• Worldwide revenue of $102.1 million for the third quarter 2021, representing an increase of 15.3% from the prior year period
• GAAP net loss of $13.4 million for the third quarter 2021, compared to GAAP net loss of $6.4 million in the prior year period
• GAAP fully diluted net loss of $0.20 for the third quarter 2021, compared to GAAP fully diluted net loss of $0.10 in the prior year period; adjusted fully diluted EPS of $0.08 for the third quarter 2021, compared to adjusted fully diluted EPS of $0.04 in the prior year period
  
• Net cash provided by operating activities was $4.3 million for the third quarter 2021. Free cash flow was $1.9 million in the third quarter 2021
• The Company reported that, following an interim analysis of the ongoing ARROW Phase 2 study of 1095, a PSMA-targeted therapeutic, in metastatic castration resistant prostate cancer patients, the Independent Data Monitoring Committee recommended the study continue without modifications
• The Company provides fourth quarter 2021 revenue and adjusted diluted earnings per share guidance; increases full year guidance

NORTH BILLERICA, Mass., Nov. 04, 2021 (GLOBE NEWSWIRE) — Lantheus Holdings, Inc. (NASDAQ: LNTH) (Lantheus), an established leader and fully integrated provider committed to innovative imaging diagnostics, targeted therapeutics and artificial intelligence solutions to find, fight and follow serious medical conditions, today reported financial results for its third quarter ended September 30, 2021.

The Company’s worldwide revenue for the third quarter of 2021 totaled $102.1 million, compared with $88.5 million for the third quarter of 2020, representing an increase of 15.3% from the prior year period.

The Company’s third quarter 2021 GAAP net loss was $13.4 million, or $0.20 per fully diluted share, as compared to GAAP net loss of $6.4 million, or $0.10 per fully diluted share for the third quarter of 2020.

The Company’s third quarter 2021 adjusted fully diluted earnings per share were $0.08, as compared to $0.04 for the third quarter of 2020, representing an increase of 127.4% from the prior year period.

Lastly, net cash provided by operating activities was $4.3 million for the third quarter 2021. Free Cash Flow was $1.9 million in the third quarter of 2021, representing a decrease of approximately $2.9 million from the prior year period.

“We delivered a strong quarter, with revenue up 15% year-over-year, highlighted by the robust adoption of PYLARIFY, the first and only commercially available PSMA PET imaging agent,” said Mary Anne Heino, President and CEO. “Although COVID-19 continued to impact some aspects of our business, we were able to grow our three largest products – DEFINITY, TechneLite and PYLARIFY. We look forward to driving sustainable growth across our portfolio of diagnostic and therapeutic solutions as we find, fight and follow diseases to deliver better patient outcomes.”

“We are pleased with the first full quarter of PYLARIFY sales and continue to invest in our commercial launch, including in manufacturing capacity, to meet the increasing demand for this game changing product. We completed the build-out of our commercial infrastructure, which represents the industry’s largest PSMA PET-dedicated sales and market access teams,” said Paul Blanchfield, Chief Commercial Officer. “We remain focused on fostering customer adoption and expanding our geographic and market access coverage in service of our customers and the U.S. Prostate Cancer community.”

Outlook

The Company updates its guidance for full year 2021 and offers the following guidance for the fourth quarter.

		Q4 Guidance Issued November 4, 2021		Previous Guidance Issued July 28, 2021
Q4 FY 2021 Revenue		$110 million – $115 million		N/A
Q4 FY 2021 Adjusted Diluted EPS		$0.15 – $0.18		N/A
		FY Guidance Updated November 4, 2021		FY Guidance Issued July 28, 2021
FY 2021 Revenue		$405 million – $410 million		$395 million – $402 million
FY 2021 Adjusted Diluted EPS		$0.40 – $0.43		$0.38 – $0.42

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 (including liability accruals relating to the contingent value rights issued as part of the Progenics Pharmaceuticals, Inc. acquisition), 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, November 4, 2021 at 8:00 a.m. ET. To access the live conference call via telephone, please dial 1-866-498-8390 (U.S. callers) or 1-678-509-7599 (international callers) and provide passcode 6775813. A live webcast will be available in the Investors section of the Company’s website at www.lantheus.com.

A replay of the audio webcast will be available in the Investors section of our website at www.lantheus.com approximately two hours after completion of the call and will be archived for 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 Holdings, Inc. is the parent company of Lantheus Medical Imaging, Inc., Progenics Pharmaceuticals, Inc. and EXINI Diagnostics AB and an established leader and fully integrated provider committed to innovative imaging diagnostics, targeted therapeutics and artificial intelligence solutions to Find Fight and Follow^® serious medical conditions. Lantheus provides a broad portfolio of products, including the echocardiography agent DEFINITY^® Vial for (Perflutren Lipid Microsphere) Injectable Suspension; PYLARIFY^®, a PSMA PET imaging agent for the detection of suspected recurrent or metastatic prostate cancer; TechneLite^® (Technetium Tc99m Generator), a technetium-based generator that provides the essential medical isotope used in nuclear medicine procedures; AZEDRA^® for the treatment of certain rare neuroendocrine tumors; and RELISTOR^® for the treatment of opioid-induced constipation, which is partnered with Bausch Health Companies, Inc. The Company is headquartered in North Billerica, Massachusetts with offices in New York, New Jersey, Canada and Sweden. 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 “believe,” “could,” “estimate,” “expect,” “look forward to,” “may,” “plan,” “predict,” “target,” “will,” and other similar terms. Such forward-looking statements 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) the impact of the global COVID-19 pandemic on our business, financial conditions and prospects; (ii) continued market expansion and penetration for our commercial products, particularly DEFINITY, in the face of segment competition and potential generic competition, including as a result of patent and regulatory exclusivity expirations; (iii) our ability to successfully launch PYLARIFY as a commercial product, including (A) our ability to obtain U.S. Food and Drug Administration approval for additional PET manufacturing facilities (“PMFs”) that could manufacture PYLARIFY, (B) the ability of those PMFs to supply PYLARIFY to customers, and (C) our ability to sell PYLARIFY to customers; (iv) the global Molybdenum-99 supply; (v) our products manufactured at Jubilant HollisterStier and our modified formulation of DEFINITY (“DEFINITY RT”) to be commercially manufactured at Samsung Biologics, including our ability to renew, modify or replace those agreements as may be necessary; (vi) the continued integration of the Progenics products and product candidate portfolio into our business following the Progenics Acquisition; (vii) our ability to use in-house manufacturing capacity; (viii) our ability to successfully launch aPROMISE, also referred to as PYLARIFY AI, as a commercial product; (ix) the potential reclassification by the FDA of certain of our products and product candidates from drugs to devices with the expense, complexity and potentially more limited competitive protection such reclassification could cause; (x) the efforts and timing for clinical development of our product candidates and new clinical applications for our products, in each case, that we or our strategic partners may develop, including 1095 and flurpiridaz F 18; (xi) our ability to develop highly contextualized assessments of disease burden using artificial intelligence (“AI”); and (xii) 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).

Lantheus Holdings, Inc.
Consolidated Statements of Operations
(in thousands, except per share data – unaudited)

		Three Months Ended September 30,										Nine Months Ended September 30,
		2021					2020					2021					2020
Revenues		$	102,073				$	88,544				$	295,646				$	245,258
Cost of goods sold		59,404					52,284					165,859					145,148
Gross profit		42,669					36,260					129,787					100,110
Operating expenses
Sales and marketing		17,195					11,609					48,999					28,044
General and administrative		28,550					18,217					87,865					55,586
Research and development		11,252					11,684					33,673					20,150
Total operating expenses		56,997					41,510					170,537					103,780
Gain on sale of assets		—					—					15,263					—
Operating loss		(14,328		)			(5,250		)			(25,487		)			(3,670		)
Interest expense		1,569					2,808					6,224					6,668
Gain on extinguishment of debt		—					—					(889		)			—
Other loss (income)		3,940					(596		)			3,209					(1,702		)
Loss before income taxes		(19,837		)			(7,462		)			(34,031		)			(8,636		)
Income tax (benefit) expense		(6,422		)			(1,076		)			(2,967		)			1,425
Net loss		$	(13,415	)			$	(6,386	)			$	(31,064	)			$	(10,061	)
Net loss per common share:
Basic		$	(0.20	)			$	(0.10	)			$	(0.46	)			$	(0.20	)
Diluted		$	(0.20	)			$	(0.10	)			$	(0.46	)			$	(0.20	)
Weighted-average common shares outstanding:
Basic		67,623					66,820					67,409					49,858
Diluted		67,623					66,820					67,409					49,858

Lantheus Holdings, Inc.
Consolidated Revenues Analysis
(in thousands – unaudited)

		Three Months Ended September 30,												Nine Months Ended September 30,
		2021				2020 (1)				% Change				2021				2020 (1)				% Change
DEFINITY		$	57,636			$	50,359			14.5		%		$	173,448			$	139,989			23.9		%
TechneLite		22,680				21,113				7.4		%		69,252				62,560				10.7		%
Other precision diagnostics		7,563				8,585				(11.9	)	%		21,289				28,782				(26.0	)	%
Total precision diagnostics		87,879				80,057				9.8		%		263,989				231,331				14.1		%
Radiopharmaceutical oncology		8,890				3,323				167.5		%		13,203				7,474				76.7		%
Strategic partnerships and other		5,304				5,164				2.7		%		18,454				6,453				186.0		%
Total revenues		$	102,073			$	88,544			15.3		%		$	295,646			$	245,258			20.5		%

1. The Company reclassified rebates and allowances of $5.5 million and $13.8 million within each product category, which included $5.1 million and $12.6 million for DEFINITY, $0.3 million and $0.9 million for TechneLite and $0.1 million and $0.2 million for other precision diagnostics, for the three and nine months ended September 30, 2020, respectively.

Lantheus Holdings, Inc.
Reconciliation of GAAP to Non-GAAP Financial Measures
(in thousands, except per share data – unaudited)

		Three Months Ended September 30,										Nine Months Ended September 30,
		2021					2020					2021					2020
Net loss		$	(13,415	)			$	(6,386	)			$	(31,064	)			$	(10,061	)
Stock and incentive plan compensation		3,867					3,992					11,772					10,452
Amortization of acquired intangible assets		8,374					4,768					19,133					6,087
Acquired debt fair value adjustment		—					(385		)			(307		)			(385		)
Contingent consideration fair value adjustments		2,600					800					28,500					800
Non-recurring refinancing related fees		—					—					—					460
Non-recurring severance related fees		(6		)			—					522					—
Extinguishment of debt		—					—					(889		)			—
Gain on sale of assets		—					—					(15,263		)			—
Integration costs		63					855					93					4,428
Acquisition-related costs		62					1,593					726					10,522
Impairment of long-lived assets		9,540					—					9,540					7,275
Other		7					—					60					(75		)
Income tax effect of non-GAAP adjustments(a)		(5,411		)			(2,819		)			(6,059		)			(8,265		)
Adjusted net income		$	5,681				$	2,418				$	16,764				$	21,238
Adjusted net income, as a percentage of revenues		5.6			%		2.7			%		5.7			%		8.7			%

		Three Months Ended September 30,										Nine Months Ended September 30,
		2021					2020					2021					2020
Net loss per share – diluted		$	(0.20	)			$	(0.10	)			$	(0.46	)			$	(0.20	)
Stock and incentive plan compensation		0.05					0.06					0.18					0.21
Amortization of acquired intangible assets		0.12					0.08					0.28					0.12
Acquired debt fair value adjustment		—					(0.01		)			(0.01		)			(0.01		)
Contingent consideration fair value adjustments		0.04					0.01					0.42					0.01
Non-recurring refinancing related fees		—					—					—					0.01
Non-recurring severance related fees		—					—					0.01					—
Extinguishment of debt		—					—					(0.01		)			—
Gain on sale of assets		—					—					(0.23		)			—
Integration costs		—					0.01					—					0.09
Acquisition-related costs		0.01					0.02					0.01					0.21
Impairment of long-lived assets		0.14					—					0.14					0.14
Other		—					—					—					—
Income tax effect of non-GAAP adjustments(a)		(0.08		)			(0.03		)			(0.09		)			(0.16		)
Adjusted net income per share – diluted		$	0.08				$	0.04				$	0.24				$	0.42
Weighted-average common shares outstanding – diluted		69,237					67,006					68,674					50,210

^(a) 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.

Lantheus Holdings, Inc.
Reconciliation of Free Cash Flow
(in thousands – unaudited)

	Three Months Ended September 30,										Nine Months Ended September 30,
	2021					2020					2021					2020
Net cash provided by operating activities	$	4,340				$	8,575				$	40,027				$	15,827
Capital expenditures	(2,420		)			(3,736		)			(7,596		)			(8,689		)
Free cash flow	$	1,920				$	4,839				$	32,431				$	7,138
Net cash (used in) provided by investing activities	$	(2,420	)			$	(3,736	)			$	8,227				$	(1,127	)
Net cash used in financing activities	$	(1,726	)			$	(7,270	)			$	(37,232	)			$	(17,488	)

Lantheus Holdings, Inc.
Condensed Consolidated Balance Sheets
(in thousands – unaudited)

	September 30, 2021				December 31, 2020
Assets
Current assets
Cash and cash equivalents	$	91,475			$	79,612
Accounts receivable, net	64,054				54,002
Inventory	33,949				35,744
Other current assets	12,043				9,625
Assets held for sale	—				5,242
Total current assets	201,521				184,225
Property, plant and equipment, net	116,441				120,171
Intangibles, net	356,883				376,012
Goodwill	61,189				58,632
Deferred tax assets, net	66,493				70,147
Other long-term assets	45,289				60,634
Total assets	$	847,816			$	869,821
Liabilities and stockholders’ equity
Current liabilities
Current portion of long-term debt and other borrowings	$	10,356			$	20,701
Accounts payable	20,508				16,284
Accrued expenses and other liabilities	46,039				41,726
Liabilities held for sale	—				1,793
Total current liabilities	76,903				80,504
Asset retirement obligations	15,185				14,020
Long-term debt, net and other borrowings	166,741				197,699
Other long-term liabilities	89,643				63,393
Total liabilities	348,472				355,616
Total stockholders’ equity	499,344				514,205
Total liabilities and stockholders’ equity	$	847,816			$	869,821

Contacts:
Mark Kinarney
Senior Director, Investor Relations
978-671-8842
[email protected]

Melissa Downs
Director, Corporate Communications
646-975-2533
[email protected]