Lilly Reports Solid First-Quarter 2019 Financial Results, Updates 2019 Guidance to Reflect Disposition of Elanco Animal Health

INDIANAPOLIS, April 30, 2019 PRNewswire/ -- Eli Lilly and Company (NYSE: LLY) today announced financial results for the first quarter of 2019.




                           
      $ in millions, except 
           
       First Quarter 
     
      %


       per share data



                                                       2019                          2018               Change




       Revenue                                              $
     5,092.2                   $
     4,963.8            3%



       Net Income - Reported                       4,241.6                       1,217.4             
          NM



       EPS - Reported                                 4.31                          1.16             
          NM





       Net Income - Non-GAAP                       1,236.7                       1,289.9        (4)%



       EPS - Non-GAAP                                 1.33                          1.31          2%

    ---

Certain financial information for 2019 and 2018 is presented on both a reported and a non-GAAP basis. Some numbers in this press release may not add due to rounding. Reported results were prepared in accordance with U.S. generally accepted accounting principles (GAAP), include all revenue and expenses recognized during the periods, and reflect Elanco Animal Health as discontinued operations for all periods presented. Non-GAAP measures reflect adjustments for the items described in the reconciliation tables later in the release, and assume that the disposition of Elanco occurred at the beginning of all periods presented (including the benefit from the reduction in shares of common stock outstanding). The company's 2019 financial guidance is being provided on both a reported and a non-GAAP basis. The non-GAAP measures are presented to provide additional insights into the underlying trends in the company's business.

"Lilly continued to execute well against our strategic priorities in the first quarter of 2019," said David A. Ricks, Lilly's chairman and CEO. "We delivered volume-based revenue growth despite the loss of patent exclusivity for several products, increased our investments in new brands, and further funded our pipeline of potential new medicines. We also completed two transformative transactions in the first quarter, the disposition of our remaining ownership in Elanco Animal Health and the acquisition of Loxo Oncology, which adds a potential 2020 launch and strengthens our oncology pipeline of precision medicines for patients with difficult to treat cancers."

Key Events Over the Last Three Months

Regulatory

    --  The U.S. Food and Drug Administration (FDA) granted Priority Review for
        the supplemental Biologics License Application (sBLA) for Emgality(®)
        for the preventive treatment of episodic cluster headache in adults.
    --  The company received notification that the U.S. FDA extended the review
        time by up to three months for nasal glucagon to allow for review of
        information requested late in the review cycle. The submission of the
        additional information constituted a Major Amendment.
    --  The company has been working with global regulatory agencies to
        facilitate the withdrawal from the market of Lartruvo(® )for the
        treatment of advanced soft tissue sarcoma. Lilly is establishing a
        program to ensure current patients will have access to Lartruvo with
        limited interruption after it is withdrawn from the market. The program
        will be established as allowed by local country regulations.

Clinical

    --  The company and Boehringer Ingelheim announced that the cardiovascular
        outcome trial of Tradjenta(®) met its primary endpoint of
        non-inferiority compared with glimepiride in time to first occurrence of
        cardiovascular death, non-fatal myocardial infarction or non-fatal
        stroke.
    --  The company announced that a Phase 3 study of Cyramza(®) met its
        primary endpoint of progression-free survival, demonstrating a
        statistically significant improvement in the time patients lived without
        their cancer growing or spreading after starting treatment. The Phase 3
        trial evaluated Cyramza in combination with erlotinib, compared to
        placebo in combination with erlotinib, as a first-line treatment in
        patients with metastatic non-small cell lung cancer whose tumors have
        activating EGFR mutations.
    --  The company and Pfizer Inc. announced top-line results from a Phase 3
        study evaluating tanezumab in patients with moderate-to-severe chronic
        low back pain. In the study, treatment with tanezumab 10 mg met the
        primary endpoint, demonstrating a statistically significant improvement
        in pain at 16 weeks compared to placebo. The tanezumab 5 mg arm
        demonstrated a numerical improvement in pain, but did not reach
        statistical significance compared to placebo at the week 16 analysis.
    --  The company and Pfizer Inc. announced top-line results from a Phase 3
        study comparing the long-term joint safety and 16-week efficacy of
        tanezumab relative to nonsteroidal anti-inflammatory drugs (NSAIDs) in
        patients with moderate-to-severe osteoarthritis (OA) of the hip or knee.
        The tanezumab 5 mg treatment arm met two of the three co-primary
        efficacy endpoints, demonstrating a statistically significant
        improvement in pain and physical function compared to NSAIDs at the
        16-week analysis, while patients' overall assessment of their OA was not
        statistically different than NSAIDs. Patients who received tanezumab 2.5
        mg did not experience a statistically significant improvement in pain,
        physical function or patients' overall assessment of their OA at 16
        weeks compared to NSAIDs. In the safety analysis, there was a
        statistically significant higher rate of joint safety events in the
        tanezumab arms compared to NSAIDs at 80 weeks. The companies are
        analyzing these findings in the context of recent Phase 3 results and
        will assess potential next steps for tanezumab.
    --  The company announced that Taltz(®) met the primary and all major
        secondary endpoints in a Phase 3 study evaluating its safety and
        efficacy for the treatment of non-radiographic axial spondyloarthritis
        in patients who are biologic disease-modifying anti-rheumatic
        drug-naïve.

Business Development/Other Developments

    --  The company completed the previously announced disposition of Elanco
        Animal Health, and accepted shares of Lilly common stock in exchange for
        its remaining 80.2% interest in Elanco. As a result, Lilly recognized an
        approximate $3.7 billion gain on the Elanco disposition in the first
        quarter of 2019.
    --  The company completed the acquisition of Loxo Oncology, Inc., broadening
        the scope of Lilly's oncology portfolio into precision medicines through
        the addition of a promising pipeline of investigational medicines,
        including LOXO-292, a first-in-class oral RET inhibitor that has been
        granted Breakthrough Therapy designation by the FDA for three
        indications, with an initial potential launch in 2020, and LOXO-305, an
        oral BTK inhibitor currently in Phase 1/2. Additionally, Bayer Consumer
        Care AG exercised its election under the Bayer/Loxo agreement to convert
        its co-exclusive license to an exclusive license in the U.S. and Puerto
        Rico regarding the development and commercialization of the TRK
        inhibitors Vitrakvi(®) and LOXO-195. As a result, Lilly is eligible to
        receive milestones and royalties from Bayer on future sales of Vitrakvi
        and LOXO-195 both in the U.S. and in international markets.
    --  The company announced it will introduce Insulin Lispro, a lower-priced
        version of Humalog(®), in the United States, providing people with
        diabetes an insulin option that will have a list price 50 percent lower
        than the current Humalog list price.
    --  The company and ImmuNext, Inc. announced a global licensing and research
        collaboration focused on the study of a preclinical novel target that
        could lead to potential new medicines for autoimmune diseases by
        regulating immune cell metabolism.
    --  The company and Avidity Biosciences, Inc. announced a global licensing
        and research collaboration focused on the discovery, development and
        commercialization of potential new medicines in immunology and other
        select indications.
    --  The company announced an agreement to sell the rights in China for two
        legacy antibiotic medicines, Ceclor(®) and Vancocin(®), as well as a
        manufacturing facility in Suzhou, China that produces Ceclor, to
        Eddingpharm, a China-based specialty pharmaceutical company.
    --  The company and Incyte Corporation announced that Incyte has elected to
        no longer co-fund the development of baricitinib. As a result, Lilly
        will solely fund all future development of baricitinib and pay a lower
        royalty rate to Incyte on future sales.
    --  The U.S. Court of Appeals for the Federal Circuit ruled in the company's
        favor regarding patentability of the vitamin regimen for Alimta(®). The
        decision upholds an October 2017 decision by the Patent Trial and Appeal
        Board of the U.S. Patent and Trademark Office.

First-Quarter Reported Results

In the first quarter of 2019, worldwide revenue was $5.092 billion, an increase of 3 percent compared with the first quarter of 2018. The increase in revenue was driven by a 7 percent increase due to volume, partially offset by a 3 percent decrease due to lower realized prices, and a 2 percent decrease due to the unfavorable impact of foreign exchange rates.

Revenue in the U.S. increased 3 percent, to $2.891 billion, driven by increased volume of 6 percent, partially offset by lower realized prices. U.S. volume growth was driven by key growth products, primarily Trulicity(®), Taltz, Verzenio(®), and Basaglar(®), partially offset by significant volume declines for products that have lost exclusivity, including Cialis(®) and Strattera(®).

Revenue outside the U.S. increased 2 percent, to $2.201 billion, driven by increased volume of 9 percent, which was primarily from key growth products, including Trulicity, Olumiant(®), and Taltz. The increase in revenue was partially offset by the unfavorable impact of foreign exchange rates and, to a lesser extent, lower realized prices.

Gross margin increased 4 percent, to $3.953 billion, in the first quarter of 2019 compared with the first quarter of 2018. Gross margin as a percent of revenue was 77.6 percent, an increase of 1.1 percentage points compared with the first quarter of 2018. The increase in gross margin percent was primarily due to the favorable effect of foreign exchange rates on international inventories sold, partially offset by the timing of planned manufacturing production schedules, decreased volume for post-patent products, unfavorable product mix, the negative impact of price on revenue, and charges resulting from the suspension of promotion of Lartruvo.

Operating expenses in the first quarter of 2019, defined as the sum of research and development and marketing, selling, and administrative expenses, increased 12 percent to $2.748 billion compared with the first quarter of 2018. Research and development expenses increased 11 percent to $1.231 billion, or 24.2 percent of revenue, driven by higher development expenses for late-stage assets. Marketing, selling, and administrative expenses increased 13 percent, to $1.517 billion, primarily due to increased marketing expenses related to recent product launches.

In the first quarter of 2019, the company recognized acquired in-process research and development charges of $136.9 million, related to the previously announced business development transactions with AC Immune SA and ImmuNext, Inc. There were no acquired in-process research and development charges in the first quarter of 2018.

In the first quarter of 2019, the company recognized asset impairment, restructuring, and other special charges of $423.9 million. The charges were primarily associated with accelerated vesting of Loxo Oncology employee equity awards as part of the closing of the $8.0 billion acquisition of Loxo Oncology. In the first quarter of 2018, the company recognized asset impairment, restructuring and other special charges of $56.8 million, primarily associated with asset impairment and restructuring charges related to the decision to end Posilac(®) (rbST) production at the Augusta, Georgia manufacturing site.

Operating income in the first quarter of 2019 was $645.1 million, compared to $1.296 billion in the first quarter of 2018. The decrease in operating income was driven by higher asset impairment, restructuring, and other special charges, higher operating expense and higher acquired in-process research and development charges, partially offset by higher gross margin.

Other income (expense) was income of $86.0 million in the first quarter of 2019, compared with income of $69.5 million in the first quarter of 2018. The increase in other income was primarily driven by higher mark-to-market adjustments on investment securities, partially offset by higher net interest expense.

The effective tax rate was 23.3 percent in the first quarter of 2019, compared with 14.5 percent in the first quarter of 2018. The higher effective tax rate is primarily due to the non-deductibility of the accelerated vesting of Loxo Oncology employee equity awards as part of the closing of the acquisition of Loxo Oncology, as well as tax expenses associated with the suspension of promotion of Lartruvo.

Net income from discontinued operations was $3.681 billion in the first quarter of 2019, compared with $50.2 million in the first quarter of 2018. The increase in income from discontinued operations was driven by the gain recognized on the disposition of Elanco Animal Health.

In the first quarter of 2019, net income and earnings per share were $4.242 billion and $4.31, respectively, compared with net income of $1.217 billion and earnings per share of $1.16 in the first quarter of 2018. The increases in net income and earnings per share in the first quarter of 2019 were driven by the gain recognized on the disposition of Elanco Animal Health, partially offset by lower operating income.

First-Quarter Non-GAAP Measures

On a non-GAAP basis, first-quarter 2019 gross margin increased 5 percent, to $4.082 billion compared with the first quarter of 2018. Gross margin as a percent of revenue was 80.2 percent, an increase of 1.6 percentage points. The increase in gross margin percent was primarily due to the favorable effect of foreign exchange rates on international inventories sold, partially offset by the timing of planned manufacturing shutdowns, decreased volume for post-patent products, unfavorable product mix and the negative impact of price on revenue.

Operating income decreased $122.1 million, or 8 percent, to $1.334 billion in the first quarter of 2019 compared with the first quarter of 2018, due to higher operating expenses, partially offset by higher gross margin.

The effective tax rate was 12.9 percent in the first quarter of 2019, compared with 15.5 percent in the first quarter of 2018. The lower effective tax rate for the first quarter of 2019 was primarily driven by timing associated with the impact of U.S. tax reform.

In the first quarter of 2019, net income decreased 4 percent, to $1.237 billion, while earnings per share increased 2 percent, to $1.33, compared with $1.290 billion and $1.31, respectively, in the first quarter of 2018. The decrease in net income was primarily driven by lower operating income. Earnings per share increased due to a reduction in weighted average shares outstanding resulting from the company's regular, ongoing share repurchase program. Non-GAAP weighted average shares outstanding for both periods have been reduced by the approximately 65 million shares retired in the Elanco exchange offer.

For further detail of non-GAAP measures, see the reconciliation below as well as the Reconciliation of GAAP Reported to Selected Non-GAAP Adjusted Information table later in this press release.


                                                                                                                                  First Quarter



                                                                                                                        2019                    2018        % Change




              
                Earnings per share (reported)                                                                    $
     
            4.31                   $
       
     1.16  
     
     NM



              Discontinued operations                                                                                (3.74)                         (.05)




              
                Earnings per share from continuing operations                                                .57                           1.11            (42)%
    (reported)



              Asset impairment, restructuring and other special charges                                                 .44                            .04



              Lartruvo charges                                                                                          .13



              Acquired in-process research and development                                                              .12



              Amortization of intangible assets                                                                         .04                            .08



              Impact of reduced shares outstanding for non-GAAP                                                         .03                            .08
       reporting(a)



              
                Earnings per share (non-GAAP)                                                                    $
     
            1.33                   $
       
     1.31       2%






              Numbers may not add due to rounding.

               (a) Non-GAAP earnings per share assume that the disposition of Elanco occurred at the beginning of all
                periods presented and, therefore, exclude the approximately 65.0 million shares of Lilly common stock
                retired in the Elanco exchange offer.

    ---



       
                Selected Revenue Highlights

    ---

                     (Dollars in millions)                     
            First Quarter


                     Selected Products                  2019                          2018         
            %
                                                                                                     Change




       Trulicity                                              $
            879.7                          $
        678.3           30%



       Humalog                                        730.8                                 791.7                   (8)%



       Alimta                                         499.2                                 499.6                   (0)%



       Forteo(R)                                      312.9                                 313.2                   (0)%



       Cialis                                         308.2                                 495.4                  (38)%



       Humulin(R)                                     297.7                                 325.9                   (9)%



       Taltz                                          252.5                                 146.5                    72%



       Basaglar                                       251.4                                 166.0                    51%



       Jardiance(R)(a)                                203.6                                 151.0                    35%



       Cyramza                                        198.3                                 183.6                     8%



       Verzenio                                       109.4                                  29.7                      
      NM



       Olumiant                                        82.1                                  32.2                      
      NM



       Emgality                                        14.2                                                           
      NM




                     Total Revenue                   5,092.2                               4,963.8                     3%





       
                (a) Jardiance includes Glyxambi(R) and Synjardy(R)


       NM - not meaningful


       Numbers may not add due to rounding

    ---

Selected Products

Trulicity

First-quarter 2019 worldwide Trulicity revenue was $879.7 million, an increase of 30 percent compared with the first quarter of 2018. U.S. revenue increased 26 percent, to $665.6 million, driven by increased demand, partially offset by lower realized prices and changes in estimates to rebates and discounts. Revenue outside the U.S. was $214.1 million, an increase of 43 percent, driven by increased volume, partially offset by the unfavorable impact of foreign exchange rates and, to a lesser extent, lower realized prices.

Humalog

For the first quarter of 2019, worldwide Humalog revenue decreased 8 percent compared with the first quarter of 2018, to $730.8 million. Revenue in the U.S. decreased 11 percent, to $448.6 million, driven by decreased demand and, to a lesser extent, lower realized prices primarily due to the impact of patient affordability programs. Revenue outside the U.S. decreased 2 percent, to $282.2 million, driven primarily by the unfavorable impact of foreign exchange rates, largely offset by increased volume.

Alimta

For the first quarter of 2019, Alimta generated worldwide revenue of $499.2 million, which was unchanged compared with the first quarter of 2018. U.S. revenue increased 15 percent, to $281.8 million, primarily driven by increased demand. Revenue outside the U.S. decreased 15 percent to $217.4 million, driven by decreased volume resulting from the entry of generic pemetrexed in Germany and, to a lesser extent, the unfavorable impact of foreign exchange rates and lower realized prices.

Forteo

For the first quarter of 2019, worldwide revenue for Forteo was $312.9 million, which was unchanged compared with the first quarter of 2018. U.S. revenue increased 3 percent, to $125.9 million, primarily due to higher realized prices, partially offset by decreased demand. Revenue outside the U.S. decreased 2 percent to $187.0 million, primarily driven by the unfavorable impact of foreign exchange rates, partially offset by increased volume.

Cialis

For the first quarter of 2019, worldwide Cialis revenue decreased 38 percent compared with the first quarter of 2018, to $308.2 million. U.S. revenue was $143.2 million in the first quarter, a 54 percent decrease compared with the first quarter of 2018, driven by decreased demand due to generic competition, partially offset by higher realized prices. Revenue outside the U.S. decreased 9 percent to $164.9 million, primarily driven by the unfavorable impact of foreign exchange rates.

Humulin

For the first quarter of 2019, worldwide Humulin revenue decreased 9 percent compared with the first quarter of 2018, to $297.7 million. U.S. revenue decreased 9 percent, to $201.3 million, driven by lower realized prices due to changes in estimates to rebates and discounts and, to a lesser extent, decreased volume. Revenue outside the U.S. decreased 8 percent, to $96.4 million, primarily due to the unfavorable impact of foreign exchange rates.

Taltz

For the first quarter of 2019, worldwide Taltz revenue was $252.5 million, an increase of 72 percent compared with the first quarter of 2018. U.S. revenue was $180.8 million, an increase of 63 percent, driven by increased demand, partially offset by lower realized prices. Revenue outside the U.S. was $71.7 million, an increase of $36.4 million, driven by increased volume from recent launches, partially offset by the unfavorable impact of foreign exchange rates.

Basaglar

For the first quarter of 2019, Basaglar generated worldwide revenue of $251.4 million, an increase of 51 percent compared with the first quarter of 2018. U.S. revenue was $198.2 million, an increase of 56 percent, driven primarily by increased demand and, to a lesser extent, higher realized prices and changes in estimates to rebates and discounts. Revenue outside the U.S. was $53.2 million, an increase of 35 percent, primarily driven by increased volume, partially offset by lower realized prices and the unfavorable impact of foreign exchange rates. Basaglar is part of the company's alliance with Boehringer Ingelheim, and Lilly reports total sales of Basaglar as revenue, with payments made to Boehringer Ingelheim for its portion of the gross margin reported as cost of sales.

Jardiance

The company's worldwide Jardiance revenue during the first quarter of 2019 was $203.6 million, an increase of 35 percent compared with the first quarter of 2018. U.S. revenue increased 32 percent, to $125.2 million, driven by increased demand. Revenue outside the U.S. was $78.4 million, an increase of 40 percent, primarily driven by increased volume, partially offset by the unfavorable impact of foreign exchange rates. Jardiance is part of the company's alliance with Boehringer Ingelheim, and Lilly reports as revenue a portion of Jardiance's gross margin.

Cyramza

For the first quarter of 2019, worldwide Cyramza revenue was $198.3 million, an increase of 8 percent compared with the first quarter of 2018. U.S. revenue was $75.1 million, an increase of 10 percent, driven primarily by increased demand. Revenue outside the U.S. was $123.2 million, an increase of 7 percent, driven by increased volume, partially offset by the unfavorable impact of foreign exchange rates and lower realized prices.

Verzenio

For the first quarter of 2019, Verzenio generated worldwide revenue of $109.4 million, an increase of $26.4 million compared with the fourth quarter of 2018. U.S. revenue was $93.5 million, an increase of $17.0 million compared with the fourth quarter of 2018, driven by increased demand and, to a lesser extent, higher realized prices. Revenue outside the U.S. was $15.9 million, an increase of $9.4 million compared with the fourth quarter of 2018.

Olumiant

For the first quarter of 2019, Olumiant generated worldwide revenue of $82.1 million. U.S. revenue was $6.4 million. Revenue outside the U.S. was $75.7 million, an increase of $43.5 million compared with the first quarter of 2018, reflecting uptake of new launches in Europe.

Emgality

For the first quarter of 2019, Emgality generated worldwide revenue of $14.2 million, an increase of $9.3 million compared with the fourth quarter of 2018. U.S. revenue was $12.2 million, an increase of $7.2 million compared with the fourth quarter of 2018. Emgality was launched in certain international markets in the first quarter of 2019 and generated revenue outside of the U.S. of $2.1 million.

2019 Financial Guidance

Following the disposition of the company's remaining ownership in Elanco Animal Health, Elanco's financial results were no longer included in Lilly's financial results beginning March 12, 2019. On a reported basis, the 2019 financial guidance outlined below includes the financial results of the Elanco business from January 1, 2019 to March 11, 2019 as discontinued operations, including the gain on the disposition of Elanco. The company's 2019 non-GAAP financial guidance excludes the discontinued operations results for Elanco.

The company has updated certain elements of its 2019 financial guidance on a reported basis and on a non-GAAP basis to reflect the disposition of Elanco and provide current expectations for the company's human pharmaceutical business. On a reported basis, earnings per share for 2019 are now expected to be in the range of $8.57 to $8.67. On a non-GAAP basis, earnings per share are now expected to be in the range of $5.60 to $5.70.


                                                                                              2019 
       
                % Change
                                                                                                       from 2018
                                                                               
      
      Expectations




       
                Earnings per share (reported)                            
      
      $8.57 to $8.67   
       
                NM



       Discontinued operations                                                             (3.93)




       
                Earnings per share from continuing operations (reported) 
      
      $4.64 to $4.74               52% to 55%



       Asset impairment, restructuring and other special charges                              .44



       Amortization of intangible assets                                                      .17



       Lartruvo charges                                                                       .14



       Acquired in-process research and development                                           .14



       Impact of reduced shares outstanding for non-GAAP reporting                            .07



       
                Earnings per share (non-GAAP)                            
      
      $5.60 to $5.70                 3% to 5%




       Numbers may not add due to rounding



    ---

The company anticipates 2019 revenue between $22.0 billion and $22.5 billion. Revenue growth is expected to be driven by volume from key growth products including Trulicity, Taltz, Basaglar, Jardiance, Verzenio, Cyramza and Olumiant. Revenue growth is also expected to benefit from the recent launch of Emgality and could benefit from the potential approval and launch of other medicines in 2019. Revenue growth is expected to be partially offset by lower revenue for Cialis and other products that have lost patent exclusivity. Revenue growth is also expected to be partially offset by the negative impact of foreign exchange rates, continued low- to mid-single digit price declines in the U.S. driven primarily by patient affordability programs, rebates and legislated increases to Medicare Part D cost sharing, price declines in some international markets and the impact of the planned Lartruvo withdrawal.

Gross margin as a percent of revenue rate is expected to be approximately 79.0 percent on a reported basis and approximately 80.0 percent on a non-GAAP basis.

Marketing, selling and administrative expenses are expected to be in the range of $5.7 billion to $6.0 billion. Research and development expenses are expected to be in the range of $5.5 billion to $5.7 billion.

Other income (expense) is expected to be expense between $100 million and $250 million.

The 2019 effective tax rate is expected to be in the range of 15 percent to 16 percent on a reported basis and 14 percent to 15 percent on a non-GAAP basis.

The following table summarizes the company's 2019 financial guidance:


                                                                                                            2019 Guidance


                                                                                                            Prior         
       
                Updated to Reflect
                                                                                                                            Disposition of Elanco

                                                                                                                                                                ---


       Revenue                                                                        
          $25.1 to $25.6 billion              
              $22.0 to $22.5 billion





       Gross Margin % of Revenue (reported)                                                           Approx. 75.0%                                 Approx. 79.0%



       Gross Margin % of Revenue (non-GAAP)                                                           Approx. 76.5%                                 Approx. 80.0%





       Marketing, Selling & Administrative                                              
          $6.4 to $6.7 billion                
              $5.7 to $6.0 billion





       Research & Development                                                           
          $5.8 to $6.0 billion                
              $5.5 to $5.7 billion





       Other Income/(Expense)                                                       
          $(325) to $(175) million            
              $(250) to $(100) million





       Tax Rate (reported)                                                                            Approx. 16.5%                                15.0% to 16.0%



       Tax Rate (non-GAAP)                                                                            Approx. 15.0%                                14.0% to 15.0%





       Earnings per share (reported)                                                      
              $4.57 to $4.67                      
              $8.57 to $8.67



       Earnings per share (non-GAAP)                                                      
              $5.55 to $5.65                      
              $5.60 to $5.70







       Non-GAAP adjustments are consistent with the earnings per share table above.

    ---

Webcast of Conference Call

As previously announced, investors and the general public can access a live webcast of the first-quarter 2019 financial results conference call through a link on Lilly's website at www.lilly.com. The conference call will begin at 9:00 a.m. Eastern time (ET) today and will be available for replay via the website.

Lilly is a global healthcare leader that unites caring with discovery to create medicines that make life better for people around the world. We were founded more than a century ago by a man committed to creating high-quality medicines that meet real needs, and today we remain true to that mission in all our work. Across the globe, Lilly employees work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to communities through philanthropy and volunteerism. F-LLY

This press release contains management's current intentions and expectations for the future, all of which are forward- looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. The words "estimate", "project", "intend", "expect", "believe", "target", "anticipate" and similar expressions are intended to identify forward-looking statements. Actual results may differ materially due to various factors. There are significant risks and uncertainties in pharmaceutical research and development. There can be no guarantees that pipeline products will receive the necessary clinical and manufacturing regulatory approvals or that they will prove to be commercially successful. The company's results may also be affected by such factors as the timing of anticipated regulatory approvals and launches of new products; market uptake of recently launched products; competitive developments affecting current products; the expiration of intellectual property protection for certain of the company's products; the company's ability to protect and enforce patents and other intellectual property; the impact of governmental actions regarding pricing, importation, and reimbursement for pharmaceuticals, including U.S. health care reform; regulatory compliance problems or government investigations; regulatory actions regarding currently marketed products; unexpected safety or efficacy concerns associated with the company's products; issues with product supply stemming from manufacturing difficulties or disruptions; regulatory changes or other developments; changes in patent law or regulations related to data-package exclusivity; litigation involving current or future products; the extent to which third-party indemnification obligations relating to product liability litigation and similar matters will be performed; unauthorized disclosure of trade secrets or other confidential data stored in the company's information systems and networks; changes in tax law and regulations, including the impact of U.S. tax reform legislation enacted in December 2017 and related guidance; changes in inflation, interest rates, and foreign currency exchange rates; asset impairments and restructuring charges; changes in accounting standards promulgated by the Financial Accounting Standards Board and the Securities and Exchange Commission (SEC); acquisitions and business development transactions and related integration costs; and the impact of exchange rates and global macroeconomic conditions. For additional information about the factors that could cause actual results to differ materially from forward-looking statements, please see the company's latest Form 10-K filed with the SEC. You should not place undue reliance on forward-looking statements, which speak only as of the date of this release. Except as is required by law, the company expressly disclaims any obligation to publicly release any revisions to forward-looking statements to reflect events after the date of this release.

Alimta(®) (pemetrexed disodium, Lilly)
Basaglar(®) (insulin glargine injection, Lilly)
Ceclor(®) (cefaclor, Lilly)
Cialis(®) (tadalafil, Lilly)
Cyramza(®) (ramucirumab, Lilly)
Emgality(®) (galcanezumab-gnlm, Lilly)
Forteo(®) (teriparatide of recombinant DNA origin injection, Lilly)
Glyxambi(®) (empagliflozin/linagliptin, Boehringer Ingelheim)
Humalog(®) (insulin lispro injection of recombinant DNA origin, Lilly)
Humulin(®) (human insulin of recombinant DNA origin, Lilly)
Jardiance(® )(empagliflozin, Boehringer Ingelheim)
Lartruvo(®) (olaratumab, Lilly)
Olumiant(®) (baricitinib, Lilly)
Posilac(®) (recombinant bovine somatotropin, Lilly)
Strattera(®) (atomoxetine hydrochloride, Lilly)
Synjardy(®) (empagliflozin/metformin, Boehringer Ingelheim)
Taltz(® )(ixekizumab, Lilly)
Trajenta(®) (linagliptin, Boehringer Ingelheim)
Trulicity(® )(dulaglutide, Lilly)
Vancocin(® )(vancomycin, Lilly)
Verzenio(®) Verzenios(TM) (abemaciclib, Lilly)
Vitrakvi(®) (larotrectinib, Bayer)






     Eli Lilly and Company Employment Information




                                                   March 31, 2019                     December 31, 2018



     Worldwide
      Employees                      
              33,610*                                          38,680




     *Employment information as of March 31, 2019 excludes employees of Elanco Animal
      Health



     Eli Lilly and Company

     Operating Results  (Unaudited) - REPORTED

     (Dollars in millions, except per share data)




                                                                                     
          Three Months Ended


                                                                                       
          March 31,


                                                                     2019           2018  
            % Chg.





          
              Revenue                                              $
          5,092.2                                  $
            4,963.8         3%




          
              Cost of sales                                                1,138.7                                            1,164.6       (2)%


          
              Research and development                                     1,230.5                                            1,107.5        11%


          
              Marketing, selling and administrative                        1,517.1                          1,338.7                13%


          
              Acquired in-process research and development                   136.9                                                     
     NM


          
              Asset impairment, restructuring and other                      423.9                             56.8     
            NM
             special charges





          
              Operating income                                               645.1                          1,296.2              (50)%




          
              Net interest income (expense)                                 (55.9)                          (15.7)


          
              Net other income (expense)                                     141.9                             85.2



          
              Other income (expense)                                          86.0                             69.5                24%




          
              Income before income taxes                                     731.1                          1,365.7              (46)%


          
              Income tax expense                                             170.0                            198.5              (14)%





          
              Net income from continuing operations                          561.1                          1,167.2              (51)%


          
              Net income from discontinued operations                      3,680.5                             50.2     
            NM





          
              Net income                                           $
          4,241.6                    $
        1,217.4     
            NM





          
              Earnings from continuing operations - basic                     0.57                             1.11              (42)%


          
              Earnings from discontinued operations - basic                   3.76                             0.05



          
              Earnings per share - basic                              $
          4.33                       $
        1.16     
            NM





          
              Earnings from continuing operations - diluted                   0.57                             1.11              (42)%


          
              Earnings from discontinued operations - diluted                 3.74                             0.05



          
              Earnings per share - diluted                            $
          4.31                       $
        1.16     
            NM





          
              Dividends paid per share                               $
          0.645                                   $
            0.5625        15%


                                                                                984,001                                          1,049,839

          
              Weighted-average shares outstanding
             (thousands) - diluted





     NM - not meaningful



             Eli Lilly and Company


             Reconciliation of GAAP Reported to Selected Non-GAAP Adjusted Information (Unaudited)


             (Dollars in millions, except per share data)




                                                                                                                 
              Three Months Ended                                                                     
          Three Months Ended

                                                                                                                
              March 31, 2019                                                                         
          March 31, 2018

                                                                                                                                                                                                                         ---

                                                                                                 GAAP            Adjustments(b)              Non-GAAP                  
             GAAP Adjustments(c)         Non-GAAP
                                                                                         Reported                                     Adjusted(a)                        Reported                     Adjusted(a)

                                                                                                                                                                                                                  ---




             Cost of sales                                                    $
              
                1,138.7                                          $
         (128.2)                              $
              1,010.5                      $
     
        1,164.6        $
     (103.2)         $
      1,061.4




                                                                       136.9                                                                     (136.9)


             Acquired in-process
      research and
      development



             Asset impairment,                                        423.9                                                                     (423.9)                                                                                 56.8                 (56.8)
      restructuring and other
      special charges





             Income tax expense                                                                        170.0                                                    13.4                                             183.4                                198.5              37.3                235.8





             Net income from                                                                           561.1                                                   675.6                                           1,236.7                              1,167.2   122.7            1,289.9
      continuing operations





             Net income from                                        3,680.5                                                                   (3,680.5)                                                                                 50.2                 (50.2)
      discontinued operations





             Net Income                                                                              4,241.6                                               (3,004.9)                                          1,236.7                              1,217.4              72.5              1,289.9





             Earnings per share                                                                         4.31                                                  (2.98)                                             1.33                                 1.16              0.15                 1.31





             Weighted-average shares                                                                 984,001                                                  54,167                                           929,834                            1,049,839            65,001              984,838
      outstanding (thousands)
      - diluted




     Numbers may not add due to rounding.



     The table above reflects only line items with non-GAAP adjustments.




      (a)               The company uses non-GAAP financial measures that differ from financial statements reported in conformity with U.S. generally accepted accounting principles (GAAP). The company's non-GAAP measures adjust reported results to exclude
                         amortization of intangibles and items that are typically highly variable, difficult to predict, and/or of a size that could have a substantial impact on the company's reported operations for a period. The company believes that these non-
                         GAAP measures provide useful information to investors. Among other things, they may help investors evaluate the company's ongoing operations. They can assist in making meaningful period-over-period comparisons and in identifying
                         operating trends that would otherwise be masked or distorted by the items subject to the adjustments. Management uses these non-GAAP measures internally to evaluate the performance of the business, including to allocate resources and to
                         evaluate results relative to incentive compensation targets. Investors should consider these non-GAAP measures in addition to, not as a substitute for or superior to, measures of financial performance prepared in accordance with GAAP.


      (b)    
              Adjustments to certain GAAP reported measures for the three months ended March 31, 2019, include the following:



              (Dollars in millions, Amortization
                                          (i)        IPR&D(ii)         Other         Reduced        Lartruvo       Discontinued             Total
    except per share                                            specified       shares       charges (v)       operations
                                                                                                                  (vi)          adjustments
    data)                                                      items(iii)     outstanding
                                                                                  (iv)




              Cost of sales                      $
        (43.6)                  
              $                                            
           $             
     $                           $
     (84.6) 
     $ $
     
     (128.2)



              Acquired in-process                                   (136.9)                                                                                                      (136.9)
       research and
       development



              Asset impairment,                                                                     (411.8)                                         (12.1)                       (423.9)
       restructuring and
       other special
       charges





              Income taxes                   8.9                        28.7                              4.2                                          (28.5)               13.4





              Net income                    34.7                       108.1                            407.6                                           125.2    (3,680.5)         (3,004.9)





              Earnings per share -          0.04                        0.12                             0.44                                  0.03       0.13       (3.74)            (2.98)
       diluted



      Numbers may not
       add due to
       rounding.


     The table above
       reflects only
       line items with
       non-GAAP
       adjustments.




      i.               Exclude amortization of
                        intangibles primarily
                        associated with costs of
                        marketed products acquired or
                        licensed from third parties.


      ii.              Exclude costs associated with
                        upfront payments for acquired
                        in-process research and
                        development projects acquired
                        in a transaction other than a
                        business combination. These
                        costs were related to business
                        development activity with AC
                        Immune SA and ImmuNext, Inc.


      iii.             Exclude charges primarily
                        associated with the accelerated
                        vesting of Loxo Oncology
                        employee equity awards as part
                        of the closing of the
                        acquisition of Loxo Oncology.


      iv.              Non-GAAP earnings per share
                        assume that the disposition of
                        Elanco occurred at the
                        beginning of all periods
                        presented and therefore include
                        the benefit from the reduction
                        in shares of common stock
                        outstanding.


      v.               Exclude charges related to the
                        suspension of promotion of
                        Lartruvo.


      vi.              Exclude discontinued operations
                        of the Elanco Animal Health
                        business.






      (c)              Adjustments to certain GAAP
                        reported measures for the three
                        months ended March 31, 2018,
                        include the following:


     
              (Dollars in millions, except per share Amortization(i)            Other            Reduced      Discontinued             Total
     data)                                                                specified            shares       operations
                                                                                                                (iv)         adjustments
                                                                          items(ii)      outstanding(iii)



     
              Cost of sales                                          $
            (103.2)                        
              $                     
        $                   $
     
     (103.2)




     
              Asset impairment, restructuring and                                                 (56.8)                                                 (56.8)
        other special charges




     
              Income taxes                                      21.3                                 16.0                                                    37.3




     
              Net income                                        81.9                                 40.8                                        (50.2)           72.5




     
              Earnings per share                                0.08                                 0.04                                 0.08    (0.05)           0.15



               Numbers may not
                add due to
                rounding.


     The table above
                reflects only
                line items with
                non-GAAP
                adjustments.




               i.               Exclude amortization of intangibles
                                 primarily associated with costs of
                                 marketed products acquired or
                                 licensed from third parties.


               ii.              Exclude charges primarily
                                 associated with asset impairment
                                 and restructuring charges related
                                 to the decision to end Posilac
                                 (rbST) production at the Augusta,
                                 Georgia manufacturing site.


               iii.             Non-GAAP earnings per share assume
                                 that the disposition of Elanco
                                 occurred at the beginning of all
                                 periods presented and therefore
                                 include the benefit from the
                                 reduction in shares of common
                                 stock outstanding.


               iv.              Exclude discontinued operations of
                                 Elanco Animal Health business.


     Refer to: Mark Taylor; mark.taylor@lilly.com; (317) 276-5795
                (Media)


               Kevin Hern; hern_kevin_r@lilly.com; (317) 277-1838
                (Investors)

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SOURCE Eli Lilly and Company