Ironwood Pharmaceuticals Reports First Quarter 2022 Results; Maintains Full Year 2022 Financial Guidance

Rhea-AI Summary

Ironwood Pharmaceuticals (Nasdaq: IRWD) reported Q1 2022 results, highlighting an 11% year-over-year growth in LINZESS® (linaclotide) prescription demand. The U.S. net sales of LINZESS reached $232 million, marking an 8% increase year-over-year. Total revenue for the quarter was $98 million, with collaboration revenue from LINZESS at $94 million. The company achieved a GAAP net income of $39 million and ended the quarter with $593 million in cash. Ironwood remains focused on pipeline development and ongoing clinical trials for new GI treatments.

Positive

• 11% increase in LINZESS prescription demand year-over-year.
• U.S. LINZESS net sales of $232 million, up 8% from the previous year.
• GAAP net income of $39 million, maintaining profitability.
• Total revenue of $98 million, representing growth from $88.8 million.

Negative

• Operating expenses increased to $39.7 million from $43.4 million year-over-year.
• Cash and cash equivalents decreased from $620.1 million at the end of 2021 to $593 million.

– LINZESS^® (Iinaclotide) prescription demand growth increased 11% year-over-year; LINZESS U.S. net sales of $232 million, an increase of 8% year-over-year –

– Total revenue of $98 million; U.S. LINZESS collaboration revenue of $94 million –

– GAAP net income of $39 million and adjusted EBITDA of $58 million; ended Q1 2022 with $593 million in cash and cash equivalents –

BOSTON--(BUSINESS WIRE)-- Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), a GI-focused healthcare company, today reported its first quarter 2022 results and recent business performance.

“Continuing the growth and momentum from 2021 when LINZESS exceeded $1 billion in U.S. net sales and earned blockbuster status, we believe we are in a strong position to realize our vision of becoming the leading U.S. GI healthcare company,” said Tom McCourt, chief executive officer of Ironwood. “We continue to be excited by the performance of LINZESS, which has delivered another quarter of double-digit prescription demand growth year-over-year. We believe that our focused investments and commitment to reaching new patients will continue to drive demand growth moving forward. Beyond LINZESS, we are making progress with our ongoing clinical trials and remain on track with the previously shared data readout timing. We are also focused on strengthening our pipeline through the in-license or acquisition of innovative GI assets, which we believe will position our company for continued growth.”

First Quarter 2022 Financial Highlights¹

(in thousands, except for per share amounts)

			1Q 2022		1Q 2021
Total revenues			$97,529		$88,845
Total operating expenses			39,683		43,447
GAAP net income			38,801		39,926
GAAP net income per share – basic			0.25		0.25
GAAP net income per share –diluted			0.21		0.25
Adjusted EBITDA			58,201		46,119
Non-GAAP net income			38,071		37,847
Non-GAAP net income per share – basic			0.24		0.24
Non-GAAP net income per share – diluted			0.21		0.24

1. Refer to the Reconciliation of GAAP Results to Non-GAAP Financial Measures table and to the Reconciliation of GAAP Net Income to Adjusted EBITDA table at the end of this press release. Refer to Non-GAAP Financial Measures for additional information.

First Quarter 2022 Corporate Highlights

U.S. LINZESS

• Prescription Demand: Total LINZESS prescription demand in the first quarter of 2022 was 41 million LINZESS capsules, an 11% increase compared to the first quarter of 2021, per IQVIA.
• U.S. Brand Collaboration: LINZESS U.S. net sales are provided to Ironwood by its U.S. partner, AbbVie Inc. (“AbbVie”). LINZESS U.S. net sales were $232.3 million in the first quarter of 2022, an 8% increase compared to $215.4 million in the first quarter of 2021.
  • Ironwood and AbbVie share equally in U.S. brand collaboration profits. See the LINZESS U.S. Commercial Collaboration table at the end of the press release.
    – LINZESS commercial margin was 74% in the first quarter of 2022, compared to 73% in the first quarter of 2021. See the U.S. LINZESS Full Brand Collaboration table below and at the end of this press release.
    – Net profit for the LINZESS U.S. brand collaboration, net of commercial and research and development (“R&D”) expenses, was $163.2 million in the first quarter of 2022, compared to $148.4 million in the first quarter of 2021. See U.S. LINZESS Full Brand Collaboration table below and at the end of this press release.
• Collaboration Revenue to Ironwood: Ironwood recorded $94.3 million in collaboration revenue in the first quarter of 2022 related to sales of LINZESS in the U.S., a 10% increase compared to $85.9 million for the first quarter of 2021. See U.S. LINZESS Commercial Collaboration table at the end of the press release.

U.S. LINZESS Full Brand Collaboration (in thousands, except for percentages)	Three Months Ended March 31,
	2022	2021
LINZESS U.S. net sales as reported by AbbVie	$232,334	$215,399
AbbVie & Ironwood commercial costs, expenses and other discounts	61,016	57,511
Commercial margin	74%	73%
AbbVie & Ironwood R&D Expenses	8,166	9,474
Total net profit on sales of LINZESS	163,152	148,414
Full brand margin	70%	69%

Pediatric Program

• Ironwood and AbbVie are currently advancing the linaclotide clinical pediatric program to potentially expand the clinical profile of LINZESS (assuming positive data and FDA approval). The functional constipation study in 6 to 17 year-olds is expected to readout in the second half of 2022. Functional Constipation affects an estimated 4 to 6 million 6 to 17 year-olds in the U.S., according to studies published in The Journal of Pediatrics. There are currently no FDA approved prescription pediatric therapies for functional constipation.

IW-3300

• Ironwood is currently advancing IW-3300, a guanylate cyclase-C agonist being developed for the potential treatment of visceral pain conditions, such as interstitial cystitis / bladder pain syndrome (IC/BPS) and endometriosis.
  – IC/BPS affects an estimated 4 to 12 million Americans, according to the Interstitial Cystitis Association. An estimated 4 million reproductive-age women in the U.S. have been diagnosed with endometriosis, according to a study published in Gynecologic and Obstetric Investigation. Both diseases have a limited number of treatment options available. The Phase I clinical program commenced in the first quarter of 2022 to evaluate the safety and tolerability of IW-3300 in healthy volunteers.

CNP-104

• In November 2021, Ironwood entered into a collaboration and license option agreement with COUR Pharmaceuticals Development Company, Inc. (“COUR”). This agreement gives Ironwood an option to acquire an exclusive license to research, develop, manufacture and commercialize, in the U.S., products containing CNP-104 Particle (“CNP-104”), a tolerizing immune modifying nanoparticle, for the treatment of primary biliary cholangitis (“PBC”), a rare autoimmune disease targeting the liver. If successful, CNP-104 has the potential to be the first approved PBC disease modifying therapy.
  – In December 2021, the U.S. FDA granted Fast Track Designation to CNP-104.
  – PBC affects an estimated 133,000 people in the U.S, according to a study published in Gastroenterology in 2000. There is currently no approved therapy that addresses the root cause of the autoimmune destruction of the bile ducts in PBC with medical care currently focused on disease management. COUR is currently conducting a clinical study for CNP-104 evaluating the safety, tolerability, pharmacodynamic effects and efficacy of CNP-104 in PBC patients, with a data readout estimated in 2023.

First Quarter Financial Results

• Total Revenues. Total revenues in the first quarter of 2022 were $97.5 million, compared to $88.8 million in the first quarter of 2021.
  – Total revenues in the first quarter of 2022 consisted of $94.3 million associated with Ironwood’s share of the net profits from the sales of LINZESS in the U.S. and $3.2 million in royalties and other revenue. Total revenues in the first quarter of 2021 consisted of $85.9 million associated with Ironwood’s share of the net profits from the sales of LINZESS in the U.S., $2.7 million in linaclotide royalties and other revenue, and $0.2 million in sales of linaclotide API.

• Operating Expenses. Operating expenses in the first quarter of 2022 were $39.7 million, compared to $43.4 million in the first quarter of 2021.
  – Operating expenses in the first quarter of 2022 consisted of $28.9 million in selling, general and administrative (“SG&A”) expenses, and $10.8 million in research and development (“R&D”) expenses. Operating expenses in the first quarter of 2021 consisted of $27.7 million in SG&A expenses, $15.5 million in R&D expenses, and $0.3 million in restructuring expenses.

• Interest Expense, net of Interest and Investment Income. Net interest expense was $2.1 million in the first quarter of 2022, primarily in connection with Ironwood’s convertible senior notes. Interest expense recorded in the first quarter of 2022 included $1.8 million in cash expense and $0.5 million in non-cash expense. Net interest expense was $7.4 million in the first quarter of 2021, primarily in connection with Ironwood’s convertible senior notes. Interest expense recorded in the first quarter of 2021 included $1.8 million in cash expense and $5.8 million in non-cash expense. The reduction in non-cash interest expense in the first quarter of 2022 relates to the adoption of ASU No. 2020-06, Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging— Contracts in Entity’s Own Equity (Subtopic 815-40): Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity (“ASU 2020-06”) on January 1, 2022, that impacts the accounting for Ironwood’s convertible senior notes.

• Gain on Derivatives. Ironwood recorded a gain on derivatives of $0.7 million in the first quarter of 2022, as a result of the change in fair value of its convertible note hedges and note hedge warrants. Ironwood recorded a gain on derivatives of $2.4 million in the first quarter of 2021, as a result of the change in fair value of its convertible note hedges and note hedge warrants.

• Income Tax Expense. Ironwood recorded $17.7 million of income tax expense in the first quarter of 2022, the majority of which was non-cash, as Ironwood continues to utilize net operating losses to offset taxable income for federal purposes and in many states. Ironwood recorded $0.4 million of income tax expense in the first quarter of 2021, primarily related to state income taxes in certain states that have temporarily disallowed or only partially allowed the use of net operating losses to offset taxable income. Ironwood maintained a valuation allowance on the majority of its net deferred tax assets until the second quarter of 2021.

• GAAP Net Income. GAAP net income was $38.8 million, or $0.25 per share (basic) and $0.21 per share (diluted), in the first quarter of 2022 compared to GAAP net income of $39.9 million, or $0.25 per share (basic and diluted), in the first quarter of 2021.

• Non-GAAP Net Income. Non-GAAP net income was $38.1 million, or $0.24 per share (basic) and $0.21 per share (diluted), in the first quarter of 2022, compared to non-GAAP net income of $37.8 million, or $0.24 per share (basic and diluted), in the first quarter of 2021.
  – Non-GAAP net income excludes the impact of mark-to-market adjustments on the derivatives related to Ironwood’s 2022 Convertible Notes and restructuring expenses. See Non-GAAP Financial Measures below.

• Adjusted EBITDA. Adjusted EBITDA was $58.2 million in the first quarter of 2022, compared to $46.1 million in the first quarter of 2021.
  – Adjusted EBITDA is calculated by subtracting mark-to-market adjustments on derivatives related to Ironwood’s 2022 Convertible Notes, restructuring expenses, net interest expense, income taxes, depreciation and amortization from GAAP net income. See Non-GAAP Financial Measures below.

• Cash Flow Statement and Balance Sheet Highlights. Ironwood ended the first quarter of 2022 with $593.4 million of cash and cash equivalents, compared to $620.1 million of cash and cash equivalents at the end of 2021.
  – Ironwood generated $64.1 million in cash from operations in the first quarter of 2022, compared to $73.7 million in cash from operations in the first quarter of 2021.
  – Ironwood used $92.5 million of cash to repurchase shares of its common stock in the first quarter of 2022.

• Ironwood 2022 Financial Guidance. In 2022, Ironwood continues to expect:

	2022 Guidance
U.S. LINZESS Net Sales Growth	Low single digits %
Total Revenue	$420 to $430 million
Adjusted EBITDA1	>$250 million

¹ Adjusted EBITDA is calculated by subtracting mark-to-market adjustments on derivatives related to Ironwood’s 2022 Convertible Notes, restructuring expenses, net interest expense, income taxes, depreciation and amortization from GAAP net income. For purposes of this guidance, Ironwood has assumed that it will not incur material expenses related to business development activities in 2022.

Non-GAAP Financial Measures

Ironwood presents non-GAAP net income and non-GAAP net income per share to exclude the impact of net gains and losses on derivatives related to Ironwood’s 2022 Convertible Notes that are required to be marked-to-market, restructuring expenses, and the release of the company’s valuation allowance against the majority of deferred tax assets in the second quarter of 2021. Non-GAAP adjustments are further detailed below:

• The gains and losses on the derivatives related to Ironwood’s 2022 Convertible Notes may be highly variable, difficult to predict and of a size that could have a substantial impact on the company’s reported results of operations in any given period.
• Restructuring expenses are considered to be a non-recurring event as they are associated with distinct operational decisions. Included in restructuring expenses are costs associated with exit and disposal activities.
• The income tax benefit associated with the valuation allowance release in the second quarter of 2021 was a non-cash, non-recurring accounting recognition event, and does not affect the company’s ability to utilize its historical net operating losses and tax credit carryforwards to offset future taxable income.

Ironwood also presents adjusted EBITDA, a non-GAAP measure, as well as guidance on adjusted EBITDA. Adjusted EBITDA is calculated by subtracting mark-to-market adjustments on derivatives related to Ironwood’s 2022 Convertible Notes, restructuring expenses, net interest expense, income taxes, depreciation and amortization from GAAP net income. The adjustments are made on a similar basis as described above related to non-GAAP net income, as applicable.

Management believes this non-GAAP information is useful for investors, taken in conjunction with Ironwood’s GAAP financial statements, because it provides greater transparency and period-over-period comparability with respect to Ironwood’s operating performance. These measures are also used by management to assess the performance of the business. Investors should consider these non-GAAP measures only as a supplement to, not as a substitute for or as superior to, measures of financial performance prepared in accordance with GAAP. In addition, these non-GAAP financial measures are unlikely to be comparable with non-GAAP information provided by other companies. For a reconciliation of non-GAAP net income and non-GAAP net income per share to GAAP net income and GAAP net income per share, respectively, and for a reconciliation of adjusted EBITDA to GAAP net income, please refer to the tables at the end of this press release.

Ironwood does not provide guidance on GAAP net income or a reconciliation of expected adjusted EBITDA to expected GAAP net income because, without unreasonable efforts, it is unable to predict with reasonable certainty the non-GAAP adjustments used to calculate adjusted EBITDA. These adjustments are uncertain, depend on various factors and could have a material impact on GAAP net income for the guidance period.

Conference Call Information

Ironwood will host a conference call and webcast at 8:30 a.m. Eastern Time on Thursday, May 5, 2022 to discuss its first quarter 2022 results and recent business activities. Individuals interested in participating in the call should dial (888) 330-2384 (U.S. and Canada) or (240) 789-2701 (international) using conference ID number and event passcode 4671230. To access the webcast, please visit the Investors section of Ironwood’s website at www.ironwoodpharma.com at least 15 minutes prior to the start of the call to ensure adequate time for any software downloads that may be required. The call will be available for replay via telephone starting at approximately 11:30 a.m. Eastern Time on May 5, 2022 running through 11:59 p.m. Eastern Time on May 19, 2022. To listen to the replay, dial (800) 770-2030 (U.S. and Canada) or (647) 362-9199 (international) using conference ID number 4671230. The archived webcast will be available on Ironwood’s website for 14 days beginning approximately one hour after the call has completed.

About Ironwood Pharmaceuticals

Ironwood Pharmaceuticals (Nasdaq: IRWD) is a leading gastrointestinal (GI) healthcare company on a mission to advance the treatment of GI diseases and redefine the standard of care for GI patients. We are pioneers in the development of LINZESS® (linaclotide), the U.S. branded prescription market leader for adults with irritable bowel syndrome with constipation (IBS-C) or chronic idiopathic constipation (CIC). Under the guidance of our seasoned industry leaders, we continue to build upon our history of GI innovation and challenge what has been done before to shape what the future holds. We keep patients at the heart of our R&D and commercialization efforts to reduce the burden of GI diseases and address significant unmet needs.

Founded in 1998, Ironwood Pharmaceuticals is headquartered in Boston, Massachusetts.

We routinely post information that may be important to investors on our website at www.ironwoodpharma.com. In addition, follow us on Twitter and on LinkedIn.

About LINZESS (linaclotide)

LINZESS® is the #1 prescribed brand in the U.S. for the treatment of adult patients with irritable bowel syndrome with constipation (“IBS-C”) or chronic idiopathic constipation (“CIC”), based on IQVIA data.

LINZESS is a once-daily capsule that helps relieve the abdominal pain, constipation, and overall abdominal symptoms of bloating, discomfort and pain associated with IBS-C, as well as the constipation, infrequent stools, hard stools, straining, and incomplete evacuation associated with CIC. The recommended dose is 290 mcg for IBS-C patients and 145 mcg for CIC patients, with a 72-mcg dose approved for use in CIC depending on individual patient presentation or tolerability. LINZESS should be taken at least 30 minutes before the first meal of the day.

LINZESS is contraindicated in pediatric patients less than 2 years of age. In neonatal mice, linaclotide increased fluid secretion as a consequence of age-dependent elevated GC-C agonism resulting in mortality within the first 24 hours due to dehydration. There was no age-dependent trend in GC-C intestinal expression in a clinical study of children 2 to less than 18 years of age; however, there are insufficient data available on GC-C intestinal expression in children less than 2 years of age to assess the risk of developing diarrhea and its potentially serious consequences in these patients. The safety and effectiveness of LINZESS in patients less than 18 years of age have not been established.

LINZESS is not a laxative; it is the first medicine approved by the FDA in a class called GC-C agonists. LINZESS contains a peptide called linaclotide that activates the GC-C receptor in the intestine. Activation of GC-C is thought to result in increased intestinal fluid secretion and accelerated transit and a decrease in the activity of pain-sensing nerves in the intestine. The clinical relevance of the effect on pain fibers, which is based on nonclinical studies, has not been established.

In the United States, Ironwood and AbbVie co-develop and co-commercialize LINZESS for the treatment of adults with IBS-C or CIC. In Europe, AbbVie markets linaclotide under the brand name CONSTELLA® for the treatment of adults with moderate to severe IBS-C. In Japan, Ironwood's partner, Astellas, markets linaclotide under the brand name LINZESS for the treatment of adults with IBS-C or CIC. Ironwood also has partnered with AstraZeneca for development and commercialization of LINZESS in China, and with AbbVie for development and commercialization of linaclotide in all other territories worldwide.

LINZESS Important Safety Information

INDICATIONS AND USAGE

LINZESS (linaclotide) is indicated in adults for the treatment of both irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC).

IMPORTANT SAFETY INFORMATION

WARNING: RISK OF SERIOUS DEHYDRATION IN PEDIATRIC PATIENTS LESS THAN 2 YEARS OF AGE   LINZESS is contraindicated in patients less than 2 years of age. In nonclinical studies in neonatal mice, administration of a single, clinically relevant adult oral dose of linaclotide caused deaths due to dehydration.

Contraindications

• LINZESS is contraindicated in patients less than 2 years of age due to the risk of serious dehydration.
• LINZESS is contraindicated in patients with known or suspected mechanical gastrointestinal obstruction.

Warnings and Precautions

Pediatric Risk

• LINZESS is contraindicated in patients less than 2 years of age. In neonatal mice, linaclotide increased fluid secretion as a consequence of age-dependent elevated GC-C agonism resulting in mortality within the first 24 hours due to dehydration. There was no age-dependent trend in GC-C intestinal expression in a clinical study of children 2 to less than 18 years of age; however, there are insufficient data available on GC-C intestinal expression in children less than 2 years of age to assess the risk of developing diarrhea and its potentially serious consequences in these patients. The safety and effectiveness of LINZESS in patients less than 18 years of age have not been established.

Diarrhea

• Diarrhea was the most common adverse reaction in LINZESS-treated patients in the pooled IBS-C and CIC double-blind placebo-controlled trials. The incidence of diarrhea was similar in the IBS-C and CIC populations. Severe diarrhea was reported in 2% of 145 mcg and 290 mcg LINZESS-treated patients, and in <1% of 72 mcg LINZESS-treated CIC patients. If severe diarrhea occurs, dosing should be suspended and the patient rehydrated.

Common Adverse Reactions (incidence ≥2% and greater than placebo)

• In IBS-C clinical trials: diarrhea (20% vs 3% placebo), abdominal pain (7% vs 5%), flatulence (4% vs 2%), headache (4% vs 3%), viral gastroenteritis (3% vs 1%) and abdominal distension (2% vs 1%).
• In CIC trials of a 145 mcg dose: diarrhea (16% vs 5% placebo), abdominal pain (7% vs 6%), flatulence (6% vs 5%), upper respiratory tract infection (5% vs 4%), sinusitis (3% vs 2%) and abdominal distension (3% vs 2%). In a CIC trial of a 72 mcg dose: diarrhea (19% vs 7% placebo) and abdominal distension (2% vs <1%).

Please see full Prescribing Information including Boxed Warning: http://www.allergan.com/assets/pdf/linzess_pi

LINZESS® and CONSTELLA® are registered trademarks of Ironwood Pharmaceuticals, Inc. Any other trademarks referred to in this press release are the property of their respective owners. All rights reserved.

Forward-Looking Statements

This press release contains forward-looking statements. Investors are cautioned not to place undue reliance on these forward-looking statements, including statements about Ironwood’s ability to execute its mission; Ironwood’s strategy, business, financial position and operations; Ironwood’s ability to drive growth and profitability; the demand, development, commercial availability and commercial potential of linaclotide and the drivers, timing, impact and results thereof; Ironwood’s continued focused investments and commitment to reaching new patients to drive prescription demand growth moving forward, which include a clinical pediatric programs in IBS-C and functional constipation (including the timing and results thereof); the size of estimated 6 to 17 year-olds population in the U.S. affected functional constipation; the potential indications for, and benefits of, linaclotide; financial performance and results, and guidance and expectations related thereto, including expectations related to LINZESS U.S. net sales growth, total revenue and adjusted EBITDA in 2022; Ironwood’s plans to maximize LINZESS growth via commercial innovation and lifecycle management, to strengthen our innovative GI pipeline through the in-license or acquisition of innovative GI assets, and to deliver sustained profits and generate cash flow; the potential of IW-3300 to be a first-in-class treatment of visceral pain conditions and the size of the IC/BPS and endometriosis populations; the size of estimated U.S. population affected by PBC; and the potential of CNP-104 to be the first PBC disease modifying therapy. These forward-looking statements speak only as of the date of this press release, and Ironwood undertakes no obligation to update these forward-looking statements. Each forward-looking statement is subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied in such statement. Applicable risks and uncertainties include those related to the effectiveness of development and commercialization efforts by us and our partners; preclinical and clinical development, manufacturing and formulation development of linaclotide, CNP-104 and our product candidates; the risk that clinical programs and studies may not progress or develop as anticipated, including that studies are delayed or discontinued for any reason, such as safety, tolerability, enrollment, manufacturing, economic or other reasons; the risk that findings from our completed nonclinical and clinical studies may not be replicated in later studies; the risk that we or our partners are unable to obtain, maintain or manufacture sufficient LINZESS or our product candidates, or otherwise experience difficulties with respect to supply or manufacturing; the efficacy, safety and tolerability of linaclotide and our product candidates; the risk that the therapeutic opportunities for LINZESS or our product candidates are not as we expect; decisions by regulatory and judicial authorities; the risk we may never get additional patent protection for linaclotide and other product candidates, that patents for linaclotide or other products may not provide adequate protection from competition, or that we are not able to successfully protect such patents; the risk that we are unable to manage our expenses or cash use, or are unable to commercialize our products as expected; the risk that we may elect to not exercise our option to acquire the exclusive license for CNP-104; the risk that the development of either our clinical pediatric programs in IBS-C and functional constipation in 6 to 17 year-olds, CNP-104 and/or IW-3300 is not successful or that any of our product candidates is not successfully commercialized; outcomes in legal proceedings to protect or enforce the patents relating to our products and product candidates, including abbreviated new drug application litigation; the risk that financial and operating results may differ from our projections; developments in the intellectual property landscape; challenges from and rights of competitors or potential competitors; the risk that our planned investments do not have the anticipated effect on our company revenues; developments in accounting guidance or practice; Ironwood’s or AbbVie’s accounting practices, including reporting and settlement practices as between Ironwood and AbbVie; the risk that we are unable to manage our expenses or cash use, or are unable to commercialize our products as expected; the impact of the COVID-19 pandemic; and the risks listed under the heading “Risk Factors” and elsewhere in Ironwood’s Annual Report on Form 10-K for the year ended December 31, 2021, and in our subsequent Securities and Exchange Commission filings.

Condensed Consolidated Balance Sheets (In thousands) (unaudited)
		March 31, 2022			December 31, 2021
Assets
Cash and cash equivalents		$	593,371		$	620,129
Accounts receivable, net			105,515			114,042
Prepaid expenses and other current assets			8,537			8,689
Restricted cash, short-term			1,250			1,250
Convertible note hedges			1,428			1,115
Total current assets			710,101			745,225
Restricted cash, net of current portion			485			485
Accounts receivable, net of current portion			14,143			23,998
Property and equipment, net			7,229			7,575
Operating lease right-of-use assets			15,028			15,350
Deferred tax assets			335,440			333,294
Other assets			955			1,000
Total assets		$	1,083,381		$	1,126,927
Liabilities and Stockholders’ Equity
Accounts payable		$	532		$	935
Accrued research and development costs			5,442			15,896
Accrued expenses and other current liabilities			16,852			23,566
Current portion of operating lease liabilities			3,097			3,127
Current portion of convertible senior notes			120,581			116,858
Note hedge warrants			899			1,316
Total current liabilities			147,403			161,698
Convertible senior notes, net of current portion			395,053			337,333
Operating lease liabilities, net of current portion			18,031			18,484
Other liabilities			5,111			3,501
Total stockholders’ equity			517,783			605,911
Total liabilities and stockholders’ equity		$	1,083,381		$	1,126,927

Condensed Consolidated Statements of Income (In thousands, except per share amounts) (unaudited)
		Three Months Ended March 31,
		2022				2021
Revenues
Collaborative arrangements revenue		$	97,529			$	88,665
Sale of active pharmaceutical ingredient			-				180
Total revenues			97,529				88,845
Operating expenses:
Research and development			10,822				15,484
Selling, general and administrative			28,861				27,652
Restructuring expenses			-				311
Total operating expenses			39,683				43,447
Income from operations			57,846				45,398
Other (expense) income:
Interest expense			(2,341	)			(7,626	)
Interest and investment income			230				196
Gain on derivatives			730				2,390
Other expense, net			(1,381	)			(5,040	)
Income before income taxes			56,465				40,358
Income tax expense			(17,664	)			(432	)
GAAP net income		$	38,801			$	39,926
GAAP net income per share—basic		$	0.25			$	0.25
GAAP net income per share—diluted		$	0.21			$	0.25

Reconciliation of GAAP Results to Non-GAAP Financial Measures (In thousands, except per share amounts) (unaudited)
A reconciliation between net income on a GAAP basis and on a non-GAAP basis is as follows:
	Three Months Ended March 31,
	2022				2021
GAAP net income	$	38,801			$	39,926
Adjustments:
Mark-to-market adjustments on the derivatives related to convertible notes, net		(730	)			(2,390	)
Restructuring expenses		-				311
Non-GAAP net income	$	38,071			$	37,847

A reconciliation between basic net income per share on a GAAP basis and on a non-GAAP basis is as follows:
	Three Months Ended March 31,
		2022				2021
GAAP net income per share –basic	$	0.25			$	0.25
Adjustments to GAAP net income per share (as detailed above)		(0.01	)			(0.01	)
Non-GAAP net income per share –basic	$	0.24			$	0.24
Weighted average number of common shares used to calculate net income per share — basic		157,821				160,967

A reconciliation between diluted net income per share on a GAAP basis and on a non-GAAP basis is as follows:
	Three Months Ended March 31,
		2022			2021
GAAP net income per share –diluted	$	0.21		$	0.25
Adjustments to GAAP net income per share (as detailed above)		-			(0.01	)
Non-GAAP net income per share –diluted	$	0.21		$	0.24
Weighted average number of common shares used to calculate net income per share — diluted1		189,540			162,347

¹ Following the adoption of ASU 2020-06 on January 1, 2022, the dilutive impact of Ironwood’s convertible senior notes is determined using the if-converted method. As a result of this change, the weighted average number of common shares used to calculate diluted net income per share includes approximately 29.9 million shares related to the assumed conversion of the 2024 and 2026 convertible senior notes. Under the modified retrospective transition method elected by the Company in connection with the adoption of ASU 2020-06, diluted earnings per share for prior fiscal periods is not required to be restated.

Reconciliation of GAAP Net Income to Adjusted EBITDA (In thousands) (unaudited)
A reconciliation of GAAP net income to adjusted EBITDA:
	Three Months Ended March 31,
		2022				2021
GAAP net income	$	38,801			$	39,926
Adjustments:
Mark-to-market adjustments on the derivatives related to convertible notes, net		(730	)			(2,390	)
Restructuring expenses		-				311
Interest expense		2,341				7,626
Interest and investment income		(230	)			(196	)
Income tax expense		17,664				432
Depreciation and amortization		355				410
Adjusted EBITDA	$	58,201			$	46,119

U.S. LINZESS Commercial Collaboration1 Revenue/Expense Calculation (In thousands) (unaudited)
		Three Months Ended March 31,
			2022				2021
LINZESS U.S. net sales as reported by AbbVie2		$	232,334			$	215,399
AbbVie & Ironwood commercial costs, expenses and other discounts3			61,016				57,511
Commercial profit on sales of LINZESS		$	171,318			$	157,888
Commercial Margin4			74	%			73	%
Ironwood’s share of net profit5			85,659				78,944
Reimbursement for Ironwood’s selling, general and administrative expenses6			8,660				7,005
Ironwood’s collaborative arrangement revenue2		$	94,319			$	85,949

¹ Ironwood collaborates with AbbVie on the development and commercialization of linaclotide in North America. Under the terms of the collaboration agreement, Ironwood receives 50% of the net profits and bears 50% of the net losses from the commercial sale of LINZESS in the U.S. The purpose of this table is to present calculations of Ironwood’s share of net profit (loss) generated from the sales of LINZESS in the U.S. and Ironwood’s collaboration revenue/expense; however, the table does not present the research and development expenses related to LINZESS in the U.S. that are shared equally between the parties under the collaboration agreement. Please refer to the table at the end of this press release for net profit for the U.S. LINZESS brand collaboration with AbbVie.
² LINZESS net sales are recognized using AbbVie’s revenue recognition accounting policies and reporting conventions. As a result, certain rebates and discounts are classified as LINZESS U.S. commercial costs, expenses and other discounts within Ironwood’s calculation of collaborative arrangements revenue.
³ Includes certain discounts recognized and cost of goods sold incurred by AbbVie; also includes selling, general and administrative expenses incurred by AbbVie and Ironwood that are attributable to the cost-sharing arrangement between the parties.
⁴ Commercial margin is defined as commercial profit on sales of LINZESS as a percent of total LINZESS U.S. net sales.
⁵ Ironwood has recalculated its share of net profit on sales of LINZESS in the U.S. to conform with AbbVie’s recast of historically reported LINZESS U.S. net sales (previously reported by Allergan).
⁶ Includes Ironwood’s selling, general and administrative expenses attributable to the cost-sharing arrangement with AbbVie. Excludes an insignificant amount for each of the three months ended March 31, 2022 and 2021, respectively, related to patent prosecution and patent litigation costs recognized in connection with the collaboration agreement with AbbVie.

 

US LINZESS Full Brand Collaboration1 Revenue/Expense Calculation (In thousands) (unaudited)
	Three Months Ended March 31,
		2022			2021
LINZESS U.S. net sales as reported by AbbVie2	$	232,334		$	215,399
AbbVie & Ironwood commercial costs, expenses and other discounts3		61,016			57,511
AbbVie & Ironwood R&D Expenses4		8,166			9,474
Total net profit on sales of LINZESS5	$	163,152		$	148,414

¹ Ironwood collaborates with AbbVie on the development and commercialization of linaclotide in North America. Under the terms of the collaboration agreement, Ironwood receives 50% of the net profits and bears 50% of the net losses from the commercial sale of LINZESS in the U.S. The purpose of this table is to present calculations of the total net profit (loss) generated from the sales of LINZESS in the U.S., including the commercial costs and expenses and the research and development expenses related to LINZESS in the U.S. that are shared equally between the parties under the collaboration agreement.
² LINZESS net sales are recognized using AbbVie’s revenue recognition accounting policies and reporting conventions. As a result, certain rebates and discounts are classified as LINZESS U.S. commercial costs, expenses and other discounts within Ironwood’s calculation of collaborative arrangements revenue.
³ Includes certain discounts recognized and cost of goods sold incurred by AbbVie; also includes selling, general and administrative expenses incurred by AbbVie and Ironwood that are attributable to the cost-sharing arrangement between the parties.
⁴ R&D expenses related to LINZESS in the U.S. are shared equally between Ironwood and AbbVie under the collaboration agreement.
⁵ Ironwood has recalculated its share of net profit on sales of LINZESS in the U.S. to conform with AbbVie’s recast of historically reported LINZESS U.S. net sales (previously reported by Allergan).

View source version on businesswire.com: https://www.businesswire.com/news/home/20220505005044/en/

Investors:

Greg Martini, 617-374-5230

gmartini@ironwoodpharma.com



Matt Roache, 617-621-8395

mroache@ironwoodpharma.com



Media:

Beth Calitri, 978-417-2031

bcalitri@ironwoodpharma.com

Source: Ironwood Pharmaceuticals, Inc.

FAQ

What were Ironwood Pharmaceuticals' net sales for LINZESS in Q1 2022?

Ironwood Pharmaceuticals reported net sales of LINZESS at $232 million in Q1 2022.

What is the year-over-year growth in LINZESS prescription demand for Ironwood?

The prescription demand for LINZESS increased by 11% year-over-year.

What was the total revenue for Ironwood Pharmaceuticals in Q1 2022?

Ironwood Pharmaceuticals reported total revenue of $98 million in Q1 2022.

How much cash did Ironwood Pharmaceuticals have at the end of Q1 2022?

Ironwood ended Q1 2022 with $593 million in cash and cash equivalents.

What was the GAAP net income for Ironwood Pharmaceuticals in Q1 2022?

The GAAP net income for Ironwood Pharmaceuticals in Q1 2022 was $39 million.