

 

 

                (555,885

)

 

                  11,849

 

 

                 (593,244

)

Net income  

 $

            190,557

 

 $

               592,769

 

 $

            389,796

 

 $

                573,020

 

   
Net income per ordinary share - basic  

 $

                   0.86

 

 $

                      3.16

 

 $

                   1.91

 

 $

                       3.13

 

   
Weighted average ordinary shares outstanding - basic  

 

       220,929,626

 

 

          187,421,561

 

 

       203,967,246

 

 

           182,930,109

 

   
Net income per ordinary share - diluted  

 $

                   0.82

 

 $

                      2.84

 

 $

                   1.81

 

 $

                       2.90

 

   
Weighted average ordinary shares outstanding - diluted  

 

       232,886,942

 

 

          210,953,579

 

 

       215,308,768

 

 

           205,224,221

 

Horizon Therapeutics plc
Condensed Consolidated Balance Sheets
(in thousands, except share data)
 
 
As of
December 31,
2020
December 31,
2019
ASSETS
CURRENT ASSETS:
Cash and cash equivalents

 $

         2,079,906

 

 

 $

      1,076,287

 

Restricted cash

 

                     3,573

 

 

 

                  3,752

 

Accounts receivable, net

 

                659,701

 

 

 

             408,685

 

Inventories, net

 

                  75,283

 

 

 

                53,802

 

Prepaid expenses and other current assets

 

                251,945

 

 

 

             143,577

 

Total current assets

 

            3,070,408

 

 

          1,686,103

 

Property and equipment, net

 

                189,037

 

 

                30,159

 

Developed technology and other intangible assets, net

 

            1,782,962

 

 

          1,702,628

 

Goodwill

 

                413,669

 

 

             413,669

 

Deferred tax assets, net

 

                560,841

 

 

             555,165

 

Other assets

 

                  55,699

 

 

                48,310

 

Total assets

 $

         6,072,616

 

  $

      4,436,034

 

 
LIABILITIES AND SHAREHOLDERS' EQUITY
CURRENT LIABILITIES:
Accounts payable

 $

               37,710

 

 $

            21,514

 

Accrued expenses

 

                485,567

 

 

             235,234

 

Accrued trade discounts and rebates

 

                352,463

 

 

             466,421

 

Total current liabilities

 

                875,740

 

 

             723,169

 

 
LONG-TERM LIABILITIES:
Exchangeable Senior Notes, net

 

                          -

 

 

             351,533

 

Long-term debt, net

 

            1,003,379

 

 

          1,001,308

 

Deferred tax liabilities, net

 

                  66,474

 

 

                94,247

 

Other long-term liabilities

 

                101,672

 

 

 

                80,328

 

Total long-term liabilities

 

            1,171,525

 

 

 

          1,527,416

 

   
COMMITMENTS AND CONTINGENCIES    
SHAREHOLDERS' EQUITY:    
Ordinary shares, $0.0001 nominal value; 600,000,000 shares
authorized at December 31, 2020 and December 31, 2019;    
221,721,674  and 188,402,040 shares issued at December 31, 2020    
and December 31, 2019, respectively, and 221,337,308 and 188,017,674 shares    
outstanding at December 31, 2020 and December 31, 2019, respectively

 

                           22

 

 

 

                        19

 

Treasury stock, 384,366 ordinary shares at December 31, 2020 and December 31, 2019

 

                  (4,585

)

 

 

                (4,585

)

Additional paid-in capital

 

            4,245,945

 

 

 

          2,797,602

 

Accumulated other comprehensive loss

 

                      (145

)

 

 

                (1,905

)

Accumulated deficit

 

              (215,886

)

 

 

           (605,682

)

Total shareholders' equity

 

            4,025,351

 

 

 

          2,185,449

 

Total liabilities and shareholders' equity

 $

         6,072,616

 

 

  $

      4,436,034

 

 

Horizon Therapeutics plc

Condensed Consolidated Statements of Cash Flows

(in thousands)
   
   
 

Three Months Ended December 31,

 

Twelve Months Ended December 31,

 

2020

 

2019

 

2020

 

2019

   (Unaudited) 
CASH FLOWS FROM OPERATING ACTIVITIES:  
Net income  

 $

             190,557

 

 $

             592,769

 

 $

             389,796

 

 $

             573,020

 

Adjustments to reconcile net income to net cash provided by operating activities:  
Depreciation and amortization expense  

 

                  69,545

 

 

                  59,821

 

 

                279,451

 

 

                237,157

 

Equity-settled share-based compensation  

 

                  32,793

 

 

                  24,149

 

 

                146,627

 

 

                  91,215

 

Acquired in-process research and development expense  

 

                  30,000

 

 

                            -

 

 

                  77,517

 

 

                            -

 

Loss on debt extinguishment  

 

                            -

 

 

                            -

 

 

                  31,856

 

 

                  58,835

 

Amortization of debt discount and deferred financing costs  

 

                        615

 

 

                     5,533

 

 

                  12,640

 

 

                  22,602

 

(Gain)/Loss on sale of assets  

 

                  (4,883

)

 

                            -

 

 

                  (4,883

)

 

                  10,963

 

Deferred income taxes  

 

                (25,412

)

 

              (573,840

)

 

                (33,453

)

 

              (565,537

)

Foreign exchange and other adjustments  

 

                        728

 

 

                             2

 

 

                     1,812

 

 

                        574

 

Changes in operating assets and liabilities:  
Accounts receivable  

 

                  46,219

 

 

                (11,996

)

 

              (251,173

)

 

                  56,166

 

Inventories  

 

                     1,878

 

 

                     4,737

 

 

                (21,451

)

 

                  (3,268

)

Prepaid expenses and other current assets  

 

                (31,562

)

 

                      (708

)

 

              (114,788

)

 

                (72,763

)

Accounts payable  

 

                  (1,694

)

 

                  (5,385

)

 

                  16,015

 

 

                  (8,723

)

Accrued trade discounts and rebates  

 

                  29,560

 

 

                  61,832

 

 

              (113,991

)

 

                     8,591

 

Accrued expenses  

 

                  57,791

 

 

                  30,379

 

 

                114,621

 

 

                  19,788

 

Deferred revenues  

 

                            -

 

 

                            -

 

 

                            -

 

 

                  (4,901

)

Other non-current assets and liabilities  

 

                  13,682

 

 

                     4,087

 

 

                  25,092

 

 

                     2,613

 

Net cash provided by operating activities  

 

                409,817

 

 

                191,380

 

 

                555,688

 

 

                426,332

 

CASH FLOWS FROM INVESTING ACTIVITIES:  
Purchases of property and equipment  

 

                (36,453

)

 

                  (6,532

)

 

              (169,852

)

 

                (17,857

)

Payments for long-term investments, net  

 

                  (4,377

)

 

                            -

 

 

                (13,314

)

 

                            -

 

Proceeds from sale of assets  

 

                     5,400

 

 

                            -

 

 

                     5,400

 

 

                     6,000

 

Payments for acquisitions  

 

                            -

 

 

                            -

 

 

              (262,305

)

 

                            -

 

Change in escrow deposit for property purchase  

 

                            -

 

 

                  (6,000

)

 

                     6,000

 

 

                  (6,000

)

Payment related to license agreement  

 

                (30,000

)

 

                            -

 

 

                (30,000

)

 

                            -

 

Net cash used in investing activities  

 

                (65,430

)

 

                (12,532

)

 

              (464,071

)

 

                (17,857

)

CASH FLOWS FROM FINANCING ACTIVITIES:  
Net proceeds from issuance of senior notes  

 

                            -

 

 

                            -

 

 

                            -

 

 

                590,057

 

Repayment of senior notes  

 

                            -

 

 

                            -

 

 

                  (1,739

)

 

              (814,420

)

Net proceeds from the issuance of ordinary shares  

 

                      (209

)

 

                            -

 

 

                919,786

 

 

                326,793

 

Repayment of term loans  

 

                            -

 

 

              (418,026

)

 

                            -

 

 

          (1,336,207

)

Net proceeds from term loans  

 

                            -

 

 

                418,026

 

 

                            -

 

 

                935,404

 

Contingent consideration proceeds from divestiture  

 

                            -

 

 

                            -

 

 

                            -

 

 

                     3,297

 

Proceeds from the issuance of ordinary shares in conjunction with ESPP program  

 

                     8,189

 

 

                     5,849

 

 

                  16,168

 

 

                  11,317

 

Proceeds from the issuance of ordinary shares in connection with stock option exercises  

 

                     2,870

 

 

                     8,646

 

 

                  36,869

 

 

                  24,882

 

Payment of employee withholding taxes relating to share-based awards  

 

                  (6,753

)

 

                  (2,109

)

 

                (66,505

)

 

                (31,569

)

Net cash provided by (used in) financing activities  

 

                     4,097

 

 

                  12,386

 

 

                904,579

 

 

              (290,446

)

   
Effect of foreign exchange rate changes on cash, cash equivalents and restricted cash  

 

                     6,019

 

 

                     1,095

 

 

                     7,244

 

 

                      (107

)

   
Net increase in cash, cash equivalents and restricted cash  

 

                354,503

 

 

                192,329

 

 

            1,003,440

 

 

                117,922

 

Cash, cash equivalents and restricted cash, beginning of the period(1)  

 

            1,728,976

 

 

                887,710

 

 

            1,080,039

 

 

                962,117

 

Cash, cash equivalents and restricted cash, end of the period(1)  

 $

         2,083,479

 

 $

         1,080,039

 

 $

         2,083,479

 

 $

         1,080,039

 

   

(1) Amounts include restricted cash balance in accordance with ASU No. 2016-18. Cash and cash equivalents excluding restricted cash are shown on the balance sheet.

 

Horizon Therapeutics plc
GAAP to Non-GAAP Reconciliations
Net Income and Earnings Per Share (Unaudited)
(in thousands, except share and per share data)
   
   
 

Three Months Ended December 31,

 

Twelve Months Ended December 31,

 

2020

 

2019

 

2020

 

2019

   
   
GAAP net income  

 $

            190,557

 

 $

            592,769

 

 $

            389,796

 

 $

            573,020

 

Non-GAAP adjustments:  
Acquisition/divestiture-related costs  

 

                    1,900

 

 

                        942

 

 

                  49,196

 

 

                    3,556

 

Restructuring and realignment costs  

 

                     (141

)

 

                        204

 

 

                     (141

)

 

                        237

 

Amortization and step-up:  
Intangible amortization expense  

 

                  64,471

 

 

                  57,662

 

 

               255,148

 

 

               230,424

 

Inventory step-up expense  

 

                           -

 

 

                           -

 

 

                           -

 

 

                          89

 

Amortization of debt discount and deferred financing costs  

 

                        615

 

 

                    5,533

 

 

                  12,640

 

 

                  22,602

 

Impairment of long-lived assets  

 

                        641

 

 

                           -

 

 

                    1,713

 

 

                           -

 

(Gain)/Loss on sale of assets  

 

                  (4,883

)

 

                           -

 

 

                  (4,883

)

 

                  10,963

 

Share-based compensation  

 

                  32,793

 

 

                  24,149

 

 

               146,627

 

 

                  91,215

 

Depreciation  

 

                    5,074

 

 

                    2,159

 

 

                  24,303

 

 

                    6,733

 

Litigation settlements  

 

                           -

 

 

                           -

 

 

                           -

 

 

                    1,000

 

Upfront, progress and milestone payments related to  
license and collaboration agreements  

 

                  30,000

 

 

                           -

 

 

                  33,000

 

 

                    9,073

 

Fees related to refinancing activities  

 

                           -

 

 

                        855

 

 

                          54

 

 

                    2,292

 

Loss on debt extinguishment  

 

                           -

 

 

                           -

 

 

                  31,856

 

 

                  58,835

 

Drug substance harmonization costs  

 

                          59

 

 

                          63

 

 

                        542

 

 

                        457

 

Charges relating to discontinuation of Friedreich's ataxia program  

 

                           -

 

 

                     (145

)

 

                           -

 

 

                    1,076

 

Total of pre-tax non-GAAP adjustments  

 

               130,529

 

 

                  91,422

 

 

               550,055

 

 

               438,552

 

Income tax effect of pre-tax non-GAAP adjustments  

 

               (22,631

)

 

               (14,277

)

 

             (102,753

)

 

               (66,568

)

Other non-GAAP income tax adjustments  

 

                           -

 

 

             (553,334

)

 

                  20,541

 

 

             (554,786

)

Total of non-GAAP adjustments  

 

               107,898

 

 

             (476,189

)

 

               467,843

 

 

             (182,802

)

Non-GAAP Net Income  

 $

            298,455

 

 $

            116,580

 

 $

            857,639

 

 $

            390,218

 

   
   
Non-GAAP Earnings Per Share:  
   
Weighted average ordinary shares - Basic   

 

       220,929,626

 

 

       187,421,561

 

 

       203,967,246

 

 

       182,930,109

 

   
Non-GAAP Earnings Per Share - Basic:  
GAAP earnings per share - Basic   

 $

                   0.86

 

 $

                   3.16

 

 $

                   1.91

 

 $

                   3.13

 

Non-GAAP adjustments  

 

                      0.49

 

 

                    (2.54

)

 

                      2.29

 

 

                    (1.00

)

Non-GAAP earnings per share - Basic  

 $

                   1.35

 

 $

                   0.62

 

 $

                   4.20

 

 $

                   2.13

 

   
Non-GAAP Net Income  

 $

            298,455

 

 $

            116,580

 

 $

            857,639

 

 $

            390,218

 

Effect of assumed exchange of Exchangeable Senior Notes, net of tax  

 

                           -

 

 

                    1,875

 

 

                    3,789

 

 

                    7,500

 

Numerator - non-GAAP Net Income  

 $

            298,455

 

 $

            118,455

 

 $

            861,428

 

 $

            397,718

 

   
Weighted average ordinary shares - Diluted  
Weighted average ordinary shares - Basic  

 

       220,929,626

 

 

       187,421,561

 

 

       203,967,246

 

 

       182,930,109

 

Ordinary share equivalents  

 

         11,957,316

 

 

         23,532,018

 

 

         18,203,897

 

 

         22,294,112

 

Denominator - weighted average ordinary shares – Diluted  

 

       232,886,942

 

 

       210,953,579

 

 

       222,171,143

 

 

       205,224,221

 

   
Non-GAAP Earnings Per Share - Diluted  
GAAP earnings per share - Diluted   

 $

                   0.82

 

 $

                   2.84

 

 $

                   1.81

 

 $

                   2.90

 

Non-GAAP adjustments  

 

                      0.46

 

 

                    (2.28

)

 

                      2.07

 

 

                    (0.96

)

Diluted earnings per share effect of ordinary share equivalents  

 

                           -

 

 

                           -

 

 

                           -

 

 

                           -

 

Non-GAAP earnings per share - Diluted  

 $

                   1.28

 

 $

                   0.56

 

 $

                   3.88

 

 $

                   1.94

 

 

Horizon Therapeutics plc
GAAP to Non-GAAP Reconciliations
EBITDA (Unaudited)
(in thousands)
   
   
 

Three Months Ended December 31,

 

Twelve Months Ended December 31,

 

2020

 

2019

 

2020

 

2019

       
   
   
GAAP net income  

 $

             190,557

 

 $

             592,769

 

 $

             389,796

 

 $

             573,020

 

Depreciation  

 

                     5,074

 

 

                     2,159

 

 

                   24,303

 

 

                     6,733

 

Amortization and step-up:  
Intangible amortization expense  

 

                   64,471

 

 

                   57,662

 

 

                 255,148

 

 

                 230,424

 

Inventory step-up expense  

 

                            -

 

 

                            -

 

 

                            -

 

 

                           89

 

Interest expense, net (including amortization of  
debt discount and deferred financing costs)  

 

                   11,516

 

 

                   17,098

 

 

                   59,616

 

 

                   87,089

 

Expense (Benefit) for income taxes  

 

                   38,992

 

 

              (555,885

)

 

                   11,849

 

 

              (593,244

)

EBITDA  

 $

             310,610

 

 $

             113,803

 

 $

             740,712

 

 $

             304,111

 

Other non-GAAP adjustments:  
Acquisition/divestiture-related costs  

 

                     1,900

 

 

                         942

 

 

                   49,196

 

 

                     3,556

 

Restructuring and realignment costs  

 

                       (141

)

 

                         204

 

 

                       (141

)

 

                         237

 

Impairment of long-lived assets  

 

                         641

 

 

                            -

 

 

                     1,713

 

 

                            -

 

(Gain)/Loss on sale of assets  

 

                   (4,883

)

 

                            -

 

 

                   (4,883

)

 

                   10,963

 

Share-based compensation  

 

                   32,793

 

 

                   24,149

 

 

                 146,627

 

 

                   91,215

 

Litigation settlements  

 

                            -

 

 

                            -

 

 

                            -

 

 

                     1,000

 

Upfront, progress and milestone payments related to  
license and collaboration agreements  

 

                   30,000

 

 

                            -

 

 

                   33,000

 

 

                     9,073

 

Fees related to refinancing activities  

 

                            -

 

 

                         855

 

 

                           54

 

 

                     2,292

 

Loss on debt extinguishment  

 

                            -

 

 

                            -

 

 

                   31,856

 

 

                   58,835

 

Drug substance harmonization costs  

 

                           59

 

 

                           63

 

 

                         542

 

 

                         457

 

Charges relating to discontinuation of Friedreich's ataxia program  

 

                            -

 

 

                       (145

)

 

                            -

 

 

                     1,076

 

Total of other non-GAAP adjustments  

 

                   60,369

 

 

                   26,068

 

 

                 257,964

 

 

                 178,704

 

Adjusted EBITDA  

 $

             370,979

 

 $

             139,871

 

 $

             998,676

 

 $

             482,815

 

Horizon Therapeutics plc
GAAP to Non-GAAP Reconciliations
Operating Income (Unaudited)
(in thousands)
   
   
 

Three Months Ended December 31,

 

Twelve Months Ended December 31,

 

2020

 

2019

 

2020

 

2019

       
       
GAAP operating income  

 $

           240,071

 

 $

              54,675

 

 $

           490,026

 

 $

           126,611

Non-GAAP adjustments:  
Acquisition/divestiture-related costs  

 

                   1,816

 

 

                     (200

FAQ

What were Horizon Therapeutics' Q4 2020 financial results?

Horizon Therapeutics reported Q4 2020 net sales of $745.3 million, a 105% increase year-over-year.

What is Horizon Therapeutics' guidance for 2021?

The company anticipates 2021 net sales between $2.70 billion and $2.80 billion, representing a 25% growth at the midpoint.

How did Horizon's net income change in Q4 2020?

Net income for Q4 2020 was $190.6 million, down 68% compared to the previous year.

What impact will the acquisition of Viela Bio have on Horizon?

The Viela Bio acquisition is expected to enhance Horizon's product pipeline but may reduce adjusted EBITDA by about $140 million for FY 2021.

Horizon Therapeutics Plc

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