United Therapeutics Corporation Reports First Quarter 2026 Financial Results
“In the first quarter of 2026, we extended our run of clinical success, with positive results from both our ADVANCE OUTCOMES and TETON-1 studies,” said Martine Rothblatt, Ph.D., Chairperson and Chief Executive Officer of United Therapeutics. “These readouts have the potential to meaningfully expand the breadth of our future growth and support further revenue diversification while reinforcing our long-term commitment to advancing therapies for patients with serious cardiopulmonary and respiratory disease. Moreover, given these successes, we’re excited to announce our development plans in pulmonary hypertension and fibrosis for ralinepag DPI, which we believe has the potential to achieve once-daily dosing and help broaden our therapeutic reach greater than ever before.”
Michael Benkowitz, President and Chief Operating Officer of United Therapeutics, added, “While the competitive landscape for inhaled prostacyclins remains dynamic, our continued growth for Tyvaso DPI reflects the resilience of our commercial strategy. Going forward, we are committed to further sharpening our execution with relentless drive and unwavering discipline to return to sequential quarterly revenue growth across our commercial portfolio in the near term.”
First Quarter 2026 Financial Results
Key financial highlights include (dollars in millions, except per share data):
| Three Months Ended
|
| Dollar
|
| Percentage
| ||||||||
| 2026 |
| 2025 |
|
| ||||||||
|
|
|
|
|
|
|
| ||||||
Total revenues | $ | 781.5 |
| $ | 794.4 |
| $ | (12.9 | ) |
| (2 | )% | |
Net income | $ | 274.9 |
| $ | 322.2 |
| $ | (47.3 | ) |
| (15 | )% | |
Net income, per basic share | $ | 6.32 |
| $ | 7.18 |
| $ | (0.86 | ) |
| (12 | )% | |
Net income, per diluted share | $ | 5.82 |
| $ | 6.63 |
| $ | (0.81 | ) |
| (12 | )% | |
Revenues
The table below presents the components of total revenues (dollars in millions):
| Three Months Ended
|
| Dollar
|
| Percentage
| ||||||||
| 2026 |
| 2025 |
|
| ||||||||
Net product sales: |
|
|
|
|
|
|
| ||||||
Tyvaso DPI® | $ | 330.3 |
| $ | 302.5 |
| $ | 27.8 |
|
| 9 | % | |
Nebulized Tyvaso® |
| 127.2 |
|
| 163.8 |
|
| (36.6 | ) |
| (22 | )% | |
Total Tyvaso |
| 457.5 |
|
| 466.3 |
|
| (8.8 | ) |
| (2 | )% | |
Remodulin®(1) |
| 126.6 |
|
| 138.2 |
|
| (11.6 | ) |
| (8 | )% | |
Orenitram® |
| 135.6 |
|
| 120.7 |
|
| 14.9 |
|
| 12 | % | |
Unituxin® |
| 53.6 |
|
| 58.2 |
|
| (4.6 | ) |
| (8 | )% | |
Adcirca® |
| 2.9 |
|
| 6.0 |
|
| (3.1 | ) |
| (52 | )% | |
Other |
| 5.3 |
|
| 5.0 |
|
| 0.3 |
|
| 6 | % | |
Total revenues | $ | 781.5 |
| $ | 794.4 |
| $ | (12.9 | ) |
| (2 | )% | |
(1) | Net product sales include sales of infusion devices, including the Remunity® and RemunityPRO® Pumps. |
Total Tyvaso revenues decreased by two percent to
The table below presents the breakdown of total revenues between
| Three Months Ended March 31, | |||||||||||||||||
| 2026 |
| 2025 | |||||||||||||||
| ROW | Total |
| ROW | Total | |||||||||||||
Net product sales: |
|
|
|
|
|
|
| |||||||||||
Tyvaso DPI | $ | 330.3 | $ | — | $ | 330.3 |
| $ | 302.5 | $ | — | $ | 302.5 | |||||
Nebulized Tyvaso |
| 112.6 |
| 14.6 |
| 127.2 |
|
| 138.6 |
| 25.2 |
| 163.8 | |||||
Total Tyvaso |
| 442.9 |
| 14.6 |
| 457.5 |
|
| 441.1 |
| 25.2 |
| 466.3 | |||||
Remodulin(1) |
| 108.8 |
| 17.8 |
| 126.6 |
|
| 120.2 |
| 18.0 |
| 138.2 | |||||
Orenitram |
| 135.6 |
| — |
| 135.6 |
|
| 120.7 |
| — |
| 120.7 | |||||
Unituxin |
| 49.0 |
| 4.6 |
| 53.6 |
|
| 56.9 |
| 1.3 |
| 58.2 | |||||
Adcirca |
| 2.9 |
| — |
| 2.9 |
|
| 6.0 |
| — |
| 6.0 | |||||
Other |
| 5.0 |
| 0.3 |
| 5.3 |
|
| 4.7 |
| 0.3 |
| 5.0 | |||||
Total revenues | $ | 744.2 | $ | 37.3 | $ | 781.5 |
| $ | 749.6 | $ | 44.8 | $ | 794.4 | |||||
(1) | Net product sales include sales of infusion devices, including the Remunity and RemunityPRO Pumps. |
Expenses
Cost of sales. The table below summarizes cost of sales by major category (dollars in millions):
| Three Months Ended
|
| Dollar
|
| Percentage
| |||||||
| 2026 |
| 2025 |
|
| |||||||
Category: |
|
|
|
|
|
|
| |||||
Cost of sales | $ | 132.4 |
| $ | 91.6 |
| $ | 40.8 |
| 45 | % | |
Share-based compensation expense(1) |
| 1.0 |
|
| 0.9 |
|
| 0.1 |
| 11 | % | |
Total cost of sales | $ | 133.4 |
| $ | 92.5 |
| $ | 40.9 |
| 44 | % | |
(1) | See Share-based compensation expense below for discussion. |
Cost of sales, excluding share-based compensation. The increase in cost of sales for the three months ended March 31, 2026, compared to the same period in 2025, was mainly due to an increase in inventory reserve expense. Of this increase amount,
Research and development expense. The table below summarizes the nature of research and development expense by major expense category (dollars in millions):
| Three Months Ended
|
| Dollar
|
| Percentage
| ||||||||
| 2026 |
| 2025 |
|
| ||||||||
Category: |
|
|
|
|
|
|
| ||||||
External research and development(1) | $ | 57.8 |
| $ | 57.2 |
| $ | 0.6 |
|
| 1 | % | |
Internal research and development(2) |
| 58.3 |
|
| 48.3 |
|
| 10.0 |
|
| 21 | % | |
Share-based compensation expense(3) |
| 5.4 |
|
| 6.9 |
|
| (1.5 | ) |
| (22 | )% | |
Other(4) |
| 16.7 |
|
| 36.6 |
|
| (19.9 | ) |
| (54 | )% | |
Total research and development expense | $ | 138.2 |
| $ | 149.0 |
| $ | (10.8 | ) |
| (7 | )% | |
(1) | External research and development primarily includes fees paid to third parties (such as clinical trial sites, contract research organizations, and contract laboratories) for preclinical and clinical studies and payments to third-party contract manufacturers before regulatory approval of the relevant product. | |
(2) | Internal research and development primarily includes salary-related expenses for research and development functions, internal costs to manufacture product candidates before regulatory approval, and internal facilities-related expenses, including depreciation, related to research and development activities. | |
(3) | See Share-based compensation expense below for discussion. | |
(4) | Other primarily includes upfront fees and milestone payments to third parties under license agreements related to development-stage products and adjustments to the fair value of our contingent consideration obligations. |
Research and development, excluding share-based compensation. The decrease in research and development expense for the three months ended March 31, 2026, as compared to the same period in 2025, was primarily due to a decrease in milestone payments for drug delivery device technologies, partially offset by an increase in personnel expenses.
Selling, general, and administrative expense. The table below summarizes selling, general, and administrative expense by major category (dollars in millions):
| Three Months Ended
|
| Dollar
|
| Percentage
| |||||||
| 2026 |
| 2025 |
|
| |||||||
Category: |
|
|
|
|
|
|
| |||||
General and administrative | $ | 127.9 |
| $ | 119.5 |
| $ | 8.4 |
| 7 | % | |
Sales and marketing |
| 28.7 |
|
| 26.6 |
|
| 2.1 |
| 8 | % | |
Share-based compensation expense(1) |
| 27.5 |
|
| 24.0 |
|
| 3.5 |
| 15 | % | |
Total selling, general, and administrative expense | $ | 184.1 |
| $ | 170.1 |
| $ | 14.0 |
| 8 | % | |
(1) | See Share-based compensation expense below for discussion. |
Share-based compensation expense. The table below summarizes share-based compensation expense by major category (dollars in millions):
| Three Months Ended
|
| Dollar
|
| Percentage
| |||||||||
| 2026 |
| 2025 |
|
| |||||||||
Category: |
|
|
|
|
|
|
| |||||||
Stock options | $ | 11.5 |
| $ | 8.5 |
|
| $ | 3.0 |
|
| 35 | % | |
Restricted stock units |
| 21.5 |
|
| 23.4 |
|
|
| (1.9 | ) |
| (8 | )% | |
Share tracking awards plan |
| — |
|
| (0.8 | ) |
|
| 0.8 |
|
| 100 | % | |
Employee stock purchase plan |
| 0.9 |
|
| 0.7 |
|
|
| 0.2 |
|
| 29 | % | |
Total share-based compensation expense | $ | 33.9 |
| $ | 31.8 |
|
| $ | 2.1 |
|
| 7 | % | |
The increase in share-based compensation expense for the three months ended March 31, 2026, as compared to the same period in 2025, was primarily due to an increase in the number of unvested and outstanding performance-based stock options during the three months ended March 31, 2026, as compared to the same period in 2025.
Other expense, net. The change in other expense, net for the three months ended March 31, 2026, as compared to the same period in 2025, was primarily due to net unrealized losses on equity securities.
Income tax expense. Income tax expense for the three months ended March 31, 2026 and 2025 was
Share repurchase. In March 2026, our Board of Directors approved a share repurchase program authorizing up to
Webcast
We will host a webcast to discuss our first quarter 2026 financial results on Wednesday, May 6, 2026, at 9:00 a.m. Eastern Time. The webcast can be accessed live via our website at https://ir.unither.com/events-and-presentations. An investor presentation is available now, and after the webcast a replay of the webcast will also be available, at the same location on our website.
About United Therapeutics
Founded by CEO Martine Rothblatt to discover a cure for her daughter's life-threatening rare disease, pulmonary arterial hypertension, United Therapeutics transforms the treatment of rare diseases and pioneers alternatives to expand the supply of transplantable organs. From our innovative therapies to our groundbreaking manufactured organs, we are bold and unconventional. We move quickly from scientific theory to practical technologies that can save lives. As a public benefit corporation, even our legal structure reflects our commitments. We serve patients, act with integrity, create long-term shareholder value, and operate with sustainable practices that protect the future we are working to build.
Forward-Looking Statements
Statements included in this press release that are not historical in nature are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include, among others, statements related to the potential for the results of our ADVANCE OUTCOMES and TETON-1 clinical studies to meaningfully expand the breadth of our future growth and support further revenue diversification while reinforcing our long-term commitment to advancing therapies for patients with serious cardiopulmonary and respiratory disease; our development plans for ralinepag DPI; the potential for ralinepag DPI to achieve once-daily dosing and help broaden our therapeutic reach; our efforts to return to sequential quarterly revenue growth across our commercial portfolio; the potential that we may utilize the remaining
ORENITRAM, REMODULIN, REMUNITY, TYVASO, TYVASO DPI, and UNITUXIN are registered trademarks of United Therapeutics Corporation. REMUNITYPRO is a trademark of United Therapeutics Corporation.
ADCIRCA is a registered trademark of Eli Lilly and Company.
UNITED THERAPEUTICS CORPORATION | ||||||||
CONSOLIDATED STATEMENTS OF OPERATIONS | ||||||||
(In millions, except per share data) | ||||||||
| Three Months Ended
| |||||||
| 2026 |
| 2025 | |||||
| (Unaudited) | |||||||
Total revenues | $ | 781.5 |
|
| $ | 794.4 |
| |
Operating expenses: |
|
|
| |||||
Cost of sales |
| 133.4 |
|
|
| 92.5 |
| |
Research and development |
| 138.2 |
|
|
| 149.0 |
| |
Selling, general, and administrative |
| 184.1 |
|
|
| 170.1 |
| |
Total operating expenses |
| 455.7 |
|
|
| 411.6 |
| |
Operating income |
| 325.8 |
|
|
| 382.8 |
| |
Interest income |
| 41.8 |
|
|
| 51.1 |
| |
Interest expense |
| (3.0 | ) |
|
| (6.1 | ) | |
Other expense, net |
| (46.3 | ) |
|
| (4.3 | ) | |
Total other (expense) income, net |
| (7.5 | ) |
|
| 40.7 |
| |
Income before income taxes |
| 318.3 |
|
|
| 423.5 |
| |
Income tax expense |
| (43.4 | ) |
|
| (101.3 | ) | |
Net income | $ | 274.9 |
|
| $ | 322.2 |
| |
Net income per common share: |
|
|
| |||||
Basic | $ | 6.32 |
|
| $ | 7.18 |
| |
Diluted | $ | 5.82 |
|
| $ | 6.63 |
| |
Weighted average number of common shares outstanding: |
|
|
| |||||
Basic |
| 43.5 |
|
|
| 44.9 |
| |
Diluted |
| 47.2 |
|
|
| 48.6 |
| |
SELECTED CONSOLIDATED BALANCE SHEET DATA | |||
(Unaudited, in millions) | |||
| March 31,
| ||
Cash, cash equivalents, and marketable investments | $ | 3,471.1 | |
Total assets |
| 6,714.2 | |
Total liabilities |
| 813.1 | |
Total stockholders’ equity |
| 5,901.1 | |
Category: Earnings
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Source: United Therapeutics Corporation