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Lantheus Holdings, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 26 February 2026: press release. Guidance figures: 2 new. The quarter’s numbers.

Key takeaways

  • Revenue rose 4.0% in quarter: Worldwide revenue was $406.8 million for the fourth quarter, up from $391.1 million. Full year revenue was $1.54 billion, up 0.5% from $1.53 billion. Source
  • Adjusted EPS rose; GAAP EPS turned positive: Adjusted diluted EPS was $1.67 against $1.59, and GAAP diluted EPS was $0.82 against a loss of $0.17. Full year adjusted diluted EPS was $6.08 against $6.76. Source
  • PYLARIFY sales fell 9.7%: PYLARIFY sales were $240.2 million in the quarter, down from $265.9 million. Full year PYLARIFY sales were $989.1 million, down 6.5%. Source
  • Neuraceq reached $31.0 million: Neuraceq sales were $31.0 million in the quarter and $51.4 million for the year. Management described Neuraceq as the second largest commercially approved amyloid PET agent used in the U.S. Source
  • Operating income fell 32.2%: Operating income was $77.2 million, down 32.2%. Adjusted operating income was $138.9 million, down 8.5% from $151.8 million. Source
  • Adjusted operating margin narrowed to 34.1%: Adjusted operating income as a share of revenue was 34.1% in the quarter against 38.8%. For the full year it was 36.0% against 41.9%. Source
  • Acquisition-related costs rose to $21.7 million: Acquisition, integration and divestiture-related costs were $21.7 million in the quarter, against $0.2 million a year earlier. Full year costs were $84.3 million. Source
  • Three 2026 FDA action dates: The company secured 2026 FDA action dates for a new PSMA PET formulation (March 6), OCTEVY (March 29), and MK-6240 (August 13). Source

“In 2025 we accomplished the important goal of maintaining market leadership with PYLARIFY.”

Mary Anne Heino, Chief Executive Officer of Lantheus

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFY 2026$1.4 billion - $1.45 billionNew
Adjusted fully diluted EPS SourceFY 2026$5.00 - $5.25New

What changed from last quarter

  • New guidance: The company began giving full year 2026 revenue and adjusted fully diluted EPS guidance. No prior-year 2026 guidance appears in the prior release. Source
  • New: Management said it is sharpening strategic focus to innovative radiodiagnostics and pursuing value-maximizing alternatives for radiotherapeutic assets. Source
  • Ended: The legacy SPECT business was divested to SHINE Technologies LLC, effective January 1, 2026. Source
  • New: This release names Mary Anne Heino as Chief Executive Officer. The prior release said the Board was conducting a CEO search. Source

Quarter and full-year results

  • Revenue rose 4.0% in quarter: Worldwide revenue was $406.8 million for the fourth quarter, up from $391.1 million. Full year revenue was $1.54 billion, up 0.5% from $1.53 billion. Source
  • Adjusted EPS rose; GAAP EPS turned positive: Adjusted diluted EPS was $1.67 against $1.59, and GAAP diluted EPS was $0.82 against a loss of $0.17. Full year adjusted diluted EPS was $6.08 against $6.76. Source
  • Adjusted net income slipped 4.1%: Adjusted net income was $110.7 million against $115.4 million. GAAP net income was $54.1 million against a loss of $11.8 million in the prior year quarter. Source

Product and segment sales

  • PYLARIFY sales fell 9.7%: PYLARIFY sales were $240.2 million in the quarter, down from $265.9 million. Full year PYLARIFY sales were $989.1 million, down 6.5%. Source
  • DEFINITY sales dipped in quarter: DEFINITY sales were $85.3 million, down 1.0% from $86.2 million. Full year DEFINITY sales rose 3.9% to $330.2 million. Source
  • Neuraceq reached $31.0 million: Neuraceq sales were $31.0 million in the quarter and $51.4 million for the year. Management described Neuraceq as the second largest commercially approved amyloid PET agent used in the U.S. Source
  • Precision diagnostics grew 22%: Total precision diagnostics revenue was $143.2 million, up 22.0%. TechneLite fell 16.4%, and strategic partnerships and other revenue rose 203.3% to $23.3 million. Source

“In 2026, we are aligning our strategic focus on PET radiodiagnostics, with clear priorities around execution and investment.”

Mary Anne Heino, Chief Executive Officer of Lantheus

Costs, margins and operating income

  • Operating income fell 32.2%: Operating income was $77.2 million, down 32.2%. Adjusted operating income was $138.9 million, down 8.5% from $151.8 million. Source
  • Adjusted operating margin narrowed to 34.1%: Adjusted operating income as a share of revenue was 34.1% in the quarter against 38.8%. For the full year it was 36.0% against 41.9%. Source
  • Acquisition-related costs rose to $21.7 million: Acquisition, integration and divestiture-related costs were $21.7 million in the quarter, against $0.2 million a year earlier. Full year costs were $84.3 million. Source
  • G&A and cost of goods rose: Cost of goods sold was $165.9 million against $142.6 million. General and administrative expense was $69.9 million against $57.9 million. Source
  • Equity securities loss narrowed: The unrealized loss on equity securities was $9.5 million against $119.1 million. Amortization of acquired intangible assets was $16.5 million against $11.8 million. Source

Pipeline and approval dates

  • Three 2026 FDA action dates: The company secured 2026 FDA action dates for a new PSMA PET formulation (March 6), OCTEVY (March 29), and MK-6240 (August 13). Source
  • PNT2003 pending approval and litigation: PNT2003, a radioequivalent to Lutathera, is awaiting FDA approval and the resolution of Hatch-Waxman litigation. The document gives no date for either. Source

“selectively advance late-stage pipeline assets and allocate capital thoughtfully to support sustainable growth and a compelling long-term outlook.”

Mary Anne Heino, Chief Executive Officer of Lantheus

Cash, capital and buybacks

  • Cash fell after deals and buybacks: Cash and cash equivalents were $359.1 million at December 31, 2025, against $912.8 million a year earlier, after acquisition payments and roughly $300 million of share repurchases. Source
  • Operating and free cash flow lower: Net cash from operating activities was $90.2 million, and free cash flow was $81.4 million. Full year free cash flow was $354.1 million against $493.1 million. Source
  • $100 million repurchase in fourth quarter: The company repurchased $100 million of common stock in the quarter under the plan the Board approved in July 2025. Source
  • $750 million revolver available: The company currently has access to up to $750.0 million from a revolving line of credit. Source

Strategic refocus and portfolio

  • Refocus on radiodiagnostics announced: The company is focusing on innovative radiodiagnostics and pursuing value-maximizing alternatives for radiotherapeutic assets, with no timing given for the latter. Source
  • SPECT business divested January 2026: The legacy SPECT business went to SHINE Technologies LLC, effective January 1, 2026, to focus on PET radiodiagnostics and simplify the operating model. Source
  • Acquisitions widened Neuraceq and pipeline: Management said the 2025 acquisitions of Life Molecular Imaging and Evergreen Theragnostics expanded the commercial portfolio and pipeline alongside Neuraceq. Source

Leadership and guidance reporting

  • CEO named as Mary Anne Heino: This release names Mary Anne Heino as Chief Executive Officer of Lantheus. Source
  • Prior CEO retirement announced: The prior release said CEO Brian Markison would retire effective December 31, 2025, and that the Board was conducting a CEO search.
  • No GAAP EPS guidance provided: The company did not provide GAAP EPS guidance, citing an inability to predict acquisition expenses, purchase accounting adjustments and one-time charges with reasonable certainty. Source

Coming up, as management said on 26 February 2026

  • 2026 FDA action dates: FDA action dates are March 6 for the new PSMA PET formulation, March 29 for OCTEVY, and August 13 for MK-6240. Source
  • PNT2003 approval and litigation resolution: Management said PNT2003 is awaiting FDA approval and the resolution of Hatch-Waxman litigation. No dates are given. Source
  • Radiotherapeutic alternatives under review: Management said it is pursuing value-maximizing alternatives for radiotherapeutic assets. No timing is given. Source

Figures management reported

FigureReported
PYLARIFY sales Source$240.2 million in Q4 2025; $989.1 million full year 2025
DEFINITY sales Source$85.3 million in Q4 2025; $330.2 million full year 2025
Neuraceq sales Source$31.0 million in Q4 2025; $51.4 million full year 2025
R&D expense Source$47.5 million in Q4 2025; $177.3 million full year 2025
FDA action dates SourceMarch 6, March 29 and August 13, 2026

Risks management discussed

  • Financial: Acquisition-related expenses, purchase accounting adjustments and one-time charges cannot be predicted with reasonable certainty, so GAAP EPS guidance is not given. Source

Earlier plans management reported on

  • Met: Management said the SPECT divestiture was completed, effective January 1, 2026, as the prior plan described. Source
  • Not stated: Management said $100 million was repurchased in the fourth quarter under the plan the Board approved in July 2025. No status is given beyond that. Source
  • Not stated: Management said the late-stage pipeline was advanced to launch readiness, with 2026 FDA action dates secured for three radiodiagnostic assets. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.