Allergan Reports First Quarter 2019 Financial Results
DUBLIN, May 7, 2019 /PRNewswire/ -- Allergan plc (NYSE: AGN) today reported its first quarter 2019 financial results including GAAP net revenues of $3.60 billion, a 2.0 percent decrease from the prior year quarter.
FIRST QUARTER 2019 FINANCIAL RESULTS
(unaudited; $ in millions, except per share amounts) Q1 '19 Q1 '18 Q1 '19 v Q1 '18 --- Total Net Revenues $ 3,597.1 $ 3,672.1 (2.0) % --- Operating (Loss) $ (2,309.2) $ (654.0) (253.1) % --- Diluted EPS $ (7.25) $ (0.99) (632.3) % --- SG&A Expense $ 1,112.3 $ 1,095.9 1.5 % --- R&D Expense $ 435.0 $ 474.7 (8.4) % --- Tax Rate 2.8 70.6 67.8 % % % --- Non-GAAP Net Revenues $ 3,597.1 $ 3,672.1 (2.0) % --- Non-GAAP Operating Income $ 1,625.6 $ 1,759.1 (7.6) % --- Non-GAAP Performance Net Income Per Share $ 3.79 $ 3.74 1.3 % --- Non-GAAP Adjusted EBITDA $ 1,737.0 $ 1,869.7 (7.1) % --- Non-GAAP SG&A Expense $ 1,096.2 $ 1,048.7 4.5 % --- Non-GAAP R&D Expense $ 397.9 $ 355.8 11.8 % --- Non-GAAP Tax Rate 12.8 14.1 (1.3) % % % ---
Executive Commentary
"Our first quarter results reflected continued growth of our Core Business, which increased 4.4 percent year-over-year across our four key therapeutic areas. Growth of key products such as BOTOX(®) Cosmetic, BOTOX(®) Therapeutic, VRAYLAR(®), JUVÉDERM(®) and Lo LOESTRIN(®) offset declines in products that lost exclusivity and products which were divested in 2018," said Brent Saunders, Chairman and CEO of Allergan. "Many key R&D programs have made steady progress and we now anticipate five regulatory approvals over the next 18 months. I appreciate the talented Allergan colleagues around the world who are bringing our products to patients who need them and positioning Allergan for a successful 2019 and beyond."
First Quarter 2019 Results
GAAP operating loss in the first quarter of 2019 was $2.31 billion, including the impact of impairments. Non-GAAP operating income in the first quarter of 2019 was $1.63 billion, a decrease of 7.6 percent versus the prior year quarter, impacted by lower operating margin and revenues due to the impact of divestitures, products that lost exclusivity and declines in textured breast implants and RESTASIS(®). GAAP cash flow from operations for the first quarter of 2019 totaled $1.23 billion.
Operating Expenses
Total GAAP Selling, General and Administrative (SG&A) Expense was $1.11 billion for the first quarter 2019, an increase of 1.5 percent from the prior year quarter. Total non-GAAP SG&A expense was $1.10 billion for the first quarter 2019, an increase of 4.5 percent from the prior year quarter, primarily related to an increase in selling and marketing spending in Medical Aesthetics. GAAP R&D investment for the first quarter of 2019 was $435.0 million, compared to $474.7 million in the first quarter of 2018. Non-GAAP R&D investment for the first quarter 2019 was $397.9 million, an increase of 11.8 percent compared to the prior year quarter, due to increased direct project spend to support pipeline advancement.
Amortization, Tax and Capitalization
Amortization expense for the first quarter 2019 was $1.40 billion, compared to $1.70 billion in the first quarter of 2018. The Company's GAAP tax rate was 2.8 percent in the first quarter 2019. The Company's non-GAAP adjusted tax rate was 12.8 percent in the first quarter 2019. As of March 31, 2019, Allergan had cash and marketable securities of $1.78 billion and outstanding indebtedness of $23.53 billion.
Asset Sales & Impairments, Net and In-Process R&D Impairments
Allergan recorded a goodwill impairment of $2.47 billion in the three months ended March 31, 2019, primarily related to the failure of rapastinel in clinical trials for major depressive disorder, which resulted in a lower fair value of the General Medicine reporting unit compared to the fair value as of December 31, 2018. The Company excludes asset sales and impairments, net and in-process research and development impairments from its Non-GAAP performance net income attributable to shareholders as well as Adjusted EBITDA and Non-GAAP Operating Income.
FIRST QUARTER 2019 BUSINESS SEGMENT RESULTS
U.S. Specialized Therapeutics
U.S. Specialized Therapeutics net revenues were $1.54 billion in the first quarter of 2019, a decrease of 2.3 percent versus the prior year quarter. Demand growth in BOTOX(®) Therapeutic, BOTOX(®) Cosmetic and JUVÉDERM(®) Collection was partially offset by a decline in CoolSculpting(®) sales compared to the prior year quarter, lower RESTASIS(®) revenues due to lower net pricing, as well as the divestiture of the Company's Medical Dermatology business on September 20, 2018. Segment gross margin for the first quarter of 2019 was 92.2 percent. Segment contribution for the first quarter 2019 was $1.01 billion.
Medical Aesthetics
-- Facial Aesthetics -- BOTOX(®) Cosmetic net revenues in the first quarter of 2019 were $229.5 million, an increase of 16.7 percent from the prior year quarter. -- JUVÉDERM(®) Collection (defined as JUVÉDERM(®), VOLUMA(®) and other fillers) net revenues in the first quarter of 2019 were $129.7 million, an increase of 5.6 percent versus the prior year quarter. -- Regenerative Medicine -- ALLODERM(®) net revenues in the first quarter of 2019 were $95.0 million, a decrease of 4.5 percent versus the prior year quarter. -- Body Contouring -- CoolSculpting(®) net revenues (including both CoolSculpting(®) Systems/Applicators and Consumables) in the first quarter of 2019 were $62.9 million, a decrease of 27.8 percent from the prior year quarter.
Neurosciences & Urology
-- BOTOX(®) Therapeutic net revenues in the first quarter of 2019 were $397.6 million, an increase of 5.8 percent versus the prior year quarter.
Eye Care
-- RESTASIS(®) net revenues in the first quarter of 2019 were $231.7 million, a decrease of 9.4 percent versus the prior year quarter. -- ALPHAGAN(®)/COMBIGAN(®) net revenues in the first quarter of 2019 were $83.0 million, a decrease of 1.4 percent versus the prior year quarter. -- OZURDEX(®) net revenues in the first quarter of 2019 were $30.3 million, an increase of 18.8 percent versus the prior year quarter.
U.S. General Medicine
U.S. General Medicine net revenues in the first quarter of 2019 were $1.25 billion, an increase of 2.1 percent versus the prior year quarter, primarily due to growth in VRAYLAR(®) and Lo LOESTRIN(®), partially offset by lower revenues from products that lost exclusivity. Segment gross margin for the first quarter of 2019 was 84.8 percent. Segment contribution for the first quarter 2019 was $805.1 million.
Central Nervous System
-- VRAYLAR(®) net revenues were $143.7 million in the first quarter of 2019, an increase of 70.3 percent from the prior year quarter. -- VIIBRYD(®)/FETZIMA(®) net revenues in the first quarter of 2019 were $85.0 million, an increase of 18.5 percent from the prior year quarter.
Gastrointestinal, Women's Health & Diversified Brands
-- LINZESS(®) net revenues in the first quarter of 2019 were $161.3 million, an increase of 1.3 percent versus the prior year quarter. -- Lo LOESTRIN(®) net revenues in the first quarter of 2019 were $125.8 million, an increase of 9.8 percent versus the prior year quarter. -- BYSTOLIC(®)/BYVALSON(®) net revenues in the first quarter of 2019 were $128.3 million, a decrease of 3.4 percent from the prior year quarter.
International
International net revenues in the first quarter of 2019 were $801.5 million, an increase of 1.3 percent versus the prior year quarter excluding foreign exchange impact, driven by growth in Facial Aesthetics partially impacted by regulatory changes for textured breast implants in certain international markets as well as lower glaucoma and eye drop revenues due to trade buying patterns. Segment gross margin for the first quarter of 2019 was 86.3 percent. Segment contribution was $428.5 million.
Facial Aesthetics
-- BOTOX(®) Cosmetic net revenues in the first quarter of 2019 were $147.4 million, an increase of 8.5 percent versus the prior year quarter excluding foreign exchange impact. -- JUVÉDERM(®) Collection net revenues in the first quarter of 2019 were $157.8 million, an increase of 18.3 percent versus the prior year quarter excluding foreign exchange impact.
Eye Care
-- LUMIGAN(®)/GANFORT(®) net revenues in the first quarter of 2019 were $85.1 million, a decrease of 7.8 percent versus the prior year quarter excluding foreign exchange impact. -- OZURDEX(®) net revenues in the first quarter of 2019 were $63.1 million, an increase of 6.7 percent versus the prior year quarter excluding foreign exchange impact.
Botox(®) Therapeutic
-- BOTOX(®) Therapeutic net revenues in the first quarter of 2019 were $93.9 million, an increase of 6.7 percent versus the prior year quarter excluding foreign exchange impact.
PIPELINE UPDATE
Allergan R&D continues to advance its pipeline. During the first quarter of 2019, the Company's key late-stage clinical developments included (most recent listed first):
-- Allergan and Molecular Partners announced topline safety results from the MAPLE study of abicipar for the treatment of neovascular age-related macular degeneration. The study used a modified manufacturing process and demonstrated decreased intraocular inflammation of 8.9 percent compared to greater than 15 percent in previous Phase 3 clinical trials. Allergan expects to submit a Biologics License Application (BLA) for abicipar with the U.S. Food and Drug Administration (FDA) in the first half of 2019. -- Allergan announced the FDA approved the company's supplemental New Drug Application (sNDA) for AVYCAZ(®) (ceftazidime and avibactam), expanding the label to include children and infants (patients three months and older) for the treatment of complicated intra-abdominal infections in combination with metronidazole and of complicated urinary tract infections. -- The FDA accepted Allergan's New Drug Application (NDA) for ubrogepant for the acute treatment of migraine. The NDA filing is based on positive results from two Phase 3 clinical trials demonstrating the efficacy, safety and tolerability of ubrogepant, an oral CGRP receptor antagonist, as well as two additional positive safety studies. A 10-month review period has been assigned with a Prescription Drug User Fee Act (PDUFA) date in the fourth quarter of 2019. -- The FDA accepted Allergan's supplemental biologics license applications (sBLAs) to expand the BOTOX(®) (onabotulinumtoxinA) label for the treatment of pediatric patients ages two years and older with upper and lower limb spasticity. The pediatric upper limb spasticity indication has been designated a 6-month Priority Review with a PDUFA date expected in the second quarter of 2019. The pediatric lower limb spasticity indication will undergo a standard 10-month review with a PDUFA date expected in the fourth quarter of 2019. -- Allergan announced topline results from three Phase 3 studies of rapastinel as an adjunctive treatment of Major Depressive Disorder. In all three pivotal acute studies, rapastinel did not meet primary and key secondary endpoints. Additionally, an interim analysis of a relapse prevention study of rapastinel suggested the primary and key secondary endpoints would not be met. -- Allergan reported positive topline results from two Phase 3 clinical trials of Bimatoprost SR, a first-in-class sustained-release, biodegradable implant for the reduction of intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Allergan anticipates submitting an NDA to the FDA in the first half of 2019.
In addition to first quarter 2019 pipeline developments, Allergan anticipates a regulatory decision from the FDA in May 2019 for the Company's sNDA for VRAYLAR(®) (cariprazine) seeking to expand the indication to include the treatment of depressive episodes associated with bipolar I disorder (bipolar depression) in adults.
SECOND QUARTER AND FULL YEAR 2019 GUIDANCE
Previous Guidance Current Guidance Twelve Months Ending December 31, 2019 Twelve Months Ending December 31, 2019 GAAP NON-GAAP GAAP NON-GAAP --- Total Net Revenues $15.000 - $15.300 $15.000 - $15.300 $15.125 - $15.425 $15.100 - $15.400 billion billion billion billion --- --- Gross Margin (as a % of revenues) 85.0% - 85.5% 85.0% - 85.5% 85.0% - 85.5% 85.0% - 85.5% --- --- SG&A Expense $4.1 - $4.3 billion $4.1 - $4.3 billion $4.1 - $4.3 billion $4.1 - $4.3 billion --- --- R&D Expense $1.8 - $1.9 billion $1.6 - $1.7 billion $1.8 - $1.9 billion $1.6 - $1.7 billion --- --- Net Interest Expense/Other Income (Expense) ~ $775.0 million ~ $800.0 million ~ $775.0 million ~ $800.0 million --- --- Tax Rate 24.5% - 25.0% 13.0% - 13.5% ~ 1.0% 13.0% - 13.5% --- --- Net Income / (Loss) Per Share(1) >= $1.14 >= $16.36 > ($5.70) > $16.55 --- --- Average 2019 Share Count(2) ~ 332.0 million ~ 332.0 million ~ 329.0 million ~ 332.0 million --- --- Cash Flow from Operations ~ $5.0 - $5.5 billion n.a. ~ $5.0 - $5.5 billion n.a. --- --- Three Months Ending June 30, 2019 GAAP NON-GAAP Total Net Revenues $3.875 - $4.025 billion $3.850 - $4.000 billion --- Net Income Per Share(1) $0.50 - $0.70 $4.20 - $4.40 --- (1) GAAP represents EPS for ordinary shareholders. GAAP income per share includes the impact of amortization of approximately $5.6 billion. Non-GAAP represents performance net income per share. (2) GAAP EPS shares do not include dilution of shares when earnings are a net loss. As such, the dilution impact of outstanding equity awards is not included in the forecasted shares.
FIRST QUARTER 2019 CONFERENCE CALL AND WEBCAST DETAILS
Allergan will host a conference call and webcast today, Tuesday, May 7, at 8:30 a.m. Eastern Time to discuss its first quarter 2019 results. The dial-in number to access the call is U.S./Canada (877) 251-7980, International (706) 643-1573, and the conference ID is 7466378. A replay of the conference call will also be available beginning approximately two hours after the call's conclusion and will remain available through 11:30 p.m. Eastern Time on June 7, 2019. The replay may be accessed by dialing (855) 859-2056 or (404) 537-3406 and entering the conference ID 7466378.
To access the webcast, please visit Allergan's Investor Relations website at https://www.allergan.com/investors/events-presentations. A replay of the webcast will also be available on Allergan's Investor Relations website.
Allergan Contacts: Investors: Manisha Narasimhan, PhD (862) 261-7162 Christine Chiou (862) 261-7396 Media: Amy Rose (862) 289-3072 Lisa Brown (862) 261-7320
About Allergan plc
Allergan plc (NYSE: AGN), headquartered in Dublin, Ireland, is a global pharmaceutical leader focused on developing, manufacturing and commercializing branded pharmaceutical, device, biologic, surgical and regenerative medicine products for patients around the world. Allergan markets a portfolio of leading brands and best-in-class products primarily focused on four key therapeutic areas including medical aesthetics, eye care, central nervous system and gastroenterology. As part of its approach to delivering innovation for better patient care, Allergan has built one of the broadest pharmaceutical and device research and development pipelines in the industry.
With colleagues and commercial operations located in approximately 100 countries, Allergan is committed to working with physicians, healthcare providers and patients to deliver innovative and meaningful treatments that help people around the world live longer, healthier lives every day.
For more information, visit Allergan's website at www.Allergan.com.
Forward-Looking Statement
Statements contained in this press release that refer to future events or other non-historical facts are forward-looking statements that reflect Allergan's current perspective on existing trends and information as of the date of this release. Actual results may differ materially from Allergan's current expectations depending upon a number of factors affecting Allergan's business. These factors include, among others, the difficulty of predicting the timing or outcome of FDA approvals or actions, if any; the impact of competitive products and pricing; market acceptance of and continued demand for Allergan's products; the impact of uncertainty around timing of generic entry related to key products, including RESTASIS(®), on our financial results; risks associated with divestitures, acquisitions, mergers and joint ventures; risks related to impairments; uncertainty associated with financial projections, projected debt reduction, projected cost reductions, projected synergies, restructurings, increased costs, and adverse tax consequences; difficulties or delays in manufacturing; and other risks and uncertainties detailed in Allergan's periodic public filings with the Securities and Exchange Commission, including but not limited to Allergan's Annual Report on Form 10-K for the year ended December 31, 2018. Except as expressly required by law, Allergan disclaims any intent or obligation to update these forward-looking statements.
The following presents Allergan plc's statement of operations for the three months ended March 31, 2019 and 2018: Table 1 ALLERGAN PLC CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited; in millions, except per share amounts) Three Months Ended March 31 2019 2018 Net revenues $ 3,597.1 $ 3,672.1 Operating expenses: Cost of sales (excludes amortization and impairment of acquired intangibles 497.8 522.8 including product rights) Research and development 435.0 474.7 Selling, general and administrative 1,112.3 1,095.9 Amortization 1,399.4 1,697.6 In-process research and development impairments 522.0 Goodwill and other asset impairments / sales, net 2,461.8 13.1 Total operating expenses 5,906.3 4,326.1 Operating (loss) (2,309.2) (654.0) Non-operating income (expense): Interest income 21.3 17.3 Interest (expense) (201.8) (250.6) Other income (expense), net 13.8 (78.8) Total other income (expense), net (166.7) (312.1) (Loss) before income taxes and noncontrolling interest (2,475.9) (966.1) (Benefit) for income taxes (68.6) (682.2) Net (loss) (2,407.3) (283.9) (Income) attributable to noncontrolling interest (0.7) (2.2) Net (loss) attributable to shareholders (2,408.0) (286.1) Dividends on preferred shares 46.4 Net (loss) attributable to ordinary shareholders $ (2,408.0) $ (332.5) (Loss) per share attributable to ordinary shareholders: Net (loss) per share - basic $ (7.25) $ (0.99) Net (loss) per share - diluted (7.25) (0.99) Weighted average shares outstanding: Basic 332.0 334.6 Diluted 332.0 334.6
The following table details Allergan plc's product revenue for significant promoted products globally, within the U.S., and international for the three months ended March 31, 2019 and 2018. ALLERGAN PLC NET REVENUES TOP GLOBAL PRODUCTS (Unaudited; in millions) Three Months Ended March 31, 2019 Three Months Ended March 31, 2018 Movement --- --- --- US US International Corporate Total US US International Corporate Total Total Total Specialized General Specialized General Change Change Therapeutics Medicine Therapeutics Medicine Percentage Botox(R) $ 627.1 $ $ 241.3 $ $ 868.4 $ 572.5 $ $ 244.8 $ $ 817.3 $ 51.1 6.3 % Restasis(R) 231.7 10.4 242.1 255.8 18.3 274.1 (32.0) (11.7) % Juvederm(R) Collection 129.7 157.8 287.5 122.8 146.1 268.9 18.6 6.9 % Lumigan(R)/Ganfort(R) 57.7 85.1 142.8 66.8 100.4 167.2 (24.4) (14.6) % Linzess(R)/Constella(R) 161.3 5.5 166.8 159.3 5.6 164.9 1.9 1.2 % Bystolic(R) /Byvalson(R) 128.3 0.4 128.7 132.8 0.5 133.3 (4.6) (3.5) % Alphagan(R)/Combigan(R) 83.0 37.6 120.6 84.2 44.2 128.4 (7.8) (6.1) % Lo Loestrin(R) 125.8 125.8 114.6 114.6 11.2 9.8 % Breast Implants 61.2 11.2 72.4 60.7 44.1 104.8 (32.4) (30.9) % Viibryd(R)/Fetzima(R) 85.0 2.1 87.1 71.7 1.5 73.2 13.9 19.0 % Eye Drops 49.4 55.4 104.8 46.2 68.8 115.0 (10.2) (8.9) % Asacol(R)/Delzicol(R) 24.7 10.3 35.0 38.2 11.7 49.9 (14.9) (29.9) % Coolsculpting(R) Consumables 47.8 17.8 65.6 53.4 8.1 61.5 4.1 6.7 % Coolsculpting(R) Systems & Add On Applicators 15.1 10.6 25.7 33.7 1.1 34.8 (9.1) (26.1) % Ozurdex (R) 30.3 63.1 93.4 25.5 64.4 89.9 3.5 3.9 % Carafate (R) /Sulcrate (R) 54.3 0.6 54.9 56.0 0.7 56.7 (1.8) (3.2) % Aczone(R) 1.6 1.6 16.0 0.1 16.1 (14.5) (90.1) % Zenpep(R) 63.0 63.0 52.9 52.9 10.1 19.1 % Canasa(R)/Salofalk(R) 10.2 3.6 13.8 38.6 4.2 42.8 (29.0) (67.8) % Vraylar(R) 143.7 143.7 84.4 84.4 59.3 70.3 % Saphris(R) 31.9 31.9 32.7 32.7 (0.8) (2.4) % Viberzi(R) 37.2 0.3 37.5 35.9 0.1 36.0 1.5 4.2 % Teflaro(R) 33.5 0.2 33.7 32.2 32.2 1.5 4.7 % Namzaric(R) 23.4 23.4 33.4 33.4 (10.0) (29.9) % Rapaflo(R) 11.8 0.6 12.4 22.8 1.2 24.0 (11.6) (48.3) % Skin Care 34.7 2.7 37.4 31.9 3.8 35.7 1.7 4.8 % Kybella(R) /Belkyra(R) 7.3 1.6 8.9 8.2 1.4 9.6 (0.7) (7.3) % Alloderm(R) 95.0 1.6 96.6 99.5 2.2 101.7 (5.1) (5.0) % Dalvance(R) 12.0 12.0 11.9 11.9 0.1 0.8 % Avycaz(R) 29.7 29.7 21.8 21.8 7.9 36.2 % Liletta(R) 14.8 14.8 8.1 8.1 6.7 82.7 % Namenda(R) 9.5 9.5 40.6 40.6 (31.1) (76.6) % Armour Thyroid 50.0 50.0 48.2 48.2 1.8 3.7 % Savella(R) 20.7 20.7 19.9 19.9 0.8 4.0 % Other Products Revenues 59.5 190.9 81.7 2.8 334.9 78.6 190.5 90.7 5.8 365.6 (30.7) (8.4) % Total Net Revenues $ 1,542.9 $ 1,249.9 $ 801.5 $ 2.8 3,597.1 $ 1,578.6 $ 1,223.7 $ 864.0 $ 5.8 3,672.1 $ (75.0) (2.0) % (1) Botox(R) is comprised of the following: Botox(R) Therapeutics 397.6 93.9 491.5 375.8 96.2 472.0 19.5 4.1 % Botox(R) Cosmetics 229.5 147.4 376.9 196.7 148.6 345.3 31.6 9.2 %
The following table presents Allergan plc's Condensed Consolidated Balance Sheets as of March 31, 2019 and December 31, 2018. Table 3 ALLERGAN PLC CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited; in millions) March 31 December 31, 2019 2018 Assets Cash and cash equivalents $ 788.5 $ 880.4 Marketable securities 995.2 1,026.9 Accounts receivable, net 2,731.2 2,868.1 Inventories 943.2 846.9 Prepaid expenses and other current assets 785.5 819.1 Assets held for sale 942.9 916.2 Property, plant and equipment, net 1,781.1 1,787.0 Investments and other assets 3,012.1 3,034.3 Right of use asset - operating leases 455.4 Product rights and other intangibles 42,264.6 43,695.4 Goodwill 43,336.6 45,913.3 Total assets $ 98,036.3 $ 101,787.6 Liabilities & Equity Current liabilities $ 4,761.3 $ 4,859.6 Lease liability 531.3 $ Current and long-term debt and capital leases 23,525.9 23,797.7 Deferred income taxes and other liabilities 7,658.2 7,999.3 Total equity 61,559.6 65,131.0 Total liabilities and equity $ 98,036.3 $ 101,787.6
The following table presents Allergan plc's Consolidated Statements of Cash Flows for the three months ended March 31, 2019 and 2018. Table 4 ALLERGAN PLC CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited; in millions) Three Months Ended March 31, 2019 2018 Cash Flows From Operating Activities: Net (loss) / income $ (2,407.3) $ (283.9) Reconciliation to net cash provided by operating activities: Depreciation 47.5 56.1 Amortization 1,399.4 1,697.6 Provision for inventory reserve 18.8 14.2 Share-based compensation 52.3 72.5 Deferred income tax benefit (229.7) (1,026.4) In-process research and development impairments 522.0 Goodwill and other impairments and asset sales, net 2,461.8 13.1 Loss on forward sale of Teva shares 77.7 Non-cash extinguishment of debt 0.3 Amortization of deferred financing costs 4.6 6.3 Non-cash lease expense 30.1 Contingent consideration adjustments, 18.7 5.3 including accretion Other, net (10.3) 6.5 Changes in assets and liabilities (net of effects of acquisitions): Decrease / (increase) in accounts receivable, net 132.4 259.1 Decrease / (increase) in inventories (128.3) (52.7) Decrease / (increase) in prepaid expenses 36.2 (0.6) and other current assets Increase / (decrease) in accounts payable (199.8) (231.6) and accrued expenses Increase / (decrease) in income and other 60.0 336.6 taxes payable Increase / (decrease) in other assets and liabilities (52.7) (13.5) Net cash provided by operating activities 1,234.0 1,458.3 Cash Flows From Investing Activities: Additions to property, plant and equipment (64.8) (46.4) Additions to product rights and other intangibles (7.5) Additions to investments (538.2) (1,455.9) Proceeds from sale of investments and other assets 569.1 4,889.5 Payments to settle Teva related matters (466.0) Proceeds from sales of property, plant and equipment 17.2 11.1 Acquisitions of businesses, net of cash acquired (80.6) Net cash (used in) investing activities (104.8) 2,932.3 Cash Flows From Financing Activities: Proceeds from borrowings on long-term indebtedness, including credit facility 709.0 Proceeds from Forward Sale of Teva securities 372.3 Payments on debt, including capital lease obligations (159.4) (4,322.1) Proceeds from stock plans 9.7 35.5 Other financing, including contingent consideration (2.0) (9.3) Payments to settle Teva related matters (234.0) Repurchase of ordinary shares (829.2) (1,439.6) Dividends (246.1) (319.5) Net cash (used in) financing activities (1,227.0) (5,207.7) Effect of currency exchange rate changes on cash 5.9 (5.3) and cash equivalents Net increase / (decrease) in cash and cash equivalents (91.9) (822.4) Cash and cash equivalents at beginning of period 880.4 1,817.2 Cash and cash equivalents at end of period $ 788.5 $ 994.8
Non-GAAP performance net income per share is used by management as one of the primary metrics in evaluating the Company's performance. We believe that Non-GAAP performance net income per share enhances the comparability of our results between periods and provides additional information and transparency to investors on adjustments and other items that are not indicative of the Company's current and future operating performance. These are the financial measures used by our management team to evaluate our operating performance and make day to day operating decisions. We define non-GAAP adjustments to the reported GAAP measures as GAAP results adjusted for the following net of tax: (i) amortization expenses, (ii) global supply chain and operational excellence initiatives or other restructurings of a similar nature, (iii) acquisition, divestiture, integration and licensing charges, (iv) accretion and fair market value adjustments on contingent liabilities, (v) impairment/asset sales and related costs, including the exclusion of discontinued operations, (vi) legal settlements and (vii) other unusual charges or expenses. Non-GAAP performance net income per share is not, and should not be viewed as, a substitute for reported GAAP continuing operations loss per share. The Company has consistently excluded amortization and impairments of all intangible assets, including the product rights that generate a significant portion of our ongoing revenue. The Company's total accumulated amortization, including impairments of currently marketed products, related to our intangible assets as of March 31, 2019 and December 31, 2018 was $33.6 billion and $32.3 billion, respectively, and is expected to continue to be a material non-GAAP adjustment. The following table presents Allergan plc's GAAP to Non-GAAP adjustments for the three months ended March 31, 2019 and 2018: Table 5 ALLERGAN PLC GAAP TO NON-GAAP ADJUSTMENTS (Unaudited; in millions) Three Months Ended March 31, 2019 Net COGS Research Selling General & & & Amortization Asset sales & Interest Other Income Impairments, Revenue Development Marketing Administrative net expense, income taxes net (expense) GAAP $ 3,597.1 $ 497.8 $ 435.0 $ 804.0 $ 308.3 $ 1,399.4 $ 2,461.8 $ (180.5) $ 13.8 $ (68.6) Purchase accounting impact on stock-based compensation for acquired awards (0.3) (0.4) (0.9) (0.3) Severance due to integration of acquired entities (0.8) Non-acquisition related severance and restructuring (4.6) 1.8 (0.1) Costs associated with disposed businesses (0.3) Integration charges of acquired businesses (0.1) (4.3) Milestones and upfront expenses for asset acquisitions Akarna Therapeutics, Ltd (10.0) Other (24.1) Accretion and fair-value adjustments to contingent consideration (16.2) (2.5) Non-cash amortization of debt premium recognized in purchase accounting (5.5) Impairment of goodwill (2,467.0) Asset sales and impairments, other 5.2 Litigation settlement related charges (10.4) Other adjustments (0.8) (1,399.4) (0.3) Income taxes on pre-tax adjustments 186.6 Discrete income tax events 68.4 Non-GAAP Adjusted $ 3,597.1 $ 476.7 $ 397.9 $ 804.9 $ 291.3 $ $ $ (186.0) $ 13.5 $ 186.4 Three Months Ended March 31, 2018 Net COGS Research & Selling & General & Amortization Asset sales & Interest Other Income Development Marketing Administrative Impairments, Revenue net expense, income taxes net (expense) GAAP $ 3,672.1 $ 522.8 $ 474.7 $ 800.0 $ 295.9 $ 1,697.6 $ 535.1 $ (233.3) $ (78.8) $ (682.2) Purchase accounting impact on stock-based compensation for acquired awards (1.1) (2.8) (4.3) (1.6) Severance due to integration of acquired entities (0.7) (0.5) Non-acquisition related severance and restructuring (12.6) (0.6) (10.3) (7.3) (13.6) Costs associated with disposed businesses (0.5) (2.6) Integration charges of acquired businesses (0.2) (0.2) (10.7) Milestones and upfront expenses for asset acquisitions Chase Pharmaceuticals Corporation (75.0) Repros Therapeutics, Inc. (33.2) Other (5.2) Accretion and fair-value adjustments to contingent consideration (3.4) (1.9) Non-cash amortization of debt premium recognized in purchase accounting (4.8) Impairment of RORgt IPR&D product (522.0) Asset sales and impairments, other 0.5 Loss on Teva shares 77.7 Litigation settlement related charges (10.3) Other adjustments 1.3 (1,697.6) Income taxes on pre-tax adjustments 437.8 Discrete income tax events 459.6 Non-GAAP Adjusted $ 3,672.1 $ 505.2 $ 355.8 $ 784.5 $ 264.2 $ $ $ (238.1) $ (1.1) $ 215.2 The non-GAAP income tax expense is determined based on our pre-tax income, adjusted for non-GAAP items on a jurisdiction by jurisdiction basis. The non-GAAP effective tax rate in the three months ended March 31, 2019 was impacted by U.S. income taxed at rates higher than the Irish statutory rate, partially offset by income earned in jurisdictions with tax rates lower than the Irish statutory rate. The non-GAAP effective tax rate for the three months ended March 31, 2019 excludes a net discrete tax benefit of approximately $68.4 million related to the recognition of an outside basis difference offset by share-based compensation and other individually insignificant items.
The following table presents a reconciliation of Allergan plc's reported net (loss) / income from continuing operations attributable to shareholders and diluted earnings per share to non-GAAP performance net income and non-GAAP performance net income per share for the three months ended March 31, 2019 and 2018: Table 6 ALLERGAN PLC RECONCILIATION TABLE (Unaudited; in millions except per share amounts) Three Months Ended March 31, 2019 2018 GAAP to Non-GAAP Performance net income calculation GAAP (loss) / income from continuing operations attributable to shareholders $ (2,408.0) $ (286.1) Adjusted for: Amortization 1,399.4 1,697.6 Acquisition, divestiture and licensing (income) / charges 36.5 210.2 Accretion and fair-value adjustments to contingent consideration 18.7 5.3 Goodwill and other impairments and asset sales, net and related costs 2,461.8 535.1 Other Non-acquisition restructurings, including Global Supply Chain initiatives 2.9 30.8 Legal settlements 10.4 10.3 Income taxes on items above and other discrete income tax adjustments (255.0) (897.4) Non-GAAP performance net income attributable to shareholders $ 1,266.7 $ 1,305.8 Diluted earnings per share Diluted (loss) / income per share from continuing operations attributable to $ (7.25) $ (0.86) shareholders- GAAP Non-GAAP performance net income per share attributable to shareholders $ 3.79 $ 3.74 Basic weighted average ordinary shares outstanding 332.0 334.6 Effect of dilutive securities: Dilutive shares 2.4 14.1 Diluted weighted average ordinary shares outstanding 334.4 348.7
We define adjusted EBITDA as an amount equal to consolidated net income /(loss) from continuing operations attributable to shareholders for such period adjusted for the following: (i) interest expense, (ii) interest income, (iii) (benefit) for income taxes, (iv) depreciation and amortization expenses, (v) share-based compensation expense, (vi) asset impairment charges and losses /(gains) and expenses associated with the sale of assets, including the exclusion of discontinued operations, (vii) business restructuring charges associated with Allergan's global supply chain and operational excellence initiatives or other restructurings of a similar nature, (viii) costs and charges associated with the acquisition and divestitures of businesses and assets including, but not limited to, milestone payments, integration charges, other charges associated with the revaluation of assets or liabilities and charges associated with the revaluation of acquisition related contingent liabilities that are based in whole or in part on future estimated cash flows, (ix) litigation charges and settlements and (x) other unusual charges or expenses. We define non-GAAP operating income as adjusted EBITDA including depreciation and certain share-based compensation charges and excluding dividend income, fair value accounting results included within other income (expense), net and other-than-temporary investment impairments included within other income (expense), net. The following table presents a reconciliation of Allergan plc's reported net (loss) from continuing operations attributable to shareholders for the three months ended March 31, 2019 and 2018 to adjusted EBITDA and Non-GAAP Operating Income: Table 7 ALLERGAN PLC ADJUSTED EBITDA and NON-GAAP OPERATING INCOME, RECONCILIATION TABLE (Unaudited; in millions) Three Months Ended March 31, 2019 2018 GAAP (loss) / income from continuing operations attributable to shareholders $ (2,408.0) $ (286.1) Plus: Interest expense 201.8 250.6 Interest income (21.3) (17.3) (Benefit) for income taxes (68.6) (682.2) Depreciation 47.5 56.1 Amortization 1,399.4 1,697.6 EBITDA $ (849.2) $ 1,018.7 Adjusted for: Acquisition, divestiture and licensing charges 40.1 197.0 Goodwill and other impairments and asset sales, net and related costs 2,461.8 535.1 Other Non-acquisition restructurings, including Global Supply Chain initiatives, excluding 2.9 30.8 depreciation Legal settlements 10.4 10.3 Accretion and fair-value adjustments to contingent consideration 18.7 5.3 Share-based compensation including cash settlements 52.3 72.5 Adjusted EBITDA $ 1,737.0 $ 1,869.7 Adjusted for: Depreciation (47.5) (56.1) Other income (expense) related to fair value accounting (13.5) Share-based compensation not related to restructuring charges and purchase (50.4) (54.5) accounting impact on stock-based compensation for acquired awards Non-GAAP Operating Income $ 1,625.6 $ 1,759.1
The following table details Allergan plc's segment contribution reconciled to the non-GAAP contribution for the same financial statement line items for the three months ended March 31, 2019 and 2018. Included within our corporate function are shared costs, including above site and unallocated costs associated with running our global manufacturing facilities, corporate general and administrative expenses and corporate initiatives. Table 8 ALLERGAN PLC Segment Contribution to Non-GAAP Allergan plc Contribution (Unaudited; $ in millions) Three Months Ended March 31, 2019 Three Months Ended March 31, 2018 --- --- US US International Corporate Total US US General General Specialized Specialized International Corporate Total Therapeutics Medicine Segment Therapeutics Medicine Segment Segment Segment Segment Segment Net revenues $ 1,542.9 $ 1,249.9 $ 801.5 $ 2.8 $ 3,597.1 $ 1,578.6 $ 1,223.7 $ 864.0 $ 5.8 $ 3,672.1 Operating expenses: Cost of sales(1) 120.1 190.5 109.7 56.4 476.7 134.2 182.6 120.9 67.5 505.2 Selling and marketing 356.8 210.5 237.6 804.9 313.2 225.5 245.7 0.1 784.5 General and administrative 54.6 43.8 25.7 167.2 291.3 50.2 38.9 31.4 143.7 264.2 Segment contribution $ 1,011.4 $ 805.1 $ 428.5 $ (220.8) $ 2,024.2 $ 1,081.0 $ 776.7 $ 466.0 $ (205.5) $ 2,118.2 Segment margin 65.6 64.4 53.5 n.m. 56.3 68.5 63.5 53.9 n.m. 57.7 % % % % % % % % Segment gross margin(2) 92.2 84.8 86.3 n.m. 86.7 91.5 85.1 86.0 n.m. 86.2 % % % % % % % % --- (1) Excludes amortization and impairment of acquired intangibles including product rights. (2) Defined as net revenues less segment related cost of sales as a percentage of net revenues.
The following table details Allergan plc's product revenue for significant promoted products within the US Specialized Therapeutics segment for the three months ended March 31, 2019 and 2018. Table 9 ALLERGAN PLC US Specialized Therapeutics Product Revenue (Unaudited; in millions) Three Months Ended March 31, Change 2019 2018 Dollars % Total Eye Care $ 465.1 $ 491.1 $ (26.0) (5.3) % Restasis(R) 231.7 255.8 (24.1) (9.4) % Alphagan(R)/Combigan(R) 83.0 84.2 (1.2) (1.4) % Lumigan(R)/Ganfort(R) 57.7 66.8 (9.1) (13.6) % Ozurdex(R) 30.3 25.5 4.8 18.8 % Eye Drops 49.4 46.2 3.2 6.9 % Other Eye Care 13.0 12.6 0.4 3.2 % Total Medical Aesthetics 648.2 635.6 12.6 2.0 % Facial Aesthetics 366.5 327.7 38.8 11.8 % Botox(R) Cosmetics 229.5 196.7 32.8 16.7 % Juvederm(R) Collection 129.7 122.8 6.9 5.6 % Kybella(R) 7.3 8.2 (0.9) (11.0) % Plastic Surgery 61.2 60.7 0.5 0.8 % Breast Implants 61.2 60.7 0.5 0.8 % Regenerative Medicine 122.9 128.2 (5.3) (4.1) % Alloderm(R) 95.0 99.5 (4.5) (4.5) % Other Regenerative Medicine 27.9 28.7 (0.8) (2.8) % Body Contouring 62.9 87.1 (24.2) (27.8) % Coolsculpting(R) Systems & Add On 15.1 33.7 (18.6) (55.2) % Applicators Coolsculpting(R) Consumables 47.8 53.4 (5.6) (10.5) % Skin Care(3) 34.7 31.9 2.8 8.8 % Total Medical Dermatology 6.1 36.7 (30.6) (83.4) % Aczone(R) 1.6 16.0 (14.4) (90.0) % Other Medical Dermatology(4) 4.5 20.7 (16.2) (78.3) % Total Neuroscience & Urology 409.4 398.6 10.8 2.7 % Botox(R) Therapeutics(5) 397.6 375.8 21.8 5.8 % Rapaflo(R) 11.8 22.8 (11.0) (48.2) % Other Revenues 14.1 16.6 (2.5) (15.1) % Net Revenues $ 1,542.9 $ 1,578.6 $ (35.7) (2.3) % Operating expenses: Cost of sales(1) 120.1 134.2 (14.1) (10.5) % Selling and marketing 356.8 313.2 43.6 13.9 % General and administrative 54.6 50.2 4.4 8.8 % Segment contribution $ 1,011.4 $ 1,081.0 $ (69.6) (6.4) % Segment margin 65.6 68.5 (2.9) % % % Segment gross margin(2) 92.2 91.5 0.7 % % % --- (1) Excludes amortization and impairment of acquired intangibles including product rights, as well as indirect cost of sales not attributable to segment results. (2) Defined as net revenues less segment related cost of sales as a percentage of net revenues. (3) Includes SkinMedica (R) and Latisse (R) . (4) Includes Tazorac (R) sales of $9.4 million which were previously disclosed separately in the three months ended March 31, 2018. (5) Includes Botox (R) Hyperhidrosis of $17.3 million which was previously disclosed under Medical Dermatology in the three months ended March 31, 2018.
The following table details Allergan plc's product revenue for significant promoted products within the US General Medicine segment for the three months ended March 31, 2019 and 2018. Table 10 ALLERGAN PLC US General Medicine Product Revenue (Unaudited; in millions) Three Months Ended March 31, Change 2019 2018 Dollars % Total Central Nervous System (CNS) $ 293.5 $ 262.8 $ 30.7 11.7 % Vraylar(R) 143.7 84.4 59.3 70.3 % Viibryd(R)/Fetzima(R) 85.0 71.7 13.3 18.5 % Saphris(R) 31.9 32.7 (0.8) (2.4) % Namzaric(R) 23.4 33.4 (10.0) (29.9) % Namenda (R)(3) 9.5 40.6 (31.1) (76.6) % Total Gastrointestinal (GI) 358.2 388.7 (30.5) (7.8) % Linzess(R) 161.3 159.3 2.0 1.3 % Zenpep(R) 63.0 52.9 10.1 19.1 % Carafate(R)/Sulcrate(R) 54.3 56.0 (1.7) (3.0) % Viberzi(R) 37.2 35.9 1.3 3.6 % Asacol(R)/Delzicol(R) 24.7 38.2 (13.5) (35.3) % Canasa(R)/Salofalk(R) 10.2 38.6 (28.4) (73.6) % Other GI 7.5 7.8 (0.3) (3.8) % Total Women's Health 201.0 163.3 37.7 23.1 % Lo Loestrin(R) 125.8 114.6 11.2 9.8 % Liletta(R) 14.8 8.1 6.7 82.7 % Other Women's Health(4)(5) 60.4 40.6 19.8 48.8 % Total Anti-Infectives 81.6 71.6 10.0 14.0 % Teflaro(R) 33.5 32.2 1.3 4.0 % Avycaz(R) 29.7 21.8 7.9 36.2 % Dalvance(R) 12.0 11.9 0.1 0.8 % Other Anti-Infectives 6.4 5.7 0.7 12.3 % Diversified Brands 270.9 274.9 (4.0) (1.5) % Bystolic(R) /Byvalson(R) 128.3 132.8 (4.5) (3.4) % Armour Thyroid 50.0 48.2 1.8 3.7 % Savella(R) 20.7 19.9 0.8 4.0 % Other Diversified Brands(6)(7) 71.9 74.0 (2.1) (2.8) % Other Revenues 44.7 62.4 (17.7) (28.4) % Net revenues $ 1,249.9 $ 1,223.7 $ 26.2 2.1 % Operating expenses: Cost of sales(1) 190.5 182.6 7.9 4.3 % Selling and marketing 210.5 225.5 (15.0) (6.7) % General and administrative 43.8 38.9 4.9 12.6 % Segment contribution $ 805.1 $ 776.7 $ 28.4 3.7 % Segment margin 64.4 63.5 0.9 % % % Segment gross margin(2) 84.8 85.1 (0.3) % % % --- (1) Excludes amortization and impairment of acquired intangibles including product rights, as well as indirect cost of sales not attributable to segment results. (2) Defined as net revenues less segment related cost of sales as a percentage of net revenues. (3) Includes Namenda XR (R) and Namenda (R) IR. (4) Includes Estrace (R) Cream sales of $6.4 million which were previously disclosed separately in the three months ended March 31, 2018. (5) Includes Minastrin (R) 24 sales of $5.2 million which were previously disclosed separately in the three months ended March 31, 2018. (6) Includes Lexapro (R) sales of $14.7 million which were previously disclosed separately in the three months ended March 31, 2018. (7) Includes PacPharma sales of $4.4 million which were previously disclosed separately in the three months ended March 31, 2018.
The following table details Allergan plc's product revenue for significant promoted products within the International segment for the three months ended March 31, 2019 and 2018. Table 11 ALLERGAN PLC International Product Revenue (Unaudited; in millions) Three Months Ended March 31, Change 2019 2018 Dollars % Total Eye Care $ 291.8 $ 343.7 $ (51.9) (15.1) % Lumigan(R)/Ganfort(R) 85.1 100.4 (15.3) (15.2) % Alphagan(R)/Combigan(R) 37.6 44.2 (6.6) (14.9) % Ozurdex(R) 63.1 64.4 (1.3) (2.0) % Eye Drops(3) 55.4 68.8 (13.4) (19.5) % Restasis(R) 10.4 18.3 (7.9) (43.2) % Other Eye Care 40.2 47.6 (7.4) (15.5) % Total Medical Aesthetics 352.8 358.5 (5.7) (1.6) % Facial Aesthetics 306.8 296.1 10.7 3.6 % Botox(R) Cosmetics 147.4 148.6 (1.2) (0.8) % Juvederm(R) Collection 157.8 146.1 11.7 8.0 % Belkyra(R) (Kybella(R)) 1.6 1.4 0.2 14.3 % Plastic Surgery 11.6 44.5 (32.9) (73.9) % Breast Implants 11.2 44.1 (32.9) (74.6) % Other Plastic Surgery 0.4 0.4 0.0 % Regenerative Medicine 3.3 4.9 (1.6) (32.7) % Alloderm(R) 1.6 2.2 (0.6) (27.3) % Other Regenerative Medicine 1.7 2.7 (1.0) (37.0) % Body Contouring 28.4 9.2 19.2 n.m. Coolsculpting(R) Systems & Add On Applicators 10.6 1.1 9.5 n.m. Coolsculpting(R) Consumables 17.8 8.1 9.7 n.m. Skin Care 2.7 3.8 (1.1) (28.9) % Botox (R) Therapeutics and Other 138.8 149.7 (10.9) (7.3) % Botox(R) Therapeutics 93.9 96.2 (2.3) (2.4) % Asacol(R)/Delzicol(R) 10.3 11.7 (1.4) (12.0) % Constella(R) 5.5 5.6 (0.1) (1.8) % Other Products 29.1 36.2 (7.1) (19.6) % Other Revenues 18.1 12.1 6.0 49.6 % Net revenues $ 801.5 $ 864.0 $ (62.5) (7.2) % Operating expenses: Cost of sales(1) 109.7 120.9 (11.2) (9.3) % Selling and marketing 237.6 245.7 (8.1) (3.3) % General and administrative 25.7 31.4 (5.7) (18.2) % Segment contribution $ 428.5 $ 466.0 $ (37.5) (8.0) % Segment margin 53.5 53.9 (0.4) % % % Segment gross margin(2) 86.3 86.0 0.3 % % % --- (1) Excludes amortization and impairment of acquired intangibles including product rights, as well as indirect cost of sales not attributable to segment results. (2) Defined as net revenues less segment related cost of sales as a percentage of net revenues. (3) Includes Optive (R) sales of $27.8 million which were previously disclosed separately in the three months ended March 31, 2018.
The following table provides a reconciliation of anticipated GAAP loss / income from continuing operations to non-GAAP performance net income attributable to shareholders for the three months ending June 30, 2019 and twelve months ending December 31, 2019: Table 12 Three months ending Twelve months ending June 30, 2019 December 31, 2019 (in millions, except per share information) LOW HIGH LOW GAAP income/(loss) from continuing operations $ 165.0 $ 233.0 $ (1,876.0) attributable to shareholders Adjusted for: Amortization 1,400.0 1,400.0 5,600.0 Acquisition, divestiture, licensing and other non- 5.0 5.0 100.0 recurring charges Accretion and fair-value adjustments to contingent 5.0 5.0 30.0 consideration Impairment/asset sales and related costs 2,462.0 Non-acquisition restructurings, including Global 4.0 Supply Chain initiatives Legal settlements 10.0 Income taxes on items above and other discrete (185.0) (185.0) (835.0) income tax adjustments Non-GAAP performance net income attributable to 1,390.0 1,458.0 5,495.0 shareholders Diluted earnings per share Diluted (loss) / income per share from continuing $ 0.50 $ 0.70 $ (5.70) operations attributable to shareholders- GAAP Non-GAAP performance diluted net income per share $ 4.20 $ 4.40 $ 16.55 attributable to shareholders Basic weighted average ordinary shares outstanding 328.0 328.0 329.0 Effect of dilutive securities: Dilutive shares 3.0 3.0 3.0 Diluted weighted average ordinary shares outstanding 331.0 331.0 332.0
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