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TABLE OF CONTENTS
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 10-K

(Mark One)
ý	ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
For the fiscal year ended December 31, 2013
OR
o	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
For the transition period from                             to

Commission file number 0-26301

United Therapeutics Corporation
(Exact Name of Registrant as Specified in Its Charter)

Delaware (State or Other Jurisdiction of Incorporation or Organization)	52-1984749 (I.R.S. Employer Identification No.)
1040 Spring Street, Silver Spring, MD (Address of Principal Executive Offices)	20910 (Zip Code)

(301) 608-9292
Registrant's Telephone Number, Including Area Code

Securities registered pursuant to Section 12(b) of the Act:

Title of each class	Name of each exchange on which registered
Common Stock, par value $.01 per share and associated preferred stock purchase rights	NASDAQ Global Select Market

Securities registered pursuant to Section 12(g) of the Act:

None
(Title of Class)

          Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.    Yes ý    No o

          Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.    Yes o    No ý

          Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes ý    No o

          Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Website, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes ý    No o

          Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.    o

          Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of "large accelerated filer," "accelerated filer," and "smaller reporting company" in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer ý Accelerated filer o Non-accelerated filer o
(Do not check if a smaller
reporting company) Smaller reporting company o

          Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).    Yes o    No ý

          The aggregate market value of the Common Stock held by non-affiliates of the registrant, based on the closing price on June 28, 2013, as reported by the NASDAQ Global Select Market was approximately $2,458,927,716.

The number of shares outstanding of the issuer's common stock, par value $0.01 per share, as of February 18, 2014, was 50,477,071.

DOCUMENTS INCORPORATED BY REFERENCE

          Portions of the registrant's definitive proxy statement for the registrant's 2014 annual meeting of shareholders scheduled to be held on June 26, 2014, are incorporated by reference in Part III of this Form 10-K.

TABLE OF CONTENTS

PART I
Item 1.	Business	3
Item 1A.	Risk Factors	38
Item 1B.	Unresolved Staff Comments	57
Item 2.	Properties	57
Item 3.	Legal Proceedings	58
Item 4.	Mine Safety Disclosures	58
PART II
Item 5.	Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities	59
Item 6.	Selected Financial Data	60
Item 7.	Management's Discussion and Analysis of Financial Condition and Results of Operations	62
Item 7A.	Quantitative and Qualitative Disclosures About Market Risk	86
Item 8.	Financial Statements and Supplementary Data	F-1
Item 9.	Changes In and Disagreements With Accountants on Accounting and Financial Disclosure	88
Item 9A.	Controls and Procedures	88
Item 9B.	Other Information	88
PART III
Item 10.	Directors, Executive Officers and Corporate Governance	89
Item 11.	Executive Compensation	90
Item 12.	Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters	91
Item 13.	Certain Relationships and Related Transactions, and Director Independence	91
Item 14.	Principal Accounting Fees and Services	91
PART IV
Item 15.	Exhibits, Financial Statement Schedules	92
SIGNATURES		93

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PART I

ITEM 1.    BUSINESS

        United Therapeutics Corporation is a biotechnology company focused on the development and commercialization of unique products to address the unmet medical needs of patients with chronic and life-threatening conditions.

        Our key therapeutic products and product candidates include:

•

Prostacyclin Analogues.  Prostacyclin analogues are stable synthetic forms of prostacyclin, an important molecule produced by the body that has powerful effects on blood vessel health and function. Our lead product is Remodulin® (treprostinil) Injection (Remodulin), which is administered subcutaneously (under the skin) or intravenously (in the vein) for the treatment of pulmonary arterial hypertension (PAH). The United States Food and Drug Administration (FDA) approved Remodulin in 2002 for subcutaneous administration. Subsequently, the FDA broadened its approval of Remodulin for intravenous use and for the treatment of patients who require transition from Flolan® (epoprostenol), the first FDA-approved prostacyclin therapy for PAH. Outside the United States, Remodulin is approved in 37 countries, most of which have approved both routes of administration. In 2009, the FDA approved Tyvaso® (treprostinil) Inhalation Solution (Tyvaso), an inhaled prostacyclin therapy for the treatment of PAH. In December 2013, the FDA approved Orenitram^TM (treprostinil) Extended-Release Tablets (Orenitram), which we expect to make commercially available in mid-2014. We are also conducting pre-clinical studies of a self-injectable form of treprostinil, which we refer to as TransCon treprostinil. Our wholly-owned subsidiary Lung Biotechnology Inc., formerly known as Lung LLC, is developing another prostacyclin analogue we licensed from Toray Industries, Inc. (Toray) called beraprost, for treatment of PAH both as an oral tablet known as 314d and as an extended release injection we refer to as TransCon beraprost.

•

Phosphodiesterase Type 5 (PDE-5) Inhibitor.  PDE-5 inhibitors act to inhibit the degradation of cyclic guanosine monophosphate (cyclic GMP) in cells. Cyclic GMP is activated by nitric oxide (NO), a naturally occurring substance in the body that mediates the relaxation of vascular smooth muscle. Our PDE-5 inhibitor product is Adcirca® (tadalafil) tablets (Adcirca), a once-daily oral therapy for the treatment of PAH. We acquired exclusive U.S. commercialization rights to Adcirca from Eli Lilly and Company (Lilly) in 2008. In 2009, the FDA approved Adcirca for the treatment of PAH.

•

Monoclonal Antibody (MAb).  MAbs act by targeting tumor-associated antigens on cancer cells to activate a patient's immune system against the cancer cells. We are developing the antibody Ch14.18 MAb for the treatment of neuroblastoma, under an agreement with the National Cancer Institute (NCI) of the United States National Institutes of Health (NIH). In December 2013, our marketing authorization application (MAA) for this antibody was accepted for review by the European Medicines Agency (EMA) and we plan to file a biologics license application (BLA) with the FDA during the first half of 2014.

•

Glycobiology Antiviral Agents.  Glycobiology antiviral agents are a novel class of small, sugar-like molecules that have shown pre-clinical indications of efficacy against a broad range of viruses. In September 2011, we were awarded a contract from the National Institute of Allergy and Infectious Diseases (NIAID) of the NIH for studies directed at the development of a broad spectrum antiviral drug based on our glycobiology antiviral platform. During the first half of 2014, we plan to begin enrolling a phase I clinical trial of our lead antiviral candidate, an alpha-glucosidase inhibitor called UV-4B, for the treatment of dengue.

•

Cell-Based Therapy.  In June 2011, we entered into a license agreement with Pluristem Ltd. (Pluristem) to develop and commercialize its cell-based product known as PLacental eXpanded

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(PLX) cells for the treatment of PAH. We commenced a phase I clinical study in Australia in 2013.

•

Lung Transplantation.  The only reported cure for PAH is a lung transplant. Using the xenotransplantation technology we acquired through our July 2011 acquisition of Revivicor Inc. and several regenerative medicine technologies that we have licensed, we are in the early pre-clinical stage of developing engineered lungs and lung tissue for transplant into patients suffering from PAH and other lung diseases. We are also developing technologies to increase the supply of donor lungs through collaborations with two ex-vivo lung perfusion companies.

        We devote most of our research and development resources to developing these key products and product candidates.

        Through 2013, we have generated revenues primarily from the sale of Remodulin, Tyvaso and Adcirca (which we refer to as our commercial products). Despite the planned commercial launch of Orenitram in mid-2014, we expect that sales of Remodulin, Tyvaso and Adcirca will continue to be our primary sources of revenues for the next several years. Our sales and marketing staff supports the availability of our commercial products in the countries in which they are approved. These efforts are supplemented by contracted specialty pharmaceutical distributors in the United States and other distributors internationally.

        United Therapeutics was incorporated in Delaware in June 1996. Our principal executive offices are located at 1040 Spring Street, Silver Spring, Maryland 20910. We also maintain executive offices at 55 T.W. Alexander Drive, Research Triangle Park, North Carolina 27709.

        Unless the context requires otherwise or unless otherwise noted, all references in this Annual Report on Form 10-K to "United Therapeutics" and to the "company", "we", "us" or "our" are to United Therapeutics Corporation and its subsidiaries.

Our Products

        Our product portfolio includes the following:

Product	Mode of Delivery	Indication/Market		Current Status	Our Territory
Remodulin	Continuous subcutaneous		Pulmonary arterial hypertension	Commercial in the U.S., most of Europe*, Argentina, Canada, Chile, Israel, Mexico, Peru, Puerto Rico, Saudi Arabia, South Korea, Taiwan and Venezuela; also approved in China	Worldwide
Remodulin	Continuous intravenous		Pulmonary arterial hypertension	Commercial in the U.S., Argentina, Canada, Israel, Puerto Rico, Saudi Arabia and Switzerland; also approved in most of Europe*, China, Mexico, Peru and South Korea	Worldwide
Tyvaso	Inhaled		Pulmonary arterial hypertension	Commercial in the U.S. and Puerto Rico	Worldwide
Adcirca	Oral		Pulmonary arterial hypertension	Commercial in the U.S. and Puerto Rico	United States and Puerto Rico
Orenitram	Oral		Pulmonary arterial hypertension	Approved by the FDA; commercial launch expected mid-2014	Worldwide

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Product	Mode of Delivery	Indication/Market		Current Status	Our Territory
Ch14.18 MAb	Intravenous		Neuroblastoma	MAA filed with the EMA in December 2013; BLA filing with the FDA expected first half of 2014	Worldwide
Orenitram Combination Therapy	Oral		Pulmonary arterial hypertension	Phase III	Worldwide
Remodulin	Continuous intravenous via implantable pump		Pulmonary arterial hypertension	Phase III	United States, United Kingdom, France, Germany, Italy and Japan
Beraprost 314d	Oral		Pulmonary arterial hypertension	Phase III	North America, Europe, Mexico, South America, Egypt, India, South Africa and Australia
PLX Cells	Intravenous		Pulmonary arterial hypertension	Phase I	Worldwide
UV-4B	Oral		Dengue	Phase I (plan to commence enrollment first half of 2014)	Worldwide
TransCon Treprostinil	Self-Injection		Pulmonary arterial hypertension	Pre-Clinical	Worldwide
TransCon Beraprost	Self-Injection		Pulmonary arterial hypertension	Pre-Clinical	Worldwide, except Asia
Glycobiology Antiviral Agents	Oral		Broad-spectrum agents against viral infectious diseases	Pre-Clinical	Worldwide
Lung Transplantation	Various		End-stage lung disease	Pre-Clinical	Worldwide

*

We have obtained approval for subcutaneous Remodulin in 23 member countries of the European Economic Area (EEA), as well as other non-EEA countries in Europe, and have received pricing approval in most of these countries. We have obtained approval for intravenous Remodulin in 23 EEA countries and Switzerland.

Products to Treat Cardiopulmonary Diseases

Pulmonary Arterial Hypertension

        PAH is a life-threatening disease that affects the blood vessels in the lungs and is characterized by increased pressure in the pulmonary arteries, which are the blood vessels leading from the heart to the lungs. The elevated pressure in the pulmonary arteries strains the right side of the heart as it pumps blood to the lungs. This eventually leads to right heart failure and, ultimately, death. PAH is characterized by structural changes in blood vessel walls, aggregation of platelets and alteration of smooth muscle cell function. We believe that PAH affects about 500,000 individuals worldwide. The awareness of PAH continues to grow, as we have seen increases in the number of people diagnosed with the disease. However, due to the rarity of the disease and the complexity of diagnosing it, only a small fraction of patients with PAH are being treated.

        Currently, treatment of PAH focuses on three distinct molecular pathways that have been implicated in the disease process: the prostacyclin pathway, the NO pathway, and the endothelin (ET) pathway. The three classes of drugs that target these three pathways are:

•

Prostacyclin Analogues.  Patients with PAH have been shown to have reduced levels of prostacyclin, a naturally occurring substance that has the effect of relaxing the pulmonary blood

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vessels, preventing platelet aggregation, and inhibiting the proliferation of smooth muscle cells in the pulmonary vessels. Therefore, drugs that mimic the action of prostacyclin, known as prostacyclin analogues, are established PAH treatments.

•

PDE-5 Inhibitors.  Patients with PAH have also been shown to have reduced levels of the enzyme responsible for producing NO, a naturally occurring substance in the body that causes relaxation of the pulmonary blood vessels. NO produces this effect by increasing intracellular levels of cyclic GMP. Therefore, another established therapeutic approach has been to inhibit the degradation of cyclic GMP, using drugs that are known as PDE-5 inhibitors.

•

Endothelin Receptor Antagonists.  PAH patients have also been shown to have elevated levels of endothelin-1, a naturally occurring substance in the body that causes constriction and structural changes of the pulmonary blood vessels. Therefore, another established therapeutic approach has been to block the action of endothelin with drugs that are known as endothelin receptor antagonists (ETRAs).

        Because any or all of the three pathways may be therapeutic targets in a patient, these three classes of drugs are used alone or in combination to treat patients with PAH. We currently market drugs in two of these three classes. Remodulin and Tyvaso are prostacyclin analogues, and Adcirca is a PDE-5 inhibitor. We plan to begin selling another prostacyclin analogue, Orenitram, in mid-2014.

Remodulin

        One of our lead products for treating PAH is Remodulin, the active pharmaceutical ingredient of which is a prostacyclin analogue known as treprostinil. We sell Remodulin to specialty pharmaceutical distributors in the United States and to pharmaceutical distributors internationally. We recognized approximately $491.2 million, $458.0 million and $430.1 million in Remodulin revenues, representing 44 percent, 50 percent and 58 percent of our net revenues for the years ended December 31, 2013, 2012 and 2011, respectively. The FDA approved Remodulin as a continuous subcutaneous infusion therapy in 2002, and as a continuous intravenous infusion therapy in 2004. Remodulin is indicated to treat patients with PAH (World Health Organization (WHO) Group 1) to diminish symptoms associated with exercise. Studies establishing effectiveness included patients with New York Heart Association (NYHA) Functional Class II-IV (moderate to severe) symptoms. In 2006, the FDA expanded its approval to include transition of patients to Remodulin from Flolan, the first FDA-approved prostacyclin therapy for PAH. In 2007, the results of a prospective, open-label study demonstrated that stable patients with PAH can be safely transitioned from Flolan to intravenous Remodulin using a rapid switch protocol.

        Outside of the United States, Remodulin is approved for treatment of PAH in 38 countries by continuous subcutaneous administration and in 32 countries, including 23 countries in Europe that granted approval in December 2011, by continuous intravenous administration. Applications for approval of both subcutaneous and intravenous Remodulin are under review in other countries. We continue to work toward commercializing Remodulin in new territories, including Japan (where we filed a marketing application during the third quarter of 2013) and China (where we received marketing approval in March 2013, and expect commercial launch in 2014).

        We believe Remodulin offers many competitive advantages over Flolan, which is delivered continuously through a surgically implanted intravenous catheter connected to an external pump and is not approved for subcutaneous use. Generic formulations of Flolan are also available. We believe subcutaneous Remodulin provides patients with a less invasive alternative to Flolan. In contrast to Flolan, Remodulin is stable at room temperature and lasts significantly longer inside the human body. These attributes allow for more convenient drug delivery to patients. Unlike Flolan, Remodulin can be delivered by subcutaneous infusion with a pager-sized miniature infusion pump. Subcutaneous delivery of Remodulin also eliminates the risk of central venous catheter infection and the hospitalization

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required to begin intravenous infusion. Remodulin's extended presence in the body may also reduce the risk of rebound PAH, and possibly death, if treatment is abruptly interrupted. The stability of Remodulin also allows its subcutaneous formulation to be packaged as an aqueous solution, so patients do not have to mix the drug as they do with Flolan. Remodulin can be continuously infused for up to 48 hours before refilling the infusion pump, unlike Flolan, which must be mixed and refilled every 24 hours. Treprostinil, the active ingredient in Remodulin, is highly soluble in an aqueous solution, which enables us to manufacture Remodulin in highly concentrated solutions. This allows therapeutic concentrations of Remodulin to be delivered at low flow rates via miniaturized infusion pumps for both subcutaneous and intravenous infusion. Lastly, Remodulin does not require the patient to keep the drug cool during infusion. This eliminates the need for cooling packs or refrigeration to keep Remodulin stable, as is required with Flolan due to Flolan's chemical instability at room temperature.

        In 2008, the FDA approved Teva Pharmaceuticals Industries Ltd.'s (Teva) version of generic epoprostenol (the active ingredient in Flolan) for the treatment of PAH, which has all of the attributes of Flolan discussed above. Also in 2008, the FDA approved another intravenous version of epoprostenol, which is currently marketed by Actelion Pharmaceuticals Ltd (Actelion) under the name Veletri®. Veletri is stable at room temperature but shares most of Flolan's other attributes including risk of central venous catheter infection, required hospitalization at the start of treatment, short half-life (which increases risk of rebound PAH), mixing requirements, daily pump refills and large pump size. Actelion also markets Tracleer® and Opsumit®, both ETRAs, and Ventavis®, an inhaled prostacyclin.

        In February 2012, we received notice of an abbreviated new drug application (ANDA) by Sandoz Inc. (Sandoz) requesting FDA approval to market a generic version of the 10 mg/mL strength of Remodulin. In December 2012, we received notice that Sandoz had amended its previously filed ANDA to request additional approval to market generic versions of the 1 mg/mL, 2.5 mg/mL, and 5 mg/mL strengths of Remodulin. For further details, see the sections below entitled Governmental Regulation—Hatch-Waxman Act and Item 3.—Legal Proceedings.

        There are noteworthy adverse events associated with Remodulin. When infused subcutaneously, Remodulin causes varying degrees of infusion site pain and reaction (redness and swelling) in most patients. Patients who cannot tolerate the infusion site pain related to use of subcutaneous Remodulin may instead use intravenous Remodulin. Intravenous Remodulin is delivered continuously through a surgically implanted central venous catheter, similar to Flolan, Veletri and generic epoprostenol. When delivered intravenously, Remodulin bears the risk of central venous catheter infection and a serious bloodstream infection known as sepsis, as do Flolan, Veletri and generic epoprostenol. General side effects associated with Remodulin include diarrhea, jaw pain, vasodilation and edema.

International Regulatory Review of Subcutaneous and Intravenous Remodulin

        Remodulin is approved in 38 countries outside the United States. In 32 of these countries, it is approved for both subcutaneous and intravenous use. In the other six countries, Remodulin is approved for subcutaneous use only.

        We used the mutual recognition process, described more fully below in Governmental Regulation—Marketing Pharmaceutical Products Outside the United States, to obtain approval of subcutaneous Remodulin in most countries in the European Union (EU). The mutual recognition process for subcutaneous Remodulin was completed in 2005, with positive decisions received from 23 member countries of the EEA. We withdrew our applications in the Republic of Ireland (Ireland), Spain and the United Kingdom (UK) following a request for additional documentation from these countries. In December 2011, we received regulatory approval of intravenous Remodulin by the French regulatory agency, L'Agence Nationale de Sécurité du Médicament et des Produits de Santé (ANSM), as the reference member state for the mutual recognition process. This approval allows us to market

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intravenous Remodulin in the EEA countries where subcutaneous Remodulin has already been approved and where we have obtained pricing approval and approval of our risk management plan (RMP).

        In Europe, an RMP is routinely required as part of the regulatory approval process for new medicines and also for significant variations involving a change to the route of administration, formulation or indication. For intravenous Remodulin, we have implemented an RMP focused on minimizing the known risks of central venous catheter-related blood stream infections associated with intravenous administration. To date, our RMP for intravenous Remodulin has been approved in 13 EEA countries, with pricing approval in ten of these.

        Remodulin is available under the named-patient system in the EEA member countries where Remodulin is not approved (including the UK, Ireland and Spain). Under the named-patient system, our distributors are permitted to import Remodulin into EEA member countries based on physician requests for Remodulin for use in treating specific patients, but neither we nor our distributors are permitted to market the product in those countries. We are evaluating the resubmission of our applications for Remodulin in Ireland and Spain.

        In March 2013, the China Food and Drug Administration approved intravenous and subcutaneous Remodulin for PAH in the People's Republic of China, and we expect a commercial launch by our local distributor in 2014. We filed a marketing application for Remodulin during the third quarter of 2013 in Japan and, assuming a favorable review, expect regulatory approval and commercial launch by our local distributor in 2014.

Intravenous Remodulin Administered via Implantable Pump

        A majority of the patients who die of PAH in the United States each year have not initiated treatment with an infused prostacyclin analogue, which is a complex and burdensome form of medical therapy. In 2009, we entered into an agreement with exclusive rights in the United States, UK, France, Germany, Italy and Japan, with Medtronic, Inc. (Medtronic) to develop its proprietary intravascular infusion catheter to be used with Medtronic's SynchroMed® II implantable infusion pump and related infusion system components (together referred to as the Medtronic System) in order to deliver Remodulin for the treatment of PAH. If the Medtronic System is successful, it could reduce many of the patient burdens associated with infused prostacyclin analogues. In the second half of 2013, Medtronic completed the DelIVery clinical trial, which we funded, in order to study the safety of the Medtronic System while administering Remodulin. The primary objective of the study was to demonstrate a rate of catheter-related complications below 2.5 per 1,000 patient-days while using the Medtronic System to deliver Remodulin. In September 2013, Medtronic informed us that this primary objective was met (p<0.0001). In addition to the clinical study, Medtronic must complete other stability, compatibility and technical assessments of the Medtronic System, including modifications to its hardware and software, and address any outstanding regulatory issues. Upon completion of these activities by Medtronic, we anticipate Medtronic will make preparations to file a premarket approval application (PMA) seeking FDA clearance for the catheter and labeling changes, and will address any FDA feedback, to enable the use of the Medtronic System with Remodulin. In tandem, we plan to seek FDA approval of a supplement to Remodulin's label to allow the use of Remodulin with the Medtronic System.

        In certain countries in Europe, an implantable pump distributed by OMT GmbH & Co. KG is used to deliver intravenous Remodulin to some patients.

Tyvaso

        We commenced commercial sales of Tyvaso in the United States in 2009. We sell Tyvaso to the same specialty pharmaceutical distributors in the United States that distribute Remodulin. For the years

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ended December 31, 2013, 2012 and 2011, we recognized approximately $438.8 million, $325.6 million and $240.4 million in Tyvaso revenues, representing 39 percent, 36 percent and 32 percent, respectively, of our net revenues.

        The only other FDA-approved inhaled prostacyclin analogue is Ventavis. Ventavis is marketed by Actelion in the United States and by Bayer Schering Pharma AG (Bayer) in Europe. The active ingredient in Ventavis, iloprost, has a half-life of approximately 20 to 30 minutes and can cause a decrease in systemic (body-wide) blood pressure if the drug is administered at too high a dose. Patients need to inhale Ventavis six to nine times per day via a nebulizer. According to its package insert, each Ventavis inhalation consists of four to ten minutes of continuous inhalation via the nebulizer.

        In contrast to iloprost, treprostinil (the active ingredient in Tyvaso) has a longer half-life. Tyvaso is administered four times a day, by inhaling up to twelve breaths during each two- to three-minute treatment session. Tyvaso is required to be administered using our proprietary Tyvaso Inhalation System, which consists of an ultra-sonic nebulizer that provides a dose of Tyvaso on a breath-by-breath basis. In addition, once a day, a single ampule containing that day's supply of Tyvaso is emptied into the Tyvaso Inhalation System. As a result, unlike the Ventavis nebulizer which requires cleaning after each use, the Tyvaso Inhalation System only needs to be cleaned once a day.

        Tyvaso was generally well tolerated in our trials, during which adverse events appeared to be similar to those previously reported for treprostinil or due to administration by inhalation. The most common adverse events were transient cough, headache, nausea, dizziness and flushing. We completed an open-label study in the United States to investigate the clinical effects of switching patients from Ventavis to Tyvaso, in which improvements in patient quality of life were observed. Patients in this study also saved an average of approximately 1.4 hours per day when administering Tyvaso compared to Ventavis.

Regulatory Approval of Tyvaso

        In 2009, the FDA approved Tyvaso for the treatment of PAH using the Tyvaso Inhalation System. Tyvaso is indicated to improve exercise ability in patients with PAH (WHO Group 1), which includes multiple etiologies such as idiopathic and heritable PAH, as well as PAH associated with connective tissue diseases. Studies establishing effectiveness included predominately patients with NYHA Functional Class III symptoms.

        In connection with the Tyvaso approval, we agreed to a post-marketing requirement (PMR) and certain post-marketing commitments (PMCs). PMRs and PMCs are studies that sponsors conduct after FDA approval to gather additional information about a product's safety, efficacy, or optimal use. PMRs are required studies, whereas a sponsor voluntarily commits to conduct PMCs.

        Under the PMCs, we committed to modify certain aspects of the Tyvaso Inhalation System. We also agreed to perform a usability analysis incorporating the evaluation and prioritization of user-related risk followed by a human factors study. In 2012, the FDA acknowledged we had satisfied our PMCs and approved our modifications to the Tyvaso Inhalation System. The Tyvaso Inhalation System now includes a nebulizer called TD-100, which incorporates these modifications. In addition, we are working to further improve the Tyvaso Inhalation System to make it easier for patients to use.

        In accordance with our PMR, we are enrolling patients in a long-term observational study in the United States that will include 1,000 patient years of follow-up in patients treated with Tyvaso, and 1,000 patient years of follow-up in control patients receiving other PAH treatments. This study will allow us to continue assessing the safety of Tyvaso. We are required to provide the FDA with annual updates on our PMR, and to submit the results of the study by December 15, 2014. While we believe we are on schedule to complete the PMR by this deadline, any failure or delay could result in

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penalties, including fines or withdrawal of Tyvaso from the market, unless we are able to demonstrate good cause for the failure or delay.

        In June 2010, the FDA granted orphan drug designation for Tyvaso. Such a designation, coupled with an approval of the product for the orphan indication, confers an exclusivity period through July 2016, during which the FDA may not approve any application to market the same drug for the same indication, except in limited circumstances.

        We are not seeking EMA approval of Tyvaso as a stand-alone treatment of PAH.

Adcirca

        We began selling Adcirca in 2009. Adcirca is a PDE-5 inhibitor, the active pharmaceutical ingredient of which is tadalafil. Tadalafil is also the active pharmaceutical ingredient in Cialis®, which is marketed by Lilly for the treatment of erectile dysfunction. We acquired the commercial rights to Adcirca for the treatment of PAH in the United States and Puerto Rico from Lilly in 2008. We sell Adcirca at prices established by Lilly, which are at parity with Cialis pricing and are typically set at a discount from an average wholesale price to pharmaceutical wholesalers. For the years ended December 31, 2013, 2012 and 2011, we recognized approximately $177.0 million, $122.5 million and $70.6 million in Adcirca revenues, representing 16 percent, 13 percent and 9 percent, respectively, of our net revenues.

        Patients with PAH have been shown to have reduced levels of the enzyme responsible for producing NO, a naturally occurring substance in the body that has the effect of relaxing vascular smooth muscle cells. NO works to relax pulmonary blood vessels by increasing intracellular levels of cyclic GMP. Because cyclic GMP is degraded by PDE-5, an established therapeutic approach in the treatment of PAH is to use PDE-5 inhibitors to increase levels of cyclic GMP in blood vessels and improve cardiopulmonary function in PAH patients.

        Prior to the approval of Adcirca, Revatio®, which is marketed by Pfizer Inc. (Pfizer), was the only PDE-5 inhibitor approved for the treatment of PAH. Sildenafil citrate, the active ingredient in Revatio, is also the active ingredient in Viagra®, which is marketed by Pfizer for the treatment of erectile dysfunction. Revatio is dosed three times daily. Adcirca is dosed once daily. In the fourth quarter of 2012, several companies launched generic formulations of sildenafil citrate.

FDA Approval of Adcirca

        In 2009, the FDA approved Adcirca with a recommended dose of 40 mg, making it the first once-daily PDE-5 inhibitor for the treatment of PAH. Adcirca is indicated to improve exercise ability in patients with PAH (WHO Group 1), which encompasses patients with multiple forms of PAH including etiologies such as idiopathic and heritable PAH as well as PAH associated with connective tissue diseases. Studies establishing effectiveness included predominately patients with NYHA Functional Class II-III symptoms.

Commercial Rights to Adcirca

        In 2008, we entered into several agreements with Lilly, including a license agreement and a manufacturing and supply agreement. Pursuant to the license agreement, Lilly granted us an exclusive license for the right to develop, market, promote and commercialize Adcirca for the treatment of pulmonary hypertension. Pursuant to the manufacturing and supply agreement, Lilly agreed to manufacture Adcirca and distribute it on our behalf via its wholesaler network, in the same manner that it distributes its own pharmaceutical products. See Patents and Other Proprietary Rights, Strategic Licenses and Market Exclusivity below for more details on these agreements.

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Orenitram (previously known as UT-15C Sustained Release Tablets or Oral Treprostinil)

        On December 20, 2013, the FDA approved Orenitram for the treatment of PAH in WHO Group 1 patients to improve exercise capacity. The primary study that established efficacy (FREEDOM-M) included predominately patients with WHO functional class II-III symptoms and etiologies of idiopathic or heritable PAH (75%) or PAH associated with connective tissue disease (19%). Orenitram's label also notes that Orenitram is probably most useful to replace subcutaneous, intravenous, or inhaled treprostinil, but this use has not yet been studied.

        Orenitram is dosed twice a day with food, but the total daily dose can be divided and given three times daily with food. Orenitram is available in four strengths: 0.125 mg, 0.25 mg, 1 mg and 2.5 mg. The dose of Orenitram should be increased as tolerated to achieve optimal clinical response. The maximum dose is determined by the individual patient's tolerability.

Regulatory Approval of Orenitram

        In December 2011, we submitted to the FDA a new drug application (NDA) for the approval of Orenitram for treatment of PAH. Our NDA included the results of three phase III studies:

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Monotherapy Study (FREEDOM-M): A 12-week study of PAH patients who were not on any approved background therapy. In June 2011, we announced that the FREEDOM-M trial met its primary endpoint of improvement in six-minute walk distance at week 12. Analysis of the FREEDOM-M results demonstrated that patients receiving Orenitram improved their six-minute walk distance by a median of approximately 23 meters (p=0.0125, Hodges-Lehmann estimate and non-parametric analysis of covariance in accordance with the trial's pre-specified statistical analysis plan) as compared to patients receiving the placebo. The median change from baseline at week 12 was 25 meters for patients receiving Orenitram and -5 meters for patients receiving the placebo.

•

Combination Therapy Studies (FREEDOM-C and FREEDOM-C²): Two separate 16-week studies of patients on approved background therapy using a PDE-5 inhibitor, such as Revatio, or an ETRA, such as Tracleer, or a combination of both. The FREEDOM-C and FREEDOM-C² trials were completed in 2008 and 2011, respectively, and neither achieved statistical significance for its primary endpoint of improvement in six-minute walk distance at week 16 (p=0.072 and p=0.089, respectively).

        In October 2012, the FDA issued a complete response letter in which it declined to approve our NDA. In January 2013, we resubmitted our NDA to address the concerns raised in the FDA's complete response letter. In March 2013, we received a second complete response letter from the FDA declining to approve our NDA. To address the concerns raised in the FDA's second complete response letter, we filed a second resubmission of our NDA in August 2013, which was approved in December 2013.

        We believe that in order for Orenitram to reach its full commercial potential, we need to complete further studies to support an amendment to Orenitram's label to indicate that Orenitram delays morbidity or mortality in patients who are on an approved oral background therapy. As such, we are enrolling up to 858 patients in a phase III clinical trial called FREEDOM-EV, which began in 2012. FREEDOM-EV is a placebo-controlled study of patients who enter the study on an approved oral background therapy, and one of the two primary endpoints of the study is the time to clinical worsening.

        We currently plan to seek approval of Orenitram in Europe upon completion of the FREEDOM-EV study. In 2005, the EMA announced that Orenitram had been designated an orphan medicinal product for the treatment of PAH.

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TransCon Treprostinil

        In September 2012, we signed a worldwide exclusive agreement with Ascendis Pharma A/S (Ascendis Pharma) to apply Ascendis Pharma's proprietary TransCon technology platform to our treprostinil molecule (TransCon treprostinil). We believe that the TransCon technology platform may enable a sustained release of a novel, carrier-linked product, which will significantly enhance the delivery of treprostinil by establishing a once-daily, self-injectable alternative to administering Remodulin through a continuous infusion pump for the treatment of PAH. We expect that this self-injectable form of treprostinil could enable patients to avoid the infusion site pain associated with subcutaneous Remodulin and the risk of sepsis, due to the use of an indwelling catheter, which is associated with intravenous Remodulin. We are currently conducting pre-clinical studies of TransCon treprostinil.

Beraprost

        We have the exclusive right to develop and market a modified-release formulation of beraprost in North America, Europe, and certain other territories for the treatment of cardiovascular indications, pursuant to our license agreement with Toray, which is described below under Patents and Other Proprietary Rights, Strategic Licenses and Market Exclusivity—Toray Amended License Agreement. Beraprost is a chemically stable, orally bioavailable prostacyclin analogue. Like natural prostacyclin and treprostinil, beraprost is believed to dilate blood vessels and prevent both platelet aggregation and proliferation of smooth muscle cells surrounding blood vessels, via a unique profile of pulmonary vascular receptor selectivity.

314d

        We completed a phase I safety trial of a reformulated, single-isomer version of beraprost (314d) in July 2012, and the data suggested that dosing 314d four times a day would be well-tolerated. We believe that 314d and treprostinil have differing prostacyclin receptor-bindings profiles, and thus could provide certain groups of patients a differing set of safety and efficacy profiles. We also believe 314d and inhaled treprostinil have complimentary pharmacokinetic and pharmacodynamic profiles, which indicates they could provide greater efficacy in combination. As such, we are enrolling a phase III study called BEAT (BEraprost 314d Add-on to Tyvaso) to evaluate the clinical benefit and safety of 314d in combination with Tyvaso for patients with PAH who show signs of deterioration on inhaled treprostinil or have a less than optimal response to inhaled treprostinil treatment. We intend to enroll 240 patients in the study, which will have a primary endpoint of time to clinical worsening.

TransCon Beraprost

        We are developing an extended-release injection we refer to as TransCon beraprost, which incorporates the TransCon technology described above and is intended to be self-administered by PAH patients once daily. We are currently conducting pre-clinical studies with TransCon beraprost.

Cell-Based Therapy

        In June 2011, we entered into a license agreement with Pluristem to develop and commercialize a cell-based product for the treatment of PAH using Pluristem's proprietary cell technology. The license agreement became effective in August 2011, at which time we made a one-time, non-refundable payment of $7.0 million to Pluristem, $5.0 million of which consisted of a license fee that was charged to research and development expenses during the year ended December 31, 2011. We commenced a phase I clinical study in Australia in 2013.

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Lung Transplantation

        PAH has not been reported to reoccur in end-stage patients who have received a full lung transplant. Based on available data, we believe fewer than 100 PAH patients in the United States receive a lung transplant each year (out of almost 2,000 performed) due to the shortage of available lungs for transplant, the demand for transplantable lungs by patients with other end-stage pulmonary diseases, such as chronic obstructive pulmonary disease and idiopathic pulmonary fibrosis, and delays in listing PAH patients for transplant.

        In July 2011, we acquired all of the outstanding stock of Revivicor, Inc. (Revivicor), a company focused on developing genetic biotechnology platforms to provide alternative tissue sources for treatment of human degenerative disease through tissue and organ xenotransplantation. We have focused this platform on the goal of providing transplantable lungs for human patients. We are also engaged in preclinical development of several regenerative medicine technologies for creating transplantable lung tissue and whole lungs for patients with end-stage lung disease. In 2013, we began developing technologies to increase the supply of donor lungs through collaborations with two ex-vivo lung perfusion companies.

Products to Treat Cancer

Ch14.18 Antibody

        In July 2010, we entered into a Cooperative Research and Development Agreement (CRADA) with the NCI to collaborate on the late-stage development and regulatory agency submissions of Chimeric Monoclonal Antibody14.18 (Ch14.18) for children with high-risk neuroblastoma and patients with other forms of cancers. Ch14.18 is an antibody that has shown potential in the treatment of certain types of cancer by targeting GD2, a glycolipid on the surface of tumor cells. Neuroblastoma is a rare cancer of the sympathetic nervous system mainly affecting children. It is the most common extracranial, outside the skull, solid cancer in children and the most common cancer in infants. There are fewer than 1,000 new cases of neuroblastoma diagnosed each year in the United States. Ch14.18 is a chimera, composed of a combination of mouse and human DNA, monoclonal antibody that induces antibody-dependent cell-mediated cytotoxicity, a mechanism of cell-mediated immunity whereby the immune system actively targets a cell that has been bound by specific antibodies.

        Results of the NCI's phase III study were published in September 2010. In that study, immunotherapy with Ch14.18 significantly improved patient outcome compared with standard therapy in patients with high risk neuroblastoma. Specifically, the two-year estimate for event-free survival was 66%±5% in the Ch14.18 immunotherapy group and 46%±5% in the standard therapy group (p=0.01 without adjustment for interim analyses). The Ch14.18 immunotherapy group was also significantly better than the standard therapy group in the estimated rate of overall survival (86%±4% vs. 75%±5% at two years, p=0.02 without adjustment for interim analyses). This study was coordinated by the Children's Oncology Group, a national consortium of researchers supported by the NCI.

        Under the terms of the CRADA, the NCI has completed a second phase III clinical trial with 105 patients to define more clearly the safety and toxicity profile of Ch14.18 immunotherapy in children, and we have developed the commercial production capability for the antibody. The NCI studies, including a previously conducted phase III clinical trial and all other necessary studies supported by the NCI, were used as the basis for an MAA we filed in December 2013 with the EMA for approval of Ch14.18 immunotherapy in Europe for the treatment of neuroblastoma. We expect to file a BLA seeking FDA approval during the first half of 2014. As part of these filings, we must demonstrate that our production process results in a Ch14.18 drug product that is substantially equivalent to the drug product used in the NCI studies. We have received orphan drug designation for Ch14.18 from the FDA

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and the EMA. In lieu of a royalty payment to the NCI, we have an ongoing obligation to provide the NCI with Ch14.18 for its studies free of charge.

Products to Treat Infectious Diseases

Glycobiology Antiviral Agents

        Pursuant to our research agreement with the University of Oxford (Oxford), we have the exclusive right to commercialize a platform of glycobiology antiviral drug candidates for the treatment of a wide variety of viruses. Through our research agreement with Oxford, we are also supporting research into new glycobiology antiviral drug candidates and technologies. We are currently testing many of these compounds in preclinical studies and Oxford continues to synthesize new agents that we may elect to test.

        In September 2011, we were awarded a cost plus fixed fee contract with an aggregate value of up to $45.0 million under a Broad Agency Announcement from NIAID for studies directed at the development of a broad spectrum antiviral drug based on our glycobiology antiviral platform. In addition, there are eight milestone-based options to expand the project and funding under the contract. To date, we have received contract modifications exercising four of these options, bringing total committed contract funding to approximately $25.7 million. We recognize revenue under this contract to the extent of costs incurred, plus a proportionate amount of fee earned.

        We plan to begin enrolling patients in a phase I clinical trial of our lead antiviral candidate, an alpha-glucosidase inhibitor called UV-4B, for treatment of dengue during the first half of 2014.

Products to Provide Telemedicine Services for Cardiac Arrhythmias and Ischemic Heart Disease

        Until March 2011, we provided telemedicine monitoring services to detect cardiac arrhythmias and ischemic heart disease through our wholly-owned subsidiary Medicomp, Inc. (Medicomp). As Medicomp did not represent a core component of our business, we sold Medicomp in March 2011. We met all the criteria for reporting Medicomp as a discontinued operation. As a result, we have included the operating results of Medicomp, including the gain recognized on its disposal, within discontinued operations in our consolidated statements of operations for the year ended December 31, 2011.

Sales and Marketing

        Our marketing strategy for our commercial products is to use our sales and marketing teams to reach out to the prescriber community to: (1) increase PAH awareness; (2) increase understanding of the progressive nature of PAH; and (3) increase awareness of our commercial products and how they fit into the various stages of disease progression and treatment. Our sales and marketing teams consisted of approximately 160 employees as of December 31, 2013. We have divided our domestic sales force into two teams. One team sells Remodulin and Tyvaso and will sell Orenitram, while the other team sells Adcirca. For Remodulin and Tyvaso, the efforts of our sales and marketing teams are supplemented in the United States by specialty pharmaceutical distributors. Our U.S.-based distributors are experienced in all aspects of using and administering chronic therapies, as well as patient care, the sale and distribution of these medicines and reimbursement from insurance companies and other payers. Outside of the United States, we have entered into distribution agreements for Remodulin covering those territories where Remodulin is approved. We are working with our international distributors to expand Remodulin sales into other countries in which they have distribution rights.

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Domestic Distribution of Commercial Products

Remodulin and Tyvaso

        We have entered into separate, non-exclusive distribution agreements with Accredo Health Group, Inc. (Accredo) and CVS Caremark (Caremark) to distribute both Remodulin and Tyvaso. In April 2012, Express Scripts, Inc., the parent company of CuraScript Inc. (CuraScript), then one of our contracted specialty pharmaceutical distributors, completed its acquisition of Medco Health Solutions, Inc., the parent company of Accredo. As a result, CuraScript's operations have been integrated into Accredo, and in December 2013 we consolidated our distribution agreements with the two organizations into one contract. Thus far, the merger has not affected our business and we do not expect the merger to materially affect our business in the future.

        Our Remodulin and Tyvaso distribution agreements with Accredo and Caremark include automatic term renewals for additional one-year periods subject to notice of termination. We update our distribution agreements from time to time to reflect changes in the regulatory environment. Such changes have not had a significant impact on our operations or our relationships with our distributors, and tend to occur in the ordinary course of business. In addition, we compensate Accredo and Caremark on a fee-for-service basis for certain ancillary services. If any of our distribution agreements expire or terminate, we may, under certain circumstances, be required to repurchase any unsold Remodulin or Tyvaso inventory held by our distributors.

        These specialty pharmaceutical distributors are responsible for assisting patients with obtaining reimbursement for the cost of Remodulin and Tyvaso and providing other support services. Under our distribution agreements, we sell Remodulin and Tyvaso to these distributors at a transfer price that we establish. We have also established a patient assistance program in the United States, which provides eligible uninsured or under-insured patients with Remodulin and Tyvaso at no charge for a certain period of time.

        We have generally increased the price of Tyvaso by 4.9 percent annually, with the last such price increase becoming effective on January 1, 2014. We have not increased the price of Remodulin since 2010.

Adcirca

        We sell Adcirca to pharmaceutical wholesalers at a discount from an average wholesale price. Under our manufacturing and supply agreement with Lilly (see Patents and Other Proprietary Rights, Strategic Licenses and Market Exclusivity below for more details), Lilly manufactures Adcirca and distributes it via its wholesaler network, which includes Accredo and Caremark, in the same manner that it distributes its own pharmaceutical products. Under the terms of this agreement, we take title to Adcirca upon completion of its manufacture by Lilly. Adcirca is shipped to customers in accordance with purchase orders received by Lilly. When customers take delivery of Adcirca, Lilly sends an invoice and collects the amount due from the customer subject to customary discounts and rebates, if any. Although Lilly provides these services on our behalf, we maintain the risk of loss as it pertains to inventory, product returns and non-payment of invoices. The manufacturing and supply agreement will continue in effect until expiration or termination of the license agreement. Lilly retains authority under the license agreement for all regulatory activities with respect to Adcirca, as well as its retail pricing, which has been and is expected to be at price parity with Cialis. Since receiving FDA approval of Adcirca, Lilly has generally increased the net wholesale price of Adcirca two or three times each year. During 2012, Lilly increased the net wholesale price of Adcirca by 9.0 percent in January and July. During 2013, Lilly increased the net wholesale price of Adcirca by 9.5 percent in January and July and by 9.0 percent in December.

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Orenitram

        We plan to sell Orenitram in the United States to specialty pharmaceutical distributors under arrangements similar to those we have in place for Tyvaso and Remodulin. We are negotiating the terms of these arrangements and expect to make Orenitram commercially available in mid-2014.

International Distribution of Remodulin

        We currently sell subcutaneous and intravenous Remodulin outside the United States to various distributors, each of which has exclusive distribution rights in one or more countries within Europe, Israel and the Middle East, Asia and South and Central America. We also distribute Remodulin in Canada through a specialty pharmaceutical wholesaler. In some of the European markets where we are not licensed to market Remodulin, we sell (but do not market) Remodulin under the named-patient system in which therapies are approved for individual patients by a national medical review board, hospital or health plan on a case-by-case basis. We are working on expanding our sales of Remodulin into new territories through our existing network of distributors.

Patents and Other Proprietary Rights, Strategic Licenses and Market Exclusivity

        Our success depends in part on our ability to obtain and maintain patent protection for our products, preserve trade secrets, prevent third parties from infringing upon our proprietary rights and operate without infringing upon the proprietary rights of others in the United States and worldwide. Many of these proprietary rights stem from licenses and other strategic relationships with third parties. In addition to intellectual property rights, U.S. and international regulatory authorities often provide periods of market exclusivity for manufacturers of biopharmaceutical products.

        Patents provide the owner with a right to exclude others from practicing an invention. Patents may cover the active ingredients, uses, formulations, doses, administrations, delivery mechanisms, manufacturing processes and other aspects of a product. The period of patent protection for any given product may depend on the expiration date of various patents and may differ from country to country according to the type of patents, the scope of coverage and the remedies for infringement available in a country. Most of our commercial products and investigational compounds are protected by patents with varying terms.

Remodulin, Tyvaso and Orenitram Proprietary Rights

        We have a number of issued patents and pending patent applications covering the stable prostacyclin analogue known as treprostinil, which is the active pharmaceutical ingredient in Remodulin, Tyvaso and Orenitram.

        In January 1997, we acquired patents covering the use of treprostinil for PAH from GlaxoSmithKline PLC (formerly Glaxo Wellcome, Inc.) (Glaxo) in exchange for certain payments including a royalty on sales of any product containing treprostinil. As of October 2014, all of these patents will have expired, as will our royalty payment obligation to Glaxo. The U.S. patent acquired from Glaxo is listed in the Orange Book for Remodulin, Tyvaso and Orenitram.

        In October 1997, we filed patent applications for a new synthesis and production method for treprostinil in the United States, Europe and various other countries. This application resulted in the grant of three patents in the United States, all of which expire in October 2017, as well as granted patents in a number of other countries, expiring in October 2018. This synthesis application remains pending in Canada. One of the U.S. patents from this family is listed in the Orange Book for Remodulin, Tyvaso and Orenitram.

        We continue to conduct research into new methods to synthesize treprostinil and have filed a number of additional patent applications relating to production of treprostinil, several of which have

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already been granted in the United States. One such patent was granted last year and is now listed in the Orange Book for Remodulin, Tyvaso and Orenitram, expiring in 2028.

        In addition to the treprostinil patents noted above, we have additional patents specific to our individual treprostinil-based products, including the following:

•

Remodulin.  We have been granted three U.S. patents covering an improved diluent for Remodulin, which will expire in 2028 and 2029. Two of these patents are listed in the FDA Orange Book, and we expect the third will be listed as well.

•

Tyvaso.  We have been granted two U.S. patents, as well as patents in other countries for Tyvaso that cover methods of treating PAH by inhaled delivery. These patents will expire in the United States in 2018 and in various countries throughout the world in 2020.

•

Orenitram.  Our patents for Orenitram cover methods of use for treating PAH, orally administered formulations, controlled moisture storage and production methods, as well as those covering controlled release formulations licensed to us by Supernus Pharmaceuticals Inc. (Supernus). These patents will expire in the United States between 2024 and 2031 and in various countries throughout the world between 2024 and 2027.

        We have additional pending U.S. and international patent applications relating to Remodulin, Tyvaso and Orenitram.

Orange Book

        In seeking approval of a drug through an NDA or upon issuance of new patents following approval of an NDA, applicants are required to submit to the FDA each patent whose claims cover the applicant's product or a method of using the product. Each of the patents submitted is then published in the FDA's Approved Drug Products with Therapeutic Equivalence Evaluations, commonly known as the Orange Book. See Governmental Regulation—Hatch-Waxman Act below for further details. Remodulin currently has five Orange Book-listed patents with expiration dates ranging from 2014 to 2029. Tyvaso currently has five Orange Book listed patents with expiration dates ranging from 2014 to 2028. Orenitram currently has eight Orange Book listed patents with expiration dates ranging from 2014 to 2031. Additional patent applications are pending, and if granted, may be eligible for listing in the Orange Book.

Regulatory Exclusivity

        In June 2010, the FDA granted orphan drug designation for Tyvaso. This designation confers an exclusivity period through July 2016, during which the FDA may not approve any application to market the same drug for the same indication, except in limited circumstances. As a result of FDA approval of our NDA for Orenitram as a new dosage form, Orenitram has three years of market exclusivity for PAH expiring in December 2016. A request for orphan drug designation for Orenitram is pending with the FDA.

Generic Challenge

        In February 2012, we received notice of an ANDA filed by Sandoz requesting FDA approval to market a generic version of the 10 mg/mL strength of Remodulin. On December 7, 2012, we received notice that Sandoz had amended its previously filed ANDA to request additional approval to market generic versions of the 1 mg/mL, 2.5 mg/mL, and 5 mg/mL strengths of Remodulin. For further details, see Item 3.—Legal Proceedings. There can be no assurance that we will prevail in our defense of our patent rights, or that additional challenges from other ANDA filers will not surface with respect to Remodulin or our other treprostinil-based products. Our existing patents could be invalidated, found unenforceable or found not to cover a generic form of Remodulin, Tyvaso or Orenitram. If any ANDA

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filer were to receive approval to sell a generic version of Remodulin, Tyvaso or Orenitram and/or prevail in any patent litigation, the affected product would become subject to increased competition and our revenue would decrease.

Supernus License

        In 2006, we entered into an exclusive license agreement with Supernus to use certain of its technologies in producing Orenitram. Under the agreement, we will pay Supernus certain amounts upon the achievement of specified milestones based on the development of Orenitram and a $2.0 million milestone payment upon its commercial launch. In addition, the agreement provides that we will pay a royalty to Supernus based on net worldwide sales. Any such royalty will be paid for approximately twelve years commencing with the first product sale and is subject to adjustments as specified in the agreement.

NEBU-TEC Agreement of Sale and Transfer

        In 2008, we entered into an agreement with NEBU-TEC International Med Products Eike Kern GmbH (NEBU-TEC), to purchase its line of business relating to the manufacture of the Tyvaso Inhalation System for €5.0 million plus future milestone payments of up to €10.0 million (of which we have already paid €2.5 million as of December 31, 2013). The transaction closed in 2009 after we received FDA approval for Tyvaso. Through 2013, we managed all aspects of the manufacturing process for the Tyvaso Inhalation System and NEBU-TEC supplied the labor to assemble the devices in a facility we leased in Germany. In December 2013, we ceased manufacturing at the NEBU-TEC leased facility and are using a U.S.-based manufacturer to produce the Tyvaso Inhalation System.

Lilly Agreements Related to Adcirca

        In 2008, we entered into several agreements with Lilly regarding Adcirca, including a license agreement, a manufacturing and supply agreement, and a stock purchase agreement.

License Agreement

        Under the terms of the license agreement, Lilly granted us an exclusive license for the right to develop, market, promote and commercialize Adcirca for the treatment of pulmonary hypertension in the United States and Puerto Rico. In exchange for the license, we paid Lilly a $25.0 million license fee in 2008. We also agreed to pay Lilly royalties equal to five percent of our net sales of Adcirca in the United States and Puerto Rico, as a pass through of Lilly's third-party royalty obligations, for so long as Lilly is required to make such payments.

        Lilly retained the exclusive rights to develop, manufacture and commercialize pharmaceutical products containing tadalafil, the active pharmaceutical ingredient in Adcirca, for the treatment of pulmonary hypertension outside of the United States and Puerto Rico and for the treatment of other diseases worldwide. Lilly retained authority for all regulatory activities with respect to Adcirca, including retail pricing, which has been and is expected to continue to be at price parity with Cialis.

        The license agreement will continue in effect until the later of: (1) expiration, lapse, cancellation, abandonment or invalidation of the last claim to expire within a Lilly patent covering the commercialization of Adcirca for the treatment of pulmonary hypertension in the United States and Puerto Rico; or (2) expiration of any government-conferred exclusivity rights to use Adcirca for the treatment of pulmonary hypertension in the United States and Puerto Rico.

        We have the right to terminate the license agreement upon six months written notice to Lilly. Lilly has the right to terminate in the event of a change of control of our company. Either party may

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terminate upon a material breach by the other party of the license agreement or the manufacturing and supply agreement, described above.

        The U.S. patent for Adcirca for the treatment of pulmonary hypertension will expire in November 2017.

Manufacturing and Supply Agreement

        Under the terms of the manufacturing and supply agreement, Lilly agreed to manufacture Adcirca and distribute it on our behalf via its pharmaceutical wholesaler network, in the same manner that it distributes its own pharmaceutical products. Under the terms of this agreement, we take title to Adcirca upon its manufacture by Lilly. Adcirca is shipped to customers, generally pharmaceutical wholesalers, in accordance with customers' purchase orders received by Lilly. Lilly invoices and collects amounts due from the customer subject to customary discounts and rebates, if any, and remits the collections to us. Although Lilly is providing these services on our behalf, we maintain the risk of loss as it pertains to inventory, product returns and nonpayment of sales invoices. The manufacturing and supply agreement will continue in effect until expiration or termination of the license agreement.

        As consideration for Lilly's agreement to manufacture and supply Adcirca, we made a $125.0 million payment to Lilly in 2008. We also agreed to purchase Adcirca at a fixed manufacturing cost. The agreement provides a mechanism, generally related to the increase in the national cost of pharmaceutical manufacturing, pursuant to which Lilly may raise the manufacturing cost of Adcirca.

Stock Purchase Agreement

        Under the terms of the stock purchase agreement, in 2008, we issued 6.3 million shares of our common stock to Lilly from treasury for an aggregate purchase price of $150.0 million.

Toray Amended License Agreement

        In 2000, we licensed from Toray the exclusive right to develop and market beraprost for cardiovascular indications. Beraprost is a chemically stable oral prostacyclin analogue in a sustained release formulation, which produces $300 million in sales annually in Japan primarily for the treatment of cardiovascular indications. As amended, this license gives us exclusive rights to develop beraprost and its variants throughout North America, Europe, and certain other territories.

Significant Agreement Terms

        In 2007, we issued 400,000 shares of our common stock to Toray in exchange for the cancellation of Toray's existing right under the 2000 agreement to receive an option grant to purchase 1,000,000 shares of our common stock. Toray has the right to request that we repurchase the 400,000 shares of our common stock upon 30 days prior written notice at the price of $27.21 per share. The 2007 amendment also provided for certain milestone payments during the development period and upon receipt of regulatory approval for beraprost in the United States or the European Union.

        In 2011, we amended our license agreement with Toray. The amendment did not materially change the terms of our license agreement, except for a reduction in royalty rates. In exchange for the reduction in royalty rates, we agreed to pay Toray $50.0 million in equal, non-refundable payments over the five-year period ending in 2015. Since these payments are non-refundable and have no contingencies attached to them, we recognized an obligation and a corresponding charge to research and development expense of $46.3 million, which represented the present value of the related payments discounted by our estimated current cost of debt. Toray has the right to terminate the license agreement in the event of a change of control of our company under certain circumstances.

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Pluristem License Agreement

        In June 2011, we entered into a license agreement with Pluristem for exclusive worldwide rights to develop and commercialize a cell-based product for the treatment of PAH using Pluristem's proprietary PLX cell technology. The license agreement became effective in August 2011, at which time we made a one-time, non-refundable payment of $7.0 million to Pluristem, $5.0 million of which consisted of a license fee that was charged to research and development expenses. The agreement provides for additional milestone payments to Pluristem at various stages, as well as royalties on commercial sales.

National Cancer Institute

        In July 2010, we entered into a CRADA with the NCI to collaborate on the late-stage development and regulatory agency submissions of Ch14.18 for children with high-risk neuroblastoma and patients with other cancers. For further details, refer to the section above entitled Products to Treat Cancer—Ch14.18 Antibody.

Ascendis Pharma A/S

        In September 2012, we signed an exclusive agreement with Ascendis Pharma to apply Ascendis Pharma's proprietary TransCon technology platform to our treprostinil and beraprost molecules. Under the agreement, we may be required to make future development-related milestone payments and royalty payments based on commercial sales. For further details, refer to the sections above entitled TransCon Treprostinil and TransCon Beraprost.

Oxford

        We maintain a research agreement with Oxford to develop antiviral compounds. Research under this agreement is performed by Oxford Glycobiology Institute, which is headed by a member of our Board of Directors and our scientific advisory board. Under the terms of the agreement, we are required to fund related research activities and make milestone payments for the successful completion of clinical trials. We are also obligated to pay royalties to Oxford equal to a percentage of our net sales from any discoveries and products developed by Oxford. Milestone payments and royalties are subject to reduction depending upon third-party contributions to discoveries and/or third-party licenses necessary to develop products. In August 2010, the term of the research agreement was extended through September 2016. In connection with the extension of the term, we agreed to pay Oxford a total of $2.9 million (using the then-prevailing exchange rate) in 60 equal installments. As of December 31, 2013, approximately $1.7 million remains outstanding under this 2010 agreement. In addition, in December 2012, we amended our agreement with Oxford, under which we agreed to pay Oxford an additional $871,000 in the aggregate (using the exchange rate as of the amendment date) in 36 equal installments for additional work supporting the development of our virology platform which began in January 2013. For additional details regarding our virology program, please see the section above entitled Products to Treat Infectious Diseases—Glycobiology Antiviral Agents.

Medtronic

        In 2009, we entered into an exclusive agreement with Medtronic, which was amended in May 2011, to collaborate on the development and commercialization of Medtronic's proprietary intravascular infusion catheter to be used with Medtronic's Synchromed II implantable infusion pump and related infusion system components (together referred to as the Medtronic System) in order to deliver Remodulin for the treatment of PAH in the U.S., UK, Canada, France, Germany, Italy and Japan. Under the amended agreement, we have been working together at our expense to develop the Medtronic System, conduct a clinical trial and obtain regulatory approval for the use of Remodulin with the Medtronic System. If this development program is successful, our agreement provides that,

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upon commercialization, we will purchase infusion pumps and supplies from Medtronic and will also pay a royalty to Medtronic based on net sales of Remodulin for use in the Medtronic System within the exclusive territories, subject to certain adjustments specified in the agreement. The Medtronic System will be exclusive to Remodulin so long as we purchase a minimum percentage of our annual requirement for implantable pump systems from Medtronic. We will be solely responsible for all marketing and promotion of the Medtronic System for the delivery of Remodulin for the treatment of PAH in the exclusive territories.

Other

        We are party to various other license agreements relating to therapies under development. These license agreements require us to make payments based on a percentage of sales, if we are successful in commercially developing these therapies, and may require other payments upon the achievement of certain milestones.

Research & Development Expenditures

        We are engaged in research and development and have incurred substantial expenses for these activities. These expenses generally include the cost of acquiring or inventing new technologies and products, as well as new product development (both clinical and pre-clinical studies and manufacturing). Research and development expenses during the years ended December 31, 2013, 2012 and 2011 totaled approximately $299.3 million, $173.4 million and $180.0 million, respectively. See Item 7—Management's Discussion and Analysis of Financial Condition and Results of Operations—Major Research and Development Projects for additional information regarding expenditures related to major research and development projects. Research and development expense is significantly impacted by fluctuations in our stock price, due to the cash payment obligations created by our share-based compensation programs. For further details, see Item 7—Management's Discussion and Analysis of Financial Condition and Results of Operations—Operating Expenses—Share-Based Compensation.

Production and Supply

        We synthesize treprostinil, the active ingredient in Remodulin and Tyvaso, and treprostinil diolamine, the active ingredient in Orenitram, at our facility in Silver Spring, Maryland. In 2011, we received FDA approval to produce finished Tyvaso and Remodulin at our Silver Spring facility. In 2012, we received a Good Manufacturing Practice certificate from the U.K. Medicines and Health Products Regulatory Agency to produce Remodulin and Tyvaso in our Silver Spring facility.

        We produce Orenitram, and warehouse and distribute Remodulin, Tyvaso and Orenitram, at our facility in Research Triangle Park, North Carolina (RTP Facility).

        Baxter Pharmaceutical Solutions, LLC (Baxter) currently produces Remodulin for us. In 2009, we amended our contract with Baxter to extend the contract term through the end of 2013. In July 2013, we entered into a three-year commercial supply agreement with Baxter. In 2009, we also agreed with Baxter that Remodulin will be produced in larger quantities using a different set of equipment than the currently approved process. The FDA approved the new equipment and process in January 2014, and EMA approval is pending. In 2011, the FDA approved Jubilant Hollister-Stier Contract Manufacturing and Services as an additional Remodulin producer. To date, we have not utilized Jubilant Hollister-Stier to manufacture Remodulin.

        We rely on Catalent Pharma Solutions, Inc. (Catalent) to do the following: (1) conduct stability studies on Remodulin, (2) serve as an additional producer of Tyvaso, and (3) analyze other products we develop. We are working to obtain FDA approval of a third party to serve as an additional producer of Orenitram.

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        We intend to use our own facilities to produce our primary supply of Remodulin, Tyvaso and Orenitram, and we will continue to contract with third parties to supplement our production capacity. Also, although we maintain a two-year inventory of Remodulin and Tyvaso based on expected demand, we believe that having third parties approved to produce these products will mitigate some of our risks, including the risk that we might not be able to produce sufficient quantities to meet patient demand.

        Under our manufacturing and supply agreement with Lilly, Lilly manufactures Adcirca for us. For further detail, see the section above entitled Lilly Agreements Related to Adcirca—Manufacturing and Supply Agreement.

        Until December 2013, our German facility manufactured the nebulizer used in our Tyvaso Inhalation System. Beginning in 2014, Minnetronix Inc., which received FDA approval to manufacture the Tyvaso Inhalation System in 2010, will be the sole manufacturer of the system.

        In July 2012, we received FDA approval for a modified inhalation device (TD-100) for the Tyvaso Inhalation System based on the results of the completed PMCs related to the inhalation device. In 2013, the TD-100 was incorporated into the Tyvaso Inhalation System. In December 2012, we increased our reserves for inventory obsolescence by $8.9 million based on the estimated cost of inhalation devices in inventory that we expected not to be salable as a result of the then-pending commercial release of TD-100.

        Although we believe that third parties could provide similar products, services and materials, there are few companies that could replace our existing third-party producers and suppliers. A change in supplier or producer could cause a delay in the production, distribution and research efforts associated with our respective products or result in increased costs. See also Item 1A—Risk Factors included in this Annual Report on Form 10-K.

Competition

        Many drug companies engage in research and development to commercialize products to treat cardiovascular and infectious diseases and cancer. For the treatment of PAH, we compete with many approved products in the United States and the rest of the world, including the following:

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Flolan.  The first product approved by the FDA for treating PAH, Flolan (epoprostenol) is a prostacyclin that is delivered by intravenous infusion. Glaxo began marketing Flolan in the United States in 1996. In 2006, Myogen, Inc. (Myogen) acquired the marketing rights from Glaxo for Flolan in the United States. In 2006, Myogen was acquired by Gilead Sciences, Inc. (Gilead). In 2009, Gilead returned the rights to Flolan to Glaxo. The generic exclusivity period for Flolan expired in April 2007;

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Generic epoprostenol and Veletri.  In 2008, Teva announced that the FDA approved its version of generic epoprostenol for the treatment of PAH. In 2008, GeneraMedix Inc. (GeneraMedix) received FDA approval for its version of epoprostenol, which is stable at room temperature. In 2009, Actelion announced that it had entered into an agreement with GeneraMedix to acquire its epoprostenol product, marketed as Veletri, and began commercial sales in 2010;

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Ventavis and Ilomedin®.  Approved in 2004 in the United States and in 2003 in Europe, Ventavis (iloprost) is an inhaled prostacyclin analogue. Ventavis was initially marketed by CoTherix, Inc. (CoTherix) in the United States and is marketed by Bayer in Europe as Iloprost. In 2007, CoTherix was acquired by Actelion, the manufacturer and distributor of Tracleer and Opsumit® and the distributor of Veletri. Iloprost is also marketed by Bayer in certain countries outside the United States in an intravenous form known as Ilomedin;

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•

Tracleer.  The first oral ETRA class drug to be approved for PAH. Tracleer (bosentan) was approved in 2001 in the United States and in 2002 in Europe. Tracleer is marketed worldwide by Actelion;

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Letairis®.  Approved in 2007 in the United States, Letairis (ambrisentan) is an oral therapy marketed by Gilead for the treatment of PAH. Like Tracleer, Letairis is an ETRA. In 2008, Glaxo received marketing authorization from the EMA for Letairis in Europe, where it is known as Volibris®;

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Revatio.  Approved in 2005 in the United States, Revatio (sildenafil citrate) is also an oral therapy and is marketed by Pfizer. Revatio contains sildenafil citrate, the same active ingredient as Viagra, and is the first PDE-5 inhibitor to be approved for PAH;

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Generic sildenafil citrate.  In the fourth quarter of 2012, several companies began marketing generic formulations of sildenafil citrate;

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Opsumit.  Approved in October 2013 in the United States and December 2013 in the European Union, Opsumit (macitentan) is an oral ETRA developed by Actelion for the treatment of PAH; and

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Adempas®.  Approved in August 2013 in the United States, Adempas (riociguat) is a soluble guanylate cyclase stimulator, which targets a similar vasodilatory pathway as PDE-5 inhibitors and is approved for chronic thromboembolic pulmonary hypertension and PAH. Adempas is an oral therapy marketed by Bayer. In February 2013, Bayer announced that it had filed an MAA for the approval of Adempas for the treatment of PAH in Europe.

        There are also a variety of investigational PAH therapies in the later stages of development, including the following:

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Selexipag, an oral prostacyclin receptor agonist being developed jointly by Actelion and Nippon Shinyaku Co., Ltd. in Japan, and by Actelion outside Japan, is currently undergoing a phase III trial; and

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Gleevec® (imatinib), a small molecule kinase inhibitor in oral tablet form approved for treating various cancers, is being studied for the treatment of PAH. Novartis Pharmaceuticals Corporation (Novartis) completed a phase III trial of Gleevec for the treatment of PAH in September 2011. During the third quarter of 2012, Novartis withdrew its NDA in order to submit additional data to the FDA and during the first quarter of 2013 withdrew the MAA it had filed with the EMA.

        Oral therapies (such as Adcirca, Revatio, generic sildenafil citrate, Tracleer and Letairis) are commonly prescribed as first-line treatments for the least severely ill patients (NYHA Class II patients). As patients progress in their disease severity (NYHA Class III and IV), inhaled therapies (Tyvaso and Ventavis) or infusion therapies (Remodulin and Flolan) are commonly added. The use of the available oral therapies and Tyvaso, either alone or in combination, could delay the need for infusion therapy for many patients. As a result, the success of other therapies in preventing disease progression affects our commercial products. Furthermore, the commercialization of generic forms of other approved PAH therapies and the development of new PAH therapies may exert downward pressure on the pricing of our products. For further discussion on this risk, see Item 1A—Risk Factors—We may not compete successfully with established and newly developed drugs or products, or the companies that develop and market them.

        We could also face competition from generic pharmaceutical companies in the future. For example, in February 2012, we received notice of an ANDA filed by Sandoz requesting FDA approval to market a generic version of the 10 mg/mL strength of Remodulin. On December 7, 2012, we received notice that Sandoz had amended its previously filed ANDA to request additional approval to market generic

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versions of the 1 mg/mL, 2.5 mg/mL, and 5 mg/mL strengths of Remodulin. For further details, see the sections below entitled Governmental Regulation—Hatch-Waxman Act and Item 3.—Legal Proceedings.

        In addition, certain Revatio patents expired in 2012, leading several manufacturers to launch generic formulations of sildenafil citrate, which physicians could prescribe for the treatment of PAH. Generic sildenafil citrate's lower price, relative to Adcirca, could lead to an erosion of Adcirca's market share and limit its growth potential. Although we believe Adcirca's once-daily dosing regimen provides a significant competitive advantage over generic sildenafil citrate's dosing regimen of three times per day, we expect government payers and private insurance companies to favor over time the use of the less expensive generic sildenafil citrate instead of Adcirca.

        Orenitram is the first oral prostacyclin analogue therapy approved for PAH in the United States. We anticipate that it will face competition with existing oral PAH therapies, and will be regarded as a less invasive and more convenient alternative therapy to Tyvaso and Remodulin.

        We compete with the developers, manufacturers and distributors of all of the PAH products noted above for customers, funding, access to licenses, personnel, third-party collaborators, product development and commercialization. Almost all of these companies have substantially greater financial, marketing, sales, distribution and technical resources, and more experience in research and development, product development, manufacturing and marketing, clinical trials and regulatory matters, than we have.

Governmental Regulation

Pharmaceutical Product Approval Process

        The research, development, testing, manufacture, promotion, marketing, distribution, sampling, storage, approval, labeling, record keeping, post-approval monitoring and reporting, and import and export of pharmaceutical products (drugs or biological products, hereinafter collectively drugs) are extensively regulated by governmental agencies in the United States and in other countries. In the United States, failure to comply with requirements under the Federal Food, Drug, and Cosmetic Act (FDC Act), the Public Health Service Act (PHSA), and other federal statutes and regulations, may subject a company to a variety of administrative or judicial sanctions, such as FDA refusal to approve pending NDAs or BLAs, warning letters, product recalls, product seizures, total or partial suspension of production or distribution, injunctions, fines, civil penalties, and criminal prosecution.

        Satisfaction of FDA pre-market approval requirements typically takes many years, and the actual time required may vary substantially based upon the type, complexity and novelty of the product or disease. Drugs are subject to rigorous regulation by the FDA in the United States, the EMA in the EU and similar regulatory authorities in other countries. The steps ordinarily required before a new drug may be marketed in the United States, which are similar to steps required in most other countries, include:

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Preclinical laboratory tests, preclinical studies in animals, formulation studies and the submission to the FDA of an investigational new drug application (IND) for a new drug, which must become effective before clinical testing may commence;

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Clinical studies in healthy volunteers;

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Clinical studies in patients to explore safety, efficacy and dose-response characteristics;

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Adequate and well-controlled clinical trials to establish the safety and efficacy of the drug for each indication;

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The submission of an NDA or BLA to the FDA; and

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•

FDA review and approval of the NDA or BLA prior to any commercial sale or shipment of the drug.

        Preclinical tests include laboratory evaluation of product chemistry and formulation, as well as animal studies to explore toxicity and for proof-of-concept. The conduct of the preclinical tests must comply with federal regulations and requirements including good laboratory practices. In the United States, the results of preclinical testing are submitted to the FDA as part of an IND, along with other information including information about product chemistry, manufacturing and controls and a proposed clinical trial protocol. Long-term preclinical tests, such as animal tests of reproductive toxicity and carcinogenicity, may continue after the IND is submitted. Absent FDA objection within 30 days after submission of an IND, the IND becomes effective and the clinical trial proposed in the IND may begin. At any time during this 30-day period or at any time thereafter, the FDA may halt proposed or ongoing clinical trials. The IND process may be extremely costly and may substantially delay development of our products. Moreover, positive results of preclinical tests will not necessarily indicate positive results in clinical trials.

        Clinical trials involve the administration of the investigational new drug or biologic to healthy volunteers or patients under the supervision of a qualified investigator. Clinical trials must be conducted: (i) in compliance with federal regulations; (ii) in compliance with good clinical practices (GCP), an international standard meant to protect the rights and health of patients and to define the roles of clinical trial sponsors, administrators, and monitors; and (iii) under protocols detailing the objectives of the trial, the parameters to be used in monitoring safety and the criteria to be evaluated. Each protocol involving testing on U.S. patients and subsequent protocol amendments must be submitted to the FDA as part of the IND.

        The FDA may order the temporary or permanent discontinuation of a clinical trial at any time or impose other sanctions if it believes that the clinical trial is not being conducted in accordance with FDA requirements or presents an unacceptable risk to the clinical trial patients. The study protocol and informed consent information for patients in clinical trials must also be approved by an institutional review board (IRB). An IRB may also require the clinical trial at a site to be halted temporarily or permanently for failure to comply with the IRB's requirements, or may impose other conditions.

        Clinical trials in support of an NDA or a BLA are typically conducted in three sequential phases, but the phases may overlap. During phase I, the initial introduction of the drug into healthy human subjects or patients, the drug is tested to assess metabolism, pharmacokinetics, pharmacological actions, side effects associated with increasing doses, and, if possible, early evidence on effectiveness. Phase II usually involves studies in a limited patient population to assess the efficacy of the drug in specific, targeted indications, assess tolerance and optimal dosage and identify possible adverse effects and safety risks. If a compound is found to be potentially effective and to have an acceptable safety profile in phase II evaluations, then phase III trials, also called pivotal studies, major studies or advanced clinical trials, are undertaken to demonstrate clinical efficacy and safety in a larger number of patients, typically at geographically diverse clinical study sites, to permit the FDA to evaluate the overall benefit-risk relationship of the drug and to provide adequate information for the labeling of the drug.

        After successful completion of the required clinical testing, an NDA or a BLA is typically submitted to the FDA in the United States, and an MAA is typically submitted to the EMA in the EU. FDA approval of the NDA or BLA is required before marketing of the product may begin in the United States. The NDA or BLA must include the results of all preclinical, clinical and other testing and a compilation of data relating to the product's pharmacology, chemistry, manufacture, and controls. The cost of preparing and submitting an NDA or BLA is substantial. Under federal law, the submission of most NDAs and BLAs is additionally subject to a substantial application fee, currently exceeding $2.1 million, and the manufacturer and/or sponsor of an approved NDA or BLA is also subject to annual product and establishment fees, currently exceeding $104,000 per product and $554,000 per

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establishment. These fees are typically increased annually. However, the application fees may be waived for orphan drugs if certain requirements are met.

        The FDA has 60 days from its receipt of an NDA or a BLA to determine whether the application will be accepted for filing based on the agency's threshold determination that it is sufficiently complete to permit substantive review. Once the submission is accepted for filing, the FDA begins an in-depth review. The FDA may instead ask for additional information, in which case, the application must be resubmitted with the requested information. The FDA has agreed to certain performance goals in the review of new drug applications. Most such applications for non-priority drugs are reviewed within ten to twelve months, while most applications for priority review drugs are reviewed in six to eight months. Priority review can be applied to drugs that the FDA determines offer major advances in treatment, or provide a treatment where no adequate therapy exists. For biologics, priority review is further limited to drugs intended to treat a serious or life-threatening disease. The review process may be extended by the FDA for three additional months to consider certain information submitted during FDA review, including information intended to clarify information already provided or to address any deficiencies identified in the submission. The FDA may also refer applications for novel pharmaceutical products or pharmaceutical products that present difficult questions of safety or efficacy to an advisory committee, typically a panel that includes clinicians and other experts, for review, evaluation and a recommendation as to whether the application should be approved. The FDA is not bound by the recommendation of an advisory committee, but it generally follows such recommendations. Before approving an NDA or a BLA, the FDA will typically inspect one or more clinical sites to assure compliance with GCP. Additionally, the FDA will inspect the facility or the facilities at which the drug is manufactured. The FDA will not approve the product unless compliance with the FDA's current Good Manufacturing Practices (cGMP) and GCP is satisfactory and the NDA or BLA contains data that provide substantial evidence that the pharmaceutical product is safe and effective for purposes of the indication studied.

        In the United States, after the FDA evaluates the NDA or BLA and the manufacturing facilities, the FDA may issue either an approval letter or a complete response letter. A complete response letter generally outlines the deficiencies in the submission and may require substantial additional testing or information in order for the FDA to reconsider the application. If and when those conditions have been addressed to the FDA's satisfaction in a resubmission of the NDA or BLA, the FDA will issue an approval letter. The FDA has committed to reviewing such resubmissions in two or six months depending on the type of information included. A Class 1 resubmission may contain only limited information such as labeling, safety updates, stability updates, or minor analysis updates or clarifying information and is subject to a two-month review period. All other resubmissions are categorized as Class 2 and are subject to a six-month review period. Even after such a resubmission, the FDA may decide that the application does not satisfy the regulatory criteria for approval.

        An approval letter authorizes commercial marketing of the drug with specific prescribing information for specific indications. As a condition of NDA or BLA approval, the FDA may require a risk evaluation and mitigation strategy (REMS) to help ensure that the benefits of the drug outweigh the potential risks. A REMS can include medication guides, communication plans for healthcare professionals, and elements to assure safe use (ETASU). ETASU can include, but are not limited to, special training or certification for prescribing or dispensing, dispensing only under certain circumstances, special monitoring, and the use of patient registries. The requirement for a REMS can materially affect the potential market and profitability of the drug. To continue marketing our products after approval, applicable regulations require us to maintain a positive risk-benefit profile, maintain regulatory applications through periodic reports to regulatory authorities, fulfill pharmacovigilance requirements, maintain manufacturing facilities according to cGMP requirements, and successfully complete regulatory agency inspections, among other requirements. Our manufacturing facilities are subject to continual review and periodic inspections. Once granted, product approvals may be

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withdrawn if compliance with regulatory standards is not maintained or problems are identified following initial marketing.

Disclosure of Clinical Trial Information

        Sponsors of clinical trials of FDA-regulated drugs and other products are required to register and disclose certain clinical trial information related to the product, patient population, phase of investigation, study sites and investigators, and other aspects of the clinical trial. This clinical trial information is then made public as part of the sponsor's registration. Sponsors are also obligated to disclose the results of their clinical trials after completion. Competitors may use this publicly-available information to gain knowledge regarding the progress of development programs.

Orphan Drugs

        Under the Orphan Drug Act, an applicant can request the FDA to designate a product as an "orphan drug" in the United States if the drug is intended to treat a rare disease or condition affecting fewer than 200,000 people in the United States. Orphan drug designation must be requested before submitting an NDA or BLA. After the FDA grants orphan drug designation, the generic identity of the drug and its potential orphan use are disclosed publicly by the FDA. Orphan drug designation does not convey any advantage in, or shorten the duration of, the regulatory review and approval process. The first NDA or BLA applicant to receive orphan drug designation and FDA approval for a particular active ingredient to treat a particular disease is entitled to a seven-year exclusive marketing period in the United States for that product, for that indication. During the seven-year period, the FDA may not approve any other application to market the same drug for the same disease, except in limited circumstances, such as a showing of clinical superiority to the product with orphan drug exclusivity or the inability of the NDA or BLA holder for the product with orphan drug exclusivity to assure availability of sufficient quantities of the drug to meet the needs of patients with the rare disease or condition. Orphan drug exclusivity does not prevent the FDA from approving a different drug for the same disease or condition, or the same drug for a different disease or condition. Among the other benefits of orphan drug designation are tax credits for certain research and a waiver of the NDA or BLA application user fee.

        The FDA granted orphan drug designation for the active ingredient treprostinil for the treatment of PAH as a continuous infusion. However, this designation does not preclude us from seeking orphan drug designation for other formulations or routes of administration, such as oral or inhaled, of treprostinil to treat PAH, or for treprostinil used to treat other orphan diseases. In order for the FDA to grant orphan drug designation for other formulations or routes of administration of treprostinil to treat PAH, we must demonstrate that such new formulation or route of administration is clinically superior to the formulation or route of administration previously granted orphan drug designation. The FDA has granted orphan drug designation for Tyvaso. A request for orphan drug designation for Orenitram is pending.

Pediatric Information

        Under the Pediatric Research Equity Act of 2007 (PREA), NDAs, BLAs and supplements to NDAs and BLAs must contain data to assess the safety and effectiveness of the drug for the claimed indication(s) in all relevant pediatric subpopulations and to support dosing and administration for each such pediatric subpopulation for which the drug is safe and effective. The FDA may grant deferrals for submission of data or full or partial waivers. Unless otherwise required by regulation, the PREA does not apply to any drug for an indication for which orphan drug designation has been granted.

        The Best Pharmaceuticals For Children Act (BPCA) provides NDA holders a six-month extension of any exclusivity, patent or non-patent, for a drug if certain conditions are met. Conditions for

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exclusivity include the FDA's determination that information relating to the use of a new drug in the pediatric population may produce health benefits in that population, the FDA making a written request for pediatric studies, and the applicant agreeing to perform, and reporting on, the requested studies within the requested time frame. Applications under the BPCA are treated as priority applications, with all of the benefits that designation confers.

Hatch-Waxman Act

        The Hatch-Waxman Act (also known as the Drug Price Competition and Patent Term Restoration Act) was passed in 1984 to encourage research and development of new drugs and competition between brand and generic pharmaceutical companies. It created a faster approval process for generic drugs, called the abbreviated new drug application (ANDA), while providing protection to brand pharmaceuticals by extending their patent protection, in some cases, to compensate for patent life lost during the product development and approval process and providing periods of market exclusivity to encourage continuing research on, for example, new uses, strengths or dosage forms for existing drugs.

        In seeking approval of a drug through an NDA, applicants are required to submit to the FDA each patent whose claims cover the applicant's product or FDA-approved method of using this product. Upon approval of a drug, each of the patents listed in the application is then published in the FDA's Approved Drug Products with Therapeutic Equivalence Evaluations, commonly known as the Orange Book. Drugs listed in the Orange Book can, in turn, be cited by potential competitors in support of approval of an ANDA. Generally, an ANDA provides for marketing of a drug product that has the same active ingredients in the same strength(s), route of administration, and dosage form as the listed drug and has been shown through bioequivalence testing to be therapeutically equivalent to the listed drug. ANDA applicants are not required to conduct or submit results of pre-clinical or clinical tests to prove the safety or effectiveness of their drug product, other than the requirement for bioequivalence testing. Drugs approved in this way are commonly referred to as "generic equivalents" to the listed drug, and can often be substituted by pharmacists under prescriptions written for the original listed drug.

        The ANDA applicant is required to certify to the FDA concerning any patents listed for the approved product in the FDA's Orange Book. Specifically, the applicant must certify that: (i) the required patent information has not been filed; (ii) the listed patent has expired; (iii) the listed patent has not expired, but will expire on a particular date and approval is sought after patent expiration; or (iv) the listed patent is invalid or will not be infringed by the new product. A certification that the new product will not infringe the already approved product's listed patents or that such patents are invalid is called a Paragraph IV certification. If the applicant does not challenge the listed patents, the ANDA application will not be approved until all the listed patents claiming the referenced product have expired. Alternatively, for a patent covering an approved method of use, an ANDA applicant may submit a statement to the FDA that the company is not seeking approval for the covered use.

        If the ANDA applicant has submitted a Paragraph IV certification to the FDA, the applicant must also send notice of the Paragraph IV certification to the NDA and patent holders once the ANDA has been accepted for filing by the FDA. The NDA and patent holders may then initiate a patent infringement lawsuit in response to the notice of the Paragraph IV certification. The filing of a patent infringement lawsuit within 45 days of the receipt of a Paragraph IV certification automatically prevents the FDA from approving the ANDA until the earlier of 30 months, expiration of the patent, settlement of the lawsuit or a decision in the infringement case that is favorable to the ANDA applicant.

        The ANDA application also will not be approved until any non-patent exclusivity, such as exclusivity for obtaining approval of an NDA for a new chemical entity, has expired. Federal law provides a period of five years following approval of a drug containing no previously approved active moiety, during which ANDAs for generic versions of those drugs cannot be submitted unless the

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submission contains a Paragraph IV certification, in which case the submission may be made four years following the original product approval. Following approval of an application to market a drug that contains previously approved active ingredients in a new dosage form, route of administration or combination, or for a new condition of use that was required to be supported by new clinical trials conducted by or for the sponsor, the FDC Act provides for an exclusivity period of three years, during which the FDA cannot grant effective approval of an ANDA for such new condition of use, dosage form or strength that meets certain statutory requirements. Both of the five-year and three-year exclusivity periods, as well as any unexpired patents listed in the Orange Book for the listed drug, can be extended by six months if the FDA grants the NDA sponsor a period of pediatric exclusivity based on studies submitted by the sponsor in response to a written request.

        The Hatch-Waxman Act provides that patent terms may be extended to compensate for some of the patent life that is lost during the FDA regulatory review period for a product. This extension period would generally be one-half the time between the effective date of an IND and the submission date of an NDA, plus all of the time between the submission date of an NDA and its approval, subject to a maximum extension of five years. Similar patent term extensions are available under European laws. Following FDA approval, we filed a patent term extension application with the United States Patent and Trademark Office for our patent covering the method of treating PAH using Remodulin. The application was approved in February 2005 with the maximum patent term extension of five years for a patent that will expire on October 6, 2014.

        In February 2012, we received notice of an ANDA filed by Sandoz requesting FDA approval to market a generic version of the 10 mg/mL strength of Remodulin. On December 7, 2012, we received notice that Sandoz had amended its previously filed ANDA to request additional approval to market generic versions of the 1 mg/mL, 2.5 mg/mL, and 5 mg/mL strengths of Remodulin. For further details, see Item 3.—Legal Proceedings.

Section 505(b)(2) New Drug Applications

        Most drug products (other than biological products) obtain FDA marketing approval pursuant to an NDA or an ANDA. A third alternative is a special type of NDA, commonly referred to as a Section 505(b)(2) NDA, which enables the applicant to rely, in part, on the FDA's finding of safety and efficacy data for an existing product, or published literature, in support of its application.

        Section 505(b)(2) NDAs may provide an alternate path to FDA approval for new or improved formulations or new uses of previously approved products. Section 505(b)(2) permits the filing of an NDA in which the applicant relies, at least in part, on information from studies not conducted by or for the applicant and for which the applicant has not obtained a right of reference. The applicant may eliminate the need to conduct certain preclinical or clinical studies, if it can establish that reliance on studies conducted for a previously-approved product is scientifically appropriate. The FDA may also require companies to perform additional studies or measurements to support the change from the approved product. The FDA may then approve the new product candidate for all or some of the labeled indications for which the referenced product has been approved, as well as for any new indication for which the Section 505(b)(2) NDA applicant has submitted data.

        To the extent that the Section 505(b)(2) applicant is relying on prior FDA findings of safety and efficacy, the applicant is required to certify to the FDA concerning any patents listed for the approved product in the Orange Book to the same extent that an ANDA applicant would. Thus, approval of a Section 505(b)(2) NDA can be delayed until all the listed patents claiming the referenced product have expired, until any non-patent exclusivity, such as exclusivity for obtaining approval of a new chemical entity, listed in the Orange Book for the referenced product has expired, and, in the case of a Paragraph IV certification and subsequent patent infringement suit, until the earlier of 30 months,

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settlement of the lawsuit or a decision in the infringement case that is favorable to the Section 505(b)(2) NDA applicant.

Other Regulatory Requirements

        Once an NDA or a BLA is approved, a product will be subject to certain post-approval requirements. For instance, the FDA closely regulates the post-approval marketing and promotion of drugs, including standards and regulations for direct-to-consumer advertising, off-label promotion, industry-sponsored scientific and educational activities and promotional activities involving the internet. Pharmaceutical products may be marketed only for the approved indications and in accordance with the provisions of their approved labeling. The FDA and other agencies actively enforce the laws and regulations prohibiting promotion of off-label uses, and a company that is found to have engaged in off-label promotion may be subject to significant liability.

        Changes to some of the conditions established in an approved application, including changes in indications, labeling, or manufacturing processes or facilities, require submission and FDA approval of an NDA or BLA or supplement thereto before the change can be implemented. An NDA or BLA supplement for a new indication typically requires clinical data similar to that in the original application, and the FDA uses the same procedures and actions in reviewing supplements as it does in reviewing NDAs or BLAs.

        Adverse event reporting and submission of periodic reports continue to be required following FDA approval of an NDA or a BLA. The FDA also may require post-marketing testing, known as phase IV testing, risk minimization action plans, and surveillance to monitor the effects of an approved product or place conditions on an approval that could restrict the distribution or use of the product. In addition, quality control as well as drug manufacture, packaging, and labeling procedures must continue to conform to cGMP requirements after approval. Manufacturers and certain of their contractors are required to register their establishments with the FDA and certain state agencies, and are subject to periodic unannounced inspections by the FDA and these state agencies, to assess compliance with cGMP requirements. Accordingly, manufacturers must continue to expend time, money and effort in the areas of production and quality control to maintain compliance with cGMP. Regulatory authorities may withdraw product approvals or request product recalls if a company fails to comply with regulatory standards or if previously unrecognized problems are subsequently discovered.

Marketing Pharmaceutical Products Outside the United States

        Outside of the United States, our ability to market our products is also contingent upon receiving marketing authorizations from regulatory authorities. The foreign regulatory approval process may include some or all of the risks associated with the FDA review and approval process set forth above. The requirements governing the conduct of clinical trials and marketing authorization vary widely from country to country.

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        In the EU, marketing authorizations may be submitted through a centralized body or through a decentralized/mutual recognition or a national level process. The centralized procedure is mandatory for the approval of biotechnology products, high technology products and orphan products and may be available at the applicant's option for other products. The centralized procedure provides for the grant of a single marketing authorization that is valid in all EU and EEA member countries. The decentralized/mutual recognition procedure is available for all medicinal products that are not subject to the centralized procedure. The decentralized/mutual recognition procedure provides for mutual recognition of national approval decisions, changes existing procedures for national approvals and establishes procedures for coordinated EU actions on products, suspensions and withdrawals. Under this procedure, the holder of a national marketing authorization for which mutual recognition is sought may submit an application to one or more EU member countries, certify that the dossier is identical to that on which the first approval was based, or explain any differences and certify that identical dossiers are being submitted to all EU member countries for which recognition is sought. Within 90 days of receiving the application and assessment report, each EU member country is required to decide whether to recognize approval. The procedure encourages member states to work with applicants and other regulatory authorities to resolve disputes concerning mutual recognition. Lack of objection of a given country within 90 days automatically results in approval in that country. Following receipt of marketing authorization in an EU member country, the applicant is then usually (depending on the country) required to engage in pricing discussions and negotiations with a separate prescription pricing authority in that country. Commercial sales typically only commence in a country once pricing approval has been obtained.

        To secure European regulatory approvals for subcutaneous Remodulin for PAH, we used the mutual recognition process. Under the rules then applicable, centralized filing was not required and we perceived the decentralized/mutual recognition procedure to be the most effective means for approval. We filed our first MAA in France in February 2001. Review of our application was completed in 2005. As a result, Remodulin was approved in 23 member countries of the EEA under the mutual recognition process described above. We withdrew applications in Spain, the United Kingdom and Ireland and are currently evaluating resubmitting applications in Spain and Ireland. In December 2011, we received approval for intravenous Remodulin in all of the 23 EEA member nations where subcutaneous Remodulin is approved.

        To secure European regulatory approval for Tyvaso, we submitted an MAA to the EMA via the centralized process in 2008. Regulations in Europe have changed since we made our initial filing for Remodulin and all therapies for orphan diseases must now use the centralized process. In February 2010, we withdrew our MAA from consideration by the EMA, and do not currently intend to resubmit it, due to the EMA's major objection related to findings of non-compliance with good clinical practice at two clinical sites. The EMA stated that these findings would preclude a recommendation for approval of Tyvaso in the EU. The EMA had no major objections at the time of withdrawal related to the safety or efficacy of Tyvaso.

Biologics

        Biological products used for the prevention, treatment, or cure of a disease, or condition, of a human being are subject to regulation under the FDC Act, except the section of the FDC Act which governs applications to market new drug products. Instead, biological products are approved for marketing under provisions of the PHSA via a BLA. However, the application process and requirements for approval of BLAs are very similar to those for NDAs. To help reduce the increased risk of the introduction of adventitious agents, the PHSA emphasizes the importance of manufacturing control for products whose attributes cannot be precisely defined. The PHSA also provides authority to the FDA to immediately suspend licenses in situations where there exists a danger to public health, to prepare or procure products in the event of shortages and critical public health needs, and to authorize

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the creation and enforcement of regulations to prevent the introduction, or spread, of communicable diseases in the United States.

        After a BLA is approved, the product may also be subject to official lot release. As part of the manufacturing process, the manufacturer is required to perform certain tests on each lot of the product before it is released for distribution. If the product is subject to official lot release by the FDA, the manufacturer submits samples of each lot of product to the FDA together with a release protocol showing a summary of the history of manufacture of the lot and the results of all of the manufacturer's tests performed on the lot. The FDA may also perform certain confirmatory tests on lots of some products, such as viral vaccines, before releasing the lots for distribution by the manufacturer. In addition, the FDA conducts laboratory research related to the regulatory standards on the safety, purity, potency, and effectiveness of biological products. As with drugs, after approval of biologics, manufacturers must address any safety issues that arise, are subject to recalls or a halt in manufacturing, and are subject to periodic inspection after approval.

        The Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (PPACA) included a subtitle called the Biologics Price Competition and Innovation Act of 2009, or BPCI Act, which created an abbreviated approval pathway for biological products shown to be similar to, or interchangeable with, an FDA-licensed reference biological product. This is conceptually similar to the Hatch-Waxman Act in that it attempts to minimize duplicative testing. Biosimilarity, which requires that there be no clinically meaningful differences between the biological product and the reference product in terms of safety, purity, and potency must be shown through analytical studies, animal studies, and at least one clinical study absent a waiver. Interchangeability requires that a product must demonstrate that it can be expected to produce the same clinical results as the reference product and, for products administered multiple times, the biologic and the reference biologic may be switched after one has been previously administered without increasing safety risks or risks of diminished efficacy relative to exclusive use of the reference biologic. However, intricacies associated with the larger, and often more complex, structures of biological products, as well as the processes by which such products are manufactured, pose significant hurdles to implementation that are still being addressed by the FDA.

        A reference biologic is granted twelve years of exclusivity from the time of first licensure of the reference product. The first biologic product submitted under the abbreviated approval pathway that is determined to be interchangeable with the reference product has exclusivity against other biologics submitted under the abbreviated approval pathway for the lesser of (i) one year after first commercial marketing; (ii) eighteen months after approval of the initial application if there is no legal challenge; (iii) eighteen months after the resolution in the applicant's favor of a lawsuit challenging the biologics' patents if an application has been submitted; or (iv) 42 months after the application has been approved if a lawsuit is ongoing within the 42 month period.

        Because biologically sourced raw materials are subject to unique contamination risks, their use may be restricted in some countries.

Cell and Tissue Based Biologics

        Manufacturers of cell and tissue based products must comply with the FDA's current good tissue practices (cGTP), which are FDA regulations that govern the methods used in, and the facilities and controls used for, the manufacture of such products. The primary intent of the cGTP requirements is to ensure that cell and tissue based products are manufactured in a manner designed to prevent the introduction, transmission and spread of communicable diseases. Cell and tissue based products may also be subject to the same approval standards, including demonstration of safety and efficacy, as other biologic and drug products, if they meet certain criteria such as if the cells or tissues are more than minimally manipulated or if they are intended for a non-homologous use (a use different from the cell's origin).

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U.S. Regulation of Medical Devices

        Medical devices are also subject to FDA approval and extensive regulation under the FDC Act. Under the FDC Act, medical devices are classified into one of three classes: Class I, Class II, or Class III. The classification of a device into one of these three classes generally depends on the degree of risk associated with the medical device and the extent of control needed to ensure safety and effectiveness.

        Class I devices are those for which safety and effectiveness can be assured by adherence to a set of general controls. These general controls include compliance with the applicable portions of the FDA's Quality System Regulation (QSR), which sets forth good manufacturing practice requirements; facility registration and product listing; reporting of adverse medical events; truthful and non-misleading labeling; and promotion of the device only for its cleared or approved intended uses. Class II devices are also subject to these general controls and to any other special controls as deemed necessary by the FDA to ensure the safety and effectiveness of the device. Review and clearance by the FDA for these devices is typically accomplished through the so-called 510(k) pre-market notification procedure. A Class III device requires approval of a premarket approval application (PMA), an expensive, lengthy and uncertain process requiring many years to complete. Most Class II and Class III medical devices may only be marketed in the United States if the FDA has approved a PMA application for the device or cleared the device in response to a 510(k) submission. There is also an alternative pathway to approval of a PMA or clearance of a 510(k) for low or moderate risk devices that are not classified and for which no predicate device exists, known as de novo classification.

        When 510(k) clearance is sought, a sponsor must submit a pre-market notification demonstrating that the proposed device is substantially equivalent to a previously marketed device, also referred to as a "predicate" device. If the FDA agrees that the proposed device is substantially equivalent to the predicate device, then 510(k) clearance to market will be granted. After a device receives 510(k) clearance, any modification that could significantly affect its safety or effectiveness, or that would constitute a major change in its intended use, requires a new 510(k) clearance or could require pre-market approval.

        Clinical trials are almost always required to support a PMA and are sometimes required for a 510(k) pre-market notification. These trials generally require submission of an application for an investigational device exemption, or IDE. An IDE must be supported by pre-clinical data, such as animal and laboratory testing results, which show that the device is safe to test in humans and that the study protocols are scientifically sound. The IDE must be approved in advance by the FDA for a specified number of patients, unless the product is deemed a non-significant risk device and is eligible for more abbreviated IDE requirements.

        Both before and after a medical device is commercially distributed, manufacturers and marketers of the device have ongoing responsibilities under FDA regulations. The FDA reviews design and manufacturing practices, labeling and record keeping, and manufacturers' required reports of adverse experiences and other information to identify potential problems with marketed medical devices. Device manufacturers are subject to periodic and unannounced inspection by the FDA for compliance with the QSR, current good manufacturing practice requirements that govern the methods used in, and the facilities and controls used for, the design, manufacture, packaging, servicing, labeling, storage, installation, and distribution of all finished medical devices intended for human use.

        If the FDA finds that a manufacturer has failed to comply or that a medical device is ineffective or poses an unreasonable health risk, it can institute or seek a wide variety of enforcement actions and remedies, ranging from a public warning letter to more severe actions such as:

•

fines, injunctions, and civil penalties;

•

recall or seizure of products;

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•

operating restrictions, partial suspension or total shutdown of production;

•

refusing requests for 510(k) clearance or PMA approval of new products;

•

withdrawing 510(k) clearance or PMA approvals already granted; and

•

criminal prosecution.

The FDA also has the authority to require repair, replacement or refund of the cost of any medical device.

        The FDA also administers certain controls over the export of medical devices from the United States, as international sales of medical devices that have not received FDA approval are subject to FDA export requirements. Additionally, each foreign country subjects such medical devices to its own regulatory requirements. In the EU, a single regulatory approval process has been created, and approval is represented by the CE Mark.

        The nebulizer used with our Tyvaso Inhalation System was included in our NDA for Tyvaso as a combination product, and was cleared by the FDA subject to compliance with the QSR as it applies to combination products. In July 2012, we received FDA approval for a modified Tyvaso Inhalation System using an updated nebulizer (TD-100) based on the results of the completion of the QSR compliance commitments.

Government Reimbursement of Pharmaceutical Products

        In the United States, many independent third-party payers, as well as the Medicare and State Medicaid programs, reimburse buyers of our commercial products. Medicare is the federal program that provides health care benefits to senior citizens and certain disabled and chronically ill persons. Medicaid is the federal program jointly funded and administered by the states to provide health care benefits to certain indigent persons. The Medicare contractors who administer the program provide reimbursement for Remodulin at a rate equal to 95% of the published average wholesale price as of October 1, 2003 (the Medicare Part B payment formula, under the Durable Medical Equipment Regional Carrier Guidelines, for drugs infused through durable medical equipment) and for Tyvaso at a rate of 106% of the average sales price (the Medicare Part B payment formula for drugs inhaled through durable medical equipment and also under the Durable Medical Equipment Regional Carrier Guidelines). Adcirca, an oral drug, is reimbursed under the Medicare Part D program. Orenitram will also be reimbursed under Medicare Part D. The State Medicaid programs also generally provide reimbursement for our commercial products, at reimbursement rates that are below the published average wholesale price and that vary from state to state. In return for including our pharmaceutical commercial products in the Medicare Part B and Medicaid programs, we have agreed to pay a rebate to State Medicaid agencies that provide reimbursement for those products. We have also agreed to sell our commercial products under contracts with the Department of Veterans Affairs, Department of Defense, Public Health Service and numerous other federal agencies as well as certain hospitals that are designated as 340B covered entities (entities designated by federal programs to receive drugs at discounted prices) at prices that are significantly below the price we charge to our specialty pharmaceutical distributors. These programs and contracts are highly regulated and impose restrictions on our business. Failure to comply with these regulations and restrictions could result in a loss of our ability to continue receiving reimbursement for our drugs, exclusion of our products from reimbursement under the federal healthcare programs, or debarment, and expose us to liability under federal and state false claims laws. We estimate that between 35-50% of Remodulin, Tyvaso and Adcirca sales in the United States are reimbursed under the Medicare and Medicaid programs.

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Anti-Kickback, False Claims Laws and The Prescription Drug Marketing Act

        In addition to FDA restrictions on marketing pharmaceutical and medical device products, several other types of state and federal laws have been applied to restrict certain marketing practices in the pharmaceutical industry in recent years. These laws include anti-kickback statutes and false claims statutes. The federal healthcare program anti-kickback statute prohibits, among other things, knowingly and willfully offering, paying, soliciting or receiving remuneration to induce or in return for purchasing, leasing, ordering or arranging for the purchase, lease or order of any healthcare item or service reimbursable under Medicare, Medicaid or other federally financed healthcare programs. This statute has been interpreted to apply to arrangements between pharmaceutical manufacturers on the one hand and prescribers, purchasers and formulary managers on the other. Violations of the anti-kickback statute are punishable by imprisonment, criminal fines, civil monetary penalties and exclusion from participation in federal healthcare programs. Although there are a number of statutory exemptions and regulatory safe harbors protecting certain common activities from prosecution or other regulatory sanctions, the exemptions and safe harbors are drawn narrowly, and practices that involve remuneration intended to induce prescribing, purchases or recommendations may be subject to scrutiny if they do not qualify for an exemption or safe harbor.

        The federal False Claims Act prohibits any person from, among other things, knowingly presenting, or causing to be presented, a false claim for payment to the federal government, or knowingly making, or causing to be made, a false statement material to a false claim. Many pharmaceutical and other healthcare companies have been prosecuted under the False Claims Act for allegedly inflating drug prices they report to pricing services, which in turn were used by the government to set Medicare and Medicaid reimbursement rates, and for allegedly providing free product to customers with the expectation that the customers would bill federal programs for the product. In addition, certain marketing practices, including off-label promotion, may also violate the False Claims Act. The majority of states also have statutes or regulations similar to the federal anti-kickback statute and False Claims Act, which apply to items and services reimbursed under Medicaid and other state programs, or, in several states, apply regardless of the payer. Sanctions under these federal and state laws may include civil monetary penalties, exclusion of a manufacturer's products from reimbursement under government programs, criminal fines, and imprisonment.

        In December 2013 we received a subpoena from the Office of the Inspector General of the Department of Health and Human Services reflecting a civil investigation by the United States Department of Justice, principally represented by the United States Attorney's Office for the District of Maryland. The subpoena requests documents regarding Remodulin, Tyvaso and Adcirca, including our marketing practices relating to these products. For further details, see Item 3.—Legal Proceedings.

        As part of the sales and marketing process, pharmaceutical companies frequently provide samples of approved drugs to physicians. The Prescription Drug Marketing Act (PDMA) imposes requirements and limitations upon the distribution of drugs and drug samples, and prohibits states from licensing distributors of prescription drugs unless the state licensing program meets certain federal guidelines that include minimum standards for storage, handling and record keeping. In addition, the PDMA sets forth civil and criminal penalties for violations.

Patient Protection and Affordable Care Act of 2010

        PPACA is intended to expand healthcare coverage within the United States. Several provisions of the new law, which have varying effective dates, may affect us and will likely increase certain of our costs. For example, an increase in the minimum Medicaid rebate rate from 15.1 percent to 23.1 percent of average manufacturer price became effective as of January 2010, and the volume of rebated drugs has been expanded to include beneficiaries in Medicaid managed care organizations, effective as of March 2010. The PPACA also imposes an annual fee on pharmaceutical manufacturers, based on the

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manufacturer's sale of branded pharmaceuticals and biologics (excluding orphan drugs) to certain U.S. government programs during the preceding year; expands the 340B drug discount program (excluding orphan drugs) including the creation of new penalties for non-compliance; and includes a 50% discount on brand name drugs for Medicare Part D participants in the coverage gap, or "donut hole". The law also revised the definition of "average manufacturer price" for reporting purposes effective October 2010, which could increase the amount of the Medicaid drug rebates paid to states.

        As noted above under Governmental Regulation—Biologics, the PPACA also created a regulatory pathway for the abbreviated approval of biological products that are demonstrated to be "biosimilar" or "interchangeable" with an FDA-approved biological product. In addition, the PPACA imposes new reporting requirements for pharmaceutical and device manufacturers with regard to payments or other transfers of value made to physicians and teaching hospitals. Manufacturers were required to begin collecting the information on August 1, 2013, with the first reports due on March 31, 2014. In addition, pharmaceutical and device manufacturers will be required to report investment interests held by physicians and their immediate family members during the preceding calendar year. Such information is required to be made publicly available by the Secretary of Health and Human Services in a searchable format beginning September 30, 2014. Failure to submit required information may result in civil monetary penalties of up to $150,000 per year (and up to $1 million per year for "knowing failures") for all payments, transfers of value or ownership or investment interests not reported in an annual submission. Further, the PPACA amends the intent requirement of the federal anti-kickback and criminal health care fraud statute. A person or entity no longer needs to have actual knowledge of these statutes or specific intent to violate them. In addition, the government may assert that a claim including items or services resulting from a violation of the federal anti-kickback statute constitutes a false or fraudulent claim for purposes of the False Claims Act.

State Pharmaceutical and Medical Device Marketing Laws

        If not preempted by the PPACA, several jurisdictions, including the District of Columbia, Maine, Massachusetts, Minnesota, Vermont and West Virginia, require pharmaceutical companies to report expenses relating to the marketing and promotion of pharmaceutical products and to report gifts and payments to healthcare practitioners in those jurisdictions. Some of these jurisdictions also prohibit various marketing related activities. Still other states require the posting of information relating to clinical studies and their outcomes. In addition, certain states, such as California, Connecticut, Nevada, and Massachusetts, require pharmaceutical companies to implement compliance programs or marketing codes and several other states are considering similar proposals. Compliance with these laws is difficult and time consuming, and companies that do not comply with these state laws face civil penalties.

Employees

        We had 706 employees as of February 7, 2014. The success of our business is highly dependent on attracting and retaining highly talented and qualified personnel.

Industry Segments and Geographic Areas

        Prior to the sale of Medicomp in March 2011, we operated in two business segments: pharmaceuticals and telemedicine. Since March 2011, our core business has been pharmaceuticals, in which we closely monitor the revenues and gross margins generated by our commercial products. We sell our products in the United States and throughout the rest of the world. The information required by Item 101(b) and 101(d) of Regulation S-K relating to financial information about industry segments and geographical areas, respectively, is contained in Note 19—Segment Information to our consolidated financial statements included in this Annual Report on Form 10-K.

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Corporate Website

        Our Internet website address is http://www.unither.com. Our filings on Form 10-K, Form 10-Q, Form 3, Form 4, Form 5, Form 8-K and any and all amendments thereto are available free of charge through this internet website as soon as reasonably practicable after they are filed with or furnished to the Securities and Exchange Commission (SEC). They are also available through the SEC at http://www.sec.gov/edgar/searchedgar/companysearch.html.

EXECUTIVE OFFICERS OF THE REGISTRANT

        The following is a list, as of February 25, 2014, setting forth certain information regarding our executive officers. Each executive officer holds office until the first meeting of the Board of Directors after the annual meeting of shareholders, and until his or her successor is elected and qualified or until his or her earlier resignation or removal. Each executive officer's employment will end pursuant to the terms of his or her employment contract. Each of the employment contracts generally provides for an initial term of service of five years, which five-year term may be renewed after each year for additional one-year periods.

Name	Age		Position
Martine A. Rothblatt, Ph.D., J.D., M.B.A.		59	Chairman, Chief Executive Officer and Director
Roger Jeffs, Ph.D.		52	President, Chief Operating Officer and Director
John M. Ferrari		59	Chief Financial Officer
Paul A. Mahon, J.D.		50	Executive Vice President, General Counsel and Corporate Secretary

Martine A. Rothblatt, Ph.D., J.D., M.B.A., founded United Therapeutics in 1996 and has served as Chairman and Chief Executive Officer since its inception. Prior to United Therapeutics, she founded and served as Chairman and Chief Executive Officer of SiriusXM Satellite Radio. She is a co-inventor on three of our patents pertaining to treprostinil.

Roger Jeffs, Ph.D., received his undergraduate degree in chemistry from Duke University and his Ph.D. in pharmacology from the University of North Carolina. Dr. Jeffs joined United Therapeutics in September 1998 as Director of Research, Development and Medical. He was promoted to Vice President of Research, Development and Medical in 2000 and to President and Chief Operating Officer in 2001. From 1993 to 1995, Dr. Jeffs worked at Burroughs Wellcome & Company where he was a member of the clinical research team that developed Flolan, the first FDA-approved therapy for patients with PAH. From 1995 to 1998, Dr. Jeffs worked at Amgen, Inc. where he served as the worldwide clinical leader of the Infectious Disease Program. Dr. Jeffs currently leads our global clinical, commercial, manufacturing, regulatory, pharmacovigilance and business development efforts.

John M. Ferrari joined United Therapeutics in May 2001 as Controller. Mr. Ferrari was promoted to Vice President of Finance in December 2003 and to Vice President of Finance and Treasurer in June 2004. In August 2006, Mr. Ferrari was promoted to Chief Financial Officer. Prior to joining United Therapeutics, Mr. Ferrari served as Controller for Blackboard, Inc., from 1998 to 2001. Prior to his employment with Blackboard, Inc., Mr. Ferrari served in various senior financial management positions since beginning his accounting career in 1984.

Paul A. Mahon, J.D., has served as General Counsel and Corporate Secretary of United Therapeutics since its inception in 1996. In June 2001, Mr. Mahon joined United Therapeutics full-time as Senior Vice President, General Counsel and Corporate Secretary. In November 2003, Mr. Mahon was promoted to Executive Vice President, General Counsel and Corporate Secretary. Prior to June

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2001, he served United Therapeutics, beginning with its formation in 1996, in his capacity as principal and managing partner of a law firm specializing in technology and media law.

ITEM 1A.    RISK FACTORS

Forward-Looking Statements

        This Annual Report on Form 10-K contains forward-looking statements made pursuant to the safe harbor provisions of Section 21E of the Securities Exchange Act of 1934 (the Exchange Act) and the Private Securities Litigation Reform Act of 1995. These statements, which are based on our beliefs and expectations as to future outcomes, include, among others, statements relating to the following:

•

Expectations of revenues, expenses, profitability, and cash flows;

•

The sufficiency of current and future working capital to support operations;

•

Our ability to obtain financing;

•

The value of our common stock and our ability and plans to complete future common stock repurchases;

•

The maintenance of domestic and international regulatory approvals;

•

The expected volume and timing of sales of Remodulin® (treprostinil) Injection (Remodulin), Tyvaso® (treprostinil) Inhalation Solution (Tyvaso) and Adcirca® (tadalafil) tablets (Adcirca);

•

The expected commercial launch and related sales, distribution and revenue recognition of Orenitram™ (treprostinil) Extended-Release Tablets (Orenitram);

•

The timing and outcome of clinical studies and related regulatory filings, including: (1) our plans to complete our FREEDOM-EV study of Orenitram by the end of 2016; (2) our aim to obtain United States Food and Drug Administration (FDA) approval for Orenitram as a combination therapy before the end of 2017; (3) our plan to file for approval for Orenitram in Europe upon the completion of the FREEDOM-EV study; (4) our program with Medtronic Inc. (Medtronic) to develop an implantable pump to administer Remodulin; and (5) our plan to begin a phase I clinical study of our lead antiviral candidate, UV-4B, during the first half of 2014;

•

The expected likelihood and timing of regulatory submissions and approvals for drug candidates under development and the timing of related sales, including (1) our expected filing of a biologics license application for Ch14.18 with the FDA during the first half of 2014; and (2) our pending approval of Remodulin in Japan, and potential commercial launch of Remodulin in Japan and China in 2014;

•

The outcome of potential future regulatory actions, including audits and inspections, by the FDA and international regulatory agencies;

•

The impact of competing therapies, including generic products (such as generic sildenafil) and newly-developed therapies, on sales of our commercial products;

•

The expectation that we will be able to produce sufficient quantities and maintain adequate inventories of our commercial products, through both our in-house production capabilities and third-party production sites for our products, and our ability to obtain and maintain related approvals by the FDA and other regulatory agencies;

•

The adequacy of our intellectual property protections and the expiration dates of the patents we own or license;

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•

Our expectations regarding our ability to defend our intellectual property relating to Remodulin against generic challenges, including the abbreviated new drug applications filed by Sandoz Inc. (Sandoz);

•

Our expectations regarding the subpoena by the Office of Inspector General of the U.S. Department of Health and Human Services relating to Remodulin, Tyvaso and Adcirca, including our marketing practices relating to these products, and the related investigation by the United States Department of Justice;

•

Any statements that include the words "believe," "seek," "expect," "anticipate," "forecast," "project," "intend," "estimate," "should," "could," "may," "will," "plan," or similar expressions; and

•

Other statements contained or incorporated by reference in this Annual Report on Form 10-K that are not historical facts.

        The statements identified as forward-looking statements may appear in Item 7—Management's Discussion and Analysis of Financial Condition and Results of Operations or elsewhere in this Annual Report on Form 10-K. These statements are subject to risks and uncertainties and our actual results may differ materially from anticipated results. Factors that may cause such differences include, but are not limited to, those discussed below. We undertake no obligation to publicly update forward-looking statements, whether as a result of new information, future events or otherwise.

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Risks Related to Our Business

We rely heavily on sales of Remodulin, Tyvaso and Adcirca to generate revenues and support our operations.

        Sales of Remodulin, Tyvaso and Adcirca comprise virtually all of our revenues. A wide variety of events, many of which are described in other risk factors below, could cause sales of these products to decline. For instance, we would be unable to sell any of these products if their regulatory approvals were withdrawn. Any substantial change in the prescribing practices or dosing patterns of patients using Remodulin, Tyvaso or Adcirca due to combination or competing therapies, side effects, adverse events, deaths or any other reasons could decrease related revenues. We also face potential generic competition. For example, during the fourth quarter of 2012, generic sildenafil became commercially available, which could negatively affect future market demand for Adcirca. In addition, we rely on third parties to produce, market, distribute and sell Remodulin, Tyvaso and Adcirca. The inability of any one of these third parties to perform these functions satisfactorily could result in a reduction in sales. We are also increasingly internalizing elements of our production process for Remodulin and Tyvaso, and any failure to effectively manage our internal production processes could result in an inability to meet patient demand. Because we are highly dependent on sales of Remodulin, Tyvaso and Adcirca, a reduction in sales of any one of these products could have a negative and material adverse impact on our operations.

If our products fail in clinical trials, we will be unable to obtain or maintain FDA and international regulatory approvals and will be unable to sell those products.

        To obtain regulatory approvals from the FDA and international regulatory agencies such as the EMA, we must conduct clinical trials demonstrating that our products are safe and effective. In the past, several of our product candidates failed or were discontinued at various stages in the development process. Moreover, we may need to amend ongoing trials or the FDA and international regulatory agencies may require us to perform additional trials beyond those we planned. Such occurrences could result in significant delays and additional costs, and related clinical trials may be unsuccessful. Approval of a new drug application (NDA) could be subject to delays if the FDA determines that it cannot review or approve the NDA as submitted. In such a case, the FDA would issue a refuse-to-file letter or a complete response letter outlining deficiencies in the submission, and the FDA may require substantial additional studies, testing or information in order to complete its review of the application. We may fail to address any of these deficiencies adequately and consequently would be unable to obtain FDA approval to market the product candidate.

        In addition, we have commenced a phase III clinical trial, FREEDOM-EV, which is a study of Orenitram in combination with other approved pulmonary arterial hypertension (PAH) therapies. One primary endpoint of the study is time to clinical worsening. In addition, the primary endpoint of our phase III BEAT study of 314d is time to clinical worsening. We have not previously conducted a study with a time to clinical worsening primary endpoint. Our inexperience with this type of trial design may impact our ability to conduct these trials appropriately and achieve positive results, or complete the trials within our anticipated timetable. In particular, failure to prove the efficacy of Orenitram in combination with other PAH therapies could materially limit the commercial potential of Orenitram and impede our growth.

        The length of time that it takes for us to complete clinical trials and obtain regulatory approval for marketing varies by product, product use and country. Furthermore, we cannot predict with certainty the length of time it will take to complete necessary clinical trials or obtain regulatory approval of our future products.

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        Our clinical trials may be discontinued, delayed or disqualified for various reasons. These reasons include:

•

The drug is ineffective, or physicians believe that the drug is ineffective;

•

We fail to reach agreement with the FDA or non-U.S. regulatory agencies regarding the scope or design of our clinical trials;

•

Patients do not enroll in our studies at the rate we expect;

•

We are unable to obtain approval from institutional review boards (IRBs) to conduct clinical trials at their respective sites;

•

Ongoing or new clinical trials conducted by drug companies in addition to our own clinical trials reduce the availability of patients for our trials;

•

Other investigational or approved therapies are viewed as more effective or convenient by physicians or patients;

•

Our clinical trial sites, contracted clinical trial administrators or clinical studies conducted entirely by third parties do not adhere to trial protocols and required quality controls under FDA good clinical practice (GCP) regulations and similar regulations outside the United States;

•

Patients experience severe side effects during treatment or die during our trials because of adverse events related to the trial drug, advanced disease, or other medical complications; and

•

The results of our clinical trials conducted in countries outside of the United States are not acceptable to the United States or other countries, and the results of our clinical trials conducted in the United States are not acceptable to regulators in other countries.

        In addition, the FDA and its international counterparts have substantial discretion over the approval process for pharmaceutical products. As such, these regulatory agencies may not agree that we have demonstrated the requisite level of product safety and efficacy to grant approval.

We may not compete successfully with established and newly developed drugs or products, or the companies that develop and market them.

        We compete with well-established drug companies for, among other things, funding, licenses, expertise, personnel, clinical trial patients and investigators, consultants and third-party collaborators. We also compete with these companies for market share. Most of these competitors have substantially greater financial, marketing, manufacturing, sales, distribution and technical resources, and a larger number of approved products, than we do. These competitors also possess greater experience in areas critical to success such as research and development, clinical trials, sales and marketing and regulatory matters. There are several treatments that compete with our commercial therapies, as well as several other therapies under development, including late-stage investigational products that have been completed or are undergoing phase III pivotal trials. For the treatment of PAH, we compete with a number of approved products in the United States and worldwide, including the following: Flolan®, Ventavis®, Ilomedin®, Tracleer®, Revatio®, Letairis®, Veletri®, Adempas® (riociguat), Opsumit® (macitentan), generic epoprostenol and generic sildenafil. Patients and doctors may perceive these competing products, or products developed in the future, as safer, more effective, more convenient and/or less expensive than our therapies. Alternatively, doctors may reduce the prescribed doses of our products if they prescribe them in combination with our competitors' products. In addition, certain competing products are less invasive than Remodulin and the use of these products may delay or prevent initiation of Remodulin therapy. Any of these circumstances can negatively impact our operating results.

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Development of new products or technologies by others may make our products obsolete or seemingly inferior.

        Other companies may introduce new products that may render all or some of our technologies and products obsolete or noncompetitive. For example, both Adempas and Opsumit were recently approved by the FDA for treatment of PAH. Our commercial therapies have to compete with numerous investigational products currently in development, including investigational PAH therapies for which phase III pivotal trials are underway or have been recently completed. In addition, alternative approaches to treating chronic diseases, such as gene therapy or cell therapy, may make our products obsolete or noncompetitive. If introduced into the market, investigational therapies for PAH could be used in combination with, or as a substitute for, our therapies. If this occurs, doctors may reduce or discontinue the use of our products for their patients.

Sales of our products are subject to reimbursement from government agencies and other third parties. Pharmaceutical pricing and reimbursement pressures may negatively impact our sales.

        The commercial success of our products depends, in part, on the availability of reimbursements by governmental payers such as Medicare and Medicaid, and private insurance companies. An estimated 35-50% of Remodulin, Tyvaso and Adcirca sales in the United States are reimbursed under the Medicare and Medicaid programs. In the United States, the European Union and other potentially significant markets for our products, government payers and/or third-party payers are increasingly attempting to limit or regulate the price of medicinal products and frequently challenge the pricing of new and expensive drugs. Our prostacyclin analogue products (Remodulin and Tyvaso) are expensive therapies. We also expect Orenitram to be an expensive therapy, as we plan to establish a price comparable to that of Tyvaso. Consequently, it may be difficult for our specialty pharmaceutical distributors or wholesalers to obtain adequate reimbursement for our products from third-party payers to motivate such distributors or wholesalers to support our products. Alternatively, third-party payers may reduce the amount of reimbursement for our products based on changes in pricing of other therapies for PAH. If third-party payers do not approve our products for reimbursement, or limit reimbursements, patients and physicians could choose competing products that are approved for reimbursement or provide lower out-of-pocket costs.

        In the United States, the federal government and others are increasingly focused on analyzing the impact of various regulatory programs on the federal deficit, which could result in increased pressure on federal programs to reduce costs. In addition, financial pressures may cause the federal government or other third-party payers to seek cost containment more aggressively through mandatory discounts or rebates on our products, policies requiring the automatic substitution of generic products, more rigorous requirements for initial reimbursement approvals for new products or other similar measures. For example, there have been recent proposals to reduce reimbursement rates and/or adopt mandatory rebates under Medicare Part B, which covers Remodulin and Tyvaso. A reduction in the availability or extent of reimbursement from government health care programs could have a material adverse effect on our business and results of our operations.

        In Europe, the success of our commercial products and future products depends largely on obtaining and maintaining government reimbursement. In many European countries, patients are unlikely to use prescription drugs that are not reimbursed by their governments. Countries in Europe are under increasing pressure to reduce the cost of health care. Changes to current reimbursement policies may adversely affect our ability to sell our products or sell our products on a profitable basis. In many markets outside the United States, governments control the prices of prescription pharmaceuticals through the implementation of reference pricing, price cuts, rebates, revenue-related taxes and profit control. Furthermore, international governments expect prices of prescription pharmaceuticals to decline over the life of the product or as prescription volumes increase. In addition, in December 2011, we received marketing approval for the intravenous use of Remodulin in most of

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the countries that are members of the European Economic Area (EEA); however, we are in the process of obtaining approval of our risk management plan on a country-by-country basis, and must obtain pricing approval in each of these member countries before we can market Remodulin. Delays in obtaining these approvals could impact our future sales growth. Additionally, in granting pricing approval for the intravenous use of Remodulin, a member country may approve a lower reimbursement price for intravenous Remodulin than for subcutaneous Remodulin, or reduce the reimbursement price for both methods of administering Remodulin. Any regulatory action reducing the reimbursement rates for intravenous and subcutaneous Remodulin could have a material adverse effect on our revenues, results of operations and our business.

Our production strategy exposes us to significant risks.

        We must be able to produce sufficient quantities of our commercial products to satisfy the growing demand for our products. The process of producing our products is difficult and complex, and currently involves a number of third parties. We synthesize treprostinil, the active ingredient in Remodulin and Tyvaso, and treprostinil diolamine, the active ingredient in Orenitram, in our Silver Spring, Maryland facility using raw materials and advanced intermediate compounds supplied by vendors. We produce Remodulin, Tyvaso and Orenitram at our own facilities and rely on third parties for additional production capacity. Beginning in December 2013, we now rely on Minnetronix, Inc. as the sole manufacturer of the Tyvaso Inhalation System. We substantially rely on third parties to adhere to and maintain production processes in accordance with all applicable regulatory requirements. If any of these critical third-party production and supply arrangements are interrupted for compliance issues or other reasons, we may not have sufficient inventory to meet future demand. In addition, any change in suppliers and/or service providers could interrupt the production of our commercial products and impede the progress of our commercial launch plans and clinical trials.

        In addition, the internalization of our production process also subjects us to risks as we engage in increasingly complex production processes. For example, Remodulin, Tyvaso and Ch14.18 must be formulated in a sterile environment and we have limited experience with sterile manufacturing on a commercial scale. In addition, Ch14.18 is a monoclonal antibody—as with all biologic products, monoclonal antibodies are inherently more difficult to produce than our treprostinil-based products and involve increased risk of viral and other contaminants.

        Additional risks we face with our production strategy include the following:

•

We and our third-party producers are subject to the FDA's current good manufacturing practices in the United States and similar regulatory standards internationally. We are limited in our ability to exercise control over regulatory compliance by our third-party producers;

•

As we expand our production operations to include new elements of the production process or new products, we may experience difficulty designing and implementing processes and procedures to ensure compliance with applicable regulations;

•

Even if we and our third-party producers are in compliance with domestic and international drug production regulations, the sterility and quality of the products being produced could be substandard and, therefore, such products would be unavailable for sale or use or subject to recalls;

•

If we had to replace our own production operations or a third-party producer, the FDA and its international counterparts would require new testing and compliance inspections. Furthermore, a new producer would have to be familiarized with the processes necessary to produce and commercially validate our products, as producing our treprostinil-based and biologic products is complex;

•

We may be unable to contract with needed producers on satisfactory terms or at all; and

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•

The supply of materials and components necessary to produce and package our products may become scarce or unavailable. Disruptions to the supply of these materials could delay the production and subsequent sale of such products. Any products produced with substituted materials or components would be subject to approval from the FDA and international regulatory agencies before they can be sold. The timing of any such regulatory approval is difficult to predict.

        Any of these factors could disrupt sales of our commercial products, delay clinical trials or commercialization of new products, result in product liability claims and product recalls, and entail higher costs. Interruptions in our production process could be significant given the length of time and complexity involved in obtaining necessary regulatory approvals for alternative arrangements, through either third parties or internal manufacturing processes.

We rely in part on third parties to perform activities that are critical to our business. Our ability to generate commercial sales or conduct clinical trials could suffer if our third-party suppliers and service providers fail to perform.

        We involve third parties extensively to assist us in: (1) producing our commercial products; (2) conducting clinical trials; (3) obtaining regulatory approvals; (4) conducting pharmacovigilance-related and product complaint activities, including drug safety, reporting adverse events and product complaints; and (5) marketing and distributing our products. The involvement of third parties is necessary because we do not possess the internal capacity, and in certain cases the expertise, to perform all of these functions. Accordingly, the success of these third parties in performing their contractual obligations is critical to our operations.

        For risks relating to the involvement of third parties in our production process, see the risk factor above, entitled Our production strategy exposes us to significant risks.

        We rely on Accredo Health Group, Inc. (Accredo) and CVS Caremark (Caremark) to distribute and sell Remodulin and Tyvaso in the United States. These distributors are also partially responsible for negotiating reimbursements from third-party payers for the cost of our therapies. From time-to-time, we increase the price of products sold to our U.S.-based and international distributors. Our price increases may not be fully reimbursed by third-party payers. If our distributors do not achieve acceptable profit margins on our products, they may reduce or discontinue the sale of our products. Furthermore, if our distributors devote fewer resources to sell our products or are unsuccessful in their sales efforts, our revenues may decline materially.

        We rely on Eli Lilly and Company (Lilly) to manufacture and supply Adcirca for us, and we use Lilly's pharmaceutical wholesaler network to distribute Adcirca in the United States and Puerto Rico. If Lilly is unable to manufacture or supply Adcirca or its distribution network is disrupted, it could delay, disrupt or prevent us from selling Adcirca, which could slow the growth of our business. In addition, Lilly has the right to determine the wholesale price of Adcirca, which generally moves in parity with the wholesale price Lilly sets for Cialis® (both of these products contain the same active ingredient). Lilly generally increases the price of both Cialis and Adcirca twice per year. Changes in Lilly's wholesale prices could adversely impact demand or reimbursement for Adcirca, particularly in light of the commercial availability of generic sildenafil, the active ingredient in Revatio, which could be prescribed in lieu of Adcirca.

        In addition, any change in service providers could interrupt the distribution of our commercial products and our other products and services, and impede the progress of our clinical trials, commercial launch plans and related revenues.

        We rely heavily on third-party contract research organizations, clinical investigative sites and other third-parties to conduct our clinical trials. In addition, the success of certain products we are

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developing will depend on clinical trials sponsored by third parties. Failure by any third party to conduct or assist us in conducting clinical trials in accordance with study protocols, quality controls and GCP, and to submit associated regulatory filings, could limit or prevent our ability to rely on results of those trials in seeking regulatory approvals.

        We are heavily reliant on Medtronic, Inc. (Medtronic) for the success of our program to develop an implantable pump to deliver intravenous Remodulin. Medtronic has recently completed a clinical study in this regard, and is conducting other stability, compatibility and technical assessments of its implantable pump system. We are substantially reliant on Medtronic to complete these assessments, to complete necessary regulatory filings and respond to FDA inquiries, and to maintain appropriate quality controls relating to the system. As such, we can provide no assurances as to the timing or likelihood of the Remodulin implantable pump program's success.

Our operations must comply with extensive laws and regulations in the United States and other countries, including FDA regulations. Failure to obtain approvals on a timely basis or to achieve continued compliance could delay, disrupt or prevent the commercialization of our products.

        The products we develop must be approved for marketing and sale by regulatory agencies and, once approved, are subject to extensive regulation. Our research and development efforts must comply with extensive regulations, including those promulgated by the FDA and the United States Department of Agriculture. The process of obtaining and maintaining regulatory approvals for new drugs is lengthy, expensive and uncertain. The regulatory approval process is particularly uncertain for our lung transplantation programs, which include the development of xenotransplantation, regenerative medicine and cell-based products. The manufacture, distribution, advertising and marketing of these products are also subject to extensive regulation, including strict pharmacovigilance and adverse event and medical device reporting requirements. Any future product approvals we receive could be accompanied by significant restrictions on the use or marketing of a given product. Furthermore, our product candidates may fail to receive marketing approval on a timely basis, or at all. If granted, product approvals can be withdrawn for failure to comply with regulatory requirements, such as post-marketing requirements and post-marketing commitments, or upon the occurrence of adverse events subsequent to commercial introduction.

        Discovery of previously unknown problems with our marketed products or problems with our manufacturing, regulatory, compliance, research and development, pharmacovigilance and adverse event reporting, marketing or sales activities could result in regulatory restrictions on our products up to and including withdrawal of our products from the market. If we fail to comply with applicable regulatory requirements, we could be subject to penalties that may consist of fines, suspension of regulatory approvals, product recalls, seizure of our products and/or criminal prosecution. In addition, our reputation could be harmed as a result of any such regulatory restrictions or actions, and patients and physicians may avoid the use of our products even after we have resolved the issues that led to such regulatory action.

        For example, in December 2013 we received a subpoena from the Office of the Inspector General (OIG) of the Department of Health and Human Services reflecting a civil investigation by the United States Department of Justice, principally represented by the United States Attorney's Office for the District of Maryland. The subpoena requests documents regarding Remodulin, Tyvaso and Adcirca, including our marketing practices relating to these products. We are cooperating with the investigation, which has and will continue to increase our legal expenses, and will require significant management time and attention. We are not aware that a claim, litigation or assessment has been asserted in connection with the subpoena. However, such subpoenas are often associated with previously filed qui tam actions brought under the federal and state false claims acts. Qui tam actions are lawsuits brought by private plaintiffs on behalf of the federal government, and often state governments, for alleged federal or state false claims act violations, with potential liability including mandatory treble damages

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and significant per-claim penalties, currently set at $5,500 to $11,000 per false claim. We may currently be subject to investigation in connection with qui tam actions filed under seal. We also cannot predict what actions, if any, may be taken against us or our employees by the OIG, the Department of Justice, other governmental entities, or any third parties in connection with such investigation, nor can we predict or determine the outcome of the government's investigation or reasonably estimate the amount or range of amounts of fines, damages, restitutions or penalties that might result from a settlement or an adverse outcome. As a result of the investigation we may also be subject to exclusion of our products from reimbursement under the federal healthcare programs, debarment, or a corporate integrity agreement, and certain of our employees may also be subject to exclusion or debarment. Any of these risks and uncertainties, including the conduct of the investigation itself, could adversely affect our revenues, results of operations, cash flows and financial condition.

We are subject to ongoing regulatory review of our currently marketed products.

        After our products receive regulatory approval, they remain subject to ongoing regulatory requirements, which can impact, among other things, product labeling, manufacturing practices, pharmacovigilance and adverse event and medical device reporting, complaint processing, storage, distribution, advertising and promotion, and record keeping. If we do not comply with applicable regulations, the range of possible sanctions may include: (1) adverse publicity, (2) product recalls or seizures, (3) fines, (4) total or partial suspensions of production and/or distribution, (5) suspension of marketing applications, and (6) enforcement actions, including injunctions and civil suits or criminal prosecution. Further, the FDA often requires post-marketing testing and surveillance to monitor the effects of approved products. The FDA and comparable international regulatory agencies may condition approval of our product candidates on the completion of such post-marketing clinical studies. These post-marketing studies may suggest that a product causes undesirable side effects or may present a risk to the patient. If data we collect from post-marketing studies suggest that one of our approved products may present an unacceptable safety risk, regulatory authorities could withdraw the product's approval, suspend production or place other marketing restrictions on that product. If regulatory sanctions are applied or if regulatory approval is delayed or withdrawn, our operating results and the value of our company may be adversely affected.

Regulatory approval for our currently marketed products is limited by the FDA and other regulators to those specific indications and conditions for which clinical safety and efficacy have been demonstrated.

        Any regulatory approval of our products is limited to specific diseases and indications for which our products have been deemed safe and effective by the FDA. In addition to the FDA approval required for new formulations, any new indication for an approved product also requires FDA approval. If we are not able to obtain FDA approval for any desired future indications for our products, our ability to effectively market and sell our products may be reduced.

        While physicians may choose to prescribe drugs for uses that are not described in the product's labeling and for uses that differ from those approved by regulatory authorities (called "off-label" uses), our ability to promote the products is limited to those indications that are specifically approved by the FDA. Although U.S. regulatory authorities generally do not regulate the behavior of physicians, they do restrict communications by companies on the subject of off-label use. If our promotional activities fail to comply with these regulations or guidelines, we may be subject to warnings from, or enforcement action by, these authorities. In addition, failure to follow FDA rules and guidelines relating to promotion and advertising can result in the FDA's refusal to approve a product, suspension or withdrawal of an approved product from the market, product recalls, fines, disgorgement of money, operating restrictions, civil lawsuits, injunctions or criminal prosecution.

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We must comply with various laws in jurisdictions around the world that restrict certain marketing practices in the pharmaceutical and medical device industries. Failure to comply with such laws could result in penalties and have a material adverse effect on our business, financial condition and results of operations.

        There are various laws in jurisdictions around the world that restrict particular marketing practices in the pharmaceutical and medical device industries. These laws include, but are not limited to, anti-kickback and false claims statutes, the Foreign Corrupt Practices Act and the UK Bribery Act. Our business activities may be subject to challenge under these laws, and any penalties imposed upon us could have a material adverse effect on our business and financial condition. Furthermore, we have significantly expanded our sales and marketing staff. Any expansion of sales and marketing efforts can increase the risks of noncompliance with these laws. Furthermore, the growth in our operations outside the U.S., both directly and through third-party distributors, also has increased these risks.

        In the United States, the federal health care program anti-kickback statute prohibits, among other activities, knowingly and willfully offering, paying, soliciting, or receiving compensation to induce, or in return for, the purchase, lease, order or arranging the purchase, lease or order of any health care product or service reimbursable under any federally financed health-care program. This statute has been interpreted to apply to arrangements between pharmaceutical manufacturers on the one hand and prescribers, purchasers, and formulary managers on the other. Although a number of statutory exemptions and regulatory safe harbors exist to protect certain common activities from prosecution, the exemptions and safe harbors are narrow, and practices that involve compensation intended to induce prescriptions, purchases, or recommendations may be subject to scrutiny if they do not qualify for an exemption or safe harbor. Our practices may not always meet all of the criteria for safe harbor protection.

        The federal False Claims Act prohibits any person from knowingly presenting or causing to be presented a false statement material to a false claim. Several pharmaceutical and health care companies have been prosecuted under these laws for allegedly providing free product to customers with the expectation that the customers would bill federal programs for the free product. Other companies have been prosecuted for causing false claims to be submitted because of these companies' marketing of a product for unapproved, and thus non-reimbursable, uses. Potential liability under the federal False Claims Act includes mandatory treble damages and significant per-claim penalties, currently set at $5,500 to $11,000 per false claim. The majority of states also have statutes or regulations similar to the federal anti-kickback statute and False Claims Act, which apply to items and services reimbursed under Medicaid and other state programs; furthermore, in several states, these statutes and regulations apply regardless of the payer. Sanctions under these federal and state laws may include civil monetary penalties, exclusion of a manufacturer's product from reimbursement under government programs, debarment, criminal fines, and imprisonment.

        In December 2013 we received a subpoena from the OIG of the Department of Health and Human Services reflecting a civil investigation by the United States Department of Justice, principally represented by the United States Attorney's Office for the District of Maryland. The subpoena requests documents regarding Remodulin, Tyvaso and Adcirca, including our marketing practices relating to these products. For further details, see Item 3.—Legal Proceedings.

        The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (PPACA), also imposed new reporting requirements for pharmaceutical and device manufacturers with regard to payments or other transfers of value made to physicians and teaching hospitals. In addition, pharmaceutical and device manufacturers will be required to report and disclose investment interests held by physicians and their immediate family members during the preceding calendar year. Manufacturers must make these first reports for information collected in 2013

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by March 31, 2014. Such information is to be made publicly available by the Secretary of Health and Human Services in a searchable format beginning September 30, 2014.

        Failure to submit required information may result in civil monetary penalties of up to $150,000 per year (and up to $1.0 million per year for "knowing failures") for all payments, transfers of value or ownership or investment interests not reported in an annual submission. Further, the PPACA amends the intent requirement of the federal anti-kickback and criminal health care fraud statutes. This amendment provides that a person or entity no longer needs to have knowledge these statutes or specific intent to violate them. In addition, the government may assert that a claim including items or services resulting from a violation of the federal anti-kickback statute constitutes a false or fraudulent claim for purposes of the False Claims Act.

        If not preempted by this federal law, several states currently require pharmaceutical companies to report expenses relating to the marketing and promotion of pharmaceutical products and to report gifts and payments to individual physicians in those states. Depending on the state, legislation may prohibit various other marketing related activities, or require the posting of information relating to clinical studies and their outcomes. In addition, certain states, such as California, Nevada, Connecticut and Massachusetts, require pharmaceutical companies to implement compliance programs or marketing codes and several other states are considering similar proposals. Compliance with these laws is difficult and time consuming, and companies that do not comply with these state laws will face civil penalties.

Government health care reform could increase our costs, which would adversely affect our revenue and results of operations.

        Our industry is highly regulated and changes in law may adversely impact our business, operations or financial results. The PPACA is a broad measure intended to expand health care coverage within the United States, primarily through the imposition of health insurance mandates on employers and individuals and expansion of the Medicaid program. The reforms imposed by the law will significantly impact the pharmaceutical industry; however, the full effects of the PPACA will be unknown until all of these provisions are implemented and the Centers for Medicare and Medicaid Services and other federal and state agencies issue applicable regulations or guidance. Moreover, in the coming years, additional changes could be made to governmental health care programs that could significantly impact the success of our products or product candidates.

Reports of actual or perceived side effects and adverse events associated with our products, such as sepsis, could cause physicians and patients to avoid or discontinue use of our products in favor of alternative treatments.

        Reports of side effects and adverse events associated with our products could have a significant adverse impact on the sale of our products. An example of a known risk associated with intravenous Remodulin is sepsis, which is a serious and potentially life-threatening infection of the bloodstream caused by a wide variety of bacteria. Intravenous prostacyclin analogues, such as intravenous Remodulin, are infused continuously through a catheter placed in a large vein in the patient's chest, and sepsis is a known risk associated with this type of delivery. As a result, sepsis is included as a risk in the Remodulin package insert, and the occurrence of sepsis is familiar to physicians who prescribe intravenously administered therapies. Concerns about bloodstream infections may affect a physician's decision to prescribe or a patient's willingness to use intravenous Remodulin.

Negative attention from special interest groups may impair our business.

        As is common with pharmaceutical and biotechnology companies, our early-stage research and development involves animal testing, which we conduct both directly and through contracts with third parties. Notwithstanding the vital role of animal research in the drug discovery and development

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process, certain special interest groups categorically object to the use of animals for research purposes. Historically, our research and development activities have not been the subject of significant animal rights media attention. However, research activities with animals have been the subject of adverse attention, generally including demonstrations near facilities operated by other companies in our industry. Any negative attention, threats or acts of vandalism directed against our animal research activities in the future could impede the operations of our business.

If any of the license or other agreements under which intellectual property rights are licensed to, or were acquired by us are breached or terminated, our right to continue to develop, produce and sell the products covered by such agreements could be impaired or lost.

        Our business depends upon our continuing ability to exploit our intellectual property rights in the drugs and other products that have been discovered and initially developed by others and those which we have commercialized and are developing further. These intellectual property rights have either been contractually licensed to us or have been acquired by us. Under each of our product license agreements, we are granted a license to intellectual property owned by others that covers a drug or other product. Under each of our purchase agreements, we have rights to certain intellectual property. We may be required to license other intellectual property owned by third parties to continue to develop and commercialize our products.

        This dependence on intellectual property developed by others involves the following risks:

•

We may be unable to obtain rights to intellectual property that we determine we need for our business at a reasonable cost or at all;

•

If any of our product licenses or purchase agreements are terminated, we may lose our rights to develop, make and sell the products to which such licenses or agreements relate;

•

Our license and purchase agreements generally provide the licensor or seller with the right to terminate the agreement in the event of a breach—e.g., if we fail to pay royalties and other fees timely and do not cure the failure within a stated time period; and

•

If a licensor of intellectual property that we have rights to breaches its obligation or otherwise fails to maintain the intellectual property licensed, we may lose any ability to prevent others from developing or marketing similar products that are covered by such intellectual property. In addition, we may be forced to incur substantial costs to maintain the intellectual property ourselves or take legal action seeking to force the licensor to do so.

Certain agreements under which we acquired or licensed intellectual property rights may restrict our ability to develop related products in certain countries or for particular diseases and may impose other restrictions that affect our ability to develop and market related products in the most effective manner.

        When we acquire or license intellectual property rights to drugs and other products that have been discovered and initially developed by others, these rights are frequently limited. For instance, our rights to market Adcirca are geographically limited to the United States and Puerto Rico. Furthermore, we cannot undertake any additional investigational work with respect to Adcirca in other indications of pulmonary hypertension without Lilly's prior approval. Provisions in our license and purchase agreements may impose other restrictions that affect our ability to develop and market products to which the intellectual property relates. For example, Lilly also has authority over all regulatory activities and has the right to determine the net wholesale price for Adcirca.

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Our intellectual property rights may not effectively deter competitors from developing competing products that, if successful, could have a material adverse effect on our revenues and profits.

        The period under which our commercial and developmental therapies are protected by our patent rights is limited. Our U.S. patent for the use of treprostinil, the active ingredient in Remodulin, Tyvaso and Orenitram, for treating PAH will expire in October 2014. Three of our U.S. patents covering our current methods of synthesizing and producing treprostinil expire in October 2017, and a fourth will expire in 2028. We also have been granted one patent in the European Union and one patent in Japan, each of which covers our treprostinil synthesis and production methods and will expire in October 2018. Our three U.S. patents covering an improved diluent for Remodulin will expire in 2028 and 2029. Our patents for Tyvaso covering methods of treating PAH by inhaled delivery will expire in the United States and in various countries throughout the world in 2018 and 2020, respectively. Our patents for Orenitram covering methods of use for treating PAH, orally administered formulations, controlled moisture storage and production methods and controlled release formulations will expire in the United States between 2024 and 2031 and in various countries throughout the world in 2024. The U.S. patent for Adcirca for the treatment of pulmonary hypertension will expire in 2017.

        We continue to conduct research into new methods to synthesize treprostinil and have pending U.S. and international patent applications and patents relating to such methods. However, we cannot be sure that these additional patents will affect the possibility or timing of competitors' efforts to bring products to market, or that additional patent applications will result in new patents. Upon the expiration of any of our patents, competitors may develop generic versions of our products and may market those generic versions at a lower price to compete with our products. Competitors may also seek to design around our patents prior to their expiration in an effort to develop competing products that do not infringe our patents.

        The scope of any patent we hold may not deter competitors from developing a product that competes with the product we sell that is covered by the patent. Patent laws of foreign jurisdictions may not protect our patent rights to the same extent as the patent laws of the United States. In addition, we may be forced to incur substantial costs to defend the intellectual property rights conferred by our patents. Furthermore, our suppliers who have granted us exclusive rights may have inadequate intellectual property protections. Competitors also may attempt to invalidate our existing patents before they expire.

        In addition to patent protection, we also rely on trade secrets to protect our proprietary know-how and other technological advances that we do not disclose to the public. We enter into confidentiality agreements with our employees and others to whom we disclose trade secrets and other confidential information. These agreements may not necessarily prevent our trade secrets from being used or disclosed without our authorization and confidentiality agreements may be difficult to enforce or may not provide an adequate remedy in the event of unauthorized disclosure.

The validity, enforceability and scope of certain of our patents covering Remodulin are currently being challenged as a result of two abbreviated new drug application (ANDA) filings by a generic drug company. The outcome of current or future challenges with respect to the validity, enforceability or scope of our patents could significantly reduce revenues from Remodulin.

        In February 2012, we received a Paragraph IV Certification Notice Letter (Original Notice Letter) from Sandoz advising that Sandoz had submitted an ANDA to the FDA requesting approval to market a generic version of the 10 mg/mL strength of Remodulin. In December 2012, we received notice (Second Notice Letter) that Sandoz had amended its previously filed ANDA, to request approval to market generic versions of the 1 mg/mL, 2.5 mg/mL, and 5 mg/mL strengths of Remodulin. In the Notice Letters, Sandoz states that it intends to market a generic version of Remodulin before the expiration of certain of our patents that expire in 2014, 2017 and 2029.

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        We responded to the Original Notice Letter by filing a lawsuit in March 2012 against Sandoz in the U.S. District Court for the District of New Jersey alleging patent infringement. We responded to the Second Notice Letter by filing an additional lawsuit in January 2013 for patent infringement in the U.S. District Court for the District of New Jersey.

        The current status of our litigation with Sandoz is further described in Part I, Item 3.—Legal Proceedings, contained elsewhere in this Annual Report on Form 10-K.

        There can be no assurance that we will prevail in our defense of our patent rights, or that additional challenges from other ANDA filers will not surface with respect to Remodulin or our other treprostinil-based products. Our existing patents could be invalidated, found unenforceable or found not to cover a generic form of Remodulin, Tyvaso or Orenitram. If any ANDA filer were to receive approval to sell a generic version of Remodulin, Tyvaso or Orenitram and/or prevail in any patent litigation, the affected product would become subject to increased competition and our revenue would decrease.

Third parties may allege that our products or services infringe their patents and other intellectual property rights, which could result in the payment of royalties. Payment of royalties would negatively affect our profits; furthermore, if we chose to contest these allegations, we could be subject to costly and time-consuming litigation or could lose the ability to continue to sell the related products.

        Third parties may seek to invalidate or otherwise challenge our patents. We may initiate litigation to enforce or defend our patents or intellectual property rights; however, litigation can be time consuming, distracting to our operations, costly and may conclude unfavorably for us. In addition, the outcome of patent infringement litigation often is difficult to predict. If we are unsuccessful with respect to any future legal action in the defense of our patents and our patents are invalidated or determined to be unenforceable, our business could be negatively impacted. Even if our patents are determined to be valid or enforceable, it is possible that a competitor could circumvent our patents by effectively designing around the claims of our patents. Accordingly, our patents may not provide us with any competitive advantage.

        To the extent third-party patents to which we currently do not hold licenses are necessary for us to manufacture, use or sell our products, we would need to obtain necessary licenses to prevent infringement. In the case of products or services that utilize intellectual property of strategic collaborators or other suppliers, such suppliers may have an obligation to secure the needed license to these patents at their cost. Otherwise, we would be responsible for the cost of these licenses. Royalty payments and other fees under these licenses would erode our profits from the sale of related products and services. Moreover, we may be unable to obtain these licenses on acceptable terms or at all. If we fail to obtain a required license or are unable to alter the design of the product to avoid infringing a third-party patent, we would be unable to continue to manufacture or sell related products.

        If a third party commences legal action against us for infringement, we could be compelled to incur significant costs to defend the action and our management's attention could be diverted, whether or not the action were to have any merit. We cannot be certain that we could prevail in the action, and an adverse judgment or settlement resulting from the action could require us to pay substantial amounts in damages for infringement or substantial amounts to obtain a license to continue to use the intellectual property that is the subject of the infringement claim.

We may not maintain adequate insurance coverage to protect us against significant product liability claims.

        The testing, manufacturing, marketing, and sale of drugs and diagnostics involve product liability risks. We may not be able to maintain our current product liability insurance at an acceptable cost, if at all. In addition, our insurance coverage may not be adequate for all potential claims. If claims or losses

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significantly exceed our liability insurance coverage, we may experience financial hardship or potentially be forced out of business.

If we fail to attract and retain key management and qualified scientific and technical personnel, we may not be able to achieve our business objectives.

        Members of our management team, including our founder, Chairman and Chief Executive Officer, Dr. Martine Rothblatt, and our President and Chief Operating Officer, Dr. Roger Jeffs, play a critical role in defining our business strategy and maintaining our corporate culture. The loss of the services and leadership of Dr. Rothblatt, Dr. Jeffs or any other members of our senior management team could have an adverse effect on our business. We do not maintain key person life insurance on our senior management team members. In addition, effective succession planning is important to our long-term success. Failure to identify and retain adequate replacements for members of our senior management team and to transfer knowledge effectively could impede the achievement of our business objectives. Our future success also depends on our ability to attract and retain qualified scientific and technical personnel. Competition for skilled scientific and technical personnel in the biotechnology and pharmaceutical industries is intense. Furthermore, our compensation arrangements may not be sufficient to attract new qualified scientific and technical employees or retain such core employees. If we fail to attract and retain such employees, we may not be successful in developing and commercializing new therapies for PAH and other diseases.

Improper handling of hazardous materials used in our activities could expose us to significant remediation liabilities.

        Our research and development and manufacturing activities involve the controlled use of chemicals and hazardous substances and we are expanding these activities in both scale and location. In addition, patients may dispose of our products using means we do not control. Such activities subject us to numerous federal, state, and local environmental and safety laws and regulations that govern the management, storage and disposal of hazardous materials. Compliance with current and future environmental laws and regulations can require significant costs; furthermore, we can be subject to substantial fines and penalties in the event of noncompliance. The risk of accidental contamination or injury from these materials cannot be completely eliminated. Furthermore, once chemical and hazardous materials leave our facilities, we cannot control the manner in which such hazardous waste is disposed of by our contractors. In the event of an accident, we could be liable for substantial civil damages or costs associated with the cleanup of the release of hazardous materials. Any related liability could have a material adverse effect on our business.

We may encounter substantial difficulties managing our growth relative to product demand.

        We have spent considerable resources building and expanding our offices, laboratories and production facilities, and we are currently seeking regulatory approvals for certain facilities. However, our facilities could be insufficient to meet future demand for our products. Conversely, we may have excess capacity at our facilities if future demand falls short of our projections, or if we do not receive regulatory approvals for the products we intend to produce at our facilities. Constructing our facilities is expensive and our ability to satisfactorily recover our investment will depend on sales of the products manufactured at these facilities in sufficient volume. If we do experience substantial sales growth, we may have difficulty managing inventory levels as marketing new therapies is complicated and gauging future demand can be difficult and uncertain until we possess sufficient post-launch sales experience.

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If we need additional financing and cannot obtain it, our product development and sales efforts may be limited.

        We may be required to seek additional sources of financing to meet unplanned or planned expenditures. Unplanned expenditures could be significant and may result from necessary modifications to product development plans or product offerings in response to difficulties encountered with clinical trials. We may also face unexpected costs in preparing products for commercial sale, or in maintaining sales levels of our currently marketed therapeutic products. If we are unable to obtain additional funding on commercially reasonable terms or at all, we may be compelled to delay clinical studies, curtail operations or obtain funds through collaborative arrangements that may require us to relinquish rights to certain products or potential markets.

        We may require additional financing to meet significant future obligations. For instance, upon maturity or conversion of our 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes), subject to certain provisions, we must repay our investors in cash up to the principal balance of $250.0 million. Further, in certain circumstances constituting a fundamental change under the 2016 Convertible Notes, we may be required to repurchase the 2016 Convertible Notes for cash. In addition, awards granted under our Share Tracking Award Plans (which we collectively refer to as the STAP) entitle participants to receive in cash an amount equal to the appreciation in the price of our common stock, which is calculated as the positive difference between the closing price of our common stock on the date of exercise and the date of grant. Consequently, our STAP may require significant future cash payments to participants to the extent the price of our common stock appreciates and the number of vested STAP awards increases over time. If we do not have sufficient funds to meet such obligations or the ability to secure alternative sources of financing, we could be in default, face litigation and/or lose key employees, which could have a material adverse effect on our business.

Information technology security breaches and other disruptions could compromise our information and expose us to legal responsibility which would cause our business and reputation to suffer.

        In the ordinary course of our business, we collect and store sensitive data, including intellectual property, our proprietary business information and that of our suppliers, customers and business partners, and personally identifiable information. The secure maintenance of this information is critical to our operations and business strategy. Despite our security measures, our information technology and infrastructure may be vulnerable to attacks by hackers or breached due to employee error, malfeasance or other disruptions. Such breaches could compromise sensitive and confidential information stored on our networks and expose such information to public disclosure, loss or theft. Any access, disclosure or other loss of information could result in legal claims or proceedings, liability under laws that protect the privacy of personal information, disruption of our operations, and damage to our reputation which could adversely affect our business.

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Risks Related to Our Common Stock

The price of our common stock can be highly volatile and may decline.

        The price of common stock can be highly volatile within the pharmaceutical and biotechnology sector. Consequently, there can be significant price and volume fluctuations in the market that may not relate to operating performance. The following table sets forth the high and low closing prices of our common stock for the periods indicated:

	High		Low
January 1, 2013—December 31, 2013	$	114.51	$	51.64
January 1, 2012—December 31, 2012	$	58.91	$	40.42
January 1, 2011—December 31, 2011	$	70.70	$	37.21

        The price of our common stock could decline sharply due to the following factors, among others:

•

Failure to meet estimates or expectations of securities analysts;

•

Quarterly and annual financial results;

•

Timing of enrollment and results of our clinical trials;

•

Physician, patient, investor or public concerns regarding the efficacy and/or safety of products marketed or being developed by us or by others;

•

Changes in, or new legislation and regulations affecting reimbursement of, our therapeutic products by Medicare, Medicaid or other government payers, and changes in reimbursement policies of private health insurance companies;

•

Announcements by us or others of technological innovations or new products or announcements regarding our existing products, including in particular, the development of new, competing PAH therapies;

•

Announcements by us or others regarding generic challenges to the intellectual property relating to our products, including the ANDA filed by Sandoz relating to certain of our Remodulin patents and to our pending lawsuit defending our patent rights;

•

Substantial sales of our common stock by us or our existing shareholders;

•

Future issuances of common stock by us or any other activity which could be viewed as being dilutive to our shareholders;

•

Rumors among, or incorrect statements by, investors and/or analysts concerning our company, our products, or our operations;

•

Failure to obtain or maintain regulatory approvals from the FDA or international regulatory agencies;

•

Discovery of previously unknown problems with our marketed products, or problems with our production, regulatory, compliance, promotional, marketing or sales activities that result in regulatory penalties or restrictions on our products, up to the withdrawal of our products from the market;

•

Accumulation of significant short positions in our common stock by hedge funds or other investors or the significant accumulation of our common stock by hedge funds or other institutional investors with investment strategies that may lead to short-term holdings; and

•

General market conditions.

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We may fail to meet third-party projections for our revenues or profits.

        Many securities analysts publish quarterly and annual projections of our revenues and profits. Such projections are inherently subject to uncertainty. As a result, actual revenues and profits may fail to meet these projections. Even minor variations in reported revenues and profits compared to securities analysts' expectations could have a significant adverse impact on the price of our common stock.

Sales or issuances of our common stock may depress our stock price.

        The price of our common stock could decline if: (1) we issue common stock to raise capital or to acquire a license or business; (2) our shareholders transfer ownership of our common stock, or sell substantial amounts in the public market; (3) our investors become concerned that substantial sales of our common stock may occur; or (4) we issue shares upon the settlement of warrants relating to the hedging transaction relating to our 2016 Convertible Notes. A decrease in the price of our common stock could make it difficult for us to raise capital or fund acquisitions through the issuance of our stock.

        Any sales of common stock issued to holders of our 2016 Convertible Notes could adversely affect the prevailing market price of our common stock or result in short selling by market participants in expectation of a decline in the price of our common stock.

Our share repurchases may affect the value of our common stock.

        In recent years, our Board of Directors has authorized several programs to repurchase our common stock, including a $420.0 million share repurchase program effective during the two-year period that began on March 4, 2013. The price of our common stock may, in part, reflect expectations that our repurchase program will be fully consummated. Our share repurchase program does not obligate us to acquire any specific number of shares. If we fail to meet analyst or investor expectations regarding our repurchase program, our stock price may decline.

We are subject to counterparty risk with respect to the convertible note hedge transaction.

        The counterparty to the convertible note hedge transaction we entered into in connection with the issuance of our 2016 Convertible Notes (call options) will subject us to counterparty risk in that the counterparty may default on fulfilling its obligations under the call options. Our exposure to the credit risk of the counterparty will not be secured by any collateral. Recent global economic conditions have resulted in the actual or perceived failure or financial difficulties of many financial institutions. If such counterparty becomes subject to insolvency proceedings, we will become an unsecured creditor in those proceedings with a claim based on our exposure at that time under the call options. Our exposure will depend on many factors but, generally, the increase in our exposure will be correlated to the increase in the market price and in the volatility of our common stock. In addition, upon a default by the counterparty, we may suffer adverse tax consequences and dilution with respect to our stock due to our obligation to deliver shares subsequent to the conversion of the notes. We cannot provide any assurances as to the future financial stability or viability of the counterparty to our convertible note hedge transaction.

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Provisions of Delaware law and our amended and restated certificate of incorporation, second amended and restated by-laws, shareholder rights plan, 2016 Convertible Notes, convertible note hedge transaction and employment and license agreements, among other things, could prevent or delay a change of control or change in management that may be beneficial to our public shareholders.

        Certain provisions of Delaware law and our amended and restated certificate of incorporation, second amended and restated by-laws and shareholder rights plan may prevent, delay or discourage:

•

A merger, tender offer or proxy contest;

•

The assumption of control by a holder of a large block of our securities; and/or

•

The replacement or removal of current management by our shareholders.

        For example, our amended and restated certificate of incorporation divides our Board of Directors into three classes. Members of each class are elected for staggered three-year terms. This provision may make it more difficult for shareholders to replace the majority of directors. It may also deter the accumulation of large blocks of our common stock by limiting the voting power of such blocks.

        Non-competition and all other restrictive covenants in most of our employment agreements will terminate upon a change of control that is not approved by our Board.

        We may be required to repurchase the 2016 Convertible Notes from their holders in the event of a fundamental change and increase the conversion rate in connection with a make whole adjustment event in certain circumstances, including a change of control of our company. This may delay or prevent a change in control of our company that would otherwise be beneficial to our shareholders.

        Terminating or unwinding the convertible note hedge transaction could require us to make substantial payments to the counterparty or may increase the price of our common stock. The costs or any increase in stock price that may arise from terminating or unwinding the transaction could make an acquisition of our company significantly more expensive to the purchaser.

        Similarly, a change of control, under certain circumstances, could also result in an acceleration of the vesting of outstanding STAP awards. This, together with any increase in our stock price resulting from the announcement of a change of control, could make an acquisition of our company significantly more expensive to the purchaser. We also have a broad-based change of control severance program, under which employees may be entitled to severance benefits in the event they are terminated without cause (or they terminate their employment for good reason) following a change of control. This program could also increase the cost of acquiring our company.

        We enter into certain license agreements that generally prohibit our counterparties or their affiliates from taking necessary steps to acquire or merge with us, directly or indirectly throughout the term of these agreements, plus a specified period thereafter. We are also party to certain license agreements that restrict our ability to assign or transfer the rights licensed to us to third parties, including parties with whom we wish to merge, or those attempting to acquire us. These agreements often require that we obtain prior consent of the counterparties to these agreements if we are contemplating a change of control. If these counterparties withhold consent, related agreements could be terminated and we would lose related license rights. For example, both Lilly and Toray have the right to terminate our license agreements relating to Adcirca and beraprost, respectively, in the event of certain change of control transactions. These restrictive change of control provisions could impede or prevent mergers that could benefit our shareholders.

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Because we do not intend to pay cash dividends, our shareholders must rely on stock appreciation for any return on their investment in us.

        We have never declared or paid cash dividends on our common stock. Furthermore, we do not intend to pay cash dividends in the future. As a result, the return on an investment in our common stock will depend entirely upon the future appreciation in the price of our common stock. There can be no assurances that our common stock will provide a return to investors.

ITEM 1B.    UNRESOLVED STAFF COMMENTS

        None.

ITEM 2.    PROPERTIES

        Maryland—We own a 232,000 square foot combination laboratory and office building complex in Silver Spring, Maryland that serves as our corporate headquarters and is used for the synthesis of treprostinil, the active ingredient in Remodulin and Tyvaso, and treprostinil diolamine, the active ingredient in Orenitram, as well as the production of Remodulin and Tyvaso and our Ch14.18 monoclonal antibody. We also own several other buildings in Silver Spring used principally for office and laboratory space and we lease and own warehouse space near Silver Spring.

        North Carolina—We own a 380,000 square foot combination manufacturing facility and office building in Research Triangle Park, North Carolina (RTP facility), which is occupied by our clinical research and development, commercialization and our logistics and manufacturing personnel. We warehouse and distribute Remodulin, Tyvaso and Orenitram and produce Orenitram at this location. In June 2012, we acquired a 132-acre property containing approximately 312,000 square feet of building space adjacent to our RTP facility, which we intend to use for future expansion. We have begun building out a portion of the property to house research, development and production facilities relating to our lung regeneration program.

        Europe—We own an office building near London, England which serves as our European headquarters. We also own a building in Oxford, England. In Germany, we lease a warehouse where we maintain inventory of components of our Tyvaso Inhalation System.

        District of Columbia—We own two adjacent buildings in Washington, D.C., which serve as office space.

        Florida—We own an office building in Satellite Beach, Florida. In addition, we lease office space in Melbourne, Florida.

        Certain of our Maryland and North Carolina properties serve as collateral under our $70.0 million Credit Agreement with Wells Fargo Bank, National Association and Bank of America, N.A. For further details, see Item 7.—Management's Discussion and Analysis of Financial Condition and Results of Operations—Liquidity and Capital Resources—Mortgage Financing.

        We believe that these facilities, along with various other owned and leased office facilities, are adequate for our current operations and that additional land and facilities for future expansion are reasonably available.

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ITEM 3.    LEGAL PROCEEDINGS

Sandoz Inc.

        In February 2012, we received a Paragraph IV Certification Notice Letter (the Original Notice Letter) from Sandoz Inc. (Sandoz) advising that Sandoz had submitted an abbreviated new drug application (ANDA) to the FDA requesting approval to market a generic version of the 10 mg/mL strength of Remodulin. In December 2012, we received notice (the Second Notice Letter) that Sandoz had amended its previously filed ANDA to request additional approval to market generic versions of the 1 mg/mL, 2.5 mg/mL, and 5 mg/mL strengths of Remodulin. In the Original Notice Letter and the Second Notice Letter, Sandoz stated that it intends to market a generic version of Remodulin before the expiration of the following patents relating to Remodulin: U.S. Patent No. 5,153,222, which expires in October 2014; U.S. Patent No. 6,765,117, which expires in October 2017; and U.S. Patent No. 7,999,007, which expires in March 2029. Each of these patents is listed in the FDA's Orange Book.

        We responded to the Original Notice Letter by filing a lawsuit in March 2012 against Sandoz in the U.S. District Court for the District of New Jersey alleging patent infringement. We responded to the Second Notice Letter by filing an additional lawsuit in January 2013 for patent infringement in the U.S. District Court for the District of New Jersey. Sandoz has filed its answer to our complaints in both lawsuits, and has also filed counterclaims in each action alleging that the patents at issue in the litigation are invalid or will not be infringed by the commercial manufacture, use or sale of the proposed product described in Sandoz's ANDA submission. We have filed answers to the counterclaims in both lawsuits.

        Under the Hatch-Waxman Act, the FDA is automatically precluded from approving Sandoz's ANDA with respect to each concentration of Remodulin for up to 30 months from receipt of the Notice Letter corresponding to such concentration or until the issuance of a district court decision that is adverse to us, whichever occurs first. We intend to vigorously enforce our intellectual property rights relating to Remodulin.

Department of Health and Human Services Subpoena

        In December 2013, we received a subpoena from the Office of the Inspector General (OIG) of the Department of Health and Human Services reflecting a civil investigation by the United States Department of Justice, principally represented by the United States Attorney's Office for the District of Maryland. The subpoena requests documents regarding Remodulin, Tyvaso and Adcirca, including our marketing practices relating to these products. We are cooperating with the investigation. We are not aware that a claim, litigation or assessment has been asserted in connection with the subpoena. However, we cannot predict what actions, if any, may be taken by the OIG, the Department of Justice, other governmental entities, or any third parties in connection with such investigation.

ITEM 4.    MINE SAFETY DISCLOSURES

        Not applicable.

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PART II

ITEM 5.    MARKET FOR REGISTRANT'S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES

Market Information

        Our common stock (and associated preferred stock purchase rights) trades on the NASDAQ Global Select Market under the symbol "UTHR". The table below sets forth the high and low closing prices for our common stock for the periods indicated:

	2013				2012
	High		Low		High		Low
January 1—March 31	$	62.57	$	51.64	$	50.99	$	45.54
April 1—June 30	$	69.31	$	59.64	$	49.38	$	40.42
July 1—September 30	$	79.58	$	66.10	$	58.30	$	49.87
October 1—December 31	$	114.51	$	80.03	$	58.91	$	44.99

Number of Holders

        As of February 18, 2014, there were 39 holders of record of our common stock.

Dividend Policy

        We have never paid and have no present intention to pay cash dividends on our common stock in the foreseeable future. We intend to retain any earnings for use in our business operations.

Comparison of Five-Year Total Cumulative Shareholder Return

        The following chart shows the performance from December 31, 2008 through December 31, 2013 of United Therapeutics common stock, compared with an investment in the stocks represented in each of the NASDAQ U.S. Benchmark TR Index, the NASDAQ U.S. Stock Market Index, the NASDAQ ICB: 4577 Pharmaceuticals Index and the NASDAQ Pharmaceutical Stock Index, assuming the investment of $100 at the beginning of the period and the reinvestment of dividends, if any. NASDAQ OMX, which supplies us with total return data for the comparative indexes, has historically used total return data prepared by the Center for Research in Security Prices (CRSP). Effective January 2014, NASDAQ OMX has replaced total return values prepared by CRSP with its own NASDAQ OMX Global Index data. As a result of this change, the NASDAQ U.S. Stock Market Index has been replaced with the NASDAQ U.S. Benchmark TR Index, and the NASDAQ Pharmaceutical Stock Index has been replaced with the NASDAQ ICB: 4577 Pharmaceuticals Index.

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ITEM 6.    SELECTED FINANCIAL DATA

        The following selected consolidated financial data should be read in conjunction with our consolidated financial statements and the notes accompanying the consolidated financial statements and Item 7—Management's Discussion and Analysis of Financial Condition and Results of Operations included in this Annual Report on Form 10-K. The historical results are not necessarily indicative of results to be expected for future periods. The following information is presented in thousands, except per share data.

	Year Ended December 31,
	2013			2012			2011			2010			2009
Consolidated Statements of Operations Data:
Revenues	$	1,116,984		$	916,076		$	743,183		$	592,899		$	358,880
Operating expenses:
Research and development		299,348			173,387			180,015			165,306			120,368
Selling, general and administrative		394,010			201,746			156,482			188,606			171,894
Cost of product sales		131,127			119,297			88,904			67,674			40,861
Total operating expenses		824,485			494,430			425,401			421,586			333,123
Operating income		292,499			421,646			317,782			171,313			25,757
Total other (expense) income, net		(13,596	)		19,025			(18,665	)		(16,162	)		(7,134	)
Income from continuing operations before income tax		278,903			440,671			299,117			155,151			18,623
Income tax (expense) benefit		(104,343	)		(136,229	)		(81,874	)		(43,945	)		695
Income from continuing operations		174,560			304,442			217,243			111,206			19,318
Income (loss) from discontinued operations, net of tax(1)		—			—			625			(5,290	)		144
Net income	$	174,560		$	304,442		$	217,868		$	105,916		$	19,462
Net income per common share:
Basic(2)	$	3.49		$	5.84		$	3.81		$	1.89		$	0.37
Diluted(2)	$	3.28		$	5.71		$	3.67		$	1.78		$	0.35
Weighted average number of common shares outstanding:
Basic(2)		50,076			52,093			57,163			56,142			53,314
Diluted(2)		53,231			53,280			59,395			59,516			56,133

	Year Ended December 31,
	2013		2012		2011		2010		2009
Consolidated Balance Sheet Data:
Cash, cash equivalents and marketable investments(3)	$	1,136,668	$	784,931	$	747,378	$	759,932	$	378,120
Total assets		2,087,567		1,626,595		1,518,079		1,431,635		1,051,544
Debt		286,182		276,323		266,835		305,968		250,599
Retained earnings (deficit)		728,040		553,480		249,038		31,170		(74,746	)
Total stockholders' equity		1,259,274		1,083,981		948,488		883,886		653,009

(1)

In March 2011, we sold Medicomp, Inc., our former telemedicine subsidiary and subsequently discontinued all of our continuing telemedicine-related activities. Accordingly, the results of

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Medicomp, Inc. have been included within discontinued operations for each of the years presented prior to the sale of the subsidiary. Refer to Note 18—Sale of Medicomp, Inc. to our consolidated financial statements included in this Annual Report on Form 10-K for details.

(2)

Refer to Note 11—Stockholders' Equity—Earnings per Share to our consolidated financial statements included in this Annual Report on Form 10-K for the computation of basic and diluted net income per share for both continuing and discontinued operations.

(3)

Excludes restricted marketable investments and cash.

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ITEM 7.    MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

        The following discussion should be read in conjunction with our consolidated financial statements and related notes to the consolidated financial statements included in this Annual Report on Form 10-K. The following discussion contains forward-looking statements made pursuant to the safe harbor provisions of Section 21E of the Securities Exchange Act of 1934 and the Private Securities Litigation Reform Act of 1995. These statements are based on our expectations about future outcomes and are subject to risks and uncertainties that could cause actual results to differ materially from anticipated results. Factors that could cause or contribute to such differences include those described under Part I, Item 1A—Risk Factors included in this Annual Report on Form 10-K and factors described in other cautionary statements, cautionary language and risk factors set forth in other documents filed with the Securities and Exchange Commission. We undertake no obligation to publicly update forward-looking statements, whether as a result of new information, future events or otherwise.

Overview

        Our key therapeutic products and product candidates include:

•

Prostacyclin analogues (Remodulin®, Tyvaso®, Orenitram™, 314d, TransCon treprostinil and TransCon beraprost):  stable synthetic forms of prostacyclin, an important molecule produced by the body that has powerful effects on blood vessel health and function;

•

Phosphodiesterase type 5 (PDE-5) inhibitor (Adcirca®):  a molecule that acts to inhibit the degradation of cyclic guanosine monophosphate (cyclic GMP) in cells. Cyclic GMP is activated by nitric oxide (NO), a naturally occurring substance in the body that mediates the relaxation of vascular smooth muscle;

•

Monoclonal antibody for oncologic applications (Ch14.18 MAb):  an antibody that treats cancer by activating the immune system;

•

Glycobiology antiviral agents:  a novel class of small, sugar-like molecules that have shown antiviral activity in a range of pre-clinical settings;

•

Cell-based therapy:  a cell-based product known as PLacental eXpanded (PLX) cells we are developing for the treatment of pulmonary hypertension; and

•

Lung transplantation:  engineered lungs and lung tissue, which we are developing using xenotransplantation and regenerative medicine technologies, for transplantation in patients suffering from pulmonary arterial hypertension (PAH) and other lung diseases. We are also developing technologies to increase the supply of donor lungs through collaborations with two ex-vivo lung perfusion companies.

        We concentrate substantially all of our research and development efforts on the preceding key therapeutic programs. We currently market and sell the following commercial products: (1) Remodulin (treprostinil) Injection (Remodulin); (2) Tyvaso (treprostinil) Inhalation Solution (Tyvaso); and (3) Adcirca (tadalafil) tablets (Adcirca). In December 2013, the United States Food and Drug Administration (FDA) approved Orenitram (treprostinil) Extended-Release Tablets (Orenitram) for the treatment of PAH in World Health Organization (WHO) Group 1 patients to improve exercise capacity. We expect to begin selling Orenitram in mid-2014 as we are currently preparing for commercial launch.

        Remodulin is approved in the United States for subcutaneous (under the skin) and intravenous (in the vein) administration, including for the treatment of patients requiring transition from Flolan® (epoprostenol sodium) for Injection. Remodulin has also been approved in various countries outside of the United States.

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        Tyvaso is an inhaled treatment for PAH approved in the United States using the same active ingredient as Remodulin and Orenitram. Adcirca and Orenitram are both orally-administered therapies. We acquired exclusive commercialization rights to Adcirca in the United States and Puerto Rico from Eli Lilly and Company (Lilly). Tyvaso, Adcirca and Orenitram offer more convenient routes of administration than Remodulin, and are capable of reaching a broader range of patients who suffer from PAH in various stages of the disease. In addition, we are developing the following products for the treatment of PAH: an implantable pump delivery system for Remodulin, an extended release, once-daily injectable form of treprostinil (TransCon treprostinil), an oral formulation of the prostacyclin analogue beraprost (314d) and an extended release, once-daily injection of beraprost (TransCon beraprost).

Revenues

        Sales of Remodulin, Tyvaso and Adcirca comprise substantially all of our revenues. Despite the planned commercial launch of Orenitram in 2014, we anticipate that we will remain substantially reliant on sales of Remodulin, Tyvaso and Adcirca for the next several years as our principal sources of revenue. We have entered into separate, non-exclusive distribution agreements with Accredo Health Group, Inc. (Accredo) and CVS Caremark (Caremark) in the United States, to distribute both Remodulin and Tyvaso. In April 2012, Express Scripts, Inc., the parent company of CuraScript Inc. (CuraScript), then one of our specialty pharmaceutical distributors, completed its acquisition of Medco Health Solutions, Inc., the parent company of Accredo. As a result, CuraScript's operations have been integrated into Accredo's, and in December 2013 we consolidated our distribution agreements with the two organizations into one contract. We also sell Remodulin to distributors internationally. Adcirca is sold through Lilly's pharmaceutical wholesaler network on our behalf. Furthermore, Lilly determines the wholesale price at which we may sell Adcirca.

        We require our specialty pharmaceutical distributors to maintain reasonable levels of inventory reserves as the interruption of Remodulin or Tyvaso therapy can be life threatening. Our specialty pharmaceutical distributors typically place monthly orders based on estimates of future demand and contractual minimum inventory requirements. As a result, sales of Remodulin and Tyvaso, our most significant sources of revenue, can vary depending on the timing and magnitude of these orders and may not precisely reflect patient demand.

        The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (PPACA), contains broad provisions that will be implemented over the next several years. Since its enactment in 2010, we have not been materially impacted by the PPACA. However, the potential long-term impact of the PPACA on our business is inherently difficult to predict, as many details regarding the implementation of this legislation have not yet been determined. The impact of the PPACA depends in part on the issuance of final regulations and how this legislation will affect insurance companies and their relationships with drug manufacturers.

        We recognize revenues net of: (1) estimated rebates; (2) prompt pay discounts; (3) allowances for sales returns; and (4) distributor fees. We estimate our liability for rebates based on an analysis of historical levels of rebates to both Medicaid and commercial third-party payers and considering the impact of sales trends, changes in government and commercial rebate programs and any anticipated changes in our products' pricing. In addition, we determine our obligation for prescription drug discounts required for Medicare Part D patients within the coverage gap based on estimates of the number of Medicare Part D patients and the period such patients will remain within the coverage gap. We provide prompt pay discounts to customers that pay amounts due within a specific time period and base related estimates on observed historical customer payment behavior. Prior to 2013, we derived estimates relating to our allowance for returns of Adcirca from published industry data specific to specialty pharmaceuticals and, beginning in 2013, from actual return data accumulated since launch. This change in the methodology for estimating returns of Adcirca resulted in a $3.1 million reduction

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of our allowance for returns associated with Adcirca for the twelve-month period ending December 31, 2013. We also compare patient prescription data for Adcirca to sales on a quarterly basis to ensure a reasonable relationship between prescription and sales trends. To date, we have not identified any unusual patterns in the volume of prescriptions relative to sales that would warrant reconsideration of our methodology. Tyvaso and Remodulin are distributed under separate contracts with substantially similar terms, which include exchange rights in the event that product is damaged during shipment or expires. The allowance for exchanges for Remodulin and Tyvaso is based on the historical rate of product exchanges, which has been negligible and immaterial. As such, we do not record reserves for exchanges for either Remodulin or Tyvaso at the time of sale. Furthermore, we anticipate minimal exchange activity in the future for both products since we sell Remodulin and Tyvaso with a remaining shelf life in excess of one year and our distributors typically carry a thirty- to sixty-day supply of our products at any given time. Lastly, we pay our distributors for contractual services rendered and accrue for related fees based on contractual rates applied to the estimated units of service provided by distributors for a given financial reporting period.

        We expect to commercially launch Orenitram in mid-2014. We anticipate selling Orenitram to specialty pharmaceutical distributors under substantially the same terms and conditions as our distribution agreements for Remodulin and Tyvaso. Consequently, we anticipate that the recognition of related sales will be net of estimated rebates, discounts, applicable sales allowances, if any, and service fees.

Generic Competition

        We disclose in Part I, Item 3.—Legal Proceedings of this Annual Report on Form 10-K that we are engaged in litigation with Sandoz Inc. (Sandoz) contesting its abbreviated new drug applications (ANDAs) seeking FDA approval to market generic versions of Remodulin before the expiration of certain U.S. patents in October 2014, October 2017 and March 2029. There can be no assurance that we will prevail in our defense of our patent rights, or that additional challenges from other ANDA filers will not surface with respect to Remodulin or our other treprostinil-based products. Our existing patents could be invalidated, found unenforceable or found not to cover a generic form of Remodulin, Tyvaso or Orenitram. If any ANDA filer were to receive approval to sell a generic version of Remodulin, Tyvaso or Orenitram and/or prevail in any patent litigation, the affected product would become subject to increased competition and our revenue would decrease.

        Certain patents for Revatio®, a PDE-5 inhibitor marketed by Pfizer, Inc., expired in 2012, leading several manufacturers to launch generic formulations of sildenafil citrate, the active ingredient in Revatio, for the treatment of PAH. Generic sildenafil's lower price relative to Adcirca could lead to an erosion of Adcirca's market share and limit its potential sales. Although we believe Adcirca's once-daily dosing regimen provides a significant competitive advantage over generic sildenafil's multiple dosing regimen, we believe that government payers and private insurance companies may favor the use of less expensive generic sildenafil over Adcirca. Thus far we have not observed any measurable impact of generic sildenafil on sales of Adcirca; however, circumstances could change over time and our revenues could be adversely impacted. The U.S. patent for Adcirca for the treatment of pulmonary hypertension will expire in 2017.

        Patent expiration and generic competition for any of our commercial products could have a significant, adverse impact on our revenues, the magnitude of which is inherently difficult to predict. For additional discussion, please refer to the risk factor entitled, Our intellectual property rights may not effectively deter competitors from developing competing products that, if successful, could have a material adverse effect on our revenues and profits, contained in Part I, Item 1A—Risk Factors included in this Annual Report on Form 10-K.

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Cost of Product Sales

        Cost of product sales comprise: (1) costs to produce and acquire products sold to customers; (2) royalty payments under license agreements granting us rights to sell related products; and (3) direct and indirect distribution costs incurred in the sale of products. We acquired the rights to sell our commercial products through license and assignment agreements with the original developers of these products. These agreements obligate us to pay royalties based on specified percentages of our net revenues from related products. While the royalties vary by agreement, we pay or will pay aggregate royalties on each of our current commercial products ranging from three percent to ten percent of net revenues. All royalty obligations pertaining to Remodulin and Tyvaso will expire in October 2014; consequently, we anticipate gross margins on these products to increase.

        We synthesize treprostinil, the active ingredient in Remodulin and Tyvaso, and treprostinil diolamine, the active ingredient in Orenitram, and produce Remodulin and Tyvaso, at our facility in Silver Spring, Maryland. We produce Orenitram in our Research Triangle Park, North Carolina facility (RTP facility). We intend to use our own facilities to produce our primary supply of Remodulin, Tyvaso and Orenitram and to continue to contract with third parties to supplement our production capacity and mitigate the risk of shortages. We believe we have ample supply of Orenitram to support the drug's commercial launch, expected to occur in mid-2014. Lastly, we engage a third-party contract manufacturer to produce the Tyvaso Inhalation System.

        Lilly manufactures Adcirca. We take title to Adcirca upon its manufacture and bear any losses related to the storage, distribution and sale of Adcirca.

Operating Expenses

        Since our inception, we have devoted substantial resources to our various clinical trials and other research and development efforts, which are conducted both internally and through third parties. From time to time, we also license or acquire additional technologies and compounds to be incorporated into our development pipeline.

Share-Based Compensation

        Our operating expenses and net income are often materially impacted by the recognition of share-based compensation expense (benefit) associated with our share tracking award plans (STAP) and stock option grants containing a performance requirement. The fair value of STAP awards and stock options grants are measured using inputs and assumptions under the Black-Scholes-Merton model that can materially impact the amount of compensation expense for a given period.

        STAP awards are classified as liabilities and their fair value must be re-measured at the end of each financial reporting period until the awards are no longer outstanding. Changes in our STAP-related liability resulting from such re-measurements are recorded as adjustments to share-based compensation expense (benefit) and can create substantial volatility within our operating expenses from financial reporting period to period. Some or all of the following factors, among others, can cause substantial volatility in the amount of share-based compensation expense (benefit) recognized in connection with the STAP from period to period: (1) volatility in the price of our common stock (specifically, increases in the price of our common stock will result in an increase in our STAP liability and related compensation expense, while decreases in our stock price will generally result in a reduction in our STAP liability and related compensation expense); (2) changes in the number of outstanding awards; (3) changes in both the number of vested and partially vested awards; and (4) the probability of meeting a performance condition, if any.

        If we meet annual contractual performance requirements tied to growth in our market capitalization, our Chief Executive Officer will be granted stock options at year-end, which vest

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immediately upon grant. We accrue compensation expense for her estimated stock option grants when we determine that it is probable that the performance criteria will be met. These preceding factors may cause volatility in our operating expenses and net income from financial reporting period to period.

Major Research and Development Projects

        Our major research and development projects focus on: (1) the use of prostacyclin analogues and other therapies, as well as lung transplantation technologies, to treat cardiopulmonary diseases; (2) monoclonal antibodies to treat a variety of cancers; and (3) glycobiology antiviral agents to treat infectious diseases.

Cardiopulmonary Disease Projects

Remodulin

        In 2009, we entered into an agreement with exclusive rights in the United States, United Kingdom, France, Germany, Italy and Japan, with Medtronic, Inc. (Medtronic) to develop its proprietary intravascular infusion catheter to be used with Medtronic's SynchroMed® II implantable infusion pump and related infusion system components (together referred to as the Medtronic System) in order to deliver Remodulin for the treatment of PAH. If the Medtronic System is successful, it could reduce many of the patient burdens and other complications associated with infused prostacyclin analogues. With our funding, Medtronic recently completed the DelIVery clinical trial, in order to study the safety of the Medtronic System while administering Remodulin. The primary objective was to demonstrate a rate of catheter-related complications below 2.5 per 1,000 patient-days while using the Medtronic System to deliver Remodulin. In September 2013, Medtronic informed us that this primary objective was met (p<0.0001). In addition to the clinical study, Medtronic must complete other stability, compatibility and technical assessments of the Medtronic System, including modifications to its hardware and software, and address any outstanding regulatory issues. Upon completion of these activities by Medtronic, we anticipate Medtronic will make preparations to file a premarket approval application seeking FDA clearance for the catheter and labeling changes, and will address any FDA feedback, to enable the use of the Medtronic System with Remodulin. In tandem, we plan to seek FDA approval of a supplement to Remodulin's label to allow the use of Remodulin with the Medtronic System.

Tyvaso

        We launched commercial sales of Tyvaso in 2009 following its approval by the FDA. In connection with Tyvaso's approval, we agreed to a post-marketing requirement (PMR) and certain post-marketing commitments (PMCs). PMRs and PMCs often obligate sponsors to conduct studies after FDA approval to gather additional information about a product's safety, efficacy, or optimal use. PMRs are required studies, whereas PMCs are voluntary commitments.

        In accordance with our PMR, we are enrolling patients in a long-term observational study in the United States that includes 1,000 patient years of follow-up in patients treated with Tyvaso, and 1,000 patient years of follow-up in control patients receiving other PAH treatments. This study will allow us to continue assessing the safety of Tyvaso. We are required to update the FDA annually on our PMR, and to submit the results of the study by December 15, 2014.

        In 2012, the FDA acknowledged that we had satisfied our PMCs and approved modifications to the Tyvaso Inhalation System. The Tyvaso Inhalation System now includes a nebulizer called TD-100, which incorporates these modifications. In addition, we are working to further improve the Tyvaso Inhalation System to improve and simplify patient use.

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Orenitram (previously known as UT-15C Sustained Release Tablets or Oral Treprostinil)

        On December 20, 2013, the FDA approved Orenitram for the treatment of PAH in WHO Group 1 patients to improve exercise capacity. The primary study that supported efficacy of Orenitram was a 12-week monotherapy study (FREEDOM-M) in which PAH patients were not on any approved background therapy. Analysis of the FREEDOM-M results demonstrated that patients receiving Orenitram improved their six-minute walk distance by a median of approximately 23 meters (p=0.0125) compared to patients receiving placebo. The median change from baseline at week 12 was 25 meters for patients receiving Orenitram and -5 meters for patients receiving placebo.

        We also conducted two phase III studies of Orenitram in combination with other therapies, called FREEDOM-C and FREEDOM-C². These were 16-week studies of patients on approved background therapy using a PDE-5 inhibitor, such as Revatio, or an ETRA, such as Tracleer®, or a combination of both. The FREEDOM-C and FREEDOM-C² trials were completed in 2008 and 2011 respectively, and neither achieved statistical significance for its primary endpoint of improvement in six-minute walk distance at week 16 (p=0.072 and p=0.089, respectively).

        Orenitram's label notes that Orenitram has not been shown to improve exercise capacity in patients on background vasodilator therapy, and that Orenitram is probably most useful to replace subcutaneous, intravenous, or inhaled treprostinil, but use of these forms has not been studied.

        We believe that in order for Orenitram to reach its full commercial potential, we need to complete further studies to support an amendment to Orenitram's label to indicate that Orenitram delays morbidity or mortality in patients who are on an approved oral background therapy. As such, we are enrolling up to 858 patients in a phase III clinical trial called FREEDOM-EV, which began in 2012. FREEDOM-EV is a placebo-controlled study of patients who enter the study on an approved background therapy, and one of the two primary endpoints of the study is the time to clinical worsening.

        We expect to seek approval of Orenitram in Europe upon completion of the FREEDOM-EV study. In 2005, the European Medicines Agency (EMA) announced that Orenitram had been designated an orphan medicinal product for the treatment of PAH.

TransCon Treprostinil

        In September 2012, we signed an exclusive agreement with Ascendis Pharma A/S (Ascendis Pharma) to apply Ascendis Pharma's proprietary TransCon technology platform to our treprostinil molecule. We believe that the TransCon technology platform may enable a sustained release of a novel, carrier-linked product, which will significantly enhance the delivery of treprostinil by establishing a once-daily, self-injectable alternative to administering Remodulin through a continuous infusion pump for the treatment of PAH. We expect that this self-injectable form of treprostinil could enable patients to avoid the infusion site pain associated with subcutaneous Remodulin and the risk of sepsis, due to the use of an indwelling catheter, which is associated with intravenous Remodulin. We are currently conducting pre-clinical studies of TransCon treprostinil.

314d and TransCon Beraprost

        We have been studying various formulations of beraprost since 2000. We completed a phase I safety trial of a reformulated, single-isomer version of beraprost (314d) in July 2012, and the data suggested that dosing 314d four times a day was safe. We believe that 314d and treprostinil have differing prostacyclin receptor-binding profiles and thus could provide benefit to certain groups of patients with differing sets of safety and efficacy profiles. We also believe inhaled treprostinil and 314d have complimentary pharmacokinetic and pharmacodynamic profiles, which indicates they could provide greater efficacy in combination. As a result, we are enrolling a phase III study called BEAT

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(BEraprost 314d Add-on to Tyvaso) to evaluate the clinical benefit and safety of 314d in combination with Tyvaso for patients with PAH who show signs of deterioration on inhaled treprostinil or have a less than optimal response to inhaled treprostinil treatment. We intend to enroll 240 patients in the study, which will have a primary endpoint of time to clinical worsening.

        In addition, we are developing an extended-release injection we refer to as TransCon beraprost, which incorporates the TransCon technology described above under TransCon Treprostinil and is intended to be self-administered by PAH patients once daily.

Cell-Based Therapy

        In June 2011, we entered into a license agreement with Pluristem Ltd. (Pluristem) to develop and commercialize a cell-based product for the treatment of PAH using Pluristem's proprietary cell technology known as PLacental eXpanded (PLX) cells. We commenced a phase I clinical study in Australia in 2013.

Lung Transplantation

        The only reported "cure" for PAH is a lung transplant. Only a few hundred PAH patients receive a lung transplant each year due to the shortage of available lungs for transplant and the demand for transplantable lungs in patients with PAH and other end-stage pulmonary diseases, such as chronic obstructive pulmonary disease and idiopathic pulmonary fibrosis.

        In July 2011, we acquired all of the outstanding stock of Revivicor, Inc. (Revivicor), a company focused on developing genetic biotechnology platforms to provide alternative tissue sources for treatment of human degenerative disease through tissue and organ xenotransplantation. We have focused this platform on the goal of providing transplantable lungs for human patients.

        We are also engaged in preclinical development of several regenerative medicine technologies for creating transplantable lung tissue and whole lungs for patients with end-stage lung disease.

        In 2013, we began developing technologies to increase the supply of donor lungs through collaborations with two ex-vivo lung perfusion companies.

        From inception to December 31, 2013, we spent $990.6 million on all of our current and former cardiopulmonary disease programs.

Cancer-Related Projects

Ch14.18 Antibody

        In July 2010, we entered into a Cooperative Research and Development Agreement (CRADA) with the National Cancer Institute (NCI) of the United States National Institutes for Health (NIH) to collaborate on the late-stage development and regulatory approval process for Chimeric Monoclonal Antibody 14.18 (Ch14.18) for children with high-risk neuroblastoma and patients with other forms of cancer. Ch14.18 is an antibody that has shown potential in the treatment of neuroblastoma by targeting GD2, a glycolipid on the surface of tumor cells. Under the terms of the CRADA, the NCI has completed necessary studies and we obtained the ability to develop Ch14.18 for commercial production. Collectively, related NCI/NCI supported studies and our production data were used as the foundation for the marketing application authorization (MAA) filing which the European Medicines Agency (EMA) accepted in December 2013. In addition, we intend to file a biologics license application (BLA) during the first half of 2014 seeking FDA approval. We previously received orphan drug designation for Ch14.18 from both the FDA and the EMA.

        We have spent $107.2 million from inception to December 31, 2013, on all of our current and former cancer programs.

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Infectious Disease Projects

        Pursuant to our research agreement with the University of Oxford (Oxford), we have the exclusive right to commercialize a platform of glycobiology antiviral drug candidates in various preclinical stages of testing for the treatment of a wide variety of viruses. Through our research agreement with Oxford, we are also supporting the research of new glycobiology antiviral drug candidates and technologies. We are currently testing many of these compounds in preclinical studies and Oxford continues to synthesize new agents that we may elect to test.

        In September 2011, we were awarded a cost plus fixed fee contract with an aggregate value of up to $45.0 million under a Broad Agency Announcement from the National Institute of Allergy and Infectious Diseases (NIAID) of the NIH for studies directed toward the development of a broad spectrum antiviral drug with a primary indication for dengue and a secondary indication for influenza, based on our glycobiology antiviral platform. There are eight milestone-based options to expand the project and funding under the contract. To date, we have received contract modifications exercising four of these options, increasing total committed contract funding to approximately $25.7 million. We recognize revenue under this contract to the extent of allowable costs incurred, plus a proportionate amount of fees earned. Related revenues are included under the caption Other Revenues on our consolidated statements of operations located elsewhere in this Annual Report on Form 10-K.

        Pursuant to our contract with NIAID, we plan to begin enrolling a phase I clinical trial of our lead antiviral candidate, an alpha-glucosidase inhibitor called UV-4B, for the treatment of dengue during the first half of 2014.

        We have spent $75.4 million from inception to December 31, 2013, on all of our current and former infectious disease programs.

Future Prospects

        The extent of our future success is dependent on how well we achieve the following objectives: (1) in the near term, continued sales growth of our current commercial products by increasing our market share and launching enhancements designed to improve patient care, such as implantable pumps for Remodulin and a once-daily, self-injectable form of treprostinil and/or beraprost; (2) in the medium term, augmenting our near-term product growth through: (a) the approval and launch of Orenitram for use in combination with Adcirca and other oral therapies at earlier stages of PAH, and (b) commercial launch and sales of one or more of our antiviral drug candidates to the government and private sectors; and (3) in the long term, supplementing our oral, inhaled and infused PAH therapy revenues by introducing transplantable cells, tissues and organs that may provide effective treatment for PAH and other end-stage lung diseases.

        Our ability to achieve these objectives and sustain our growth and profitability will depend on many factors including among others: (1) the timing and outcome of clinical trials and regulatory approvals for products we develop; (2) the timing of commercial launch of new products; (3) the pricing of and demand for our products and services; (4) reimbursement of our products by public and private health insurance organizations; (5) the competition we face within our industry; (6) our ability to effectively manage our growth in an increasingly complex regulatory environment; and (7) our ability to defend against generic competition, including the ongoing challenge to our Remodulin patents by a generic drug company.

        We may need to construct additional facilities to support the development and commercialization of our products. For example, the development of broad-spectrum anti-viral drugs, cell therapies and transplantable lungs and lung tissues will require the design and construction of sophisticated facilities that will need to comply with stringent regulatory requirements related to these programs. In 2013, we commenced construction of additional research and development facilities and office space, including

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those needed for our lung transplantation programs. The extent to which we fully develop any of these facilities will depend on the progress of our pre-clinical and clinical development in our various earlier stage programs.

        We operate in a highly competitive market in which a small number of pharmaceutical companies control a majority of the available PAH therapies. These pharmaceutical companies are well established in the market and possess greater financial, technical and marketing resources than we do. In addition, there are a number of investigational products in late-stage development that, if approved, may erode the market share of our existing commercial therapies and make market acceptance more difficult to achieve for any therapies we attempt to market in the future.

Financial Position

        Cash and cash equivalents and current and non-current marketable investments (excluding restricted amounts) at December 31, 2013 were $1,136.7 million, compared to approximately $784.9 million as of December 31, 2012. The increase in cash and cash equivalents of $351.8 million resulted principally from: (1) the increase in revenues for the year ended December 31, 2013; (2) $145.6 million and $72.3 million less in expenditures relating to share repurchases and construction, respectively; and (3) the timing, volume and magnitude of operating expenditures relative to 2012.

        Accounts receivable at December 31, 2013, was $126.3 million, compared to $116.6 million at December 31, 2012. The $9.7 million increase reflects an approximately 22 percent increase in sales during the quarter ended December 31, 2013, compared to the quarter ended December 31, 2012, and the timing of invoicing and cash collections.

        Other assets at December 31, 2013 were $53.3 million compared to $26.8 million at December 31, 2012. The $26.5 million increase was driven by $30.8 million of investments in two privately-held lung perfusion companies during 2013.

        Current convertible notes increased by $215.8 million, with a corresponding decrease to long-term convertible notes of $204.7 million (net of amortization), as of December 31, 2013 compared with December 31, 2012, as a result of the reclassification of our 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes) from long-term status to short-term status because the notes became convertible at the election of their holders. Refer to Note 8—Debt—Convertible Notes Due 2016 included in this Annual Report on Form 10-K for details.

        Mortgages payable—current increased by $65.3 million to $66.6 million at December 31, 2013 from $1.3 million at December 31, 2012, as a result of the reclassification of $66.5 million outstanding relating to the 2010 Credit Agreement with Wells Fargo Bank, National Association and Bank of America, N.A. (Wells mortgage loan), from long-term to short-term status as the outstanding loan will be due in full in December 2014. Accordingly, there was a corresponding decrease in mortgage payable—noncurrent, from $70.3 million at December 31, 2012 to $3.7 million at December 31, 2013. Refer to Note 8—Mortgage Financing—Wells Fargo Bank included in this Annual Report on Form 10-K for details.

        The Share Tracking Award plans liability increased by $212.6 million from $75.4 million at December 31, 2012 to $288.0 million at December 31, 2013 as a result of a 112 percent appreciation in the price of our common stock during 2013.

        Temporary equity at December 31, 2013 was $45.0 million, compared to $10.9 million at December 31, 2012. The $34.2 million increase in temporary equity corresponded to the reclassification of the equity component (equal to the unamortized discount) of our 2016 Convertible Notes from additional paid-in capital as of December 31, 2013, since our 2016 Convertible Notes are now convertible at the election of their holders. For further details refer to Note 10—Temporary Equity to the consolidated financial statements included in this Annual Report on Form 10-K.

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        Additional paid-in capital increased by $41.4 million from $1,015.8 million at December 31, 2012 to $1,057.2 million at December 31, 2013. The increase was comprised of the following elements: (1) $36.9 million of share-based compensation, primarily related to our Chief Executive Officer's year end stock option grant based on the terms of her employment agreement; and (2) $35.9 million in proceeds and related tax benefits received from stock option exercises. These increases were offset in part by the reclassification of $34.2 million to temporary equity as disclosed above.

        Treasury stock was $513.4 million at December 31, 2013, compared to $471.0 million at December 31, 2012. The increase of $42.4 million corresponded to our repurchase of approximately 709,000 shares of our common stock. Refer to Note 11—Stockholders' Equity—Share Repurchases to the consolidated financial statements contained in this Annual Report on Form 10-K for further details.

Results of Operations

Years ended December 31, 2013 and 2012

        The following table presents the components of net revenues (dollars in thousands):

	Year Ended December 31,
					Percentage Change
	2013		2012
Cardiopulmonary products:
Remodulin	$	491,179	$	457,969		7.3	%
Tyvaso		438,793		325,614		34.8	%
Adcirca		176,972		122,540		44.4	%
Other		10,040		9,953		0.9	%
Total revenues	$	1,116,984	$	916,076		21.9	%

        The growth in revenues for the year ended December 31, 2013, compared to the year ended December 31, 2012, corresponded to the continued increase in the number of patients being treated with our products.

        For the years ended December 31, 2013 and 2012, approximately 76 percent and 78 percent, respectively, of total revenues were derived from sales of Remodulin and Tyvaso to U.S.-based specialty pharmaceutical distributors. Remaining revenues were derived primarily from sales of Adcirca and sales of Remodulin to our international distributors.

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        The table below includes a reconciliation of the accounts associated with estimated rebates, prompt-pay discounts, allowances for sales returns and distributor fees (in thousands):

	Year Ended December 31, 2013
	Rebates			Prompt Pay Discounts			Allowance for Sales Returns			Distributor Fees			Total
Balance, January 1, 2013	$	15,207		$	2,115		$	3,350		$	1,281		$	21,953
Provisions attributed to sales in:
Current period		81,938			24,154			1,254			7,008			114,354
Prior periods		997			—			(1,530	)		3			(530	)
Payments or credits attributed to sales in:
Current period		(59,225	)		(21,654	)		—			(5,916	)		(86,795	)
Prior periods		(16,442	)		(2,115	)		(212	)		(1,284	)		(20,053	)
Balance, December 31, 2013	$	22,475		$	2,500		$	2,862		$	1,092		$	28,929

	Year Ended December 31, 2012
	Rebates			Prompt Pay Discounts			Allowance for Sales Returns			Distributor Fees			Total
Balance, January 1, 2012	$	13,993		$	1,679		$	1,402		$	732		$	17,806
Provisions attributed to sales in:
Current period		53,674			18,682			1,717			6,089			80,162
Prior periods		(949	)		6			381			31			(531	)
Payments or credits attributed to sales in:
Current period		(39,559	)		(16,567	)		—			(4,808	)		(60,934	)
Prior periods		(11,952	)		(1,685	)		(150	)		(763	)		(14,550	)
Balance, December 31, 2012	$	15,207		$	2,115		$	3,350		$	1,281		$	21,953

        The table below summarizes research and development expense by major project and non-project components (dollars in thousands):

	Year Ended December 31,
					Percentage Change
	2013		2012
Project and non-project:
Cardiopulmonary	$	116,137	$	122,350		(5.1	)%
Share-based compensation expense		134,706		11,237		1,098.8	%
Other		48,505		39,800		21.9	%
Total research and development expense	$	299,348	$	173,387		72.6	%

        Cardiopulmonary.    The decrease in cardiopulmonary program expenses of $6.2 million for the year ended December 31, 2013, compared to the year ended December 31, 2012, resulted from a $6.1 million decrease in expenses relating to work on our TransCon once-daily injectable prostacyclin analogues program.

        Share-based compensation.    The increase in share-based compensation of $123.5 million for the year ended December 31, 2013, compared to the year ended December 31, 2012, resulted from the approximately 112 percent appreciation in the price of our common stock during the year ended December 31, 2013, compared to the approximately 13 percent appreciation in the price of our common stock price during the year ended December 31, 2012.

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        Other.    The increase in other research and development expenses of $8.7 million for the year ended December 31, 2013, compared to the year ended December 31, 2012, was attributable to a $5.1 million increase in expenditures for our development of Ch14.18 and $2.5 million in support expenses not allocated to specific projects.

        The table below summarizes selling, general and administrative expense by major categories (dollars in thousands):

	Year Ended December 31,
					Percentage Change
	2013		2012
Category:
General and administrative	$	140,235	$	116,899		20.0	%
Sales and marketing		73,871		67,220		9.9	%
Share-based compensation expense		179,904		17,627		920.6	%
Total selling, general and administrative expense	$	394,010	$	201,746		95.3	%

        General and administrative.    The increase in general and administrative expenses of $23.3 million for the year ended December 31, 2013, compared to the year ended December 31, 2012, was driven by the following: (1) a $9.2 million increase in grants to non-affiliated, non-profit organizations that provide financial assistance to patients with PAH due to the growth of patients using our products, in particular, Adcirca; (2) $6.9 million and $5.8 million increases in operating expenses and salaries and other compensation-related expenses, respectively, associated with the general expansion of our business, including headcount; and (3) a $6.3 million increase in consulting and professional fees related to ongoing legal matters. These increases were offset in part by a one-time $6.8 million impairment charge on an acquired contract-based intangible asset we recognized during the year ended December 31, 2012.

        Sales and marketing.    The increase in sales and marketing expenses of $6.7 million reflects the following increases: (1) a $4.2 million increase in marketing activities; and (2) $2.4 million in salaries and other compensation-related expenses as we expanded our sales personnel during 2013.

        Share-based compensation.    The increase in share-based compensation of $162.3 million for the year ended December 31, 2013, compared to the year ended December 31, 2012, corresponded to the approximately 112 percent appreciation in the price of our common stock during the year ended December 31, 2013, compared to the approximately 13 percent appreciation in our stock price during the year ended December 31, 2012.

Other (expense) Income—Other, net

        Other, net income was $635,000 for the year ended December 31, 2013, compared to other, net income of $31.7 million for the year ended December 31, 2012. The $31.1 million decrease was driven by the recognition of a gain of approximately $31.0 million from the collection of insurance proceeds during 2012. Refer to Note 21—Litigation—Lexington Insurance Company to the consolidated financial statements contained in this Annual Report on Form 10-K.

Income Tax Expense

        The provision for income taxes was $104.3 million for the year ended December 31, 2013 compared to $136.2 million for the year ended December 31, 2012. For the years ended December 31, 2013 and December 31, 2012, the effective tax rates were approximately 37 percent and 31 percent, respectively. The increase in the effective tax rate for the year ended December 31, 2013, resulted from certain non-deductible executive compensation expenses, driven primarily by the increase in our STAP liability as

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a result of the appreciation in our stock price. For complete details refer to Note 13—Income Taxes contained in this Annual Report on 10-K.

Years ended December 31, 2012 and 2011

        The following table presents the components of net revenues (dollars in thousands):

	Year Ended December 31,
					Percentage Change
	2012		2011
Cardiopulmonary products:
Remodulin	$	457,969	$	430,132		6.5	%
Tyvaso		325,614		240,382		35.5	%
Adcirca		122,540		70,580		73.6	%
Other		9,953		2,089		376.4	%
Total revenues	$	916,076	$	743,183		23.3	%

        The growth in revenues for the year ended December 31, 2012, compared to the year ended December 31, 2011, corresponded to the continued increase in the number of patients being treated with our products.

        For the years ended December 31, 2012 and 2011, approximately 78 percent and 81 percent, respectively, of net revenues were derived sales of Remodulin and Tyvaso to U.S.-based specialty pharmacy distributors. Remaining revenues were derived primarily from sales of Adcirca and sales of Remodulin to our international distributors. Other revenues increased by $7.9 million, reflecting the recognition of approximately $6.9 million of revenue from our contract with NIAID and $2.0 million of deferred revenue upon the termination of a third-party license agreement to which our subsidiary, Revivicor, Inc. was a party, and the resulting termination of our performance obligation.

        The table below includes a reconciliation of the accounts associated with estimated rebates, prompt-pay discounts, allowances for sales returns and distributor fees (in thousands):

	Year Ended December 31, 2012
	Rebates			Prompt Pay Discounts			Allowance for Sales Returns			Distributor Fees			Total
Balance, January 1, 2012	$	13,993		$	1,679		$	1,402		$	732		$	17,806
Provisions attributed to sales in:
Current period		53,674			18,682			1,717			6,089			80,162
Prior periods		(949	)		6			381			31			(531	)
Payments or credits attributed to sales in:
Current period		(39,559	)		(16,567	)		—			(4,808	)		(60,934	)
Prior periods		(11,952	)		(1,685	)		(150	)		(763	)		(14,550	)
Balance, December 31, 2012	$	15,207		$	2,115		$	3,350		$	1,281		$	21,953

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	Year Ended December 31, 2011
	Rebates			Prompt Pay Discounts			Allowance for Sales Returns			Distributor Fees			Total
Balance, January 1, 2011	$	10,503		$	1,467		$	482		$	724		$	13,176
Provisions attributed to sales in:
Current period		41,231			15,766			923			4,677			62,597
Prior periods		2,853			—			—			—			2,853
Payments or credits attributed to sales in:
Current period		(27,734	)		(14,088	)		—			(4,007	)		(45,829	)
Prior periods		(12,860	)		(1,466	)		(3	)		(662	)		(14,991	)
Balance, December 31, 2011	$	13,993		$	1,679		$	1,402		$	732		$	17,806

Cost of Product Sales

        The cost of product sales as a percentage of product revenues increased to 13.0 percent for the year ended December 31, 2012 compared to 12.2 percent for the year ended December 31, 2011. During the fourth quarter of 2012, we increased our reserves for inventory obsolescence by $8.9 million, which represents the cost of the inhalation devices incorporated into our Tyvaso Inhalation System expected to be rendered obsolete based on the pending commercial release of our improved inhalation device, the TD-100.

        The table below summarizes research and development expense by major project and non-project components (dollars in thousands):

	Year Ended December 31,
						Percentage Change
	2012		2011
Project and non-project:
Cardiopulmonary	$	122,350	$	150,501			(18.7	)%
Share-based compensation (benefit) expense		11,237		(7,994	)		240.6	%
Other		39,800		37,508			6.1	%
Total research and development expense	$	173,387	$	180,015			(3.7	)%

        Cardiopulmonary.    The decrease in cardiopulmonary program expenses of $28.2 million for the year ended December 31, 2012, compared to the year ended December 31, 2011, corresponded to a $55.7 million decrease in expenses relating to the development of beraprost, as during the year ended December 31, 2011 we recognized a $46.3 million charge relating to our July 2011 amended license agreement with Toray. This decrease was partially offset by the increases of: (1) $16.9 million in expenses relating to work on our self-injectable prostacyclin analogues program; (2) $5.4 million in expenses associated with our development of an implantable pump for Remodulin; and (3) $4.1 million relating to our work to develop engineered lungs and lung tissue for transplantation.

        Share-based compensation.    The increase in share-based compensation of $19.2 million for the year ended December 31, 2012, compared to the year ended December 31, 2011, resulted from the approximately 13 percent appreciation in the price of our common stock during the year ended December 31, 2012, compared to the approximately 25 percent decline in our stock price during the year ended December 31, 2011.

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        The table below summarizes selling, general and administrative expense by major category (dollars in thousands):

	Year Ended December 31,
						Percentage Change
	2012		2011
Category:
General and administrative	$	116,899	$	97,785			19.5	%
Sales and marketing		67,220		66,405			1.2	%
Share-based compensation (benefit) expense		17,627		(7,708	)		328.7	%
Total selling, general and administrative expense	$	201,746	$	156,482			28.9	%

        General and administrative.    The increase in general and administrative expenses of $19.1 million for the year ended December 31, 2012, compared to the year ended December 31, 2011, was driven by the following: (1) the recognition of a $6.8 million impairment loss relating to a contract-based intangible asset as described in Note 17—Acquisitions—Revivicor, Inc. to the consolidated financial statements contained in our Annual Report on Form 10-K for the year ended December 31, 2012; (2) a $6.3 million increase, principally in grants to non-affiliated, not-for-profit organizations that provide financial assistance to patients with PAH; and (3) an increase of $5.4 million in depreciation expense as a result of the expansion of our corporate headquarters in Maryland and our facilities in North Carolina in 2012.

        Share-based compensation.    The increase in share-based compensation of $25.3 million for the year ended December 31, 2012, compared to the year ended December 31, 2011, corresponded to the approximately 13 percent appreciation in the price of our common stock during the year ended December 31, 2012, compared to the approximately 25 percent decline in our stock price during the year ended December 31, 2011.

Other (expense) Income—Other, net

        Other, net income was $31.7 million for the year ended December 31, 2012, compared to other, net (expense) of $748,000 for the year ended December 31, 2011. The $32.5 million increase was driven by the recognition of an approximately $31.0 million gain from insurance proceeds. Refer to Note 21—Litigation—Lexington Insurance Company to the consolidated financial statements contained in this Annual Report on Form 10-K.

Income Tax Expense

        The provision for income taxes was $136.2 million for the year ended December 31, 2012 compared to $81.9 million for the year ended December 31, 2011. The increase of $54.3 million in the provision for income taxes corresponded to the increase in pre-tax earnings. For the years ended December 31, 2012 and December 31, 2011, the effective tax rates were approximately 31 percent and 27 percent, respectively. Our effective tax rate increased in 2012 compared to 2011 as a result of a reduction in the generation of general business credits. For both 2012 and 2011, the reduction in the effective tax rates reflects our domestic manufacturing deduction and our generation of general business tax credits. For complete details refer to Note 13—Income Taxes contained in this Annual Report on 10-K.

Liquidity and Capital Resources

        We have funded our operations principally through sales of our commercial products and, from time-to-time, third-party financing arrangements. We believe that our current liquidity is sufficient to

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fund ongoing operations and future business plans as we expect continued growth in demand for our commercial products. Furthermore, our customer base remains stable and we believe presents minimal credit risk. However, any projections of future cash flows are inherently subject to uncertainty and we may seek other forms of financing.

Cash Flows and Working Capital 2013 Compared to 2012

Operating

        Net cash provided by operating activities was $425.3 million for the year ended December 31, 2013, compared to net cash provided of $323.6 million for the year ended December 31, 2012. The $101.6 million increase in net operating cash flows was driven by a $290.7 million increase in share-based compensation primarily as a result of the 112 percent increase of our stock price during the year ended December 31, 2013. This increase in non-cash expense was partially offset by decreases of $129.9 million in net income and a $50.9 million decrease in other liabilities, consisting primarily of $40.6 million and $24.1 million increases in cash paid relating to income taxes and STAP award exercises, respectively, during the year ended December 31, 2013 compared to 2012.

Investing

        Net cash used in investing activities was $295.0 million for the year ended December 31, 2013, compared to $163.4 million for the year ended December 31, 2012. The $131.6 million increase in net cash used in investing activities reflects an increase in cash used to purchase $180.8 million of held-to-maturity investments, net of maturities and $30.8 million used to purchase investments in privately-held investments. These increases in cash used for investing were offset by a $72.3 million decrease in construction related expenditures in 2013 as compared to 2012, as we had completed our major construction projects in Silver Spring, Maryland and Research Triangle Park, North Carolina in early 2012. Our ability to invest an additional $180.8 million in to held-to-maturity investments was also due in part to the $145.6 million reduction in repurchases of our common stock during 2013 as compared to 2012.

Financing

        Net cash used in financing activities was $5.1 million for the year ended December 31, 2013 compared to $169.1 million for the year ended December 31, 2012. The $164.0 million decrease in cash used in financing activities comprised in large part the following: (1) a $145.6 million decrease in repurchases of our common stock; (2) a $16.1 million increase in stock-option exercises and related tax benefits; and (3) $2.7 million in proceeds related to our employee stock purchase plan during 2013, compared to none in 2012. The increase in stock option exercises and related tax benefits and the decrease in repurchases of our common stock were all attributable to the 112 percent appreciation in the price of our common stock during 2013.

2012 Compared to 2011

Operating

        Net cash provided by operating activities was $323.6 million for the year ended December 31, 2012, compared to $250.2 million for the year ended December 31, 2011. The increase in net operating cash flows of $73.4 million was driven by an increase of $84.5 million in net income, which resulted mainly from an increase in revenues for 2012 and a $45.8 million increase in share-based compensation due to the appreciation in our stock price at December 31, 2012 compared to December 31, 2011. These increases were partially offset by a decrease of $53.9 million in the change in accounts payable, which was attributable to customary timing variances in the receipt and payment of vendor invoices. In

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addition, at December 31, 2011, $14.5 million of construction-related invoices were pending payment as compared to $205,000 at December 31, 2012.

Investing

        Net cash used in investing activities was $163.4 million for the year ended December 31, 2012, compared to $121.3 million for the year ended December 31, 2011. The increase of $42.0 million in cash used in investing activities reflects a $75.9 million increase in expenditures associated with: (1) the completion of our Maryland and North Carolina construction projects in 2012; and (2) the acquisition of land and property in North Carolina for planned future expansion, partially offset by a $30.4 million increase in cash received from the maturities of investments net of purchases.

Financing

        Net cash used in financing activities for the year ended December 31, 2012 was $169.1 million, compared to $218.1 million of net cash provided by financing activities for the year ended December 31, 2011. During the year ended December 31, 2011, we used $250.0 million to pay off the aggregate principal value of our 0.50 percent Convertible Senior Notes due October 15, 2011 (2011 Convertible Notes) upon their maturity date; in addition, during October 2011, we received $250.0 million in proceeds upon the issuance at par value, of our 2016 Convertible Notes. In connection with the issuance of our 2016 Convertible Notes, we incurred issuance costs of $7.5 million and used $33.3 million to fund the net cost of a convertible note hedge and warrants. There were no comparable transactions during 2012. In addition, expenditures for share repurchases decreased by $24.0 million during the year ended December 31, 2012 compared to the year ended December 31, 2011 and proceeds received from the exercise of stock options and related tax benefits recognized decreased by $15.9 million.

Working Capital

        At December 31, 2013, we had working capital of $221.3 million, compared to $491.7 million at December 31, 2012. The decrease in working capital at December 31, 2013 of $270.4 million resulted from (1) the $215.8 million reclassification of our 2016 Convertible Notes from long-term to current status (for further details refer to Note 8—Debt—Convertible Notes Due 2016 contained in this Annual Report on Form 10-K); (2) a $212.5 million increase in our current STAP liability as a result of the 112 percent appreciation in the price of our common stock during 2013; and (3) the $66.5 million reclassification of our Wells mortgage loan to short term status from long term status, as the loan is due in full in December 2014 (refer to Note 8—Debt—Mortgage Financing—Wells Fargo Bank for details included in this Annual Report on Form 10-K). These decreases in working capital were offset in part by a $209.3 million increase in the aggregate of "cash and cash equivalents" and "short-term marketable investments" due to the increase in our sales during the twelve months ended December 31, 2013.

        In addition, at December 31, 2013, we had approximately $447.7 million of long-term marketable securities that could be liquidated or used to collateralize borrowings against our line of credit facility, if necessary, to fund our operations.

Line of Credit

        In September 2013, we entered into a one-year Credit Agreement with Wells Fargo Bank, National Association (Wells Fargo) providing for a $75.0 million revolving loan facility, which may be increased by up to an additional $75.0 million provided certain conditions are met (the 2013 Credit Agreement). We plan to use this facility for general corporate purposes. At our option, amounts borrowed under the 2013 Credit Agreement bear interest at either the one-month LIBOR plus a 0.50 percent margin, or a

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fluctuating base rate excluding any margin. In addition, we are subject to a monthly commitment fee at a rate of 0.06 percent per annum based on the average daily unused balance of the facility. Amounts borrowed under the 2013 Credit Agreement are secured by certain of our marketable investments. As of December 31, 2013, we have not drawn on this facility.

Convertible Senior Notes

        In October 2011, we issued the 2016 Convertible Notes with an aggregate principal value of $250.0 million. The 2016 Convertible Notes are unsecured, unsubordinated debt obligations that rank equally with all of our other unsecured and unsubordinated indebtedness. We pay interest at 1.0 percent per annum semi-annually on March 15 and September 15 of each year. The initial conversion price is $47.69 per share and the number of underlying shares used to determine the aggregate consideration upon conversion is approximately 5.2 million shares.

        Conversion can occur: (1) any time after June 15, 2016; (2) during any calendar quarter that follows a calendar quarter in which the price of our common stock exceeds 130 percent of the conversion price for at least 20 days during the 30 consecutive trading-day period ending on the last trading day of the quarter; (3) during the ten consecutive trading-day period following any five consecutive trading-day period in which the trading price of the 2016 Convertible Notes is less than 95 percent of the closing price of our common stock multiplied by the then-current number of shares underlying the 2016 Convertible Notes; (4) upon specified distributions to our shareholders; (5) in connection with certain corporate transactions; or (6) in the event that our common stock ceases to be listed on the NASDAQ Global Select Market, the NASDAQ Global Market or the New York Stock Exchange, or any of their respective successors.

        The closing price of our common stock exceeded 130 percent of the conversion price of the 2016 Convertible Notes for more than 20 trading days during the 30 consecutive trading day period ended December 31, 2013. Consequently, the 2016 Convertible Notes are convertible at the election of their holders. As this conversion right is not within our control, the 2016 Convertible Notes have been classified as a current liability on our consolidated balance sheet at December 31, 2013. We are required to calculate this contingent conversion criteria at the end of each quarterly reporting period. Therefore, the convertibility and classification of our 2016 Convertible Notes may change depending on the price of our common stock.

        Upon conversion, holders of our 2016 Convertible Notes are entitled to receive: (1) cash equal to the lesser of the principal amount of the notes or the conversion value (the number of shares underlying the 2016 Convertible Notes multiplied by the then-current conversion price per share); and (2) to the extent the conversion value exceeds the principal amount of the notes, shares of our common stock. In the event of a change in control, as defined in the indenture under which the 2016 Convertible Notes have been issued, holders can require us to purchase all or a portion of their 2016 Convertible Notes for 100 percent of the principal amount plus any accrued and unpaid interest. It is our expectation, based on our understanding of the historical behavior of holders of convertible notes with similar terms and our experience from a previous issue of our senior convertible notes, that most, if not all, of our outstanding 2016 Convertible Notes will be held until maturity. We currently have sufficient cash and cash equivalents and borrowing capacity to fund any conversions.

Mortgage Financing

        In December 2010, we entered into a Credit Agreement with Wells Fargo and Bank of America, N.A., pursuant to which we obtained a $70.0 million mortgage loan (the 2010 Credit Agreement). The 2010 Credit Agreement matures in December 2014, with a principal payment of $66.5 million due, and is secured by certain of our facilities in Research Triangle Park, North Carolina and Silver Spring, Maryland. Annual principal payments were based on a twenty-five year amortization schedule using a

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fixed rate of interest of 7.0 percent and the outstanding debt bears a floating rate of interest per annum based on the one-month LIBOR, plus a credit spread of 3.75 percent, or approximately 3.9 percent as of December 31, 2013. Alternatively, we have the option to change the rate of interest charged on the loan as specified in the 2010 Credit Agreement. We can prepay the outstanding loan balance without being subject to a prepayment premium or penalty. The 2010 Credit Agreement subjects us to financial covenants, and as of December 31, 2013, we were in compliance with these covenants. We currently have sufficient cash and cash equivalents and borrowing capacity to fund the amounts due at maturity.

Share Tracking Award Plans

        Awards granted under our STAP entitle participants to receive in cash the appreciation in our common stock, which is calculated as the increase in the closing price of our common stock between the date of grant and the date of exercise. Depending on the future price movements of our common stock, cash requirements associated with the exercise of awards could be significant. At December 31, 2013, the fair value of STAP awards that could potentially be exercised during 2014 was $217.9 million. We review the potential future cash requirements of the STAP program annually. Based on our review, we can modify our operating budgets, the metrics used in determining the number of awards to be granted, or both. We currently have sufficient cash and cash equivalents and borrowing capacity to fund any STAP awards which could be exercised during 2014 and beyond. In addition, in January 2014 our Board of Directors approved a 3.0 million increase in the number of available STAP awards to accommodate anticipated future grants of STAP awards under our long-term incentive bonus and compensation programs during 2014 and 2015.

Share Repurchases

        In June 2012, our Board of Directors authorized the repurchase of up to $100.0 million of aggregate repurchases of our common stock (2012 Repurchase Program). We completed the 2012 Repurchase Program by acquiring approximately 2.0 million shares of our common stock at an aggregate cost of $100.0 million during the second half of 2012.

        On February 4, 2013, we announced that our Board of Directors authorized a new share repurchase program for up to $420.0 million in aggregate repurchases of our common stock from time to time at our discretion (2013 Repurchase Program). Repurchases under the 2013 Repurchase Program may be made in the open market or in privately negotiated transactions. The 2013 Repurchase Program is effective for a two-year period beginning on March 4, 2013 and is funded by cash generated from operations and existing cash and short-term marketable investments. As of December 31, 2013, we have repurchased approximately 708,998 shares of our common stock at a cost of $42.4 million under this repurchase plan.

Toray License Obligations

        Pursuant to a March 2007 amendment to our license agreement for the development of beraprost, we issued 400,000 shares of our common stock to Toray. Toray has the right to request that we repurchase these shares at their issuance price of $27.21 per share upon 30 days prior written notice. To date, Toray has not notified us that it intends to require us to repurchase these shares.

        As part of the July 2011 amendment to our license, we agreed to pay Toray $50.0 million in equal, non-refundable payments over a five-year period ending in 2015 in exchange for a reduction in royalty rates. As of December 31, 2013, the undiscounted outstanding balance of this obligation was $20.0 million.

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Obligations Under License and Assignment Agreements

        Under our assignment agreement with GlaxoSmithKline PLC, we are obligated to make royalty payments through October 2014 at a rate of ten percent of the net sales of Remodulin, Tyvaso and Orenitram once the annual combined net sales of these products exceed $25.0 million. In addition, we pay Lilly a five percent royalty on net sales of Adcirca. Upon commercial launch of Orenitram in 2014, we will owe Supernus Pharmaceuticals Inc. a $2.0 million milestone payment, plus a single-digit percentage royalty based on net sales of Orenitram.

        We have entered into other license rights arrangements under which we are required to make milestone payments upon the achievement of certain developmental and commercialization objectives and royalty payments upon the commercialization of related licensed technology.

Off-Balance Sheet Arrangements

        We do not have any off-balance sheet arrangements within the meaning of Item 303(a)(4) of Regulation S-K.

Contractual Obligations

        At December 31, 2013, we had the following contractual obligations (in thousands):

	Payments Due by Period
	Total		Less than 1 year		2-3 Years		4-5 Years		More than 5 Years
2016 Convertible Notes(1)	$	250,000	$	—	$	250,000	$	—	$	—
Mortgage and other loans		70,337		66,636		3,587		114		—
Operating lease obligations		15,229		3,285		6,238		5,341		365
Obligations under the STAP(2)		494,633		296,710		102,782		95,141		—
Obligations under the SERP(3)		52,832		—		23,502		—		29,330
Purchase commitments		24,500		14,500		10,000		—		—
Milestone payments under license and acquisition agreements(4)		28,746		7,009		7,329		7,976		6,432
Total(5)	$	936,277	$	388,140	$	403,438	$	108,572	$	36,127

(1)

Assumes no early conversions and that the price of our common stock will exceed the conversion value so that the full principal balance of our 2016 Convertible Notes is paid at their contractual maturity date.

(2)

Estimated based on the intrinsic value of outstanding STAP awards expected to vest as of December 31, 2013, assuming that awards will be exercised immediately upon vesting. Refer to Note 7—Share Tracking Award Plans to our consolidated financial statements included in this Annual Report on Form 10-K for further details.

(3)

Consists of actuarially derived, estimated future payouts of benefits. Refer to Note 14—Employee Benefit Plans—Supplemental Executive Retirement Plan to our consolidated financial statements included in this Annual Report on Form 10-K for further details.

(4)

Based on our estimates of the timing and probability of achieving milestones specified under our various license and acquisition agreements.

(5)

As of December 31, 2013, we had $2.8 million in unrecognized tax benefits. The contractual obligations disclosed above exclude these amounts due to the uncertainty surrounding the amounts and timing of future payments.

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Summary of Critical Accounting Policies and Estimates

        We prepare our consolidated financial statements in conformity with generally accepted accounting principles in the United States (GAAP). GAAP requires that we make estimates and assumptions that affect the amounts and timing reported in our consolidated financial statements. As we become aware of updated information or new developments, these estimates and assumptions may change and materially impact reported amounts. We consider the following accounting policies to be critical to our consolidated financial statements because they require the use of our judgment and estimates (including those that are forward-looking) in their application.

Revenue Recognition

Remodulin and Tyvaso

        We market Remodulin and Tyvaso to specialty pharmaceutical distributors under materially similar contractual arrangements. Sales of Remodulin and Tyvaso are recognized when title and risk of ownership pass to our distributors upon satisfactory delivery to our distributors' facilities—i.e., when all of our performance obligations under these distributor arrangements have been satisfied. We record sales of Remodulin and Tyvaso net of: (1) estimated rebates, (2) prompt payment discounts and (3) service fees we pay to distributors. Determining sales allowances involves the use of significant estimates and judgment and may involve the use of information from external sources.

        We derive our provisions for rebates from an analysis of historical levels of rebates to both state Medicaid agencies and commercial third-party payers by product, relative to sales of each product. In formulating our estimates, we also consider the impact of anticipated changes in product prices, sales trends and changes to government rebate programs, particularly as they relate to eligibility requirements and/or rebate pricing. We analyze rebate data separately for Remodulin and Tyvaso, as these therapies have different routes of administration to treat PAH patients at different stages in the disease continuum and therefore, rebate eligibility and pricing requirements can differ for each therapy.

        We estimate prompt pay discounts based on observed payment behavior. Our distributors have routinely taken advantage of these discounts and we expect them to continue to do so.

        We pay our distributors for contractual services rendered and accrue for related fees based on contractual rates applied to the estimated units of service provided by distributors for a given financial reporting period.

        Our distributors do not have return rights; however, we provide exchange rights in the event that product is damaged during shipment or expires. Exchanges for damaged product are rare. In the event that Remodulin or Tyvaso has been damaged during shipment and we have been promptly notified as required under our distributor arrangements, we do not recognize revenue on that shipment until damaged product has been satisfactorily replaced. Replacement generally occurs within several days after we are notified of the damage. The number of product exchanges due to expiration has been negligible because we sell Remodulin and Tyvaso with expiration dates in excess of one year and our distributors typically carry a thirty- to sixty-day supply of related inventories. In addition, we do not require, nor do we provide incentives for our distributors to assume, inventory levels of Remodulin or Tyvaso beyond that which would be considered reasonable and customary in the ordinary course of business. In addition, we monitor inventory levels closely in the distribution channels.

        The financial effects of exchange rights for Remodulin and Tyvaso have been immaterial and we expect the future volume of exchanges to be consistent with historical levels. Specifically, exchanges for Remodulin and Tyvaso have comprised significantly less than one percent of the volume of units sold. Since exchanges of Remodulin and Tyvaso have been, and are expected to be, insignificant, we do not recognize a reserve for estimated exchange rights in the period of sale. Lastly, we regularly monitor

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exchange data for both of these therapies to ensure that our assumptions continue to be reasonable, appropriate and current.

Adcirca

        Adcirca is manufactured for us by Lilly and distributed through Lilly's pharmaceutical wholesaler network. Specifically, Lilly handles all of the administrative functions associated with the sale of Adcirca on our behalf, including the receipt and processing of customer purchase orders, shipment of Adcirca to customers and the invoicing and collection of customer payments. In addition, sales terms for Adcirca include return rights that extend throughout the distribution channel. We recognize sales of Adcirca on a gross basis (net of allowances) upon delivery to customers due to the following factors: (1) we are responsible for the acceptability of the product sold; (2) we bear all inventory risk, as title and risk of loss pass to us at the shipping point from Lilly's manufacturing facility; (3) we assume credit risk if Lilly is unable to collect amounts due from customers; (4) we bear the return of product risk; and (5) we assume the risk and cost of a product recall, if required.

        We recognize sales of Adcirca net of: (1) estimated rebates; (2) prompt pay discounts; (3) allowances for product returns; and (4) wholesaler fees. We estimate our liability for rebates based on an analysis of historical levels of rebates to both Medicaid and commercial third-party payers and we consider the impact of sales trends, changes in government and commercial rebate programs and anticipated changes in Adcirca's pricing. In addition, we determine our obligation for prescription drug discounts required for Medicare Part D patients within the coverage gap based on estimations of the number of Medicare Part D patients and the period such patients will remain within the coverage gap. We base our estimates for prompt pay discounts on observed customer payment behavior and expectations regarding the future utilization of such discounts. Prior to 2013, we derive estimates relating to our allowance for returns of Adcirca from published industry data specific to specialty pharmaceuticals and, beginning in 2013, from actual return data accumulated since launch. This change in the methodology for estimating returns of Adcirca resulted in a $3.1 million reduction of our allowance for returns for the twelve-month period ending December 31, 2013. In addition, we quarterly compare patient prescription data for Adcirca to sales of Adcirca to ensure a reasonable relationship between prescription and sales trends. To date, we have not identified any unusual patterns in the volume of prescriptions relative to sales that would warrant reconsideration of, or adjustment to, the methodology we currently employ to estimate our allowance for returns. Lastly, wholesaler fees are based on contractual percentages of wholesalers' sales.

Share-Based Compensation

        Our share-based awards are classified as either equity (stock options and our employee stock purchase plan) or as liabilities (STAP awards). We recognize related share-based compensation expense based on the fair value of the options granted to purchase stock and on outstanding STAP awards. We estimate the fair value of all share-based awards using the Black-Scholes-Merton valuation model. Valuation models, like the Black-Scholes-Merton model, require the use of subjective assumptions that could materially impact the estimation of fair value and related compensation expense to be recognized. These assumptions include, among others, the expected volatility of our stock price, the expected term of awards and the expected forfeiture rate. Developing these assumptions requires the use of judgment.

Marketable Investments

        Substantially all of our marketable securities are classified as held-to-maturity. For marketable investments in which the fair value is lower than the carrying value, we periodically review these securities to determine whether the related impairments are other than temporary. This review requires us to make judgments, particularly as they relate to: (1) the extent and duration of a decline in the fair

83

value of a security; (2) the probability, extent and timing of a recovery of a security's value; (3) our assessment as to whether it is more likely than not that we will be required to sell a security prior to recovery of its amortized cost; and (4) our estimation of the present value of the cash flows we would expect to collect that are attributable to an impaired debt security to determine whether a credit loss exists. The scope of this evaluation requires forward-looking assessments pertaining to a security and the relevant financial markets, an issuer's financial condition and business outlook, and our estimation of the value of cash flows we would expect to collect from an issuer upon maturity of an impaired security. Accordingly, we must make assessments regarding current conditions and future events, which involve a considerable degree of uncertainty and judgment. When we determine that the decline in value of a security is other than temporary, we are required to recognize the credit loss portion as an impairment charge to our consolidated statement of operations.

        In addition, we classify substantially all of our marketable investments as held-to-maturity because we believe we have the positive intent and ability to hold related securities until they mature. This assertion requires us to make forward-looking judgments regarding our future cash flow requirements relative to the maturity dates of such securities.

Fair Value Measurements

        We are required to disclose assets and liabilities subject to fair value measurements within a specified fair value hierarchy. The fair value hierarchy gives the highest priority to fair value measurements based on unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to fair value measurements derived through the use of unobservable inputs (Level 3 measurements). Assets and liabilities are classified within the fair value hierarchy, in their entirety, based on the lowest level input that is significant to the related fair value measurement. Determining where a particular asset or liability should be disclosed within the hierarchy involves judgment regarding the significance of inputs relative to a fair value measurement and where such inputs lie within the hierarchy. Furthermore, assets and liabilities that are not actively traded may have little or no price transparency. As such, estimating the fair value of Level 3 assets and liabilities involves the use of significant subjective assumptions that we believe market participants would consider in pricing. We often employ a discounted cash flow model to help us estimate the fair value of our Level 3 assets and liabilities. Inputs to the model that involve a significant degree of judgment include estimating the amounts and timing of expected cash flows and determining a suitable discount rate.

Income Taxes

        Income taxes are accounted for in accordance with the asset and liability method. Accordingly, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their tax bases. Deferred tax assets and liabilities are measured using the enacted tax rates that are expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. Deferred tax assets are reduced by a valuation allowance when, in our opinion, it is more likely than not that some or all of the deferred tax assets will not be realized. Evaluating the realizability of deferred assets requires us to review forecasts of earnings and taxable income, among other considerations. Accordingly, the evaluation process as it relates to the realizability of deferred tax assets requires us to make significant judgments and forward-looking assessments regarding the amounts and availability of future taxable income.

        Financial statement recognition of a tax position taken or expected to be taken in a tax return is determined based on a more likely than not threshold of that position being sustained. If the tax position meets this threshold, the benefit to be recognized is measured as the largest amount that is more than 50 percent likely to be realized upon ultimate settlement. Accounting for uncertain tax

84

positions involves considerable judgment in assessing the future tax consequences of amounts that have been recognized in our financial statements or tax returns. The ultimate resolution of uncertain tax positions could result in amounts different from those recognized in our consolidated financial statements.

Intangible Assets and Goodwill

        In connection with transactions that we account for as business combinations, we typically recognize intangible assets, based on their acquisition-date fair value, and goodwill, representing the excess of the fair value of the consideration transferred, over the estimated fair value of assets acquired and liabilities assumed. Measuring the acquisition-date fair value of intangible assets involves the use of significant judgment and estimates with respect to determining, among other inputs: (1) the timing and amounts of cash flows and operating profits for potential product candidates; (2) the timing and probability of regulatory approvals for product candidates under development; (3) the useful lives of potential product candidates; and (4) appropriate discount rates.

        We are required to test goodwill for impairment annually or more frequently if impairment indicators exist. Evaluating goodwill for impairment requires judgment particularly as it relates to determining the fair value of a reporting unit to which goodwill has been assigned. When required, we often use a discounted cash flow model to test goodwill for impairment, which involves the use of significant and subjective inputs. Inputs requiring our judgment include, among others, the estimation of the amounts and timing of future cash flows, future growth rates and profitability of a reporting unit. Changes in our business strategy or adverse changes in market conditions could impact impairment analyses and require the recognition of an impairment charge equal to the excess of the carrying value of goodwill over its implied fair value.

        We test our finite-lived intangible assets for impairment when conditions suggest that their carrying values may not be recoverable. Evaluating intangible assets for impairment requires judgment, particularly when determining amounts of undiscounted cash flows used in assessing recoverability and measuring the fair value of such assets, if necessary. These projections require forward-looking assumptions that may include, among others, estimates of future growth, discount rates and future business or industry conditions. Changes in our business strategy or adverse changes in market conditions could indicate one or more finite-lived intangible assets have been impaired. Therefore, we would be initially required to test such assets for recoverability. If determined unrecoverable, we would recognize an impairment charge equal to the extent the carrying value of such assets exceed their fair value.

Pension Benefit Obligation

        Accounting for our Supplemental Executive Retirement Plan (SERP) requires that we recognize in our consolidated balance sheet a liability equal to the unfunded status of the SERP (the total estimated projected benefit obligation, as we do not fund the SERP) and measure our projected benefit obligation as of the end of our fiscal year. Estimating the SERP obligation involves the use of judgment and estimates. The SERP obligation and related pension expense are derived from actuarial valuations that are developed using a number of assumptions. A key assumption underlying the valuation is the discount rate. The discount rate should be representative of the rate associated with high-quality, fixed-income debt securities. We must consider prevailing economic conditions and outlook, the state of the credit markets and other economic factors when determining an appropriate discount rate to employ. Changes in the discount rate can significantly increase or decrease our SERP obligation. For instance, a reduction in the discount rate would increase our projected benefit obligation and result in an actuarial loss. Consequently, we could be required to recognize additional pension expense in our consolidated statements of operations related to the actuarial loss in future periods if certain thresholds are met. Other actuarial assumptions include participant demographics such as the expected date of retirement,

85

rate of salary increases and withdrawal rates, among other factors. Not only can actual experience differ from actuarial assumptions, but changes in any of these assumptions can also materially affect the measurement of the SERP obligation.

Recently Issued Accounting Standards

        We noted no recent accounting standards updates issued by the Financial Accounting Standards Board (FASB) that would have a material impact on our consolidated financial statements.

ITEM 7A.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

        As of December 31, 2013, we have invested $857.4 million in corporate-debt securities and federally-sponsored agencies. The market value of these investments varies inversely with changes in prevailing market interest rates. In general, as interest rates increase, the market value of a debt investment would be expected to decrease. Conversely, as interest rates decrease, the market value of a debt investment would be expected to increase. To date, we have not experienced significant volatility in the value of these investments. However, to address market risk, we invest in debt securities with terms no longer than three years and hold these investments to maturity so that they can be redeemed at their stated or face value. At December 31, 2013, our investments in debt securities issued by corporations and federally-sponsored agencies had a weighted average stated interest rate of approximately 0.38 percent and a weighted average maturity of 1.1 years. These investments mature at various times through 2016 and many are callable annually.

        During sustained periods of instability and uncertainty in the financial markets, we may be subjected to additional investment-related risks that could materially affect the value and liquidity of our investments. In light of these risks, we actively monitor market conditions and developments specific to the securities and security classes in which we invest. In addition, we believe that we maintain a conservative investment approach in that we invest exclusively in unstructured, highly-rated securities with relatively short maturities that we believe reduce our exposure to undue risks. While we believe we take prudent measures to mitigate investment related risks, such risks cannot be fully eliminated, as circumstances can occur that are beyond our control.

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ITEM 8.    FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

UNITED THERAPEUTICS CORPORATION
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

Report of Independent Registered Public Accounting Firm	F-2
Report of Independent Registered Public Accounting Firm on Internal Control over Financial Reporting	F-3
Consolidated Balance Sheets as of December 31, 2013 and 2012	F-4
Consolidated Statements of Operations for the years ended December 31, 2013, 2012, and 2011	F-5
Consolidated Statements of Comprehensive Earnings for the years ended December 31, 2013, 2012 and 2011	F-6
Consolidated Statements of Stockholders' Equity for the years ended December 31, 2013, 2012 and 2011	F-7
Consolidated Statements of Cash Flows for the years ended December 31, 2013, 2012 and 2011	F-8
Notes to Consolidated Financial Statements	F-9

F-1

Report of Independent Registered Public Accounting Firm

The Board of Directors and Shareholders
United Therapeutics Corporation

        We have audited the accompanying consolidated balance sheets of United Therapeutics Corporation as of December 31, 2013 and 2012, and the related consolidated statements of operations, comprehensive income, stockholders' equity, and cash flows for each of the three years in the period ended December 31, 2013. Our audits also included the financial statement schedule listed in the Index at Item 15 (a) (2). These financial statements and schedule are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements and schedule based on our audits.

        We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

        In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of United Therapeutics Corporation at December 31, 2013 and 2012, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2013, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly in all material respects the information set forth therein.

        We also have audited, in accordance with the Standards of the Public Company Accounting Oversight Board (United States), United Therapeutics Corporation's internal control over financial reporting as of December 31, 2013, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (1992 framework) and our report dated February 25, 2014 expressed an unqualified opinion thereon.

/s/ Ernst & Young LLP

McLean, Virginia
February 25, 2014

F-2

Report of Independent Registered Public Accounting Firm on
Internal Control over Financial Reporting

The Board of Directors and Shareholders
United Therapeutics Corporation

        We have audited United Therapeutics Corporation's internal control over financial reporting as of December 31, 2013, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (1992 framework) (the COSO criteria). United Therapeutics Corporation's management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management's Report on Internal Control Over Financial Reporting. Our responsibility is to express an opinion on the Company's internal control over financial reporting based on our audit.

        We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

        A company's internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company's internal control over financial reporting includes those policies and procedures that: (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company's assets that could have a material effect on the financial statements.

        Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

        In our opinion United Therapeutics Corporation maintained, in all material respects, effective internal control over financial reporting as of December 31, 2013, based on the COSO criteria.

        We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of United Therapeutics Corporation as of December 31, 2013 and 2012 and the related consolidated statements of operations, comprehensive income, stockholders' equity and cash flows for each of the three years in the period ended December 31, 2013 and our report dated February 25, 2014, expressed an unqualified opinion thereon.

/s/ Ernst & Young LLP

McLean, Virginia
February 25, 2014

F-3

UNITED THERAPEUTICS CORPORATION

Consolidated Balance Sheets

(In thousands, except share and per share data)

	December 31,
	2013			2012
Assets
Current assets:
Cash and cash equivalents	$	278,889		$	154,030
Marketable investments		409,645			325,175
Accounts receivable, net of allowance of none for 2013 and 2012		126,297			116,626
Other current assets		46,424			35,385
Inventories, net		47,758			37,254
Total current assets		909,013			668,470
Marketable investments		448,134			305,726
Marketable investments and cash—restricted		5,369			5,377
Goodwill and other intangible assets, net		14,115			16,408
Property, plant, and equipment, net		464,950			453,685
Deferred tax assets, net		192,718			150,147
Other assets		53,268			26,782
Total assets	$	2,087,567		$	1,626,595
Liabilities and Stockholders' Equity
Current liabilities:
Accounts payable and accrued expenses	$	92,244		$	83,188
Convertible notes		215,845			—
Share Tracking Award Plans		287,956			75,412
Mortgages payable—current		66,613			1,291
Other current liabilities		25,016			16,864
Total current liabilities		687,674			176,755
Non-current liabilities:
Convertible notes		—			204,667
Mortgages payable		3,724			70,343
Other liabilities		91,858			79,967
Total liabilities		783,256			531,732
Commitments and contingencies:
Temporary equity		45,037			10,882
Stockholders' equity:
Preferred stock, par value $.01, 10,000,000 shares authorized, no shares issued		—			—
Series A junior participating preferred stock, par value $.01, 100,000 shares authorized, no shares issued		—			—
Common stock, par value $.01, 245,000,000 shares authorized, 63,013,192 and 62,082,007 shares issued, and 50,388,140 and 50,165,953 shares outstanding at December 31, 2013 and 2012, respectively		630			621
Additional paid-in capital		1,057,224			1,015,835
Accumulated other comprehensive loss		(13,183	)		(14,957	)
Treasury stock at cost, 12,625,052 and 11,916,054 shares at December 31, 2013 and 2012, respectively		(513,437	)		(470,998	)
Retained earnings		728,040			553,480
Total stockholders' equity		1,259,274			1,083,981
Total liabilities and stockholders' equity	$	2,087,567		$	1,626,595

See accompanying notes to consolidated financial statements.

F-4

UNITED THERAPEUTICS CORPORATION

Consolidated Statements of Operations

(In thousands, except per share data)

	Year Ended December 31,
	2013			2012			2011
Revenues:
Net product sales	$	1,106,944		$	906,123		$	741,094
Other		10,040			9,953			2,089
Total revenues		1,116,984			916,076			743,183
Operating expenses:
Research and development		299,348			173,387			180,015
Selling, general and administrative		394,010			201,746			156,482
Cost of product sales		131,127			119,297			88,904
Total operating expenses		824,485			494,430			425,401
Operating income		292,499			421,646			317,782
Other (expense) income:
Interest income		3,827			3,941			3,450
Interest expense		(18,058	)		(16,639	)		(21,367	)
Other, net		635			31,723			(748	)
Total other (expense) income, net		(13,596	)		19,025			(18,665	)
Income from continuing operations before income taxes		278,903			440,671			299,117
Income tax expense		(104,343	)		(136,229	)		(81,874	)
Income from continuing operations		174,560			304,442			217,243
Discontinued operations
Income from discontinued operations, net of tax		—			—			7
Gain on disposal of discontinued operations, net of tax		—			—			618
Income from discontinued operations		—			—			625
Net income	$	174,560		$	304,442		$	217,868
Net income per common share:
Basic
Continuing operations	$	3.49		$	5.84		$	3.80
Discontinued operations		0.00			0.00			0.01
Net income per basic common share	$	3.49		$	5.84		$	3.81
Diluted
Continuing operations	$	3.28		$	5.71		$	3.66
Discontinued operations		0.00			0.00			0.01
Net income per diluted common share	$	3.28		$	5.71		$	3.67
Weighted average number of common shares outstanding:
Basic		50,076			52,093			57,163
Diluted		53,231			53,280			59,395

See accompanying notes to consolidated financial statements.

F-5

UNITED THERAPEUTICS CORPORATION

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(In thousands)

	Year Ended December 31,
	2013			2012			2011
Net income	$	174,560		$	304,442		$	217,868
Other comprehensive gain (loss):
Foreign currency translation (loss) gain		(1,193	)		691			(1,709	)
Defined benefit pension plan:
Prior service cost arising during period, net of tax		—			—			(1,010	)
Actuarial gain (loss) arising during period, net of tax		2,075			(5,352	)		431
Less: amortization of actuarial gain and prior service cost included in net periodic pension cost		1,020			522			572
Defined benefit pension plan, net		3,095			(4,830	)		(7	)
Unrealized (loss) gain on available-for-sale securities, net of tax		(128	)		67			6
Other comprehensive gain (loss), net of tax		1,774			(4,072	)		(1,710	)
Comprehensive income	$	176,334		$	300,370		$	216,158

See accompanying notes to consolidated financial statements.

F-6

UNITED THERAPEUTICS CORPORATION

Consolidated Statements of Stockholders' Equity

(In thousands, except share data)

	Common Stock							Accumulated Other Comprehensive Income/(Loss)
					Additional Paid-in Capital						Treasury Stock			Retained Earnings		Stockholders' Equity
	Shares		Amount
Balance, December 31, 2010		60,017,546	$	600	$	928,690		$	(9,175	)	$	(67,399	)	$	31,170	$	883,886
Net income		—		—		—			—			—			217,868		217,868
Foreign currency translation adjustments		—		—		—			(1,709	)		—			—		(1,709	)
Unrealized gain on available-for-sale securities		—		—		—			6			—			—		6
Defined benefit pension plan		—		—		—			(7	)		—			—		(7	)
Shares received upon sale of subsidiary		—		—		—			—			(2,750	)		—		(2,750	)
Conversion of 2011 convertible notes and exercise of convertible note hedge		650,827		7		27,287			—			(27,294	)		—		—
Issuance of 2016 convertible notes		—		—		56,192			—			—			—		56,192
2016 convertible note hedge and warrants, net of tax		—		—		(29,069	)		—			—			—		(29,069	)
Repurchase of shares		—		—		(26,211	)		—			(185,555	)		—		(211,766	)
Exercise of stock options		837,690		8		23,955			—			—			—		23,963
Tax benefit from exercises of non-qualified stock options		—		—		11,347			—			—			—		11,347
Share-based compensation		—		—		527			—			—			—		527
Balance, December 31, 2011		61,506,063		615		992,718			(10,885	)		(282,998	)		249,038		948,488
Net income		—		—		—			—			—			304,442		304,442
Foreign currency translation adjustments		—		—		—			691			—			—		691
Unrealized gain on available-for-sale securities		—		—		—			67			—			—		67
Defined benefit pension plan		—		—		—			(4,830	)		—			—		(4,830	)
Repurchase of shares		—		—		—			—			(188,000	)		—		(188,000	)
Exercise of stock options		575,944		6		16,799			—			—			—		16,805
Tax benefit from exercises of non-qualified stock options		—		—		3,054			—			—			—		3,054
Share-based compensation		—		—		3,264			—			—			—		3,264
Balance, December 31, 2012		62,082,007		621		1,015,835			(14,957	)		(470,998	)		553,480		1,083,981
Net income		—		—		—			—			—			174,560		174,560
Foreign currency translation adjustments		—		—		—			(1,193	)		—			—		(1,193	)
Unrealized (loss) on available-for-sale securities		—		—		—			(128	)		—			—		(128	)
Defined benefit pension plan		—		—		—			3,095			—			—		3,095
Shares issued under employee stock purchase plan		55,070		1		2,734			—			—			—		2,735
Equity component—2016 convertible notes (Note 10)		—		—		(34,155	)		—			—			—		(34,155	)
Repurchase of shares		—		—		—			—			(42,439	)		—		(42,439	)
Exercise of stock options		876,115		8		26,611			—			—			—		26,619
Tax benefit from exercises of non-qualified stock options		—		—		9,299			—			—			—		9,299
Share-based compensation		—		—		36,900			—			—			—		36,900
Balance, December 31, 2013		63,013,192	$	630	$	1,057,224		$	(13,183	)	$	(513,437	)	$	728,040	$	1,259,274

See accompanying notes to consolidated financial statements.

F-7

UNITED THERAPEUTICS CORPORATION

Consolidated Statements of Cash Flows

(In thousands)

	Year Ended December 31,
	2013			2012			2011
Cash flows from operating activities:
Net income	$	174,560		$	304,442		$	217,868
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		31,259			27,145			20,535
Provisions for inventory obsolescence		2,590			11,829			5,180
Share-based compensation expense (benefit)		320,786			30,115			(15,715	)
Impairment write downs		—			6,804			—
Expense associated with outstanding license fees		—			—			37,049
Amortization of debt discount and debt issue costs		12,601			11,064			19,359
Current and deferred tax expense		104,343			136,229			81,432
Amortization of discount or premium on investments		4,501			4,604			4,474
Excess tax benefits from share-based compensation		(9,299	)		(3,054	)		(11,347	)
Other		592			2,642			2,614
Changes in assets and liabilities:
Accounts receivable		(10,027	)		(23,991	)		(16,158	)
Inventories		(12,394	)		(5,933	)		(16,055	)
Other assets		(5,112	)		(9,705	)		(5,733	)
Accounts payable and accrued expenses		7,507			(22,804	)		20,251
Other liabilities		(196,640	)		(145,759	)		(93,559	)
Net cash provided by operating activities		425,267			323,628			250,195
Cash flows from investing activities:
Purchases of property, plant and equipment		(31,910	)		(111,905	)		(35,978	)
Purchases of held-to-maturity investments		(762,198	)		(579,316	)		(815,684	)
Maturities of held-to-maturity investments		529,900			527,858			733,876
Investments in privately-owned companies		(30,766	)		—			—
Acquisitions		—			—			(3,547	)
Net cash used in investing activities		(294,974	)		(163,363	)		(121,333	)
Cash flows from financing activities:
Principal payments of debt		(1,320	)		(999	)		(251,039	)
Proceeds received from issuance of debt		—			—			250,000
Payments of transaction costs related to issuance of debt		—			—			(7,535	)
Payment for convertible note hedge and warrants, net		—			—			(33,250	)
Payments to repurchase common stock		(42,439	)		(188,000	)		(212,000	)
Proceeds from exercise of stock options		26,611			16,805			24,398
Proceeds from employee stock purchase plan		2,734			—			—
Excess tax benefits from share-based compensation		9,299			3,054			11,347
Net cash used in financing activities		(5,115	)		(169,140	)		(218,079	)
Effect of exchange rate changes on cash and cash equivalents		(319	)		229			(269	)
Net (decrease) increase in cash and cash equivalents		124,859			(8,646	)		(89,486	)
Cash and cash equivalents, beginning of year		154,030			162,676			252,162
Cash and cash equivalents, end of year	$	278,889		$	154,030		$	162,676
Supplemental cash flow information:
Cash paid for interest	$	5,518		$	5,302		$	4,103
Cash paid for income taxes	$	142,140		$	101,505		$	46,510
Non-cash investing and financing activities:
Acquisitions—non-cash consideration	$	—		$	—		$	5,873
Non-cash additions to property, plant and equipment	$	9,018		$	1,820		$	23,063
Issuance of common stock upon conversion of convertible notes	$	—		$	—		$	27,294
Assumption of mortgage in connection with the acquisition of property	$	—		$	—		$	3,736

See accompanying notes to consolidated financial statements.

F-8

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements

1. Organization and Business Description

        United Therapeutics Corporation is a biotechnology company focused on the development and commercialization of unique products to address the unmet medical needs of patients with chronic and life-threatening conditions. As used in these notes to the consolidated financial statements, unless the context otherwise requires, the terms "we", "us", "our," and similar terms refer to United Therapeutics Corporation and its consolidated subsidiaries.

        We have approval from the United States Food and Drug Administration (FDA) to market the following therapies: Remodulin® (treprostinil) Injection (Remodulin), Tyvaso® (treprostinil) Inhalation Solution (Tyvaso), Adcirca® (tadalafil) tablets (Adcirca) and, since December 2013, Orenitram™ (treprostinil) Extended-Release Tablets (Orenitram). We expect to launch Orenitram sales in the United States in mid-2014. Remodulin has also been approved in various countries outside the United States.

2. Summary of Significant Accounting Policies

Basis of Presentation and Principles of Consolidation

        The accompanying consolidated financial statements of United Therapeutics and its wholly owned subsidiaries have been prepared in accordance with accounting principles generally accepted in the United States (GAAP). All intercompany balances and transactions have been eliminated in consolidation. In March 2011, we sold our wholly-owned telemedicine subsidiary, Medicomp, Inc. (Medicomp). Accordingly, the operating results of Medicomp for the year ended December 31, 2011 have been presented within discontinued operations on our consolidated statement of operations. We did not recast our consolidated statement of cash flows for the year ended December 31, 2011 to reflect the classification of Medicomp as a discontinued operation as the impact was not significant to that statement (refer to Note 18—Sale of Medicomp, Inc.).

Use of Estimates

        The preparation of the consolidated financial statements in accordance with GAAP requires our management to make estimates and assumptions that affect reported amounts of assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. We base our estimates on assumptions regarding historical experience, currently available information and anticipated developments that we believe are reasonable and appropriate. However, because the use of estimates involves an inherent degree of uncertainty, actual results could differ from those estimates. Our significant accounting policies that require use of subjective and/or complex judgment and estimates impact the following financial statement areas: revenue recognition, share-based compensation, marketable investments, fair value measurements (including those relating to our acquisitions), income taxes, goodwill and other intangible assets, and obligations related to our Supplemental Executive Retirement Plan.

Fair Value of Financial Instruments

        The carrying amounts of cash and cash equivalents, accounts receivables, accounts payable, and accrued expenses approximate fair value because of their short maturities. The fair values of our marketable investments and 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes) are reported in Note 4—Marketable Investments and Note 5—Fair Value Measurements, respectively. The recorded value of our 2010 Wells Fargo Bank mortgage financing

F-9

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

2. Summary of Significant Accounting Policies (Continued)

approximates its fair value as it bears a variable rate of interest that we believe approximates the market rate of interest for debt with similar credit risk profiles, terms and maturities. Refer to Note 8—Debt—Mortgage Financing—Wells Fargo Bank.

Fair Value Measurements

        Fair value is a market-based measurement, not an entity-specific measurement. The objective of a fair value measurement is to estimate the price to sell an asset or transfer a liability in an orderly transaction between market participants at the measurement date under current market conditions. Such transactions to sell an asset or transfer a liability are assumed to occur in the principal market for that asset or liability, or in the absence of the principal market, the most advantageous market for the asset or liability.

        Assets and liabilities subject to fair value measurement disclosures are required to be classified according to a three-level fair value hierarchy with respect to the inputs (or assumptions) used to determine fair value. Observable inputs such as unadjusted quoted market prices for identical assets or liabilities are given the highest priority within the hierarchy (Level 1). When observable inputs are unavailable, fair value is measured using unobservable inputs—i.e., inputs that a reporting entity believes market participants would use in pricing that are developed based on the best information available. Unobservable inputs are given the lowest priority within the hierarchy (Level 3). The level in which an asset or liability is disclosed within the fair value hierarchy is based on the lowest level input that is significant to the related fair value measurement in its entirety. The guidance under the fair value measurement framework applies to other existing accounting guidance in the Financial Accounting Standard Board (FASB) codification that requires or permits fair value measurements. Refer to related disclosures at Note 5—Fair Value Measurements to these consolidated financial statements.

Cash Equivalents

        Cash equivalents consist of highly liquid investments with maturities of three months or less from the date of acquisition and include money market funds, commercial paper, and certificates of deposit.

Marketable Investments

        Substantially all of our marketable investments are debt securities that we classify as held-to-maturity because of our positive intent and ability to hold the securities until maturity. Held-to-maturity securities are classified as either current or non-current assets on our consolidated balance sheets based on their contractual maturity dates and are recorded at amortized cost, adjusted for the amortization of discounts or premiums. Related discounts and premiums are amortized over the term of these securities as an adjustment to yield using the effective interest method.

        We monitor our investment portfolio for impairment quarterly or more frequently if circumstances warrant. In the event that the carrying value of an investment exceeds its fair value and the decline in value is determined to be other-than-temporary, we record an impairment charge within earnings attributable to the estimated credit loss. In determining whether a decline in the value of an investment is other-than-temporary, we evaluate currently available factors that may include, among others: (1) general market conditions, (2) the duration and extent to which fair value has been less than the carrying value, (3) the investment issuer's financial condition and business outlook, and (4) our

F-10

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

2. Summary of Significant Accounting Policies (Continued)

assessment as to whether it is more likely than not that we will be required to sell a security prior to recovery of its amortized cost basis.

Trade Receivables

        Trade receivables consist of short-term amounts due from customers and are stated at the amount we expect to collect. We establish an allowance for doubtful accounts, if any, based on our assessment of the collectability of specific customer accounts.

Inventories

        Inventories are stated at the lower of cost (first-in, first-out method) or market (current replacement cost) and consist of the following, net of reserves (in thousands):

	As of December 31,
	2013		2012
Raw materials	$	18,377	$	13,603
Work-in-progress		11,802		11,708
Finished goods		17,579		11,943
Total inventories(1)	$	47,758	$	37,254

(1)

During the year ended December 31, 2012, we increased our reserves for obsolescence by $8.9 million, which represents the cost of the nebulizers incorporated into our Tyvaso Inhalation System expected to be rendered obsolete based on the then pending commercial release in 2013 of our improved nebulizer, the TD-100.

Goodwill and Other Intangible Assets

        The carrying amount of goodwill is not amortized but is subject to annual impairment testing. We conduct our impairment testing of goodwill annually during the fourth quarter, or more frequently, if impairment indicators exist. Initially, we evaluate various pertinent qualitative factors to assess whether it is more likely than not that the fair value of a reporting unit to which goodwill has been assigned is less than its carrying value. Such qualitative factors can include, among others: (1) industry and market conditions; (2) present and anticipated sales and cost factors; and (3) overall financial performance. If we conclude based on our qualitative assessment that it is more likely than not that the fair value of a reporting unit is less than its carrying value, we then measure the fair value of the reporting unit and compare its fair value to its carrying value (Step 1 of the goodwill impairment test). If the carrying amount of the reporting unit exceeds its fair value, then the amount of an impairment loss, if any, is measured as the excess of the recorded amount of goodwill over its implied fair value (Step 2 of the goodwill impairment test).

        Intangible assets subject to amortization are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an intangible asset may not be recoverable. Impairment losses are measured and recognized to the extent the carrying value of such assets exceeds their fair value.

F-11

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

2. Summary of Significant Accounting Policies (Continued)

        Goodwill and other intangible assets comprise the following (in thousands):

	As of December 31, 2013							As of December 31, 2012
	Gross		Accumulated Amortization			Net		Gross		Accumulated Amortization			Net
Goodwill(1)	$	10,703	$	—		$	10,703	$	10,530	$	—		$	10,530
Other intangible assets(1):
Technology, patents and trade names		5,049		(3,730	)		1,319		4,859		(2,825	)		2,034
Customer relationships and non-compete agreements		4,947		(2,886	)		2,061		4,749		(2,232	)		2,517
Contract-based		2,020		(1,988	)		32		2,020		(693	)		1,327
Total	$	22,719	$	(8,604	)	$	14,115	$	22,158	$	(5,750	)	$	16,408

(1)

Includes foreign currency translation adjustments.

        We are amortizing other intangible assets over an estimated weighted average life of 6.0 years. Related amortization expense for the years ended December 31, 2013, 2012 and 2011, was $2.6 million, $2.1 million and $1.7 million, respectively. As of December 31, 2013, aggregate amortization expense relating to intangible assets for each of the five succeeding years and thereafter is estimated as follows (in thousands):

Year Ended December 31,
2014	$	1,385
2015		1,090
2016		562
2017		375
2018		—
Thereafter		—
	$	3,412

Property, Plant and Equipment

        Property, plant and equipment is recorded at cost and depreciated over its estimated useful life using the straight-line method. The estimated useful lives of property, plant and equipment by major category are as follows:

Buildings	25-39 Years
Building improvements	10-39 Years
Furniture, equipment and vehicles	3-15 Years
Leasehold improvements	Remaining lease term, or the estimated useful life of the improvement, whichever is shorter

F-12

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

2. Summary of Significant Accounting Policies (Continued)

        Property, plant and equipment consists of the following (in thousands):

	As of December 31,
	2013			2012
Land	$	47,677		$	38,104
Buildings, building improvements and leasehold improvements		381,577			393,174
Buildings under construction		32,609			4,302
Furniture, equipment and vehicles		109,295			96,096
		571,158			531,676
Less—accumulated depreciation		(106,208	)		(77,991	)
Property, plant and equipment, net	$	464,950		$	453,685

        Depreciation expense for the years ended December 31, 2013, 2012 and 2011 was $28.6 million, $25.0 million and $18.2 million, respectively.

        Buildings under construction consist of direct costs relating to our construction projects and include capitalized interest.

Treasury Stock

        Treasury stock is recorded at cost, including commissions and fees. The cost of treasury shares sold is determined using the first-in, first-out method. Related gains and losses on sales of treasury stock are recognized as adjustments to stockholders' equity.

Revenue Recognition

Remodulin and Tyvaso

        We sell both Remodulin and Tyvaso to our specialty pharmaceutical distributors under similar contractual arrangements. Sales of Remodulin and Tyvaso are recognized when title and risk of ownership pass to our distributors upon satisfactory delivery—i.e., when all of our performance obligations under these distributor arrangements have been satisfied. We record sales of Remodulin and Tyvaso net of various product sales allowances in the period that associated revenues are recognized. These sales allowances include estimated rebates, prompt payment discounts and service fees paid to our distributors. Calculating these sales allowances involves the use of significant estimates and judgments and information obtained from external sources.

        We derive our provisions for rebates from an analysis of historical levels of rebates to both state Medicaid agencies and commercial third-party payers by product, relative to sales of each product. In formulating our estimates, we also consider the impact of anticipated changes in our product pricing, if any, sales trends and government rebate programs, particularly as they relate to eligibility requirements and/or rebate pricing.

        We estimate prompt pay discounts based on observed payment behavior. Our distributors have routinely taken advantage of these discounts and we expect them to continue to do so.

F-13

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

2. Summary of Significant Accounting Policies (Continued)

        We pay our distributors for contractual services rendered and accrue for related fees based on contractual rates applied to the estimated units of service provided by distributors for a given financial reporting period.

        Our distributors do not possess return rights; however, we provide exchange rights in the event that product is damaged during shipment or expires. Exchanges for damaged product are highly infrequent. In the event that Remodulin or Tyvaso has been damaged during shipment and we have been promptly notified as required under our distributor arrangements, we do not recognize revenue on that shipment until damaged product has been replaced. Replacement of damaged product generally occurs within several days after notification of the damage. Furthermore, the number of product exchanges due to expiration has been minimal because we sell Remodulin and Tyvaso with a remaining shelf life in excess of one year and our distributors typically carry a thirty- to sixty-day supply of our products at any given time. In addition, we closely track inventory levels held by our distributors. Except for contractual minimum inventory levels to prevent shortages of drug supply, we do not require, nor do we provide incentives for our distributors to assume, inventory levels of Remodulin or Tyvaso beyond what would be considered reasonable and customary in the ordinary course of business.

        The financial effects of exchange rights for Remodulin and Tyvaso have been immaterial and we expect the volume of exchanges to be consistent with historical levels. Specifically, exchanges of Remodulin and Tyvaso have comprised substantially less than one percent of the volume of the units that we sell. Because historical and anticipated future exchanges of Remodulin and Tyvaso have been and are expected to be immaterial, we do not record a reserve for estimated exchange rights in the period of sale. Lastly, we closely monitor product exchange data for both of these therapies to ensure that our assumptions continue to be reasonable, appropriate and current.

Adcirca

        Adcirca is manufactured for us by Eli Lilly and Company (Lilly) and distributed through Lilly's pharmaceutical wholesaler network. Specifically, Lilly handles all of the administrative functions associated with the sale of Adcirca on our behalf, including the receipt and processing of customer purchase orders, shipment to customers, and invoicing and collection of customer payments. In addition, sales terms for Adcirca include return rights that extend throughout the distribution channel. We recognize sales of Adcirca on a gross basis (net of allowances) upon delivery to customers due to the following factors: (1) we are responsible for the acceptability of the product purchased by wholesalers; (2) we bear all inventory risk, as title and risk of loss pass to us at the shipping point from Lilly's manufacturing facility; (3) we assume credit risk if Lilly is unable to collect amounts due from customers; and (4) we assume the risk and cost of a product recall, if required.

        We recognize sales of Adcirca net of: (1) estimated government-based and commercial payer rebates; (2) prompt pay discounts; (3) allowances for product returns; and (4) wholesaler fees. We estimate our liability for rebates based on an analysis of historical levels of rebates to both Medicaid and commercial third-party payers and we consider the impact of sales trends, changes in government and commercial rebate programs and anticipated changes in Adcirca's pricing. We base our estimates for prompt pay discounts on observed customer payment behavior and expectations regarding the future utilization of such discounts. Prior to 2013, we derived estimates relating to our allowance for returns of Adcirca from published industry data specific to specialty pharmaceuticals. Beginning in 2013, we derive these estimates based on actual return data accumulated since the commercial launch

F-14

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

2. Summary of Significant Accounting Policies (Continued)

of Adcirca in 2009. This change in the methodology for estimating returns resulted in a $3.1 million reduction of our allowance for returns for the twelve-month period ending December 31, 2013. In addition, we compare patient prescription data for Adcirca to sales of Adcirca on a quarterly basis to ensure a reasonable relationship between prescription and sales trends. To date, we have not identified any unusual patterns in the volume of prescriptions relative to sales that would warrant reconsideration of, or adjustment to, the methodology we currently employ to estimate our allowance for returns. Lastly, wholesaler fees are based on contractual percentages of sales to wholesalers.

Research and Development

        Research and development costs are expensed as incurred except for refundable payments made in advance of services to be provided to us. Related expenses consist of internal labor and overhead, costs to acquire pharmaceutical products and product rights for development, materials used in clinical trials and amounts paid to third parties for services and materials relating to drug development and clinical trials.

        We recognize the following as research and development expense in the period related costs are incurred:

•

Costs associated with in-house or contracted production activities prior to receiving FDA approval for such facilities, or for major unproven changes to our production processes;

•

Costs incurred in licensing the rights to technologies in the research and development stage that have no alternative future uses; and

•

Up-front payments made in connection with arrangements to obtain license and distribution rights to pharmaceutical product candidates prior to regulatory approval, absent any alternative future uses.

Share-Based Compensation

        Share-based awards that require cash settlement upon exercise, such as those granted under our Share Tracking Award Plans, are classified as a liability. Accordingly, the fair value of related cash-settled awards is re-measured at each reporting date until awards are exercised or are otherwise no longer outstanding. Related changes in the fair value of outstanding cash-settled awards at each financial reporting date are recognized as adjustments to share-based compensation expense.

        Generally, the fair value of a stock option grant is measured on its grant date and related compensation expense is recognized ratably over the requisite service period. Compensation expense is recognized in its entirety based on the grant-date fair value for stock option awards that vest immediately upon issuance. Compensation expense is accrued for performance-based stock option grants when we determine it is probable that the performance criteria will be met. We issue new shares of our common stock upon the exercise of stock options.

        We measure the fair value of stock to be purchased through our employee stock purchase plan at the beginning of an offering period, or grant date, and recognize related compensation expense ratably over the requisite service period (the offering period). We issue new shares of our common stock upon the end of each offering period, or exercise date.

F-15

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

2. Summary of Significant Accounting Policies (Continued)

Income Taxes

        Income taxes are accounted for in accordance with the asset and liability method. Accordingly, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their tax bases. Deferred tax assets and liabilities are measured using the enacted tax rates that are expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect of a change in tax rates on deferred tax assets and liabilities is recognized in the period that includes the enactment date. Deferred tax assets are reduced by a valuation allowance when, in our judgment, it is more likely than not that some or all of the deferred tax assets will not be realized.

        Financial statement recognition of a tax position taken or expected to be taken in a tax return is determined based on a more likely than not threshold of that position being sustained. If the tax position meets this threshold, the benefit to be recognized is measured as the largest amount that is more than 50 percent likely to be realized upon ultimate settlement. It is our policy to record interest and penalties related to uncertain tax positions as a component of income tax expense.

Earnings (Loss) per Share

        Basic earnings per share is computed by dividing net income by the weighted average number of shares of common stock outstanding during the period. Diluted earnings per common share is computed by dividing net income by the weighted average number of shares of common stock outstanding during the period, plus the potential dilutive effect of other securities if such securities were converted or exercised. During periods in which we incur net losses, both basic and diluted loss per share is calculated by dividing the net loss by the weighted average shares outstanding—potentially dilutive securities are excluded from the calculation because their effect would be anti-dilutive.

Concentrations of Credit Risk, Products, Revenues and Customers

Concentration of credit risk

        Financial instruments that are exposed to credit risk consist of cash, money market funds, commercial paper, marketable investments, and trade receivables. We maintain our cash and money market funds with financial institutions that are federally insured. While balances deposited in these institutions often exceed Federal Deposit Insurance Corporation limits, we have not experienced any losses on related accounts to date. Furthermore, we limit our risk exposure by maintaining funds in financial institutions that we believe are creditworthy and financially sound. Our investments in marketable debt securities have been issued by corporate entities and federally-sponsored enterprises with high credit ratings. We mitigate investment risks by investing in highly-rated securities with relatively short maturities that we believe do not subject us to undue investment or credit risk. In addition, our investment policy does not provide for investments in complex or structured financial instruments. At any given time, our trade receivables are concentrated among a small number of principal customers. If any of these financial institutions, issuers or customers fail to perform their obligations under the terms of these financial instruments, our maximum exposure to potential losses would be equal to amounts reported on our consolidated balance sheets.

F-16

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

2. Summary of Significant Accounting Policies (Continued)

Concentration of products, revenues, and customers

        In the United States, through 2013 we sold Remodulin and Tyvaso to three specialty pharmaceutical distributors: Accredo Health Group Inc. (Accredo), CuraScript Inc. (CuraScript) and CVS Caremark (Caremark). Beginning in December 2013, the operations of CuraScript have been integrated into Accredo's operations as a result of the 2012 acquisition of Medco Health Solutions, Inc., the parent company of Accredo, by Express Scripts, Inc., the parent company of CuraScript, and we have consolidated our distribution agreements with CuraScript and Accredo into one contract. During the years ended December 31, 2013, 2012 and 2011, net sales of Remodulin and Tyvaso to these distributors accounted for 76 percent, 78 percent and 81 percent, respectively, of our total net revenues. During the years ended December 31, 2013, 2012 and 2011, net sales of Remodulin accounted for 44 percent, 50 percent and 58 percent, respectively, of our total net revenues, while net sales of Tyvaso during the years ended December 31, 2013, 2012 and 2011 comprised 39 percent, 36 percent and 32 percent, respectively of our total net revenues.

        At December 31, 2013 and 2012, 59 percent and 60 percent, respectively, of our accounts receivable was due from U.S.-based specialty pharmaceutical distributors.

        During the years ended December 31, 2013, 2012 and 2011, we derived 57 percent, 56 percent and 61 percent of our total net revenues from one customer. Estimated net revenues from that customer were as follows (in thousands):

	Year Ended December 31,
	2013		2012		2011
Accredo Health Group, Inc.	$	632,599	$	514,095	$	455,504

3. Recently Issued Accounting Standards

        We noted no recent accounting standards updates issued by the Financial Accounting Standards Board (FASB) that would have a material impact on our consolidated financial statements.

F-17

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

4. Marketable Investments

Held-to-Maturity Investments

        Marketable investments classified as held-to-maturity consist of the following (in thousands):

As of December 31, 2013	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Government-sponsored enterprises	$	445,939	$	257	$	(77	)	$	446,119
Corporate notes and bonds		411,455		300		(163	)		411,592
Total	$	857,394	$	557	$	(240	)	$	857,711
Reported under the following captions on the consolidated balance sheet:
Current marketable investments	$	409,645
Noncurrent marketable investments		447,749
	$	857,394

As of December 31, 2012	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Government-sponsored enterprises	$	350,043	$	261	$	(35	)	$	350,269
Corporate notes and bonds		280,385		184		(140	)		280,429
Total	$	630,428	$	445	$	(175	)	$	630,698
Reported under the following captions on the consolidated balance sheet:
Current marketable investments	$	325,175
Noncurrent marketable investments		305,253
	$	630,428

F-18

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

4. Marketable Investments (Continued)

        The following table summarizes gross unrealized losses and the length of time marketable investments have been in a continuous unrealized loss position (in thousands):

	As of December 31,
	2013					2012
	Fair Value		Gross Unrealized Loss			Fair Value		Gross Unrealized Loss
Government-sponsored enterprises:
Continuous unrealized loss position less than one year	$	76,651	$	(77	)	$	72,727	$	(35	)
Continuous unrealized loss position greater than one year		—		—			—		—
		76,651		(77	)		72,727		(35	)
Corporate notes and bonds:
Continuous unrealized loss position less than one year		168,669		(163	)		90,960		(140	)
Continuous unrealized loss position greater than one year		—		—			—		—
		168,669		(163	)		90,960		(140	)
Total	$	245,320	$	(240	)	$	163,687	$	(175	)

        We attribute the unrealized losses on held-to-maturity securities as of December 31, 2013 and 2012, to the variability in related market interest rates. We do not intend to sell these securities, nor is it more likely than not that we will be required to sell them prior to the end of their contractual terms as we stagger our maturities to provide a reasonable level of liquidity and do not invest in securities with maturities in excess of three years. Furthermore, we believe these securities do not expose us to undue market risk or counterparty credit risk. As such, we do not consider these securities to be other than temporarily impaired.

        The following table summarizes the contractual maturities of held-to-maturity marketable investments at December 31, 2013 (in thousands):

	As of December 31, 2013
	Amortized Cost		Fair Value
Due in less than one year	$	409,645	$	409,751
Due in one to two years		325,818		325,960
Due in three to five years		121,931		122,000
Due after five years		—		—
Total	$	857,394	$	857,711

5. Fair Value Measurements

        Assets and liabilities subject to fair value measurements are required to be disclosed within a fair value hierarchy. The fair value hierarchy ranks the quality and reliability of inputs used to determine fair value. Accordingly, assets and liabilities carried at, or permitted to be carried at, fair value are

F-19

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

5. Fair Value Measurements (Continued)

classified within the fair value hierarchy in one of the following categories based on the lowest level input that is significant in measuring fair value:

Level 1—Fair value is determined by using unadjusted quoted prices that are available in active markets for identical assets and liabilities.

Level 2—Fair value is determined by using inputs other than Level 1 quoted prices that are directly or indirectly observable. Inputs can include quoted prices for similar assets and liabilities in active markets or quoted prices for identical assets and liabilities in thinly-traded markets. Related inputs can also include those used in valuation or other pricing models such as interest rates and yield curves that can be corroborated by observable market data.

Level 3—Fair value is determined by using inputs that are unobservable and not corroborated by market data. Use of these inputs involves the use of judgment.

        Assets and liabilities subject to fair value measurements are as follows (in thousands):

	As of December 31, 2013
	Level 1		Level 2		Level 3		Balance
Assets
Money market funds(1)	$	145,194	$	—	$	—	$	145,194
Federally-sponsored and corporate debt securities(2)		—		857,711		—		857,711
Total assets	$	145,194	$	857,711	$	—	$	1,002,905
Liabilities
Convertible notes due 2016(3)	$	593,750	$	—	$	—	$	593,750
Contingent consideration(4)		—		—		6,616		6,616
Total liabilities	$	593,750	$	—	$	6,616	$	600,366

	As of December 31, 2012
	Level 1		Level 2		Level 3		Balance
Assets
Money market funds(1)	$	77,436	$	—	$	—	$	77,436
Federally-sponsored and corporate debt securities(2)		—		630,698		—		630,698
Total assets	$	77,436	$	630,698	$	—	$	708,134
Liabilities
Convertible notes due 2016(3)	$	—	$	316,250	$	—	$	316,250
Contingent consideration(4)		—		—		6,730		6,730
Total liabilities	$	—	$	316,250	$	6,730	$	322,980

(1)

Included in "cash and cash equivalents", "marketable investments" and "marketable investments and cash—restricted" on the accompanying consolidated balance sheets.

(2)

Included in current and non-current marketable investments on the accompanying consolidated balance sheets. The fair value of these securities is principally measured or corroborated by trade

F-20

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

5. Fair Value Measurements (Continued)

data for identical securities in which related trading activity is not sufficiently frequent to be considered a Level 1 input or comparable securities that are more actively traded. See also Note 4—Marketable Investments—Held-to-Maturity Investments to these consolidated financial statements.

(3)

Included in convertible notes on the accompanying balance sheets. As of December 31, 2012, the fair value of our 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes) was estimated using other than Level 1 observable inputs (Level 2 inputs). However, during the year ended December 31, 2013, our 2016 Convertible Notes began trading with sufficient frequency such that we believe related pricing can be used as the principal basis for measuring their fair value. As a result, our 2016 Convertible Notes have been transferred from Level 2 to Level 1.

(4)

Included in other liabilities on the accompanying consolidated balance sheets. The fair value of contingent consideration has been estimated using probability weighted discounted cash flow models (DCFs). The DCFs incorporate Level 3 inputs including estimated discount rates that we believe market participants would consider relevant in pricing and the projected timing and amount of cash flows, which are estimated and developed, in part, based on the requirements specific to each acquisition agreement. We analyze and evaluate these fair value measurements quarterly to determine whether valuation inputs continue to be relevant and appropriate or whether current period developments warrant adjustments to valuation inputs and related measurements. Any increases or decreases in discount rates would have an inverse impact on the corresponding fair value, while increases or decreases in expected cash flows would result in corresponding increases or decreases in fair value. As of December 31, 2013 and December 31, 2012, the cost of debt and weighted average cost of capital used to discount projected cash flows relating to our contingent consideration ranged from 8.7 percent to 16.5 percent and from 6.6 percent to 17.2 percent, respectively.

F-21

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

5. Fair Value Measurements (Continued)

        The tables below provide a reconciliation of the beginning and ending balances of Level 3 assets and liabilities for the years ended December 31, 2013 and 2012 (in thousands):

	Contingent Consideration
Balance January 1, 2013—Asset (Liability)	$	(6,730	)
Transfers into Level 3		—
Transfers out of Level 3		—
Total gains/(losses) realized/unrealized:
Included in earnings		210
Included in other comprehensive income		(96	)
Purchases		—
Sales		—
Issuances		—
Settlements		—
Balance December 31, 2013—Asset (Liability)	$	(6,616	)
Amount of total gains/(losses) for the year ended December 31, 2013 included in earnings that are attributable to the change in unrealized gains or losses related to outstanding obligations	$	210

	Contingent Consideration
Balance January 1, 2012—Asset (Liability)	$	(7,973	)
Transfers into Level 3		—
Transfers out of Level 3		—
Total gains/(losses) realized/unrealized:
Included in earnings		663
Included in other comprehensive income		(34	)
Purchases		—
Sales		—
Issuances		—
Settlements		614
Balance December 31, 2012—Asset (Liability)	$	(6,730	)
Amount of total gains/(losses) for the year ended December 31, 2012 included in earnings that are attributable to the change in unrealized gains related to outstanding obligations	$	663

Fair Value of Financial Instruments

        The carrying amounts of cash and cash equivalents, accounts receivable, accounts payable, and accrued expenses approximate fair value because of their short maturities. The fair values of our marketable investments and our 2016 Convertible Notes are reported above within the fair value hierarchy. The recorded value of our 2010 Wells Fargo Bank mortgage financing approximates its fair value as it bears a variable rate of interest that we believe approximates the market rate of interest for debt with similar credit risk profiles, terms and maturities. Refer to Note 8—Debt—Mortgage Financing—Wells Fargo for details.

F-22

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

6. Accounts Payable and Accrued Expenses

        Accrued expenses consist of the following by major category (in thousands):

	As of December 31, 2013
	2013		2012
Accounts payable	$	6,708	$	10,203
Accrued expenses:
Royalties and rebates		48,213		37,264
Payroll related		26,930		26,013
Research related		5,780		5,057
Other		4,613		4,651
Total accrued expenses		85,536		72,985
Total accounts payable and accrued expenses	$	92,244	$	83,188

7. Share Tracking Award Plans

        We maintain the United Therapeutics Corporation Share Tracking Awards Plan, adopted in June 2008 (2008 STAP) and the United Therapeutics Corporation 2011 Share Tracking Awards Plan, adopted in March 2011 (2011 STAP). In 2012, we amended the 2008 STAP to prohibit future grants from the plan. Since both plans otherwise contain similar terms and conditions, we refer to these plans collectively as the "STAP" and awards granted and/or outstanding under either of these plans as "STAP Awards." STAP Awards convey the right to receive in cash an amount equal to the appreciation of our common stock, which is calculated as the positive difference between the closing price of our common stock on the date of exercise and the date of grant. Awards generally vest in equal increments on each anniversary of the date of grant over a four-year period and expire ten years from the grant date. The aggregate balance of the STAP liability at December 31, 2013 was $305.2 million, of which $17.2 million has been classified as long term under the caption "Other Liabilities" as these STAP Awards will vest in excess of one year. At December 31, 2013, 1.0 million STAP awards remained available for grant under the 2011 STAP. On January 30, 2014 our Board of Directors approved an additional 3.0 million increase in the number of available STAP awards under the 2011 STAP.

        We estimate the fair value of STAP awards using the Black-Scholes-Merton valuation model. In estimating the fair value of STAP awards, we are required to use inputs that can materially impact the determination of fair value and the amount of compensation expense (benefit) to be recognized. These inputs include the price of our common stock, the expected volatility of the price of our common stock, the risk-free interest rate, the expected term of STAP awards, the expected forfeiture rate and the expected dividend yield.

        A description of the key inputs, requiring estimates, used in determining the fair value of the awards is provided below:

        Expected volatility—Volatility is a measure of the amount the price of our common stock has fluctuated (historical volatility) or is expected to fluctuate (expected volatility) during a period. We use historical volatility based on weekly price observations of our common stock during the period immediately preceding an award that is equal to its expected term up to a maximum period of five

F-23

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

7. Share Tracking Award Plans (Continued)

years. We believe the volatility in the price of our common stock over the preceding five years generally provides a reliable projection of future long-term volatility.

        Risk-free interest rate—The risk-free interest rate is the average interest rate consistent with the yield available on a U.S. Treasury note with a term equal to the expected term of an award.

        Expected term of awards—An award's expected term reflects the estimated time period we expect an award to remain outstanding. We apply the simplified method to develop an estimate of the expected term.

        Expected forfeiture rate—The expected forfeiture rate is an estimated percentage of awards granted that are expected to be forfeited or canceled on an annual basis prior to becoming fully vested. We derive our estimate based on historical forfeiture experience for similar classes of employees.

        Expected dividend yield—We do not pay cash dividends on our common stock and do not expect to do so in the future. Therefore, the dividend yield is zero.

        The table below presents the assumptions used to measure the fair value of STAP Awards

	As of December 31, 2013
	2013			2012			2011
Expected volatility		32.7	%		32.8	%		38.0	%
Risk-free interest rate		1.1	%		0.5	%		0.5	%
Expected term of awards (in years)		3.9			3.7			3.9
Expected forfeiture rate		10.1	%		8.7	%		7.0	%
Expected dividend yield		0.0	%		0.0	%		0.0	%

        A summary of the status and activity of the STAP is presented below:

	Number of Awards			Weighted- Average Exercise Price		Weighted Average Remaining Contractual Term (Years)		Aggregate Intrinsic Value (in 000s)
Outstanding at January 1, 2013		7,962,375		$	49.00
Granted		3,372,994			57.55
Exercised		(2,049,136	)		43.55
Forfeited		(551,332	)		62.16
Outstanding at December 31, 2013		8,734,901		$	52.75		7.7	$	526,976
Exercisable at December 31, 2013		3,277,377		$	47.50		6.2	$	214,929
Expected to vest at December 31, 2013		4,895,737		$	55.95		8.5	$	279,704

        The weighted average grant date fair value of STAP awards granted during the years ended December 31, 2013, 2012 and 2011 was $24.78, $21.28 and $27.80, respectively.

F-24

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

7. Share Tracking Award Plans (Continued)

        Share-based compensation expense (benefit) recognized in connection with the STAP is as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Research and development	$	134,355		$	11,130		$	(8,190	)
Selling, general and administrative		143,407			14,490			(8,023	)
Cost of product sales		6,124			1,230			(174	)
Share-based compensation expense (benefit) before taxes		283,886			26,850			(16,387	)
Related income tax (benefit) expense		(106,693	)		(9,902	)		6,058
Share-based compensation expense (benefit), net of taxes	$	177,193		$	16,948		$	(10,329	)
Share-based compensation capitalized as part of inventory	$	1,593		$	275		$	(203	)

        Cash paid to settle STAP exercises during the years ended December 31, 2013, 2012 and 2011 was $55.9 million, $31.8 million, and $28.7 million, respectively.

8. Debt

Line of Credit

        On September 26, 2013, we entered into a Credit Agreement with Wells Fargo Bank, National Association (Wells Fargo) providing us a $75.0 million revolving loan facility, which may be increased by up to an additional $75.0 million provided certain conditions are met (the 2013 Credit Agreement). At our option, amounts borrowed under the 2013 Credit Agreement bear interest at either the one-month LIBOR rate plus a 0.50 percent margin, or a fluctuating base rate excluding any margin. In addition, we are subject to a monthly commitment fee of 0.06 percent per annum on the average daily unused balance of the facility. Amounts borrowed under the 2013 Credit Agreement are secured by certain of our marketable investments. As of December 31, 2013, we have not drawn on the facility, which has a one-year term. The 2013 Credit Agreement does not subject us to any financial covenants.

Convertible Notes Due 2016

        In October 2011, we issued $250.0 million in aggregate principal value 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes). The 2016 Convertible Notes are unsecured, unsubordinated debt obligations that rank equally with all of our other unsecured and unsubordinated indebtedness. We pay interest semi-annually on March 15 and September 15 of each year. The initial conversion price is $47.69 per share and the number of underlying shares used to determine the aggregate consideration upon conversion is approximately 5.2 million shares.

        Conversion can occur: (1) any time after June 15, 2016; (2) during any calendar quarter that follows a calendar quarter in which the price of our common stock exceeds 130 percent of the conversion price for at least 20 days during the 30 consecutive trading-day period ending on the last trading day of the quarter; (3) during the ten consecutive trading-day period following any five

F-25

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

8. Debt (Continued)

consecutive trading-day period in which the trading price of the 2016 Convertible Notes is less than 95 percent of the closing price of our common stock multiplied by the then-current number of shares underlying the 2016 Convertible Notes; (4) upon specified distributions to our shareholders; (5) in connection with certain corporate transactions; or (6) in the event that our common stock ceases to be listed on the NASDAQ Global Select Market, the NASDAQ Global Market or the New York Stock Exchange, or any of their respective successors.

        The closing price of our common stock exceeded 130 percent of the conversion price of the 2016 Convertible Notes for more than 20 trading days during the 30 consecutive trading day period ended December 31, 2013. Consequently, the 2016 Convertible Notes are convertible at the election of their holders. As we do not control this conversion right, the 2016 Convertible Notes have been classified as a current liability on our consolidated balance sheet at December 31, 2013. We are required to calculate this contingent conversion provision at the end of each quarterly reporting period. Therefore, the convertibility and classification of our 2016 Convertible Notes may change depending on the price of our common stock.

        At December 31, 2013, the aggregate conversion value of the 2016 Convertible Notes exceeded their par value by $342.8 million using a conversion price of $113.08, which was the closing price of our common stock on December 31, 2013.

        Upon conversion, holders of our 2016 Convertible Notes are entitled to receive: (1) cash equal to the lesser of the par value of the notes or the conversion value (the number of shares underlying the 2016 Convertible Notes multiplied by the then current conversion price per share); and (2) to the extent the conversion value exceeds the par value of the notes, shares of our common stock. In the event of a change in control, as defined in the indenture under which the 2016 Convertible Notes have been issued, holders can require us to purchase all or a portion of their 2016 Convertible Notes for 100 percent of the notes' par value plus any accrued and unpaid interest.

        The terms of the 2016 Convertible Notes provide for settlement wholly or partially in cash. Consequently, we are required to account for their liability and equity components separately so that the subsequent recognition of interest expense reflects our non-convertible borrowing rate. Accordingly, we estimated the fair value of the 2016 Convertible Notes without consideration of the conversion option as of the date of issuance (Liability Component). The excess of the proceeds received over the estimated fair value of the Liability Component totaling $57.9 million has been recorded as the conversion option (Equity Component) and a corresponding offset has been recognized as a discount to the 2016 Convertible Notes to reduce their net carrying value. A portion of the Equity Component equal to the unamortized discount as of December 31, 2013 has been reclassified to temporary equity because one of the contingent conversion criteria had been met at December 31, 2013, as disclosed above. Refer to Note 10—Temporary Equity. We are amortizing the discount over the five-year period ending September 15, 2016 (the expected life of the Liability Component) using the interest method and an effective rate of interest of 6.7 percent, which corresponded to our estimated non-convertible borrowing rate at the date of issuance.

F-26

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

8. Debt (Continued)

        Interest expense incurred in connection with our convertible notes consisted of the following (in thousands):

	Year Ended December 31,
	2013		2012		2011
Contractual coupon rate of interest	$	2,500	$	2,500	$	1,510
Discount amortization		11,178		10,487		16,118
Interest expense—convertible notes(1)	$	13,678	$	12,987	$	17,628

(1)

Interest expense recognized in connection with our convertible notes for the year ended December 31, 2011 includes the effective interest relating to a prior issue of convertible notes that matured in October 2011 (2011 Convertible Notes). We accounted for the 2011 Convertible Notes in a manner similar to that of the 2016 Convertible Notes using an effective interest rate of 7.5 percent over the five-year term of the notes.

        The carrying value of our convertible notes consisted of the following (in thousands):

	As of December 31,
	2013			2012
Principal balance	$	250,000		$	250,000
Discount, net of accumulated amortization of $23,783 and $12,605		(34,155	)		(45,333	)
Carrying amount	$	215,845		$	204,667

Convertible Note Hedge and Warrant Transactions

        In connection with the issuance of our 2016 Convertible Notes, we entered into separate convertible note hedge and warrant transactions with Deutsche Bank AG London (DB London) to reduce the potentially dilutive impact of the conversion of our convertible notes. Pursuant to the convertible note hedge, we purchased call options to acquire up to approximately 5.2 million shares of our common stock with a strike price of $47.69. The call options become exercisable upon conversion of the 2016 Convertible Notes, and will terminate upon the maturity of the 2016 Convertible Notes or the first day the 2016 Convertible Notes are no longer outstanding, whichever occurs first. We also sold DB London warrants to acquire up to approximately 5.2 million shares of our common stock with a strike price of $67.56. The warrants will expire incrementally on a series of expiration dates subsequent to the maturity date of our 2016 Convertible Notes. Both the convertible note hedge and warrant transactions will be settled on a net-share basis. If the conversion price of our 2016 Convertible Notes remains between the strike prices of the call options and warrants, our shareholders will not experience any dilution in connection with the conversion of our 2016 Convertible Notes; however, to the extent that the price of our common stock exceeds the strike price of the warrants on any or all of the series of related incremental expiration dates, we will be required to issue shares of our common stock to DB London.

F-27

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

8. Debt (Continued)

Mortgage Financing—Wells Fargo Bank

        In December 2010, we entered into a Credit Agreement with Wells Fargo and Bank of America, N.A., pursuant to which we obtained a $70.0 million mortgage loan (the 2010 Credit Agreement). The 2010 Credit Agreement matures in December 2014 and is secured by certain of our facilities in Research Triangle Park, North Carolina and Silver Spring, Maryland. Annual principal payments were based on a twenty-five year amortization schedule using a fixed rate of interest of 7.0 percent and the outstanding debt bears a floating rate of interest per annum based on the one-month LIBOR, plus a credit spread of 3.75 percent, or approximately 3.9 percent as of December 31, 2013. Alternatively, we have the option to change the rate of interest charged on the loan to 2.75 percent plus the greater of: (1) Wells Fargo's prime rate, or (2) the federal funds effective rate plus 0.05 percent, or (3) LIBOR plus 1.0 percent. We can prepay the loan balance without being subject to a prepayment premium or penalty. As of December 31, 2013, the principal balance under the 2010 Credit Agreement was $66.5 million and included with other current liabilities on our consolidated balance sheet at December 31, 2013 as the remaining balance will become due within one year.

        The 2010 Credit Agreement subjects us to the following financial covenants: (1) a maximum consolidated leverage ratio of 2.5:1.0, calculated as the ratio of our consolidated indebtedness to "Consolidated EBITDA" which is defined as consolidated net income, adjusted for the following, as applicable: (i) interest expense; (ii) income taxes; (iii) non-cash license fees; (iv) depreciation and amortization; (v) impairment charges; and (vi) share-based compensation (stock option and share tracking awards expense), to be measured as of the last day of each fiscal quarter on a rolling four quarter basis; and (2) minimum liquidity of no less than $150.0 million. Under the 2010 Credit Agreement, minimum liquidity is defined as the sum of our cash and cash equivalents, plus the fair value of our marketable investments as of the last day of a fiscal quarter less the sum of indebtedness that matures within the next twelve months and the liability related to vested STAP awards in excess of $50.0 million. As of December 31, 2013, we were in compliance with these covenants.

Mortgage Financing—Midland Loan Services (PNC Bank N.A.)

        In November 2011, we assumed a mortgage loan in connection with the acquisition of an office building that is located adjacent to our corporate headquarters. The mortgage loan is secured by the acquired office building. The outstanding principal balance on the mortgage loan of $3.6 million as of December 31, 2013 bears interest at 6.35 percent per annum. The loan is payable in monthly installments which are based on a thirty-year amortization schedule. The loan matures on June 1, 2016, at which time the remaining principal balance of approximately $3.4 million will be due in full.

F-28

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

8. Debt (Continued)

        As of December 31, 2013, future maturities relating to our mortgage financings are as follows (in thousands):

Year Ended December 31,
2014	$	66,636
2015		97
2016		3,490
2017		114
2018		—
Total	$	70,337

Interest Expense

        Details of interest expense presented on our consolidated statements of operations are as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Interest expense	$	18,117		$	17,544		$	22,209
Less: interest capitalized		(59	)		(905	)		(842	)
Total interest expense	$	18,058		$	16,639		$	21,367

9. Commitments and Contingencies

Operating Leases

        We lease facilities space and equipment under operating lease arrangements that have terms expiring at various dates through 2020. Certain lease arrangements include renewal options and escalation clauses. In addition, various lease agreements to which we are party require that we comply with certain customary covenants throughout the term of these leases. If we are unable to comply with these covenants and cannot reach a satisfactory resolution in the event of noncompliance, these agreements could terminate.

        Future minimum lease payments under non-cancelable operating leases are as follows (in thousands):

Year Ending December 31,
2014	$	3,285
2015		3,195
2016		3,043
2017		2,998
2018		2,343
Thereafter		365
	$	15,229

F-29

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

9. Commitments and Contingencies (Continued)

        Total rent expense was $3.5 million, $3.6 million and $4.6 million for the years ended December 31, 2013, 2012 and 2011, respectively.

Milestone Payments

        We are party to certain license agreements as described in Note 15—Assignment and License Agreements and acquisition agreements. Generally, these agreements require that we make milestone payments in cash upon the achievement of certain product development and commercialization goals and payments of royalties upon commercial sales.

        Future milestone payments based on our estimates of the timing and probability of achieving milestones specified under these arrangements are as follows (in thousands):

Year Ending December 31,	(1)
2014	$	4,300
2015		1,450
2016		2,247
2017		6,668
2018		1,075
Thereafter		6,170
Total	$	21,910

(1)

The amounts and timing of future milestone payments may vary depending on when related milestones will be attained, if at all.

Research Agreement

        We maintain a research agreement with the University of Oxford (Oxford) to develop antiviral compounds. Research under this agreement is performed by Oxford Glycobiology Institute, which is headed by a member of our Board of Directors and our scientific advisory board. Under the terms of the agreement, we are required to fund related research activities and make milestone payments for the successful completion of clinical trials. We are also obligated to pay royalties to Oxford equal to a percentage of our net sales from any discoveries and products developed by Oxford. Milestone payments and royalties are subject to reduction depending upon third-party contributions to discoveries and/or third-party licenses necessary to develop products. In August 2010, the term of the research agreement was extended through September 2016. In connection with the extension of the term, we agreed to pay Oxford a total of $2.9 million (using the then-prevailing exchange rate) in sixty equal installments. As of December 31, 2013, approximately $1.7 million remains outstanding under this 2010 agreement. In addition, in December 2012, we amended our agreement with Oxford, under which we agreed to pay Oxford an additional $871,000 in the aggregate (using the exchange rate as of the amendment date) in thirty-six equal installments for additional work supporting the development of our virology platform which began in January 2013. As of December 31, 2013, approximately $594,000 remains outstanding under this 2012 amendment. During the years ended December 31, 2013, 2012 and 2011, we incurred approximately $890,000, $577,000 and $658,000, respectively, in expenses under the terms of the agreement.

F-30

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

9. Commitments and Contingencies (Continued)

        From time to time, we may enter into other service agreements with Oxford relating to specific development activities that are outside the scope of our research agreement described above. We incurred expenses of approximately $55,000, $336,000 and $550,000 relating to these additional services during the years ended December 31, 2013, 2012 and 2011, respectively.

10. Temporary Equity

        Temporary equity includes securities that: (1) have redemption features that are outside our control; (2) are not classified as an asset or liability; (3) are excluded from permanent stockholders' equity; and (4) are not mandatorily redeemable. Amounts included in temporary equity relate to securities that are redeemable at a fixed or determinable price.

        Components comprising the carrying value of temporary equity include the following (in thousands):

	As of December 31, 2013		As of December 31, 2012
Reclassification of Equity Component(1)	$	34,155	$	—
Common stock subject to repurchase(2)		10,882		10,882
Total	$	45,037	$	10,882

(1)

Represents the reclassification of the Equity Component equal to the unamortized discount of our 2016 Convertible Notes as of December 31, 2013 from additional paid-in capital to temporary equity. As of December 31, 2013, our 2016 Convertible Notes were convertible at the election of their holders as disclosed above in Note 8—Debt—Convertible Notes Due 2016.

(2)

In connection with our amended 2007 agreement with Toray Industries Inc. (Toray), we issued 400,000 shares of our common stock and provided Toray the right to request that we repurchase the shares at a price of $27.21 per share.

11. Stockholders' Equity

Equity Incentive Plan

        We maintain an equity incentive plan (EIP) under which we may grant stock options to employees and non-employees. The EIP provides for the issuance of up to 29.9 million shares of our common stock. As of December 31, 2013, there were 10.0 million shares remaining for issuance under the EIP, of which approximately 9.9 million were reserved for issuance in connection with options granted to our Chief Executive Officer (CEO). If granted, options awarded under the EIP are nontransferable, carry a maximum contractual term of ten years and typically vest in equal annual increments over a maximum period of three years, except for options granted to our CEO, which vest immediately upon grant in accordance with the terms of her employment agreement. The exercise price of stock option awards granted under the EIP can be no less than the fair market value of our common stock on the date of grant. Historically, we have issued new shares of our common stock upon the exercise of options.

F-31

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

11. Stockholders' Equity (Continued)

Employee Stock Options

        We estimate the fair value of stock options using the Black-Scholes-Merton valuation model. Option-pricing models, including the Black-Scholes-Merton model, require the use of judgment and subjective assumptions that can materially impact the estimation of fair value and share-based compensation.

        Inputs included in estimating the fair value of a stock option include the price of our common stock, the expected volatility of our common stock, risk-free interest rate, the expected term of stock option awards, expected forfeiture rate and the expected dividend yield.

        A description of the key inputs, requiring estimates, used in determining the fair value of stock options is provided below:

        Expected volatility—Volatility is a measure of the amount the price of our common stock has fluctuated (historical volatility) or is expected to fluctuate (expected volatility) during a period. We use historical volatility based on weekly price observations of our common stock during the period immediately preceding a stock option grant that is equal to the expected term of the grant (up to a maximum of five years). We believe the volatility of the price of our common stock measured over the preceding five years provides a reliable projection of future long-term volatility.

        Risk-free interest rate—The risk-free interest rate is the average interest rate consistent with the yield available on a U.S. Treasury note with a term equal to the expected term of a given stock option grant.

        Expected term—The expected term reflects the estimated time period we expect an option grant to remain outstanding. We use historical data to develop this input.

        Expected forfeiture rate—The expected forfeiture rate is the estimated percentage of options granted that are expected to be forfeited or canceled on an annual basis prior to becoming fully vested. We derive our estimate based on historical forfeiture experience for similar classes of employees.

        Expected dividend yield—We do not pay dividends on our common stock and do not expect to do so in the future. Therefore, the dividend yield is assumed to be zero.

        The following weighted-average assumptions were used in estimating the fair value of stock options granted to employees (we did not grant any stock options during the year ended December 31, 2011):

	Year Ended December 31,
	2013			2012
Expected volatility		33.0	%		41.6	%
Risk-free interest rate		1.8	%		0.7	%
Expected term of options (in years)		5.0			5.0
Expected forfeiture rate		0.0	%		0.0	%
Expected dividend yield		0.0	%		0.0	%

F-32

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

11. Stockholders' Equity (Continued)

        A summary of the status and activity of employee stock options is presented below:

	Options			Weighted- Average Exercise Price		Weighted Average Remaining Contractual Term (in Years)		Aggregate Intrinsic Value (in 000s)
Outstanding at January 1, 2013		4,551,050		$	38.95
Granted		1,000,000			113.08
Exercised		(797,613	)		30.12
Forfeited		(3,988	)		10.48
Outstanding and exercisable at December 31, 2013		4,749,449		$	56.06		5.7	$	270,801

        The weighted average fair value of an employee stock option granted during each of the years in the three-year period ended December 31, 2013, was $36.10, $19.74 and none, respectively. The total fair value of vested employee stock options for each of the years in the three-year period ended December 31, 2013 was $36.1 million, $3.0 million and $1.6 million, respectively.

        Total share-based compensation expense relating to employee stock options is as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Research and development	$	—		$	—		$	196
Selling, general and administrative		36,097			3,024			315
Share-based compensation expense before taxes		36,097			3,024			511
Related income tax benefit		(13,566	)		(1,115	)		(189	)
Share-based compensation expense, net of taxes	$	22,531		$	1,909		$	322
Share-based compensation capitalized as part of inventory	$	—		$	—		$	15

        As of December 31, 2013, all employee stock options were fully vested; consequently, there were no amounts of unrecognized compensation cost remaining.

        Employee and non-employee stock option exercise data is summarized below (dollars in thousands):

	Year Ended December 31,
	2013		2012		2011
Number of options exercised		876,115		575,944		837,690
Cash received from options exercised	$	26,620	$	14,290	$	24,398
Total intrinsic value of options exercised	$	37,530	$	15,508	$	30,644
Tax benefits realized from options exercised	$	9,299	$	3,054	$	11,347

F-33

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

11. Stockholders' Equity (Continued)

Employee Stock Purchase Plan

        In June 2012, our shareholders approved the United Therapeutics Corporation Employee Stock Purchase Plan (ESPP), which has been structured to comply with Section 423 of the Internal Revenue Code. The ESPP provides eligible employees the right to purchase shares of our common stock at a discount through elective accumulated payroll deductions at the end of each offering period. Offering periods, which began in September 2012, occur in consecutive six-month periods commencing on September 5th and March 5th of each year. During the year ended December 31, 2013, we issued 55,070 shares of our common stock in exchange for $2.7 million in employee contributions. Eligible employees may contribute up to 15 percent of their base salary, subject to certain annual limitations as defined in the ESPP. The purchase price of the shares is equal to the lower of 85 percent of the closing price of our common stock on either the first or last trading day of a given offering period. In addition, the ESPP provides that no eligible employee may purchase more than 4,000 shares during any offering period. The ESPP has a 20-year term and limits the aggregate number of shares that can be issued to 3.0 million.

        Related share-based compensation expense for years ended December 31, 2013, 2012 and 2011 was $802,800, $240,100 and none, respectively. We estimate the fair value of the option to purchase shares of our common stock under the ESPP using the same methodology that we employ in valuing our stock options and STAP awards.

F-34

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

11. Stockholders' Equity (Continued)

Earnings per Share

        The components of basic and diluted earnings per share are as follows (in thousands, except per share amounts):

	Year Ended December 31,
	2013		2012		2011
Numerator:
Income from continuing operations	$	174,560	$	304,442	$	217,243
Income from discontinued operations		—		—		625
Net income	$	174,560	$	304,442	$	217,868
Denominator:
Weighted average outstanding shares—basic		50,076		52,093		57,163
Effect of dilutive securities(1):
Convertible notes		1,736		218		569
Warrants		276		—		263
Stock options and employee stock purchase plan		1,143		969		1,400
Weighted average shares—diluted		53,231		53,280		59,395
Earnings per common share:
Basic
Continuing operations	$	3.49	$	5.84	$	3.80
Discontinued operations		0.00		0.00		0.01
Net income per basic common share	$	3.49	$	5.84	$	3.81
Diluted
Continuing operations	$	3.28	$	5.71	$	3.66
Discontinued operations		0.00		0.00		0.01
Net income per diluted common share	$	3.28	$	5.71	$	3.67
Stock options and warrants excluded from calculation(2)		11,210		11,862		16,299

(1)

Calculated using the treasury stock method.

(2)

Certain stock options and warrants have been excluded from the computation of diluted earnings per share because their impact would be anti-dilutive.

Share Repurchases

        In October 2011, our Board of Directors approved a share repurchase program authorizing up to $300.0 million in aggregate repurchases of our common stock at our discretion, over a two-year period ending in October 2013 (Repurchase Program). In connection with the Repurchase Program, we paid $212.0 million for an accelerated share repurchase agreement (ASR) entered into with DB London in October 2011, under which we repurchased approximately 4.7 million shares of our common stock in October 2011. In May 2012, we completed the Repurchase Program by acquiring approximately 2.0 million shares of our common stock at an aggregate cost of $88.0 million.

F-35

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

11. Stockholders' Equity (Continued)

        In June 2012, our Board of Directors authorized the repurchase of up to an additional $100.0 million of our common stock (2012 Repurchase Program). The 2012 Repurchase Program became effective for a one-year period beginning in July 2012. We acquired an aggregate of approximately 2.0 million shares of our common stock under the 2012 Repurchase Program, which was completed in November 2012.

        In February 2013, our Board of Directors authorized a share repurchase program for up to $420.0 million in aggregate repurchases of our common stock in open market or privately negotiated transactions, at our discretion over a one-year period which began March 4, 2013 (the 2013 Repurchase Program). As of December 31, 2013, we have acquired 708,998 shares of our common stock at an aggregate cost of $42.4 million. On January 30, 2014, our Board of Directors authorized the extension of the 2013 Repurchase Program through March 3, 2015.

Shareholder Rights Plan

        In June 2008, we entered into an Amended and Restated Rights Agreement with The Bank of New York as Rights Agent (the Plan), which amended and restated our original Rights Agreement dated December 17, 2000. The Plan, as amended and restated, extended the expiration date of the Preferred Share Purchase Rights (Rights) from December 29, 2010 to June 26, 2018, and increased the purchase price of each Right from $64.75 to $400.00, respectively. Each Right entitles holders to purchase one one-thousandth of a share of our Series A Junior Participating Preferred Stock. Rights are exercisable only upon our acquisition by another company, or commencement of a tender offer that would result in ownership of 15 percent or more of the outstanding shares of our voting stock by a person or group (as defined under the Plan) without our prior express written consent. As of December 31, 2013, we have not issued any shares of our Series A Preferred Stock.

12. Accumulated Other Comprehensive Loss

        The following table includes changes in accumulated other comprehensive income (loss) by component, net of tax (in thousands):

	Defined Benefit Pension Plan(1)			Foreign Currency Translation Losses			Unrealized Gains and (Losses) on Available-for-Sale Securities			Total
Balance, January 1, 2013	$	(11,540	)	$	(3,876	)	$	459		$	(14,957	)
Other comprehensive income (loss) before reclassifications		2,075			(1,193	)		(128	)		754
Amounts reclassified from accumulated other comprehensive income		1,020			—			—			1,020
Net current-period other comprehensive income (loss)		3,095			(1,193	)		(128	)		1,774
Balance, December 31, 2013	$	(8,445	)	$	(5,069	)	$	331		$	(13,183	)

Refer to Note 14—Employee Benefit Plans—Supplemental Executive Retirement Plan which identifies the captions within our consolidated statement of operations where reclassification adjustments were recognized and their associated tax impact.

F-36

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

13. Income Taxes

        Components of income tax expense (benefit) consist of the following (in thousands):

	Year Ended December 31,
	2013			2012			2011
Current:
Federal	$	120,030		$	83,905		$	54,132
State		20,099			13,949			8,948
Foreign		2,164			659			544
Total current		142,293			98,513			63,624
Deferred
Federal		(37,713	)		37,259			11,228
State		(9,059	)		(415	)		(2,428	)
Foreign		(1,055	)		182			641
Total deferred		(47,827	)		37,026			9,441
Other non-current
Federal		7,797			573			7,605
State		1,907			114			1,621
Foreign		173			3			(417	)
Total other		9,877			690			8,809
Total income tax expense	$	104,343		$	136,229		$	81,874

        Presented below is a reconciliation of income taxes computed at the statutory federal tax rate to income tax expense as reported (in thousands):

	Year Ended December 31,
	2013			2012			2011
Federal tax provision computed at 35%	$	97,616		$	154,235		$	105,018
State tax provision, net of federal tax provision		8,320			9,149			5,549
General business credits		(13,346	)		(10,980	)		(15,776	)
Incentive stock option expense		(304	)		(479	)		(290	)
Section 199 deduction		(10,861	)		(15,629	)		(8,091	)
Nondeductible compensation expense		22,813			2,609			(2,607	)
Nondeductible expenses		105			(2,676	)		(1,929	)
Total income tax expense	$	104,343		$	136,229		$	81,874

F-37

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

13. Income Taxes (Continued)

        Components of the net deferred tax asset are as follows (in thousands):

	As of December 31,
	2013			2012
Deferred tax assets:
General business credits	$	277		$	25,834
Impairment losses on investments		318			2,884
Realized losses on marketable investments		—			2,095
License fees capitalized for tax purposes		75,181			74,964
Nonqualified stock options		40,808			30,872
SERP		14,059			14,594
STAP awards		84,274			20,238
Other		28,118			31,534
Total deferred tax assets		243,035			203,015
Deferred tax liabilities:
Plant and equipment principally due to differences in depreciation		(32,725	)		(31,428	)
Other		(1,351	)		(1,221	)
Net deferred tax asset before valuation allowance		208,959			170,366
Valuation allowance		(2,507	)		(5,665	)
Net deferred tax assets	$	206,452		$	164,701

        Deferred tax assets are reduced by a valuation allowance when, in our judgment, it is more likely than not that a portion or all of the deferred tax assets will not be realized. In evaluating our ability to realize deferred tax assets, we consider all available positive and negative evidence. Accordingly, we consider past operating results, forecasts of earnings and taxable income, the reversal of temporary differences and any prudent and feasible tax planning strategies. Future increases in the valuation allowance would result in a corresponding charge to earnings in the period such a determination is made. Conversely, future reductions to the valuation allowance would result in the recognition of a tax benefit in the period we conclude a reduction is warranted.

        We expect to utilize all of our federal general business tax credits for tax-year 2013.

F-38

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

13. Income Taxes (Continued)

        A reconciliation of the beginning and ending balances of unrecognized tax benefits for the years indicated is as follows (in thousands):

Unrecognized tax benefits at January 1, 2013	$	1,511
Gross increases—tax positions in prior period		1,325
Gross decreases—tax positions in prior period		—
Gross increases—tax positions in the current period		—
Gross decreases—tax positions in current period		—
Settlements		—
Lapse of statute of limitations		—
Unrecognized tax benefits at December 31, 2013	$	2,836
Unrecognized tax benefits at January 1, 2012	$	1,733
Gross increases—tax positions in prior period		146
Gross decreases—tax positions in prior period		(368	)
Gross increases—tax positions in the current period		—
Gross decreases—tax positions in the current period		—
Settlements		—
Lapse of statute of limitations		—
Unrecognized tax benefits at December 31, 2012	$	1,511
Unrecognized tax benefits at January 1 2011	$	7,406
Gross increases—tax positions in prior period		500
Gross decreases—tax positions in prior period		(7,406	)
Gross increases—tax positions in the current period		1,233
Gross decreases—tax positions in the current period		—
Settlements		—
Lapse of statute of limitations		—
Unrecognized tax benefits at December 31, 2011	$	1,733

        During the year ended December 31, 2011, the Internal Revenue Service (IRS) completed its audits of our 2009 and 2008 tax years and based on the results of these audits, we decreased our reserves for uncertain tax positions by $7.4 million. Included in unrecognized tax benefits at December 31, 2013, 2012 and 2011, is $2.4 million, $1.0 million, and $1.3 million, respectively, of tax benefits that, if recognized, would impact the effective tax rate. As of December 31, 2013 and 2012, we accrued $249,000 and $35,000, respectively, in interest expense relating to uncertain state tax positions.

        We are subject to federal and state taxation in the United States and various foreign jurisdictions. Currently, our 2012, 2011 and 2010 tax years are subject to examination by the IRS and by state taxing authorities. We are unaware of any positions for which it is reasonably possible that the total amounts of unrecognized tax benefits will significantly increase or decrease within the next twelve months.

F-39

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

14. Employee Benefit Plans

Supplemental Executive Retirement Plan

        We maintain the United Therapeutics Corporation Supplemental Executive Retirement Plan (SERP) to provide retirement benefits to certain senior members of our management team.

        Participants who retire at age 60 or older are eligible to receive either monthly payments or a lump sum payment based on an average of their total gross base salary over the last 36 months of active employment, subject to certain adjustments. Related benefit payments commence on the first day of the sixth month after retirement. Participants who elect to receive monthly payments will continue payments through the remainder of their life. Alternatively, participants who elected to receive a lump sum distribution will receive a payment equal to the present value of the estimated monthly payments that would have been received upon retirement. As of December 31, 2013 and 2012, all SERP participants had elected to receive a lump sum distribution. Participants who terminate employment for any reason other than death, disability, or change in control prior to age 60 will not be entitled to receive any benefits under the SERP.

        To help fund our obligations under the SERP, we maintain the United Therapeutics Corporation Supplemental Executive Retirement Plan Rabbi Trust Document (Rabbi Trust). Participants of the SERP will have no preferred claim on, nor any beneficial ownership interest in, any assets of the Rabbi Trust. The balance in the Rabbi Trust was $5.1 million as of December 31, 2013 and 2012. Investments held in the Rabbi Trust are included under restricted marketable investments and cash on our consolidated balance sheets.

        We recognize the unfunded balance of the SERP as a liability on our consolidated balance sheets. Since we do not fund the SERP, the liability is equal to the projected benefit obligation as measured at the end of each fiscal year. Expenses related to the SERP are reported under the captions, "selling, general and administrative expense" and "research and development expense" in the accompanying consolidated statements of operations.

        A reconciliation of the beginning and ending balances of the projected benefit obligation is presented below (in thousands):

	Year Ended December 31,
	2013			2012
Projected benefit obligation at the beginning of the year	$	47,206		$	32,952
Service cost		5,406			4,315
Interest cost		1,584			1,475
Actuarial (gain) loss		(3,162	)		8,464
Projected benefit obligation at the end of the year	$	51,034		$	47,206
Fair value of plan assets at the end of the year		—			—
Unfunded at end of the year(1)	$	51,034		$	47,206

(1)

Included within other liabilities on our consolidated balance sheets.

        The accumulated benefit obligation, a measure that does not consider future increases in participants' salaries, was $37.2 million and $33.2 million at December 31, 2013 and 2012, respectively.

F-40

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

14. Employee Benefit Plans (Continued)

        Future estimated benefit payments, based on current assumptions, including election of lump-sum distributions and expected future service, are as follows (in thousands):

Year Ended December 31,
2014	$	—
2015		23,502
2016		—
2017		—
2018		—
2019-2023		29,330
	$	52,832

        The following weighted-average assumptions were used to measure the SERP obligation:

	Year Ended December 31,
	2013			2012
Discount Rate		4.34	%		3.36	%
Salary Increases		5.00	%		5.00	%

        The components of net periodic pension cost recognized on our consolidated statement of operations consist of the following (in thousands):

	Year Ended December 31,
	2013		2012		2011
Service cost	$	5,406	$	4,315	$	4,255
Interest cost		1,584		1,475		1,356
Amortization of prior service cost		827		827		773
Amortization of net actuarial loss		794		—		91
Total	$	8,611	$	6,617	$	6,475

F-41

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

14. Employee Benefit Plans (Continued)

        Reclassification adjustments related to the SERP from accumulated other comprehensive loss to the statement of operations by line item and the tax impact of these reclassifications is presented below (in thousands):

Components Reclassified from Accumulated Other Comprehensive Loss(1)	As of December 31, 2013
Prior service cost:
Research and development	$	312
Selling, general and administrative		515
Total		827
Amortization of net actuarial loss:
Research and development		300
Selling, general and administrative		494
Total		794
Total prior service cost and amortization of net actuarial loss		1,621
Tax benefit		(601	)
Total, net of tax	$	1,020

(1)

Refer to Note 12—Accumulated Other Comprehensive Loss.

        Amounts relating to the SERP that have been recognized in other comprehensive gain (loss) are as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Net unrecognized actuarial gain (loss)	$	3,956		$	(8,464	)	$	773
Net unrecognized prior service cost		827			827			(824	)
Total		4,783			(7,637	)		(51	)
Tax		(1,688	)		2,807			44
Total, net of tax	$	3,095		$	(4,830	)	$	(7	)

        The table below presents amounts relating to the SERP included in accumulated other comprehensive loss that have not yet been recognized as a component of net periodic pension cost on our consolidated statements of operations (in thousands):

	Year Ended December 31,
	2013			2012			2011
Net unrecognized actuarial loss	$	7,803		$	11,758		$	3,295
Net unrecognized prior service cost		5,698			6,525			7,352
Total		13,501			18,283			10,647
Tax		(5,074	)		(6,743	)		(3,936	)
Total, net of tax	$	8,427		$	11,540		$	6,711

F-42

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

14. Employee Benefit Plans (Continued)

        Estimated amounts included in accumulated other comprehensive income as of December 31, 2013 that are expected to be recognized as components of net periodic pension expense on our statement of operations for the year ended December 31, 2014 comprise the following (in thousands):

Amortization of prior service cost	$	827
Amortization of net actuarial loss		333
Total	$	1,160

Employee Retirement Plan

        We maintain a Section 401(k) Salary Reduction Plan which is open to all eligible full-time employees. Under the 401(k) Plan, eligible employees can make pre-tax contributions up to statutory limits. Currently, we make discretionary matching contributions to the 401(k) Plan equal to 40 percent of a participant's elected salary deferral. Matching contributions vest immediately for participants who have been employed for three years; otherwise, matching contributions vest annually, in one-third increments over a three-year period until the three-year employment requirement has been met. Expenses related to the 401(k) Plan were $2.5 million, $2.1 million and $1.7 million for the years ended December 31, 2013, 2012 and 2011, respectively.

15. Assignment and License Agreements

GlaxoSmithKline PLC

        In 1997, GlaxoSmithKline PLC (Glaxo) assigned to us patents and patent applications for use of the stable prostacyclin analogue UT-15 (now known as treprostinil) for the treatment of PAH and congestive heart failure. Under the agreement, Glaxo is entitled to receive royalties on sales exceeding a specified threshold for a minimum period of ten years (or until expiration of the licensed patents) following the date of the first commercial sale of any initial product containing treprostinil. Pursuant to these terms, our royalty obligation will end in October 2014.

Supernus Pharmaceuticals, Inc.

        In June 2006, we entered into an exclusive license agreement with Supernus Pharmaceuticals, Inc. (Supernus) for the use of certain technologies developed by Supernus in our Orenitram tablet. The agreement requires us to make milestone payments to Supernus in connection with the development of Orenitram and $2.0 million upon its commercial launch, which we anticipate in mid-2014. Additionally, we will pay a royalty to Supernus based on net sales of Orenitram. Royalties will be paid for approximately twelve years commencing with the first commercial sale subject to adjustments.

Eli Lilly and Company

        In November 2008, we acquired from Lilly exclusive rights to develop, market, promote and commercialize Adcirca for the treatment of pulmonary hypertension in the United States and Puerto Rico. In exchange for these license rights, we agreed to pay Lilly, among other fees, royalties of five percent of our net sales of Adcirca as a pass through of Lilly's third-party royalty obligations for as long as Lilly is required to make such royalty payments. Pursuant to the terms of our license arrangement, Lilly manufactures Adcirca for us and distributes Adcirca via its wholesaler network in

F-43

UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

15. Assignment and License Agreements (Continued)

the same manner that it distributes its own pharmaceutical products. We purchase Adcirca from Lilly at a fixed manufacturing cost, which is adjusted by Lilly from time to time. The terms of this licensing arrangement will continue generally until the later of: (1) the expiration or lapse of the last to expire claim within a Lilly patent covering commercialization of Adcirca; or (2) the expiration of any government conferred exclusivity rights to Adcirca. In addition, at Lilly's discretion the license agreement may be terminated in the event that we undergo a change in control.

National Cancer Institute

        In July 2010, we entered into a Cooperative Research and Development Agreement (CRADA) with the National Cancer Institute (NCI) of the United States National Institutes for Health (NIH) to collaborate on the late-stage development and regulatory approval process for Chimeric Monoclonal Antibody 14.18 (Ch14.18) for children with high-risk neuroblastoma and patients with other forms of cancer. Ch14.18 is an antibody that has shown potential in the treatment of neuroblastoma by targeting GD2, a glycolipid on the surface of tumor cells. Under the terms of the CRADA, we have developed the capability to commercially produce the antibody and the NCI has completed necessary studies to support the filing of a marketing authorization application which was accepted by the European Medicines Agency in December 2013. In addition, we expect to file a biologics license application seeking FDA approval during the first quarter of 2014.

Toray Industries, Inc.

        In 2000, we entered into an agreement with Toray to obtain exclusive rights to develop and market beraprost, a chemically stable oral prostacyclin analogue, in a sustained release formulation in the United States and Canada for the treatment of all cardiovascular indications. In 2007, we amended the agreement to expand our rights to commercialize a modified release formulation of beraprost (beraprost-MR). As part of the 2007 amendment, we issued 400,000 shares of our common stock to Toray with certain put rights. These put rights provide Toray the ability to request at its discretion that we repurchase these shares at a price of $27.21 per share upon 30 days' prior written notice. Accordingly, we classified the value of the shares within temporary equity on our consolidated balance sheets. In the event that Toray requests that we repurchase these shares, we will reclassify the repurchase value of the stock as a liability until settlement. The 2007 amendment also provided for certain milestone payments during the development period and upon receipt of regulatory approval in the United States or the European Union.

        In July 2011, we amended our license agreement with Toray. The amendment did not materially change the terms of our license agreement, except for a reduction in royalty rates. In exchange for the reduction in royalty rates, we agreed to pay Toray $50.0 million in equal, non-refundable payments over the five-year period ending in 2015. Since these payments are non-refundable and have no contingencies attached to them, during the year ended December 31, 2011, we recognized an obligation and a corresponding charge to research and development expense of $46.3 million, which represents the present value of the related payments discounted by our estimated current cost of debt at the date the contract was amended. As of December 31, 2013, our remaining obligation to Toray under this agreement is $20.0 million.

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UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

15. Assignment and License Agreements (Continued)

Pluristem License Agreement

        In June 2011, we entered into a license agreement with Pluristem Ltd. (Pluristem) for exclusive worldwide rights to develop and commercialize a cell-based product for the treatment of PAH using Pluristem's proprietary PLX cell technology. The license agreement became effective in August 2011, at which time we made a one-time, non-refundable payment of $7.0 million to Pluristem, $5.0 million of which consisted of a license fee that was charged to research and development expenses during the year ended December 31, 2011. The agreement provides for additional milestone payments to Pluristem at various stages, as well as royalties on commercial sales.

Ascendis Pharma A/S

        In September 2012, we signed a worldwide, exclusive agreement with Ascendis Pharma A/S (Ascendis Pharma) to apply Ascendis Pharma's proprietary TransCon technology platform to our treprostinil molecule. The TransCon technology platform may significantly enhance the delivery of treprostinil by establishing a once-daily, self-injectable alternative for patients who currently administer Remodulin through a continuous infusion pump for the treatment of PAH. We also intend to pursue the development of a TransCon technology-enabled sustained release formulation of beraprost. Pursuant to this agreement, we may be required to make future development-related milestone payments and royalty payments based on commercial sales.

Other

        We are party to various other license agreements relating to therapies under development. These license agreements require us to make payments based on a percentage of sales, if we are successful in commercially developing these therapies, and may require other payments upon the achievement of certain milestones.

16. Related Party Transaction

        In 2002, we entered into a technical services agreement for certain telemedicine technology development services for Medicomp, Inc. with Kurzweil Technologies, Inc. (KTI), a company controlled by Raymond Kurzweil, a non-independent member of our Board of Directors. Pursuant to this agreement, we agreed to pay KTI a five percent royalty on certain sales of products reasonably attributed to and dependent upon the technology developed by KTI. Upon closing of the sale of Medicomp in March 2011 (see Note 18—Sale of Medicomp, Inc.), further royalty obligations under this agreement were terminated. For the year ended December 31, 2011 we incurred royalties to KTI of $80,000.

        In 2007, we entered into another technical services agreement with KTI. Pursuant to this agreement, we paid KTI monthly consulting fees of up to $12,000 plus all necessary, reasonable and direct out-of-pocket expenses incurred in connection with the performance of related services. In addition, we agreed to pay KTI up to a five percent royalty on sales of certain products reasonably attributed to and dependent upon certain technology developed by KTI. In 2011, we amended the 2007 technical services agreement such that, effective January 2012, we reduced the monthly consulting fees to KTI to $6,000 plus all necessary, reasonable and direct out-of-pocket expenses. We terminated the 2007 technical services agreement effective December 31, 2013.

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UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

16. Related Party Transaction (Continued)

        We incurred expenses of approximately $72,000, $60,000 and $156,000, for the years ended December 31, 2013, 2012 and 2011, respectively, under these agreements. As of December 31, 2013 and 2012, we owed KTI none and none, respectively.

17. Distribution Agreements

U.S.-Based Specialty Pharmaceutical Distributors

        We are party to separate distribution agreements for Remodulin and Tyvaso with two U.S.-based specialty pharmaceutical distributors. The distribution agreements are similar to one another, and generally have one-year terms that renew automatically for additional one-year periods, unless terminated earlier. The agreements contain contractual responsibilities relating to ordering specifications, inventory requirements and exchange rights. We also have agreements with these distributors to perform certain services for us on a fee-for-service basis. If any of our distribution agreements expire or terminate, we may be required under certain circumstances to repurchase any unsold inventory held by our distributors.

International Distributors

        We currently sell Remodulin internationally through various distributors. The financial terms and conditions relating to these distributor arrangements are structured in a manner substantially similar to those of our U.S. distribution agreements described above.

18. Sale of Medicomp, Inc.

        In March 2011, we sold all of the outstanding stock of Medicomp, our former wholly-owned telemedicine subsidiary, to a group of private investors. Immediately after closing the sale, we purchased a 19.9 percent ownership interest in Medicomp and we carry the related investment at cost. Medicomp's revenues and pre-tax income for the year ended December 31, 2011 were $3.1 million and $935,000, respectively. In 2011, we met the criteria for reporting Medicomp as a discontinued operation. Accordingly, we have included the operating results of Medicomp, including the gain recognized on its disposal, within discontinued operations on our consolidated statement of operations for the year ended December 31, 2011.

19. Segment Information

        Prior to June 2011, we operated in two business segments: pharmaceutical and telemedicine. Following the sale of our telemedicine subsidiary, Medicomp, and the discontinuation of further telemedicine-related activities in 2011, we began managing our business as one operating segment. However, our chief operating decision makers regularly review revenues, cost of revenues and gross profit data as a primary measure of performance for each of our three commercial products. Note that we expect to commence sales of our most recently approved commercial product, Orenitram, in mid-2014.

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UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

19. Segment Information (Continued)

        Revenues, cost of revenues and gross profit for each of our commercial products are as follows (in thousands):

	Remodulin		Tyvaso		Adcirca		Total
Year Ended December 31, 2013
Revenues	$	491,179	$	438,793	$	176,972	$	1,106,944
Cost of revenues		59,314		60,831		10,982		131,127
Gross profit	$	431,865	$	377,962	$	165,990	$	975,817
Year Ended December 31, 2012
Revenues	$	457,969	$	325,614	$	122,540	$	906,123
Cost of revenues		57,618		53,825		7,854		119,297
Gross profit	$	400,351	$	271,789	$	114,686	$	786,826
Year Ended December 31, 2011
Revenues	$	430,132	$	240,382	$	70,580	$	741,094
Cost of revenues		52,329		31,934		4,641	$	88,904
Gross profit	$	377,803	$	208,448	$	65,939	$	652,190

        Geographic revenues are determined based on the country in which our customers (distributors) are located. Net revenues from external customers by geographic area are as follows (in thousands):

Year Ended December 31,	2013		2012		2011
United States	$	1,032,435	$	846,611	$	676,967
Rest-of-World(1)		84,549		69,465		66,216
Total	$	1,116,984	$	916,076	$	743,183

(1)

Primarily Europe.

        For the years ended December 31, 2013, 2012 and 2011, sales to Accredo Health Group, Inc. comprised 57 percent, 56 percent and 61 percent, respectively, of total consolidated net revenues.

        Long-lived assets (property, plant and equipment) located by geographic area are as follows (in thousands):

Year Ended December 31,	2013		2012		2011
United States	$	442,673	$	425,585	$	345,153
Rest-of-World(1)		22,277		28,100		20,893
Total	$	464,950	$	453,685	$	366,046

(1)

Facilities principally located in the United Kingdom.

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UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

20. Quarterly Financial Information (Unaudited)

        Summarized quarterly financial information for each of the years ended December 31, 2013 and 2012 are as follows (in thousands, except per share amounts):

	Quarter Ended
	December 31, 2013			September 30, 2013		June 30, 2013		March 31, 2013
Net sales	$	289,017		$	302,225	$	280,606	$	245,136
Gross profit		247,519			269,290		245,175		213,833
Net (loss) income(1)		(30,314	)		62,685		79,864		62,325
Net (loss) income per share—basic	$	(0.60	)	$	1.25	$	1.60	$	1.24
Net (loss) income per share—diluted	$	(0.60	)	$	1.17	$	1.52	$	1.19

	Quarter Ended
	December 31, 2012		September 30, 2012		June 30, 2012		March 31, 2012
Net sales	$	243,817	$	242,468	$	225,577	$	204,214
Gross profit		202,766		212,949		192,199		178,912
Net income		83,255		78,111		72,316		70,760
Net income per share—basic	$	1.65	$	1.52	$	1.37	$	1.32
Net income per share—diluted	$	1.60	$	1.46	$	1.34	$	1.29

(1)

Operating results for the quarter ended December 31, 2013 include a $111.2 million, net of tax charge to operating expenses related to share-based compensation expense.

21. Litigation

Department of Health and Human Services Subpoena

        In December 2013, we received a subpoena from the Office of the Inspector General (OIG) of the Department of Health and Human Services reflecting a civil investigation by the United States Department of Justice, principally represented by the United States Attorney's Office for the District of Maryland. The subpoena requests documents regarding Remodulin, Tyvaso and Adcirca, including our marketing practices relating to these products. We are cooperating with the investigation. We are not aware that a claim, litigation or assessment has been asserted in connection with the subpoena. However, we cannot predict what actions, if any, may be taken by the OIG, the Department of Justice, other governmental entities, or any third parties in connection with such investigation.

Sandoz Inc.

        In February 2012, we received a Paragraph IV Certification Notice Letter (the Original Notice Letter) from Sandoz Inc. (Sandoz) advising that Sandoz had submitted an abbreviated new drug application (ANDA) to the FDA requesting approval to market a generic version of the 10 mg/mL strength of Remodulin. In December 2012, we received notice (the Second Notice Letter) that Sandoz had amended its previously filed ANDA to request additional approval to market generic versions of the 1 mg/mL, 2.5 mg/mL, and 5 mg/mL strengths of Remodulin. In the Original Notice Letter and the Second Notice Letter, Sandoz stated that it intends to market a generic version of Remodulin before the expiration of the following patents we hold relating to Remodulin: U.S. Patent No. 5,153,222, which

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UNITED THERAPEUTICS CORPORATION

Notes to Consolidated Financial Statements (Continued)

21. Litigation (Continued)

expires in October 2014; U.S. Patent No. 6,765,117, which expires in October 2017; and U.S. Patent No. 7,999,007, which expires in March 2029. Each of these patents is listed in the FDA's Orange Book.

        We responded to the Original Notice Letter by filing a lawsuit in March 2012 against Sandoz in the U.S. District Court for the District of New Jersey alleging patent infringement (the First Lawsuit). We responded to the Second Notice Letter by filing an additional lawsuit in January 2013 for patent infringement in the U.S. District Court for the District of New Jersey (the Second Lawsuit). Sandoz has filed its answer to our complaint in the First Lawsuit, and has also filed counterclaims alleging that the patents at issue in the litigation are invalid or will not be infringed by the commercial manufacture, use or sale of the proposed product described in Sandoz's ANDA submission.

        Under the Hatch-Waxman Act, the FDA is automatically precluded from approving Sandoz's ANDA with respect to each concentration of Remodulin for up to 30 months from receipt of the Notice Letter corresponding to such concentration or until the issuance of a district court decision that is adverse to us, whichever occurs first. We intend to vigorously enforce our intellectual property rights relating to Remodulin.

Lexington Insurance Company

        During the third quarter of 2011, we reported a claim to our insurance provider regarding damage to certain Remodulin inventory that occurred as the result of a warehouse accident. The estimated net commercial value of the damaged inventory was approximately $65.0 million. Because we did not reach a satisfactory agreement on the amount to settle the claim, we filed a lawsuit against Lexington Insurance Company (Lexington) in April 2012 in the North Carolina Business Court, a specialized division of North Carolina's Superior Court, seeking to recover the full net commercial value of the damaged inventory.

        In September 2012, we entered into a final and binding settlement agreement and release with Lexington, under which Lexington agreed to pay us $31.0 million within thirty days. We received payment in early October 2012. The settlement agreement provided that the parties would release and forever discharge each other from any future claims, demands, or causes of action of any kind in connection with the matter. As all contingencies related to this matter were resolved, we recognized a corresponding gain during the third quarter ended September 30, 2012. The gain has been recognized under the caption "other, net" on our consolidated statement of operations for the year ended December 31, 2012.

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United Therapeutics Corporation
Schedule II—Valuation and Qualifying Accounts
Years Ended December 31, 2013, 2012, and 2011
(In thousands)

	Valuation Allowance on Deferred Tax Assets
	Balance at Beginning of Year		Additions Charged to Expense		Deductions			Balance at End of Year
Year Ended December 31, 2013	$	5,665	$	169	$	(3,327	)	$	2,507
Year Ended December 31, 2012	$	5,458	$	207	$	—		$	5,665
Year Ended December 31, 2011	$	6,021	$	—	$	(563	)	$	5,458

	Reserve for Inventory Obsolescence
	Balance at Beginning of Year		Additions Charged to Expense		Deductions			Balance at End of Year
Year Ended December 31, 2013	$	16,679	$	3,341	$	(1,719	)	$	18,301
Year Ended December 31, 2012	$	8,801	$	12,136	$	(4,258	)	$	16,679
Year Ended December 31, 2011	$	2,862	$	5,939	$	—		$	8,801

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ITEM 9.    CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

        None.

ITEM 9A.    CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

        Our management, with participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as of December 31, 2013. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of December 31, 2013.

Management's Report on Internal Control Over Financial Reporting

        Our management is responsible for establishing and maintaining adequate internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934, as amended). Our internal control over financial reporting was designed to provide reasonable assurance to our management and Board of Directors regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. All internal controls over financial reporting, no matter how well designed, have inherent limitations. As a result of these inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Therefore, even those internal controls determined to be effective can provide only reasonable assurance with respect to the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles.

        Our management assessed the effectiveness of our internal control over financial reporting as of December 31, 2013, based on the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control—Integrated Framework (1992). Management's assessment included an evaluation of the design of our internal control over financial reporting and testing of the operational effectiveness of our internal control over financial reporting. Based on this assessment, our management concluded that, as of December 31, 2013, our internal control over financial reporting was effective.

        Ernst & Young LLP, an independent registered public accounting firm, has issued an attestation report on our internal control over financial reporting. The report of Ernst & Young LLP is contained in Item 8 of this Annual Report on Form 10-K.

Attestation of Independent Registered Public Accounting Firm

        The attestation report of our independent registered public accounting firm regarding internal control over financial reporting is set forth in Item 8 of this Annual Report on Form 10-K under the caption "Report of Independent Registered Public Accounting Firm" and incorporated herein by reference.

Changes in Internal Control over Financial Reporting

        There were no changes in our internal control over financial reporting during the quarter ended December 31, 2013 that have materially affected, or are reasonably likely to materially affect, our internal controls over financial reporting.

ITEM 9B.    OTHER INFORMATION

        None.

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PART III

ITEM 10.    DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

        Information as to the individuals serving on our board of directors is set forth below under the heading Board of Directors. Additional information required by Item 10 regarding nominees and directors appearing under Proposal No. 1: Election of Directors in our definitive proxy statement for our 2014 annual meeting of shareholders scheduled for June 26, 2014 (the 2014 Proxy Statement) is hereby incorporated herein by this reference. Information regarding our executive officers appears in Part I, Item I of this Annual Report on Form 10-K under the heading Executive Officers of the Registrant. Information regarding the Audit Committee and the Audit Committee's financial expert appearing under the heading Committees of our Board of Directors—Audit Committee in our 2014 Proxy Statement is hereby incorporated herein by this reference.

        Information appearing under the heading Section 16(a) Beneficial Ownership Reporting Compliance in our 2014 Proxy Statement is hereby incorporated herein by this reference.

        We have a written Code of Conduct and Ethics that applies to our principal executive officer, principal financial officer and our principal accounting officer and every other director, officer and employee of United Therapeutics. The Code of Conduct and Ethics is available on our Internet website at http://www.unither.com. A copy of the Code of Conduct and Ethics will be provided free of charge by making a written request and mailing it to our corporate headquarters offices to the attention of the Investor Relations Department. If any amendment to, or a waiver from, a provision of the Code of Conduct and Ethics that applies to the principal executive officer, principal financial officer and principal accounting officer is made, such information will be posted on our Internet website within four business days at www.unither.com.

Board of Directors

Christopher Causey, M.B.A.

        Principal, Causey Consortium

Raymond Dwek, F.R.S.

        Director of the Glycobiology Institute and Professor of Glycobiology, University of Oxford

Richard Giltner

        Private Investor

R. Paul Gray

        Managing Member, Potomac Management Group, LLC

Roger Jeffs, Ph.D.

        President and Chief Operating Officer of United Therapeutics

Ray Kurzweil

        Director of Engineering, Google Inc.

Christopher Patusky, J.D., M.G.A.

        Founding Principal, Patusky Associates, LLC

Martine Rothblatt, Ph.D., J.D., M.B.A.

        Chairman and Chief Executive Officer of United Therapeutics

89

Louis Sullivan, M.D.

        Former Secretary, U.S. Department of Health and Human Services

Tommy Thompson, J.D.

        Former Secretary, U.S. Department of Health and Human Services

ITEM 11.    EXECUTIVE COMPENSATION

        Information concerning executive compensation required by Item 11 will appear under the headings Director Compensation, Compensation Discussion and Analysis, Summary Compensation Table and Grants of Plan-Based Awards in 2013, Narratives to Summary Compensation Table and Grants of Plan-Based Awards Table, Summary of Terms of Plan-Based Awards, Supplemental Executive Retirement Plan, Rabbi Trust, Potential Payments Upon Termination or Change in Control, and Director Compensation in our 2014 Proxy Statement and is incorporated herein by reference.

        Information concerning the Compensation Committee required by Item 11 will appear under the heading Compensation Committee Report in our 2014 Proxy Statement and is incorporated herein by reference.

90

ITEM 12.    SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

        The information regarding beneficial ownership of our common stock required by Item 12 will appear under Beneficial Ownership of Common Stock in our 2014 Proxy Statement and is incorporated herein by reference.

Securities Authorized for Issuance Under Equity Compensation Plans

        The following table presents information as of December 31, 2013, regarding our securities authorized for issuance under equity compensation plans:

Plan category	Number of securities to be issued upon exercise of outstanding options (a)		Weighted average exercise price of outstanding options (b)		Number of securities remaining available for future issuance under equity compensation plans (excluding securities reflected in column (a) (c)
Equity compensation plan approved by security holders		4,803,449	$	55.87		9,975,707
Equity compensation plans not approved by security holders		—		0.00		N/A
Total		4,803,449	$	55.87		9,975,707

        All outstanding stock options were issued under our equity incentive plan approved by security holders in 1997 (the EIP). Information regarding this plan is contained in Note 11—Stockholders' Equity to the consolidated financial statements included in this Annual Report on Form 10-K. Aside from stock options issued under the EIP, we do not have any outstanding stock options, warrants or rights that are outstanding or available for issuance as described in Regulation S-K Item 201(d).

ITEM 13.    CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

        Information concerning related party transactions and director independence required by Item 13 will appear under the headings Other Matters—Certain Relationships and Related Party Transactions, Board of Directors, Committees, Corporate Governance—Director Independence and Committees of our Board of Directors in our 2014 Proxy Statement and is incorporated herein by reference.

ITEM 14.    PRINCIPAL ACCOUNTING FEES AND SERVICES

        Information required by Item 14 concerning the principal accounting fees paid by the Registrant and the Audit Committee's pre-approval policies and procedures, will appear under the heading Report of the Audit Committee and Information on our Independent Auditors in our 2014 Proxy Statement and is incorporated herein by reference.

91

PART IV

ITEM 15.    EXHIBITS, FINANCIAL STATEMENT SCHEDULES

        In reviewing the agreements included or incorporated by reference as exhibits to this Annual Report on Form 10-K, it is important to note that they are included to provide investors with information regarding their terms, and are not intended to provide any other factual or disclosure information about United Therapeutics or the other parties to the agreements. The agreements contain representations and warranties made by each of the parties to the applicable agreement. These representations and warranties have been made solely for the benefit of the other parties to the applicable agreement, and: (1) should not be treated as categorical statements of fact, but rather as a way of allocating risk between the parties; (2) have in some cases been qualified by disclosures that were made to the other party in connection with the negotiation of the applicable agreement, which disclosures are not necessarily reflected in the agreement; (3) may apply standards of materiality in a way that is different from what may be material to investors; and (4) were made only as of the date of the applicable agreement or such other date or dates as may be specified in the agreement and are subject to more recent developments.

        Accordingly, these representations and warranties may not describe the actual state of affairs as of the date they were made or at any other time. Additional information about United Therapeutics may be found elsewhere in this Annual Report on Form 10-K and our other public filings, which are available without charge through the SEC's website at http://www.sec.gov.

(a)(1)	Our financial statements filed as part of this report on Form 10-K are set forth in the Index to Consolidated Financial Statements under Part II, Item 8 of this Form 10-K.
(a)(2)	The Schedule II—Valuation and Qualifying Accounts is filed as part of this Form 10-K. All other schedules are omitted because they are not applicable or not required, or because the required information is included in the consolidated statements or notes thereto.
(a)(3)	Exhibits filed as a part of this Form 10-K are listed on the Exhibit Index, which is incorporated by reference herein.

Certain exhibits to this report have been included only with the copies of this report filed with the Securities and Exchange Commission. Copies of individual exhibits will be furnished to shareholders upon written request to United Therapeutics and payment of a reasonable fee (covering the expense of furnishing copies). Shareholders may request exhibit copies by contacting: United Therapeutics Corporation, Attn: Investor Relations, 1040 Spring Street, Silver Spring, Maryland 20910.

92

SIGNATURES

        Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereto duly authorized.

	UNITED THERAPEUTICS CORPORATION
February 25, 2014	By:	/s/ MARTINE A. ROTHBLATT Martine A. Rothblatt, Ph.D. Chairman of the Board and Chief Executive Officer

        Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.

Signatures	Title	Date
/s/ MARTINE A. ROTHBLATT Martine A. Rothblatt	Chairman of the Board and Chief Executive Officer (Principal Executive Officer)	February 25, 2014
/s/ JOHN M. FERRARI John M. Ferrari	Chief Financial Officer and Treasurer (Principal Financial Officer and Principal Accounting Officer)	February 25, 2014
/s/ ROGER A. JEFFS Roger A. Jeffs	President, Chief Operating Officer and Director	February 25, 2014
/s/ CHRISTOPHER CAUSEY Christopher Causey	Director	February 25, 2014
/s/ RAYMOND DWEK Raymond Dwek	Director	February 25, 2014
/s/ RICHARD GILTNER Richard Giltner	Director	February 25, 2014
/s/ R. PAUL GRAY R. Paul Gray	Director	February 25, 2014
/s/ RAYMOND KURZWEIL Raymond Kurzweil	Director	February 25, 2014

93

Signatures	Title	Date
/s/ CHRISTOPHER PATUSKY Christopher Patusky	Director	February 25, 2014
/s/ LOUIS W. SULLIVAN Louis W. Sullivan	Director	February 25, 2014
/s/ TOMMY G. THOMPSON Tommy Thompson	Director	February 25, 2014

94

EXHIBIT INDEX

Exhibit No.	Description
3.1	Amended and Restated Certificate of Incorporation of the Registrant, incorporated by reference to Exhibit 3.1 of the Registrant's Registration Statement on Form S-1 (Registration No. 333-76409).
3.2	Certificate of Amendment to Amended and Restated Certificate of Incorporation of the Registrant, incorporated by reference to Exhibit 3.1 of the Registrant's Current Report on Form 8-K, filed on June 28, 2010.
3.3	Second Amended and Restated By-laws of the Registrant, incorporated by reference to Exhibit 3.2 of the Registrant's Quarterly Report on Form 10-Q for the fiscal quarter ended March 31, 2008.
3.4	Form of Certificate of Designation, Preferences and Rights of Series A Junior Participating Preferred Stock of the Registrant, incorporated by reference to Exhibit A to Exhibit 4 to the Registrant's Current Report on Form 8-K, filed December 18, 2000.
4.1	Reference is made to Exhibits 3.1, 3.2, 3.3 and 3.4.
4.2	First Amended and Restated Rights Agreement, incorporated by reference to Exhibit 4.1 of the Registrant's Current Report on Form 8-K filed on July 3, 2008.
4.3	Indenture, dated as of October 17, 2011, between the Registrant and The Bank of New York Mellon Trust Company, N.A., as trustee (including form of 1.0% Convertible Senior Note due September 15, 2016), incorporated by reference to Exhibit 4.1 of the Registrant's Current Report on Form 8-K filed October 17, 2011.
10.1**	United Therapeutics Corporation Amended and Restated Equity Incentive Plan, as amended effective as of September 24, 2004, incorporated by reference to Exhibit 10.1 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended September 30, 2004.
10.2**	Amended and Restated Executive Employment Agreement dated as of January 1, 2009, between the Registrant and Martine A. Rothblatt, incorporated by reference to Exhibit 10.2 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended March 31, 2009.
10.3**	Employment Agreement dated as of June 16, 2001 between the Registrant and Paul A. Mahon, incorporated by reference to Exhibit 10.4 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended March 31, 2002.
10.4*	Exclusive License Agreement dated as of December 3, 1996, between the Registrant and Pharmacia and Upjohn Company, incorporated by reference to Exhibit 10.8 of the Registrant's Registration Statement on Form S-1 (Registration No. 333-76409).
10.5*	Assignment Agreement dated as of January 31, 1997, between the Registrant, Glaxo Wellcome Inc. and The Wellcome Foundation Ltd., incorporated by reference to Exhibit 10.9 of the Registrant's Registration Statement on Form S-1 (Registration No. 333-76409).
10.6**	Employment Agreement dated November 29, 2000 between the Registrant and Roger Jeffs, incorporated by reference to Exhibit 10.9 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended March 31, 2002.
10.7	Form of Indemnification Agreement between the Registrant and each of its Directors and Executive Officers, incorporated by reference to Exhibit 10.1 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended March 31, 2009.
10.8	Amendment No. 1 to Exclusive License Agreement, effective as of December 3, 1996, made as of October 1, 2002 by and between Pharmacia & Upjohn Company and the Registrant, incorporated by reference to Exhibit 10.25 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended September 30, 2002.
10.9**	Amendment dated December 11, 2002 to Employment Agreement between the Registrant and Roger Jeffs, incorporated by reference to Exhibit 10.40 of the Registrant's Annual Report on Form 10-K for the fiscal year ended December 31, 2002.

95

Exhibit No.	Description
10.10**	Amendment dated December 11, 2002 to Employment Agreement between the Registrant and Paul Mahon, incorporated by reference to Exhibit 10.43 of the Registrant's Annual Report on Form 10-K for the fiscal year ended December 31, 2002.
10.11**	Amendment dated December 29, 2004 to Employment Agreement between Roger Jeffs and the Registrant dated November 29, 2000, as previously amended, incorporated by reference to Exhibit 10.2 of the Registrant's Current Report on Form 8-K filed on December 29, 2004.
10.12**	Amendment dated December 29, 2004 to Employment Agreement between Paul A. Mahon and the Registrant dated June 16, 2001, as previously amended, incorporated by reference to Exhibit 10.4 of the Registrant's Current Report on Form 8-K filed on December 29, 2004.
10.13**	Form of terms and conditions for awards granted to Employees by the Registrant under the Amended and Restated Equity Incentive Plan, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on December 17, 2004.
10.14**	Form of Terms and Conditions for Awards granted to Non-Employees by the Registrant under the Amended and Restated Equity Incentive Plan, incorporated by reference to Exhibit 10.2 of the Registrant's Current Report on Form 8-K filed on December 17, 2004.
10.15**	United Therapeutics Corporation Supplemental Executive Retirement Plan, effective as of July 1, 2006, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on May 4, 2006.
10.16**	Employment Agreement, dated as of August 2, 2006, between John Ferrari and the Registrant, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on August 4, 2006.
10.17**	Amendment, dated as of July 31, 2006, to amended Employment Agreement, dated November 29, 2000, between Roger Jeffs and the Registrant, incorporated by reference to Exhibit 10.2 of the Registrant's Current Report on Form 8-K filed on August 4, 2006.
10.18**	Amendment, dated as of July 31, 2006, to amended Employment Agreement, dated June 16, 2001, between Paul A. Mahon and the Registrant, incorporated by reference to Exhibit 10.3 of the Registrant's Current Report on Form 8-K filed on August 4, 2006.
10.19**	Amendment, dated as of December 28, 2006, to Employment Agreement, dated August 2, 2006, between John Ferrari and the Registrant, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on December 29, 2006.
10.20	United Therapeutics Corporation Supplemental Executive Retirement Plan Rabbi Trust Document entered into on December 28, 2007, by and between the Registrant and Wilmington Trust Company, as trustee, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on December 28, 2007.
10.21**	United Therapeutics Corporation Share Tracking Awards Plan, incorporated by reference to Exhibit 10.1 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended June 30, 2008.
10.22**	First Amendment to the United Therapeutics Corporation Share Tracking Awards Plan, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on September 18, 2009.
10.23**	Second Amendment to the United Therapeutics Corporation Share Tracking Awards Plan, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on February 6, 2012.
10.24**	Form of terms and conditions for awards granted to non-employees by the Registrant under the United Therapeutics Corporation Share Tracking Awards Plan, incorporated by reference to Exhibit 10.2 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended June 30, 2008.

96

Exhibit No.	Description
10.25**	Form of terms and conditions for awards granted to employees by the Registrant prior to January 1, 2010, under the United Therapeutics Corporation Share Tracking Awards Plan, incorporated by reference to Exhibit 10.3 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended June 30, 2008.
10.26**	Form of terms and conditions for awards granted to employees by the Registrant on or after January 1, 2010, under the United Therapeutics Corporation Share Tracking Awards Plan, incorporated by reference to Exhibit 10.48 of the Registrant's Annual Report on Form 10-K for the year ended December 31, 2009.
10.27**	Form of terms and conditions for awards granted to employees on or after March 15, 2011 under the United Therapeutics Corporation 2011 Share Tracking Awards Plan and the United Therapeutics Corporation 2008 Share Tracking Awards Plan, incorporated by reference to Exhibit 10.2 of Registrant's Registration Statement on Form S-8 (Registration No. 333-173858) filed on May 2, 2011.
10.28**	Form of grant letter used by Registrant under the United Therapeutics Corporation Share Tracking Awards Plan, incorporated by reference to Exhibit 10.4 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended June 30, 2008.
10.29**	United Therapeutics Corporation 2011 Share Tracking Awards Plan, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on March 18, 2011.
10.30**	First Amendment to the United Therapeutics Corporation 2011 Share Tracking Awards Plan, incorporated by reference to Exhibit 10.2 of the Registrant's Current Report on Form 8-K filed on February 6, 2012.
10.31**	Second Amendment to the United Therapeutics Corporation 2011 Share Tracking Awards Plan, incorporated by reference to Exhibit 10.1 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.
10.32**	Third Amendment to the United Therapeutics Corporation 2011 Share Tracking Awards Plan, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on February 4, 2013.
10.33**	Fourth Amendment to the United Therapeutics Corporation 2011 Share Tracking Awards Plan, incorporated by reference to Exhibit 10.1 of the Registrant's Current Report on Form 8-K filed on January 31, 2014.
10.34**	Form of terms and conditions for awards granted to employees by the Registrant on or after March 15, 2011 under the United Therapeutics Corporation Share Tracking Awards Plan or the United Therapeutics Corporation 2011 Share Tracking Awards Plan, incorporated by reference to Exhibit 10.2 of the Registrant's Current Report on Form 8-K filed on March 18, 2011.
10.35**	Form of terms and conditions for awards granted to non-employees by the Registrant on or after March 15, 2011 under the United Therapeutics Corporation Share Tracking Awards Plan or the United Therapeutics Corporation 2011 Share Tracking Awards Plan, incorporated by reference to Exhibit 10.3 of the Registrant's Current Report on Form 8-K filed on March 18, 2011.
10.36**	Form of grant letter used by Registrant under the United Therapeutics Corporation 2011 Share Tracking Awards Plan, incorporated by reference to Exhibit 10.4 of the Registrant's Current Report on Form 8-K filed on March 18, 2011.
10.37**	United Therapeutics Corporation Employee Stock Purchase Plan, incorporated by reference to Exhibit 10.1 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended June 30, 2012.
10.39*	License Agreement, dated as of November 14, 2008, by and between Eli Lilly and Company and the Registrant, incorporated by reference to Exhibit 10.2 of the Registrant's Current Report on Form 8-K filed on December 24, 2008.

97

Exhibit No.	Description
10.40*	Manufacturing and Supply Agreement, dated as of November 14, 2008, by and between Eli Lilly and Company, Lilly del Caribe, Inc. and the Registrant incorporated by reference to Exhibit 10.3 of the Registrant's Current Report on Form 8-K filed on December 24, 2008.
10.41**	Form of Amendment to Employment Agreement between the Registrant and each of Roger Jeffs, Paul Mahon and John Ferrari, each dated as of January 1, 2009, incorporated by reference to Exhibit 10.3 of the Registrant's Quarterly Report on Form 10-Q for the quarter ended March 31, 2009.
10.42**	Form of Amendment to Employment Agreements between the Registrant and each of Roger Jeffs, Paul Mahon and John Ferrari, each dated as of February 22, 2010, incorporated by reference to Exhibit 10.46 of the Registrant's Annual Report on Form 10-K for the year ended December 31, 2009.
10.43	Distribution Agreement relating to Tyvaso, dated as of August 17, 2009 between the Registrant and Accredo Health Group, Inc., incorporated by reference to Exhibit 10.47 of the Registrant's Annual Report on Form 10-K for the year ended December 31, 2009.
10.44	First Amendment to Distribution Agreement relating to Tyvaso, dated as of September 1, 2011, between the Registrant and Accredo Health Group, Inc.
10.45	Second Amendment to Distribution Agreement relating to Tyvaso, dated as of December 18, 2013, between the Registrant, Accredo Health Group, Inc., CuraScript, Inc. and Priority Healthcare Distribution,  Inc.
10.46	Stipulation of Settlement, dated October 25, 2010, among the parties to a derivative lawsuit against the directors and officers of the Registrant identified therein, incorporated by reference to Exhibit 10.1 to the Registrant's Quarterly Report on Form 10-Q for the quarter ended September 30, 2010.
10.47*	Credit Agreement, dated as of December 27, 2010, among the Registrant, the lenders party thereto from time to time, Wells Fargo Bank, National Association, as the Administrative Agent, and certain subsidiaries of the Registrant, as guarantors, incorporated by reference to Exhibit 10.37 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2010.
10.48*	Amended and Restated Distribution Agreement relating to Remodulin, dated as of February 21, 2011, between the Registrant and Accredo Health Group, Inc., incorporated by reference to Exhibit 10.38 to the Registrant's Annual Report on Form 10-K for the year ended December 31, 2010.
10.49	First Amendment to Amended and Restated Distribution Agreement relating to Remodulin, dated as of December 18, 2013, between the Registrant, Accredo Health Group, Inc., CuraScript, Inc. and Priority Healthcare Distribution, Inc.
10.50*	Confirmation, dated October 11, 2011, of a note hedging transaction between the Registrant and Deutsche Bank AG, London Branch, incorporated by reference to Exhibit 10.3 to the Registrant's Quarterly Report on Form 10-Q for the quarter ended September 30, 2011.
10.51*	Confirmation, dated October 11, 2011, of a warrant transaction between the Registrant and Deutsche Bank AG, London Branch, incorporated by reference to Exhibit 10.2 to the Registrant's Quarterly Report on Form 10-Q for the quarter ended September 30, 2011.
10.52*	Confirmation, dated October 11, 2011, of an accelerated share repurchase transaction between the Registrant and Deutsche Bank AG, London Branch, incorporated by reference to Exhibit 10.4 to the Registrant's Quarterly Report on Form 10-Q for the quarter ended September 30, 2011.

98

Exhibit No.	Description
10.53	Credit Agreement dated as of September 26, 2013, by and among the Registrant, the lenders party thereto from time to time, Wells Fargo Bank, National Association, as the Administrative Agent, and a subsidiary of the Registrant, as guarantor, incorporated by reference to Exhibit 10.1 to the Registrant's Current Report on Form 8-K filed September 27, 2013.
21	Subsidiaries of the Registrant.
23.1	Consent of Ernst & Young LLP, Independent Registered Public Accounting Firm
31.1	Certification of Chief Executive Officer pursuant to Rule 13a-14(a) of the Securities Exchange Act of 1934.
31.2	Certification of Chief Financial Officer pursuant to Rule 13a-14(a) of the Securities Exchange Act of 1934.
32.1	Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2	Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101	The following financial information from our Annual Report on Form 10-K for the year ended December 31, 2013, filed with the SEC on February 25 2014, formatted in Extensible Business Reporting Language (XBRL): (i) Consolidated Balance Sheets as of December 31, 2013 and 2012, (ii) Consolidated Statements of Operations for each of three years in the period ended December 31, 2013, (iii) Consolidated Statements of Comprehensive Income for each of the three years in the period ended December 31, 2013, (iv) Consolidated Statements of Stockholders' Equity for each of the three years in the period ended December 31, 2013, (v) Consolidated Statements of Cash Flows for each of the three years in the period ended December 31, 2013, and (vi) Notes to Consolidated Financial Statements.

*

Confidential treatment has been granted with respect to certain portions of this exhibit pursuant to Rule 406 of the Securities Act of 1933, as amended or Rule 246-2 of the Securities Act of 1934, as amended. The omitted portions of this document have been filed with the Securities and Exchange Commission.

**

Designates management contracts and compensation plans.

99

EX-10.44

Exhibit 10.44

First Amendment to Distribution Agreement

This First Amendment is made and effective as of September 1, 2011 by and between United Therapeutics Corporation, a Delaware corporation (“UT”), and Accredo Health Group, Inc. a Delaware corporation (“Distributor”) located at 1640 Century Center Parkway, Memphis, Tennessee 38134.

A.WHEREAS, UT and Accredo entered into a Distribution Agreement on August 17, 2009 (the “Agreement”);

B.WHEREAS, the parties desire to amend the Agreement as provided herein.

NOW, THEREFORE, in consideration of the mutual promises, covenants, conditions and provisions contained or referenced herein, the parties have reviewed and accepted all referenced material and any appendices, exhibits or other attachments hereto and agree to be bound by the terms and conditions set forth in the Agreement as modified herein as follows:

1.Section 4.15 shall be added as follows:

4.15Tyvaso Device Replacement Program.  As set forth in Attachment H hereto and in accordance with this Section 4.15, Distributor agrees to perform all required services under the Tyvaso Device Warranty Replacement Program (“Replacement Services”) and UT agrees to pay Distributor the fees for such Replacement Services (“Replacement Services Fee”) set forth on Attachment H.

(a)Distributor warrants that it will perform the Replacement Services in a professional manner, in compliance with industry standards, and in accordance with the descriptions and representations set forth on Attachment H hereto or as otherwise mutually agreed by the Parties from time to time.

(b)Distributor shall submit detailed monthly invoices to UT setting forth a description of the Replacement Services actually performed and the corresponding Replacement Services Fee due.  The foregoing invoices are due to UT within ten (10) days of the end of each calendar month.  UT shall pay Distributor within thirty (30) days from receipt of each invoice.

(c)The Parties agree and acknowledge that the Replacement Services Fee paid hereunder has been determined through good faith and arms-length negotiation to be the fair market value of the Warranty Services to be rendered.  No amount paid or reimbursed hereunder is intended to be, nor shall it be construed as, an offer or payment made, whether directly or indirectly, to induce the referral of patients, the purchase, lease or order of any item or service, or the recommending of the purchase, lease or order of any item or service.

(d)By accepting payment of the Replacement Services Fee from UT, Distributor represents and warrants to UT that Distributor has actually performed the Replacement Services as invoiced and was obligated to perform the Replacement Services (or any substantially similar activity) solely pursuant to the obligations in this Section 4.15 and Attachment H hereto.  The Parties each agree that the Replacement Services Fee is not a discount but instead represents a fair amount in consideration for the Replacement Services described in this Section 4.15 and Attachment H hereto.  Further in recognition of the foregoing, Distributor warrants that it will retain the Replacement

Services Fee for its own account.

(e)Fees are fixed for the twelve month period ending August 31, 2012.Fees for the Services may be increased one time per year based on the increase in the Consumer Price Index for All Urban Consumers, U.S. City Average, for all items, 1982-84=100 (the “CPI-U”), the 12 most recent months available on such anniversary as published by the United States Department of Labor on its website at http://www.bls.gov/cpi, which increase shall not be more than three percent (3%)  The adjustment will be effective on the first day of the calendar month following such anniversary.  By way of example only, if the Effective Date is January 1, 2011, the adjustment would be effective beginning as of February 1, 2012.  Each of the fees set forth on Attachment H will be multiplied by the percent increase in the CPI-U during each twelve month period.  If publication of the CPI-U ceases, or if the CPI-U otherwise becomes unavailable or is altered in a way as to be unusable, the parties will agree on the use of an appropriate substitute index published by the U.S. Department of Labor or any successor agency.

(f)Either party may terminate all or a portion of the Replacement Services at any time upon thirty (30) days prior written notice to other party without any additional fees or expenses.

2.A one-time set-up fee for the Tyvaso Device Replacement Program as set out in Attachment H shall be payable to Distributor within thirty (30) days of execution of this First Amendment.

3.Section 18.6, Notices, of the Agreement shall be amended to read:

DISTRIBUTOR	with a copy to:
Accredo Health Group, Inc.	Medco Health Solutions, Inc.
1640 Century Center Parkway	100 Parson Pond Drive
Memphis, TN 38134	Franklin Lakes, NJ 07417
Facsimile: 901.261.6961	Attn: General Counsel (Accredo)
Attn: Kirk Cotham, VP

Except as amended and supplemented hereby, all of the terms and conditions of the Agreement shall remain and continue in full force and effect and apply hereto.

IN WITNESS WHEREOF, the parties hereto have caused this First Amendment to be executed by their duly authorized representatives.

UNITED THERAPEUTICS		ACCREDO HEALTH GROUP, INC.
CORPORATION
/s/ Jay A. Watson			/s/ Elizabeth A. Holloway
By:	Jay A. Watson	By:	Elizabeth A. Holloway
Title:	SVP Strategic Operations	Title:	VP, Legal; Asst. Secretary
Date:	29 / Aug / 2011	Date:	8/31/11

Attachment H

Tyvaso® Device Replacement Program

Distributor will work with UT to replace the Tyvaso® Inhalation System devices every two (2) years, from the first day of use by an Included Patient, as suggested by the manufacturer warranty and or when an updated or modified Tyvaso® Inhalation Device has been made available by UT and replacement of existing device(s) is required by UT.  UT shall ensure that Distributor has sufficient inventory of no-cost replacement devices to be used solely in connection with the Tyvaso® Device Replacement Program.

Distributor will take the following actions:

1.Determine which Included Patients require replacement devices.

2.Contact Included Patient to set up shipment of the replacement devices and explain why and how the devices will be replaced.

3.If the replacement of device(s) also requires a nursing visit with face to face training for included patient, this will be performed in accordance with the Tyvaso® Continuing Patient Compliance Support & Education Program and the respective fee schedule for a Teaching RN visit will apply.

4.Ship the Included Patient two replacement devices and include pre-paid shipping materials for the return of the Included Patient’s old devices.

5.Upon receipt of the old devices from the Included Patient, Distributor will destroy the devices and recycle the batteries.

6.If the Included Patient does not return their old devices within 3 weeks, Distributor will make one (1) phone call (up to three call attempts) to retrieve the device.  If Included Patient does not return device after this attempt, no more attempts will be made to contact the Included Patient.

7.Distributor will report serial numbers of the devices that have been destroyed on a monthly basis in the form of Exhibit A to this Attachment H.

Replacement Service Fees
One time Set Up Fee	$20,000
Warranty Replacement Fee	$150 per patient

1

EXHIBIT A to Attachment H

DATA FOR DESTROYED DEVICES

Monthly Report

Specialty	Patient ID		Device	Serial#	Serial#
Pharmacy	(De-identified)			Device#1	Device#2
Accredo			Opti-Neb
Recovery	Destruction	Battery		Battery	Date of
Date	Date	Recovery Y/N		Serial #	Destruction

2

EX-10.45

Exhibit 10.45

SECOND AMENDMENT TO DISTRIBUTION AGREEMENT

(Tyvaso®)

THIS 2ND AMENDMENT TO DISTRIBUTION AGREEMENT (this “Second Amendment”) is made and effective this 18th Day of December, 2013 (the “Second Amendment Effective Date”) by and among Accredo Health Group, Inc., a Delaware corporation having offices at 6272 Lee Vista Boulevard, Orlando FL, 32822 (“Accredo”), and United Therapeutics Corporation, a Delaware corporation having offices at 1040 Spring Street, Silver Spring, Maryland (“UT”) CuraScript, Inc., a Delaware corporation having offices at 6272 Lee Vista Boulevard, Orlando FL, 32822(“SP”) and Priority Healthcare Distribution, Inc., doing business as CuraScript SD Specialty Distribution, a Florida corporation with offices at 255 Technology Park, Lake Mary, Florida, 32746 (“SD”). SP, SD and Accredo are collectively referred to herein as the “Distributor”.

WHEREAS, UT and Accredo are parties to that certain Distribution Agreement dated August 17, 2009, as amended by the First Amendment dated September 1, 2011 (the “Accredo Agreement”), which relates to the distribution of Tyvaso® (treprostinil) Inhalation (“UT Product”);

WHEREAS, UT, SP and SD are parties to that certain Amended and Restated Distribution Agreement dated as of August 21, 2009, as amended as of September 30, 2010 (the “CuraScript Agreement”), which also related to the distribution of UT Product;

WHEREAS, SP, SD and Accredo are now affiliates of one another, as both are wholly-owned subsidiaries (directly or indirectly) of Express Scripts Holding Company;

WHEREAS, the Parties wish to amend the Accredo Agreement to add SP and SD as parties, and terminate the CuraScript Agreement, in order to provide for one Distribution Agreement among the parties relating to UT Product, and to otherwise amend the Accredo Agreement as provided herein;

WHEREAS, pursuant to Section 18.4 of the Accredo Agreement, the Accredo Agreement may be amended by the parties by a written instrument signed by a duly authorized representative of each of the Parties; and

WHEREAS, capitalized terms used but not defined herein shall have the meanings ascribed to them in the Accredo Agreement.

NOW THEREFORE, in consideration of the mutual agreements and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties hereto, intending to be legally bound, hereby agree as follows:

1.Joinder. SP and SD each hereby agrees that, from and after the Amendment Effective Date, it shall be a party to the Accredo Agreement (as amended hereby), and shall be deemed, jointly with Accredo, to be the “DISTRIBUTOR” as defined under the Accredo Agreement, subject, jointly and severally with Accredo, to all of the covenants, terms and conditions of the Accredo Agreement as though an original party thereto.

2.Termination of CuraScript Agreement.  SP, SD, Accredo and UT hereby agree that, effective as of the Amendment Effective Date, the CuraScript Agreement is terminated in its entirety, provided that any liability, obligation or provision which survives termination pursuant to Section 15.4 of the CuraScript Agreement shall survive as an obligation of SP, SD and Accredo as “DISTRIBUTOR” under the Accredo Agreement, as amended hereby.

3.Amendments to Accredo Agreement.  The Parties agree that the Accredo Agreement is hereby amended with effect from the Amendment Effective Date as follows:

1

a.Section 4.13 (Tyvaso Continuing Patient Compliance, Support and Education Program) and Attachment G (Tyvaso Education & Compliance Program) are hereby deleted from the Accredo Agreement in their entireties.

b.Section 4.15 (Device Replacement Services) and Attachment H (Tyvaso® Device Replacement Program) are hereby deleted from the Accredo Agreement in their entireties.

c.Section 6.1 is hereby deleted in its entirety and replaced with the following:

Purchase Orders.  DISTRIBUTOR shall submit written purchase orders to UT by electronic mail or in accordance with written instructions provided by UT. Except as otherwise agreed by UT, Purchase Orders shall be submitted once per month by the 10th day of the month. Each such order shall set forth: (a) the package reference for the UT Product ordered (i.e. “Starter Kit”, “Re-Supply Kit”, or “Supplemental Refill”), including item numbers; (b) quantities in multiples of ten (10) per package reference; (c) requested delivery dates; (d) specific shipping instructions; and (e) if applicable, any relevant export control information or documentation to enable UT to comply with Applicable Laws. Except as otherwise agreed by UT, DISTRIBUTOR shall submit such purchase orders at least five (5) business days prior to the requested delivery dates. DISTRIBUTOR is responsible for good Inventory management processes and subsequent purchases should not deviate negatively by more than 15% from the previous PO unless unexpected events occur and are communicated to UT in advance in writing. DISTRIBUTOR may only purchase UT Product from UT or through the acquisition of all or part of a Pharmacy authorized to dispense Product. DISTRIBUTOR may only sell UT Product for use by an Included Patient and may not sell, transfer or distribute UT Product to any entity that DISTRIBUTOR knows is likely to resell the UT Product.

d.Section 9.3 is hereby deleted in its entirety and replaced with the following:

9.3          Safety Reporting General Provisions:

(a)Definitions.  As used in this Section 9.3, the following terms shall have the following meanings:

(i.)“Adverse Drug Reaction” or “ADR” shall mean any adverse experience in response to a medicinal product which is noxious and unintended, including without limitation an ADR occurring in the course of the use of a drug product in professional practice; drug overdose whether accidental or intentional; drug abuse; drug withdrawal; occupational exposure and any failure of expected pharmacological action. Pregnancy is not considered ADR, for the purpose of this Agreement; UT requires to collect Pregnancy where the embryo or fetus may have been exposed to medicinal products (either through maternal exposure or transmission of a medicinal product via semen following paternal exposure).

(ii.)“Day 0 (Zero)”. The date on which DISTRIBUTOR or any of its representatives (including Affiliates and contracted Sub-Distributors) is made aware of information containing the minimum reporting criteria (medicinal product, reporter, event/reaction, patient), irrespective of

2

whether the information is received during a weekend or public holiday.

(iii.)“Product Complaint” or “PC” shall mean any written, electronic, or oral communication that alleges deficiencies of the identity, quality, durability, reliability, safety, effectiveness, or performance of UT Product.

(iv.) Additional terms used but not defined in this Section 9.3 and Attachment G shall have the meanings as described to them in the Code of Federal Regulations, Section 314.80, Postmarketing reporting of adverse drug experiences.

(b)UT has responsibility for all post-market pharmacovigilance and safety regulatory reporting for UT Product in the Territory, including all reporting obligations to the applicable regulatory authorities, and shall comply with all Applicable Laws in carrying out those activities.

(c)DISTRIBUTOR agrees to have and maintain suitable pharmacovigilance policies, procedures, systems, and resources (including staff training on the definitions and timelines provided in Attachment G) to ensure compliance with all Applicable Law in the Territory, including maintaining adequate written procedures to address the receipt, evaluation, and reporting of Postmarketing Adverse Drug Experience (PADE) activities that are being performed under this Agreement.

(d)DISTRIBUTOR shall identify and notify UT of any potential ADR and/or PC in accordance with Attachment G.  Either Party may update its contact information for purposes of Attachment G from time to time by providing written notice to the other Party.

e.Section 9.5 is hereby deleted in its entirety and replaced with the following:

9.5Visits by Parties.  DISTRIBUTOR shall permit UT to visit its place of business and inspect its facilities, systems, records, inventories and other relevant materials and records relating solely to its performance under this Agreement, at DISTRIBUTOR’s expense. Such inspections may be made no more than once each calendar year, at reasonable times during normal business hours and on not less than upon thirty (30) business days’ notice, accompanied by a detailed scope.  UT shall have the right to conduct additional “for cause” audits as needed to address specific quality problems and/or if issues arise that need inspection to ensure DISTRIBUTOR’s compliance with and ability to comply with the terms of this Agreement. “For cause” audits may be performed with less than thirty (30) days’ notice, but with as much notice is as reasonably practicable taking into account the level of urgency associated with a “for cause” audit.  If a designated agent of UT conducts the audit, the designated agent shall enter into a confidentiality agreement with Accredo. Audits during the months of December and January are limited to regulatory needs.

UT may choose to share a confidential audit report summarizing all audit observations with DISTRIBUTOR.  DISTRIBUTOR will issue responses to all observations in writing to UT’s Quality Assurance unit within 30 calendar days of receipt.

UT will evaluate the acceptability of the audit observation responses (as acceptable, incomplete response, inadequate response and/or other).  Both

3

parties shall bring to resolution any audit response deemed unacceptable by UT.  DISTRIBUTOR will incorporate in its commitment tracking system any corrective actions and related timelines committed to by DISTRIBUTOR.

f.Attachment G to this Amendment is hereby added to the Agreement as Attachment G.

g.Section 12.1 is hereby deleted in its entirety and replaced with the following:

12.1        Insurance Requirements.

(a)Distributor Insurance.  DISTRIBUTOR shall maintain in effect during the term of this Agreement a comprehensive general liability policy (which may be in the form of primary or excess coverage) in an amount not less than Two Million Dollars ($2,000,000) per occurrence and Three Million Dollars ($3,000,000) in the aggregate. DISTRIBUTOR shall provide thirty (30) days’ written notice to UT in the event of any modifications, cancellations or terminations thereof. If such policies are written on a claims made policy form, DISTRIBUTOR shall maintain coverage for claims arising out of this agreement for a period of at least Five (5) years following termination of this agreement or any renewal thereof or any renewal thereof.  DISTRIBUTOR agrees to provide UT with a certificate of insurance evidencing compliance with this section within ten (10) days of execution of this Agreement and prior to the policy’s renewal date each year thereafter.

(b)UT Insurance. UT shall maintain in effect during the term of this Agreement a comprehensive general liability policy (which may be in the form of primary or excess coverage) in an amount not less than Two Million Dollars ($2,000,000) per occurrence and Three Million Dollars ($3,000,000) in the aggregate and a product liability policy (which may be in the form of primary or excess coverage) in an amount not less than Ten Million Dollars ($10,000,000) per occurrence and in the aggregate.  These policies shall provide for thirty (30) days’ written notice to UT in the event of any modifications, cancellations or terminations thereof.  If such policies are written on a claims made policy form, UT shall maintain coverage for claims arising out of this agreement for a period of at least Five (5) years following termination of this agreement or any renewal thereof. DISTRIBUTOR agrees to provide UT with a certificate of insurance evidencing compliance with this section within ten (10) days of execution of this Agreement and prior to the policy’s renewal date each year thereafter.

h.Section 18.6 is hereby deleted in its entirety and replaced with the following:

18.6Notices; Language.  Except as may be otherwise provided in this Agreement, any notice, demand or request given, made or required to be made shall be in writing and shall be effective, unless otherwise provided herein, either (a) when delivered in person to the other Party, or (b) on the same business day that it is transmitted by facsimile to the facsimile number (s) set forth below, with electronic confirmation of receipt, if transmitted prior to 5:00 p.m. Eastern time on such business day, or on the first business day following such transmission if transmitted after 5:00 p.m. Eastern Time or if transmitted on a day other than a business day; provided a hard copy is deposited within one (1) day after such transmissions in the U.S. mail, postage prepaid, and addressed as set forth below for notices by U.S. mail; or (c) on the third business day following its deposit in the U.S. mail, postage and addressed as follows:

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If to UT:	United Therapeutics Corporation
	1040 Spring Street
	Silver Spring, Maryland 20910
	Attention: Chief Financial Officer
	Telefax: 301-608-9291
With a copy to:
	United Therapeutics Corporation
	1735 Connecticut Ave. NW
	Washington, DC 20009
	Attention: General Counsel
	Telefax: 202-483-4005
If to DISTRIBUTOR:
	Express Scripts, Inc.
	c/o Accredo Health Group, Inc.
	One Express Way
	St. Louis, MO 63121
	Attention: Legal Department
With a copy to:
	Accredo Health Group, Inc.
	6272 Lee Vista Boulevard
	Orlando, FL 32822
	Attention: Specialty Contract Management
	Priority Healthcare Distribution, Inc.
	255 Technology Park
	Lake Mary, FL 32746
	Attention: General Manager

i.Attachment E, Designated Shipment Locations and Designated Storage Locations, is hereby deleted in its entirety and replaced with the revised Attachment E, Designated Shipment Locations and Designated Storage Locations, attached hereto.

4.Except as specifically set forth herein, all other provisions of the Accredo Agreement shall continue unchanged.

(Signature Page to Follow)

5

IN WITNESS WHEREOF, the parties hereto have caused this Second Amendment to be executed as of the Second Amendment Effective Date set forth above by their duly authorized representatives.

ACCREDO HEALTH GROUP, INC.		UNITED THERAPEUTICS CORPORATION
By:	/s/ Bill Martin	By:	/s/ Jay A. Watson
Name:	Bill Martin	Name:	Jay A. Watson, Pharm.D
Title:	VP	Title:	EVP Strategic Operations & Logistics
Date:	12/18/13	Date:	07/Jan/2014
CURASCRIPT, INC.
By:	/s/ Bill Martin
Name:	Bill Martin
Title:	VP
Date:	12/18/13
PRIORITY HEALTHCARE DISTRIBUTION, INC.
By:	/s/ Gayle Johnston
Name:	Gayle Johnston
Title:	President
Date:	12/18/13

6

ATTACHMENT E

DESIGNATED SHIPMENT LOCATIONS AND DESIGNATED STORAGE LOCATIONS

Name/Address/Phone/Fax	Name/Address/Phone/Fax	Name/Address/Phone/Fax
Accredo Health Group, Inc. 2100 Riverchase Center, Suite 405 Hoover, AL  35244 205-987-0778 800-442-7202 205-987-0332 (Fax) DEA BA9439490	Accredo Health Group, Inc. 10400 North 25th Avenue, Suite 120 Phoenix, AZ  85021 602-944-1199 800-232-1199 602-944-1787 (Fax) DEA BA 9437042	Accredo Health Group, Inc. 1831 Commerce Street, Suite 104 Corona, CA  92880 951-737-2355 800-622-1820 951-737-2553 (Fax) DEABA9751050
Accredo Health Group, Inc. 361 Iverness Drive South, Suite F Englewood, CO  80112 303-799-6550 800-488-0290 303-799-6551 (Fax) DEA BA9492555	Accredo Health Group, Inc. 5249 N.W. 33rd Avenue, Bldg. 6 Ft. Lauderdale, FL  33309-6301 954-777-1685 800-955-5909 954-730-0129 (Fax) DEA BA9495905	Accredo Health Group, Inc. 5300 Oakbrook Parkway, Suite 320 Norcross, GA 30093 770-935-2510 800-310-7995 800-554-5545 (Fax) DEA BA9579890
Accredo Health Group, Inc. 2415 Heinz Road Iowa City, IA  52240-2661 319-354-7844 800-288-3752 319-354-6808 (Fax) DEA BA9481817	Accredo Health Group, Inc. 650 West Grand Avenue, Suite 102 Elmhurst, IL  60126 630-249-7390 800-753-5554 630-279-8464 (Fax) DEA BA9411214	Accredo Health Group, Inc. 11411 Strang Line Rd, Suite A Lenexa, KS 66215 913-451-2919 800-662-2922 913-451-2939 (Fax)
BioPartners in Care, Inc. 11411 Strang Line Rd, Suite A Lenexa, KS 66215 913-451-2919 800-662-2922 913-451-2939 (Fax) DEA BB9471549	Accredo Health Group, Inc. 520 Elmwood Park Blvd. Suite 145 Jefferson, LA 70123-6827 504-731-6113 800-250-5278 504-731-6112 (Fax) DEA BA9735599	Accredo Health Group, Inc. 261 Cedar Hill Street, Bldg. C Marlboro, MA  01752 508-460-9813 800-343-9813 508-460-0072 (Fax) DEA BA9612208
Accredo Health Group, Inc. 39625 Lewis Drive, Suite 800 Novi, MI  48377 248-489-0300 800-688-2024 248-489-1126 (Fax) DEA BA9444477	Accredo Health Group, Inc. 2915 Waters Road, Suite 109 Eagan, MN  55121-1562 651-681-0885 800-955-3121 651-681—0977 (Fax) DEA BA9562679	Accredo Health Group, Inc. 749 Goddard Avenue Chesterfield, MO  63005 636-530-1514 800-285-7384 636-530-1508 (Fax) DEA BA9432612
Accredo Health Group, Inc. 422 E. Gallimore Dairy Rd Suite A Greensboro, NC 27409 336-393-0555 800-866-0566 866-832-3709 (Fax) DEA BA9513905	Accredo Health Group, Inc. 11329 — P Street, Suite 118 & 119 Omaha, NE 68137 402-597-2330 800-569-5451 402-597-2333 (Fax) DEA BA9481502	Accredo Health Group, Inc. 45 Route, 46 East, Suite 609 Pine Brook, NJ  07058 973-276-0794 800-549-2654 973-276-0998 (Fax) DEA BA9943829
Accredo Health Group, Inc. 505 East Capovilla, Suite 103 Las Vegas, NV   89119 702-895-8990 800-234-7044 702-895-8992 (Fax) DEA BA9455254	AHG of New York, Inc. 500 Executive Blvd. Elmsford, NY  10523-1109 914-592-0333 800-680-6843 914-592-5859 (Fax) DEA BP9431747	Accredo Health Group, Inc. 4901 West Reno Rd, Ste 950 Oklahoma City, OK  73127 405-942-3961 800-999-9376 405-949-2689 (Fax) DEA BA9439882
Accredo Health Group, Inc. 3000 Ericsson Drive, Ste 100 Warrendale, PA  15086 -7502 724-772-6000 888-200-2811 724-742-2450 (Fax) DEA BA9505554	Accredo Health Group, Inc. 1620 Century Center Parkway, Ste 109 Memphis, TN  38134 901-385-3600 800-235-8498 901-385-3780 (Fax) DEA BA9451167	Accredo Health Group, Inc. (wholesale facility) 1680 Century Center Parkway, Ste 8 Memphis, TN  38134 901-385-3600 800-235-8498 866-628-8942 (Fax) DEA RA0401416
Accredo Health Group, Inc. 201 Great Circle Road Nashville, TN  37228 615-352-2500 800-800-6606 615-850-5100 (Fax) DEA BA9451193	Accredo Health Group, Inc. 9307 Kirby Drive Houston, TX  77054 713-791-1552 800-878-7690 713-791-9411 (Fax) DEA BA9419525	Accredo Health Group, Inc. 4343 West Royal Lane, Suite 124 Irving, TX 75063 972-929-6800 800-878-1254 866-435-8451 (Fax) DEA BA9584699
Accredo Health Group, Inc. 3488 South Main Street Salt Lake City, UT  84115 801-832-0222 800-729-5984 801-832-0333 (Fax) DEA BA9434022	Accredo Health Group, Inc. 22623 68th Avenue South South Kent, WA  98032 253-872-2121 800-647-2448 253-872-5663 (Fax) DEA BA9444554
Accredo Health Group, Inc.	CuraScript, Inc.	Accredo Health Group, Inc.

7

6272 Lee Vista Blvd, Suite 100 Orlando, FL 32822 888.773.7376 888.773.7386 (Fax) DEA BC8724557	dba CuraScript SP Specialty Pharmacy 2 Boulden Circle, Suite 1 New Castle, DE 19720 866.844.2469 866.844.6629 (fax) DEA FC0195695	2825 W. Perimeter Road, Suite 116 Indianapolis, IN  46241 800.807.6419 800.824.2642 DEA FC2248018
	Accredo Health Group, Inc. 2 Boulden Circle, Suite 1 New Castle, DE 19720 866.844.2469 866.844.6629 (fax) DEA TBD
Lynnfield Drug, Inc. dba Hemophilia of the Sunshine State 4035 Tampa Road, #6500 Oldmar, FL 34677 800.684.2966 813.855.6972 (Fax) DEA BL7787279	Lynnfield Compounding Center, Inc. dba Freedom FP Fertility Pharmacy 12 Kent  Way, Suite 120-E Byfield, MA 01922 800.660.4283 888.660.4283 (Fax) DEA BL9566754	Lynnfield Drug, Inc. dba Freedom Fertility Pharmacy 12 Ken Way, Suite 120-F Byfield, MA 01922 800.660.4283 888.660.4283 (Fax) DEA BL9566742

8

Attachment G

1.Timelines for delivery of reports from DISTRIBUTOR to UT (Post Marketing)

Type of Report	Timeline from DISTRIBUTOR to UT Following Day 0*	Format	Means of Delivery**
ADR/PC	As soon as possible but no later than 3 days	Source Data in English — MedWatch or CIOMS I form	Secure E-Mail, FAX as set forth in Exhibit A

*After DISTRIBUTOR acknowledgement of delays in ADR/PC reporting, DISTRIBUTOR will notify UT within 1 business day. .

2.Contact information for the parties to this Agreement

United Therapeutics Corporation	DISTRIBUTOR
Pharmacovigilance Contact Adrian Johnson RN, BSN Vendor Operations Lead United Therapeutics 55 TW Alexander Drive RTP, NC 27709 P: 919-425-5867 | agjohnson@unither.com Maria Litzinger Director, Pharmacovigilance Operations United Therapeutics 55 TW Alexander Drive RTP, NC 27709 Office: 919-425-5596 MLitzinger@unither.com	Pharmacovigilance Contact or designee Scott Ziesmer Account Manager 6272 Lee Vista Blvd Orlando, FL 32822 Telephone: (407) 816-9864 E-mail: SZiesmer@express-scripts.com and Amy Watts Senior Account Manager One Express Way St. Louis, MO 63121 Telephone: (843) 460-2473 E-mail: MHamilton2@express-scripts.com
Safety and General Correspondence DrugSafety@unither.com	Safety and General Correspondence Scott Ziesmer Account Manager Telephone: (407) 816-9864 E-mail: SZiesmer@express-scripts.com
Product Complaint Correspondence DrugSafety@unither.com	Product Complaint Correspondence Scott Ziesmer Account Manager Telephone: (407) 816-9864 E-mail: SZiesmer@express-scripts.com

3.Reference:

·Food and Drug Administration - Code of Federal Regulations, TITLE 21 CHAPTER I - SUBCHAPTER D -PART 314 -Subpart B Sec. 314.80 Postmarketing reporting of adverse drug experiences

9

EX-10.49

Exhibit 10.49

1ST AMENDMENT TO AMENDED AND RESTATED DISTRIBUTION AGREEMENT

(Remodulin®)

THIS 1ST AMENDMENT TO AMENDED AND RESTATED DISTRIBUTION AGREEMENT (this “First Amendment”) is made and effective this 18th Day of December, 2013 (the “First Amendment Effective Date”), by and among Accredo Health Group, Inc., a Delaware corporation having offices at 6272 Lee Vista Boulevard, Orlando FL, 32822, (“Accredo”), United Therapeutics Corporation, a Delaware corporation, having offices at 1040 Spring Street, Silver Spring, Maryland (“UT”), CuraScript, Inc., a Delaware corporation having offices at 6272 Lee Vista Boulevard, Orlando FL, 32822(“SP”) and Priority Healthcare Distribution, Inc., doing business as CuraScript SD Specialty Distribution, a Florida corporation with offices at 255 Technology Park, Lake Mary, Florida, 32746 (“SD”). SP, SD and Accredo are collectively referred to herein as the “Distributor”.

WHEREAS, UT and Accredo are parties to that certain Amended and Restated Distribution Agreement dated February 21, 2011 (the “Accredo Agreement”), which relates to the distribution of Remodulin® (treprostinil) Injection (“UT Product”);

WHEREAS, UT, SP and SD are parties to that certain Amended and Restated Distribution Agreement dated as of December 1, 2011 (the “CuraScript Agreement”), which also related to the distribution of UT Product;

WHEREAS, SP, SD, and Accredo are now affiliates of one another, as both are wholly-owned subsidiaries (directly or indirectly) of Express Scripts Holding Company;

WHEREAS, the Parties wish to amend the Accredo Agreement to add SP and SD as parties, and terminate the CuraScript Agreement, in order to provide for one Distribution Agreement among the parties relating to UT Product, and to otherwise amend the Accredo Agreement as provided herein;

WHEREAS, pursuant to Section 18.4 of the Accredo Agreement, the Accredo Agreement may be amended by the parties by a written instrument signed by a duly authorized representative of each of the Parties; and

WHEREAS, capitalized terms used but not defined herein shall have the meanings ascribed to them in the Accredo Agreement.

NOW THEREFORE, in consideration of the mutual agreements and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties hereto, intending to be legally bound, hereby agree as follows:

1.Joinder.  SP and SD each hereby agrees that, from and after the Amendment Effective Date, it shall be a party to the Accredo Agreement (as amended hereby), and shall be deemed, jointly with Accredo, to be the “DISTRIBUTOR” as defined under the Accredo Agreement, subject, jointly and severally with Accredo, to all of the covenants, terms and conditions of the Accredo Agreement as though an original party thereto.

2.Termination of CuraScript Agreement.  SP, SD, Accredo and UT hereby agree that, effective as of the Amendment Effective Date, the CuraScript Agreement is terminated in its entirety, provided that any liability, obligation or provision which survives termination pursuant to Section 15.4 of the CuraScript Agreement shall survive as an obligation of SP, SD and Accredo as “DISTRIBUTOR” under the Accredo Agreement, as amended hereby.

3.Amendments to Accredo Agreement.  The Parties agree that the Accredo Agreement is hereby amended with effect from the Amendment Effective Date as follows:

a.Section 9.3 is hereby deleted in its entirety and replaced with the following:

9.3          Safety Reporting General Provisions:

1

(a)Definitions.  As used in this Section 9.3, the following terms shall have the following meanings:

(i.)“Adverse Drug Reaction” or “ADR” shall mean any adverse experience in response to a medicinal product which is noxious and unintended, including without limitation an ADR occurring in the course of the use of a drug product in professional practice; drug overdose whether accidental or intentional; drug abuse; drug withdrawal; occupational exposure and any failure of expected pharmacological action. Pregnancy is not considered ADR, for the purpose of this Agreement; UT requires to collect Pregnancy where the embryo or fetus may have been exposed to medicinal products (either through maternal exposure or transmission of a medicinal product via semen following paternal exposure).

(ii.)“Day 0 (Zero)”. The date on which DISTRIBUTOR or any of its representatives (including Affiliates and contracted Sub-Distributors) is made aware of information containing the minimum reporting criteria (medicinal product, reporter, event/reaction, patient), irrespective of whether the information is received during a weekend or public holiday.

(iii.)“Product Complaint” or “PC” shall mean any written, electronic, or oral communication that alleges deficiencies of the identity, quality, durability, reliability, safety, effectiveness, or performance of UT Product.

(iv.) Additional terms used but not defined in this Section 9.3 and Attachment G shall have the meanings as described to them in the Code of Federal Regulations, Section 314.80, Postmarketing reporting of adverse drug experiences.

(b)UT has responsibility for all post-market pharmacovigilance and safety regulatory reporting for UT Product in the Territory, including all reporting obligations to the applicable regulatory authorities, and shall comply with all Applicable Laws in carrying out those activities.

(c)DISTRIBUTOR agrees to have and maintain suitable pharmacovigilance policies, procedures, systems, and resources (including staff training on the definitions and timelines provided in Attachment G) to ensure compliance with all Applicable Law in the Territory, including maintaining adequate written procedures to address the receipt, evaluation, and reporting of Postmarketing Adverse Drug Experience (PADE) activities that are being performed under this Agreement.

(d)DISTRIBUTOR shall identify and notify UT of any potential ADR and/or PC in accordance with Attachment G.  Either Party may update its contact information for purposes of Attachment G from time to time by providing written notice to the other Party.

b.Section 9.5 is hereby deleted in its entirety and replaced with the following:

9.5Visits by Parties.  DISTRIBUTOR shall permit UT to visit its place of business and inspect its facilities, systems, records, inventories and other relevant materials and records relating solely to its performance under this Agreement, at DISTRIBUTOR’s expense. Such inspections may be made no more than once each calendar year, at reasonable times during normal business hours and on

2

not less than upon thirty (30) business days’ notice, accompanied by a detailed scope.  UT shall have the right to conduct additional “for cause” audits as needed to address specific quality problems and/or if issues arise that need inspection to ensure DISTRIBUTOR’s compliance with and ability to comply with the terms of this Agreement. “For cause” audits may be performed with less than thirty (30) days’ notice, but with as much notice is as reasonably practicable taking into account the level of urgency associated with a “for cause” audit.  If a designated agent of UT conducts the audit, the designated agent shall enter into a confidentiality agreement with Accredo. Audits during the months of December and January are limited to regulatory needs.

UT may choose to share a confidential audit report summarizing all audit observations with DISTRIBUTOR.  DISTRIBUTOR will issue responses to all observations in writing to UT’s Quality Assurance unit within 30 calendar days of receipt.

UT will evaluate the acceptability of the audit observation responses (as acceptable, incomplete response, inadequate response and/or other).  Both parties shall bring to resolution any audit response deemed unacceptable by UT. DISTRIBUTOR will incorporate in its commitment tracking system any corrective actions and related timelines committed to by DISTRIBUTOR.

c.Attachment G to this Amendment is hereby added to the Agreement as Attachment G.

d.Section 12.1 is hereby deleted in its entirety and replaced with the following:

12.1 Insurance Requirements.

(a)Distributor Insurance.  DISTRIBUTOR shall maintain in effect during the term of this Agreement a comprehensive general liability policy (which may be in the form of primary or excess coverage) in an amount not less than Two Million Dollars ($2,000,000) per occurrence and Three Million Dollars ($3,000,000) in the aggregate. DISTRIBUTOR shall provide thirty (30) days’ written notice to UT in the event of any modifications, cancellations or terminations thereof. If such policies are written on a claims made policy form, DISTRIBUTOR shall maintain coverage for claims arising out of this agreement for a period of at least Five (5) years following termination of this agreement or any renewal thereof or any renewal thereof.  DISTRIBUTOR agrees to provide UT with a certificate of insurance evidencing compliance with this section within ten (10) days of execution of this Agreement and prior to the policy’s renewal date each year thereafter.

(b)UT Insurance. UT shall maintain in effect during the term of this Agreement a comprehensive general liability policy (which may be in the form of primary or excess coverage) in an amount not less than Two Million Dollars ($2,000,000) per occurrence and Three Million Dollars ($3,000,000) in the aggregate and a product liability policy (which may be in the form of primary or excess coverage) in an amount not less than Ten Million Dollars ($10,000,000) per occurrence and in the aggregate.  These policies shall provide for thirty (30) days’ written notice to UT in the event of any modifications, cancellations or terminations thereof.  If such policies are written on a claims made policy form, UT shall maintain coverage for claims arising out of this agreement for a period of at least Five (5) years following termination of this agreement or any renewal thereof. DISTRIBUTOR agrees to provide UT with a certificate of insurance evidencing compliance with this section within ten (10) days of execution of this Agreement and prior to the policy’s renewal date each year thereafter.

3

e.Section 18.6 is hereby deleted in its entirety and replaced with the following:

18.6 Notices; Language.  Except as may be otherwise provided in this Agreement, any notice, demand or request given, made or required to be made shall be in writing and shall be effective, unless otherwise provided herein, either (a) when delivered in person to the other Party, or (b) on the same business day that it is transmitted by facsimile to the facsimile number (s) set forth below, with electronic confirmation of receipt, if transmitted prior to 5:00 p.m. Eastern time on such business day, or on the first business day following such transmission if transmitted after 5:00 p.m. Eastern Time or if transmitted on a day other than a business day; provided a hard copy is deposited within one (1) day after such transmissions in the U.S. mail, postage prepaid, and addressed as set forth below for notices by U.S. mail; or (c) on the third business day following its deposit in the U.S. mail, postage and addressed as follows:

	If to UT:	United Therapeutics Corporation
		1040 Spring Street
		Silver Spring, Maryland 20910
		Attention: Chief Financial Officer
		Telefax: 301-608-9291
	With a copy to:
		United Therapeutics Corporation
		1735 Connecticut Ave. NW
		Washington, DC 20009
		Attention: General Counsel
		Telefax: 202-483-4005
If to DISTRIBUTOR:		Express Scripts, Inc.
		c/o Accredo Health Group
		One Express Way
		St. Louis, MO 63121
		Attention: Legal Department
	With a copy to:
		Accredo Health Group, Inc.
		6272 Lee Vista Boulevard
		Orlando, FL 32822
		Attention: Specialty Contract Management
		Priority Healthcare Distribution, Inc.
		255 Technology Park
		Lake Mary, FL 32746
		Attention: General Manager

f.Attachment E, Designated Shipment Locations and Designated Storage Locations, is hereby deleted in its entirety and replaced with the revised Attachment E, Designated Shipment Locations and Designated Storage Locations, attached hereto.

g.Attachment C,  United Therapeutics/ Patient Assistance Program Guidelines, is hereby amended to add the following sentence at the end:

“United Therapeutics agrees to reimburse DISTRIBUTOR at its reasonable, actual cost for ancillary supplies utilized in supplying Product to PAP Patients, including but not

4

limited to Alchohol Prep pads, Flolan Diluent, Minimed shower pack, Opsite IV prep, Soft-Set Sub Cut Admin Set and Tape.”

4.Except as specifically set forth herein, all other provisions of the Accredo Agreement shall continue unchanged.

(SIGNATURE PAGE TO FOLLOW)

5

IN WITNESS WHEREOF, the parties hereto have caused this First Amendment to be executed as of the First Amendment Effective Date set forth above by their duly authorized representatives.

ACCREDO HEALTH GROUP, INC.		UNITED THERAPEUTICS CORPORATION
By:	/s/ Bill Martin	By:	/s/ Jay A. Watson
Name:	Bill Martin	Name:	Jay A. Watson, Pharm.D
Title:	VP	Title:	EVP Strategic Operations & Logistics
Date:	12/18/13	Date:	07/Jan/2014
CURASCRIPT, INC.
By:	/s/ Bill Martin
Name:	Bill Martin
Title:	VP
Date:	12/18/13
PRIORITY HEALTHCARE DISTRIBUTION, INC.
By:	/s/ Gayle Johnston
Name:	Gayle Johnston
Title:	President
Date:	12/18/13

6

ATTACHMENT E

DESIGNATED SHIPMENT LOCATIONS AND DESIGNATED STORAGE LOCATIONS

Name/Address/Phone/Fax	Name/Address/Phone/Fax	Name/Address/Phone/Fax
Accredo Health Group, Inc. 2100 Riverchase Center, Suite 405 Hoover, AL  35244 205-987-0778 800-442-7202 205-987-0332 (Fax) DEA BA9439490	Accredo Health Group, Inc. 10400 North 25th Avenue, Suite 120 Phoenix, AZ  85021 602-944-1199 800-232-1199 602-944-1787 (Fax) DEA BA 9437042	Accredo Health Group, Inc. 1831 Commerce Street, Suite 104 Corona, CA  92880 951-737-2355 800-622-1820 951-737-2553 (Fax) DEABA9751050
Accredo Health Group, Inc. 361 Iverness Drive South, Suite F Englewood, CO  80112 303-799-6550 800-488-0290 303-799-6551 (Fax) DEA BA9492555	Accredo Health Group, Inc. 5249 N.W. 33rd Avenue, Bldg. 6 Ft. Lauderdale, FL  33309-6301 954-777-1685 800-955-5909 954-730-0129 (Fax) DEA BA9495905	Accredo Health Group, Inc. 5300 Oakbrook Parkway, Suite 320 Norcross, GA 30093 770-935-2510 800-310-7995 800-554-5545 (Fax) DEA BA9579890
Accredo Health Group, Inc. 2415 Heinz Road Iowa City, IA  52240-2661 319-354-7844 800-288-3752 319-354-6808 (Fax) DEA BA9481817	Accredo Health Group, Inc. 650 West Grand Avenue, Suite 102 Elmhurst, IL  60126 630-249-7390 800-753-5554 630-279-8464 (Fax) DEA BA9411214	Accredo Health Group, Inc. 11411 Strang Line Rd, Suite A Lenexa, KS 66215 913-451-2919 800-662-2922 913-451-2939 (Fax)
BioPartners in Care, Inc. 11411 Strang Line Rd, Suite A Lenexa, KS 66215 913-451-2919 800-662-2922 913-451-2939 (Fax) DEA BB9471549	Accredo Health Group, Inc. 520 Elmwood Park Blvd. Suite 145 Jefferson, LA 70123-6827 504-731-6113 800-250-5278 504-731-6112 (Fax) DEA BA9735599	Accredo Health Group, Inc. 261 Cedar Hill Street, Bldg. C Marlboro, MA  01752 508-460-9813 800-343-9813 508-460-0072 (Fax) DEA BA9612208
Accredo Health Group, Inc. 39625 Lewis Drive, Suite 800 Novi, MI  48377 248-489-0300 800-688-2024 248-489-1126 (Fax) DEA BA9444477	Accredo Health Group, Inc. 2915 Waters Road, Suite 109 Eagan, MN  55121-1562 651-681-0885 800-955-3121 651-681—0977 (Fax) DEA BA9562679	Accredo Health Group, Inc. 749 Goddard Avenue Chesterfield, MO  63005 636-530-1514 800-285-7384 636-530-1508 (Fax) DEA BA9432612
Accredo Health Group, Inc. 422 E. Gallimore Dairy Rd Suite A Greensboro, NC 27409 336-393-0555 800-866-0566 866-832-3709 (Fax) DEA BA9513905	Accredo Health Group, Inc. 11329 — P Street, Suite 118 & 119 Omaha, NE 68137 402-597-2330 800-569-5451 402-597-2333 (Fax) DEA BA9481502	Accredo Health Group, Inc. 45 Route, 46 East, Suite 609 Pine Brook, NJ  07058 973-276-0794 800-549-2654 973-276-0998 (Fax) DEA BA9943829
Accredo Health Group, Inc. 505 East Capovilla, Suite 103 Las Vegas, NV   89119 702-895-8990 800-234-7044 702-895-8992 (Fax) DEA BA9455254	AHG of New York, Inc. 500 Executive Blvd. Elmsford, NY  10523-1109 914-592-0333 800-680-6843 914-592-5859 (Fax) DEA BP9431747	Accredo Health Group, Inc. 4901 West Reno Rd, Ste 950 Oklahoma City, OK  73127 405-942-3961 800-999-9376 405-949-2689 (Fax) DEA BA9439882
Accredo Health Group, Inc. 3000 Ericsson Drive, Ste 100 Warrendale, PA  15086 -7502 724-772-6000 888-200-2811 724-742-2450 (Fax) DEA BA9505554	Accredo Health Group, Inc. 1620 Century Center Parkway, Ste 109 Memphis, TN  38134 901-385-3600 800-235-8498 901-385-3780 (Fax) DEA BA9451167	Accredo Health Group, Inc. (wholesale facility) 1680 Century Center Parkway, Ste 8 Memphis, TN  38134 901-385-3600 800-235-8498 866-628-8942 (Fax) DEA RA0401416
Accredo Health Group, Inc. 201 Great Circle Road Nashville, TN  37228 615-352-2500 800-800-6606 615-850-5100 (Fax) DEA BA9451193	Accredo Health Group, Inc. 9307 Kirby Drive Houston, TX  77054 713-791-1552 800-878-7690 713-791-9411 (Fax) DEA BA9419525	Accredo Health Group, Inc. 4343 West Royal Lane, Suite 124 Irving, TX 75063 972-929-6800 800-878-1254 866-435-8451 (Fax) DEA BA9584699
Accredo Health Group, Inc. 3488 South Main Street Salt Lake City, UT  84115 801-832-0222 800-729-5984 801-832-0333 (Fax) DEA BA9434022	Accredo Health Group, Inc. 22623 68th Avenue South South Kent, WA  98032 253-872-2121 800-647-2448 253-872-5663 (Fax) DEA BA9444554

7

	CuraScript, Inc. dba CuraScript SP Specialty Pharmacy 2 Boulden Circle, Suite 1 New Castle, DE 19720 866.844.2469 866.844.6629 (fax) DEA FC0195695
Accredo Health Group, Inc 6272 Lee Vista Blvd, Suite 100 Orlando, FL 32822 888.773.7376 888.773.7386 (Fax) FEIN 11-3358535 NCPDP 1085667 NPI 1043309735	Accredo Health Group, Inc 2 Boulden Circle, Suite 1 New Castle, DE 19720 866.844.2469 866.844.6629 (fax) DEA TBD	Accredo Health Group, Inc 2825 W. Perimeter Road, Suite 116 Indianapolis, IN  46241 800.807.6419 800.824.2642 FEIN 11-3358535 NCPDP 1531706 NPI 1639375066
Lynnfield Drug, Inc. dba Hemophilia of the Sunshine State 4035 Tampa Road, #6500 Oldmar, FL 34677 800.684.2966 813.855.6972 (Fax) DEA BL7787279	Lynnfield Compounding Center, Inc. dba Freedom FP Fertility Pharmacy 12 Kent  Way, Suite 120-E Byfield, MA 01922 800.660.4283 888.660.4283 (Fax) DEA BL9566754	Lynnfield Drug, Inc. dba Freedom Fertility Pharmacy 12 Ken Way, Suite 120-F Byfield, MA 01922 800.660.4283 888.660.4283 (Fax) DEA BL9566742

8

Attachment G

1.Timelines for delivery of reports from DISTRIBUTOR to UT (Post Marketing)

Type of Report	Timeline from DISTRIBUTOR to UT Following Day 0*	Format	Means of Delivery**
ADR/PC	As soon as possible but no later than 3 days	Source Data in English — MedWatch or CIOMS I form	Secure E-Mail, FAX as set forth in Exhibit A

* After DISTRIBUTOR acknowledgement of delays in ADR/PC reporting, DISTRIBUTOR will notify UT within 1 business day..

2.Contact information for the parties to this Agreement

United Therapeutics Corporation	DISTRIBUTOR
Pharmacovigilance Contact Adrian Johnson RN, BSN Vendor Operations Lead United Therapeutics 55 TW Alexander Drive RTP, NC 27709 P: 919-425-5867 | agjohnson@unither.com Maria Litzinger Director, Pharmacovigilance Operations United Therapeutics 55 TW Alexander Drive RTP, NC 27709 Office: 919-425-5596 MLitzinger@unither.com	Pharmacovigilance Contact or designee Scott Ziesmer Account Manager 6272 Lee Vista Blvd Orlando, FL 32822 Telephone: (407) 816-9864 E-mail: SZiesmer@express-scripts.com and Amy Watts Director Account Management One Express Way St. Louis, MO 63121 Telephone: (843) 460-2473 E-mail: AGWatts@express-scripts.com
Safety and General Correspondence DrugSafety@unither.com	Safety and General Correspondence Scott Ziesmer Account Manager Telephone: (407) 816-9864 E-mail: SZiesmer@express-scripts.com
Product Complaint Correspondence DrugSafety@unither.com	Product Complaint Correspondence Scott Ziesmer Account Manager Telephone: (407) 816-9864 E-mail: SZiesmer@express-scripts.com

3.Reference:

·Food and Drug Administration - Code of Federal Regulations, TITLE 21 CHAPTER I - SUBCHAPTER D -PART 314 -Subpart B Sec. 314.80 Postmarketing reporting of adverse drug experiences

9

EX-21

Exhibit 21

SUBSIDIARIES OF THE REGISTRANT

EvoLung Inc., a Delaware Corporation

Lung Bioengineering Inc., a Delaware Corporation

Lung Biotechnology Hong Kong Limited, a Hong Kong Company

Lung Biotechnology Inc., a Delaware Corporation (formerly Lung LLC)

Lung Biotechnology (Nanjing) Co., Ltd., a Chinese Wholly Foreign-Owned Entity

Lung Rx Limited, a United Kingdom Company

Revivicor, Inc., a Delaware Corporation

United Therapeutics Europe, Ltd., a United Kingdom Company

Unither Biotech Inc., a Canadian Corporation

Unither Pharma, LLC, a Delaware Limited Liability Company

Unither Pharmaceuticals, LLC, a Delaware Limited Liability Company

Unither Telmed, Ltd., a Delaware Corporation

Unither Therapeutik GmbH, a German Company

Unither Virology, LLC, a Delaware Limited Liability Company

Unither.com, Inc., a Delaware Corporation

UTASIA Inc., a Delaware Corporation

1109 Spring Managing Holdings, LLC, a Delaware Limited Liability Company

1109 Spring Managing Member, LLC, a Delaware Limited Liability Company

EX-23.1

Exhibit 23.1

Consent of Independent Registered Public Accounting Firm

We consent to the incorporation by reference in the following Registration Statements:

(1)	Registration Statement (Form S-8 No. 333-108169) pertaining to the United Therapeutics Corporation’s Equity Incentive Plan,
(2)	Registration Statement (Form S-8 No. 333-56922) pertaining to Employee Options and Consultant Options Granted Outside the United Therapeutics Corporation’s Equity Incentive Plan,
(3)	Registration Statement (Form S-8 No. 333-95419) pertaining to the United Therapeutics Corporation’s Equity Incentive Plan,
(4)	Registration Statement (Form S-8 No. 333-153695) pertaining to the United Therapeutics Corporation’s Share Tracking Awards Plan,
(5)	Registration Statement (Form S-8 No. 333-173858) pertaining to the United Therapeutics Corporation’s 2011 Share Tracking Awards Plan,
(6)	Registration Statement (Form S-4 No. 333-173857) pertaining United Therapeutics Corporation common stock,
(7)	Registration Statement (Form S-8 No. 333-179746) pertaining to the United Therapeutics Corporation 2011 Share Tracking Awards Plan,
(8)	Registration Statement (Form S-8 No. 333-182851) pertaining to the United Therapeutics Corporation Employee Stock Purchase Plan, and
(9)	Registration Statement (Form S-8 No. 333-188241) pertaining to the United Therapeutics Corporation 2011 Share Tracking Awards Plan

of our reports dated February 25, 2014, with respect to the consolidated financial statements and schedule of United Therapeutics Corporation and the effectiveness of United Therapeutics Corporation’s internal control over financial reporting, included in this Annual Report (Form 10-K) for the year ended December 31, 2013.

/s/ Ernst & Young LLP

McLean, Virginia

February 25, 2014

EX-31.1

Exhibit 31.1

CERTIFICATION PURSUANT TO RULE 13a-14(a)

OF THE SECURITIES EXCHANGE ACT OF 1934

I, Martine A. Rothblatt, certify that:

1.I have reviewed this annual report on Form 10-K of United Therapeutics Corporation;

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: February 25, 2014

/s/ MARTINE A. ROTHBLATT
By:	Martine A. Rothblatt, Ph.D.
Title:	Chairman and Chief Executive Officer

EX-31.2

Exhibit 31.2

CERTIFICATION PURSUANT TO RULE 13a-14(a)

OF THE SECURITIES EXCHANGE ACT OF 1934

I, John M. Ferrari, certify that:

1.I have reviewed this annual report on Form 10-K of United Therapeutics Corporation;

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: February 25, 2014

/s/ JOHN M. FERRARI
By:	John M. Ferrari
Title:	Chief Financial Officer and Treasurer

EX-32.1

Exhibit 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the annual report of United Therapeutics Corporation (the “Company”) on Form 10-K for the period ended December 31, 2013 as filed with the Securities and Exchange Commission (the “Report”), I, Martine A. Rothblatt, Chief Executive Officer of the Company, certify, to the best of my knowledge, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

1.The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

2.The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ MARTINE A. ROTHBLATT

Martine A. Rothblatt

Chairman and Chief Executive Officer

United Therapeutics Corporation

February 25, 2014

THE FOREGOING CERTIFICATION IS BEING FURNISHED SOLELY PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 AND IS NOT BEING FILED AS PART OF THE FORM 10-K OR AS A SEPARATE DISCLOSURE DOCUMENT.

A SIGNED ORIGINAL OF THIS WRITTEN STATEMENT REQUIRED BY SECTION 906, OR OTHER DOCUMENT AUTHENTICATING, ACKNOWLEDGING, OR OTHERWISE ADOPTING THE SIGNATURE THAT APPEARS IN TYPED FORM WITHIN THE ELECTRONIC VERSION OF THIS WRITTEN STATEMENT REQUIRED BY SECTION 906, HAS BEEN PROVIDED TO UNITED THERAPEUTICS CORPORATION AND WILL BE RETAINED BY UNITED THERAPEUTICS CORPORATION AND FURNISHED TO THE SECURITIES AND EXCHANGE COMMISSION OR ITS STAFF UPON REQUEST.

EX-32.2

Exhibit 32.2

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the annual report of United Therapeutics Corporation (the “Company”) on Form 10-K for the period ended December 31, 2013 as filed with the Securities and Exchange Commission (the “Report”), I, John M. Ferrari, Chief Financial Officer of the Company, certify, to the best of my knowledge, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2)The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ JOHN M. FERRARI

John M. Ferrari

Chief Financial Officer and Treasurer

United Therapeutics Corporation

February 25, 2014

THE FOREGOING CERTIFICATION IS BEING FURNISHED SOLELY PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 AND IS NOT BEING FILED AS PART OF THE FORM 10-K OR AS A SEPARATE DISCLOSURE DOCUMENT.

A SIGNED ORIGINAL OF THIS WRITTEN STATEMENT REQUIRED BY SECTION 906, OR OTHER DOCUMENT AUTHENTICATING, ACKNOWLEDGING, OR OTHERWISE ADOPTING THE SIGNATURE THAT APPEARS IN TYPED FORM WITHIN THE ELECTRONIC VERSION OF THIS WRITTEN STATEMENT REQUIRED BY SECTION 906, HAS BEEN PROVIDED TO UNITED THERAPEUTICS CORPORATION AND WILL BE RETAINED BY UNITED THERAPEUTICS CORPORATION AND FURNISHED TO THE SECURITIES AND EXCHANGE COMMISSION OR ITS STAFF UPON REQUEST.

XML

Stockholders' Equity (Tables)

12 Months Ended

Dec. 31, 2013

Earnings Per Common Share

Schedule of components of basic and diluted earnings per share

The components of basic and diluted earnings per share are as follows (in thousands, except per share amounts):

	Year Ended December 31,
	2013		2012		2011
Numerator:
Income from continuing operations	$	174,560	$	304,442	$	217,243
Income from discontinued operations		—		—		625
Net income	$	174,560	$	304,442	$	217,868
Denominator:
Weighted average outstanding shares—basic		50,076		52,093		57,163
Effect of dilutive securities(1):
Convertible notes		1,736		218		569
Warrants		276		—		263
Stock options and employee stock purchase plan		1,143		969		1,400
Weighted average shares—diluted		53,231		53,280		59,395
Earnings per common share:
Basic
Continuing operations	$	3.49	$	5.84	$	3.80
Discontinued operations		0.00		0.00		0.01
Net income per basic common share	$	3.49	$	5.84	$	3.81
Diluted
Continuing operations	$	3.28	$	5.71	$	3.66
Discontinued operations		0.00		0.00		0.01
Net income per diluted common share	$	3.28	$	5.71	$	3.67
Stock options and warrants excluded from calculation(2)		11,210		11,862		16,299

(1)

Calculated using the treasury stock method.

(2)

Certain stock options and warrants have been excluded from the computation of diluted earnings per share because their impact would be anti-dilutive.

Stock Options

Stock Option Plan

Summary of assumptions to estimate the grant date fair value of stock options

The following weighted-average assumptions were used in estimating the fair value of stock options granted to employees (we did not grant any stock options during the year ended December 31, 2011):

	Year Ended December 31,
	2013			2012
Expected volatility		33.0	%		41.6	%
Risk-free interest rate		1.8	%		0.7	%
Expected term of options (in years)		5.0			5.0
Expected forfeiture rate		0.0	%		0.0	%
Expected dividend yield		0.0	%		0.0	%

Schedule of stock option activity

	Options			Weighted- Average Exercise Price		Weighted Average Remaining Contractual Term (in Years)		Aggregate Intrinsic Value (in 000s)
Outstanding at January 1, 2013		4,551,050		$	38.95
Granted		1,000,000			113.08
Exercised		(797,613	)		30.12
Forfeited		(3,988	)		10.48
Outstanding and exercisable at December 31, 2013		4,749,449		$	56.06		5.7	$	270,801

Schedule of share-based compensation expense related to employee stock options

Total share-based compensation expense relating to employee stock options is as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Research and development	$	—		$	—		$	196
Selling, general and administrative		36,097			3,024			315
Share-based compensation expense before taxes		36,097			3,024			511
Related income tax benefit		(13,566	)		(1,115	)		(189	)
Share-based compensation expense, net of taxes	$	22,531		$	1,909		$	322
Share-based compensation capitalized as part of inventory	$	—		$	—		$	15

Summary of employee and non-employee stock option exercise data

Employee and non-employee stock option exercise data is summarized below (dollars in thousands):

	Year Ended December 31,
	2013		2012		2011
Number of options exercised		876,115		575,944		837,690
Cash received from options exercised	$	26,620	$	14,290	$	24,398
Total intrinsic value of options exercised	$	37,530	$	15,508	$	30,644
Tax benefits realized from options exercised	$	9,299	$	3,054	$	11,347

XML

Fair Value Measurements (Details) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Oct. 31, 2011
Assets
Federally-sponsored and corporate debt securities	$ 857,711	$ 630,698
Discounted Cash Flow | Maximum
Liabilities
Cost of debt and weighted average cost of capital (as a percent)	16.50%	17.20%
Discounted Cash Flow | Minimum
Liabilities
Cost of debt and weighted average cost of capital (as a percent)	8.70%	6.60%
Convertible Notes Due 2016
Liabilities
Convertible Senior Notes, stated percentage	1.00%	1.00%	1.00%
Recurring fair value measurements | Level 1
Assets
Money market funds	145,194	77,436
Total assets	145,194	77,436
Liabilities
Convertible notes due 2016	593,750
Total liabilities	593,750
Recurring fair value measurements | Level 2
Assets
Federally-sponsored and corporate debt securities	857,711	630,698
Total assets	857,711	630,698
Liabilities
Convertible notes due 2016		316,250
Total liabilities		316,250
Recurring fair value measurements | Level 3
Liabilities
Contingent consideration	6,616	6,730
Total liabilities	6,616	6,730
Recurring fair value measurements | Balance
Assets
Money market funds	145,194	77,436
Federally-sponsored and corporate debt securities	857,711	630,698
Total assets	1,002,905	708,134
Liabilities
Convertible notes due 2016	593,750	316,250
Contingent consideration	6,616	6,730
Total liabilities	$ 600,366	$ 322,980

XML

Summary of Significant Accounting Policies (Details 4) (USD $) In Millions, unless otherwise specified	12 Months Ended
	Dec. 31, 2013
Revenue Recognition
Shelf life of Remodulin and Tyvaso sold to customers, minimum	1 year
Inventory holding period of Remodulin and Tyvaso, low end of range	30 days
Inventory holding period of Remodulin and Tyvaso, high end of range	60 days
Maximum exchanges of Remodulin and Tyvaso as compared to the total volume of units sold (as a percent)	1.00%
Reduction in allowance for returns associated with goods due to change in the methodology for estimating returns	$ 3.1
Income taxes
Minimum percentage of likelihood of realization of recognized tax benefit	50.00%

XML

Accumulated Other Comprehensive Loss (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Changes in accumulated other comprehensive income (loss), net of tax
Balance at the beginning of the period	$ (14,957)
Other comprehensive income (loss) before reclassifications	754
Amounts reclassified from accumulated other comprehensive income	1,020
Other comprehensive gain (loss), net of tax	1,774	(4,072)	(1,710)
Balance at the end of the period	(13,183)	(14,957)
Defined Benefit Pension Plan
Changes in accumulated other comprehensive income (loss), net of tax
Balance at the beginning of the period	(11,540)
Other comprehensive income (loss) before reclassifications	2,075
Amounts reclassified from accumulated other comprehensive income	1,020
Other comprehensive gain (loss), net of tax	3,095
Balance at the end of the period	(8,445)
Foreign Currency Translation Losses
Changes in accumulated other comprehensive income (loss), net of tax
Balance at the beginning of the period	(3,876)
Other comprehensive income (loss) before reclassifications	(1,193)
Other comprehensive gain (loss), net of tax	(1,193)
Balance at the end of the period	(5,069)
Unrealized Gains and (Losses) on Available-for-Sale Securities
Changes in accumulated other comprehensive income (loss), net of tax
Balance at the beginning of the period	459
Other comprehensive income (loss) before reclassifications	(128)
Other comprehensive gain (loss), net of tax	(128)
Balance at the end of the period	$ 331

XML

Fair Value Measurements (Details 2) (Contingent Consideration, USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012
Contingent Consideration
Reconciliation of beginning and ending balances of Level 3 assets and liabilities
Beginning balance	$ (6,730)	$ (7,973)
Total gains/(losses) realized/unrealized
Included in earnings	210	663
Included in other comprehensive income	(96)	(34)
Settlements		614
Ending balance	(6,616)	(6,730)
Amount of total gains/(losses) for the period included in earnings attributable to the change in unrealized gains or losses related to outstanding liabilities	$ 210	$ 663

XML

Employee Benefit Plans (Details 4) (Supplemental Executive Retirement Plan (SERP), USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Supplemental Executive Retirement Plan (SERP)
Amounts relating to the SERP that have been recognized in other comprehensive gain (loss)
Net unrecognized actuarial gain (loss)	$ 3,956	$ (8,464)	$ 773
Net unrecognized prior service cost	827	827	(824)
Total	4,783	(7,637)	(51)
Tax	(1,688)	2,807	44
Total, net of tax	3,095	(4,830)	(7)
Accumulated other comprehensive income (loss) that have not yet been recognized as a component of net periodic pension cost
Net unrecognized actuarial loss	7,803	11,758	3,295
Net unrecognized prior service cost	5,698	6,525	7,352
Total	13,501	18,283	10,647
Tax	(5,074)	(6,743)	(3,936)
Total, net of tax	8,427	11,540	6,711
Amounts included in accumulated other comprehensive income expected to be recognized as components of net periodic pension expense
Amortization of prior service cost	827
Amortization of net actuarial loss	333
Total	$ 1,160

XML

Summary of Significant Accounting Policies (Details 2) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Goodwill and other intangible assets
Goodwill, Gross	$ 10,703,000	$ 10,530,000
Goodwill, Net	10,703,000	10,530,000
Other intangible assets, Accumulated Amortization	(8,604,000)	(5,750,000)
Other intangible assets, Net	3,412,000
Total intangible assets, Gross	22,719,000	22,158,000
Total intangible assets, Net	14,115,000	16,408,000
Weighted-average life of finite-lived intangible assets	6 years
Aggregate amortization expense relating to intangible assets	2,600,000	2,100,000	1,700,000
Amortization relating to other intangible assets
2014	1,385,000
2015	1,090,000
2016	562,000
2017	375,000
Other intangible assets, Net	3,412,000
Technology, patents and trade names
Goodwill and other intangible assets
Other intangible assets, Gross	5,049,000	4,859,000
Other intangible assets, Accumulated Amortization	(3,730,000)	(2,825,000)
Other intangible assets, Net	1,319,000	2,034,000
Amortization relating to other intangible assets
Other intangible assets, Net	1,319,000	2,034,000
Customer relationships and non-compete agreements
Goodwill and other intangible assets
Other intangible assets, Gross	4,947,000	4,749,000
Other intangible assets, Accumulated Amortization	(2,886,000)	(2,232,000)
Other intangible assets, Net	2,061,000	2,517,000
Amortization relating to other intangible assets
Other intangible assets, Net	2,061,000	2,517,000
Contract-based
Goodwill and other intangible assets
Other intangible assets, Gross	2,020,000	2,020,000
Other intangible assets, Accumulated Amortization	(1,988,000)	(693,000)
Other intangible assets, Net	32,000	1,327,000
Amortization relating to other intangible assets
Other intangible assets, Net	$ 32,000	$ 1,327,000

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Fair Value Measurements (Tables)

12 Months Ended

Dec. 31, 2013

Fair Value Measurements

Schedule of assets and liabilities subject to fair value measurements

Assets and liabilities subject to fair value measurements are as follows (in thousands):

	As of December 31, 2013
	Level 1		Level 2		Level 3		Balance
Assets
Money market funds(1)	$	145,194	$	—	$	—	$	145,194
Federally-sponsored and corporate debt securities(2)		—		857,711		—		857,711
Total assets	$	145,194	$	857,711	$	—	$	1,002,905
Liabilities
Convertible notes due 2016(3)	$	593,750	$	—	$	—	$	593,750
Contingent consideration(4)		—		—		6,616		6,616
Total liabilities	$	593,750	$	—	$	6,616	$	600,366

	As of December 31, 2012
	Level 1		Level 2		Level 3		Balance
Assets
Money market funds(1)	$	77,436	$	—	$	—	$	77,436
Federally-sponsored and corporate debt securities(2)		—		630,698		—		630,698
Total assets	$	77,436	$	630,698	$	—	$	708,134
Liabilities
Convertible notes due 2016(3)	$	—	$	316,250	$	—	$	316,250
Contingent consideration(4)		—		—		6,730		6,730
Total liabilities	$	—	$	316,250	$	6,730	$	322,980

(1)

Included in "cash and cash equivalents", "marketable investments" and "marketable investments and cash—restricted" on the accompanying consolidated balance sheets.

(2)

Included in current and non-current marketable investments on the accompanying consolidated balance sheets. The fair value of these securities is principally measured or corroborated by trade data for identical securities in which related trading activity is not sufficiently frequent to be considered a Level 1 input or comparable securities that are more actively traded. See also Note 4—Marketable Investments—Held-to-Maturity Investments to these consolidated financial statements.

(3)

Included in convertible notes on the accompanying balance sheets. As of December 31, 2012, the fair value of our 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes) was estimated using other than Level 1 observable inputs (Level 2 inputs). However, during the year ended December 31, 2013, our 2016 Convertible Notes began trading with sufficient frequency such that we believe related pricing can be used as the principal basis for measuring their fair value. As a result, our 2016 Convertible Notes have been transferred from Level 2 to Level 1.

(4)

Included in other liabilities on the accompanying consolidated balance sheets. The fair value of contingent consideration has been estimated using probability weighted discounted cash flow models (DCFs). The DCFs incorporate Level 3 inputs including estimated discount rates that we believe market participants would consider relevant in pricing and the projected timing and amount of cash flows, which are estimated and developed, in part, based on the requirements specific to each acquisition agreement. We analyze and evaluate these fair value measurements quarterly to determine whether valuation inputs continue to be relevant and appropriate or whether current period developments warrant adjustments to valuation inputs and related measurements. Any increases or decreases in discount rates would have an inverse impact on the corresponding fair value, while increases or decreases in expected cash flows would result in corresponding increases or decreases in fair value. As of December 31, 2013 and December 31, 2012, the cost of debt and weighted average cost of capital used to discount projected cash flows relating to our contingent consideration ranged from 8.7 percent to 16.5 percent and from 6.6 percent to 17.2 percent, respectively.

Schedule of reconciliations of the beginning and ending balances of Level 3 assets and liabilities

The tables below provide a reconciliation of the beginning and ending balances of Level 3 assets and liabilities for the years ended December 31, 2013 and 2012 (in thousands):

	Contingent Consideration
Balance January 1, 2013—Asset (Liability)	$	(6,730	)
Transfers into Level 3		—
Transfers out of Level 3		—
Total gains/(losses) realized/unrealized:
Included in earnings		210
Included in other comprehensive income		(96	)
Purchases		—
Sales		—
Issuances		—
Settlements		—
Balance December 31, 2013—Asset (Liability)	$	(6,616	)
Amount of total gains/(losses) for the year ended December 31, 2013 included in earnings that are attributable to the change in unrealized gains or losses related to outstanding obligations	$	210

	Contingent Consideration
Balance January 1, 2012—Asset (Liability)	$	(7,973	)
Transfers into Level 3		—
Transfers out of Level 3		—
Total gains/(losses) realized/unrealized:
Included in earnings		663
Included in other comprehensive income		(34	)
Purchases		—
Sales		—
Issuances		—
Settlements		614
Balance December 31, 2012—Asset (Liability)	$	(6,730	)
Amount of total gains/(losses) for the year ended December 31, 2012 included in earnings that are attributable to the change in unrealized gains related to outstanding obligations	$	663

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Employee Benefit Plans (Details 5) (USD $) In Millions, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Employee Retirement Plan
Employer's matching contribution, percentage	40.00%
Period of service for vesting of matching contributions	3 years
Annual increments for vesting in employer's matching contribution	0.33
Period over which the matching contribution vest annually	3 years
Expenses related to 401 (k) plan	$ 2.5	$ 2.1	$ 1.7

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Income Taxes (Details 3) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Deferred tax assets:
General business credits	$ 277	$ 25,834
Impairment losses on investments	318	2,884
Realized losses on marketable investments		2,095
License fees capitalized for tax purposes	75,181	74,964
Nonqualified stock options	40,808	30,872
SERP	14,059	14,594
STAP awards	84,274	20,238
Other	28,118	31,534
Total deferred tax assets	243,035	203,015
Deferred tax liabilities:
Plant and equipment principally due to differences in depreciation	(32,725)	(31,428)
Other	(1,351)	(1,221)
Net deferred tax asset before valuation allowance	208,959	170,366
Valuation allowance	(2,507)	(5,665)
Net deferred tax assets	$ 206,452	$ 164,701

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Schedule II-Valuation and Qualifying Accounts (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Valuation Allowance on Deferred Tax Assets
Change in valuation and qualifying accounts
Balance at Beginning of Year	$ 5,665	$ 5,458	$ 6,021
Additions Charged to Expense	169	207
Deductions	(3,327)		(563)
Balance at End of Year	2,507	5,665	5,458
Reserve for Inventory Obsolescence
Change in valuation and qualifying accounts
Balance at Beginning of Year	16,679	8,801	2,862
Additions Charged to Expense	3,341	12,136	5,939
Deductions	(1,719)	(4,258)
Balance at End of Year	$ 18,301	$ 16,679	$ 8,801

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Share Tracking Award Plans (Details) (USD $)	12 Months Ended
	Dec. 31, 2013 Share tracking award plans (STAP)	Dec. 31, 2012 Share tracking award plans (STAP)	Dec. 31, 2011 Share tracking award plans (STAP)	Dec. 31, 2013 Share tracking award plans (STAP) Minimum	Jan. 30, 2014 2011 share tracking awards plan (STAP)	Dec. 31, 2013 2011 share tracking awards plan (STAP)
Awards granted under the STAP
Share-based awards, vesting period	4 years			1 year
Grant expiration period from the grant date	10 years
Aggregate STAP liability	$ 305,200,000
Long term portion of STAP liability	17,200,000
Number of awards remained available for grant						1,000,000
Additional increase in total number of awards available for grant (in shares)					3,000,000
Expected volatility maximum period	5 years
Assumptions used to measure the fair value of STAP awards
Expected volatility (as a percent)	32.70%	32.80%	38.00%
Risk-free interest rate (as a percent)	1.10%	0.50%	0.50%
Expected term of awards	3 years 10 months 24 days	3 years 8 months 12 days	3 years 10 months 24 days
Expected forfeiture rate (as a percent)	10.10%	8.70%	7.00%
Expected dividend yield (as a percent)	0.00%	0.00%	0.00%
Share-based awards activity
Outstanding at the beginning of the period (in shares)	7,962,375
Granted (in shares)	3,372,994
Exercised (in shares)	(2,049,136)
Forfeited (in shares)	(551,332)
Outstanding at the end of the period (in shares)	8,734,901	7,962,375
Exercisable at the end of the period (in shares)	3,277,377
Expected to vest at the end of the period (in shares)	4,895,737
Share awards, Weighted-Average Exercise Price
Outstanding at the beginning of the period (in dollars per share)	$ 49.00
Granted (in dollars per share)	$ 57.55
Exercised (in dollars per share)	$ 43.55
Forfeited (in dollars per share)	$ 62.16
Outstanding at the end of the period (in dollars per share)	$ 52.75	$ 49.00
Exercisable at the end of the period (in dollars per share)	$ 47.50
Expected to vest at the end of the period (in dollars per share)	$ 55.95
Share awards, Weighted Average Remaining Contractual Term
Outstanding at the end the period	7 years 8 months 12 days
Exercisable at the end of the period	6 years 2 months 12 days
Expected to vest at the end of the period	8 years 6 months
Share awards, Aggregate Intrinsic Value
Outstanding at the end of the period (in dollars)	526,976,000
Exercisable at the end of the period (in dollars)	214,929,000
Expected to vest at the end of the period (in dollars)	$ 279,704,000
Awards granted during the period, weighted average grant date fair value (in dollars per share)	$ 24.78	$ 21.28	$ 27.80

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Employee Benefit Plans (Details 2) (Supplemental Executive Retirement Plan (SERP), USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Supplemental Executive Retirement Plan (SERP)
Weighted-average assumptions used to measure SERP obligation:
Discount Rate (as a percent)	4.34%	3.36%
Salary Increases (as a percent)	5.00%	5.00%
Components of net periodic pension cost
Service cost	$ 5,406	$ 4,315	$ 4,255
Interest cost	1,584	1,475	1,356
Amortization of prior service cost	827	827	773
Amortization of net actuarial loss	794		91
Total	$ 8,611	$ 6,617	$ 6,475

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Segment Information (Details 3) (Net revenues, Customer concentration, Accredo Health Group, Inc.)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Net revenues | Customer concentration | Accredo Health Group, Inc.
Segment Information
Concentration risk, percentage	57.00%	56.00%	61.00%

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Related Party Transaction (Details) (Kurzweil Technologies, Inc., USD $)	1 Months Ended		12 Months Ended
	May 31, 2007	Sep. 30, 2002	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2007 Maximum
Related Party Transaction
Percentage of royalty agreed to be paid		5.00%
Percentage of royalty agreed to be paid, maximum	5.00%
Royalty expenses					$ 80,000
Monthly consulting fees					6,000	12,000
Expenses incurred under related party agreement			72,000	60,000	156,000
Payments due			$ 0	$ 0

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Quarterly Financial Information (Unaudited) (Details) (USD $)	3 Months Ended								12 Months Ended
	Dec. 31, 2013	Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Quarterly Financial Information (Unaudited)
Net sales	$ 289,017,000	$ 302,225,000	$ 280,606,000	$ 245,136,000	$ 243,817,000	$ 242,468,000	$ 225,577,000	$ 204,214,000	$ 1,116,984,000	$ 916,076,000	$ 743,183,000
Gross profit	247,519,000	269,290,000	245,175,000	213,833,000	202,766,000	212,949,000	192,199,000	178,912,000	975,817,000	786,826,000	652,190,000
Net (loss) income	(30,314,000)	62,685,000	79,864,000	62,325,000	83,255,000	78,111,000	72,316,000	70,760,000	174,560,000	304,442,000	217,868,000
Net (loss) income per share-basic (in dollars per share)	$ (0.60)	$ 1.25	$ 1.60	$ 1.24	$ 1.65	$ 1.52	$ 1.37	$ 1.32	$ 3.49	$ 5.84	$ 3.81
Net (loss) income per share-diluted (in dollars per share)	$ (0.60)	$ 1.17	$ 1.52	$ 1.24	$ 1.60	$ 1.46	$ 1.34	$ 1.29	$ 3.28	$ 5.71	$ 3.67
Share-based compensation expense charged to operating expenses, net of tax	$ 111,200,000

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Employee Benefit Plans (Details 3) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013
Reclassifications related to the SERP from accumulated other comprehensive loss to the statement of operations
Prior service cost	$ 827
Amortization of net actuarial loss	794
Total prior service cost and amortization of net actuarial loss	1,621
Tax benefit	(601)
Total, net of tax	1,020
Research and development
Reclassifications related to the SERP from accumulated other comprehensive loss to the statement of operations
Prior service cost	312
Amortization of net actuarial loss	300
Selling, general and administrative
Reclassifications related to the SERP from accumulated other comprehensive loss to the statement of operations
Prior service cost	515
Amortization of net actuarial loss	$ 494

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Income Taxes (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Current:
Federal	$ 120,030	$ 83,905	$ 54,132
State	20,099	13,949	8,948
Foreign	2,164	659	544
Total current	142,293	98,513	63,624
Deferred
Federal	(37,713)	37,259	11,228
State	(9,059)	(415)	(2,428)
Foreign	(1,055)	182	641
Total deferred	(47,827)	37,026	9,441
Other non-current
Federal	7,797	573	7,605
State	1,907	114	1,621
Foreign	173	3	(417)
Total other	9,877	690	8,809
Total income tax expense	$ 104,343	$ 136,229	$ 81,874

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Sale of Medicomp, Inc.

12 Months Ended

Dec. 31, 2013

Sale of Medicomp, Inc.

Sale of Medicomp, Inc.

18. Sale of Medicomp, Inc.

        In March 2011, we sold all of the outstanding stock of Medicomp, our former wholly-owned telemedicine subsidiary, to a group of private investors. Immediately after closing the sale, we purchased a 19.9 percent ownership interest in Medicomp and we carry the related investment at cost. Medicomp's revenues and pre-tax income for the year ended December 31, 2011 were $3.1 million and $935,000, respectively. In 2011, we met the criteria for reporting Medicomp as a discontinued operation. Accordingly, we have included the operating results of Medicomp, including the gain recognized on its disposal, within discontinued operations on our consolidated statement of operations for the year ended December 31, 2011.

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Marketable Investments (Details) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Marketable investments classified as held-to-maturity:
Amortized Cost	$ 857,394	$ 630,428
Gross Unrealized Gains	557	445
Gross Unrealized Losses	(240)	(175)
Fair Value	857,711	630,698
Government-sponsored enterprises
Marketable investments classified as held-to-maturity:
Amortized Cost	445,939	350,043
Gross Unrealized Gains	257	261
Gross Unrealized Losses	(77)	(35)
Fair Value	446,119	350,269
Corporate notes and bonds
Marketable investments classified as held-to-maturity:
Amortized Cost	411,455	280,385
Gross Unrealized Gains	300	184
Gross Unrealized Losses	(163)	(140)
Fair Value	$ 411,592	$ 280,429

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Employee Benefit Plans (Tables)

12 Months Ended

Dec. 31, 2013

Employee Benefit Plans

Schedule of reconciliation of the beginning and ending balances of the projected benefit obligation

A reconciliation of the beginning and ending balances of the projected benefit obligation is presented below (in thousands):

	Year Ended December 31,
	2013			2012
Projected benefit obligation at the beginning of the year	$	47,206		$	32,952
Service cost		5,406			4,315
Interest cost		1,584			1,475
Actuarial (gain) loss		(3,162	)		8,464
Projected benefit obligation at the end of the year	$	51,034		$	47,206
Fair value of plan assets at the end of the year		—			—
Unfunded at end of the year(1)	$	51,034		$	47,206

(1)

Included within other liabilities on our consolidated balance sheets.

Schedule of future estimated benefit payments, based on current assumptions, including election of lump-sum distributions and expected future service

Future estimated benefit payments, based on current assumptions, including election of lump-sum distributions and expected future service, are as follows (in thousands):

Year Ended December 31,
2014	$	—
2015		23,502
2016		—
2017		—
2018		—
2019-2023		29,330
	$	52,832

Schedule of weighted-average assumptions used to measure the SERP obligation

	Year Ended December 31,
	2013			2012
Discount Rate		4.34	%		3.36	%
Salary Increases		5.00	%		5.00	%

Schedule of components of net periodic pension cost recognized

The components of net periodic pension cost recognized on our consolidated statement of operations consist of the following (in thousands):

	Year Ended December 31,
	2013		2012		2011
Service cost	$	5,406	$	4,315	$	4,255
Interest cost		1,584		1,475		1,356
Amortization of prior service cost		827		827		773
Amortization of net actuarial loss		794		—		91
Total	$	8,611	$	6,617	$	6,475

Schedule of components reclassified from accumulated other comprehensive loss

Reclassification adjustments related to the SERP from accumulated other comprehensive loss to the statement of operations by line item and the tax impact of these reclassifications is presented below (in thousands):

Components Reclassified from Accumulated Other Comprehensive Loss(1)	As of December 31, 2013
Prior service cost:
Research and development	$	312
Selling, general and administrative		515
Total		827
Amortization of net actuarial loss:
Research and development		300
Selling, general and administrative		494
Total		794
Total prior service cost and amortization of net actuarial loss		1,621
Tax benefit		(601	)
Total, net of tax	$	1,020

(1)

Refer to Note 12—Accumulated Other Comprehensive Loss.

Schedule of amounts recognized in other comprehensive gain (loss)

Amounts relating to the SERP that have been recognized in other comprehensive gain (loss) are as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Net unrecognized actuarial gain (loss)	$	3,956		$	(8,464	)	$	773
Net unrecognized prior service cost		827			827			(824	)
Total		4,783			(7,637	)		(51	)
Tax		(1,688	)		2,807			44
Total, net of tax	$	3,095		$	(4,830	)	$	(7	)

Schedule of amounts included in accumulated other comprehensive loss that have not yet been recognized as a component of net periodic pension cost

The table below presents amounts relating to the SERP included in accumulated other comprehensive loss that have not yet been recognized as a component of net periodic pension cost on our consolidated statements of operations (in thousands):

	Year Ended December 31,
	2013			2012			2011
Net unrecognized actuarial loss	$	7,803		$	11,758		$	3,295
Net unrecognized prior service cost		5,698			6,525			7,352
Total		13,501			18,283			10,647
Tax		(5,074	)		(6,743	)		(3,936	)
Total, net of tax	$	8,427		$	11,540		$	6,711

Schedule of estimated amounts included in accumulated other comprehensive income that are expected to be recognized as components of net periodic pension expense

Estimated amounts included in accumulated other comprehensive income as of December 31, 2013 that are expected to be recognized as components of net periodic pension expense on our statement of operations for the year ended December 31, 2014 comprise the following (in thousands):

Amortization of prior service cost	$	827
Amortization of net actuarial loss		333
Total	$	1,160

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Employee Benefit Plans (Details) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Supplemental Executive Retirement Plan Disclosure
Restricted cash, including amounts in the Rabbi Trust	$ 5,369,000	$ 5,377,000
Supplemental Executive Retirement Plan (SERP)
Supplemental Executive Retirement Plan Disclosure
Eligibility age	60 years
Number of months of salary taken as gross base for receipt of monthly payments	36 months
Vesting period of plan, when participants begin receiving payments	6 months
Restricted cash, including amounts in the Rabbi Trust	5,100,000	5,100,000
Reconciliation of beginning and ending balances of the projected benefit obligation
Projected benefit obligation at the beginning of the year	47,206,000	32,952,000
Service cost	5,406,000	4,315,000	4,255,000
Interest cost	1,584,000	1,475,000	1,356,000
Actuarial (gain) loss	(3,162,000)	8,464,000
Projected benefit obligation at the end of the year	51,034,000	47,206,000	32,952,000
Unfunded at end of the year	51,034,000	47,206,000
Accumulated benefit obligation	37,200,000	33,200,000
Future estimated benefit payments
2015	23,502,000
2019-2023	29,330,000
Total future estimated benefit payments	$ 52,832,000

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Commitments and Contingencies (Tables)

12 Months Ended

Dec. 31, 2013

Commitments and Contingencies.

Schedule of future minimum lease payments under non-cancelable operating leases

Future minimum lease payments under non-cancelable operating leases are as follows (in thousands):

Year Ending December 31,
2014	$	3,285
2015		3,195
2016		3,043
2017		2,998
2018		2,343
Thereafter		365
	$	15,229

Future milestone payments under assignment and license agreements

Future milestone payments based on our estimates of the timing and probability of achieving milestones specified under these arrangements are as follows (in thousands):

Year Ending December 31,	(1)
2014	$	4,300
2015		1,450
2016		2,247
2017		6,668
2018		1,075
Thereafter		6,170
Total	$	21,910

(1)

The amounts and timing of future milestone payments may vary depending on when related milestones will be attained, if at all.

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Marketable Investments (Details 3) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012
Continuous unrealized loss position, Fair Value
Fair Value, Total	$ 245,320	$ 163,687
Continuous unrealized loss position, Gross Unrealized Loss
Gross Unrealized Loss, Total	(240)	(175)
Maturities of securities in excess of which the entity does not invest	3 years
Government-sponsored enterprises
Continuous unrealized loss position, Fair Value
Less than one year, Fair value	76,651	72,727
Fair Value, Total	76,651	72,727
Continuous unrealized loss position, Gross Unrealized Loss
Less than one year, Gross Unrealized Loss	(77)	(35)
Gross Unrealized Loss, Total	(77)	(35)
Corporate notes and bonds
Continuous unrealized loss position, Fair Value
Less than one year, Fair value	168,669	90,960
Fair Value, Total	168,669	90,960
Continuous unrealized loss position, Gross Unrealized Loss
Less than one year, Gross Unrealized Loss	(163)	(140)
Gross Unrealized Loss, Total	$ (163)	$ (140)

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Stockholders' Equity (Details 4) (USD $) In Thousands, except Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Employee and non-employee stock option exercise data
Unrecognized compensation cost related to employee stock options	$ 0
Number of options exercised (in shares)	876,115	575,944	837,690
Cash received from options exercised	26,620	14,290	24,398
Total intrinsic value of options exercised	37,530	15,508	30,644
Tax benefits realized from options exercised	$ 9,299	$ 3,054	$ 11,347

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Commitments and Contingencies (Details) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Future minimum lease payments under non-cancelable operating leases
2014	$ 3,285,000
2015	3,195,000
2016	3,043,000
2017	2,998,000
2018	2,343,000
Thereafter	365,000
Total	15,229,000
Total rent expense	3,500,000	3,600,000	4,600,000
Future milestone payments under Assignment and License Agreements
2014	4,300,000
2015	1,450,000
2016	2,247,000
2017	6,668,000
2018	1,075,000
Thereafter	6,170,000
Total	$ 21,910,000

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Summary of Significant Accounting Policies (Details 3) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Property, Plant and Equipment
Property, plant and equipment, gross	$ 571,158,000	$ 531,676,000
Less-accumulated depreciation	(106,208,000)	(77,991,000)
Property, plant and equipment, net	464,950,000	453,685,000	366,046,000
Depreciation expense	28,600,000	25,000,000	18,200,000
Land
Property, Plant and Equipment
Property, plant and equipment, gross	47,677,000	38,104,000
Buildings, building improvements and leasehold improvements
Property, Plant and Equipment
Property, plant and equipment, gross	381,577,000	393,174,000
Buildings | Minimum
Property, Plant and Equipment
Estimated useful life	25 years
Buildings | Maximum
Property, Plant and Equipment
Estimated useful life	39 years
Building improvements | Minimum
Property, Plant and Equipment
Estimated useful life	10 years
Building improvements | Maximum
Property, Plant and Equipment
Estimated useful life	39 years
Buildings under construction
Property, Plant and Equipment
Property, plant and equipment, gross	32,609,000	4,302,000
Furniture, equipment and vehicles
Property, Plant and Equipment
Property, plant and equipment, gross	$ 109,295,000	$ 96,096,000
Furniture, equipment and vehicles | Minimum
Property, Plant and Equipment
Estimated useful life	3 years
Furniture, equipment and vehicles | Maximum
Property, Plant and Equipment
Estimated useful life	15 years

XML

Summary of Significant Accounting Policies

12 Months Ended

Dec. 31, 2013

Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

• Basis of Presentation and Principles of Consolidation

        The accompanying consolidated financial statements of United Therapeutics and its wholly owned subsidiaries have been prepared in accordance with accounting principles generally accepted in the United States (GAAP). All intercompany balances and transactions have been eliminated in consolidation. In March 2011, we sold our wholly-owned telemedicine subsidiary, Medicomp, Inc. (Medicomp). Accordingly, the operating results of Medicomp for the year ended December 31, 2011 have been presented within discontinued operations on our consolidated statement of operations. We did not recast our consolidated statement of cash flows for the year ended December 31, 2011 to reflect the classification of Medicomp as a discontinued operation as the impact was not significant to that statement (refer to Note 18—Sale of Medicomp, Inc.).

• Use of Estimates

        The preparation of the consolidated financial statements in accordance with GAAP requires our management to make estimates and assumptions that affect reported amounts of assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. We base our estimates on assumptions regarding historical experience, currently available information and anticipated developments that we believe are reasonable and appropriate. However, because the use of estimates involves an inherent degree of uncertainty, actual results could differ from those estimates. Our significant accounting policies that require use of subjective and/or complex judgment and estimates impact the following financial statement areas: revenue recognition, share-based compensation, marketable investments, fair value measurements (including those relating to our acquisitions), income taxes, goodwill and other intangible assets, and obligations related to our Supplemental Executive Retirement Plan.

• Fair Value of Financial Instruments

        The carrying amounts of cash and cash equivalents, accounts receivables, accounts payable, and accrued expenses approximate fair value because of their short maturities. The fair values of our marketable investments and 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes) are reported in Note 4—Marketable Investments and Note 5—Fair Value Measurements, respectively. The recorded value of our 2010 Wells Fargo Bank mortgage financing approximates its fair value as it bears a variable rate of interest that we believe approximates the market rate of interest for debt with similar credit risk profiles, terms and maturities. Refer to Note 8—Debt—Mortgage Financing—Wells Fargo Bank.

• Fair Value Measurements

        Fair value is a market-based measurement, not an entity-specific measurement. The objective of a fair value measurement is to estimate the price to sell an asset or transfer a liability in an orderly transaction between market participants at the measurement date under current market conditions. Such transactions to sell an asset or transfer a liability are assumed to occur in the principal market for that asset or liability, or in the absence of the principal market, the most advantageous market for the asset or liability.

        Assets and liabilities subject to fair value measurement disclosures are required to be classified according to a three-level fair value hierarchy with respect to the inputs (or assumptions) used to determine fair value. Observable inputs such as unadjusted quoted market prices for identical assets or liabilities are given the highest priority within the hierarchy (Level 1). When observable inputs are unavailable, fair value is measured using unobservable inputs—i.e., inputs that a reporting entity believes market participants would use in pricing that are developed based on the best information available. Unobservable inputs are given the lowest priority within the hierarchy (Level 3). The level in which an asset or liability is disclosed within the fair value hierarchy is based on the lowest level input that is significant to the related fair value measurement in its entirety. The guidance under the fair value measurement framework applies to other existing accounting guidance in the Financial Accounting Standard Board (FASB) codification that requires or permits fair value measurements. Refer to related disclosures at Note 5—Fair Value Measurements to these consolidated financial statements.

• Cash Equivalents

        Cash equivalents consist of highly liquid investments with maturities of three months or less from the date of acquisition and include money market funds, commercial paper, and certificates of deposit.

• Marketable Investments

        Substantially all of our marketable investments are debt securities that we classify as held-to-maturity because of our positive intent and ability to hold the securities until maturity. Held-to-maturity securities are classified as either current or non-current assets on our consolidated balance sheets based on their contractual maturity dates and are recorded at amortized cost, adjusted for the amortization of discounts or premiums. Related discounts and premiums are amortized over the term of these securities as an adjustment to yield using the effective interest method.

        We monitor our investment portfolio for impairment quarterly or more frequently if circumstances warrant. In the event that the carrying value of an investment exceeds its fair value and the decline in value is determined to be other-than-temporary, we record an impairment charge within earnings attributable to the estimated credit loss. In determining whether a decline in the value of an investment is other-than-temporary, we evaluate currently available factors that may include, among others: (1) general market conditions, (2) the duration and extent to which fair value has been less than the carrying value, (3) the investment issuer's financial condition and business outlook, and (4) our assessment as to whether it is more likely than not that we will be required to sell a security prior to recovery of its amortized cost basis.

• Trade Receivables

        Trade receivables consist of short-term amounts due from customers and are stated at the amount we expect to collect. We establish an allowance for doubtful accounts, if any, based on our assessment of the collectability of specific customer accounts.

• Inventories

        Inventories are stated at the lower of cost (first-in, first-out method) or market (current replacement cost) and consist of the following, net of reserves (in thousands):

	As of December 31,
	2013		2012
Raw materials	$	18,377	$	13,603
Work-in-progress		11,802		11,708
Finished goods		17,579		11,943
Total inventories(1)	$	47,758	$	37,254

(1)

During the year ended December 31, 2012, we increased our reserves for obsolescence by $8.9 million, which represents the cost of the nebulizers incorporated into our Tyvaso Inhalation System expected to be rendered obsolete based on the then pending commercial release in 2013 of our improved nebulizer, the TD-100.

• Goodwill and Other Intangible Assets

        The carrying amount of goodwill is not amortized but is subject to annual impairment testing. We conduct our impairment testing of goodwill annually during the fourth quarter, or more frequently, if impairment indicators exist. Initially, we evaluate various pertinent qualitative factors to assess whether it is more likely than not that the fair value of a reporting unit to which goodwill has been assigned is less than its carrying value. Such qualitative factors can include, among others: (1) industry and market conditions; (2) present and anticipated sales and cost factors; and (3) overall financial performance. If we conclude based on our qualitative assessment that it is more likely than not that the fair value of a reporting unit is less than its carrying value, we then measure the fair value of the reporting unit and compare its fair value to its carrying value (Step 1 of the goodwill impairment test). If the carrying amount of the reporting unit exceeds its fair value, then the amount of an impairment loss, if any, is measured as the excess of the recorded amount of goodwill over its implied fair value (Step 2 of the goodwill impairment test).

        Intangible assets subject to amortization are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an intangible asset may not be recoverable. Impairment losses are measured and recognized to the extent the carrying value of such assets exceeds their fair value.

        Goodwill and other intangible assets comprise the following (in thousands):

	As of December 31, 2013							As of December 31, 2012
	Gross		Accumulated Amortization			Net		Gross		Accumulated Amortization			Net
Goodwill(1)	$	10,703	$	—		$	10,703	$	10,530	$	—		$	10,530
Other intangible assets(1):
Technology, patents and trade names		5,049		(3,730	)		1,319		4,859		(2,825	)		2,034
Customer relationships and non-compete agreements		4,947		(2,886	)		2,061		4,749		(2,232	)		2,517
Contract-based		2,020		(1,988	)		32		2,020		(693	)		1,327
Total	$	22,719	$	(8,604	)	$	14,115	$	22,158	$	(5,750	)	$	16,408

(1)

Includes foreign currency translation adjustments.

        We are amortizing other intangible assets over an estimated weighted average life of 6.0 years. Related amortization expense for the years ended December 31, 2013, 2012 and 2011, was $2.6 million, $2.1 million and $1.7 million, respectively. As of December 31, 2013, aggregate amortization expense relating to intangible assets for each of the five succeeding years and thereafter is estimated as follows (in thousands):

Year Ended December 31,
2014	$	1,385
2015		1,090
2016		562
2017		375
2018		—
Thereafter		—
	$	3,412

• Property, Plant and Equipment

        Property, plant and equipment is recorded at cost and depreciated over its estimated useful life using the straight-line method. The estimated useful lives of property, plant and equipment by major category are as follows:

Buildings	25-39 Years
Building improvements	10-39 Years
Furniture, equipment and vehicles	3-15 Years
Leasehold improvements	Remaining lease term, or the estimated useful life of the improvement, whichever is shorter

        Property, plant and equipment consists of the following (in thousands):

	As of December 31,
	2013			2012
Land	$	47,677		$	38,104
Buildings, building improvements and leasehold improvements		381,577			393,174
Buildings under construction		32,609			4,302
Furniture, equipment and vehicles		109,295			96,096
		571,158			531,676
Less—accumulated depreciation		(106,208	)		(77,991	)
Property, plant and equipment, net	$	464,950		$	453,685

        Depreciation expense for the years ended December 31, 2013, 2012 and 2011 was $28.6 million, $25.0 million and $18.2 million, respectively.

        Buildings under construction consist of direct costs relating to our construction projects and include capitalized interest.

• Treasury Stock

        Treasury stock is recorded at cost, including commissions and fees. The cost of treasury shares sold is determined using the first-in, first-out method. Related gains and losses on sales of treasury stock are recognized as adjustments to stockholders' equity.

• Revenue Recognition

  Remodulin and Tyvaso

        We sell both Remodulin and Tyvaso to our specialty pharmaceutical distributors under similar contractual arrangements. Sales of Remodulin and Tyvaso are recognized when title and risk of ownership pass to our distributors upon satisfactory delivery—i.e., when all of our performance obligations under these distributor arrangements have been satisfied. We record sales of Remodulin and Tyvaso net of various product sales allowances in the period that associated revenues are recognized. These sales allowances include estimated rebates, prompt payment discounts and service fees paid to our distributors. Calculating these sales allowances involves the use of significant estimates and judgments and information obtained from external sources.

        We derive our provisions for rebates from an analysis of historical levels of rebates to both state Medicaid agencies and commercial third-party payers by product, relative to sales of each product. In formulating our estimates, we also consider the impact of anticipated changes in our product pricing, if any, sales trends and government rebate programs, particularly as they relate to eligibility requirements and/or rebate pricing.

        We estimate prompt pay discounts based on observed payment behavior. Our distributors have routinely taken advantage of these discounts and we expect them to continue to do so.

        We pay our distributors for contractual services rendered and accrue for related fees based on contractual rates applied to the estimated units of service provided by distributors for a given financial reporting period.

        Our distributors do not possess return rights; however, we provide exchange rights in the event that product is damaged during shipment or expires. Exchanges for damaged product are highly infrequent. In the event that Remodulin or Tyvaso has been damaged during shipment and we have been promptly notified as required under our distributor arrangements, we do not recognize revenue on that shipment until damaged product has been replaced. Replacement of damaged product generally occurs within several days after notification of the damage. Furthermore, the number of product exchanges due to expiration has been minimal because we sell Remodulin and Tyvaso with a remaining shelf life in excess of one year and our distributors typically carry a thirty- to sixty-day supply of our products at any given time. In addition, we closely track inventory levels held by our distributors. Except for contractual minimum inventory levels to prevent shortages of drug supply, we do not require, nor do we provide incentives for our distributors to assume, inventory levels of Remodulin or Tyvaso beyond what would be considered reasonable and customary in the ordinary course of business.

        The financial effects of exchange rights for Remodulin and Tyvaso have been immaterial and we expect the volume of exchanges to be consistent with historical levels. Specifically, exchanges of Remodulin and Tyvaso have comprised substantially less than one percent of the volume of the units that we sell. Because historical and anticipated future exchanges of Remodulin and Tyvaso have been and are expected to be immaterial, we do not record a reserve for estimated exchange rights in the period of sale. Lastly, we closely monitor product exchange data for both of these therapies to ensure that our assumptions continue to be reasonable, appropriate and current.

• Adcirca

        Adcirca is manufactured for us by Eli Lilly and Company (Lilly) and distributed through Lilly's pharmaceutical wholesaler network. Specifically, Lilly handles all of the administrative functions associated with the sale of Adcirca on our behalf, including the receipt and processing of customer purchase orders, shipment to customers, and invoicing and collection of customer payments. In addition, sales terms for Adcirca include return rights that extend throughout the distribution channel. We recognize sales of Adcirca on a gross basis (net of allowances) upon delivery to customers due to the following factors: (1) we are responsible for the acceptability of the product purchased by wholesalers; (2) we bear all inventory risk, as title and risk of loss pass to us at the shipping point from Lilly's manufacturing facility; (3) we assume credit risk if Lilly is unable to collect amounts due from customers; and (4) we assume the risk and cost of a product recall, if required.

        We recognize sales of Adcirca net of: (1) estimated government-based and commercial payer rebates; (2) prompt pay discounts; (3) allowances for product returns; and (4) wholesaler fees. We estimate our liability for rebates based on an analysis of historical levels of rebates to both Medicaid and commercial third-party payers and we consider the impact of sales trends, changes in government and commercial rebate programs and anticipated changes in Adcirca's pricing. We base our estimates for prompt pay discounts on observed customer payment behavior and expectations regarding the future utilization of such discounts. Prior to 2013, we derived estimates relating to our allowance for returns of Adcirca from published industry data specific to specialty pharmaceuticals. Beginning in 2013, we derive these estimates based on actual return data accumulated since the commercial launch of Adcirca in 2009. This change in the methodology for estimating returns resulted in a $3.1 million reduction of our allowance for returns for the twelve-month period ending December 31, 2013. In addition, we compare patient prescription data for Adcirca to sales of Adcirca on a quarterly basis to ensure a reasonable relationship between prescription and sales trends. To date, we have not identified any unusual patterns in the volume of prescriptions relative to sales that would warrant reconsideration of, or adjustment to, the methodology we currently employ to estimate our allowance for returns. Lastly, wholesaler fees are based on contractual percentages of sales to wholesalers.

• Research and Development

        Research and development costs are expensed as incurred except for refundable payments made in advance of services to be provided to us. Related expenses consist of internal labor and overhead, costs to acquire pharmaceutical products and product rights for development, materials used in clinical trials and amounts paid to third parties for services and materials relating to drug development and clinical trials.

        We recognize the following as research and development expense in the period related costs are incurred:

• •

  Costs associated with in-house or contracted production activities prior to receiving FDA approval for such facilities, or for major unproven changes to our production processes;

  •

  Costs incurred in licensing the rights to technologies in the research and development stage that have no alternative future uses; and

  •

  Up-front payments made in connection with arrangements to obtain license and distribution rights to pharmaceutical product candidates prior to regulatory approval, absent any alternative future uses.

  Share-Based Compensation

        Share-based awards that require cash settlement upon exercise, such as those granted under our Share Tracking Award Plans, are classified as a liability. Accordingly, the fair value of related cash-settled awards is re-measured at each reporting date until awards are exercised or are otherwise no longer outstanding. Related changes in the fair value of outstanding cash-settled awards at each financial reporting date are recognized as adjustments to share-based compensation expense.

        Generally, the fair value of a stock option grant is measured on its grant date and related compensation expense is recognized ratably over the requisite service period. Compensation expense is recognized in its entirety based on the grant-date fair value for stock option awards that vest immediately upon issuance. Compensation expense is accrued for performance-based stock option grants when we determine it is probable that the performance criteria will be met. We issue new shares of our common stock upon the exercise of stock options.

        We measure the fair value of stock to be purchased through our employee stock purchase plan at the beginning of an offering period, or grant date, and recognize related compensation expense ratably over the requisite service period (the offering period). We issue new shares of our common stock upon the end of each offering period, or exercise date.

• Income Taxes

        Income taxes are accounted for in accordance with the asset and liability method. Accordingly, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their tax bases. Deferred tax assets and liabilities are measured using the enacted tax rates that are expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect of a change in tax rates on deferred tax assets and liabilities is recognized in the period that includes the enactment date. Deferred tax assets are reduced by a valuation allowance when, in our judgment, it is more likely than not that some or all of the deferred tax assets will not be realized.

        Financial statement recognition of a tax position taken or expected to be taken in a tax return is determined based on a more likely than not threshold of that position being sustained. If the tax position meets this threshold, the benefit to be recognized is measured as the largest amount that is more than 50 percent likely to be realized upon ultimate settlement. It is our policy to record interest and penalties related to uncertain tax positions as a component of income tax expense.

• Earnings (Loss) per Share

        Basic earnings per share is computed by dividing net income by the weighted average number of shares of common stock outstanding during the period. Diluted earnings per common share is computed by dividing net income by the weighted average number of shares of common stock outstanding during the period, plus the potential dilutive effect of other securities if such securities were converted or exercised. During periods in which we incur net losses, both basic and diluted loss per share is calculated by dividing the net loss by the weighted average shares outstanding—potentially dilutive securities are excluded from the calculation because their effect would be anti-dilutive.

• Concentrations of Credit Risk, Products, Revenues and Customers

  Concentration of credit risk

        Financial instruments that are exposed to credit risk consist of cash, money market funds, commercial paper, marketable investments, and trade receivables. We maintain our cash and money market funds with financial institutions that are federally insured. While balances deposited in these institutions often exceed Federal Deposit Insurance Corporation limits, we have not experienced any losses on related accounts to date. Furthermore, we limit our risk exposure by maintaining funds in financial institutions that we believe are creditworthy and financially sound. Our investments in marketable debt securities have been issued by corporate entities and federally-sponsored enterprises with high credit ratings. We mitigate investment risks by investing in highly-rated securities with relatively short maturities that we believe do not subject us to undue investment or credit risk. In addition, our investment policy does not provide for investments in complex or structured financial instruments. At any given time, our trade receivables are concentrated among a small number of principal customers. If any of these financial institutions, issuers or customers fail to perform their obligations under the terms of these financial instruments, our maximum exposure to potential losses would be equal to amounts reported on our consolidated balance sheets.

• Concentration of products, revenues, and customers

        In the United States, through 2013 we sold Remodulin and Tyvaso to three specialty pharmaceutical distributors: Accredo Health Group Inc. (Accredo), CuraScript Inc. (CuraScript) and CVS Caremark (Caremark). Beginning in December 2013, the operations of CuraScript have been integrated into Accredo's operations as a result of the 2012 acquisition of Medco Health Solutions, Inc., the parent company of Accredo, by Express Scripts, Inc., the parent company of CuraScript, and we have consolidated our distribution agreements with CuraScript and Accredo into one contract. During the years ended December 31, 2013, 2012 and 2011, net sales of Remodulin and Tyvaso to these distributors accounted for 76 percent, 78 percent and 81 percent, respectively, of our total net revenues. During the years ended December 31, 2013, 2012 and 2011, net sales of Remodulin accounted for 44 percent, 50 percent and 58 percent, respectively, of our total net revenues, while net sales of Tyvaso during the years ended December 31, 2013, 2012 and 2011 comprised 39 percent, 36 percent and 32 percent, respectively of our total net revenues.

        At December 31, 2013 and 2012, 59 percent and 60 percent, respectively, of our accounts receivable was due from U.S.-based specialty pharmaceutical distributors.

        During the years ended December 31, 2013, 2012 and 2011, we derived 57 percent, 56 percent and 61 percent of our total net revenues from one customer. Estimated net revenues from that customer were as follows (in thousands):

	Year Ended December 31,
	2013		2012		2011
Accredo Health Group, Inc.	$	632,599	$	514,095	$	455,504

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Commitments and Contingencies (Details 2) (USD $)	1 Months Ended		12 Months Ended
	Dec. 31, 2012 item	Aug. 31, 2010 item	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Research agreement
Research expense			$ 299,348,000	$ 173,387,000	$ 180,015,000
Oxford Glycobiology Institute
Research agreement
Research obligation in connection with extension of term	871,000	2,900,000
Research expense, number of equal installments	36	60
Amount payable under research agreement extension			1,700,000
Research expense			890,000	577,000	658,000
Other development expenses			55,000	336,000	550,000
Amended research agreement with Oxford
Research agreement
Amount payable under research agreement extension			$ 594,000

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Segment Information (Tables)

12 Months Ended

Dec. 31, 2013

Segment Information

Schedule of revenues, cost of revenues and gross profit for each commercial product

Revenues, cost of revenues and gross profit for each of our commercial products are as follows (in thousands):

	Remodulin		Tyvaso		Adcirca		Total
Year Ended December 31, 2013
Revenues	$	491,179	$	438,793	$	176,972	$	1,106,944
Cost of revenues		59,314		60,831		10,982		131,127
Gross profit	$	431,865	$	377,962	$	165,990	$	975,817
Year Ended December 31, 2012
Revenues	$	457,969	$	325,614	$	122,540	$	906,123
Cost of revenues		57,618		53,825		7,854		119,297
Gross profit	$	400,351	$	271,789	$	114,686	$	786,826
Year Ended December 31, 2011
Revenues	$	430,132	$	240,382	$	70,580	$	741,094
Cost of revenues		52,329		31,934		4,641	$	88,904
Gross profit	$	377,803	$	208,448	$	65,939	$	652,190

Schedule of net revenues from external customers by geographic area

Net revenues from external customers by geographic area are as follows (in thousands):

Year Ended December 31,	2013		2012		2011
United States	$	1,032,435	$	846,611	$	676,967
Rest-of-World(1)		84,549		69,465		66,216
Total	$	1,116,984	$	916,076	$	743,183

(1)

Primarily Europe.

Schedule of long-lived assets (property, plant and equipment) located by geographic area

Long-lived assets (property, plant and equipment) located by geographic area are as follows (in thousands):

Year Ended December 31,	2013		2012		2011
United States	$	442,673	$	425,585	$	345,153
Rest-of-World(1)		22,277		28,100		20,893
Total	$	464,950	$	453,685	$	366,046

(1)

Facilities principally located in the United Kingdom.

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Schedule II-Valuation and Qualifying Accounts

12 Months Ended

Dec. 31, 2013

Schedule II-Valuation and Qualifying Accounts

Schedule II-Valuation and Qualifying Accounts

Schedule II—Valuation and Qualifying Accounts
Years Ended December 31, 2013, 2012, and 2011
(In thousands)

	Valuation Allowance on Deferred Tax Assets
	Balance at Beginning of Year		Additions Charged to Expense		Deductions			Balance at End of Year
Year Ended December 31, 2013	$	5,665	$	169	$	(3,327	)	$	2,507
Year Ended December 31, 2012	$	5,458	$	207	$	—		$	5,665
Year Ended December 31, 2011	$	6,021	$	—	$	(563	)	$	5,458

	Reserve for Inventory Obsolescence
	Balance at Beginning of Year		Additions Charged to Expense		Deductions			Balance at End of Year
Year Ended December 31, 2013	$	16,679	$	3,341	$	(1,719	)	$	18,301
Year Ended December 31, 2012	$	8,801	$	12,136	$	(4,258	)	$	16,679
Year Ended December 31, 2011	$	2,862	$	5,939	$	—		$	8,801

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Litigation

12 Months Ended

Dec. 31, 2013

Litigation

Litigation

21. Litigation

• Department of Health and Human Services Subpoena

        In December 2013, we received a subpoena from the Office of the Inspector General (OIG) of the Department of Health and Human Services reflecting a civil investigation by the United States Department of Justice, principally represented by the United States Attorney's Office for the District of Maryland. The subpoena requests documents regarding Remodulin, Tyvaso and Adcirca, including our marketing practices relating to these products. We are cooperating with the investigation. We are not aware that a claim, litigation or assessment has been asserted in connection with the subpoena. However, we cannot predict what actions, if any, may be taken by the OIG, the Department of Justice, other governmental entities, or any third parties in connection with such investigation.

• Sandoz Inc.

        In February 2012, we received a Paragraph IV Certification Notice Letter (the Original Notice Letter) from Sandoz Inc. (Sandoz) advising that Sandoz had submitted an abbreviated new drug application (ANDA) to the FDA requesting approval to market a generic version of the 10 mg/mL strength of Remodulin. In December 2012, we received notice (the Second Notice Letter) that Sandoz had amended its previously filed ANDA to request additional approval to market generic versions of the 1 mg/mL, 2.5 mg/mL, and 5 mg/mL strengths of Remodulin. In the Original Notice Letter and the Second Notice Letter, Sandoz stated that it intends to market a generic version of Remodulin before the expiration of the following patents we hold relating to Remodulin: U.S. Patent No. 5,153,222, which expires in October 2014; U.S. Patent No. 6,765,117, which expires in October 2017; and U.S. Patent No. 7,999,007, which expires in March 2029. Each of these patents is listed in the FDA's Orange Book.

        We responded to the Original Notice Letter by filing a lawsuit in March 2012 against Sandoz in the U.S. District Court for the District of New Jersey alleging patent infringement (the First Lawsuit). We responded to the Second Notice Letter by filing an additional lawsuit in January 2013 for patent infringement in the U.S. District Court for the District of New Jersey (the Second Lawsuit). Sandoz has filed its answer to our complaint in the First Lawsuit, and has also filed counterclaims alleging that the patents at issue in the litigation are invalid or will not be infringed by the commercial manufacture, use or sale of the proposed product described in Sandoz's ANDA submission.

        Under the Hatch-Waxman Act, the FDA is automatically precluded from approving Sandoz's ANDA with respect to each concentration of Remodulin for up to 30 months from receipt of the Notice Letter corresponding to such concentration or until the issuance of a district court decision that is adverse to us, whichever occurs first. We intend to vigorously enforce our intellectual property rights relating to Remodulin.

• Lexington Insurance Company

        During the third quarter of 2011, we reported a claim to our insurance provider regarding damage to certain Remodulin inventory that occurred as the result of a warehouse accident. The estimated net commercial value of the damaged inventory was approximately $65.0 million. Because we did not reach a satisfactory agreement on the amount to settle the claim, we filed a lawsuit against Lexington Insurance Company (Lexington) in April 2012 in the North Carolina Business Court, a specialized division of North Carolina's Superior Court, seeking to recover the full net commercial value of the damaged inventory.

        In September 2012, we entered into a final and binding settlement agreement and release with Lexington, under which Lexington agreed to pay us $31.0 million within thirty days. We received payment in early October 2012. The settlement agreement provided that the parties would release and forever discharge each other from any future claims, demands, or causes of action of any kind in connection with the matter. As all contingencies related to this matter were resolved, we recognized a corresponding gain during the third quarter ended September 30, 2012. The gain has been recognized under the caption "other, net" on our consolidated statement of operations for the year ended December 31, 2012.

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Accounts Payable and Accrued Expenses (Details) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Accounts Payable and Accrued Expenses
Accounts payable	$ 6,708	$ 10,203
Accrued expenses:
Royalties and rebates	48,213	37,264
Payroll related	26,930	26,013
Research related	5,780	5,057
Other	4,613	4,651
Total accrued expenses	85,536	72,985
Total accounts payable and accrued expenses	$ 92,244	$ 83,188

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Quarterly Financial Information (Unaudited) (Tables)

12 Months Ended

Dec. 31, 2013

Quarterly Financial Information (Unaudited)

Summary of quarterly financial information

Summarized quarterly financial information for each of the years ended December 31, 2013 and 2012 are as follows (in thousands, except per share amounts):

	Quarter Ended
	December 31, 2013			September 30, 2013		June 30, 2013		March 31, 2013
Net sales	$	289,017		$	302,225	$	280,606	$	245,136
Gross profit		247,519			269,290		245,175		213,833
Net (loss) income(1)		(30,314	)		62,685		79,864		62,325
Net (loss) income per share—basic	$	(0.60	)	$	1.25	$	1.60	$	1.24
Net (loss) income per share—diluted	$	(0.60	)	$	1.17	$	1.52	$	1.19

	Quarter Ended
	December 31, 2012		September 30, 2012		June 30, 2012		March 31, 2012
Net sales	$	243,817	$	242,468	$	225,577	$	204,214
Gross profit		202,766		212,949		192,199		178,912
Net income		83,255		78,111		72,316		70,760
Net income per share—basic	$	1.65	$	1.52	$	1.37	$	1.32
Net income per share—diluted	$	1.60	$	1.46	$	1.34	$	1.29

(1)

Operating results for the quarter ended December 31, 2013 include a $111.2 million, net of tax charge to operating expenses related to share-based compensation expense.

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Summary of Significant Accounting Policies (Policies)

12 Months Ended

Dec. 31, 2013

Summary of Significant Accounting Policies

Basis of Presentation and Principles of Consolidation

• Basis of Presentation and Principles of Consolidation

        The accompanying consolidated financial statements of United Therapeutics and its wholly owned subsidiaries have been prepared in accordance with accounting principles generally accepted in the United States (GAAP). All intercompany balances and transactions have been eliminated in consolidation. In March 2011, we sold our wholly-owned telemedicine subsidiary, Medicomp, Inc. (Medicomp). Accordingly, the operating results of Medicomp for the year ended December 31, 2011 have been presented within discontinued operations on our consolidated statement of operations. We did not recast our consolidated statement of cash flows for the year ended December 31, 2011 to reflect the classification of Medicomp as a discontinued operation as the impact was not significant to that statement (refer to Note 18—Sale of Medicomp, Inc.).

Use of Estimates

• Use of Estimates

        The preparation of the consolidated financial statements in accordance with GAAP requires our management to make estimates and assumptions that affect reported amounts of assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. We base our estimates on assumptions regarding historical experience, currently available information and anticipated developments that we believe are reasonable and appropriate. However, because the use of estimates involves an inherent degree of uncertainty, actual results could differ from those estimates. Our significant accounting policies that require use of subjective and/or complex judgment and estimates impact the following financial statement areas: revenue recognition, share-based compensation, marketable investments, fair value measurements (including those relating to our acquisitions), income taxes, goodwill and other intangible assets, and obligations related to our Supplemental Executive Retirement Plan.

Fair Value of Financial Instruments

• Fair Value of Financial Instruments

        The carrying amounts of cash and cash equivalents, accounts receivables, accounts payable, and accrued expenses approximate fair value because of their short maturities. The fair values of our marketable investments and 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes) are reported in Note 4—Marketable Investments and Note 5—Fair Value Measurements, respectively. The recorded value of our 2010 Wells Fargo Bank mortgage financing approximates its fair value as it bears a variable rate of interest that we believe approximates the market rate of interest for debt with similar credit risk profiles, terms and maturities. Refer to Note 8—Debt—Mortgage Financing—Wells Fargo Bank.

Cash Equivalents

• Cash Equivalents

        Cash equivalents consist of highly liquid investments with maturities of three months or less from the date of acquisition and include money market funds, commercial paper, and certificates of deposit.

Marketable Investments

• Marketable Investments

        Substantially all of our marketable investments are debt securities that we classify as held-to-maturity because of our positive intent and ability to hold the securities until maturity. Held-to-maturity securities are classified as either current or non-current assets on our consolidated balance sheets based on their contractual maturity dates and are recorded at amortized cost, adjusted for the amortization of discounts or premiums. Related discounts and premiums are amortized over the term of these securities as an adjustment to yield using the effective interest method.

        We monitor our investment portfolio for impairment quarterly or more frequently if circumstances warrant. In the event that the carrying value of an investment exceeds its fair value and the decline in value is determined to be other-than-temporary, we record an impairment charge within earnings attributable to the estimated credit loss. In determining whether a decline in the value of an investment is other-than-temporary, we evaluate currently available factors that may include, among others: (1) general market conditions, (2) the duration and extent to which fair value has been less than the carrying value, (3) the investment issuer's financial condition and business outlook, and (4) our assessment as to whether it is more likely than not that we will be required to sell a security prior to recovery of its amortized cost basis.

Trade Receivables

• Trade Receivables

        Trade receivables consist of short-term amounts due from customers and are stated at the amount we expect to collect. We establish an allowance for doubtful accounts, if any, based on our assessment of the collectability of specific customer accounts.

Inventories

• Inventories

        Inventories are stated at the lower of cost (first-in, first-out method) or market (current replacement cost) and consist of the following, net of reserves (in thousands):

	As of December 31,
	2013		2012
Raw materials	$	18,377	$	13,603
Work-in-progress		11,802		11,708
Finished goods		17,579		11,943
Total inventories(1)	$	47,758	$	37,254

(1)

During the year ended December 31, 2012, we increased our reserves for obsolescence by $8.9 million, which represents the cost of the nebulizers incorporated into our Tyvaso Inhalation System expected to be rendered obsolete based on the then pending commercial release in 2013 of our improved nebulizer, the TD-100.

Goodwill and Other Intangible Assets

• Goodwill and Other Intangible Assets

        The carrying amount of goodwill is not amortized but is subject to annual impairment testing. We conduct our impairment testing of goodwill annually during the fourth quarter, or more frequently, if impairment indicators exist. Initially, we evaluate various pertinent qualitative factors to assess whether it is more likely than not that the fair value of a reporting unit to which goodwill has been assigned is less than its carrying value. Such qualitative factors can include, among others: (1) industry and market conditions; (2) present and anticipated sales and cost factors; and (3) overall financial performance. If we conclude based on our qualitative assessment that it is more likely than not that the fair value of a reporting unit is less than its carrying value, we then measure the fair value of the reporting unit and compare its fair value to its carrying value (Step 1 of the goodwill impairment test). If the carrying amount of the reporting unit exceeds its fair value, then the amount of an impairment loss, if any, is measured as the excess of the recorded amount of goodwill over its implied fair value (Step 2 of the goodwill impairment test).

        Intangible assets subject to amortization are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an intangible asset may not be recoverable. Impairment losses are measured and recognized to the extent the carrying value of such assets exceeds their fair value.

        Goodwill and other intangible assets comprise the following (in thousands):

	As of December 31, 2013							As of December 31, 2012
	Gross		Accumulated Amortization			Net		Gross		Accumulated Amortization			Net
Goodwill(1)	$	10,703	$	—		$	10,703	$	10,530	$	—		$	10,530
Other intangible assets(1):
Technology, patents and trade names		5,049		(3,730	)		1,319		4,859		(2,825	)		2,034
Customer relationships and non-compete agreements		4,947		(2,886	)		2,061		4,749		(2,232	)		2,517
Contract-based		2,020		(1,988	)		32		2,020		(693	)		1,327
Total	$	22,719	$	(8,604	)	$	14,115	$	22,158	$	(5,750	)	$	16,408

(1)

Includes foreign currency translation adjustments.

        We are amortizing other intangible assets over an estimated weighted average life of 6.0 years. Related amortization expense for the years ended December 31, 2013, 2012 and 2011, was $2.6 million, $2.1 million and $1.7 million, respectively. As of December 31, 2013, aggregate amortization expense relating to intangible assets for each of the five succeeding years and thereafter is estimated as follows (in thousands):

Year Ended December 31,
2014	$	1,385
2015		1,090
2016		562
2017		375
2018		—
Thereafter		—
	$	3,412

Property, Plant and Equipment

• Property, Plant and Equipment

        Property, plant and equipment is recorded at cost and depreciated over its estimated useful life using the straight-line method. The estimated useful lives of property, plant and equipment by major category are as follows:

Buildings	25-39 Years
Building improvements	10-39 Years
Furniture, equipment and vehicles	3-15 Years
Leasehold improvements	Remaining lease term, or the estimated useful life of the improvement, whichever is shorter

        Property, plant and equipment consists of the following (in thousands):

	As of December 31,
	2013			2012
Land	$	47,677		$	38,104
Buildings, building improvements and leasehold improvements		381,577			393,174
Buildings under construction		32,609			4,302
Furniture, equipment and vehicles		109,295			96,096
		571,158			531,676
Less—accumulated depreciation		(106,208	)		(77,991	)
Property, plant and equipment, net	$	464,950		$	453,685

        Depreciation expense for the years ended December 31, 2013, 2012 and 2011 was $28.6 million, $25.0 million and $18.2 million, respectively.

        Buildings under construction consist of direct costs relating to our construction projects and include capitalized interest.

Treasury Stock

• Treasury Stock

        Treasury stock is recorded at cost, including commissions and fees. The cost of treasury shares sold is determined using the first-in, first-out method. Related gains and losses on sales of treasury stock are recognized as adjustments to stockholders' equity.

Revenue Recognition

• Revenue Recognition

  Remodulin and Tyvaso

        We sell both Remodulin and Tyvaso to our specialty pharmaceutical distributors under similar contractual arrangements. Sales of Remodulin and Tyvaso are recognized when title and risk of ownership pass to our distributors upon satisfactory delivery—i.e., when all of our performance obligations under these distributor arrangements have been satisfied. We record sales of Remodulin and Tyvaso net of various product sales allowances in the period that associated revenues are recognized. These sales allowances include estimated rebates, prompt payment discounts and service fees paid to our distributors. Calculating these sales allowances involves the use of significant estimates and judgments and information obtained from external sources.

        We derive our provisions for rebates from an analysis of historical levels of rebates to both state Medicaid agencies and commercial third-party payers by product, relative to sales of each product. In formulating our estimates, we also consider the impact of anticipated changes in our product pricing, if any, sales trends and government rebate programs, particularly as they relate to eligibility requirements and/or rebate pricing.

        We estimate prompt pay discounts based on observed payment behavior. Our distributors have routinely taken advantage of these discounts and we expect them to continue to do so.

        We pay our distributors for contractual services rendered and accrue for related fees based on contractual rates applied to the estimated units of service provided by distributors for a given financial reporting period.

        Our distributors do not possess return rights; however, we provide exchange rights in the event that product is damaged during shipment or expires. Exchanges for damaged product are highly infrequent. In the event that Remodulin or Tyvaso has been damaged during shipment and we have been promptly notified as required under our distributor arrangements, we do not recognize revenue on that shipment until damaged product has been replaced. Replacement of damaged product generally occurs within several days after notification of the damage. Furthermore, the number of product exchanges due to expiration has been minimal because we sell Remodulin and Tyvaso with a remaining shelf life in excess of one year and our distributors typically carry a thirty- to sixty-day supply of our products at any given time. In addition, we closely track inventory levels held by our distributors. Except for contractual minimum inventory levels to prevent shortages of drug supply, we do not require, nor do we provide incentives for our distributors to assume, inventory levels of Remodulin or Tyvaso beyond what would be considered reasonable and customary in the ordinary course of business.

        The financial effects of exchange rights for Remodulin and Tyvaso have been immaterial and we expect the volume of exchanges to be consistent with historical levels. Specifically, exchanges of Remodulin and Tyvaso have comprised substantially less than one percent of the volume of the units that we sell. Because historical and anticipated future exchanges of Remodulin and Tyvaso have been and are expected to be immaterial, we do not record a reserve for estimated exchange rights in the period of sale. Lastly, we closely monitor product exchange data for both of these therapies to ensure that our assumptions continue to be reasonable, appropriate and current.

• Adcirca

        Adcirca is manufactured for us by Eli Lilly and Company (Lilly) and distributed through Lilly's pharmaceutical wholesaler network. Specifically, Lilly handles all of the administrative functions associated with the sale of Adcirca on our behalf, including the receipt and processing of customer purchase orders, shipment to customers, and invoicing and collection of customer payments. In addition, sales terms for Adcirca include return rights that extend throughout the distribution channel. We recognize sales of Adcirca on a gross basis (net of allowances) upon delivery to customers due to the following factors: (1) we are responsible for the acceptability of the product purchased by wholesalers; (2) we bear all inventory risk, as title and risk of loss pass to us at the shipping point from Lilly's manufacturing facility; (3) we assume credit risk if Lilly is unable to collect amounts due from customers; and (4) we assume the risk and cost of a product recall, if required.

        We recognize sales of Adcirca net of: (1) estimated government-based and commercial payer rebates; (2) prompt pay discounts; (3) allowances for product returns; and (4) wholesaler fees. We estimate our liability for rebates based on an analysis of historical levels of rebates to both Medicaid and commercial third-party payers and we consider the impact of sales trends, changes in government and commercial rebate programs and anticipated changes in Adcirca's pricing. We base our estimates for prompt pay discounts on observed customer payment behavior and expectations regarding the future utilization of such discounts. Prior to 2013, we derived estimates relating to our allowance for returns of Adcirca from published industry data specific to specialty pharmaceuticals. Beginning in 2013, we derive these estimates based on actual return data accumulated since the commercial launch of Adcirca in 2009. This change in the methodology for estimating returns resulted in a $3.1 million reduction of our allowance for returns for the twelve-month period ending December 31, 2013. In addition, we compare patient prescription data for Adcirca to sales of Adcirca on a quarterly basis to ensure a reasonable relationship between prescription and sales trends. To date, we have not identified any unusual patterns in the volume of prescriptions relative to sales that would warrant reconsideration of, or adjustment to, the methodology we currently employ to estimate our allowance for returns. Lastly, wholesaler fees are based on contractual percentages of sales to wholesalers.

Research and Development

• Research and Development

        Research and development costs are expensed as incurred except for refundable payments made in advance of services to be provided to us. Related expenses consist of internal labor and overhead, costs to acquire pharmaceutical products and product rights for development, materials used in clinical trials and amounts paid to third parties for services and materials relating to drug development and clinical trials.

        We recognize the following as research and development expense in the period related costs are incurred:

• •

  Costs associated with in-house or contracted production activities prior to receiving FDA approval for such facilities, or for major unproven changes to our production processes;

  •

  Costs incurred in licensing the rights to technologies in the research and development stage that have no alternative future uses; and

  •

  Up-front payments made in connection with arrangements to obtain license and distribution rights to pharmaceutical product candidates prior to regulatory approval, absent any alternative future uses.

Share-Based Compensation

• Share-Based Compensation

        Share-based awards that require cash settlement upon exercise, such as those granted under our Share Tracking Award Plans, are classified as a liability. Accordingly, the fair value of related cash-settled awards is re-measured at each reporting date until awards are exercised or are otherwise no longer outstanding. Related changes in the fair value of outstanding cash-settled awards at each financial reporting date are recognized as adjustments to share-based compensation expense.

        Generally, the fair value of a stock option grant is measured on its grant date and related compensation expense is recognized ratably over the requisite service period. Compensation expense is recognized in its entirety based on the grant-date fair value for stock option awards that vest immediately upon issuance. Compensation expense is accrued for performance-based stock option grants when we determine it is probable that the performance criteria will be met. We issue new shares of our common stock upon the exercise of stock options.

        We measure the fair value of stock to be purchased through our employee stock purchase plan at the beginning of an offering period, or grant date, and recognize related compensation expense ratably over the requisite service period (the offering period). We issue new shares of our common stock upon the end of each offering period, or exercise date.

Income Taxes

• Income Taxes

        Income taxes are accounted for in accordance with the asset and liability method. Accordingly, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their tax bases. Deferred tax assets and liabilities are measured using the enacted tax rates that are expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect of a change in tax rates on deferred tax assets and liabilities is recognized in the period that includes the enactment date. Deferred tax assets are reduced by a valuation allowance when, in our judgment, it is more likely than not that some or all of the deferred tax assets will not be realized.

        Financial statement recognition of a tax position taken or expected to be taken in a tax return is determined based on a more likely than not threshold of that position being sustained. If the tax position meets this threshold, the benefit to be recognized is measured as the largest amount that is more than 50 percent likely to be realized upon ultimate settlement. It is our policy to record interest and penalties related to uncertain tax positions as a component of income tax expense.

Earnings (Loss) per Share

• Earnings (Loss) per Share

        Basic earnings per share is computed by dividing net income by the weighted average number of shares of common stock outstanding during the period. Diluted earnings per common share is computed by dividing net income by the weighted average number of shares of common stock outstanding during the period, plus the potential dilutive effect of other securities if such securities were converted or exercised. During periods in which we incur net losses, both basic and diluted loss per share is calculated by dividing the net loss by the weighted average shares outstanding—potentially dilutive securities are excluded from the calculation because their effect would be anti-dilutive.

Concentrations of Credit Risk, Products, Revenues and Customers

• Concentrations of Credit Risk, Products, Revenues and Customers

  Concentration of credit risk

        Financial instruments that are exposed to credit risk consist of cash, money market funds, commercial paper, marketable investments, and trade receivables. We maintain our cash and money market funds with financial institutions that are federally insured. While balances deposited in these institutions often exceed Federal Deposit Insurance Corporation limits, we have not experienced any losses on related accounts to date. Furthermore, we limit our risk exposure by maintaining funds in financial institutions that we believe are creditworthy and financially sound. Our investments in marketable debt securities have been issued by corporate entities and federally-sponsored enterprises with high credit ratings. We mitigate investment risks by investing in highly-rated securities with relatively short maturities that we believe do not subject us to undue investment or credit risk. In addition, our investment policy does not provide for investments in complex or structured financial instruments. At any given time, our trade receivables are concentrated among a small number of principal customers. If any of these financial institutions, issuers or customers fail to perform their obligations under the terms of these financial instruments, our maximum exposure to potential losses would be equal to amounts reported on our consolidated balance sheets.

• Concentration of products, revenues, and customers

        In the United States, through 2013 we sold Remodulin and Tyvaso to three specialty pharmaceutical distributors: Accredo Health Group Inc. (Accredo), CuraScript Inc. (CuraScript) and CVS Caremark (Caremark). Beginning in December 2013, the operations of CuraScript have been integrated into Accredo's operations as a result of the 2012 acquisition of Medco Health Solutions, Inc., the parent company of Accredo, by Express Scripts, Inc., the parent company of CuraScript, and we have consolidated our distribution agreements with CuraScript and Accredo into one contract. During the years ended December 31, 2013, 2012 and 2011, net sales of Remodulin and Tyvaso to these distributors accounted for 76 percent, 78 percent and 81 percent, respectively, of our total net revenues. During the years ended December 31, 2013, 2012 and 2011, net sales of Remodulin accounted for 44 percent, 50 percent and 58 percent, respectively, of our total net revenues, while net sales of Tyvaso during the years ended December 31, 2013, 2012 and 2011 comprised 39 percent, 36 percent and 32 percent, respectively of our total net revenues.

        At December 31, 2013 and 2012, 59 percent and 60 percent, respectively, of our accounts receivable was due from U.S.-based specialty pharmaceutical distributors.

        During the years ended December 31, 2013, 2012 and 2011, we derived 57 percent, 56 percent and 61 percent of our total net revenues from one customer. Estimated net revenues from that customer were as follows (in thousands):

	Year Ended December 31,
	2013		2012		2011
Accredo Health Group, Inc.	$	632,599	$	514,095	$	455,504

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Summary of Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2013

Summary of Significant Accounting Policies

Schedule of inventories, net of reserves

Inventories are stated at the lower of cost (first-in, first-out method) or market (current replacement cost) and consist of the following, net of reserves (in thousands):

	As of December 31,
	2013		2012
Raw materials	$	18,377	$	13,603
Work-in-progress		11,802		11,708
Finished goods		17,579		11,943
Total inventories(1)	$	47,758	$	37,254

(1)

During the year ended December 31, 2012, we increased our reserves for obsolescence by $8.9 million, which represents the cost of the nebulizers incorporated into our Tyvaso Inhalation System expected to be rendered obsolete based on the then pending commercial release in 2013 of our improved nebulizer, the TD-100.

Schedule of goodwill and other intangible assets

Goodwill and other intangible assets comprise the following (in thousands):

	As of December 31, 2013							As of December 31, 2012
	Gross		Accumulated Amortization			Net		Gross		Accumulated Amortization			Net
Goodwill(1)	$	10,703	$	—		$	10,703	$	10,530	$	—		$	10,530
Other intangible assets(1):
Technology, patents and trade names		5,049		(3,730	)		1,319		4,859		(2,825	)		2,034
Customer relationships and non-compete agreements		4,947		(2,886	)		2,061		4,749		(2,232	)		2,517
Contract-based		2,020		(1,988	)		32		2,020		(693	)		1,327
Total	$	22,719	$	(8,604	)	$	14,115	$	22,158	$	(5,750	)	$	16,408

(1)

Includes foreign currency translation adjustments.

Future amortization of other intangible assets

As of December 31, 2013, aggregate amortization expense relating to intangible assets for each of the five succeeding years and thereafter is estimated as follows (in thousands):

Year Ended December 31,
2014	$	1,385
2015		1,090
2016		562
2017		375
2018		—
Thereafter		—
	$	3,412

Schedule of property, plant and equipment and the estimated useful lives

Buildings	25-39 Years
Building improvements	10-39 Years
Furniture, equipment and vehicles	3-15 Years
Leasehold improvements	Remaining lease term, or the estimated useful life of the improvement, whichever is shorter

        Property, plant and equipment consists of the following (in thousands):

	As of December 31,
	2013			2012
Land	$	47,677		$	38,104
Buildings, building improvements and leasehold improvements		381,577			393,174
Buildings under construction		32,609			4,302
Furniture, equipment and vehicles		109,295			96,096
		571,158			531,676
Less—accumulated depreciation		(106,208	)		(77,991	)
Property, plant and equipment, net	$	464,950		$	453,685

Schedule of revenues from a single customer

Estimated net revenues from that customer were as follows (in thousands):

	Year Ended December 31,
	2013		2012		2011
Accredo Health Group, Inc.	$	632,599	$	514,095	$	455,504

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Organization and Business Description

12 Months Ended

Dec. 31, 2013

Organization and Business Description

Organization and Business Description

1. Organization and Business Description

        United Therapeutics Corporation is a biotechnology company focused on the development and commercialization of unique products to address the unmet medical needs of patients with chronic and life-threatening conditions. As used in these notes to the consolidated financial statements, unless the context otherwise requires, the terms "we", "us", "our," and similar terms refer to United Therapeutics Corporation and its consolidated subsidiaries.

        We have approval from the United States Food and Drug Administration (FDA) to market the following therapies: Remodulin® (treprostinil) Injection (Remodulin), Tyvaso® (treprostinil) Inhalation Solution (Tyvaso), Adcirca® (tadalafil) tablets (Adcirca) and, since December 2013, Orenitram™ (treprostinil) Extended-Release Tablets (Orenitram). We expect to launch Orenitram sales in the United States in mid-2014. Remodulin has also been approved in various countries outside the United States.

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Marketable Investments (Tables)

12 Months Ended

Dec. 31, 2013

Marketable Investments

Schedule of marketable investments classified as held-to-maturity

Marketable investments classified as held-to-maturity consist of the following (in thousands):

As of December 31, 2013	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Government-sponsored enterprises	$	445,939	$	257	$	(77	)	$	446,119
Corporate notes and bonds		411,455		300		(163	)		411,592
Total	$	857,394	$	557	$	(240	)	$	857,711
Reported under the following captions on the consolidated balance sheet:
Current marketable investments	$	409,645
Noncurrent marketable investments		447,749
	$	857,394

As of December 31, 2012	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Government-sponsored enterprises	$	350,043	$	261	$	(35	)	$	350,269
Corporate notes and bonds		280,385		184		(140	)		280,429
Total	$	630,428	$	445	$	(175	)	$	630,698
Reported under the following captions on the consolidated balance sheet:
Current marketable investments	$	325,175
Noncurrent marketable investments		305,253
	$	630,428

Summary of gross unrealized losses and the length of time marketable investments have been in a continuous unrealized loss position

The following table summarizes gross unrealized losses and the length of time marketable investments have been in a continuous unrealized loss position (in thousands):

	As of December 31,
	2013					2012
	Fair Value		Gross Unrealized Loss			Fair Value		Gross Unrealized Loss
Government-sponsored enterprises:
Continuous unrealized loss position less than one year	$	76,651	$	(77	)	$	72,727	$	(35	)
Continuous unrealized loss position greater than one year		—		—			—		—
		76,651		(77	)		72,727		(35	)
Corporate notes and bonds:
Continuous unrealized loss position less than one year		168,669		(163	)		90,960		(140	)
Continuous unrealized loss position greater than one year		—		—			—		—
		168,669		(163	)		90,960		(140	)
Total	$	245,320	$	(240	)	$	163,687	$	(175	)

Summary of the contractual maturities of held-to-maturity marketable investments

The following table summarizes the contractual maturities of held-to-maturity marketable investments at December 31, 2013 (in thousands):

	As of December 31, 2013
	Amortized Cost		Fair Value
Due in less than one year	$	409,645	$	409,751
Due in one to two years		325,818		325,960
Due in three to five years		121,931		122,000
Due after five years		—		—
Total	$	857,394	$	857,711

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Sale of Medicomp, Inc. (Details) (Medicomp, Inc., USD $)	12 Months Ended
	Dec. 31, 2011	Mar. 31, 2011
Medicomp, Inc.
Sale of business
Percentage of ownership interest acquired after sale		19.90%
Revenues and loss before income tax
Revenues	$ 3,100,000
Pre-tax income	$ 935,000

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Accumulated Other Comprehensive Loss (Tables)

12 Months Ended

Dec. 31, 2013

Accumulated Other Comprehensive (Loss) Income

Schedule of changes in accumulated other comprehensive income (loss) by component, net of tax

The following table includes changes in accumulated other comprehensive income (loss) by component, net of tax (in thousands):

	Defined Benefit Pension Plan(1)			Foreign Currency Translation Losses			Unrealized Gains and (Losses) on Available-for-Sale Securities			Total
Balance, January 1, 2013	$	(11,540	)	$	(3,876	)	$	459		$	(14,957	)
Other comprehensive income (loss) before reclassifications		2,075			(1,193	)		(128	)		754
Amounts reclassified from accumulated other comprehensive income		1,020			—			—			1,020
Net current-period other comprehensive income (loss)		3,095			(1,193	)		(128	)		1,774
Balance, December 31, 2013	$	(8,445	)	$	(5,069	)	$	331		$	(13,183	)

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Marketable Investments (Details 4) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Amortized Cost
Due in less than one year, Amortized Cost	$ 409,645
Due in one to two years, Amortized Cost	325,818
Due in three to five years, Amortized Cost	121,931
Total marketable investments	857,394	630,428
Fair Value
Due in less than one year, Fair Value	409,751
Due in one to two years, Fair Value	325,960
Due in three to five years, Fair Value	122,000
Fair Value	$ 857,711	$ 630,698

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Income Taxes (Details 2) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Reconciliation of income taxes
Federal tax rate (as a percent)	35.00%	35.00%	35.00%
Federal tax provision computed at 35%	$ 97,616	$ 154,235	$ 105,018
State tax provision, net of federal tax provision	8,320	9,149	5,549
General business credits	(13,346)	(10,980)	(15,776)
Incentive stock option expense	(304)	(479)	(290)
Section 199 deduction	(10,861)	(15,629)	(8,091)
Nondeductible compensation expense	22,813	2,609	(2,607)
Nondeductible expenses	105	(2,676)	(1,929)
Total income tax expense	$ 104,343	$ 136,229	$ 81,874

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Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Current assets:
Cash and cash equivalents	$ 278,889	$ 154,030
Marketable investments	409,645	325,175
Accounts receivable, net of allowance of none for 2013 and 2012	126,297	116,626
Other current assets	46,424	35,385
Inventories, net	47,758	37,254
Total current assets	909,013	668,470
Marketable investments	448,134	305,726
Marketable investments and cash-restricted	5,369	5,377
Goodwill and other intangible assets, net	14,115	16,408
Property, plant, and equipment, net	464,950	453,685
Deferred tax assets, net	192,718	150,147
Other assets	53,268	26,782
Total assets	2,087,567	1,626,595
Current liabilities:
Accounts payable and accrued expenses	92,244	83,188
Convertible notes	215,845
Share Tracking Award Plans	287,956	75,412
Mortgages payable-current	66,613	1,291
Other current liabilities	25,016	16,864
Total current liabilities	687,674	176,755
Non-current liabilities:
Convertible notes		204,667
Mortgages payable	3,724	70,343
Other liabilities	91,858	79,967
Total liabilities	783,256	531,732
Commitments and contingencies:
Temporary equity	45,037	10,882
Stockholders' equity:
Common stock, par value $.01, 245,000,000 shares authorized, 63,013,192 and 62,082,007 shares issued, and 50,388,140 and 50,165,953 shares outstanding at December 31, 2013 and 2012, respectively	630	621
Additional paid-in capital	1,057,224	1,015,835
Accumulated other comprehensive loss	(13,183)	(14,957)
Treasury stock at cost, 12,625,052 and 11,916,054 shares at December 31, 2013 and 2012, respectively	(513,437)	(470,998)
Retained earnings	728,040	553,480
Total stockholders' equity	1,259,274	1,083,981
Total liabilities and stockholders' equity	2,087,567	1,626,595
Preferred stock
Stockholders' equity:
Preferred stock
Series A junior participating preferred stock
Stockholders' equity:
Preferred stock

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Summary of Significant Accounting Policies (Details) (USD $)	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2013	Dec. 31, 2013 Convertible Notes Due 2016	Dec. 31, 2012 Convertible Notes Due 2016	Oct. 31, 2011 Convertible Notes Due 2016
Fair Value of Financial Instruments
Convertible Senior Notes, stated percentage			1.00%	1.00%	1.00%
Inventories:
Raw materials	$ 13,603,000	$ 18,377,000
Work-in-progress	11,708,000	11,802,000
Finished goods	11,943,000	17,579,000
Total inventories	37,254,000	47,758,000
Increase in reserves for obsolescence	$ 8,900,000

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Consolidated Statements of Stockholders' Equity (USD $) In Thousands, except Share data, unless otherwise specified	Total	Common Stock	Additional Paid-in Capital	Accumulated Other Comprehensive Income/(Loss)	Treasury Stock	Retained Earnings
Balance at Dec. 31, 2010	$ 883,886	$ 600	$ 928,690	$ (9,175)	$ (67,399)	$ 31,170
Balance (in shares) at Dec. 31, 2010		60,017,546
Increase (Decrease) in Stockholders' Equity
Net income	217,868					217,868
Foreign currency translation adjustments	(1,709)			(1,709)
Unrealized gain (loss) on available-for-sale securities	6			6
Defined benefit pension plan	(7)			(7)
Shares received upon sale of subsidiary	(2,750)				(2,750)
Conversion of 2011 convertible notes and exercise of convertible note hedge		7	27,287		(27,294)
Conversion of 2011 convertible notes and exercise of convertible note hedge (in shares)		650,827
Issuance of 2016 convertible notes	56,192		56,192
2016 convertible note hedge and warrants, net of tax	(29,069)		(29,069)
Repurchase of shares	(211,766)		(26,211)		(185,555)
Exercise of stock options	23,963	8	23,955
Exercise of stock options (in shares)	837,690	837,690
Tax benefit from exercises of non-qualified stock options	11,347		11,347
Share-based compensation	527		527
Balance at Dec. 31, 2011	948,488	615	992,718	(10,885)	(282,998)	249,038
Balance (in shares) at Dec. 31, 2011		61,506,063
Increase (Decrease) in Stockholders' Equity
Net income	304,442					304,442
Foreign currency translation adjustments	691			691
Unrealized gain (loss) on available-for-sale securities	67			67
Defined benefit pension plan	(4,830)			(4,830)
Repurchase of shares	(188,000)				(188,000)
Exercise of stock options	16,805	6	16,799
Exercise of stock options (in shares)	575,944	575,944
Tax benefit from exercises of non-qualified stock options	3,054		3,054
Share-based compensation	3,264		3,264
Balance at Dec. 31, 2012	1,083,981	621	1,015,835	(14,957)	(470,998)	553,480
Balance (in shares) at Dec. 31, 2012		62,082,007
Increase (Decrease) in Stockholders' Equity
Net income	174,560					174,560
Foreign currency translation adjustments	(1,193)			(1,193)
Unrealized gain (loss) on available-for-sale securities	(128)			(128)
Defined benefit pension plan	3,095			3,095
Shares issued under employee stock purchase plan	2,735	1	2,734
Shares issued under employee stock purchase plan (in shares)		55,070
Equity component -2016 convertible notes (Note 10)	(34,155)		(34,155)
Repurchase of shares	(42,439)				(42,439)
Exercise of stock options	26,619	8	26,611
Exercise of stock options (in shares)	876,115	876,115
Tax benefit from exercises of non-qualified stock options	9,299		9,299
Share-based compensation	36,900		36,900
Balance at Dec. 31, 2013	$ 1,259,274	$ 630	$ 1,057,224	$ (13,183)	$ (513,437)	$ 728,040
Balance (in shares) at Dec. 31, 2013		63,013,192

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Debt (Details) (USD $) Share data in Millions, except Per Share data, unless otherwise specified	12 Months Ended								12 Months Ended				12 Months Ended					12 Months Ended	1 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2013 Convertible senior notes	Dec. 31, 2012 Convertible senior notes	Dec. 31, 2011 Convertible senior notes	Dec. 31, 2013 Revolving line of credit	Dec. 31, 2013 Revolving line of credit Maximum	Dec. 31, 2013 Revolving line of credit One-month LIBOR	Dec. 31, 2013 Convertible Notes Due 2016	Dec. 31, 2012 Convertible Notes Due 2016	Oct. 31, 2011 Convertible Notes Due 2016	Dec. 31, 2013 Convertible Notes Due 2011	Dec. 31, 2012 Convertible Notes Due 2011	Dec. 31, 2011 Convertible Notes Due 2011	Dec. 31, 2013 Mortgage Financing item	Dec. 31, 2010 Mortgage Financing	Dec. 31, 2013 Mortgage Financing One-month LIBOR	Nov. 30, 2011 Mortgage Financing -Midland Loan Services (PNC Bank N.A.)	Jun. 01, 2016 Mortgage Financing -Midland Loan Services (PNC Bank N.A.)
Debt
Maximum borrowing capacity							$ 75,000,000
Additional increase in borrowing capacity of the line of credit available at the entity's option								75,000,000
Debt, floating rate of interest basis									one month LIBOR									one month LIBOR
Debt, floating rate of interest, basis spread (as a percent)									0.50%									3.75%
Unused commitment fee (as a percent)							0.06%
Debt, maturity term							1 year									25 years			30 years
Debt aggregate principal value												250,000,000
Convertible Senior Notes, stated percentage										1.00%	1.00%	1.00%							6.35%
Conversion price (in dollars per share)										$ 113.08		$ 47.69
Convertible debt, number of shares into which convertible												5.2
Percentage of conversion price that the closing sales price of the entity's common stock must exceed in order to make the notes convertible										130.00%
Minimum number of trading days within 30 consecutive trading days in which closing price of the entity's common stock must exceed conversion price for notes to be redeemable										20 days
Trading-day period used to determine contingent conversion requirement on notes										30 days
Number of consecutive business days immediately after any five consecutive trading-day period during note measurement period										10 days
Number of consecutive trading-days during which the trading price of the convertible notes must be less than a given percentage of the entity's stock price to be										5 days
Percentage of trading price of the entity's common stock's closing price and the conversion rate, maximum										95.00%
Amount by which aggregate conversion value exceeded par value										342,800,000
Redemption price of convertible notes as a percentage of principal amount, due to change in control										100.00%
Equity component										57,900,000
Amortization schedule										5 years			5 years	5 years	5 years
Effective interest rate (as a percent)										6.70%			7.50%	7.50%	7.50%
Interest expense incurred in connection with the entity's convertible notes
Contractual coupon rate of interest				2,500,000	2,500,000	1,510,000
Discount amortization				11,178,000	10,487,000	16,118,000
Interest expense-convertible notes				13,678,000	12,987,000	17,628,000
Carrying amount related to convertible notes
Principal balance				250,000,000	250,000,000											66,500,000
Convertible debt, discount to reduce net carrying value				(34,155,000)	(45,333,000)
Discount, accumulated amortization				23,783,000	12,605,000
Carrying amount				215,845,000	204,667,000											70,337,000
Mortgage Financing
Mortgage loan under credit agreement																	70,000,000		3,600,000
Mortgage term							1 year									25 years			30 years
Amortization schedule, fixed interest rate for calculation of principal payments (as a percent)																7.00%
Debt, floating rate of interest basis									one month LIBOR									one month LIBOR
Debt, floating rate of interest, basis spread (as a percent)									0.50%									3.75%
Debt, interest rate at period end (as a percent)																3.90%
Debt, interest rate, alternative option (as a percent)																2.75%
Debt, interest rate, alternative option, spread over federal funds effective rate (as a percent)																0.05%
Debt, interest rate, alternative option, basis																LIBOR
Debt, interest rate, alternative option, spread over basis (as a percent)																1.00%
Maximum consolidated leverage ratio																2.5
Financial covenants, measurement period (in rolling quarters)																4
Financial covenants, minimum liquidity amount																150,000,000
Financial covenants, portion of vested STAP awards not included in calculation																50,000,000
Balance of debt remaining at maturity date																				3,400,000
Future maturities relating to mortgage financings
2014																66,636,000
2015																97,000
2016																3,490,000
2017																114,000
Carrying amount				215,845,000	204,667,000											70,337,000
Interest expense
Interest expense	18,117,000	17,544,000	22,209,000
Less: interest capitalized	(59,000)	(905,000)	(842,000)
Total interest expense	$ 18,058,000	$ 16,639,000	$ 21,367,000

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Share Tracking Award Plans (Tables) (Share tracking award plans (STAP))

12 Months Ended

Dec. 31, 2013

Share tracking award plans (STAP)

Awards granted under the STAP

Schedule of assumptions to estimate the fair value of STAP awards

	As of December 31, 2013
	2013			2012			2011
Expected volatility		32.7	%		32.8	%		38.0	%
Risk-free interest rate		1.1	%		0.5	%		0.5	%
Expected term of awards (in years)		3.9			3.7			3.9
Expected forfeiture rate		10.1	%		8.7	%		7.0	%
Expected dividend yield		0.0	%		0.0	%		0.0	%

Summary of activity and status of STAP awards

	Number of Awards			Weighted- Average Exercise Price		Weighted Average Remaining Contractual Term (Years)		Aggregate Intrinsic Value (in 000s)
Outstanding at January 1, 2013		7,962,375		$	49.00
Granted		3,372,994			57.55
Exercised		(2,049,136	)		43.55
Forfeited		(551,332	)		62.16
Outstanding at December 31, 2013		8,734,901		$	52.75		7.7	$	526,976
Exercisable at December 31, 2013		3,277,377		$	47.50		6.2	$	214,929
Expected to vest at December 31, 2013		4,895,737		$	55.95		8.5	$	279,704

Schedule of share-based compensation expense (benefit) recognized in connection with the STAP

Share-based compensation expense (benefit) recognized in connection with the STAP is as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Research and development	$	134,355		$	11,130		$	(8,190	)
Selling, general and administrative		143,407			14,490			(8,023	)
Cost of product sales		6,124			1,230			(174	)
Share-based compensation expense (benefit) before taxes		283,886			26,850			(16,387	)
Related income tax (benefit) expense		(106,693	)		(9,902	)		6,058
Share-based compensation expense (benefit), net of taxes	$	177,193		$	16,948		$	(10,329	)
Share-based compensation capitalized as part of inventory	$	1,593		$	275		$	(203	)

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Stockholders' Equity (Details 2) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Stock option activity
Exercised (in shares)	(876,115)	(575,944)	(837,690)
Stock Options
Stock option activity
Outstanding at the beginning of the period (in shares)	4,551,050
Granted (in shares)	1,000,000
Exercised (in shares)	(797,613)
Forfeited (in shares)	(3,988)
Outstanding at the end of the period (in shares)	4,749,449	4,551,050
Employee stock options, Weighted-Average Exercise Price
Outstanding at the beginning of the period (in dollars per share)	$ 38.95
Granted (in dollars per share)	$ 113.08
Exercised (in dollars per share)	$ 30.12
Forfeited (in dollars per share)	$ 10.48
Outstanding at the end of the period (in dollars per share)	$ 56.06	$ 38.95
Employee stock options, Weighted Average Remaining Contractual Term
Outstanding at the end the period	5 years 8 months 12 days
Employee stock options, Aggregate Intrinsic Value
Outstanding at the end of the period (in dollars)	$ 270,801,000
Weighted-average fair value of employee stock option granted (in dollars per share)	$ 36.10	$ 19.74	$ 0.00
Total fair value of vested employee options	$ 36,100,000	$ 3,000,000	$ 1,600,000

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Assignment and License Agreements

12 Months Ended

Dec. 31, 2013

Assignment and License Agreements

Assignment and License Agreements

15. Assignment and License Agreements

• GlaxoSmithKline PLC

        In 1997, GlaxoSmithKline PLC (Glaxo) assigned to us patents and patent applications for use of the stable prostacyclin analogue UT-15 (now known as treprostinil) for the treatment of PAH and congestive heart failure. Under the agreement, Glaxo is entitled to receive royalties on sales exceeding a specified threshold for a minimum period of ten years (or until expiration of the licensed patents) following the date of the first commercial sale of any initial product containing treprostinil. Pursuant to these terms, our royalty obligation will end in October 2014.

• Supernus Pharmaceuticals, Inc.

        In June 2006, we entered into an exclusive license agreement with Supernus Pharmaceuticals, Inc. (Supernus) for the use of certain technologies developed by Supernus in our Orenitram tablet. The agreement requires us to make milestone payments to Supernus in connection with the development of Orenitram and $2.0 million upon its commercial launch, which we anticipate in mid-2014. Additionally, we will pay a royalty to Supernus based on net sales of Orenitram. Royalties will be paid for approximately twelve years commencing with the first commercial sale subject to adjustments.

• Eli Lilly and Company

        In November 2008, we acquired from Lilly exclusive rights to develop, market, promote and commercialize Adcirca for the treatment of pulmonary hypertension in the United States and Puerto Rico. In exchange for these license rights, we agreed to pay Lilly, among other fees, royalties of five percent of our net sales of Adcirca as a pass through of Lilly's third-party royalty obligations for as long as Lilly is required to make such royalty payments. Pursuant to the terms of our license arrangement, Lilly manufactures Adcirca for us and distributes Adcirca via its wholesaler network in the same manner that it distributes its own pharmaceutical products. We purchase Adcirca from Lilly at a fixed manufacturing cost, which is adjusted by Lilly from time to time. The terms of this licensing arrangement will continue generally until the later of: (1) the expiration or lapse of the last to expire claim within a Lilly patent covering commercialization of Adcirca; or (2) the expiration of any government conferred exclusivity rights to Adcirca. In addition, at Lilly's discretion the license agreement may be terminated in the event that we undergo a change in control.

• National Cancer Institute

        In July 2010, we entered into a Cooperative Research and Development Agreement (CRADA) with the National Cancer Institute (NCI) of the United States National Institutes for Health (NIH) to collaborate on the late-stage development and regulatory approval process for Chimeric Monoclonal Antibody 14.18 (Ch14.18) for children with high-risk neuroblastoma and patients with other forms of cancer. Ch14.18 is an antibody that has shown potential in the treatment of neuroblastoma by targeting GD2, a glycolipid on the surface of tumor cells. Under the terms of the CRADA, we have developed the capability to commercially produce the antibody and the NCI has completed necessary studies to support the filing of a marketing authorization application which was accepted by the European Medicines Agency in December 2013. In addition, we expect to file a biologics license application seeking FDA approval during the first quarter of 2014.

• Toray Industries, Inc.

        In 2000, we entered into an agreement with Toray to obtain exclusive rights to develop and market beraprost, a chemically stable oral prostacyclin analogue, in a sustained release formulation in the United States and Canada for the treatment of all cardiovascular indications. In 2007, we amended the agreement to expand our rights to commercialize a modified release formulation of beraprost (beraprost-MR). As part of the 2007 amendment, we issued 400,000 shares of our common stock to Toray with certain put rights. These put rights provide Toray the ability to request at its discretion that we repurchase these shares at a price of $27.21 per share upon 30 days' prior written notice. Accordingly, we classified the value of the shares within temporary equity on our consolidated balance sheets. In the event that Toray requests that we repurchase these shares, we will reclassify the repurchase value of the stock as a liability until settlement. The 2007 amendment also provided for certain milestone payments during the development period and upon receipt of regulatory approval in the United States or the European Union.

        In July 2011, we amended our license agreement with Toray. The amendment did not materially change the terms of our license agreement, except for a reduction in royalty rates. In exchange for the reduction in royalty rates, we agreed to pay Toray $50.0 million in equal, non-refundable payments over the five-year period ending in 2015. Since these payments are non-refundable and have no contingencies attached to them, during the year ended December 31, 2011, we recognized an obligation and a corresponding charge to research and development expense of $46.3 million, which represents the present value of the related payments discounted by our estimated current cost of debt at the date the contract was amended. As of December 31, 2013, our remaining obligation to Toray under this agreement is $20.0 million.

• Pluristem License Agreement

        In June 2011, we entered into a license agreement with Pluristem Ltd. (Pluristem) for exclusive worldwide rights to develop and commercialize a cell-based product for the treatment of PAH using Pluristem's proprietary PLX cell technology. The license agreement became effective in August 2011, at which time we made a one-time, non-refundable payment of $7.0 million to Pluristem, $5.0 million of which consisted of a license fee that was charged to research and development expenses during the year ended December 31, 2011. The agreement provides for additional milestone payments to Pluristem at various stages, as well as royalties on commercial sales.

• Ascendis Pharma A/S

        In September 2012, we signed a worldwide, exclusive agreement with Ascendis Pharma A/S (Ascendis Pharma) to apply Ascendis Pharma's proprietary TransCon technology platform to our treprostinil molecule. The TransCon technology platform may significantly enhance the delivery of treprostinil by establishing a once-daily, self-injectable alternative for patients who currently administer Remodulin through a continuous infusion pump for the treatment of PAH. We also intend to pursue the development of a TransCon technology-enabled sustained release formulation of beraprost. Pursuant to this agreement, we may be required to make future development-related milestone payments and royalty payments based on commercial sales.

• Other

        We are party to various other license agreements relating to therapies under development. These license agreements require us to make payments based on a percentage of sales, if we are successful in commercially developing these therapies, and may require other payments upon the achievement of certain milestones.

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Debt (Tables)

12 Months Ended

Dec. 31, 2013

Debt

Schedule of components of interest expense incurred in connection with the entity's convertible notes

Interest expense incurred in connection with our convertible notes consisted of the following (in thousands):

	Year Ended December 31,
	2013		2012		2011
Contractual coupon rate of interest	$	2,500	$	2,500	$	1,510
Discount amortization		11,178		10,487		16,118
Interest expense—convertible notes(1)	$	13,678	$	12,987	$	17,628

(1)

Interest expense recognized in connection with our convertible notes for the year ended December 31, 2011 includes the effective interest relating to a prior issue of convertible notes that matured in October 2011 (2011 Convertible Notes). We accounted for the 2011 Convertible Notes in a manner similar to that of the 2016 Convertible Notes using an effective interest rate of 7.5 percent over the five-year term of the notes.

Schedule of information about carrying amount of convertible notes

The carrying value of our convertible notes consisted of the following (in thousands):

	As of December 31,
	2013			2012
Principal balance	$	250,000		$	250,000
Discount, net of accumulated amortization of $23,783 and $12,605		(34,155	)		(45,333	)
Carrying amount	$	215,845		$	204,667

Schedule of future maturities relating to mortgage financings

As of December 31, 2013, future maturities relating to our mortgage financings are as follows (in thousands):

Year Ended December 31,
2014	$	66,636
2015		97
2016		3,490
2017		114
2018		—
Total	$	70,337

Schedule of components of interest expense presented on the entity's consolidated statements of operations

Details of interest expense presented on our consolidated statements of operations are as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Interest expense	$	18,117		$	17,544		$	22,209
Less: interest capitalized		(59	)		(905	)		(842	)
Total interest expense	$	18,058		$	16,639		$	21,367

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Distribution Agreements

12 Months Ended

Dec. 31, 2013

Distribution Agreements

Distribution Agreements

17. Distribution Agreements

• U.S.-Based Specialty Pharmaceutical Distributors

        We are party to separate distribution agreements for Remodulin and Tyvaso with two U.S.-based specialty pharmaceutical distributors. The distribution agreements are similar to one another, and generally have one-year terms that renew automatically for additional one-year periods, unless terminated earlier. The agreements contain contractual responsibilities relating to ordering specifications, inventory requirements and exchange rights. We also have agreements with these distributors to perform certain services for us on a fee-for-service basis. If any of our distribution agreements expire or terminate, we may be required under certain circumstances to repurchase any unsold inventory held by our distributors.

• International Distributors

        We currently sell Remodulin internationally through various distributors. The financial terms and conditions relating to these distributor arrangements are structured in a manner substantially similar to those of our U.S. distribution agreements described above.

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Stockholders' Equity (Details 5) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2013	Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Numerator:
Income from continuing operations									$ 174,560	$ 304,442	$ 217,243
Income from discontinued operations											625
Net income	$ (30,314)	$ 62,685	$ 79,864	$ 62,325	$ 83,255	$ 78,111	$ 72,316	$ 70,760	$ 174,560	$ 304,442	$ 217,868
Denominator:
Weighted average outstanding shares - basic									50,076	52,093	57,163
Effect of dilutive securities:
Convertible notes (in shares)									1,736	218	569
Warrants (in shares)									276		263
Stock options and employee stock purchase plan (in shares)									1,143	969	1,400
Weighted average shares - diluted									53,231	53,280	59,395
Basic
Continuing operations (in dollars per share)									$ 3.49	$ 5.84	$ 3.80
Discontinued operations (in dollars per share)									$ 0.00	$ 0.00	$ 0.01
Net income per basic common share (in dollars per share)	$ (0.60)	$ 1.25	$ 1.60	$ 1.24	$ 1.65	$ 1.52	$ 1.37	$ 1.32	$ 3.49	$ 5.84	$ 3.81
Diluted
Continuing operations (in dollars per share)									$ 3.28	$ 5.71	$ 3.66
Discontinued operations (in dollars per share)									$ 0.00	$ 0.00	$ 0.01
Net income per diluted common share (in dollars per share)	$ (0.60)	$ 1.17	$ 1.52	$ 1.24	$ 1.60	$ 1.46	$ 1.34	$ 1.29	$ 3.28	$ 5.71	$ 3.67
Stock options and warrants excluded from calculation (in shares)									11,210	11,862	16,299

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Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Cash flows from operating activities:
Net income	$ 174,560	$ 304,442	$ 217,868
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	31,259	27,145	20,535
Provisions for inventory obsolescence	2,590	11,829	5,180
Share-based compensation expense (benefit)	320,786	30,115	(15,715)
Impairment write downs		6,804
Expense associated with outstanding license fees			37,049
Amortization of debt discount and debt issue costs	12,601	11,064	19,359
Current and deferred tax expense	104,343	136,229	81,432
Amortization of discount or premium on investments	4,501	4,604	4,474
Excess tax benefits from share-based compensation	(9,299)	(3,054)	(11,347)
Other	592	2,642	2,614
Changes in assets and liabilities:
Accounts receivable	(10,027)	(23,991)	(16,158)
Inventories	(12,394)	(5,933)	(16,055)
Other assets	(5,112)	(9,705)	(5,733)
Accounts payable and accrued expenses	7,507	(22,804)	20,251
Other liabilities	(196,640)	(145,759)	(93,559)
Net cash provided by operating activities	425,267	323,628	250,195
Cash flows from investing activities:
Purchases of property, plant and equipment	(31,910)	(111,905)	(35,978)
Purchases of held-to-maturity investments	(762,198)	(579,316)	(815,684)
Maturities of held-to-maturity investments	529,900	527,858	733,876
Investments in privately-owned companies	(30,766)
Acquisitions			(3,547)
Net cash used in investing activities	(294,974)	(163,363)	(121,333)
Cash flows from financing activities:
Principal payments of debt	(1,320)	(999)	(251,039)
Proceeds received from issuance of debt			250,000
Payments of transaction costs related to issuance of debt			(7,535)
Payment for convertible note hedge and warrants, net			(33,250)
Payments to repurchase common stock	(42,439)	(188,000)	(212,000)
Proceeds from exercise of stock options	26,611	16,805	24,398
Proceeds from employee stock purchase plan	2,734
Excess tax benefits from share-based compensation	9,299	3,054	11,347
Net cash (used in) provided by financing activities	(5,115)	(169,140)	(218,079)
Effect of exchange rate changes on cash and cash equivalents	(319)	229	(269)
Net (decrease) increase in cash and cash equivalents	124,859	(8,646)	(89,486)
Cash and cash equivalents, beginning of year	154,030	162,676	252,162
Cash and cash equivalents, end of year	278,889	154,030	162,676
Supplemental cash flow information:
Cash paid for interest	5,518	5,302	4,103
Cash paid for income taxes	142,140	101,505	46,510
Non-cash investing and financing activities:
Acquisitions-non-cash consideration			5,873
Non-cash additions to property, plant and equipment	9,018	1,820	23,063
Issuance of common stock upon conversion of convertible notes			27,294
Assumption of mortgage in connection with the acquisition of property			$ 3,736

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Consolidated Balance Sheets (Parenthetical) (USD $) In Thousands, except Share data, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Accounts receivable, allowance (in dollars)	$ 0	$ 0
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized	245,000,000	245,000,000
Common stock, shares issued	63,013,192	62,082,007
Common stock, shares outstanding	50,388,140	50,165,953
Treasury stock, shares	12,625,052	11,916,054
Preferred stock
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized	10,000,000	10,000,000
Preferred stock, shares issued	0	0
Series A junior participating preferred stock
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized	100,000	100,000
Preferred stock, shares issued	0	0

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Temporary Equity

12 Months Ended

Dec. 31, 2013

Temporary Equity

Temporary Equity

10. Temporary Equity

        Temporary equity includes securities that: (1) have redemption features that are outside our control; (2) are not classified as an asset or liability; (3) are excluded from permanent stockholders' equity; and (4) are not mandatorily redeemable. Amounts included in temporary equity relate to securities that are redeemable at a fixed or determinable price.

        Components comprising the carrying value of temporary equity include the following (in thousands):

	As of December 31, 2013		As of December 31, 2012
Reclassification of Equity Component(1)	$	34,155	$	—
Common stock subject to repurchase(2)		10,882		10,882
Total	$	45,037	$	10,882

(1)

Represents the reclassification of the Equity Component equal to the unamortized discount of our 2016 Convertible Notes as of December 31, 2013 from additional paid-in capital to temporary equity. As of December 31, 2013, our 2016 Convertible Notes were convertible at the election of their holders as disclosed above in Note 8—Debt—Convertible Notes Due 2016.

(2)

In connection with our amended 2007 agreement with Toray Industries Inc. (Toray), we issued 400,000 shares of our common stock and provided Toray the right to request that we repurchase the shares at a price of $27.21 per share.

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Document and Entity Information (USD $)	12 Months Ended
	Dec. 31, 2013	Feb. 18, 2014	Jun. 28, 2013
Document and Entity Information
Entity Registrant Name	UNITED THERAPEUTICS Corp
Entity Central Index Key	0001082554
Document Type	10-K
Document Period End Date	Dec. 31, 2013
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Filer Category	Large Accelerated Filer
Entity Public Float			$ 2,458,927,716
Entity Common Stock, Shares Outstanding		50,477,071
Document Fiscal Year Focus	2013
Document Fiscal Period Focus	FY

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Stockholders' Equity

12 Months Ended

Dec. 31, 2013

Stockholders' Equity

Stockholders' Equity

11. Stockholders' Equity

• Equity Incentive Plan

        We maintain an equity incentive plan (EIP) under which we may grant stock options to employees and non-employees. The EIP provides for the issuance of up to 29.9 million shares of our common stock. As of December 31, 2013, there were 10.0 million shares remaining for issuance under the EIP, of which approximately 9.9 million were reserved for issuance in connection with options granted to our Chief Executive Officer (CEO). If granted, options awarded under the EIP are nontransferable, carry a maximum contractual term of ten years and typically vest in equal annual increments over a maximum period of three years, except for options granted to our CEO, which vest immediately upon grant in accordance with the terms of her employment agreement. The exercise price of stock option awards granted under the EIP can be no less than the fair market value of our common stock on the date of grant. Historically, we have issued new shares of our common stock upon the exercise of options.

• Employee Stock Options

        We estimate the fair value of stock options using the Black-Scholes-Merton valuation model. Option-pricing models, including the Black-Scholes-Merton model, require the use of judgment and subjective assumptions that can materially impact the estimation of fair value and share-based compensation.

        Inputs included in estimating the fair value of a stock option include the price of our common stock, the expected volatility of our common stock, risk-free interest rate, the expected term of stock option awards, expected forfeiture rate and the expected dividend yield.

        A description of the key inputs, requiring estimates, used in determining the fair value of stock options is provided below:

        Expected volatility—Volatility is a measure of the amount the price of our common stock has fluctuated (historical volatility) or is expected to fluctuate (expected volatility) during a period. We use historical volatility based on weekly price observations of our common stock during the period immediately preceding a stock option grant that is equal to the expected term of the grant (up to a maximum of five years). We believe the volatility of the price of our common stock measured over the preceding five years provides a reliable projection of future long-term volatility.

        Risk-free interest rate—The risk-free interest rate is the average interest rate consistent with the yield available on a U.S. Treasury note with a term equal to the expected term of a given stock option grant.

        Expected term—The expected term reflects the estimated time period we expect an option grant to remain outstanding. We use historical data to develop this input.

        Expected forfeiture rate—The expected forfeiture rate is the estimated percentage of options granted that are expected to be forfeited or canceled on an annual basis prior to becoming fully vested. We derive our estimate based on historical forfeiture experience for similar classes of employees.

        Expected dividend yield—We do not pay dividends on our common stock and do not expect to do so in the future. Therefore, the dividend yield is assumed to be zero.

        The following weighted-average assumptions were used in estimating the fair value of stock options granted to employees (we did not grant any stock options during the year ended December 31, 2011):

	Year Ended December 31,
	2013			2012
Expected volatility		33.0	%		41.6	%
Risk-free interest rate		1.8	%		0.7	%
Expected term of options (in years)		5.0			5.0
Expected forfeiture rate		0.0	%		0.0	%
Expected dividend yield		0.0	%		0.0	%

        A summary of the status and activity of employee stock options is presented below:

	Options			Weighted- Average Exercise Price		Weighted Average Remaining Contractual Term (in Years)		Aggregate Intrinsic Value (in 000s)
Outstanding at January 1, 2013		4,551,050		$	38.95
Granted		1,000,000			113.08
Exercised		(797,613	)		30.12
Forfeited		(3,988	)		10.48
Outstanding and exercisable at December 31, 2013		4,749,449		$	56.06		5.7	$	270,801

        The weighted average fair value of an employee stock option granted during each of the years in the three-year period ended December 31, 2013, was $36.10, $19.74 and none, respectively. The total fair value of vested employee stock options for each of the years in the three-year period ended December 31, 2013 was $36.1 million, $3.0 million and $1.6 million, respectively.

        Total share-based compensation expense relating to employee stock options is as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Research and development	$	—		$	—		$	196
Selling, general and administrative		36,097			3,024			315
Share-based compensation expense before taxes		36,097			3,024			511
Related income tax benefit		(13,566	)		(1,115	)		(189	)
Share-based compensation expense, net of taxes	$	22,531		$	1,909		$	322
Share-based compensation capitalized as part of inventory	$	—		$	—		$	15

        As of December 31, 2013, all employee stock options were fully vested; consequently, there were no amounts of unrecognized compensation cost remaining.

        Employee and non-employee stock option exercise data is summarized below (dollars in thousands):

	Year Ended December 31,
	2013		2012		2011
Number of options exercised		876,115		575,944		837,690
Cash received from options exercised	$	26,620	$	14,290	$	24,398
Total intrinsic value of options exercised	$	37,530	$	15,508	$	30,644
Tax benefits realized from options exercised	$	9,299	$	3,054	$	11,347

• Employee Stock Purchase Plan

        In June 2012, our shareholders approved the United Therapeutics Corporation Employee Stock Purchase Plan (ESPP), which has been structured to comply with Section 423 of the Internal Revenue Code. The ESPP provides eligible employees the right to purchase shares of our common stock at a discount through elective accumulated payroll deductions at the end of each offering period. Offering periods, which began in September 2012, occur in consecutive six-month periods commencing on September 5th and March 5th of each year. During the year ended December 31, 2013, we issued 55,070 shares of our common stock in exchange for $2.7 million in employee contributions. Eligible employees may contribute up to 15 percent of their base salary, subject to certain annual limitations as defined in the ESPP. The purchase price of the shares is equal to the lower of 85 percent of the closing price of our common stock on either the first or last trading day of a given offering period. In addition, the ESPP provides that no eligible employee may purchase more than 4,000 shares during any offering period. The ESPP has a 20-year term and limits the aggregate number of shares that can be issued to 3.0 million.

        Related share-based compensation expense for years ended December 31, 2013, 2012 and 2011 was $802,800, $240,100 and none, respectively. We estimate the fair value of the option to purchase shares of our common stock under the ESPP using the same methodology that we employ in valuing our stock options and STAP awards.

• Earnings per Share

        The components of basic and diluted earnings per share are as follows (in thousands, except per share amounts):

	Year Ended December 31,
	2013		2012		2011
Numerator:
Income from continuing operations	$	174,560	$	304,442	$	217,243
Income from discontinued operations		—		—		625
Net income	$	174,560	$	304,442	$	217,868
Denominator:
Weighted average outstanding shares—basic		50,076		52,093		57,163
Effect of dilutive securities(1):
Convertible notes		1,736		218		569
Warrants		276		—		263
Stock options and employee stock purchase plan		1,143		969		1,400
Weighted average shares—diluted		53,231		53,280		59,395
Earnings per common share:
Basic
Continuing operations	$	3.49	$	5.84	$	3.80
Discontinued operations		0.00		0.00		0.01
Net income per basic common share	$	3.49	$	5.84	$	3.81
Diluted
Continuing operations	$	3.28	$	5.71	$	3.66
Discontinued operations		0.00		0.00		0.01
Net income per diluted common share	$	3.28	$	5.71	$	3.67
Stock options and warrants excluded from calculation(2)		11,210		11,862		16,299

(1)

Calculated using the treasury stock method.

(2)

Certain stock options and warrants have been excluded from the computation of diluted earnings per share because their impact would be anti-dilutive.

• Share Repurchases

        In October 2011, our Board of Directors approved a share repurchase program authorizing up to $300.0 million in aggregate repurchases of our common stock at our discretion, over a two-year period ending in October 2013 (Repurchase Program). In connection with the Repurchase Program, we paid $212.0 million for an accelerated share repurchase agreement (ASR) entered into with DB London in October 2011, under which we repurchased approximately 4.7 million shares of our common stock in October 2011. In May 2012, we completed the Repurchase Program by acquiring approximately 2.0 million shares of our common stock at an aggregate cost of $88.0 million.

        In June 2012, our Board of Directors authorized the repurchase of up to an additional $100.0 million of our common stock (2012 Repurchase Program). The 2012 Repurchase Program became effective for a one-year period beginning in July 2012. We acquired an aggregate of approximately 2.0 million shares of our common stock under the 2012 Repurchase Program, which was completed in November 2012.

        In February 2013, our Board of Directors authorized a share repurchase program for up to $420.0 million in aggregate repurchases of our common stock in open market or privately negotiated transactions, at our discretion over a one-year period which began March 4, 2013 (the 2013 Repurchase Program). As of December 31, 2013, we have acquired 708,998 shares of our common stock at an aggregate cost of $42.4 million. On January 30, 2014, our Board of Directors authorized the extension of the 2013 Repurchase Program through March 3, 2015.

• Shareholder Rights Plan

        In June 2008, we entered into an Amended and Restated Rights Agreement with The Bank of New York as Rights Agent (the Plan), which amended and restated our original Rights Agreement dated December 17, 2000. The Plan, as amended and restated, extended the expiration date of the Preferred Share Purchase Rights (Rights) from December 29, 2010 to June 26, 2018, and increased the purchase price of each Right from $64.75 to $400.00, respectively. Each Right entitles holders to purchase one one-thousandth of a share of our Series A Junior Participating Preferred Stock. Rights are exercisable only upon our acquisition by another company, or commencement of a tender offer that would result in ownership of 15 percent or more of the outstanding shares of our voting stock by a person or group (as defined under the Plan) without our prior express written consent. As of December 31, 2013, we have not issued any shares of our Series A Preferred Stock.

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Assignment and License Agreements (Details) (USD $) In Millions, except Share data, unless otherwise specified			12 Months Ended	1 Months Ended			12 Months Ended		12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 1997 GlaxoSmithKline PLC (Glaxo)	Jun. 30, 2006 Supernus Pharmaceuticals, Inc.	Nov. 30, 2008 Eli Lilly and Company	Jul. 31, 2011 Toray	Dec. 31, 2007 Toray	Dec. 31, 2013 Toray	Dec. 31, 2011 Pluristem License Agreement	Aug. 31, 2011 Pluristem License Agreement
Assignment and License Agreements
Minimum term of royalty payment			10 years	12 years
Royalty as a percentage of net sales					5.00%
Milestone payment to be made upon commercial launch of Orenitram tablet				$ 2.0
Common stock issued (in shares)	63,013,192	62,082,007					400,000
Price per share (in dollars per share)							$ 27.21
Notice period							30 days
Non-refundable payments to be made under the license						50.0				7.0
Term of installment payments under license						5 years
Obligation and a corresponding charge to research and development expenses						46.3			5.0
Royalty payments, remaining obligation								$ 20.0

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Consolidated Statements of Operations (USD $) In Thousands, except Per Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Revenues:
Net product sales	$ 1,106,944	$ 906,123	$ 741,094
Other	10,040	9,953	2,089
Total revenues	1,116,984	916,076	743,183
Operating expenses:
Research and development	299,348	173,387	180,015
Selling, general and administrative	394,010	201,746	156,482
Cost of product sales	131,127	119,297	88,904
Total operating expenses	824,485	494,430	425,401
Operating income	292,499	421,646	317,782
Other (expense) income:
Interest income	3,827	3,941	3,450
Interest expense	(18,058)	(16,639)	(21,367)
Other, net	635	31,723	(748)
Total other (expense) income, net	(13,596)	19,025	(18,665)
Income from continuing operations before income taxes	278,903	440,671	299,117
Income tax expense	(104,343)	(136,229)	(81,874)
Income from continuing operations	174,560	304,442	217,243
Discontinued operations
Income from discontinued operations, net of tax			7
Gain on disposal of discontinued operations, net of tax			618
Income from discontinued operations			625
Net income	$ 174,560	$ 304,442	$ 217,868
Basic
Continuing operations (in dollars per share)	$ 3.49	$ 5.84	$ 3.80
Discontinued operations (in dollars per share)	$ 0.00	$ 0.00	$ 0.01
Net income per basic common share (in dollars per share)	$ 3.49	$ 5.84	$ 3.81
Diluted
Continuing operations (in dollars per share)	$ 3.28	$ 5.71	$ 3.66
Discontinued operations (in dollars per share)	$ 0.00	$ 0.00	$ 0.01
Net income per diluted common share (in dollars per share)	$ 3.28	$ 5.71	$ 3.67
Weighted average number of common shares outstanding:
Basic (in shares)	50,076	52,093	57,163
Diluted (in shares)	53,231	53,280	59,395

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Fair Value Measurements

12 Months Ended

Dec. 31, 2013

Fair Value Measurements

Fair Value Measurements

5. Fair Value Measurements

        Assets and liabilities subject to fair value measurements are required to be disclosed within a fair value hierarchy. The fair value hierarchy ranks the quality and reliability of inputs used to determine fair value. Accordingly, assets and liabilities carried at, or permitted to be carried at, fair value are classified within the fair value hierarchy in one of the following categories based on the lowest level input that is significant in measuring fair value:

• Level 1—Fair value is determined by using unadjusted quoted prices that are available in active markets for identical assets and liabilities.

  Level 2—Fair value is determined by using inputs other than Level 1 quoted prices that are directly or indirectly observable. Inputs can include quoted prices for similar assets and liabilities in active markets or quoted prices for identical assets and liabilities in thinly-traded markets. Related inputs can also include those used in valuation or other pricing models such as interest rates and yield curves that can be corroborated by observable market data.

  Level 3—Fair value is determined by using inputs that are unobservable and not corroborated by market data. Use of these inputs involves the use of judgment.

        Assets and liabilities subject to fair value measurements are as follows (in thousands):

	As of December 31, 2013
	Level 1		Level 2		Level 3		Balance
Assets
Money market funds(1)	$	145,194	$	—	$	—	$	145,194
Federally-sponsored and corporate debt securities(2)		—		857,711		—		857,711
Total assets	$	145,194	$	857,711	$	—	$	1,002,905
Liabilities
Convertible notes due 2016(3)	$	593,750	$	—	$	—	$	593,750
Contingent consideration(4)		—		—		6,616		6,616
Total liabilities	$	593,750	$	—	$	6,616	$	600,366

	As of December 31, 2012
	Level 1		Level 2		Level 3		Balance
Assets
Money market funds(1)	$	77,436	$	—	$	—	$	77,436
Federally-sponsored and corporate debt securities(2)		—		630,698		—		630,698
Total assets	$	77,436	$	630,698	$	—	$	708,134
Liabilities
Convertible notes due 2016(3)	$	—	$	316,250	$	—	$	316,250
Contingent consideration(4)		—		—		6,730		6,730
Total liabilities	$	—	$	316,250	$	6,730	$	322,980

(1)

Included in "cash and cash equivalents", "marketable investments" and "marketable investments and cash—restricted" on the accompanying consolidated balance sheets.

(2)

Included in current and non-current marketable investments on the accompanying consolidated balance sheets. The fair value of these securities is principally measured or corroborated by trade data for identical securities in which related trading activity is not sufficiently frequent to be considered a Level 1 input or comparable securities that are more actively traded. See also Note 4—Marketable Investments—Held-to-Maturity Investments to these consolidated financial statements.

(3)

Included in convertible notes on the accompanying balance sheets. As of December 31, 2012, the fair value of our 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes) was estimated using other than Level 1 observable inputs (Level 2 inputs). However, during the year ended December 31, 2013, our 2016 Convertible Notes began trading with sufficient frequency such that we believe related pricing can be used as the principal basis for measuring their fair value. As a result, our 2016 Convertible Notes have been transferred from Level 2 to Level 1.

(4)

Included in other liabilities on the accompanying consolidated balance sheets. The fair value of contingent consideration has been estimated using probability weighted discounted cash flow models (DCFs). The DCFs incorporate Level 3 inputs including estimated discount rates that we believe market participants would consider relevant in pricing and the projected timing and amount of cash flows, which are estimated and developed, in part, based on the requirements specific to each acquisition agreement. We analyze and evaluate these fair value measurements quarterly to determine whether valuation inputs continue to be relevant and appropriate or whether current period developments warrant adjustments to valuation inputs and related measurements. Any increases or decreases in discount rates would have an inverse impact on the corresponding fair value, while increases or decreases in expected cash flows would result in corresponding increases or decreases in fair value. As of December 31, 2013 and December 31, 2012, the cost of debt and weighted average cost of capital used to discount projected cash flows relating to our contingent consideration ranged from 8.7 percent to 16.5 percent and from 6.6 percent to 17.2 percent, respectively.

        The tables below provide a reconciliation of the beginning and ending balances of Level 3 assets and liabilities for the years ended December 31, 2013 and 2012 (in thousands):

	Contingent Consideration
Balance January 1, 2013—Asset (Liability)	$	(6,730	)
Transfers into Level 3		—
Transfers out of Level 3		—
Total gains/(losses) realized/unrealized:
Included in earnings		210
Included in other comprehensive income		(96	)
Purchases		—
Sales		—
Issuances		—
Settlements		—
Balance December 31, 2013—Asset (Liability)	$	(6,616	)
Amount of total gains/(losses) for the year ended December 31, 2013 included in earnings that are attributable to the change in unrealized gains or losses related to outstanding obligations	$	210

	Contingent Consideration
Balance January 1, 2012—Asset (Liability)	$	(7,973	)
Transfers into Level 3		—
Transfers out of Level 3		—
Total gains/(losses) realized/unrealized:
Included in earnings		663
Included in other comprehensive income		(34	)
Purchases		—
Sales		—
Issuances		—
Settlements		614
Balance December 31, 2012—Asset (Liability)	$	(6,730	)
Amount of total gains/(losses) for the year ended December 31, 2012 included in earnings that are attributable to the change in unrealized gains related to outstanding obligations	$	663

• Fair Value of Financial Instruments

        The carrying amounts of cash and cash equivalents, accounts receivable, accounts payable, and accrued expenses approximate fair value because of their short maturities. The fair values of our marketable investments and our 2016 Convertible Notes are reported above within the fair value hierarchy. The recorded value of our 2010 Wells Fargo Bank mortgage financing approximates its fair value as it bears a variable rate of interest that we believe approximates the market rate of interest for debt with similar credit risk profiles, terms and maturities. Refer to Note 8—Debt—Mortgage Financing—Wells Fargo for details.

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Marketable Investments

12 Months Ended

Dec. 31, 2013

Marketable Investments

Marketable Investments

4. Marketable Investments

• Held-to-Maturity Investments

        Marketable investments classified as held-to-maturity consist of the following (in thousands):

As of December 31, 2013	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Government-sponsored enterprises	$	445,939	$	257	$	(77	)	$	446,119
Corporate notes and bonds		411,455		300		(163	)		411,592
Total	$	857,394	$	557	$	(240	)	$	857,711
Reported under the following captions on the consolidated balance sheet:
Current marketable investments	$	409,645
Noncurrent marketable investments		447,749
	$	857,394

As of December 31, 2012	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Government-sponsored enterprises	$	350,043	$	261	$	(35	)	$	350,269
Corporate notes and bonds		280,385		184		(140	)		280,429
Total	$	630,428	$	445	$	(175	)	$	630,698
Reported under the following captions on the consolidated balance sheet:
Current marketable investments	$	325,175
Noncurrent marketable investments		305,253
	$	630,428

        The following table summarizes gross unrealized losses and the length of time marketable investments have been in a continuous unrealized loss position (in thousands):

	As of December 31,
	2013					2012
	Fair Value		Gross Unrealized Loss			Fair Value		Gross Unrealized Loss
Government-sponsored enterprises:
Continuous unrealized loss position less than one year	$	76,651	$	(77	)	$	72,727	$	(35	)
Continuous unrealized loss position greater than one year		—		—			—		—
		76,651		(77	)		72,727		(35	)
Corporate notes and bonds:
Continuous unrealized loss position less than one year		168,669		(163	)		90,960		(140	)
Continuous unrealized loss position greater than one year		—		—			—		—
		168,669		(163	)		90,960		(140	)
Total	$	245,320	$	(240	)	$	163,687	$	(175	)

        We attribute the unrealized losses on held-to-maturity securities as of December 31, 2013 and 2012, to the variability in related market interest rates. We do not intend to sell these securities, nor is it more likely than not that we will be required to sell them prior to the end of their contractual terms as we stagger our maturities to provide a reasonable level of liquidity and do not invest in securities with maturities in excess of three years. Furthermore, we believe these securities do not expose us to undue market risk or counterparty credit risk. As such, we do not consider these securities to be other than temporarily impaired.

        The following table summarizes the contractual maturities of held-to-maturity marketable investments at December 31, 2013 (in thousands):

	As of December 31, 2013
	Amortized Cost		Fair Value
Due in less than one year	$	409,645	$	409,751
Due in one to two years		325,818		325,960
Due in three to five years		121,931		122,000
Due after five years		—		—
Total	$	857,394	$	857,711

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Related Party Transaction

12 Months Ended

Dec. 31, 2013

Related Party Transaction

Related Party Transaction

16. Related Party Transaction

        In 2002, we entered into a technical services agreement for certain telemedicine technology development services for Medicomp, Inc. with Kurzweil Technologies, Inc. (KTI), a company controlled by Raymond Kurzweil, a non-independent member of our Board of Directors. Pursuant to this agreement, we agreed to pay KTI a five percent royalty on certain sales of products reasonably attributed to and dependent upon the technology developed by KTI. Upon closing of the sale of Medicomp in March 2011 (see Note 18—Sale of Medicomp, Inc.), further royalty obligations under this agreement were terminated. For the year ended December 31, 2011 we incurred royalties to KTI of $80,000.

        In 2007, we entered into another technical services agreement with KTI. Pursuant to this agreement, we paid KTI monthly consulting fees of up to $12,000 plus all necessary, reasonable and direct out-of-pocket expenses incurred in connection with the performance of related services. In addition, we agreed to pay KTI up to a five percent royalty on sales of certain products reasonably attributed to and dependent upon certain technology developed by KTI. In 2011, we amended the 2007 technical services agreement such that, effective January 2012, we reduced the monthly consulting fees to KTI to $6,000 plus all necessary, reasonable and direct out-of-pocket expenses. We terminated the 2007 technical services agreement effective December 31, 2013.

        We incurred expenses of approximately $72,000, $60,000 and $156,000, for the years ended December 31, 2013, 2012 and 2011, respectively, under these agreements. As of December 31, 2013 and 2012, we owed KTI none and none, respectively.

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Accumulated Other Comprehensive Loss

12 Months Ended

Dec. 31, 2013

Accumulated Other Comprehensive (Loss) Income

Accumulated Other Comprehensive (Loss) Income

12. Accumulated Other Comprehensive Loss

        The following table includes changes in accumulated other comprehensive income (loss) by component, net of tax (in thousands):

	Defined Benefit Pension Plan(1)			Foreign Currency Translation Losses			Unrealized Gains and (Losses) on Available-for-Sale Securities			Total
Balance, January 1, 2013	$	(11,540	)	$	(3,876	)	$	459		$	(14,957	)
Other comprehensive income (loss) before reclassifications		2,075			(1,193	)		(128	)		754
Amounts reclassified from accumulated other comprehensive income		1,020			—			—			1,020
Net current-period other comprehensive income (loss)		3,095			(1,193	)		(128	)		1,774
Balance, December 31, 2013	$	(8,445	)	$	(5,069	)	$	331		$	(13,183	)

Refer to Note 14—Employee Benefit Plans—Supplemental Executive Retirement Plan which identifies the captions within our consolidated statement of operations where reclassification adjustments were recognized and their associated tax impact.

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Segment Information (Details) (USD $) In Thousands, unless otherwise specified	1 Months Ended	3 Months Ended								12 Months Ended
	Jun. 30, 2011 item	Dec. 31, 2013	Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2013 item	Dec. 31, 2012	Dec. 31, 2011
Segment Information
Number of operating segments	2									1
Number of commercial products										3
Revenues, cost of revenues and gross profit
Revenues										$ 1,106,944	$ 906,123	$ 741,094
Cost of revenues										131,127	119,297	88,904
Gross profit		247,519	269,290	245,175	213,833	202,766	212,949	192,199	178,912	975,817	786,826	652,190
Remodulin
Revenues, cost of revenues and gross profit
Revenues										491,179	457,969	430,132
Cost of revenues										59,314	57,618	52,329
Gross profit										431,865	400,351	377,803
Tyvaso
Revenues, cost of revenues and gross profit
Revenues										438,793	325,614	240,382
Cost of revenues										60,831	53,825	31,934
Gross profit										377,962	271,789	208,448
Adcirca
Revenues, cost of revenues and gross profit
Revenues										176,972	122,540	70,580
Cost of revenues										10,982	7,854	4,641
Gross profit										$ 165,990	$ 114,686	$ 65,939

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Debt

12 Months Ended

Dec. 31, 2013

Debt

Debt

8. Debt

• Line of Credit

        On September 26, 2013, we entered into a Credit Agreement with Wells Fargo Bank, National Association (Wells Fargo) providing us a $75.0 million revolving loan facility, which may be increased by up to an additional $75.0 million provided certain conditions are met (the 2013 Credit Agreement). At our option, amounts borrowed under the 2013 Credit Agreement bear interest at either the one-month LIBOR rate plus a 0.50 percent margin, or a fluctuating base rate excluding any margin. In addition, we are subject to a monthly commitment fee of 0.06 percent per annum on the average daily unused balance of the facility. Amounts borrowed under the 2013 Credit Agreement are secured by certain of our marketable investments. As of December 31, 2013, we have not drawn on the facility, which has a one-year term. The 2013 Credit Agreement does not subject us to any financial covenants.

• Convertible Notes Due 2016

        In October 2011, we issued $250.0 million in aggregate principal value 1.0 percent Convertible Senior Notes due September 15, 2016 (2016 Convertible Notes). The 2016 Convertible Notes are unsecured, unsubordinated debt obligations that rank equally with all of our other unsecured and unsubordinated indebtedness. We pay interest semi-annually on March 15 and September 15 of each year. The initial conversion price is $47.69 per share and the number of underlying shares used to determine the aggregate consideration upon conversion is approximately 5.2 million shares.

        Conversion can occur: (1) any time after June 15, 2016; (2) during any calendar quarter that follows a calendar quarter in which the price of our common stock exceeds 130 percent of the conversion price for at least 20 days during the 30 consecutive trading-day period ending on the last trading day of the quarter; (3) during the ten consecutive trading-day period following any five consecutive trading-day period in which the trading price of the 2016 Convertible Notes is less than 95 percent of the closing price of our common stock multiplied by the then-current number of shares underlying the 2016 Convertible Notes; (4) upon specified distributions to our shareholders; (5) in connection with certain corporate transactions; or (6) in the event that our common stock ceases to be listed on the NASDAQ Global Select Market, the NASDAQ Global Market or the New York Stock Exchange, or any of their respective successors.

        The closing price of our common stock exceeded 130 percent of the conversion price of the 2016 Convertible Notes for more than 20 trading days during the 30 consecutive trading day period ended December 31, 2013. Consequently, the 2016 Convertible Notes are convertible at the election of their holders. As we do not control this conversion right, the 2016 Convertible Notes have been classified as a current liability on our consolidated balance sheet at December 31, 2013. We are required to calculate this contingent conversion provision at the end of each quarterly reporting period. Therefore, the convertibility and classification of our 2016 Convertible Notes may change depending on the price of our common stock.

        At December 31, 2013, the aggregate conversion value of the 2016 Convertible Notes exceeded their par value by $342.8 million using a conversion price of $113.08, which was the closing price of our common stock on December 31, 2013.

        Upon conversion, holders of our 2016 Convertible Notes are entitled to receive: (1) cash equal to the lesser of the par value of the notes or the conversion value (the number of shares underlying the 2016 Convertible Notes multiplied by the then current conversion price per share); and (2) to the extent the conversion value exceeds the par value of the notes, shares of our common stock. In the event of a change in control, as defined in the indenture under which the 2016 Convertible Notes have been issued, holders can require us to purchase all or a portion of their 2016 Convertible Notes for 100 percent of the notes' par value plus any accrued and unpaid interest.

        The terms of the 2016 Convertible Notes provide for settlement wholly or partially in cash. Consequently, we are required to account for their liability and equity components separately so that the subsequent recognition of interest expense reflects our non-convertible borrowing rate. Accordingly, we estimated the fair value of the 2016 Convertible Notes without consideration of the conversion option as of the date of issuance (Liability Component). The excess of the proceeds received over the estimated fair value of the Liability Component totaling $57.9 million has been recorded as the conversion option (Equity Component) and a corresponding offset has been recognized as a discount to the 2016 Convertible Notes to reduce their net carrying value. A portion of the Equity Component equal to the unamortized discount as of December 31, 2013 has been reclassified to temporary equity because one of the contingent conversion criteria had been met at December 31, 2013, as disclosed above. Refer to Note 10—Temporary Equity. We are amortizing the discount over the five-year period ending September 15, 2016 (the expected life of the Liability Component) using the interest method and an effective rate of interest of 6.7 percent, which corresponded to our estimated non-convertible borrowing rate at the date of issuance.

        Interest expense incurred in connection with our convertible notes consisted of the following (in thousands):

	Year Ended December 31,
	2013		2012		2011
Contractual coupon rate of interest	$	2,500	$	2,500	$	1,510
Discount amortization		11,178		10,487		16,118
Interest expense—convertible notes(1)	$	13,678	$	12,987	$	17,628

(1)

Interest expense recognized in connection with our convertible notes for the year ended December 31, 2011 includes the effective interest relating to a prior issue of convertible notes that matured in October 2011 (2011 Convertible Notes). We accounted for the 2011 Convertible Notes in a manner similar to that of the 2016 Convertible Notes using an effective interest rate of 7.5 percent over the five-year term of the notes.

        The carrying value of our convertible notes consisted of the following (in thousands):

	As of December 31,
	2013			2012
Principal balance	$	250,000		$	250,000
Discount, net of accumulated amortization of $23,783 and $12,605		(34,155	)		(45,333	)
Carrying amount	$	215,845		$	204,667

• Convertible Note Hedge and Warrant Transactions

        In connection with the issuance of our 2016 Convertible Notes, we entered into separate convertible note hedge and warrant transactions with Deutsche Bank AG London (DB London) to reduce the potentially dilutive impact of the conversion of our convertible notes. Pursuant to the convertible note hedge, we purchased call options to acquire up to approximately 5.2 million shares of our common stock with a strike price of $47.69. The call options become exercisable upon conversion of the 2016 Convertible Notes, and will terminate upon the maturity of the 2016 Convertible Notes or the first day the 2016 Convertible Notes are no longer outstanding, whichever occurs first. We also sold DB London warrants to acquire up to approximately 5.2 million shares of our common stock with a strike price of $67.56. The warrants will expire incrementally on a series of expiration dates subsequent to the maturity date of our 2016 Convertible Notes. Both the convertible note hedge and warrant transactions will be settled on a net-share basis. If the conversion price of our 2016 Convertible Notes remains between the strike prices of the call options and warrants, our shareholders will not experience any dilution in connection with the conversion of our 2016 Convertible Notes; however, to the extent that the price of our common stock exceeds the strike price of the warrants on any or all of the series of related incremental expiration dates, we will be required to issue shares of our common stock to DB London.

• Mortgage Financing—Wells Fargo Bank

        In December 2010, we entered into a Credit Agreement with Wells Fargo and Bank of America, N.A., pursuant to which we obtained a $70.0 million mortgage loan (the 2010 Credit Agreement). The 2010 Credit Agreement matures in December 2014 and is secured by certain of our facilities in Research Triangle Park, North Carolina and Silver Spring, Maryland. Annual principal payments were based on a twenty-five year amortization schedule using a fixed rate of interest of 7.0 percent and the outstanding debt bears a floating rate of interest per annum based on the one-month LIBOR, plus a credit spread of 3.75 percent, or approximately 3.9 percent as of December 31, 2013. Alternatively, we have the option to change the rate of interest charged on the loan to 2.75 percent plus the greater of: (1) Wells Fargo's prime rate, or (2) the federal funds effective rate plus 0.05 percent, or (3) LIBOR plus 1.0 percent. We can prepay the loan balance without being subject to a prepayment premium or penalty. As of December 31, 2013, the principal balance under the 2010 Credit Agreement was $66.5 million and included with other current liabilities on our consolidated balance sheet at December 31, 2013 as the remaining balance will become due within one year.

        The 2010 Credit Agreement subjects us to the following financial covenants: (1) a maximum consolidated leverage ratio of 2.5:1.0, calculated as the ratio of our consolidated indebtedness to "Consolidated EBITDA" which is defined as consolidated net income, adjusted for the following, as applicable: (i) interest expense; (ii) income taxes; (iii) non-cash license fees; (iv) depreciation and amortization; (v) impairment charges; and (vi) share-based compensation (stock option and share tracking awards expense), to be measured as of the last day of each fiscal quarter on a rolling four quarter basis; and (2) minimum liquidity of no less than $150.0 million. Under the 2010 Credit Agreement, minimum liquidity is defined as the sum of our cash and cash equivalents, plus the fair value of our marketable investments as of the last day of a fiscal quarter less the sum of indebtedness that matures within the next twelve months and the liability related to vested STAP awards in excess of $50.0 million. As of December 31, 2013, we were in compliance with these covenants.

• Mortgage Financing—Midland Loan Services (PNC Bank N.A.)

        In November 2011, we assumed a mortgage loan in connection with the acquisition of an office building that is located adjacent to our corporate headquarters. The mortgage loan is secured by the acquired office building. The outstanding principal balance on the mortgage loan of $3.6 million as of December 31, 2013 bears interest at 6.35 percent per annum. The loan is payable in monthly installments which are based on a thirty-year amortization schedule. The loan matures on June 1, 2016, at which time the remaining principal balance of approximately $3.4 million will be due in full.

        As of December 31, 2013, future maturities relating to our mortgage financings are as follows (in thousands):

Year Ended December 31,
2014	$	66,636
2015		97
2016		3,490
2017		114
2018		—
Total	$	70,337

• Interest Expense

        Details of interest expense presented on our consolidated statements of operations are as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Interest expense	$	18,117		$	17,544		$	22,209
Less: interest capitalized		(59	)		(905	)		(842	)
Total interest expense	$	18,058		$	16,639		$	21,367

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Debt (Details 2) (Convertible Notes Due 2016, USD $) In Millions, except Per Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2013
Sale of warrant
Share warrant, number of shares	5.2
Share warrant, exercise price (in dollars per share)	$ 67.56
Purchased call options
Purchase of call options
Convertible note hedge, approximate number of shares that can be purchased	5.2
Convertible note hedge, exercise price (in dollars per share)	$ 47.69

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Accounts Payable and Accrued Expenses

12 Months Ended

Dec. 31, 2013

Accounts Payable and Accrued Expenses

Accounts Payable and Accrued Expenses

6. Accounts Payable and Accrued Expenses

        Accrued expenses consist of the following by major category (in thousands):

	As of December 31, 2013
	2013		2012
Accounts payable	$	6,708	$	10,203
Accrued expenses:
Royalties and rebates		48,213		37,264
Payroll related		26,930		26,013
Research related		5,780		5,057
Other		4,613		4,651
Total accrued expenses		85,536		72,985
Total accounts payable and accrued expenses	$	92,244	$	83,188

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Share Tracking Award Plans

12 Months Ended

Dec. 31, 2013

Share Tracking Award Plans

Share Tracking Award Plans

7. Share Tracking Award Plans

        We maintain the United Therapeutics Corporation Share Tracking Awards Plan, adopted in June 2008 (2008 STAP) and the United Therapeutics Corporation 2011 Share Tracking Awards Plan, adopted in March 2011 (2011 STAP). In 2012, we amended the 2008 STAP to prohibit future grants from the plan. Since both plans otherwise contain similar terms and conditions, we refer to these plans collectively as the "STAP" and awards granted and/or outstanding under either of these plans as "STAP Awards." STAP Awards convey the right to receive in cash an amount equal to the appreciation of our common stock, which is calculated as the positive difference between the closing price of our common stock on the date of exercise and the date of grant. Awards generally vest in equal increments on each anniversary of the date of grant over a four-year period and expire ten years from the grant date. The aggregate balance of the STAP liability at December 31, 2013 was $305.2 million, of which $17.2 million has been classified as long term under the caption "Other Liabilities" as these STAP Awards will vest in excess of one year. At December 31, 2013, 1.0 million STAP awards remained available for grant under the 2011 STAP. On January 30, 2014 our Board of Directors approved an additional 3.0 million increase in the number of available STAP awards under the 2011 STAP.

        We estimate the fair value of STAP awards using the Black-Scholes-Merton valuation model. In estimating the fair value of STAP awards, we are required to use inputs that can materially impact the determination of fair value and the amount of compensation expense (benefit) to be recognized. These inputs include the price of our common stock, the expected volatility of the price of our common stock, the risk-free interest rate, the expected term of STAP awards, the expected forfeiture rate and the expected dividend yield.

        A description of the key inputs, requiring estimates, used in determining the fair value of the awards is provided below:

        Expected volatility—Volatility is a measure of the amount the price of our common stock has fluctuated (historical volatility) or is expected to fluctuate (expected volatility) during a period. We use historical volatility based on weekly price observations of our common stock during the period immediately preceding an award that is equal to its expected term up to a maximum period of five years. We believe the volatility in the price of our common stock over the preceding five years generally provides a reliable projection of future long-term volatility.

        Risk-free interest rate—The risk-free interest rate is the average interest rate consistent with the yield available on a U.S. Treasury note with a term equal to the expected term of an award.

        Expected term of awards—An award's expected term reflects the estimated time period we expect an award to remain outstanding. We apply the simplified method to develop an estimate of the expected term.

        Expected forfeiture rate—The expected forfeiture rate is an estimated percentage of awards granted that are expected to be forfeited or canceled on an annual basis prior to becoming fully vested. We derive our estimate based on historical forfeiture experience for similar classes of employees.

        Expected dividend yield—We do not pay cash dividends on our common stock and do not expect to do so in the future. Therefore, the dividend yield is zero.

        The table below presents the assumptions used to measure the fair value of STAP Awards

	As of December 31, 2013
	2013			2012			2011
Expected volatility		32.7	%		32.8	%		38.0	%
Risk-free interest rate		1.1	%		0.5	%		0.5	%
Expected term of awards (in years)		3.9			3.7			3.9
Expected forfeiture rate		10.1	%		8.7	%		7.0	%
Expected dividend yield		0.0	%		0.0	%		0.0	%

        A summary of the status and activity of the STAP is presented below:

	Number of Awards			Weighted- Average Exercise Price		Weighted Average Remaining Contractual Term (Years)		Aggregate Intrinsic Value (in 000s)
Outstanding at January 1, 2013		7,962,375		$	49.00
Granted		3,372,994			57.55
Exercised		(2,049,136	)		43.55
Forfeited		(551,332	)		62.16
Outstanding at December 31, 2013		8,734,901		$	52.75		7.7	$	526,976
Exercisable at December 31, 2013		3,277,377		$	47.50		6.2	$	214,929
Expected to vest at December 31, 2013		4,895,737		$	55.95		8.5	$	279,704

        The weighted average grant date fair value of STAP awards granted during the years ended December 31, 2013, 2012 and 2011 was $24.78, $21.28 and $27.80, respectively.

        Share-based compensation expense (benefit) recognized in connection with the STAP is as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Research and development	$	134,355		$	11,130		$	(8,190	)
Selling, general and administrative		143,407			14,490			(8,023	)
Cost of product sales		6,124			1,230			(174	)
Share-based compensation expense (benefit) before taxes		283,886			26,850			(16,387	)
Related income tax (benefit) expense		(106,693	)		(9,902	)		6,058
Share-based compensation expense (benefit), net of taxes	$	177,193		$	16,948		$	(10,329	)
Share-based compensation capitalized as part of inventory	$	1,593		$	275		$	(203	)

        Cash paid to settle STAP exercises during the years ended December 31, 2013, 2012 and 2011 was $55.9 million, $31.8 million, and $28.7 million, respectively.

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Commitments and Contingencies

12 Months Ended

Dec. 31, 2013

Commitments and Contingencies.

Commitments and Contingencies

9. Commitments and Contingencies

• Operating Leases

        We lease facilities space and equipment under operating lease arrangements that have terms expiring at various dates through 2020. Certain lease arrangements include renewal options and escalation clauses. In addition, various lease agreements to which we are party require that we comply with certain customary covenants throughout the term of these leases. If we are unable to comply with these covenants and cannot reach a satisfactory resolution in the event of noncompliance, these agreements could terminate.

        Future minimum lease payments under non-cancelable operating leases are as follows (in thousands):

Year Ending December 31,
2014	$	3,285
2015		3,195
2016		3,043
2017		2,998
2018		2,343
Thereafter		365
	$	15,229

        Total rent expense was $3.5 million, $3.6 million and $4.6 million for the years ended December 31, 2013, 2012 and 2011, respectively.

• Milestone Payments

        We are party to certain license agreements as described in Note 15—Assignment and License Agreements and acquisition agreements. Generally, these agreements require that we make milestone payments in cash upon the achievement of certain product development and commercialization goals and payments of royalties upon commercial sales.

        Future milestone payments based on our estimates of the timing and probability of achieving milestones specified under these arrangements are as follows (in thousands):

Year Ending December 31,	(1)
2014	$	4,300
2015		1,450
2016		2,247
2017		6,668
2018		1,075
Thereafter		6,170
Total	$	21,910

(1)

The amounts and timing of future milestone payments may vary depending on when related milestones will be attained, if at all.

• Research Agreement

        We maintain a research agreement with the University of Oxford (Oxford) to develop antiviral compounds. Research under this agreement is performed by Oxford Glycobiology Institute, which is headed by a member of our Board of Directors and our scientific advisory board. Under the terms of the agreement, we are required to fund related research activities and make milestone payments for the successful completion of clinical trials. We are also obligated to pay royalties to Oxford equal to a percentage of our net sales from any discoveries and products developed by Oxford. Milestone payments and royalties are subject to reduction depending upon third-party contributions to discoveries and/or third-party licenses necessary to develop products. In August 2010, the term of the research agreement was extended through September 2016. In connection with the extension of the term, we agreed to pay Oxford a total of $2.9 million (using the then-prevailing exchange rate) in sixty equal installments. As of December 31, 2013, approximately $1.7 million remains outstanding under this 2010 agreement. In addition, in December 2012, we amended our agreement with Oxford, under which we agreed to pay Oxford an additional $871,000 in the aggregate (using the exchange rate as of the amendment date) in thirty-six equal installments for additional work supporting the development of our virology platform which began in January 2013. As of December 31, 2013, approximately $594,000 remains outstanding under this 2012 amendment. During the years ended December 31, 2013, 2012 and 2011, we incurred approximately $890,000, $577,000 and $658,000, respectively, in expenses under the terms of the agreement.

        From time to time, we may enter into other service agreements with Oxford relating to specific development activities that are outside the scope of our research agreement described above. We incurred expenses of approximately $55,000, $336,000 and $550,000 relating to these additional services during the years ended December 31, 2013, 2012 and 2011, respectively.

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Stockholders' Equity (Details) (Stock Options) In Millions, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012
Equity Incentive Plan
Awards authorized (in shares)	29.9
Shares available for issuance	10.0
Maximum contractual term	10 years
Expected volatility maximum period	5 years
Method and assumptions on valuation of stock options
Expected volatility (as a percent)	33.00%	41.60%
Risk-free interest rate (as a percent)	1.80%	0.70%
Expected term of options	5 years	5 years
Expected forfeiture rate (as a percent)	0.00%	0.00%
Expected dividend yield (as a percent)	0.00%	0.00%
Maximum
Equity Incentive Plan
General vesting period	3 years
Chief Executive Officer (CEO)
Equity Incentive Plan
Shares available for issuance	9.9

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Segment Information (Details 2) (USD $) In Thousands, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2013	Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Net revenues to external customers and long-lived assets located by geographic area
Net revenues to external customers	$ 289,017	$ 302,225	$ 280,606	$ 245,136	$ 243,817	$ 242,468	$ 225,577	$ 204,214	$ 1,116,984	$ 916,076	$ 743,183
Long-lived assets by geographic area	464,950				453,685				464,950	453,685	366,046
United States
Net revenues to external customers and long-lived assets located by geographic area
Net revenues to external customers									1,032,435	846,611	676,967
Long-lived assets by geographic area	442,673				425,585				442,673	425,585	345,153
Rest-of-World
Net revenues to external customers and long-lived assets located by geographic area
Net revenues to external customers									84,549	69,465	66,216
Long-lived assets by geographic area	$ 22,277				$ 28,100				$ 22,277	$ 28,100	$ 20,893

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Stockholders' Equity (Details 3) (USD $)	3 Months Ended	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Share-based compensation expense related to outstanding awards
Share-based compensation expense (benefit), net of taxes	$ 111,200,000
Common stock issued in connection with ESPP, Amount		2,735,000
Share-based compensation expense		320,786,000	30,115,000	(15,715,000)
Stock Options
Share-based compensation expense related to outstanding awards
Share-based compensation expense before taxes		36,097,000	3,024,000	511,000
Related income tax benefit		(13,566,000)	(1,115,000)	(189,000)
Share-based compensation expense (benefit), net of taxes		22,531,000	1,909,000	322,000
Share-based compensation capitalized as part of inventory				15,000
Term of employee stock purchase plan		10 years
Maximum number of shares authorized to be issued	29,900,000	29,900,000
Employee Stock Purchase Plan (ESPP)
Share-based compensation expense related to outstanding awards
Offering period		6 months
Common stock issued in connection with ESPP (in shares)		55,070
Common stock issued in connection with ESPP, Amount		2,700,000
Maximum percentage of compensation employees may contribute for ESPP	15.00%	15.00%
Percentage of the lower of the fair market value of common stock on the first or last trading-day of a given offering period		85.00%
Maximum number of shares each eligible employees may purchase in any given offering period		4,000
Term of employee stock purchase plan		20 years
Maximum number of shares authorized to be issued	3,000,000	3,000,000
Share-based compensation expense		802,800	240,100	0
Research and development | Stock Options
Share-based compensation expense related to outstanding awards
Share-based compensation expense before taxes				196,000
Selling, general and administrative | Stock Options
Share-based compensation expense related to outstanding awards
Share-based compensation expense before taxes		$ 36,097,000	$ 3,024,000	$ 315,000

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Temporary Equity (Details) (USD $) In Thousands, except Share data, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Temporary equity
Reclassification of Equity Component	$ 34,155
Total	45,037	10,882
Temporary equity component in convertible note due 2016
Temporary equity
Reclassification of Equity Component	34,155
Temporary equity common stocks subject to repurchase
Temporary equity
Common stock subject to repurchase	$ 10,882	$ 10,882
Common stock issued (in shares)	400,000
Repurchase price (in dollars per share)	$ 27.21

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Accounts Payable and Accrued Expenses (Tables)

12 Months Ended

Dec. 31, 2013

Accounts Payable and Accrued Expenses

Schedule of accounts payable and accrued expenses

Accrued expenses consist of the following by major category (in thousands):

	As of December 31, 2013
	2013		2012
Accounts payable	$	6,708	$	10,203
Accrued expenses:
Royalties and rebates		48,213		37,264
Payroll related		26,930		26,013
Research related		5,780		5,057
Other		4,613		4,651
Total accrued expenses		85,536		72,985
Total accounts payable and accrued expenses	$	92,244	$	83,188

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Marketable Investments (Details 2) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
As reported on the consolidated balance sheets:
Current marketable investments	$ 409,645	$ 325,175
Noncurrent marketable investments	447,749	305,253
Total marketable investments	$ 857,394	$ 630,428

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Employee Benefit Plans

12 Months Ended

Dec. 31, 2013

Employee Benefit Plans

Employee Benefit Plans

14. Employee Benefit Plans

• Supplemental Executive Retirement Plan

        We maintain the United Therapeutics Corporation Supplemental Executive Retirement Plan (SERP) to provide retirement benefits to certain senior members of our management team.

        Participants who retire at age 60 or older are eligible to receive either monthly payments or a lump sum payment based on an average of their total gross base salary over the last 36 months of active employment, subject to certain adjustments. Related benefit payments commence on the first day of the sixth month after retirement. Participants who elect to receive monthly payments will continue payments through the remainder of their life. Alternatively, participants who elected to receive a lump sum distribution will receive a payment equal to the present value of the estimated monthly payments that would have been received upon retirement. As of December 31, 2013 and 2012, all SERP participants had elected to receive a lump sum distribution. Participants who terminate employment for any reason other than death, disability, or change in control prior to age 60 will not be entitled to receive any benefits under the SERP.

        To help fund our obligations under the SERP, we maintain the United Therapeutics Corporation Supplemental Executive Retirement Plan Rabbi Trust Document (Rabbi Trust). Participants of the SERP will have no preferred claim on, nor any beneficial ownership interest in, any assets of the Rabbi Trust. The balance in the Rabbi Trust was $5.1 million as of December 31, 2013 and 2012. Investments held in the Rabbi Trust are included under restricted marketable investments and cash on our consolidated balance sheets.

        We recognize the unfunded balance of the SERP as a liability on our consolidated balance sheets. Since we do not fund the SERP, the liability is equal to the projected benefit obligation as measured at the end of each fiscal year. Expenses related to the SERP are reported under the captions, "selling, general and administrative expense" and "research and development expense" in the accompanying consolidated statements of operations.

        A reconciliation of the beginning and ending balances of the projected benefit obligation is presented below (in thousands):

	Year Ended December 31,
	2013			2012
Projected benefit obligation at the beginning of the year	$	47,206		$	32,952
Service cost		5,406			4,315
Interest cost		1,584			1,475
Actuarial (gain) loss		(3,162	)		8,464
Projected benefit obligation at the end of the year	$	51,034		$	47,206
Fair value of plan assets at the end of the year		—			—
Unfunded at end of the year(1)	$	51,034		$	47,206

(1)

Included within other liabilities on our consolidated balance sheets.

        The accumulated benefit obligation, a measure that does not consider future increases in participants' salaries, was $37.2 million and $33.2 million at December 31, 2013 and 2012, respectively.

        Future estimated benefit payments, based on current assumptions, including election of lump-sum distributions and expected future service, are as follows (in thousands):

Year Ended December 31,
2014	$	—
2015		23,502
2016		—
2017		—
2018		—
2019-2023		29,330
	$	52,832

        The following weighted-average assumptions were used to measure the SERP obligation:

	Year Ended December 31,
	2013			2012
Discount Rate		4.34	%		3.36	%
Salary Increases		5.00	%		5.00	%

        The components of net periodic pension cost recognized on our consolidated statement of operations consist of the following (in thousands):

	Year Ended December 31,
	2013		2012		2011
Service cost	$	5,406	$	4,315	$	4,255
Interest cost		1,584		1,475		1,356
Amortization of prior service cost		827		827		773
Amortization of net actuarial loss		794		—		91
Total	$	8,611	$	6,617	$	6,475

        Reclassification adjustments related to the SERP from accumulated other comprehensive loss to the statement of operations by line item and the tax impact of these reclassifications is presented below (in thousands):

Components Reclassified from Accumulated Other Comprehensive Loss(1)	As of December 31, 2013
Prior service cost:
Research and development	$	312
Selling, general and administrative		515
Total		827
Amortization of net actuarial loss:
Research and development		300
Selling, general and administrative		494
Total		794
Total prior service cost and amortization of net actuarial loss		1,621
Tax benefit		(601	)
Total, net of tax	$	1,020

(1)

Refer to Note 12—Accumulated Other Comprehensive Loss.

        Amounts relating to the SERP that have been recognized in other comprehensive gain (loss) are as follows (in thousands):

	Year Ended December 31,
	2013			2012			2011
Net unrecognized actuarial gain (loss)	$	3,956		$	(8,464	)	$	773
Net unrecognized prior service cost		827			827			(824	)
Total		4,783			(7,637	)		(51	)
Tax		(1,688	)		2,807			44
Total, net of tax	$	3,095		$	(4,830	)	$	(7	)

        The table below presents amounts relating to the SERP included in accumulated other comprehensive loss that have not yet been recognized as a component of net periodic pension cost on our consolidated statements of operations (in thousands):

	Year Ended December 31,
	2013			2012			2011
Net unrecognized actuarial loss	$	7,803		$	11,758		$	3,295
Net unrecognized prior service cost		5,698			6,525			7,352
Total		13,501			18,283			10,647
Tax		(5,074	)		(6,743	)		(3,936	)
Total, net of tax	$	8,427		$	11,540		$	6,711

        Estimated amounts included in accumulated other comprehensive income as of December 31, 2013 that are expected to be recognized as components of net periodic pension expense on our statement of operations for the year ended December 31, 2014 comprise the following (in thousands):

Amortization of prior service cost	$	827
Amortization of net actuarial loss		333
Total	$	1,160

• Employee Retirement Plan

        We maintain a Section 401(k) Salary Reduction Plan which is open to all eligible full-time employees. Under the 401(k) Plan, eligible employees can make pre-tax contributions up to statutory limits. Currently, we make discretionary matching contributions to the 401(k) Plan equal to 40 percent of a participant's elected salary deferral. Matching contributions vest immediately for participants who have been employed for three years; otherwise, matching contributions vest annually, in one-third increments over a three-year period until the three-year employment requirement has been met. Expenses related to the 401(k) Plan were $2.5 million, $2.1 million and $1.7 million for the years ended December 31, 2013, 2012 and 2011, respectively.

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Segment Information

12 Months Ended

Dec. 31, 2013

Segment Information

Segment Information

19. Segment Information

        Prior to June 2011, we operated in two business segments: pharmaceutical and telemedicine. Following the sale of our telemedicine subsidiary, Medicomp, and the discontinuation of further telemedicine-related activities in 2011, we began managing our business as one operating segment. However, our chief operating decision makers regularly review revenues, cost of revenues and gross profit data as a primary measure of performance for each of our three commercial products. Note that we expect to commence sales of our most recently approved commercial product, Orenitram, in mid-2014.

        Revenues, cost of revenues and gross profit for each of our commercial products are as follows (in thousands):

	Remodulin		Tyvaso		Adcirca		Total
Year Ended December 31, 2013
Revenues	$	491,179	$	438,793	$	176,972	$	1,106,944
Cost of revenues		59,314		60,831		10,982		131,127
Gross profit	$	431,865	$	377,962	$	165,990	$	975,817
Year Ended December 31, 2012
Revenues	$	457,969	$	325,614	$	122,540	$	906,123
Cost of revenues		57,618		53,825		7,854		119,297
Gross profit	$	400,351	$	271,789	$	114,686	$	786,826
Year Ended December 31, 2011
Revenues	$	430,132	$	240,382	$	70,580	$	741,094
Cost of revenues		52,329		31,934		4,641	$	88,904
Gross profit	$	377,803	$	208,448	$	65,939	$	652,190

        Geographic revenues are determined based on the country in which our customers (distributors) are located. Net revenues from external customers by geographic area are as follows (in thousands):

Year Ended December 31,	2013		2012		2011
United States	$	1,032,435	$	846,611	$	676,967
Rest-of-World(1)		84,549		69,465		66,216
Total	$	1,116,984	$	916,076	$	743,183

(1)

Primarily Europe.

        For the years ended December 31, 2013, 2012 and 2011, sales to Accredo Health Group, Inc. comprised 57 percent, 56 percent and 61 percent, respectively, of total consolidated net revenues.

        Long-lived assets (property, plant and equipment) located by geographic area are as follows (in thousands):

Year Ended December 31,	2013		2012		2011
United States	$	442,673	$	425,585	$	345,153
Rest-of-World(1)		22,277		28,100		20,893
Total	$	464,950	$	453,685	$	366,046

(1)

Facilities principally located in the United Kingdom.

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Summary of Significant Accounting Policies (Details 5) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Accounts receivable | United States | Credit concentration
Concentrations of Credit Risk, Products, Revenues and Customers
Concentration risk, percentage	59.00%	60.00%
Net revenues | Remodulin | Product concentration
Concentrations of Credit Risk, Products, Revenues and Customers
Concentration risk, percentage	44.00%	50.00%	58.00%
Net revenues | Tyvaso | Product concentration
Concentrations of Credit Risk, Products, Revenues and Customers
Concentration risk, percentage	39.00%	36.00%	32.00%
Net revenues | United States | Product concentration
Concentrations of Credit Risk, Products, Revenues and Customers
Number of contracts into which distribution agreements consolidated	1
Net revenues | United States | Remodulin and Tyvaso | Product concentration
Concentrations of Credit Risk, Products, Revenues and Customers
Concentration risk, percentage	76.00%	78.00%	81.00%
Number of specialty pharmaceutical distributors	3
Net revenues | Accredo Health Group, Inc. | Customer concentration
Concentrations of Credit Risk, Products, Revenues and Customers
Concentration risk, percentage	57.00%	56.00%	61.00%
Net product sales	$ 632,599	$ 514,095	$ 455,504
Number of major customers	1

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Income Taxes (Tables)

12 Months Ended

Dec. 31, 2013

Income Taxes

Schedule of components of income tax expense (benefit)

Components of income tax expense (benefit) consist of the following (in thousands):

	Year Ended December 31,
	2013			2012			2011
Current:
Federal	$	120,030		$	83,905		$	54,132
State		20,099			13,949			8,948
Foreign		2,164			659			544
Total current		142,293			98,513			63,624
Deferred
Federal		(37,713	)		37,259			11,228
State		(9,059	)		(415	)		(2,428	)
Foreign		(1,055	)		182			641
Total deferred		(47,827	)		37,026			9,441
Other non-current
Federal		7,797			573			7,605
State		1,907			114			1,621
Foreign		173			3			(417	)
Total other		9,877			690			8,809
Total income tax expense	$	104,343		$	136,229		$	81,874

Schedule of reconciliation of income taxes computed at the statutory federal tax rate to income tax expense

Presented below is a reconciliation of income taxes computed at the statutory federal tax rate to income tax expense as reported (in thousands):

	Year Ended December 31,
	2013			2012			2011
Federal tax provision computed at 35%	$	97,616		$	154,235		$	105,018
State tax provision, net of federal tax provision		8,320			9,149			5,549
General business credits		(13,346	)		(10,980	)		(15,776	)
Incentive stock option expense		(304	)		(479	)		(290	)
Section 199 deduction		(10,861	)		(15,629	)		(8,091	)
Nondeductible compensation expense		22,813			2,609			(2,607	)
Nondeductible expenses		105			(2,676	)		(1,929	)
Total income tax expense	$	104,343		$	136,229		$	81,874

Schedule of components of net deferred tax asset

Components of the net deferred tax asset are as follows (in thousands):

	As of December 31,
	2013			2012
Deferred tax assets:
General business credits	$	277		$	25,834
Impairment losses on investments		318			2,884
Realized losses on marketable investments		—			2,095
License fees capitalized for tax purposes		75,181			74,964
Nonqualified stock options		40,808			30,872
SERP		14,059			14,594
STAP awards		84,274			20,238
Other		28,118			31,534
Total deferred tax assets		243,035			203,015
Deferred tax liabilities:
Plant and equipment principally due to differences in depreciation		(32,725	)		(31,428	)
Other		(1,351	)		(1,221	)
Net deferred tax asset before valuation allowance		208,959			170,366
Valuation allowance		(2,507	)		(5,665	)
Net deferred tax assets	$	206,452		$	164,701

Schedule of reconciliation of beginning and ending balances of unrecognized tax benefit

A reconciliation of the beginning and ending balances of unrecognized tax benefits for the years indicated is as follows (in thousands):

Unrecognized tax benefits at January 1, 2013	$	1,511
Gross increases—tax positions in prior period		1,325
Gross decreases—tax positions in prior period		—
Gross increases—tax positions in the current period		—
Gross decreases—tax positions in current period		—
Settlements		—
Lapse of statute of limitations		—
Unrecognized tax benefits at December 31, 2013	$	2,836
Unrecognized tax benefits at January 1, 2012	$	1,733
Gross increases—tax positions in prior period		146
Gross decreases—tax positions in prior period		(368	)
Gross increases—tax positions in the current period		—
Gross decreases—tax positions in the current period		—
Settlements		—
Lapse of statute of limitations		—
Unrecognized tax benefits at December 31, 2012	$	1,511
Unrecognized tax benefits at January 1 2011	$	7,406
Gross increases—tax positions in prior period		500
Gross decreases—tax positions in prior period		(7,406	)
Gross increases—tax positions in the current period		1,233
Gross decreases—tax positions in the current period		—
Settlements		—
Lapse of statute of limitations		—
Unrecognized tax benefits at December 31, 2011	$	1,733

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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Net income	$ 174,560	$ 304,442	$ 217,868
Other comprehensive gain (loss):
Foreign currency translation (loss) gain	(1,193)	691	(1,709)
Defined benefit pension plan:
Prior service cost arising during period, net of tax			(1,010)
Actuarial gain (loss) arising during period, net of tax	2,075	(5,352)	431
Less: amortization of actuarial gain and prior service cost included in net periodic pension cost	1,020	522	572
Defined benefit pension plan, net	3,095	(4,830)	(7)
Unrealized (loss) gain on available-for-sale securities, net of tax	(128)	67	6
Other comprehensive gain (loss), net of tax	1,774	(4,072)	(1,710)
Comprehensive income	$ 176,334	$ 300,370	$ 216,158

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Litigation (Details) (USD $) In Millions, unless otherwise specified	1 Months Ended		12 Months Ended
	Sep. 30, 2012 Lexington Insurance Company	Sep. 30, 2011 Lexington Insurance Company	Dec. 31, 2013 Sandoz Inc
Litigation
Maximum period for which the FDA is automatically precluded from approving Sandoz's ANDA			30 months
Estimated net commercial value of damaged inventory		$ 65.0
Settlement agreement	$ 31.0
Maximum period for insurance company to pay for the loss and damage as per agreement	30 days

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Recently Issued Accounting Standards

12 Months Ended

Dec. 31, 2013

Recently Issued Accounting Standards

Recently Issued Accounting Standards

3. Recently Issued Accounting Standards

        We noted no recent accounting standards updates issued by the Financial Accounting Standards Board (FASB) that would have a material impact on our consolidated financial statements.

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Share Tracking Award Plans (Details 2) (USD $)	3 Months Ended	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2013 Share tracking award plans (STAP)	Dec. 31, 2012 Share tracking award plans (STAP)	Dec. 31, 2011 Share tracking award plans (STAP)	Dec. 31, 2013 Research and development Share tracking award plans (STAP)	Dec. 31, 2012 Research and development Share tracking award plans (STAP)	Dec. 31, 2011 Research and development Share tracking award plans (STAP)	Dec. 31, 2013 Selling, general and administrative Share tracking award plans (STAP)	Dec. 31, 2012 Selling, general and administrative Share tracking award plans (STAP)	Dec. 31, 2011 Selling, general and administrative Share tracking award plans (STAP)	Dec. 31, 2013 Cost of product sales Share tracking award plans (STAP)	Dec. 31, 2012 Cost of product sales Share tracking award plans (STAP)	Dec. 31, 2011 Cost of product sales Share tracking award plans (STAP)
Share-based compensation (benefit) expense recognized in connection with the STAP
Share-based compensation expense (benefit) before taxes		$ 283,886,000	$ 26,850,000	$ (16,387,000)	$ 134,355,000	$ 11,130,000	$ (8,190,000)	$ 143,407,000	$ 14,490,000	$ (8,023,000)	$ 6,124,000	$ 1,230,000	$ (174,000)
Related income tax (benefit) expense		(106,693,000)	(9,902,000)	6,058,000
Share-based compensation expense (benefit), net of taxes	111,200,000	177,193,000	16,948,000	(10,329,000)
Share-based compensation capitalized as part of inventory		1,593,000	275,000	(203,000)
Cash payments on awards exercised during the period		$ 55,900,000	$ 31,800,000	$ 28,700,000

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Distribution Agreements (Details) (U.S. Based Specialty Pharmaceutical Distributors)	12 Months Ended
	Dec. 31, 2013
Distribution Agreements
Distribution agreement, initial term	1 year
Distribution agreement, additional terms	1 year
Remodulin and Tyvaso
Distribution Agreements
Number of distributors	2

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Stockholders' Equity (Details 6) (USD $)	12 Months Ended				0 Months Ended	1 Months Ended	12 Months Ended	1 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Jun. 30, 2008	Mar. 04, 2013 2013 Share Repurchase Program	Feb. 28, 2013 2013 Share Repurchase Program	Dec. 31, 2013 2013 Share Repurchase Program	Nov. 30, 2012 2012 Share Repurchase Program	Jul. 31, 2012 2012 Share Repurchase Program	Jun. 30, 2012 2012 Share Repurchase Program	May 31, 2012 Repurchase Program	Oct. 31, 2011 Repurchase Program
Share Repurchase
Authorized aggregate repurchases of common stock						$ 420,000,000				$ 100,000,000		$ 300,000,000
Period over which shares may be purchased under share repurchase program					1 year				1 year			2 years
Repurchased shares of common stock							708,998	2,000,000			2,000,000	4,700,000
Cost of shares repurchased	42,439,000	188,000,000					42,400,000
Cost of shares repurchased			$ 211,766,000								$ 88,000,000	$ 212,000,000
Shareholder Rights Plan
Purchase price of each Right, before the amendment and restatement of the Rights (in dollars per one one-thousandth of a share)				64.75
Purchase price of each Right, after the amendment and restatement of the Rights (in dollars per one one-thousandth of a share)				400.00
Number of shares of Series A Junior Participating Preferred Stock each Right entitles a holder to purchase				0.001
Minimum ownership percentage in the outstanding shares of voting stock from the commencement of a tender offer that would result in the exercise of shares under one condition of the Agreement (as a percent)				15.00%

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Quarterly Financial Information (Unaudited)

12 Months Ended

Dec. 31, 2013

Quarterly Financial Information (Unaudited)

Quarterly Financial Information (Unaudited)

20. Quarterly Financial Information (Unaudited)

        Summarized quarterly financial information for each of the years ended December 31, 2013 and 2012 are as follows (in thousands, except per share amounts):

	Quarter Ended
	December 31, 2013			September 30, 2013		June 30, 2013		March 31, 2013
Net sales	$	289,017		$	302,225	$	280,606	$	245,136
Gross profit		247,519			269,290		245,175		213,833
Net (loss) income(1)		(30,314	)		62,685		79,864		62,325
Net (loss) income per share—basic	$	(0.60	)	$	1.25	$	1.60	$	1.24
Net (loss) income per share—diluted	$	(0.60	)	$	1.17	$	1.52	$	1.19

	Quarter Ended
	December 31, 2012		September 30, 2012		June 30, 2012		March 31, 2012
Net sales	$	243,817	$	242,468	$	225,577	$	204,214
Gross profit		202,766		212,949		192,199		178,912
Net income		83,255		78,111		72,316		70,760
Net income per share—basic	$	1.65	$	1.52	$	1.37	$	1.32
Net income per share—diluted	$	1.60	$	1.46	$	1.34	$	1.29

(1)

Operating results for the quarter ended December 31, 2013 include a $111.2 million, net of tax charge to operating expenses related to share-based compensation expense.

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Income Taxes (Details 4) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Reconciliation of beginning and ending balances of unrecognized tax benefits
Beginning balance of unrecognized tax benefits	$ 1,511,000	$ 1,733,000	$ 7,406,000
Gross increases-tax positions in prior period	1,325,000	146,000	500,000
Gross decreases-tax positions in prior period		(368,000)	(7,406,000)
Gross increases-tax positions in the current period			1,233,000
Ending balance of unrecognized tax benefits	2,836,000	1,511,000	1,733,000
Portion of unrecognized tax benefits, if recognized, would impact the effective tax rate	2,400,000	1,000,000	1,300,000
Accrued interest expense	$ 249,000	$ 35,000

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Temporary Equity (Tables)

12 Months Ended

Dec. 31, 2013

Temporary Equity

Schedule of components of temporary equity

Components comprising the carrying value of temporary equity include the following (in thousands):

	As of December 31, 2013		As of December 31, 2012
Reclassification of Equity Component(1)	$	34,155	$	—
Common stock subject to repurchase(2)		10,882		10,882
Total	$	45,037	$	10,882

(1)

Represents the reclassification of the Equity Component equal to the unamortized discount of our 2016 Convertible Notes as of December 31, 2013 from additional paid-in capital to temporary equity. As of December 31, 2013, our 2016 Convertible Notes were convertible at the election of their holders as disclosed above in Note 8—Debt—Convertible Notes Due 2016.

(2)

In connection with our amended 2007 agreement with Toray Industries Inc. (Toray), we issued 400,000 shares of our common stock and provided Toray the right to request that we repurchase the shares at a price of $27.21 per share.

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Income Taxes

12 Months Ended

Dec. 31, 2013

Income Taxes

Income Taxes

13. Income Taxes

        Components of income tax expense (benefit) consist of the following (in thousands):

	Year Ended December 31,
	2013			2012			2011
Current:
Federal	$	120,030		$	83,905		$	54,132
State		20,099			13,949			8,948
Foreign		2,164			659			544
Total current		142,293			98,513			63,624
Deferred
Federal		(37,713	)		37,259			11,228
State		(9,059	)		(415	)		(2,428	)
Foreign		(1,055	)		182			641
Total deferred		(47,827	)		37,026			9,441
Other non-current
Federal		7,797			573			7,605
State		1,907			114			1,621
Foreign		173			3			(417	)
Total other		9,877			690			8,809
Total income tax expense	$	104,343		$	136,229		$	81,874

        Presented below is a reconciliation of income taxes computed at the statutory federal tax rate to income tax expense as reported (in thousands):

	Year Ended December 31,
	2013			2012			2011
Federal tax provision computed at 35%	$	97,616		$	154,235		$	105,018
State tax provision, net of federal tax provision		8,320			9,149			5,549
General business credits		(13,346	)		(10,980	)		(15,776	)
Incentive stock option expense		(304	)		(479	)		(290	)
Section 199 deduction		(10,861	)		(15,629	)		(8,091	)
Nondeductible compensation expense		22,813			2,609			(2,607	)
Nondeductible expenses		105			(2,676	)		(1,929	)
Total income tax expense	$	104,343		$	136,229		$	81,874

        Components of the net deferred tax asset are as follows (in thousands):

	As of December 31,
	2013			2012
Deferred tax assets:
General business credits	$	277		$	25,834
Impairment losses on investments		318			2,884
Realized losses on marketable investments		—			2,095
License fees capitalized for tax purposes		75,181			74,964
Nonqualified stock options		40,808			30,872
SERP		14,059			14,594
STAP awards		84,274			20,238
Other		28,118			31,534
Total deferred tax assets		243,035			203,015
Deferred tax liabilities:
Plant and equipment principally due to differences in depreciation		(32,725	)		(31,428	)
Other		(1,351	)		(1,221	)
Net deferred tax asset before valuation allowance		208,959			170,366
Valuation allowance		(2,507	)		(5,665	)
Net deferred tax assets	$	206,452		$	164,701

        Deferred tax assets are reduced by a valuation allowance when, in our judgment, it is more likely than not that a portion or all of the deferred tax assets will not be realized. In evaluating our ability to realize deferred tax assets, we consider all available positive and negative evidence. Accordingly, we consider past operating results, forecasts of earnings and taxable income, the reversal of temporary differences and any prudent and feasible tax planning strategies. Future increases in the valuation allowance would result in a corresponding charge to earnings in the period such a determination is made. Conversely, future reductions to the valuation allowance would result in the recognition of a tax benefit in the period we conclude a reduction is warranted.

        We expect to utilize all of our federal general business tax credits for tax-year 2013.

        A reconciliation of the beginning and ending balances of unrecognized tax benefits for the years indicated is as follows (in thousands):

Unrecognized tax benefits at January 1, 2013	$	1,511
Gross increases—tax positions in prior period		1,325
Gross decreases—tax positions in prior period		—
Gross increases—tax positions in the current period		—
Gross decreases—tax positions in current period		—
Settlements		—
Lapse of statute of limitations		—
Unrecognized tax benefits at December 31, 2013	$	2,836
Unrecognized tax benefits at January 1, 2012	$	1,733
Gross increases—tax positions in prior period		146
Gross decreases—tax positions in prior period		(368	)
Gross increases—tax positions in the current period		—
Gross decreases—tax positions in the current period		—
Settlements		—
Lapse of statute of limitations		—
Unrecognized tax benefits at December 31, 2012	$	1,511
Unrecognized tax benefits at January 1 2011	$	7,406
Gross increases—tax positions in prior period		500
Gross decreases—tax positions in prior period		(7,406	)
Gross increases—tax positions in the current period		1,233
Gross decreases—tax positions in the current period		—
Settlements		—
Lapse of statute of limitations		—
Unrecognized tax benefits at December 31, 2011	$	1,733

        During the year ended December 31, 2011, the Internal Revenue Service (IRS) completed its audits of our 2009 and 2008 tax years and based on the results of these audits, we decreased our reserves for uncertain tax positions by $7.4 million. Included in unrecognized tax benefits at December 31, 2013, 2012 and 2011, is $2.4 million, $1.0 million, and $1.3 million, respectively, of tax benefits that, if recognized, would impact the effective tax rate. As of December 31, 2013 and 2012, we accrued $249,000 and $35,000, respectively, in interest expense relating to uncertain state tax positions.

        We are subject to federal and state taxation in the United States and various foreign jurisdictions. Currently, our 2012, 2011 and 2010 tax years are subject to examination by the IRS and by state taxing authorities. We are unaware of any positions for which it is reasonably possible that the total amounts of unrecognized tax benefits will significantly increase or decrease within the next twelve months.