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Lantheus (LNTH)
NASDAQ:LNTH

Lantheus (LNTH) AI Stock Analysis

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LNTH

Lantheus

(NASDAQ:LNTH)

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Neutral 69 (OpenAI - 5.2)
Rating:69Neutral
Price Target:
$83.00
▲(9.61% Upside)
Action:DowngradedDate:02/26/26
The score is driven primarily by solid multi-year financial performance and an established uptrend, but it is held back by recent TTM margin/cash-flow weakening, very stretched momentum signals (RSI/Stoch), and a relatively high P/E. Earnings-call commentary supports medium-term catalysts and guidance, but near-term pressures in PYLARIFY pricing/margins and operating income reduce confidence.
Positive Factors
Robust revenue growth & healthy margins
Sustained high revenue growth and strong gross/net margins indicate durable demand for Lantheus's imaging agents and efficient operations. This profitability supports ongoing R&D, commercial expansion, and reinvestment, underpinning long-term product development and competitive positioning.
Improved leverage and high ROE
A lower debt-to-equity and a high return on equity reflect stronger leverage management and effective capital allocation. This balanced capital structure enhances financial flexibility for funding pipeline development and acquisitions without overly stressing refinancing risk over the medium term.
Diversified pipeline and strategic M&A
Strategic acquisitions and a growing radiopharma pipeline, including MK-6240 toward a 2026 PDUFA, materially diversify revenue exposure beyond Pylarify. Success would extend addressable markets (Alzheimer's imaging) and strengthen vertical capabilities, supporting durable growth and higher recurring revenues.
Negative Factors
Declining PYLARIFY sales
PYLARIFY remains a revenue driver; a persistent sales decline and competitive pressures reduce top-line resilience and increase execution risk. Slower growth or pricing erosion in the flagship product can impair funding for R&D and acquisitions, and heighten reliance on pipeline approvals for lasting growth.
Margin compression and operating income decline
Material margin compression and a ~27.6% drop in operating income reflect structural pricing and integration pressures from acquisitions and product mix shifts. If sustained, lower margins will constrain free cash for investment and reduce profitability resilience against competitive or reimbursement changes.
Declining free cash flow and remaining debt risk
A meaningful FCF decline reduces internal funding capacity for R&D, commercialization, and debt paydown. Coupled with noted total debt levels, weaker FCF could pressure liquidity or force dilutive financing, limiting strategic optionality and increasing financial risk over the medium term.

Lantheus (LNTH) vs. SPDR S&P 500 ETF (SPY)

Lantheus Business Overview & Revenue Model

Company DescriptionLantheus Holdings, Inc. develops, manufactures, and commercializes diagnostic and therapeutic products that assist clinicians in the diagnosis and treatment of heart, cancer, and other diseases worldwide. It provides DEFINITY, a microbubble ultrasound enhancing agent used in ultrasound exams of the heart; TechneLite, a technetium generator for nuclear medicine; Xenon-133 to assess pulmonary function; Neurolite to identify the area within the brain where blood flow has been blocked or reduced due to stroke; Cardiolite, an injectable Tc-99m-labeled imaging agent; Thallium-201 to detect cardiovascular disease; and Gallium-67 to detect various infections and cancerous tumors. The company also offers AZEDRA, a radiotherapeutic to treat adult and pediatric patients; Automated Bone Scan Index that calculates the disease burden of prostate cancer by quantifying the hotspots on bone scans; and Cobalt (Co 57), a non-pharmaceutical radiochemical; RELISTOR for opioid-induced constipation; and PYLARIFY for visualization of lymph nodes, bone, and soft tissue metastases to determine the presence or absence of recurrent and/or metastatic prostate cancer. It also develops flurpiridaz F 18 to assess blood flow to the heart; 1095, a PSMA-targeted iodine-131 labeled small molecule; LMI 1195 for neuroblastoma tumors in pediatric and adults; PYLARIFY AI, an AI-based medical device software to perform standardized quantitative assessment of PSMA PET/CT images in prostate cancer; and leronlimab, an investigational humanized monoclonal antibody. The company serves radio pharmacies, distributors, integrated delivery networks, hospitals, clinics, and group practices. It has strategic partnerships with NanoMab Technology Limited; Bausch Health Companies, Inc.; GE Healthcare Limited; Curium; Bayer AG; CytoDyn Inc.; ROTOP; FUJIFILM; Regeneron Pharmaceuticals, Inc.; and POINT Biopharma US Inc. The company was founded in 1956 and is headquartered in North Billerica, Massachusetts.
How the Company Makes MoneyLantheus generates revenue primarily through the sale of its diagnostic imaging agents and radiopharmaceuticals. The company's revenue model is based on direct sales to hospitals, imaging centers, and other healthcare providers. Key revenue streams include the sales of Pylarify and other established imaging products, as well as potential royalties from partnerships and collaborations with other pharmaceutical companies. Significant partnerships, such as agreements with healthcare institutions and alliances with research organizations, enhance its market reach and contribute to the company's earnings. Additionally, Lantheus may benefit from expanding its product pipeline through research and development, leading to new launches that can further increase revenue.

Lantheus Earnings Call Summary

Earnings Call Date:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Apr 30, 2026
Earnings Call Sentiment Neutral
The earnings call highlighted significant achievements in leadership transition, strategic acquisitions, and product expansion, particularly in the Alzheimer's imaging market. However, these positives were counterbalanced by challenges in PYLARIFY sales, gross margins, and operating income declines. Despite the lowlights, the company's strategic positioning and future growth prospects in new areas like Alzheimer's imaging suggest a cautiously optimistic outlook.
Q3-2025 Updates
Positive Updates
Leadership Transition with Experienced Interim CEO
Brian Markison announced his retirement, with Mary Anne Heino, former CEO and current Board Chairperson, stepping in as interim CEO. This transition ensures continuity and leverages Heino's extensive industry experience.
Neuraceq Expansion and Growth
Neuraceq sales were consistent with expectations, and the company plans to expand its geographic coverage in the U.S. The product is expected to grow significantly due to rising Alzheimer's prevalence and expanded PET imaging guidelines.
Continued Success of DEFINITY
DEFINITY sales grew over 6% year-over-year, maintaining strong market leadership and demonstrating consistent performance in the ultrasound-enhancing agent market.
Strategic Acquisitions and Diversified Pipeline
Lantheus executed strategic transactions, including the acquisitions of Life Molecular Imaging and Evergreen Theragnostics, diversifying revenue streams and expanding capabilities across the radiopharmaceutical value chain.
MK-6240 Advances in Alzheimer's Imaging
MK-6240, a PET imaging agent for detecting tau in Alzheimer's disease, has a PDUFA date set for August 13, 2026, with promising trial results supporting its NDA submission.
Negative Updates
Decline in PYLARIFY Sales
Sales of PYLARIFY were $240.6 million, down approximately 7% year-over-year. The decline was attributed to seasonality and increased competition, although U.S. volumes were up 3.3%.
Pressure on Gross Profit Margin
Gross profit margin decreased by 471 basis points due to unfavorable pricing impacts, inclusion of Evergreen and LMI margin profiles, and E&O charges.
Operating Income Decline
Operating income for the quarter was $119.6 million, a decrease of 27.6%, influenced by increased operating expenses and strategic investments.
Challenges with PYLARIFY Pricing Stability
The company faces ongoing challenges with pricing compression in the PYLARIFY market due to competitive pressures and the shift in reimbursement methodologies.
Company Guidance
During the Lantheus Third Quarter 2025 Conference Call, the company provided guidance on several key metrics and strategic initiatives for the future. Consolidated net revenue for the third quarter was reported at $384 million, marking a 1.4% increase. PYLARIFY sales reached $240.6 million, though this was down 7.4% year-over-year, with U.S. volumes up by 3.3%. The company anticipates the potential approval of its new F-18 PSMA PET formulation in 2026, which is expected to support growth beginning in late 2026 and into 2027. Additionally, DEFINITY showed consistent performance with a 6.3% year-over-year increase in sales, amounting to $81.8 million. Lantheus also highlighted the strategic importance of its neurology franchise, particularly with the Neuraceq product contributing $20.4 million in sales for the quarter. The guidance for full-year 2025 revenue has been updated to a range of $1.49 billion to $1.51 billion, with adjusted EPS expected between $5.50 to $5.65. The leadership transition was also outlined, with CEO Brian Markison announcing his retirement and Mary Anne Heino stepping in as interim CEO, as the company embarks on a search for a new CEO to drive its next phase of growth.

Lantheus Financial Statement Overview

Summary
Multi-year fundamentals remain solid (strong revenue growth since 2020, shift from losses to sustained profitability, improved leverage, and strong absolute operating/free cash flow). However, the latest TTM shows flattening growth plus sharp margin and cash-flow softening versus 2024, which tempers the overall strength.
Income Statement
76
Positive
LNTH has delivered strong top-line expansion over the last several years (revenue rising materially from 2020 through 2024), but growth has largely flattened in TTM (Trailing-Twelve-Months) versus 2024. Profitability is a clear strength versus its earlier history—moving from losses in 2020–2021 to solid profits from 2022 onward—though margins have compressed sharply in TTM (Trailing-Twelve-Months) versus 2024 (notably lower operating and net margins). Overall, the business shows a strong multi-year turnaround and scale-up, but the latest period signals decelerating growth and weaker profitability.
Balance Sheet
74
Positive
The balance sheet looks healthier versus prior years, with leverage trending down from elevated levels in 2022 to a more moderate debt load relative to equity in 2023–TTM (Trailing-Twelve-Months). Equity has expanded meaningfully since 2022, supporting a larger asset base. Return on equity remains positive and solid in TTM (Trailing-Twelve-Months), but it has cooled versus 2023–2024 alongside the margin compression, which is the main watch item. Overall leverage appears manageable, with improving capital structure over time.
Cash Flow
71
Positive
Cash generation is a key positive: operating cash flow and free cash flow are strong in absolute dollars in TTM (Trailing-Twelve-Months), and free cash flow remains closely aligned with reported earnings. However, cash flow momentum has softened recently—free cash flow declined in TTM (Trailing-Twelve-Months) versus 2024, and operating cash flow relative to earnings also stepped down from the prior year. The company still demonstrates good cash conversion, but the near-term trend is weaker than the strong 2023–2024 run-rate.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.54B1.53B1.30B935.06M425.21M339.41M
Gross Profit941.95M988.29M709.54M581.70M187.69M138.76M
EBITDA382.55M515.27M491.00M81.83M-25.00M22.69M
Net Income233.56M312.44M326.66M28.07M-71.28M-13.47M
Balance Sheet
Total Assets2.23B1.98B1.65B1.32B863.78M869.82M
Cash, Cash Equivalents and Short-Term Investments359.12M912.81M713.66M415.65M98.51M79.61M
Total Debt738.00K619.44M616.95M583.51M191.31M235.90M
Total Liabilities1.14B892.33M835.26M874.11M399.35M355.62M
Stockholders Equity1.09B1.09B815.89M447.15M464.44M514.21M
Cash Flow
Free Cash Flow348.64M493.13M258.70M263.43M41.78M3.92M
Operating Cash Flow390.14M544.75M305.26M281.78M53.92M16.40M
Investing Cash Flow-627.17M-226.01M5.94M-276.55M3.68M-4.91M
Financing Cash Flow-316.58M-118.54M-13.06M311.69M-39.33M-21.86M

Lantheus Technical Analysis

Technical Analysis Sentiment
Positive
Last Price75.72
Price Trends
50DMA
67.71
Positive
100DMA
61.95
Positive
200DMA
65.02
Positive
Market Momentum
MACD
2.23
Negative
RSI
79.23
Negative
STOCH
91.57
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For LNTH, the sentiment is Positive. The current price of 75.72 is above the 20-day moving average (MA) of 69.00, above the 50-day MA of 67.71, and above the 200-day MA of 65.02, indicating a bullish trend. The MACD of 2.23 indicates Negative momentum. The RSI at 79.23 is Negative, neither overbought nor oversold. The STOCH value of 91.57 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for LNTH.

Lantheus Risk Analysis

Lantheus disclosed 52 risk factors in its most recent earnings report. Lantheus reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Lantheus Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
69
Neutral
$4.88B31.8014.59%1.95%-60.40%
66
Neutral
$1.72B46.797.83%48.87%
64
Neutral
$4.61B1,026.769.50%
55
Neutral
$3.06B-82.35-1.86%4.54%-130.59%
52
Neutral
$2.59B5.6547.54%-1.35%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$2.01B-38.25-0.65%8.48%-2.55%66.00%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
LNTH
Lantheus
75.72
-17.53
-18.80%
PRGO
Perrigo Company
14.41
-9.16
-38.85%
SUPN
Supernus Pharmaceuticals
56.32
24.41
76.50%
ANIP
ANI Pharmaceuticals
76.30
21.29
38.70%
HCM
HUTCHMED
15.16
-1.57
-9.38%
AMRX
Amneal Pharmaceuticals
14.58
6.15
72.95%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 26, 2026