Horizon Therapeutics plc Reports Record Second-Quarter 2021 Financial Results; Increasing Full-Year 2021 Net Sales and Adjusted EBITDA Guidance

Rhea-AI Summary

Horizon Therapeutics reported record Q2 2021 financial results, with net sales reaching $832.5 million, an 80% increase YoY. The company raised its full-year guidance for net sales and adjusted EBITDA, driven by strong demand for TEPEZZA, which saw sales of $453.3 million. The adjusted EBITDA for Q2 was $366.9 million, while GAAP net income was $158.1 million. Horizon also initiated three clinical trials and acquired a biologics manufacturing facility in Ireland. The company expects 2021 net sales to range between $3.025 billion and $3.125 billion, reflecting robust growth prospects.

Positive

• Q2 net sales increased 80% YoY to $832.5 million.
• TEPEZZA Q2 sales were $453.3 million; full-year guidance raised to >$1.550 billion.
• Adjusted EBITDA for Q2 was $366.9 million, up 92% YoY.
• GAAP net income reached $158.1 million, marking a recovery from a loss in Q2 2020.
• Initiated three clinical trials to expand pipeline.
• Acquired a biologics manufacturing facility to support growth.

Negative

• None.

Horizon Therapeutics plc (Nasdaq: HZNP) today announced record second-quarter 2021 financial results and increased both its full-year 2021 net sales and adjusted EBITDA guidance.

“Driving our record second-quarter performance was our highly successful TEPEZZA relaunch, which allowed Thyroid Eye Disease patients to rapidly access therapy and resulted in an increase in our full-year expectations,” said Tim Walbert, chairman, president and chief executive officer, Horizon. “Our increased full-year net sales and adjusted EBITDA guidance represents strong double-digit year-over-year growth driven by TEPEZZA, KRYSTEXXA and our other rare disease medicines, where we are seeing continued strong underlying demand given the significant benefits our medicines provide to patients. We also initiated three clinical trials and acquired a biologics drug product manufacturing facility to support our strategy to maximize our key growth drivers, expand our pipeline and build a global presence. Horizon remains one of the fastest-growing biotechnology companies, underscoring our commitment to generate value for patients and our shareholders.”

Financial Highlights

(in millions except for per share amounts and percentages)		Q2 21			Q2 20				% Change		YTD 21			YTD 20				% Change
Net sales		$	832.5		$	462.8			80		$	1,175.0		$	818.7			44
Net income (loss)			158.1			(80.0	)		298			34.8			(93.6	)		137
Non-GAAP net income			381.4			83.8			355			388.8			167.0			133
Adjusted EBITDA			366.9			190.7			92			412.7			297.9			39
Earnings (Loss) per share - diluted			0.67			(0.42	)		261			0.15			(0.49	)		131
Non-GAAP earnings per share - diluted			1.62			0.40			305			1.66			0.80			108

Second Quarter and Recent Company Highlights

• Strong TEPEZZA Relaunch Exceeded Expectations: In April, the Company resumed supplying the market with TEPEZZA following a supply disruption that began in December 2020 due to U.S.-government-mandated COVID-19 vaccine orders. Second-quarter net sales of $453.3 million exceeded expectations, and today, the Company increased its TEPEZZA full-year 2021 net sales guidance to greater than $1.550 billion from greater than $1.275 billion on continued strong new patient demand. In May, the Company resumed its unbranded television campaign and launched its first branded TEPEZZA television campaign, which is expected to drive broader reach and awareness of Thyroid Eye Disease (TED) and TEPEZZA, motivating patients to seek treatment more quickly.
  
  
• Entered into Agreement with Arrowhead to Develop Next-Generation Gout Medicine: In June, the Company entered into an agreement with Arrowhead Pharmaceuticals Inc., for a discovery-stage investigational RNA interference (RNAi) therapeutic targeting xanthine dehydrogenase (XDH) as a potential treatment for people with uncontrolled gout. Gout is a serious and painful form of arthritis that is caused by excess serum uric acid in the blood and XDH represents a clinically validated target that is the primary source of serum uric acid. There are more than nine million gout patients in the United States, and a meaningful portion of the patients treated do not respond sufficiently to conventional therapies.
  
  
• Acquired Biologics Manufacturing Facility in Waterford, Ireland: In July, the Company completed the acquisition of a biologics drug product manufacturing facility from EirGen Pharma in Waterford, Ireland. The Company intends to use the manufacturing facility to support the growth of the Company’s on-market medicines, including TEPEZZA, KRYSTEXXA and UPLIZNA® (inebilizumab-cdon), as well as development-stage biologics.
  
  
• New Chronic TED Data Published: Data published from two recent independent physician case studies of 40 chronic TED patients who showed benefit after treatment with TEPEZZA were published in Eye, the official journal for the Royal College of Ophthalmologists, and Orbit, the International Journal on Orbital Disorders, Oculoplastic and Lacrimal Surgery. These case studies add to the growing body of evidence supporting the use of TEPEZZA in chronic TED patients.
  
  
• Initiated Enrollment in Three Clinical Trials:
  • In May, the first patient was enrolled in an open-label trial to evaluate KRYSTEXXA plus methotrexate in patients who were not complete responders to treatment with KRYSTEXXA monotherapy. Patients who were not complete responders to KRYSTEXXA monotherapy have limited options available to address their uncontrolled gout, which is gout refractory to conventional therapies.
    
    
  • In June, the first patient was enrolled in a Phase 2 randomized, placebo-controlled trial to evaluate HZN-7734 in patients with moderate to severe active systemic lupus erythematosus (SLE), a disease in which the body's immune system attacks its own tissues and organs.
    
    
  • In July, the first patient was enrolled in a Phase 1 trial to evaluate HZN-1116 in patients with autoimmune diseases.
    
    
• Hosting Virtual R&D Day in September for Investors and Analysts: The Company will host a virtual R&D Day on Sept. 29, featuring presentations from the Company’s R&D leadership team and key opinion leaders with a focus on the Company’s expanded pipeline.
  
  
• Presented New UPLIZNA Data at Medical Meetings: The Company participated in several key medical meetings in the quarter, highlighting new UPLIZNA data. In April, new end-of-study data from the open-label extension period of the pivotal Phase 3 trial in patients with neuromyelitis optica spectrum disorder (NMOSD) were presented at the American Academy of Neurology’s 73rd Annual Meeting. The data demonstrated that UPLIZNA was generally well-tolerated for at least four years, and that long-term UPLIZNA treatment provided a sustained reduction in NMOSD attack risk from baseline, regardless of the time of treatment initiation. The Company also presented three oral sessions on UPLIZNA at the 7^th Congress of the European Academy of Neurology (EAN) in June. Additionally, a new analysis of the pivotal Phase 3 trial demonstrating that the medicine consistently reduced the risk of worsening disability in people living with NMOSD was published in the May issue of Neurology Neuroimmunology & Neuroinflammation.
  
  
• Received Multiple Best Workplace Awards: During the second quarter, the Company received four workplace recognitions reflecting the high engagement of its employees. In April, the Company was named one of Fortune’s “100 Best Companies to Work For” in the United States for the first time and was placed on Crain’s Chicago Business’ 2021 “Best Places to Work in Chicago” list for the sixth consecutive year. In May, Great Place to Work® named the Company to the “Best Workplaces in Chicago” list for the fifth consecutive year. In July, Fortune and Great Place to Work named the Company to the “Best Workplaces for Millennials™” list for the second consecutive year and the Company was the highest ranked biotechnology company on the list.

Key Clinical Development Programs

• TEPEZZA, an insulin-like growth factor type 1 receptor (IGF-1R) antagonist monoclonal antibody.
  
  • Chronic TED Trial: Phase 4 randomized, placebo-controlled trial to evaluate TEPEZZA in chronic TED expected to initiate in the coming weeks.
    
    
  • Subcutaneous (SC) Administration: Phase 1 pharmacokinetic trial underway to explore SC administration of TEPEZZA.
    
    
  • Diffuse Cutaneous Systemic Sclerosis Exploratory Trial: Phase 1 exploratory trial to evaluate TEPEZZA in dcSSc expected to initiate in the third quarter of 2021.
    
    
• KRYSTEXXA, a recombinant uricase enzyme that converts urate into a water-soluble liquid, allantoin, that can be easily excreted from the body.
  
  
  • MIRROR Randomized Controlled Trial: Phase 4 randomized, placebo-controlled trial underway to evaluate KRYSTEXXA plus methotrexate to increase the complete response rate in patients with uncontrolled gout.
    
    
  • PROTECT Trial: Phase 4 open-label trial underway to evaluate KRYSTEXXA to improve management of uncontrolled gout in kidney transplant patients.
    
    
  • Shorter Infusion Duration Trial: Phase 4 open-label trial underway to evaluate the impact of administering KRYSTEXXA plus methotrexate over a shorter infusion duration in patients with uncontrolled gout.
    
    
  • Monthly Dosing Trial: Phase 4 open-label trial underway to evaluate monthly dosing of KRYSTEXXA plus methotrexate in patients with uncontrolled gout.
    
    
  • Retreatment Trial: Phase 4 open-label trial initiated in May 2021 to evaluate KRYSTEXXA plus methotrexate in patients who were not complete responders to KRYSTEXXA monotherapy.
    
    
• UPLIZNA, an anti-CD19 humanized monoclonal antibody that depletes B cells, including the pathogenic cells that produce autoantibodies.
  
  
  • Myasthenia Gravis Trial: Phase 3 randomized, placebo-controlled trial underway to evaluate UPLIZNA in patients with myasthenia gravis, a chronic, rare, autoimmune neuromuscular disease that affects voluntary muscles, especially those that control the eyes, mouth, throat and limbs.
    
    
  • IgG4-Related Disease Trial: Phase 3 randomized, placebo-controlled trial underway to evaluate UPLIZNA in patients with IgG4-related disease, which is a group of disorders marked by tumor-like swelling and fibrosis of affected organs, such as the pancreas, salivary glands and kidneys.
    
    
  • Kidney Transplant Desensitization Trial: Phase 2 open-label trial underway to evaluate UPLIZNA, HZN-4920 or both in highly-sensitized patients waiting for a kidney transplant.
    
    
• HZN-825, an oral lysophosphatidic acid receptor 1 (LPAR₁) antagonist that prevents gene activation.
  
  
  • Diffuse Cutaneous Systemic Sclerosis Trial: Pivotal Phase 2b trial to evaluate HZN-825 in diffuse cutaneous systemic sclerosis expected to initiate in the third quarter of 2021.
    
    
  • Interstitial Lung Disease Trial: Pivotal Phase 2b trial to evaluate HZN-825 in idiopathic pulmonary fibrosis, the most common form of interstitial lung disease, expected to initiate in the third quarter of 2021.
    
    
• HZN-4920, a CD40 ligand antagonist that blocks T cell interaction with the CD40-expressing B cells, disrupting the overactivation of the CD40 ligand co-stimulatory pathway. Several autoimmune diseases are associated with the overactivation of this pathway.
  
  
  • Sjögren's Syndrome Trial: Phase 2b randomized, placebo-controlled trial underway to evaluate HZN-4920 in patients with Sjögren's syndrome, a chronic, systemic autoimmune condition that impacts exocrine glands, including the salivary and tear glands.
    
    
  • Rheumatoid Arthritis Trial: Phase 2 randomized, placebo-controlled trial underway to evaluate HZN-4920 in patients with rheumatoid arthritis.
    
    
  • Kidney Transplant Rejection Trial: Phase 2 open-label trial underway to evaluate HZN-4920 in kidney transplant rejection patients.
    
• HZN-7734, an anti-ILT7 human monoclonal antibody that depletes certain dendritic cells. Depleting these cells may interrupt the cycle of inflammation that causes tissue damage in diseases such as lupus, and a variety of other autoimmune conditions.
  
  
  • SLE Trial: Phase 2 randomized, placebo-controlled trial initiated in June 2021 to evaluate HZN-7734 in patients with SLE, a disease in which the body's immune system attacks its own tissues and organs.
    
    
• HZN-1116 Autoimmune Disease Trial: Phase 1 trial initiated in July 2021 to evaluate HZN-1116, a monoclonal antibody, in patients with autoimmune diseases.

Second-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: Second-quarter 2021 net sales were $832.5 million, an increase of 80 percent compared to the second quarter of 2020.

• Gross Profit: Under U.S. GAAP, the second-quarter 2021 gross profit ratio was 75.9 percent compared to 73.7 percent in the second quarter of 2020. The non-GAAP gross profit ratio in the second quarter of 2021 was 87.7 percent compared to 88.4 percent in the second quarter of 2020.

• Operating Expenses: Research and development (R&D) expenses were 16.8 percent of net sales and selling, general and administrative (SG&A) expenses were 42.7 percent of net sales. Non-GAAP R&D expenses were 9.7 percent of net sales, and non-GAAP SG&A expenses were 33.8 percent of net sales.

• Income Tax Benefit: In the second quarter of 2021, income tax benefit on a GAAP and non-GAAP basis was $42.5 million and $35.6 million, respectively.

• Net Income: On a GAAP basis in the second-quarter of 2021, net income was $158.1 million. Second-quarter 2021 non-GAAP net income was $381.4 million.

• Adjusted EBITDA: Second-quarter 2021 adjusted EBITDA was $366.9 million.

• Earnings (Loss) per Share: On a GAAP basis, diluted earnings per share in the second quarter of 2021 was $0.67. GAAP loss per share in the second quarter of 2020 was $0.42. Non-GAAP diluted earnings per share in the second quarter of 2021 and 2020 were $1.62 and $0.40, respectively. Weighted average shares outstanding used for calculating GAAP and non-GAAP diluted earnings per share in the second quarter of 2021 were 235.2 million.

Second-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)		Q2 21			Q2 20			% Change			YTD 21			YTD 20			% Change
TEPEZZA®			453.3			165.9		173				455.3			189.4		140
KRYSTEXXA®			130.3			75.2		73				237.1			168.5		41
RAVICTI®(1)			68.4			65.6		4				141.3			126.7		12
PROCYSBI®			49.8			41.4		20				93.1			79.7		17
ACTIMMUNE®			27.8			28.3		(2	)			56.5			54.8		3
UPLIZNA®(2)			14.5			-		NM				16.3			-		NM
BUPHENYL®(1)			2.2			2.8		(24	)			3.9			5.2		(24	)
QUINSAIR™			0.2			0.1		280				0.5			0.3		58
Orphan Net Sales		$	746.5		$	379.3		97			$	1,004.0		$	624.6		61
Orphan Segment Operating Income		$	321.2		$	151.5		112			$	322.3		$	205.9		57

(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.
(2)	UPLIZNA was acquired on March 15, 2021.

• Second-quarter 2021 net sales of the orphan segment, the Company’s strategic growth segment, were $746.5 million, an increase of 97 percent over the prior year’s quarter, driven by the strong relaunch execution of TEPEZZA, as well as strong year-over-year growth of KRYSTEXXA, RAVICTI and PROCYSBI. The orphan segment represented 90 percent of total second-quarter net sales.

• KRYSTEXXA second-quarter 2021 net sales increased 73 percent year-over-year driven by increased adoption of KRYSTEXXA plus immunomodulation, which now exceeds 40 percent. In addition, the Company continues to see strong uptake of KRYSTEXXA from both rheumatologists and nephrologists.

• Second-quarter 2021 orphan segment operating income was $321.2 million, which includes additional investment associated with TEPEZZA, UPLIZNA and the Company’s pipeline programs.

Inflammation Segment

(in millions except for percentages)		Q2 21			Q2 20			% Change			YTD 21			YTD 20			% Change
PENNSAID 2%®			48.9			35.0		40				94.8			76.6		24
DUEXIS®			22.1			27.8		(20	)			41.6			59.1		(30	)
RAYOS®			13.4			14.5		(7	)			28.7			32.7		(12	)
VIMOVO®(1)			1.6			6.2		(75	)			5.9			25.7		(77	)
Inflammation Net Sales		$	86.0		$	83.5		3			$	171.0		$	194.1		(12	)
Inflammation Segment Operating Income		$	46.8		$	38.1		23			$	89.4		$	90.0		(1	)

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

• Second-quarter 2021 net sales of the inflammation segment were $86.0 million, and segment operating income was $46.8 million.

Cash Flow Statement and Balance Sheet Highlights

• On a GAAP basis, operating cash flow in the second quarter of 2021 was $89.4 million. Non-GAAP operating cash flow was $146.7 million.

• As of June 30, 2021, the Company had cash and cash equivalents of $812.3 million.

• As of June 30, 2021, the total principal amount of debt outstanding was $2.614 billion, and the gross-debt-to-last-12-months adjusted EBITDA leverage ratio was 2.3 times.

   

2021 Guidance

The Company now expects full-year 2021 net sales to range between $3.025 billion and $3.125 billion, representing 40 percent growth at the midpoint and an increase from the previous range of $2.75 billion and $2.85 billion. The company now expects TEPEZZA full-year 2021 net sales of greater than $1.550 billion with year-over-year growth of more than 50 percent in the fourth quarter, compared to the previous guidance of greater than $1.275 billion. The Company continues to expect KRYSTEXXA full-year 2021 net sales of greater than $500 million. Full-year 2021 adjusted EBITDA is now expected to range between $1.26 billion and $1.30 billion, representing 28 percent growth at the midpoint and an increase from the previous guidance range of $1.02 billion and $1.06 billion.

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 the discovery, development and commercialization of medicines that address critical needs for people impacted by rare, autoimmune and severe inflammatory 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 benefit and 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, 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; development, manufacturing 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; the fact that Horizon’s full-year 2021 net sales, adjusted EBITDA and TEPEZZA net sales guidance and the expected timing of certain TEPEZZA clinical trials assume that future committed manufacturing slots for TEPEZZA are not cancelled and are run successfully, which could be impacted by additional government-mandated COVID-19 vaccine production orders and other risks associated with the manufacture of biologic medicines; risks associated with acquisitions, such as the risk 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, including its manufacturing and global expansion strategy; 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
Condensed Consolidated Statements of Operations (Unaudited)
(in thousands, except share and per share data)
			Three Months Ended June 30,								Six Months Ended June 30,
			2021				2020				2021				2020
	Net sales		$	832,548			$	462,779			$	1,174,954			$	818,688
	Cost of goods sold			200,995				121,515				301,363				218,931
	Gross profit			631,553				341,264				873,591				599,757
	OPERATING EXPENSES:
	Research and development			139,834				81,068				197,527				108,277
	Selling, general and administrative			355,204				222,332				687,196				470,107
	Impairment of long-lived assets			-				-				12,371				-
	Gain on sale of asset			(2,000	)			-				(2,000	)			-
	Total operating expenses			493,038				303,400				895,094				578,384
	Operating income (loss)			138,515				37,864				(21,503	)			21,373
	OTHER EXPENSE, NET:
	Interest expense, net			(22,581	)			(18,571	)			(36,041	)			(35,915	)
	Loss on debt extinguishment			-				(17,254	)			-				(17,254	)
	Foreign exchange (loss) gain			(39	)			283				(887	)			1,059
	Other (expense) income, net			(262	)			632				2,962				1,074
	Total other expense, net			(22,882	)			(34,910	)			(33,966	)			(51,036	)
	Income (loss) before (benefit) expense for income taxes			115,633				2,954				(55,469	)			(29,663	)
	(Benefit) expense for income taxes			(42,484	)			82,964				(90,235	)			63,938
	Net income (loss)		$	158,117			$	(80,010	)		$	34,766			$	(93,601	)
	Net income (loss) per ordinary share - basic		$	0.70			$	(0.42	)		$	0.15			$	(0.49	)
	Weighted average ordinary shares outstanding - basic			225,119,684				192,705,535				224,523,538				191,426,864
	Net income (loss) per ordinary share - diluted		$	0.67			$	(0.42	)		$	0.15			$	(0.49	)
	Weighted average ordinary shares outstanding - diluted			235,191,860				192,705,535				234,719,830				191,426,864

Horizon Therapeutics plc
Condensed Consolidated Balance Sheets (Unaudited)
(in thousands, except share data)
		As of
		June 30, 2021				December 31, 2020
ASSETS
CURRENT ASSETS:
Cash and cash equivalents		$	812,319			$	2,079,906
Restricted cash			3,839				3,573
Accounts receivable, net			735,433				659,701
Inventories, net			258,676				75,283
Prepaid expenses and other current assets			365,113				251,945
Total current assets			2,175,380				3,070,408
Property and equipment, net			220,142				189,037
Developed technology and other intangible assets, net			3,119,709				1,782,962
In-process research and development			880,000				-
Goodwill			1,069,031				413,669
Deferred tax assets, net			610,559				560,841
Other assets			132,595				55,699
Total assets		$	8,207,416			$	6,072,616
LIABILITIES AND SHAREHOLDERS' EQUITY
CURRENT LIABILITIES:
Accounts payable		$	51,947			$	37,710
Accrued expenses and other current liabilities			478,499				485,567
Accrued trade discounts and rebates			306,364				352,463
Long-term debt—current portion			16,000				-
Total current liabilities			852,810				875,740
LONG-TERM LIABILITIES:
Long-term debt, net			2,560,444				1,003,379
Deferred tax liabilities, net			549,078				66,474
Other long-term liabilities			171,448				101,672
Total long-term liabilities			3,280,970				1,171,525
COMMITMENTS AND CONTINGENCIES
SHAREHOLDERS' EQUITY:
Ordinary shares, $0.0001 nominal value; 600,000,000 shares authorized at June 30, 2021 and December 31, 2020; 226,099,787 and 221,721,674 shares issued at June 30, 2021 and December 31, 2020, respectively; and 225,715,421 and 221,337,308 shares outstanding at June 30, 2021 and December 31, 2020, respectively			22				22
Treasury stock, 384,366 ordinary shares at June 30, 2021 and December 31, 2020			(4,585	)			(4,585	)
Additional paid-in capital			4,260,337				4,245,945
Accumulated other comprehensive loss			(1,018	)			(145	)
Accumulated deficit			(181,120	)			(215,886	)
Total shareholders' equity			4,073,636				4,025,351
Total liabilities and shareholders' equity		$	8,207,416			$	6,072,616

Horizon Therapeutics plc
Condensed Consolidated Statements of Cash Flows (Unaudited)
(in thousands)
		Three Months Ended June 30,								Six Months Ended June 30,
		2021				2020				2021				2020
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income (loss)		$	158,117			$	(80,010	)		$	34,766			$	(93,601	)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization expense			91,916				73,655				162,736				139,396
Equity-settled share-based compensation			54,424				27,057				115,590				83,478
Acquired in-process research and development expense			46,500				47,517				46,500				47,517
Loss on debt extinguishment			-				17,254				-				17,254
Impairment of long-lived assets			-				-				12,371				-
Amortization of debt discount and deferred financing costs			1,467				5,248				2,240				10,817
Gain on sale of asset			(2,000	)			-				(2,000	)			-
Deferred income taxes			10,656				(2,479	)			(18,115	)			(4,561	)
Foreign exchange and other adjustments			1,988				851				(3,452	)			661
Changes in operating assets and liabilities:
Accounts receivable			(292,589	)			(118,256	)			(68,014	)			(135,125	)
Inventories			(18,053	)			2,101				(31,713	)			(12,343	)
Prepaid expenses and other current assets			(29,548	)			4,543				(95,123	)			(20,410	)
Accounts payable			9,313				55,004				10,306				83,555
Accrued trade discounts and rebates			(19,277	)			(47,781	)			(48,013	)			(177,721	)
Accrued expenses and other current liabilities			87,322				109,592				(24,641	)			81,505
Other non-current assets and liabilities			(10,834	)			5,305				(7,764	)			16,586
Net cash provided by operating activities			89,402				99,601				85,674				37,008
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment			(13,922	)			(966	)			(32,255	)			(119,970	)
Payments for long-term investments, net			(3,770	)			-				(7,578	)			-
Payments for acquisition, net of cash acquired			(67,972	)			(157,105	)			(2,775,330	)			(262,305	)
Change in escrow deposit for property purchase			-				-				-				6,000
Net cash used in investing activities			(85,664	)			(158,071	)			(2,815,163	)			(376,275	)
CASH FLOWS FROM FINANCING ACTIVITIES:
Net proceeds from term loans			(2,619	)			-				1,574,993				-
Repayment of term loans			(4,000	)			-				(4,000	)			-
Proceeds from the issuance of ordinary shares in conjunction with ESPP program			11,482				7,979				11,482				7,979
Proceeds from the issuance of ordinary shares in connection with stock option exercises			7,996				18,837				27,839				25,887
Payment of employee withholding taxes relating to share-based awards			(13,387	)			(6,345	)			(141,648	)			(53,009	)
Net cash (used in) provided by financing activities			(528	)			20,471				1,468,666				(19,143	)
Effect of foreign exchange rate changes on cash, cash equivalents and restricted cash			(2,500	)			1,424				(6,498	)			58
Net increase (decrease) in cash, cash equivalents and restricted cash			710				(36,575	)			(1,267,321	)			(358,352	)
Cash, cash equivalents and restricted cash, beginning of the period(1)			815,448				758,262				2,083,479				1,080,039
Cash, cash equivalents and restricted cash, end of the period(1)		$	816,158			$	721,687			$	816,158			$	721,687

(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 June 30,								Six Months Ended June 30,
		2021				2020				2021				2020
GAAP net income (loss)		$	158,117			$	(80,010	)		$	34,766			$	(93,601	)
Non-GAAP adjustments:
Acquisition/divestiture-related costs			29,830				47,103				78,938				47,097
Restructuring and realignment costs			930				-				7,023				-
Amortization and step-up:
Intangible amortization expense			88,523				66,749				154,892				125,324
Inventory step-up expense			7,091				-				8,002				-
Amortization of debt discount and deferred financing costs			1,467				5,248				2,240				10,817
Impairment of long-lived assets			-				1,072				12,371				1,072
Gain on sale of asset			(2,000	)			-				(2,000	)			-
Share-based compensation			54,424				27,057				115,590				83,478
Depreciation			3,393				6,907				7,844				14,072
Upfront, progress and milestone payments related to license and collaboration agreements			46,500				3,000				49,500				3,000
Fees related to refinancing activities			-				-				-				54
Loss on debt extinguishment			-				17,254				-				17,254
Drug substance harmonization costs			-				-				-				290
Total of pre-tax non-GAAP adjustments			230,158				174,390				434,400				302,458
Income tax effect of pre-tax non-GAAP adjustments			(37,747	)			(25,797	)			(111,251	)			(57,059	)
Other non-GAAP income tax adjustments			30,881				15,210				30,881				15,210
Total of non-GAAP adjustments			223,292				163,803				354,030				260,609
Non-GAAP net income		$	381,409			$	83,793			$	388,796			$	167,008
Non-GAAP Earnings Per Share:
Weighted average ordinary shares - Basic			225,119,684				192,705,535				224,523,538				191,426,864
Non-GAAP Earnings Per Share - Basic:
GAAP earnings (loss) per share - Basic		$	0.70			$	(0.42	)		$	0.15			$	(0.49	)
Non-GAAP adjustments			0.99				0.85				1.58				1.36
Non-GAAP earnings per share - Basic		$	1.69			$	0.43			$	1.73			$	0.87
Non-GAAP Net Income		$	381,409			$	83,793			$	388,796			$	167,008
Effect of assumed exchange of Exchangeable Senior Notes, net of tax			-				1,692				-				3,567
Numerator - non-GAAP net income		$	381,409			$	85,485			$	388,796			$	170,575
Weighted average ordinary shares - Diluted
Weighted average ordinary shares - Basic			225,119,684				192,705,535				224,523,538				191,426,864
Ordinary share equivalents			10,072,176				21,838,670				10,196,292				22,084,476
Denominator - weighted average ordinary shares – Diluted			235,191,860				214,544,205				234,719,830				213,511,340
Non-GAAP Earnings Per Share - Diluted
GAAP earnings (loss) per share - Diluted		$	0.67			$	(0.42	)		$	0.15			$	(0.49	)
Non-GAAP adjustments			0.95				0.85				1.51				1.36
Diluted earnings per share effect of ordinary share equivalents			-				(0.03	)			-				(0.07	)
Non-GAAP earnings per share - Diluted		$	1.62			$	0.40			$	1.66			$	0.80

Horizon Therapeutics plc GAAP to Non-GAAP Reconciliations EBITDA (Unaudited) (in thousands)
		Three Months Ended June 30,								Six Months Ended June 30,
		2021				2020				2021				2020
GAAP net income (loss)		$	158,117			$	(80,010	)		$	34,766			$	(93,601	)
Depreciation			3,393				6,907				7,844				14,072
Amortization and step-up:
Intangible amortization expense			88,523				66,749				154,892				125,324
Inventory step-up expense			7,091				-				8,002				-
Interest expense, net (including amortization of debt discount and deferred financing costs)			22,581				18,571				36,041				35,915
(Benefit) expense for income taxes			(42,484	)			82,964				(90,235	)			63,938
EBITDA		$	237,221			$	95,181			$	151,310			$	145,648
Other non-GAAP adjustments:
Acquisition/divestiture-related costs			29,830				47,103				78,938				47,097
Restructuring and realignment costs			930				-				7,023				-
Impairment of long-lived assets			-				1,072				12,371				1,072
Gain on sale of asset			(2,000	)			-				(2,000	)			-
Share-based compensation			54,424				27,057				115,590				83,478
Upfront, progress and milestone payments related to license and collaboration agreements			46,500				3,000				49,500				3,000
Fees related to refinancing activities			-				-				-				54
Loss on debt extinguishment			-				17,254				-				17,254
Drug substance harmonization costs			-				-				-				290
Total of other non-GAAP adjustments			129,684				95,486				261,422				152,245
Adjusted EBITDA		$	366,905			$	190,667			$	412,732			$	297,893

Horizon Therapeutics plc GAAP to Non-GAAP Reconciliations Operating Income (Unaudited) (in thousands)
		Three Months Ended June 30,							Six Months Ended June 30,
		2021				2020			2021				2020
GAAP operating income (loss)		$	138,515			$	37,864		$	(21,503	)		$	21,373
Non-GAAP adjustments:
Acquisition/divestiture-related costs			30,626				46,988			80,017				47,272
Restructuring and realignment costs			930				-			7,023				-
Amortization and step-up:
Intangible amortization expense			88,523				66,749			154,892				125,324
Inventory step-up expense			7,091				-			8,002				-
Impairment of long-lived assets			-				1,072			12,371				1,072
Gain on sale of asset			(2,000	)			-			(2,000	)			-
Share-based compensation			54,424				27,057			115,590				83,478
Depreciation			3,393				6,907			7,844				14,072
Upfront, progress and milestone payments related to license and collaboration agreements			46,500				3,000			49,500				3,000
Fees related to refinancing activities			-				-			-				54
Drug substance harmonization costs			-				-			-				290
Total of non-GAAP adjustments			229,487				151,773			433,239				274,562
Non-GAAP operating income		$	368,002			$	189,637		$	411,736			$	295,935
Orphan segment operating income			321,235				151,541			322,289				205,897
Inflammation segment operating income			46,767				38,096			89,447				90,038
Total segment operating income		$	368,002			$	189,637		$	411,736			$	295,935
Foreign exchange (loss) gain			(39	)			283			(887	)			1,059
Other (expense) income, net			(1,058	)			747			1,883				899
Adjusted EBITDA		$	366,905			$	190,667		$	412,732			$	297,893

Horizon Therapeutics plc
GAAP to Non-GAAP Reconciliations
Gross Profit and Operating Cash Flow (Unaudited)
(in thousands, except percentages)
		Three Months Ended June 30,								Six Months Ended June 30,
		2021				2020				2021				2020
Non-GAAP Gross Profit:
GAAP gross profit		$	631,553			$	341,264			$	873,591			$	599,757
Non-GAAP gross profit adjustments:
Acquisition/divestiture-related costs			(76	)			-				129				-
Intangible amortization expense			88,321				66,547				154,490				124,921
Inventory step-up expense			7,091				-				8,002				-
Share-based compensation			3,144				1,288				5,080				3,977
Depreciation			57				90				172				418
Drug substance harmonization costs			-				-				-				290
Total of Non-GAAP adjustments			98,537				67,925				167,873				129,606
Non-GAAP gross profit		$	730,090			$	409,189			$	1,041,464			$	729,363
GAAP gross profit %			75.9	%			73.7	%			74.4	%			73.3	%
Non-GAAP gross profit %			87.7	%			88.4	%			88.6	%			89.1	%
GAAP cash provided by operating activities		$	89,402			$	99,601			$	85,674			$	37,008
Cash payments for acquisition/divestiture-related costs			56,042				-				120,234				(17	)
Cash payments for restructuring and realignment costs			1,220				94				1,220				189
Cash payments for upfront, progress and milestone payments related to license and collaboration agreement			-				-				3,000				-
Cash payments drug substance harmonization costs			-				290				-				290
Cash payments relating to refinancing activities			-				-				-				73
Non-GAAP operating cash flow		$	146,664			$	99,985			$	210,128			$	37,543

Horizon Pharma plc
GAAP to Non-GAAP Reconciliations
EBITDA (Unaudited) - 2020
(in thousands)
		Twelve Months Ended December 31,
		2020
GAAP net income		$	389,796
Depreciation			24,303
Amortization and step-up:
Intangible amortization expense			255,148
Inventory step-up expense			-
Interest expense, net (including amortization of debt discount and deferred financing costs)			59,616
Expense for income taxes			11,849
EBITDA		$	740,712
Other non-GAAP adjustments:
Acquisition/divestiture-related costs			49,196
Restructuring and realignment costs			(141	)
Impairment of long-lived assets			1,713
Gain on sale of assets			(4,883	)
Share-based compensation			146,627
Upfront, progress and milestone payments related to license and collaboration agreements			33,000
Fees related to refinancing activities			54
Loss on debt extinguishment			31,856
Drug substance harmonization costs			542
Total of other non-GAAP adjustments			257,964
Adjusted EBITDA		$	998,676

Horizon Therapeutics plc
GAAP to Non-GAAP Tax Rate Reconciliation (Unaudited)
(in millions, except percentages and per share amounts)
		Q2 2021
		Pre-tax Net (Loss) Income				Income Tax (Benefit) Expense				Tax Rate			Net Income (Loss)				Diluted Earnings (Loss) Per Share
As reported - GAAP		$	115.6			$	(42.5	)		(36.7	)%		$	158.1			$	0.67
Non-GAAP adjustments			230.2				6.9							223.3
Non-GAAP		$	345.8			$	(35.6	)		(10.3	)%		$	381.4			$	1.62
		Q2 2020
		Pre-tax Net (Loss) Income				Income Tax (Benefit) Expense				Tax Rate			Net Income (Loss)				Diluted Earnings (Loss) Per Share
As reported - GAAP		$	3.0			$	83.0			NM			$	(80.0	)		$	(0.42	)
Non-GAAP adjustments			174.4				10.6							163.8
Non-GAAP		$	177.3			$	93.6			52.8	%		$	83.8			$	0.40
		YTD 2021
		Pre-tax Net (Loss) Income				Income Tax (Benefit) Expense				Tax Rate			Net Income (Loss)				Diluted Earnings (Loss) Per Share
As reported - GAAP		$	(55.5	)		$	(90.2	)		162.7	%		$	34.8			$	0.15
Non-GAAP adjustments			434.4				80.4							354.0
Non-GAAP		$	378.9			$	(9.9	)		(2.6	)%		$	388.8			$	1.66
		YTD 2020
		Pre-tax Net (Loss) Income				Income Tax (Benefit) Expense				Tax Rate			Net Income (Loss)				Diluted Earnings (Loss) Per Share
As reported - GAAP		$	(29.7	)		$	63.9			NM			$	(93.6	)		$	(0.49	)
Non-GAAP adjustments			302.5				41.8							260.6
Non-GAAP		$	272.8			$	105.8			38.8	%		$	167.0			$	0.80

Horizon Therapeutics plc
Certain Income Statement Line Items - Non-GAAP Adjusted
For the Three Months Ended June 30, 2021 and June 30, 2020 (Unaudited)
(in thousands)

	Horizon Therapeutics plc
	Certain Income Statement Line Items - Non-GAAP Adjusted
	For the Three Months Ended June 30, 2021
	(Unaudited)
																			Income Tax
				Research &			Selling, General			Gain on			Interest			Other			Benefit
	COGS			Development			& Administrative			Sale of asset			Expense			Expense, net			(Expense)
GAAP as reported	$	(200,995	)	$	(139,834	)	$	(355,204	)	$	2,000		$	(22,581	)	$	(262	)	$	42,484
Non-GAAP Adjustments (in thousands):
Acquisition/divestiture-related costs(1)		(76	)		-			30,701			-			-			(795	)		-
Restructuring and realignment costs(2)		-			-			930			-			-			-			-
Amortization and step-up:
Intangible amortization expense(3)		88,321			-			202			-			-			-			-
Inventory step-up expense(4)		7,091			-			-			-			-			-			-
Amortization of debt discount and deferred financing costs(5)		-			-			-			-			1,467			-			-
Gain on sale of asset(6)		-			-			-			(2,000	)
Share-based compensation(7)		3,144			12,160			39,120			-			-			-			-
Depreciation(8)		57			117			3,219			-			-			-			-
Upfront, progress and milestone payments related to license and collaboration agreements(9)		-			46,500			-			-			-			-			-
Income tax effect on pre-tax non-GAAP adjustments(10)		-			-			-			-			-			-			(37,747	)
Other non-GAAP income tax adjustments(11)		-			-			-			-			-			-			30,881
Total of non-GAAP adjustments		98,537			58,777			74,172			(2,000	)		1,467			(795	)		(6,866	)
Non-GAAP	$	(102,458	)	$	(81,057	)	$	(281,032	)	$	-		$	(21,114	)	$	(1,057	)	$	35,618
	Horizon Therapeutics plc
	Certain Income Statement Line Items - Non-GAAP Adjusted
	For the Three Months Ended June 30, 2020
	(Unaudited)
																			Income Tax
				Research &			Selling, General			Loss on Debt			Interest			Other			(Expense)
	COGS			Development			& Administrative			Extinguishment			Expense			Income, net			Benefit
GAAP as reported	$	(121,515	)	$	(81,068	)	$	(222,332	)	$	(17,254	)	$	(18,571	)	$	632		$	(82,964	)
Non-GAAP Adjustments (in thousands):
Acquisition/divestiture-related costs(1)		-			47,328			(340	)		-			-			115			-
Amortization and step-up:
Intangible amortization expense(3)		66,547			-			202			-			-			-			-
Amortization of debt discount and deferred financing costs(5)		-			-			-			-			5,248			-			-
Impairment of long lived assets(12)		-			-			1,072			-			-			-			-
Share-based compensation(7)		1,288			2,552			23,217			-			-			-			-
Depreciation(8)		90			18			6,799			-			-			-			-
Upfront, progress and milestone payments related to license and collaboration agreements(9)		-			3,000			-			-			-			-			-
Loss on debt extinguishment(13)		-			-			-			17,254			-			-			-
Income tax effect on pre-tax non-GAAP adjustments(10)		-			-			-			-			-			-			(25,797	)
Other non-GAAP income tax adjustments(11)		-			-			-			-			-			-			15,210
Total of non-GAAP adjustments		67,925			52,898			30,950			17,254			5,248			115			(10,587	)
Non-GAAP	$	(53,590	)	$	(28,170	)	$	(191,382	)	$	-		$	(13,323	)	$	747		$	(93,551	)

Horizon Therapeutics plc

Certain Income Statement Line Items - Non-GAAP Adjusted

For the Six Months Ended June 30, 2021 and June 30, 2020 (Unaudited)

(in thousands)

	Horizon Therapeutics plc
	Certain Income Statement Line Items - Non-GAAP Adjusted
	For the Six Months Ended June 30, 2021
	(Unaudited)
																						Income Tax
				Research &			Selling, General			Gain on			Impairment of			Interest			Other Income			Benefit
	COGS			Development			& Administrative			Sale of Asset			Long-lived assets			Expense			(Expense), net			(Expense)
GAAP as reported	$	(301,363	)	$	(197,527	)	$	(687,196	)	$	2,000		$	(12,371	)	$	(36,041	)	$	2,962		$	90,235
Non-GAAP Adjustments (in thousands):
Acquisition/divestiture-related costs(1)		129			3			79,885			-			-			-			(1,079	)		-
Restructuring and realignment costs(2)		-			-			7,023			-			-			-			-			-
Amortization and step-up:
Intangible amortization expense(3)		154,490			-			402			-			-			-			-			-
Inventory step-up expense(4)		8,002			-			-			-			-			-			-			-
Amortization of debt discount and deferred financing costs(5)		-			-			-			-			-			2,240			-			-
Impairment of long lived assets(12)		-			-			-			-			12,371			-			-			-
Gain on sale of asset(6)		-			-			-			(2,000	)		-			-			-			-
Share-based compensation(7)		5,080			17,776			92,734			-			-			-			-			-
Depreciation(8)		172			166			7,506			-			-			-			-			-
Upfront, progress and milestone payments related to license and collaboration agreements(9)		-			49,500			-			-			-			-			-			-
Income tax effect on pre-tax non-GAAP adjustments(10)		-			-			-			-			-			-			-			(111,251	)
Other non-GAAP income tax adjustments(11)		-			-			-			-			-			-			-			30,881
Total of non-GAAP adjustments		167,873			67,445			187,550			(2,000	)		12,371			2,240			(1,079	)		(80,370	)
Non-GAAP	$	(133,490	)	$	(130,082	)	$	(499,646	)	$	-		$	-		$	(33,801	)	$	1,883		$	9,865
	Horizon Therapeutics plc
	Certain Income Statement Line Items - Non-GAAP Adjusted
	For the Six Months Ended June 30, 2020
	(Unaudited)
																			Income Tax
				Research &			Selling, General			Loss on Debt			Interest			Other Income			(Expense)
	COGS			Development			& Administrative			Extinguishment			Expense			(Expense), net			Benefit
GAAP as reported	$	(218,931	)	$	(108,277	)	$	(470,107	)	$	(17,254	)	$	(35,915	)		1,074		$	(63,938	)
Non-GAAP Adjustments (in thousands):
Acquisition/divestiture-related costs(1)		-			47,328			(56	)		-			-			(175	)		-
Restructuring and realignment costs(2)		-			-			-			-			-			-			-
Amortization and step-up:
Intangible amortization expense(3)		124,921			-			403			-			-			-			-
Amortization of debt discount and deferred financing costs(5)		-			-			-			-			10,817			-			-
Impairment of long lived assets(12)		-			-			1,072			-			-			-			-
Share-based compensation(7)		3,977			8,928			70,573			-			-			-			-
Depreciation(8)		418			43			13,611			-			-			-			-
Upfront, progress and milestone payments related to license and collaboration agreements(9)		-			3,000			-			-			-			-			-
Fees related to refinancing activities(14)		-			-			54			-			-			-			-
Loss on debt extinguishment(13)		-			-			-			17,254			-			-			-
Drug substance harmonization costs(15)		290			-			-			-			-			-			-
Income tax effect on pre-tax non-GAAP adjustments(10)		-			-			-			-			-			-			(57,059	)
Other non-GAAP income tax adjustments(11)		-			-			-			-			-			-			15,210
Total of non-GAAP adjustments		129,606			59,299			85,657			17,254			10,817			(175	)		(41,849	)
Non-GAAP	$	(89,325	)	$	(48,978	)	$	(384,450	)		-		$	(25,098	)	$	899		$	(105,787	)

NOTES FOR CERTAIN INCOME STATEMENT LINE ITEMS - NON-GAAP

1. Represents transaction and integration costs, including, advisory, legal, consulting and certain employee-related costs, incurred in connection with our acquisitions and divestitures. Costs recovered from subleases of acquired facilities and reimbursed expenses incurred under transition arrangements for divestitures are also reflected in this line item. In addition, the three and six months ended June 30, 2020, amounts include the Curzion acquisition payment of $45.0 million, which was recorded as a research and development expense.
   
   
2. Represents rent and maintenance charges for the leased Lake Forest office that we vacated in the first quarter of 2021.
   
   
3. Intangible amortization expenses are associated with our intellectual property rights, developed technology and customer relationships related to TEPEZZA, KRYSTEXXA, RAVICTI, PROCYSBI, ACTIMMUNE, UPLIZNA, BUPHENYL, PENNSAID 2% and RAYOS.
   
   
4. During the three and six months ended June 30, 2021, we recognized in cost of goods sold $7.1 million and $8.0 million, respectively, for inventory step-up expense related to UPLIZNA inventory revalued in connection with the Viela acquisition. Because inventory step-up expense is related to an acquisition, will not continue indefinitely and has a significant effect on our gross profit, gross margin percentage and net income (loss) for all affected periods, the Company excludes inventory step-up expense from its non-GAAP financial measures.
   
   
5. Represents amortization of debt discount and deferred financing costs associated with our debt.
   
   
6. During the six months ended June 30, 2021, gain on sale of asset represents a $2.0 million contingent consideration payment related to the sale of MIGERGOT in 2019. The contingent consideration payment was triggered during the second quarter of 2021 and it was received in July 2021.
   
   
7. Represents share-based compensation expense associated with our stock option, restricted stock unit and performance stock unit grants to our employees and non-employee directors, and our employee share purchase plan.
   
   
8. Represents depreciation expense related to our property, equipment, software and leasehold improvements.
   
   
9. During the six months ended June 30, 2021, we recognized a $40.0 million upfront payment in relation to the agreement with Arrowhead, which was subsequently paid in July 2021. In addition, we recognized $6.5 million of milestone payments in relation to HZN-7734 and a $3.0 million progress payment with HemoShear Therapeutics, LLC, or HemoShear. The $3.0 million HemoShear progress payment was paid in the first quarter of 2021.
   
   During the six months ended June 30, 2020, we recognized a $3.0 million progress payment in relation to the collaboration agreement with HemoShear, which was subsequently paid in July 2020.
   
   
10. Income tax adjustments on pre-tax non-GAAP adjustments represent the estimated income tax impact of each pre-tax non-GAAP adjustment based on the statutory income tax rate of the applicable jurisdictions for each non-GAAP adjustment.
    
    
11. During the three months ended June 30, 2021, we recognized a U.S. federal and state tax liability on U.S. taxable income generated from an intercompany transfer and license of intellectual property from a U.S. subsidiary to and Irish subsidiary which was partially offset by the recognition of a deferred tax asset in the Irish subsidiary, resulting in a non-GAAP tax adjustment of $34.0 million. We also recognized $3.1 million of tax benefit relating to the release of a valuation allowance which was originally recognized on state net operating losses acquired through the acquisition of Viela. These state net operating losses are now utilizable, resulting in a non-GAAP tax adjustment of $3.1 million.
    
    During the three months ended June 30, 2020, following the publication of the Anti-Hybrid Rules on April 8, 2020, we recorded a write off of a deferred tax asset related to certain interest expense accrued to a foreign related party during the year ended December 31, 2019 and recognized a corresponding one-time tax provision, resulting in a non-GAAP tax adjustment of $15.2 million.
    
    
12. During the six months ended June 30, 2021, we recorded a right-of-use asset impairment charge of $12.4 million as a result of vacating the leased Lake Forest office.
    
    During the three and six months ended June 30, 2020, we recorded an impairment charge of $1.1 million related to the Novato, California office lease, which was obtained through an acquisition.
    
    
13. During the six months ended June 30, 2020, we recorded a loss on debt extinguishment of $17.3 million in the consolidated statements of comprehensive income (loss), which reflects the partial exchange of our Exchangeable Senior Notes.
    
    
14. Represents arrangement and other fees relating to our refinancing activities.
    
    
15. During the year ended December 31, 2016, we entered into a definitive agreement to acquire certain rights to interferon gamma-1b, marketed as IMUKIN in an estimated thirty countries primarily in Europe and the Middle East, or the IMUKIN purchase agreement. We already owned the rights to interferon gamma-1b marketed as ACTIMMUNE in the United States, Canada and Japan. In connection with the IMUKIN purchase agreement, we also committed to pay our contract manufacturer certain amounts related to the harmonization of the manufacturing processes for ACTIMMUNE and IMUKIN drug substance, or the harmonization program. At the time we entered into the IMUKIN purchase agreement and the harmonization program commitment was made, we had anticipated achieving certain benefits should the Phase 3 clinical trial evaluating ACTIMMUNE for the treatment of Friedreich’s ataxia, be successful. If the study had been successful and if U.S. marketing approval had subsequently been obtained, we had forecasted significant increases in demand for the medicine and the harmonization program would have resulted in significant benefits for us. Following our discontinuation of the Friedreich’s ataxia program, we determined that certain assets, including an upfront payment related to the IMUKIN purchase agreement, were impaired, and the costs under the harmonization program would no longer have benefit to us and should be expensed as incurred.

 

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FAQ

What were Horizon Therapeutics' Q2 2021 financial results?

Horizon Therapeutics reported Q2 2021 net sales of $832.5 million, an 80% increase YoY, and a GAAP net income of $158.1 million.

What is the full-year guidance for Horizon Therapeutics in 2021?

The company expects full-year 2021 net sales to range between $3.025 billion and $3.125 billion.

How did TEPEZZA perform in Q2 2021?

TEPEZZA generated $453.3 million in sales during Q2 2021, exceeding expectations and prompting an increase in full-year sales guidance.

What are the key developments from Horizon Therapeutics in 2021?

Key developments include the strong relaunch of TEPEZZA, the initiation of three clinical trials, and the acquisition of a biologics manufacturing facility.

What is the adjusted EBITDA for Horizon Therapeutics in Q2 2021?

The adjusted EBITDA for Q2 2021 was $366.9 million, representing a 92% increase compared to Q2 2020.