Lantheus Reports Fourth Quarter and Full Year 2023 Financial Results

• Worldwide revenue of $354.0 million and $1.3 billion for the fourth quarter and full year 2023
  
• GAAP net income of $103.4 million and $326.7 million for the fourth quarter and full year 2023
• GAAP fully diluted net income per share of $1.47 and $4.65 for the fourth quarter and full year 2023
• Adjusted fully diluted net income per share of $1.75 and $6.23 for the fourth quarter and full year 2023
• Net cash provided by operating activities was $112.3 million and $305.3 million for the fourth quarter and full year 2023 and free cash flow of $100.2 million and $258.7 million for the fourth quarter and full year 2023
• The Company provides first quarter and full year 2024 revenue and adjusted diluted earnings per share guidance

BEDFORD, Mass., Feb. 22, 2024 (GLOBE NEWSWIRE) --  Lantheus Holdings, Inc. (the Company) (NASDAQ: LNTH), the leading radiopharmaceutical-focused company committed to enabling clinicians to Find, Fight and Follow disease to deliver better patient outcomes, today reported financial results for its fourth quarter and full year ended December 31, 2023.

The Company’s worldwide revenue for the fourth quarter of 2023 totaled $354.0 million, which includes a $15.0 million RELISTOR milestone achievement, compared with $263.2 million for the fourth quarter of 2022, representing an increase of 34.5% over the prior year period. Full year 2023 worldwide revenues were $1.3 billion, compared with $935.1 million for the full year 2022, representing an increase of 38.6% over the prior year period.

The Company’s fourth quarter 2023 GAAP net income was $103.4 million, or $1.47 per fully diluted share, as compared to GAAP net loss of $119.2 million, or $1.74 per fully diluted share for the fourth quarter of 2022. Full year 2023 GAAP net income was $326.7 million, or $4.65 per fully diluted share, as compared to GAAP net income of $28.1 million, or $0.40 per fully diluted share for the full year 2022.

The Company’s fourth quarter 2023 adjusted fully diluted net income per share, or earnings per share (“EPS”), were $1.75, as compared to $1.37 for the fourth quarter of 2022, representing an increase of approximately $0.38 or 28.0% from the prior year period. The Company’s full year 2023 adjusted fully diluted EPS, were $6.23, as compared to $4.22 for the full year 2022, representing an increase of approximately $2.01 or 47.7% from the prior year period.

Lastly, net cash provided by operating activities was $112.3 million and $305.3 million for the fourth quarter and full year 2023. Free Cash Flow was $100.2 million for the fourth quarter of 2023, as compared to $100.6 million for the fourth quarter of 2022, representing a decrease of approximately $0.4 million from the prior year period. Full year 2023 free cash flow was $258.7 million, as compared to $263.4 million for the full year 2022, representing a decrease of approximately $4.7 million from the prior year period.

“2023 was another stellar year at Lantheus, during which the Company delivered record revenues, earnings, cash flows and patient impact as we continued to advance our position as the leading radiopharmaceutical-focused company,” said Mary Anne Heino, Chief Executive Officer of Lantheus. “We are entering 2024 on a strong foundation and will continue to leverage our deep expertise in radiopharmaceuticals and our significant capital resources to advance and expand our pipeline.”

The Company provides its guidance for the first quarter and full year 2024 as follows:

		Guidance Issued February 22, 2024
1Q 2024 Revenue		$347 million - $355 million
1Q 2024 Adjusted Fully Diluted EPS		$1.50 - $1.54
		Guidance Issued February 22, 2024
FY 2024 Revenue		$1.41 billion - $1.445 billion
FY 2024 Adjusted Fully Diluted EPS		$6.50 - $6.70

On a forward-looking basis, the Company does not provide GAAP income per common share guidance or a reconciliation of adjusted fully diluted EPS to GAAP income per common share because the Company is unable to predict with reasonable certainty business development and acquisition related expenses, purchase accounting fair value adjustments, and any one-time, non-recurring charges. These items are uncertain, depend on various factors, and could be material to results computed in accordance with GAAP. As a result, it is the Company’s view that a quantitative reconciliation of adjusted fully diluted EPS on a forward-looking basis is not available without unreasonable effort.

Internet Posting of Information

The Company routinely posts information that may be important to investors in the “Investors” section of its website at www.lantheus.com. The Company encourages investors and potential investors to consult its website regularly for important information about the Company.

Conference Call and Webcast

As previously announced, the Company will host a conference call and webcast on Thursday, February 22, 2024, at 8:00 a.m. ET. To access the conference call or webcast, participants should register online at https://investor.lantheus.com/news-events/calendar-of-events. 

A replay will be available approximately two hours after completion of the webcast and will be archived on the same web page for at least 30 days.

The conference call will include a discussion of non-GAAP financial measures. Reference is made to the most directly comparable GAAP financial measures, the reconciliation of the differences between the two financial measures, and the other information included in this press release, our Form 8-K filed with the SEC today, or otherwise available in the Investor Relations section of our website located at www.lantheus.com. 

The conference call may include forward-looking statements. See the cautionary information about forward-looking statements in the safe-harbor section of this press release.

About Lantheus Holdings, Inc.

Lantheus is the leading radiopharmaceutical-focused company, delivering life-changing science to enable clinicians to Find, Fight and Follow disease to deliver better patient outcomes. Headquartered in Massachusetts with offices in New Jersey, Canada and Sweden, Lantheus has been providing radiopharmaceutical solutions for more than 65 years. For more information, visit www.lantheus.com. 

Non-GAAP Financial Measures

The Company uses non-GAAP financial measures, such as adjusted net income and its line components; adjusted net income per share - fully diluted; and free cash flow. The Company’s management believes that the presentation of these measures provides useful information to investors. These measures may assist investors in evaluating the Company’s operations, period over period. However, these measures may exclude items that may be highly variable, difficult to predict and of a size that could have a substantial impact on the Company’s reported results of operations for a particular period. Management uses these and other non-GAAP measures internally for evaluation of the performance of the business, including the allocation of resources and the evaluation of results relative to employee performance compensation targets. Investors should consider these non-GAAP measures only as a supplement to, not as a substitute for or as superior to, measures of financial performance prepared in accordance with GAAP.

Safe Harbor for Forward-Looking and Cautionary Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, that are subject to risks and uncertainties and are made pursuant to the safe harbor provisions of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements may be identified by their use of terms such as “anticipate,” “believe,” “confident,” “continue,” “could,” “estimate,” “expect,” “guidance,” “intend,” “introduce,” “may,” “momentum,” “plan,” “potential,” “predict,” “progress,” “project,” “promising,” “prospect,” “should,” “target,” “will,” “would” and other similar terms. Such forward-looking statements include our guidance for fiscal year 2024 and are based upon current plans, estimates and expectations that are subject to risks and uncertainties that could cause actual results to materially differ from those described in the forward-looking statements. The inclusion of forward-looking statements should not be regarded as a representation that such plans, estimates and expectations will be achieved. Readers are cautioned not to place undue reliance on the forward-looking statements contained herein, which speak only as of the date hereof. The Company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by law. Risks and uncertainties that could cause our actual results to materially differ from those described in the forward-looking statements include: (i) continued market expansion and penetration for our established commercial products, particularly PYLARIFY and DEFINITY, in a competitive environment in which other imaging agents have been approved and are being commercialized, and our ability to clinically and commercially differentiate our products; (ii) our ability to have third parties manufacture our products and our ability to manufacture DEFINITY in our in-house manufacturing facility; (iii) the global availability of Molybdenum-99 (“Mo-99”) and other raw materials and key components; (iv) our strategies, future prospects, and projected growth, including revenue related to our collaboration agreements with POINT Biopharma Global Inc. (“POINT”), including our ability to obtain FDA approval for PNT2002 and PNT2003; (v) our ability to satisfy our obligations under our existing clinical development partnerships using MK-6240 as a research tool and under the license agreement through which we have rights to MK-6240, and to further develop and commercialize it as an approved product; (vi) our ability to successfully execute on our agreements with Perspective Therapeutics, Inc. (“Perspective”), including finalizing the license agreements in the event we exercise our options to do so, and satisfying the closing conditions for the sale of the Somerset, NJ manufacturing facility and related assets, the value of our current and any future equity interest in Perspective, and Perspective’s ability to successfully develop its alpha-particle therapy and innovative platform technology; (vii) the efforts and timing for clinical development, regulatory approval and successful commercialization of our product candidates and new clinical applications and territories for our products, in each case, that we or our strategic partners may undertake; (viii) our ability to identify and acquire or in-license additional radiopharmaceutical therapeutic and diagnostic product opportunities in oncology and other strategic areas to grow our pipeline of products; and (ix) the risk and uncertainties discussed in our filings with the Securities and Exchange Commission (including those described in the Risk Factors section in our Annual Reports on Form 10-K and our Quarterly Reports on Form 10-Q).

- Tables Follow -

Lantheus Holdings, Inc.
Consolidated Statements of Operations
(in thousands, except per share data – unaudited)
		Three Months Ended December 31,								Year Ended December 31,
			2023				2022				2023				2022
Revenues		$	353,999			$	263,166			$	1,296,429			$	935,061
Cost of goods sold			124,130				95,995				586,886				353,358
Gross profit			229,869				167,171				709,543				581,703
Operating expenses
Sales and marketing			35,264				26,983				141,736				100,243
General and administrative			40,295				39,639				125,458				133,584
Research and development			16,824				272,226				77,707				311,681
Total operating expenses			92,383				338,848				344,901				545,508
Operating income (loss)			137,486				(171,677	)			364,642				36,195
Interest expense			5,041				2,581				20,019				7,185
Loss on extinguishment of debt			—				588				—				588
Other (income) loss			(5,958	)			1,397				(66,320	)			1,703
Income (loss) before income taxes			138,403				(176,243	)			410,943				26,719
Income tax expense (benefit)			35,023				(57,058	)			84,282				(1,348	)
Net income (loss)		$	103,380			$	(119,185	)		$	326,661			$	28,067
Net income (loss) per common share:
Basic		$	1.51			$	(1.74	)		$	4.79			$	0.41
Diluted		$	1.47			$	(1.74	)		$	4.65			$	0.40
Weighted-average common shares outstanding:
Basic			68,499				68,500				68,266				68,487
Diluted			70,092				68,500				70,239				70,671

Lantheus Holdings, Inc.
Consolidated Revenues Analysis
(in thousands – unaudited)
		Three Months Ended December 31,									Year Ended December 31,
			2023			2022		% Change				2023			2022		% Change
PYLARIFY		$	229,884		$	160,642		43.1	%		$	851,303		$	527,405		61.4	%
Other radiopharmaceutical oncology			747			919		(18.7	)%			3,130			4,102		(23.7	)%
Total radiopharmaceutical oncology			230,631			161,561		42.8	%			854,433			531,507		60.8	%
DEFINITY			73,080			63,619		14.9	%			279,768			244,993		14.2	%
TechneLite			21,517			24,725		(13.0	)%			87,370			88,864		(1.7	)%
Other precision diagnostics			5,978			6,022		(0.7	)%			22,980			22,825		0.7	%
Total precision diagnostics			100,575			94,366		6.6	%			390,118			356,682		9.4	%
Strategic Partnerships and other revenue			22,793			7,239		214.9	%			51,878			46,872		10.7	%
Total revenues		$	353,999		$	263,166		34.5	%		$	1,296,429		$	935,061		38.6	%

Lantheus Holdings, Inc.
Reconciliation of GAAP to Non-GAAP Financial Measures
(in thousands, except per share data – unaudited)
		Three Months Ended December 31,								Year Ended December 31,
			2023				2022				2023				2022
Net income (loss)		$	103,380			$	(119,185	)		$	326,661			$	28,067
Stock and incentive plan compensation			14,172				8,124				50,507				29,262
Amortization of acquired intangible assets			11,308				8,307				46,440				33,225
Campus consolidation costs			679				—				3,864				—
Contingent consideration fair value adjustments			200				9,300				(9,275	)			34,700
Non-recurring refinancing related fees			5				70				221				70
Non-recurring fees (a)			—				—				(54,523	)			(384	)
Extinguishment of debt			—				588				—				588
Strategic collaboration and license costs			—				265,856				—				266,356
Acquisition-related costs			169				169				676				1,037
Impairment of long-lived assets			—				—				138,050				—
ARO Acceleration and other related costs			1,187				(968	)			2,232				2,119
Other			531				583				2,725				694
Income tax effect of non-GAAP adjustments(b)			(8,950	)			(76,227	)			(70,043	)			(97,739	)
Adjusted net income		$	122,681			$	96,617			$	437,535			$	297,995
Adjusted net income, as a percentage of revenues			34.7	%			36.7	%			33.7	%			31.9	%

		Three Months Ended December 31,								Year Ended December 31,
			2023				2022				2023				2022
Net income (loss) per share - diluted		$	1.47			$	(1.74	)		$	4.65			$	0.40
Stock and incentive plan compensation			0.20				0.12				0.72				0.41
Amortization of acquired intangible assets			0.16				0.12				0.66				0.47
Campus consolidation costs			0.01				—				0.06				—
Contingent consideration fair value adjustments			—				0.13				(0.13	)			0.49
Non-recurring refinancing related fees			—				—				—				—
Non-recurring fees (a)			—				—				(0.78	)			(0.01	)
Extinguishment of debt			—				0.01				—				0.01
Strategic collaboration and license costs			—				3.76				—				3.77
Acquisition-related costs			—				—				0.01				0.01
Impairment of long-lived assets			—				—				1.97				—
ARO Acceleration and other related costs			0.02				(0.01	)			0.03				0.03
Other(c)			0.01				0.06				0.04				0.01
Income tax effect of non-GAAP adjustments(b)			(0.12	)			(1.08	)			(1.00	)			(1.37	)
Adjusted net income per share - diluted		$	1.75			$	1.37			$	6.23			$	4.22
Weighted-average common shares outstanding - diluted			70,092				70,642				70,239				70,671

(a) Includes the gain on sale of RELISTOR licensed intangible asset associated with net sales royalties of $51.8 million.

(b) The income tax effect of the adjustments between GAAP net loss and non-GAAP adjusted net income takes into account the tax treatment and related tax rate that apply to each adjustment in the applicable tax jurisdiction.

(c) This effect includes an adjustment related to the increase from basic to diluted shares as the Company changed from GAAP net loss to non-GAAP adjusted net income for the three months ended December 31, 2022.

Lantheus Holdings, Inc.
Reconciliation of Free Cash Flow
(in thousands – unaudited)
	Three Months Ended December 31,								Year Ended December 31,
		2023				2022				2023				2022
Net cash provided by operating activities	$	112,287			$	105,352			$	305,260			$	281,781
Capital expenditures		(12,069	)			(4,724	)			(46,555	)			(18,347	)
Free cash flow	$	100,218			$	100,628			$	258,705			$	263,434
Net cash (used in) provided by investing activities	$	(12,069	)		$	(264,724	)		$	5,939			$	(276,547	)
Net cash (used in) provided by financing activities	$	(450	)		$	317,840			$	(13,062	)		$	311,691

Lantheus Holdings, Inc.
Condensed Consolidated Balance Sheets
(in thousands – unaudited)
	December 31, 2023				December 31, 2022
Assets
Current assets
Cash and cash equivalents	$	713,656			$	415,652
Accounts receivable, net		284,292				213,397
Inventory		64,029				35,475
Other current assets		16,683				13,092
Assets held for sale		7,159				—
Total current assets		1,085,819				677,616
Property, plant and equipment, net		146,697				122,166
Intangibles, net		151,985				315,285
Goodwill		61,189				61,189
Deferred tax assets, net		150,198				110,647
Other long-term assets		55,261				34,355
Total assets	$	1,651,149			$	1,321,258
Liabilities and stockholders’ equity
Current liabilities
Current portion of long-term debt and other borrowings	$	823			$	354
Accounts payable		41,189				20,563
Short-term contingent liability		—				99,700
Accrued expenses and other liabilities		145,338				127,084
Total current liabilities		187,350				247,701
Asset retirement obligations		22,916				22,543
Long-term debt, net and other borrowings		561,670				557,712
Other long-term liabilities		63,321				46,155
Total liabilities		835,257				874,111
Total stockholders’ equity		815,892				447,147
Total liabilities and stockholders’ equity	$	1,651,149			$	1,321,258

Contacts:
Mark Kinarney
Vice President, Investor Relations
978-671-8842
ir@lantheus.com 

Melissa Downs
Senior Director, External Communications
646-975-2533
media@lantheus.com