Lantheus Holdings, Inc. (NASDAQ: LNTH)

Sector: Healthcare Industry: Drug Manufacturers - Specialty & Generic CIK: 0001521036
Market Cap 4.55 Bn
P/B 4.07
P/E 27.16
P/S 2.98
ROIC (Qtr) 13.31
Div Yield % 0.00
Rev 1y % (Qtr) 1.39
Total Debt (Qtr) 568.81 Mn
Debt/Equity (Qtr) 0.51

About

Lantheus Holdings, Inc., a prominent player in the healthcare industry, is a radiopharmaceutical-focused company that operates in three primary segments: Radiopharmaceutical Oncology, Precision Diagnostics, and Strategic Partnerships and Other Revenue. The company is recognized for its life-changing science, which empowers clinicians to Find, Fight, and Follow disease, thereby delivering better patient outcomes. Lantheus Holdings' main business activities revolve around the development, production, and distribution of innovative radiopharmaceutical...

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Price action

Investment thesis

Bull case

  • Strong operating cash flow of 457.69M provides robust 0.80x coverage of total debt 568.81M, indicating excellent debt servicing capability and financial flexibility.
  • Healthy cash reserves of 382.01M provide 438.58x coverage of short-term debt 871000, demonstrating strong liquidity position and minimal refinancing risk.
  • Operating cash flow of 457.69M provides exceptional 23.21x coverage of interest expenses 19.72M, showing strong debt service capability.
  • Robust free cash flow of 406.02M exceeds capital expenditure of 51.67M by 7.86x, indicating strong organic growth funding capability.
  • Retained earnings of 625.42M provide full 1.10x coverage of long-term debt 567.94M, indicating strong internal capital position.

Bear case

  • Operating cash flow of 457.69M barely covers its investment activities of (622.26M), with a coverage ratio of -0.74, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of (622.26M) provide weak support for R&D spending of 165.15M, which is -3.77x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • Cash reserves of 382.01M provide limited coverage of acquisition spending of (560.18M), which is -0.68x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • High receivables of 351.38M relative to inventory of 62.04M (5.66 ratio) suggests aggressive credit terms or collection difficulties, potentially masking revenue quality issues.
  • Free cash flow of 406.02M represents just -580.86x of debt issuance (699000), suggesting concerning reliance on leverage rather than internal cash generation for growth.

Peer comparison

Companies in the Drug Manufacturers - Specialty & Generic
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ZTS Zoetis Inc. 56.15 Bn 21.18 5.98 7.27 Bn
2 TAK Takeda Pharmaceutical Co Ltd 48.92 Bn 221.13 1.66 36.24 Bn
3 HLN Haleon plc 46.13 Bn 25.59 3.29 -
4 TEVA Teva Pharmaceutical Industries Ltd 35.27 Bn 49.54 2.10 17.07 Bn
5 UTHR UNITED THERAPEUTICS Corp 21.76 Bn 17.11 6.95 0.00 Bn
6 VTRS Viatris Inc 14.87 Bn -4.03 1.05 14.44 Bn
7 NBIX Neurocrine Biosciences Inc 14.08 Bn 32.91 5.25 0.43 Bn
8 ELAN Elanco Animal Health Inc 11.64 Bn 323.29 2.54 4.32 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 1.94 24.98
EV to Cash from Ops. EV/CFO 9.67 -85.40
EV to Debt EV to Debt 7.78 265.88
EV to EBIT EV/EBIT 16.87 -32.65
EV to EBITDA EV/EBITDA 10.74 -29.50
EV to Free Cash Flow [EV/FCF] EV/FCF 10.90 -32.62
EV to Market Cap EV to Market Cap 0.97 -10.98
EV to Revenue EV/Rev 2.90 -700.14
Price to Book Value [P/B] P/B 4.07 27.22
Price to Earnings [P/E] P/E 27.16 -122.96
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 0.34
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 4.81
Dividend per Basic Share Div per Share (Qtr) 0.00 0.07
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 4.08
Interest Coverage Int. cover (Qtr) 13.31 -38.10
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 62.33 -157.22
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -55.91 44,776.25
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 2.81
EBIAT Growth (1y) % EBIAT 1y % (Qtr) -59.01 24.45
EBITDA Growth (1y) % EBITDA 1y % (Qtr) -24.10 18.14
EBIT Growth (1y) % EBIT 1y % (Qtr) -55.52 37.66
EBT Growth (1y) % EBT 1y % (Qtr) -57.44 108.18
EPS Growth (1y) % EPS 1y % (Qtr) -60.55 52.88
FCF Growth (1y) % FCF 1y % (Qtr) 12.12 -54.47
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) -2.06 25.28
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.67 0.50
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 1.10 2.10
Current Ratio Curr Ratio (Qtr) 2.67 3.92
Debt to Equity Ratio Debt/Equity (Qtr) 0.51 -1.11
Interest Cover Ratio Int Coverage (Qtr) 13.31 -38.10
Times Interest Earned Times Interest Earned (Qtr) 13.31 -38.10
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 21.40 -62,432.09
EBIT Margin % EBIT Margin % (Qtr) 17.19 -63,260.88
EBT Margin % EBT Margin % (Qtr) 15.90 -66,726.96
Gross Margin % Gross Margin % (Qtr) 62.20 8,332.72
Net Profit Margin % Net Margin % (Qtr) 11.00 -66,728.37