UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

(Mark One)


☑			QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, ~~2020~~2021


☐			TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission File Number 001-36569


LANTHEUS HOLDINGS, INC.
(Exact name of registrant as specified in its charter)

Delaware

35-2318913

(State or other jurisdiction of incorporation or organization)

(IRS Employer Identification No.)

331 Treble Cove Road

01862

North Billerica,

(Address of principal executive offices)

(Zip Code)


(978)			671-8001
(Registrant’s telephone number, including area code)

Not Applicable
(Former name, former address and former fiscal year, if changed since last report

Securities registered pursuant to Section 12(b) of the Act:


Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common stock, par value $0.01 per share	LNTH	The Nasdaq Global Market

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☑ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☑ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

☑

Accelerated filer

☐

Non-accelerated filer

☐

Smaller reporting company

☐

Emerging Growth Company

☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Table of Contents

Indicate by check mark whether the registrant is a shell company (as defined by Rule 12b-2 of the Act) Yes ☐ No ☑

The registrant had ~~66,813,380~~67,604,097 shares of common stock, $0.01 par value, outstanding as of July ~~24, 2020.~~23, 2021.

Table of Contents

LANTHEUS HOLDINGS, INC.

TABLE OF CONTENTS


		Page
PART I. FINANCIAL INFORMATION
Item 1.	Financial Statements (Unaudited)
	Condensed Consolidated Balance Sheets	1
	Condensed Consolidated Statements of Operations	2
	Condensed Consolidated Statements of Comprehensive Income	3
	Condensed Consolidated Statements of Changes in Stockholders’ Equity	4
	Condensed Consolidated Statements of Cash Flows	5
	Notes to Condensed Consolidated Financial Statements	7
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	2423
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	4436
Item 4.	Controls and Procedures	4436
PART II. OTHER INFORMATION
Item 1.	Legal Proceedings	4637
Item 1A.	Risk Factors	4838
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	5640
Item 3.	Defaults Upon Senior Securities	5640
Item 4.	Mine Safety Disclosures	5640
Item 5.	Other Information	5640
Item 6.	Exhibits	5741
SIGNATURES			5842

Table of Contents

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements (Unaudited)

Lantheus Holdings, Inc.

Condensed Consolidated Balance Sheets

(Unaudited)

(in thousands, except par value)


		June 30, 2020		December 31, 2019			June 30, 2021		December 31, 2020
Assets	Assets					Assets
Current assets	Current assets					Current assets
Cash and cash equivalents	Cash and cash equivalents	$	90,309	$	92,919	Cash and cash equivalents	$	91,500	$	79,612
Accounts receivable, net	Accounts receivable, net	46,883		43,529		Accounts receivable, net	54,892		54,002
Inventory	Inventory	35,334		29,180		Inventory	31,719		35,744
Other current assets	Other current assets	8,630		7,283		Other current assets	8,102		9,625
Assets held for sale						Assets held for sale	0		5,242
Total current assets	Total current assets	181,156		172,911		Total current assets	186,213		184,225
Property, plant and equipment, net	Property, plant and equipment, net	122,903		116,497		Property, plant and equipment, net	118,493		120,171
Intangibles, net	Intangibles, net	389,512		7,336		Intangibles, net	365,259		376,012
Goodwill	Goodwill	57,765		15,714		Goodwill	61,189		58,632
Deferred tax assets, net	Deferred tax assets, net	67,441		71,834		Deferred tax assets, net	64,777		70,147
Other long-term assets	Other long-term assets	60,918		21,627		Other long-term assets	61,871		60,634
Total assets	Total assets	$	879,695	$	405,919	Total assets	$	857,802	$	869,821
Liabilities and stockholders’ equity	Liabilities and stockholders’ equity					Liabilities and stockholders’ equity
Current liabilities	Current liabilities					Current liabilities
Current portion of long-term debt and other borrowings	Current portion of long-term debt and other borrowings	$	17,143	$	10,143	Current portion of long-term debt and other borrowings	$	10,372	$	20,701

Accounts payable	Accounts payable	16,301		18,608		Accounts payable	21,471		16,284
Accrued expenses and other liabilities	Accrued expenses and other liabilities	42,892		37,360		Accrued expenses and other liabilities	41,983		41,726
Liabilities held for sale						Liabilities held for sale	0		1,793
Total current liabilities	Total current liabilities	76,336		66,111		Total current liabilities	73,826		80,504
Asset retirement obligations	Asset retirement obligations	13,602		12,883		Asset retirement obligations	14,797		14,020
Long-term debt, net and other borrowings	Long-term debt, net and other borrowings	210,010		183,927		Long-term debt, net and other borrowings	169,249		197,699
Other long-term liabilities	Other long-term liabilities	64,164		28,397		Other long-term liabilities	91,790		63,393
Total liabilities	Total liabilities	364,112		291,318		Total liabilities	349,662		355,616
Commitments and contingencies (See Note 17)
Commitments and contingencies (See Note 18)						Commitments and contingencies (See Note 18)	0		0
Stockholders’ equity	Stockholders’ equity					Stockholders’ equity
Preferred stock ($0.01 par value, 25,000 shares authorized; 0 shares issued and outstanding)	Preferred stock ($0.01 par value, 25,000 shares authorized; 0 shares issued and outstanding)	—		—		Preferred stock ($0.01 par value, 25,000 shares authorized; 0 shares issued and outstanding)	0		0
Common stock ($0.01 par value, 250,000 shares authorized; 66,808 and 39,251 shares issued and outstanding, respectively)		668		393
Common stock ($0.01 par value, 250,000 shares authorized; 67,592 and 66,875 shares issued and outstanding, respectively)						Common stock ($0.01 par value, 250,000 shares authorized; 67,592 and 66,875 shares issued and outstanding, respectively)	676		669
Additional paid-in capital	Additional paid-in capital	657,669		251,641		Additional paid-in capital	676,059		665,530
Accumulated deficit	Accumulated deficit	(140,148)		(136,473)		Accumulated deficit	(167,595)		(149,946)
Accumulated other comprehensive loss	Accumulated other comprehensive loss	(2,606)		(960)		Accumulated other comprehensive loss	(1,000)		(2,048)
Total stockholders’ equity	Total stockholders’ equity	515,583		114,601		Total stockholders’ equity	508,140		514,205
Total liabilities and stockholders’ equity	Total liabilities and stockholders’ equity	$	879,695	$	405,919	Total liabilities and stockholders’ equity	$	857,802	$	869,821

The accompanying notes are an integral part of these condensed consolidated financial statements.

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Lantheus Holdings, Inc.

Condensed Consolidated Statements of Operations

(Unaudited)

(in thousands, except per share data)


		Three Months Ended June 30,						Six Months Ended June 30,							Three Months Ended June 30,				Six Months Ended June 30,
		2020		2019		2020		2019			2021		2020		2021		2020
Revenues	Revenues	$	66,010	$	85,705	$	156,714	$	172,215	Revenues	$	101,064	$	66,010	$	193,573	$	156,714
Cost of goods sold	Cost of goods sold	40,162		41,132		92,864		83,558		Cost of goods sold	54,976		40,162		106,455		92,864
Gross profit	Gross profit	25,848		44,573		63,850		88,657		Gross profit	46,088		25,848		87,118		63,850
Operating expenses	Operating expenses									Operating expenses
Sales and marketing	Sales and marketing	6,305		10,948		16,435		21,345		Sales and marketing	17,631		6,305		31,804		16,435
General and administrative	General and administrative	20,670		13,293		37,369		25,882		General and administrative	43,177		20,670		59,315		37,369
Research and development	Research and development	4,418		5,795		8,466		10,724		Research and development	12,061		4,418		22,421		8,466
Total operating expenses	Total operating expenses	31,393		30,036		62,270		57,951		Total operating expenses	72,869		31,393		113,540		62,270
Gain on sale of assets										Gain on sale of assets	0		0		15,263		0
Operating (loss) income	Operating (loss) income	(5,545)		14,537		1,580		30,706		Operating (loss) income	(26,781)		(5,545)		(11,159)		1,580
Interest expense	Interest expense	1,914		4,543		3,860		9,135		Interest expense	1,937		1,914		4,655		3,860
Loss on extinguishment of debt		—		3,196		—		3,196
Gain on extinguishment of debt										Gain on extinguishment of debt	0		0		(889)		0
Other income	Other income	(756)		(1,312)		(1,106)		(2,499)		Other income	(182)		(756)		(731)		(1,106)
(Loss) income before income taxes		(6,703)		8,110		(1,174)		20,874
Income tax expense		309		1,698		2,501		4,513
Net (loss) income		$	(7,012)	$	6,412	$	(3,675)	$	16,361
Net (loss) income per common share:
Loss before income taxes										Loss before income taxes	(28,536)		(6,703)		(14,194)		(1,174)
Income tax (benefit) expense										Income tax (benefit) expense	(1,879)		309		3,455		2,501
Net loss										Net loss	$	(26,657)	$	(7,012)	$	(17,649)	$	(3,675)
Net loss per common share:										Net loss per common share:
Basic	Basic	$	(0.16)	$	0.16	$	(0.09)	$	0.42	Basic	$	(0.39)	$	(0.16)	$	(0.26)	$	(0.09)
Diluted	Diluted	$	(0.16)	$	0.16	$	(0.09)	$	0.41	Diluted	$	(0.39)	$	(0.16)	$	(0.26)	$	(0.09)
Weighted-average common shares outstanding:	Weighted-average common shares outstanding:									Weighted-average common shares outstanding:
Basic	Basic	43,135		38,972		41,284		38,789		Basic	67,505		43,135		67,300		41,284
Diluted	Diluted	43,135		40,239		41,284		40,064		Diluted	67,505		43,135		67,300		41,284

The accompanying notes are an integral part of these condensed consolidated financial statements.

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Lantheus Holdings, Inc.

Condensed Consolidated Statements of Comprehensive Income

(Unaudited)

(in thousands)

Three Months Ended
June 30, Six Months Ended
June 30,
2020 2019 2020 2019
Net (loss) income $ (7,012) $ 6,412 $ (3,675) $ 16,361
Other comprehensive (loss) income:
Foreign currency translation 252 88 (194) 144
Unrealized loss on cash flow hedges, net of tax (464) — (1,452) —
Total other comprehensive (loss) income (212) 88 (1,646) 144
Comprehensive (loss) income $ (7,224) $ 6,500 $ (5,321) $ 16,505


	Three Months Ended June 30,				Six Months Ended June 30,
	2021		2020		2021		2020
Net loss	$	(26,657)	$	(7,012)	$	(17,649)	$	(3,675)
Other comprehensive income (loss):

Foreign currency translation	194		252		296		(194)
Unrealized gain (loss) on cash flow hedges, net of tax	46		(464)		752		(1,452)
Total other comprehensive income (loss)	240		(212)		1,048		(1,646)
Comprehensive loss	$	(26,417)	$	(7,224)	$	(16,601)	$	(5,321)

The accompanying notes are an integral part of these condensed consolidated financial statements.

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Lantheus Holdings, Inc.

Condensed Consolidated Statements of Changes in Stockholders’ Equity

(Unaudited)

(in thousands)


		Six Months Ended June 30, 2020																									Six Months Ended June 30, 2021
		Common Stock					Additional Paid-In Capital		Accumulated Deficit		Accumulated Other Comprehensive Loss				Total Stockholders’ Equity				Common Stock						Additional Paid-In Capital		Accumulated Deficit		Accumulated Other Comprehensive Loss		Total Stockholders’ Equity
		Shares	Amount																Shares			Accumulated Deficit	Accumulated Other Comprehensive Loss	Total Stockholders’ Equity
Balance, January 1, 2020		39,251	$	393	$	251,641							$	(136,473)			$	(960)		$	114,601
Balance, January 1, 2021													Balance, January 1, 2021			66,875			$	669					$	665,530	$	(149,946)	$	(2,048)	$	514,205
Net income	Net income	—	—		—		3,337		—		3,337		Net income			—			—						—		9,008		—		9,008

Other comprehensive loss		—	—		—		—		(1,434)		(1,434)
Other comprehensive income													Other comprehensive income			—			—						—		—		808		808
Stock option exercises and employee stock plan purchases	Stock option exercises and employee stock plan purchases	33	—		366		—		—		366		Stock option exercises and employee stock plan purchases			155			1						2,379		—		—		2,380
Vesting of restricted stock awards and units	Vesting of restricted stock awards and units	563	6		(6)		—		—		—		Vesting of restricted stock awards and units			489			5						(5)		—		—		0
Shares withheld to cover taxes	Shares withheld to cover taxes	(97)	(1)		(1,546)		—		—		(1,547)		Shares withheld to cover taxes			(85)			(1)						(1,598)		—		—		(1,599)
Stock-based compensation	Stock-based compensation	—	—		3,075		—		—		3,075		Stock-based compensation			—			—						3,317		—		—		3,317
Balance, March 31, 2020		39,750	$	398	$	253,530	$	(133,136)	$	(2,394)	$	118,398
Balance, March 31, 2021													Balance, March 31, 2021			67,434			$	674					$	669,623	$	(140,938)	$	(1,240)	$	528,119
Net loss	Net loss	—	—		—		(7,012)		—		(7,012)		Net loss			—			—						—		(26,657)		—		(26,657)

Other comprehensive loss		—	—		—		—		(212)		(212)
Other comprehensive income													Other comprehensive income			—			—						—		—		240		240
Stock option exercises and employee stock plan purchases	Stock option exercises and employee stock plan purchases	7	—		50		—		—		50		Stock option exercises and employee stock plan purchases			116			1						2,042		—		—		2,043
Vesting of restricted stock awards and units	Vesting of restricted stock awards and units	242	2		(2)		—		—		—		Vesting of restricted stock awards and units			51			1						(1)		—		—		0
Shares withheld to cover taxes	Shares withheld to cover taxes	(36)	(1)		(484)		—		—		(485)		Shares withheld to cover taxes			(9)			—						(193)		—		—		(193)
Issuance of common stock, net of $3,776 issuance costs		26,845	269		394,065		—		—		394,334
Fair value of replacement options related to pre-acquisition services		—	—		7,125		—		—		7,125
Stock-based compensation	Stock-based compensation	—	—		3,385		—		—		3,385		Stock-based compensation			—			—						4,588		—		—		4,588
Balance, June 30, 2020		66,808	$	668	$	657,669	$	(140,148)	$	(2,606)	$	515,583
Balance, June 30, 2021													Balance, June 30, 2021			67,592			$	676					$	676,059	$	(167,595)	$	(1,000)	$	508,140

Six Months Ended June 30, 2019
Common Stock Additional
Paid-In
Capital Accumulated
Deficit Accumulated
Other
Comprehensive
Loss Total
Stockholders’
Equity
Shares Amount
Balance, January 1, 2019 38,466 $ 385 $ 239,865 $ (168,140) $ (1,108) $ 71,002
Net income — — — 9,949 — 9,949
Other comprehensive income — — — — 56 56
Stock option exercises and employee stock plan purchases 37 — 606 — — 606
Vesting of restricted stock awards and units 365 4 (4) — — —
Shares withheld to cover taxes (50) (1) (1,119) — — (1,120)
Stock-based compensation — — 2,720 — — 2,720
Balance, March 31, 2019 38,818 $ 388 $ 242,068 $ (158,191) $ (1,052) $ 83,213
Net income — — — 6,412 — 6,412
Other comprehensive income — — — — 88 88
Stock option exercises and employee stock plan purchases 9 — 120 — — 120
Vesting of restricted stock awards and units 253 3 (3) — — —
Shares withheld to cover taxes (37) (1) (943) — — (944)
Stock-based compensation — — 3,358 — — 3,358
Balance, June 30, 2019 39,043 $ 390 $ 244,600 $ (151,779) $ (964) $ 92,247


	Six Months Ended June 30, 2020
	Common Stock			Additional Paid-In Capital	Accumulated Deficit		Accumulated Other Comprehensive Loss		Total Stockholders’ Equity
	Shares	Amount
Balance, January 1, 2020	39,251	$	393		$	251,641	$	(136,473)	$	(960)	$	114,601
Net income	—	—			—		3,337		—		3,337

Other comprehensive loss	—	—			—		—		(1,434)		(1,434)
Stock option exercises and employee stock plan purchases	33	—			366		—		—		366
Vesting of restricted stock awards and units	563	6			(6)		—		—		0
Shares withheld to cover taxes	(97)	(1)			(1,546)		—		—		(1,547)
Stock-based compensation	—	—			3,075		—		—		3,075
Balance, March 31, 2020	39,750	$	398		$	253,530	$	(133,136)	$	(2,394)	$	118,398
Net loss	—	—			—		(7,012)		—		(7,012)

Other comprehensive loss	—	—			—		—		(212)		(212)
Stock option exercises and employee stock plan purchases	7	—			50		—		—		50
Vesting of restricted stock awards and units	242	2			(2)		—		—		0
Shares withheld to cover taxes	(36)	(1)			(484)		—		—		(485)
Issuance of common stock, net of $3,776 issuance costs	26,845	269			394,065		—		—		394,334
Fair value of replacement options related to pre-acquisition services	—	—			7,125		—		—		7,125
Stock-based compensation	—	—			3,385		—		—		3,385
Balance, June 30, 2020	66,808	$	668		$	657,669	$	(140,148)	$	(2,606)	$	515,583

The accompanying notes are an integral part of these condensed consolidated financial statements.

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Lantheus Holdings, Inc.

Condensed Consolidated Statements of Cash Flows

(Unaudited)

(in thousands)

Six Months Ended
June 30,
2020 2019
Operating activities
Net (loss) income $ (3,675) $ 16,361
Adjustments to reconcile net (loss) income to net cash flows from operating activities:
Depreciation, amortization and accretion 7,764 6,577
Impairment of long-lived assets 7,275 —
Amortization of debt related costs 338 639
Loss on extinguishment of debt — 3,196
Provision for bad debt 206 57
Provision for excess and obsolete inventory 1,531 977
Stock-based compensation 6,460 6,078
Deferred taxes 1,067 2,387
Long-term income tax receivable (1,109) (1,604)
Long-term income tax payable and other long-term liabilities 1,409 2,036
Other 408 (10)
Increases (decreases) in cash from operating assets and liabilities:
Accounts receivable 2,087 (1,755)
Inventory (6,777) (365)
Other current assets 1,742 (118)
Accounts payable (3,452) 2,881
Accrued expenses and other liabilities (8,022) (5,816)
Net cash provided by operating activities 7,252 31,521
Investing activities
Capital expenditures (4,953) (13,984)
Lending on bridge loan (10,000) —
Cash acquired in acquisition of business 17,562 —
Net cash provided by (used in) investing activities 2,609 (13,984)
Financing activities
Proceeds from issuance of long-term debt — 199,461
Payments on long-term debt and other borrowings (7,032) (270,247)
Equity issuance costs (345) —
Deferred financing costs (1,225) (2,034)
Proceeds from stock option exercises 50 444
Proceeds from issuance of common stock 366 282
Payments for minimum statutory tax withholding related to net share settlement of equity awards (2,032) (2,064)
Net cash used in financing activities (10,218) (74,158)
Effect of foreign exchange rates on cash, cash equivalents and restricted cash (112) 105
Net decrease in cash, cash equivalents and restricted cash (469) (56,516)
Cash, cash equivalents and restricted cash, beginning of period 92,919 113,401
Cash, cash equivalents and restricted cash, end of period $ 92,450 $ 56,885


	Six Months Ended June 30,
	2021		2020
Operating activities
Net loss	$	(17,649)	$	(3,675)
Adjustments to reconcile net loss to net cash flows from operating activities:
Depreciation, amortization and accretion	17,749		7,764
Impairment of long-lived assets	0		7,275
Amortization of debt related costs	185		338
Changes in fair value of contingent assets and liabilities	25,900		0
Gain on extinguishment of debt	(889)		0


Provision for excess and obsolete inventory	2,039		1,531
Stock-based compensation	7,905		6,460

Gain on sale of assets	(15,263)		0

Deferred taxes	2,685		1,067
Long-term income tax receivable	(731)		(1,109)
Long-term income tax payable and other long-term liabilities	1,147		1,409
Other	1,097		614
Increases (decreases) in cash from operating assets and liabilities:
Accounts receivable	1,551		2,087
Inventory	1,888		(6,777)
Other current assets	2,171		1,742
Accounts payable	5,888		(3,452)

Accrued expenses and other liabilities	14		(8,022)
Net cash provided by operating activities	35,687		7,252
Investing activities
Capital expenditures	(5,176)		(4,953)
Proceeds from sale of assets, net	15,823		0
Lending on bridge loan	0		(10,000)
Cash acquired in acquisition of business	0		17,562
Net cash provided by investing activities	10,647		2,609
Financing activities

Payments on long-term debt and other borrowings	(38,137)		(7,032)
Equity issuance costs	0		(345)

Deferred financing costs	0		(1,225)

Proceeds from stock option exercises	4,086		50
Proceeds from issuance of common stock	337		366
Payments for minimum statutory tax withholding related to net share settlement of equity awards	(1,792)		(2,032)
Net cash used in financing activities	(35,506)		(10,218)
Effect of foreign exchange rates on cash, cash equivalents and restricted cash	120		(112)
Net increase (decrease) in cash, cash equivalents and restricted cash	10,948		(469)
Cash, cash equivalents and restricted cash, beginning of period	82,694		92,919
Cash, cash equivalents and restricted cash, end of period	$	93,642	$	92,450

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Lantheus Holdings, Inc.

Condensed Consolidated Statements of Cash Flows (Continued)

(Unaudited)

(in thousands)


		Six Months Ended June 30,							Six Months Ended June 30,
		2020		2019			2021		2020
Reconciliation to amounts within the condensed consolidated balance sheets	Reconciliation to amounts within the condensed consolidated balance sheets					Reconciliation to amounts within the condensed consolidated balance sheets
Cash and cash equivalents	Cash and cash equivalents	$	90,309	$	56,885	Cash and cash equivalents	$	91,500	$	90,309
Restricted cash included in other long-term assets	Restricted cash included in other long-term assets	2,141		—		Restricted cash included in other long-term assets	2,142		2,141
Cash, cash equivalents and restricted cash at end of period	Cash, cash equivalents and restricted cash at end of period	$	92,450	$	56,885	Cash, cash equivalents and restricted cash at end of period	$	93,642	$	92,450

The accompanying notes are an integral part of these condensed consolidated financial statements.

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Lantheus Holdings, Inc.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

Note Regarding Company References and Trademarks

Unless the context otherwise requires, references to the “Company” and “Lantheus” refer to Lantheus Holdings, Inc. and its direct and indirect wholly-owned subsidiaries, references to “Holdings” refer to Lantheus Holdings, Inc. and not to any of its subsidiaries, ~~and~~ references to “LMI” refer to Lantheus Medical Imaging, Inc., the direct subsidiary of ~~Holdings.~~Holdings and references to “Progenics” refer to Progenics Pharmaceuticals, Inc., a wholly-owned subsidiary of LMI. Solely for convenience, the Company refers to trademarks, service marks and trade names without the TM, SM and ® symbols. Those references are not intended to indicate, in any way, that the Company will not assert, to the fullest extent permitted under applicable law, its rights to its trademarks, service marks and trade names.

1. Basis of Presentation

The accompanying unaudited condensed consolidated financial statements include the accounts of Holdings and its direct and indirect wholly-owned subsidiaries, including Progenics ~~Pharmaceuticals, Inc., a Delaware corporation (“Progenics”) for~~(as of the ~~period from June 19 through June 30, 2020 (see “Acquisition of Progenics”~~Closing Date, as defined below), and have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, these condensed consolidated financial statements do not include all of the information and notes required by generally accepted accounting principles in the United States of America (“U.S. GAAP”) for complete financial statements. In the opinion of management, all adjustments (consisting of normal and recurring adjustments) considered necessary for a fair statement have been included. The results of operations for the three and six months ended June 30, ~~2020~~2021 are not necessarily indicative of the results that may be expected for the year ended December 31, ~~2020~~2021 or any future period.

In the first quarter of fiscal year 2021, the Company completed the evaluation of its operating and reporting structure, which resulted in a change in operating segments. Please refer to Note 19, “Segment Information”, for further details.

The condensed consolidated balance sheet at December 31, ~~2019~~2020 has been derived from the audited consolidated financial statements at that date but does not include all of the information and notes required by U.S. GAAP for complete financial statements. These condensed consolidated financial statements and accompanying notes should be read in conjunction with the consolidated financial statements and notes thereto included in Item 8 of the Company’s most recent Annual Report on Form 10-K for the year ended December 31, ~~2019~~2020 filed with the Securities Exchange Commission (“SEC”) on February 25, ~~2020.~~2021.

Progenics Acquisition ~~of Progenics~~

On June 19, 2020 (the “Closing Date”), pursuant to the Amended and Restated Agreement and Plan of Merger, dated as of February 20, 2020 (the “Merger Agreement”), by and among Holdings, Plato Merger Sub, Inc., a wholly-owned subsidiary of Holdings (“Merger Sub”), and Progenics, Holdings completed the previously announced acquisition of Progenics by means of a merger of Merger Sub with and into Progenics, with Progenics surviving such merger as a wholly-owned subsidiary of Holdings (the ~~“Merger”~~“Progenics Acquisition”).

In accordance with the Merger Agreement, at the effective time of the ~~Merger~~Progenics Acquisition (the “Effective Time”), each share of Progenics common stock, par value $0.0013 per share, issued and outstanding immediately prior to the Effective Time (other than shares of Progenics common stock owned by Holdings, Progenics or any of their wholly-owned subsidiaries) was automatically cancelled and converted into the right to receive (i) 0.31 (the “Exchange Ratio”) of a share of Holdings common stock, par value $0.01 per share, and (ii) ~~one~~1 contingent value right (a “CVR”) tied to the financial performance of PyL (18F-DCFPyL), Progenics’ prostate-specific membrane antigen (“PSMA”) targeted imaging agent designed to visualize prostate ~~cancer currently a late stage clinical candidate~~cancer. This agent was approved by the U.S. Food and Drug Administration (“~~PyL”~~FDA”). on May 26, 2021 under the name PYLARIFY (piflufolastat F 18), and the commercial launch of this agent has begun. Each CVR will entitle its holder to receive a pro rata share of aggregate cash payments equal to 40% of U.S. net sales generated by ~~PyL~~PYLARIFY in 2022 and 2023 in excess of ~~$100~~$100.0 million and ~~$150~~$150.0 million, respectively. In no event will the Company’s aggregate payments in respect of the CVRs, together with any other non-stock consideration treated as paid in connection with the Progenics ~~Transaction,~~Acquisition, exceed 19.9% (which ~~we estimate~~the Company estimates could be approximately ~~$100~~$100.0 million) of the total consideration the Company pays in the Progenics ~~Transaction.~~Acquisition. No fractional shares of Holdings common stock ~~have been or will be~~were issued in the ~~Merger,~~Progenics Acquisition, and Progenics’ former stockholders have received ~~or will receive~~ cash in lieu of any fractional shares of Holdings common stock.

In addition, in accordance with the Merger Agreement, at the Effective Time, each Progenics stock option with a per share exercise price less than or equal to $4.42 (an “in-the-money Progenics stock option”) received in exchange for each such in-the money Progenics stock option: (i) an option to purchase Holdings common stock (each, a “Replacement Stock Option”) converted based on the Exchange Ratio, and (ii) a vested or unvested CVR depending on whether the underlying in-the-money Progenics stock option was vested at the Effective Time. Each Progenics stock option with a per share exercise price greater than $4.42 (an “out-of-the-money Progenics stock option”) received in exchange for such out-of-the-money Progenics stock options a Lantheus Stock Option converted on an exchange ratio determined based on the average of the volume weighted average price per share of common stock of Progenics and Lantheus Holdings prior to the Effective Time, which exchange ratio was 0.31.

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As a result of the acquisition, Holdings issued 26,844,877 shares of Holdings common stock and 86,630,633 CVRs to former Progenics stockholders. Holdings also assumed 34,000 in-the-money Progenics stock options and 6,507,342 out-of-the-money Progenics stock options, each converted into Lantheus Stock Options as noted above. In addition, Lantheus assumed Progenics equity plans, which, on an as-converted basis, increased the number of Lantheus shares available for issuance by an aggregate of 4,211,290 shares prior to converting the stock options noted above, subject to certain limitations as to eligibility for issuance.

Please refer to Note 8, “Business Combinations”, for further details on the acquisition.

COVID-19

~~On March 11, 2020, the World Health Organization declared the novel coronavirus (“COVID-19”) a pandemic. The global spread~~

Table of COVID-19 has created significant volatility, uncertainty and economic disruption. Governments in affected regions have implemented, and may continue to implement, safety precautions which include quarantines, travel restrictions, business closures, cancellations of public gatherings and other measures as they deem necessary. Many organizations and individuals, including the Company and its employees, have taken additional steps to avoid or reduce infection, including having non-essential employees work from home and limiting travel. These measures have disrupted normal business operations both in and outside of affected areas and have had significant negative impacts on businesses and economies worldwide. It is not clear when businesses or economies will return to their pre-COVID-19 operating status or productivity.Contents

The Company experienced operational and financial impacts from the COVID-19 pandemic beginning late in the first quarter of 2020 and through the date of this filing, including the impact of stay-at-home mandates and advisories, and a decline in the volume of certain procedures and treatments using the Company’s products. For example, there has been a substantial reduction in pulmonary ventilation studies in which the Company’s product, Xenon, is used. As a result of the COVID-19 pandemic, the Company undertook a thorough analysis of all of its discretionary expenses. ~~Beginning in~~In the first quarter of 2020, the Company implemented certain cost reduction ~~initiatives, including, among other things, reducing travel and promotional expenses, reducing~~initiatives. For most of the second quarter of 2020, the Company reduced the Company’s work week from 5 days to 4 ~~reducing salaries by between 20% and 75%, and implementing a hiring freeze through the balance of 2020. In the latter half of June, the Company restored its work week back to 5~~ days and ~~restored most salaries back~~reduced the pay for employees by varying amounts depending on level of seniority.

During the second quarter of 2020, Progenics also implemented certain cost reduction initiatives and paused new enrollment in the Phase 2 trial of 1095 in metastatic castrate-resistant prostate cancer (“mCRPC”) patients to ~~100% (other than executive team members whose salaries were restored~~minimize the risk to subjects and healthcare providers during the pandemic. New enrollment in ~~early July~~that study restarted in October 2020. GE Healthcare Limited (“GE Healthcare”), the Company’s development and ~~directors whose compensation will remain at reduced levels~~commercialization partner for flurpiridaz fluorine-18 (“F 18”), also delayed enrollment in the ~~balance~~second Phase 3 clinical trial of flurpiridaz F 18 because of the ~~calendar year).~~pandemic and resumed enrollment in the third quarter of 2020.

~~The severity of the on-going impact of~~Although the COVID-19 pandemic appears to have begun to recede in much of the United States, the pandemic could still have a future negative impact on the Company's business, ~~will depend on~~particularly if there is a ~~number~~resurgence as a result of ~~factors, including, but not limited~~mutations or other variations to the ~~duration and severity of the pandemic, and the extent and severity of the~~virus that increase its communicability or its impact on ~~the Company's customers and suppliers, all of which are uncertain and cannot be predicted.~~certain populations. While the impact of COVID-19 on the Company’s results of operations and cash flows has been ~~and is expected to continue to be,~~ material, given continued uncertainty about the ~~continually evolving nature~~future trajectory of the pandemic, the Company ~~is currently~~remains unable to accurately predict the impact of COVID-19 on its overall ~~2020~~2021 operations and financial results or cash flows ~~for the foreseeable future~~ and whether the on-going impact of COVID-19 could lead to potential future impairments.

2. Summary of Significant Accounting Policies

~~Derivative Instruments~~Reclassifications

Certain immaterial reclassifications in the prior period consolidated statement of cash flows have been reclassified to conform to the current year period financial statement presentation. Reclassifications include $0.2 million from provision for bad debt to other at June 30, 2020. The Company ~~uses interest rate swaps~~had a reclassification in presentation related to ~~reduce the variability in cash flows associated~~rebates and allowances within product revenue. Please refer to Note 3, “Revenue from Contracts with ~~a portion of the Company’s forecasted interest payments on its variable rate debt. To qualify~~Customers” for hedge accounting, the hedging instrument must be highly effective at reducing the risk from the exposure being hedged. Further, the Company must formally document the hedging relationship at inception and, on at least a quarterly basis, continually reevaluate the relationship to ensure it remains highly effective throughout the life of the hedge. The Company does not enter into derivative financial instruments for speculative or trading purposes.

~~Business Combinations~~

The Company accounts for business combinations using the acquisition method of accounting. The Company recognizes the assets acquired and liabilities assumed in business combinations on the basis of their fair values at the date of acquisition. The Company assesses the fair value of assets acquired, including intangible assets, and liabilities assumed using a variety of methods. Each asset acquired and liability assumed is measured at fair value from the perspective of a market participant. The method used to estimate the fair values of intangible assets incorporates significant assumptions regarding the estimates a market participant would make in order to evaluate an asset, including a market participant’s use of the asset and the appropriate discount rates. Acquired in-process research and development (“IPR&D”) is recognized at fair value and initially characterized as an indefinite-lived intangible asset, irrespective of whether the acquired IPR&D has an alternative future use. Any excess purchase price over the fair value of the net tangible and intangible assets acquired is allocated to goodwill. Transaction costs and restructuring costs associated with a business combination are expensed as incurred.

During the measurement period, which extends no later than one year from the acquisition date, the Company may record certain adjustments to the carrying value of the assets acquired and liabilities assumed with the corresponding offset to goodwill. After the

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~~measurement period, all adjustments are recorded in the condensed consolidated statements of operations as operating expenses or income.~~

~~Contingent Consideration Liabilities~~

The estimated fair value of contingent consideration liabilities, initially measured and recorded on the acquisition date, are considered to be a Level 3 instrument and are reviewed quarterly, or whenever events or circumstances occur that indicate a change in fair value. The contingent consideration liabilities are recorded at fair value at the end of each reporting period with changes in estimated fair values recorded in general and administrative expenses in the condensed consolidated statements of operations.

The estimated fair value is determined based on probability adjusted discounted cash flow and Monte Carlo simulation models that include significant estimates and assumptions pertaining to commercialization events and sales targets. The most significant unobservable inputs are the probabilities of achieving regulatory approval of the development projects and subsequent commercial success.

Significant changes in any of the probabilities of success would result in a significantly higher or lower fair value measurement. Significant changes in the probabilities as to the periods in which milestones will be achieved would result in a significantly lower or higher fair value measurement.

~~Intangible and Long-Lived Assets~~

The Company’s IPR&D represents intangible assets acquired in a business combination that are used in research and development activities but have not yet reached technological feasibility, regardless of whether they have alternative future use. The primary basis for determining the technological feasibility or completion of these projects is obtaining regulatory approval to market the underlying products in an applicable geographic region. Because obtaining regulatory approval can include significant risks and uncertainties, the eventual realized value of the acquired IPR&D projects may vary from their fair value at the date of acquisition. The Company classifies IPR&D acquired in a business combination as an indefinite-lived intangible asset until the completion or abandonment of the associated research and development efforts. Upon completion of the associated research and development efforts, the Company will determine the useful life and begin amortizing the assets to reflect their use over their remaining lives. Upon permanent abandonment, the Company writes-off the remaining carrying amount of the associated IPR&D intangible asset. IPR&D assets are tested at least annually or when a triggering event occurs that could indicate a potential impairment and any impairment loss is recognized in our condensed consolidated statements of operations.further details.

Recent Accounting Pronouncements

Standard

Description

Effective Date
for Company

Effect on the Condensed Consolidated Financial Statements

~~Recently Issued Accounting Standards Not Yet Adopted~~

Accounting Standards Adopted During the Six Months Ended June 30, ~~2020~~2021

ASU ~~2020-04, “Reference Rate Reform (Topic 848)~~2020-06, “Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging - Contracts in Entity’s Own Equity (Subtopic 815-40)”

This ASU provides ~~optional~~guidance to simplify the complexity associated with accounting for convertible instruments and derivatives. For convertible instruments, the number of major separation models required were reduced. Consequently, more convertible debt instruments will be reported as a single liability instrument with no separate accounting for embedded conversion features. This ASU further amends the guidance for ~~a limited period of time~~the derivatives scope exception for contracts in an entity’s own equity to ~~ease~~reduce form-over-substance-based accounting conclusions. The ASU simplifies the ~~potential burden~~diluted net income per share calculation in ~~accounting for (or recognizing the effects of) reference rate reform on financial reporting.~~certain areas as well.

January 1, ~~2020~~2021

The adoption of this standard did not have a material impact on the Company’s condensed consolidated financial statements.

~~ASU 2016-13, “Financial Instruments-Credit Losses (Topic 326)”~~

This ASU requires financial instruments measured at amortized cost and accounts receivable to be presented at the net amount expected to be collected. The new model requires an entity to estimate credit losses based on historical information, current information and reasonable and supportable forecasts that affect the collectability of the reported amount.

~~January 1, 2020~~

~~The adoption of this standard did not have a material impact on the Company’s condensed consolidated financial statements.~~

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3. Revenue from Contracts with Customers

The following table summarizes revenue by revenue source ~~and reportable segment~~ as follows:


		Three Months Ended June 30,						Six Months Ended June 30,							Three Months Ended June 30,				Six Months Ended June 30,
Major Products/Service Lines by Segment (in thousands)		2020		2019		2020		2019
U.S.
Major Products/Service Lines (in thousands)										Major Products/Service Lines (in thousands)	2021		2020		2021		2020
Product revenue, net⁽¹⁾	Product revenue, net⁽¹⁾	$	56,657	$	75,190	$	135,402	$	150,624	Product revenue, net(1)	$	93,562	$	64,927	$	180,881	$	155,140
License and royalty revenues	License and royalty revenues	742		—		742		—		License and royalty revenues	7,502		1,083		12,692		1,574
Total U.S. revenues		57,399		75,190		136,144		150,624
International
Product revenue, net⁽¹⁾		8,270		9,987		19,738		20,536
License and royalty revenues		341		528		832		1,055
Total International revenues		8,611		10,515		$	20,570	$	21,591
Total revenues	Total revenues	$	66,010	$	85,705	$	156,714	$	172,215	Total revenues	$	101,064	$	66,010	$	193,573	$	156,714

(1)The Company’s principal products include DEFINITY and TechneLite and are categorized within product revenue, net. The Company applies the

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same revenue recognition policies and judgments for all of its principal products.

The Company classifies its revenues into three product categories: precision diagnostics, radiopharmaceutical oncology, and strategic partnerships and other. Precision diagnostics includes DEFINITY, TechneLite and other imaging diagnostic products. Radiopharmaceutical oncology consists primarily of AZEDRA and PYLARIFY. Strategic partnerships and other includes partnerships related to other products, such as RELISTOR, that improve patient outcomes and care.

Revenue by product category on a net basis is as follows:


	Three Months Ended June 30,				Six Months Ended June 30,
(in thousands)	2021		2020(1)		2021		2020(1)
DEFINITY	$	59,842	$	37,125	$	115,813	$	89,630
TechneLite	23,772		18,668		46,572		41,447
Other precision diagnostics	6,742		7,140		13,726		20,197
Total precision diagnostics	90,356		62,933		176,111		151,274
Radiopharmaceutical oncology	2,812		2,183		4,312		4,151
Strategic partnerships and other	7,896		894		13,150		1,289
Total revenues	$	101,064	$	66,010	$	193,573	$	156,714

(1)The Company reclassified rebates and allowances of $3.5 million and $8.2 million within each product category, which included $3.2 million and $7.5 million for DEFINITY, $0.3 million and $0.6 million for TechneLite and 0 and $0.1 million for other precision diagnostics, for the three and six months ended June 30, 2020, respectively.

The Company’s performance obligations are typically part of contracts that have an original expected duration of one year or less. As such, the Company is not disclosing the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied (or partially satisfied) as of the end of the reporting period.

4. Fair Value of Financial Instruments

Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. In order to increase consistency and comparability of fair value measurements, financial instruments are categorized based on a hierarchy that prioritizes observable and unobservable inputs used to measure fair value into three broad levels, which are described below:

•Level 1 — Inputs are unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access at the measurement date.

•Level 2 — Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates, yield curves, etc.) and inputs that are derived principally from or corroborated by observable market data by correlation or other means (market corroborated inputs).

•Level 3 — Unobservable inputs that reflect a Company’s estimates about the assumptions that market participants would use in pricing the asset or liability. The Company develops these inputs based on the best information available, including its own data.

The Company’s financial assets and liabilities measured at fair value on a recurring basis consist of money market funds, interest rate swaps, a contingent receivable and contingent consideration liabilities. The Company invests excess cash from its operating cash accounts in overnight investments and reflects these amounts in cash and cash equivalents in the condensed consolidated balance sheets at fair value using quoted prices in active markets for identical assets. The fair value of the interest rate swaps ~~are~~is determined based on observable market-based inputs, including interest rate curves and reflects the contractual terms of these instruments, including the period to maturity. Please refer to Note ~~12,~~13, “Derivative Instruments”, for further details on the interest rate swaps. The Company recorded a contingent receivable and the contingent consideration liabilities resulting from the ~~acquisition of~~ Progenics Acquisition at fair value based on inputs that are not observable in the market. Please refer to Note 8, “Business Combinations”, for further details on the acquisition.

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The tables below present information about the Company’s assets and liabilities measured at fair value on a recurring basis:


		June 30, 2020															June 30, 2021
(in thousands)	(in thousands)	Total Fair Value		Level 1		Level 2		Level 3		(in thousands)	Total Fair Value		Level 1		Level 2		Level 3
Assets:	Assets:									Assets:
Money market	Money market	$	49,662	$	49,662	$	—	$	—	Money market	$	38,547	$	38,547	$	0	$	0
Contingent receivable	Contingent receivable	10,100		—		—		10,100		Contingent receivable	13,400		0		0		13,400
Total assets	Total assets	$	59,762	$	49,662	$	—	$	10,100	Total assets	$	51,947	$	38,547	$	0	$	13,400
Liabilities:	Liabilities:									Liabilities:
Interest rate swaps	Interest rate swaps	$	1,953	$	—	$	1,953	$	—	Interest rate swaps	$	897	$	0	$	897	$	0
Contingent consideration liabilities⁽¹⁾	Contingent consideration liabilities⁽¹⁾	16,300		—		—		16,300		Contingent consideration liabilities⁽¹⁾	43,800		0		0		43,800
Total liabilities	Total liabilities	$	18,253	$	—	$	1,953	$	16,300	Total liabilities	$	44,697	$	0	$	897	$	43,800


		December 31, 2019															December 31, 2020
(in thousands)	(in thousands)	Total Fair Value		Level 1		Level 2		Level 3		(in thousands)	Total Fair Value		Level 1		Level 2		Level 3
Assets:	Assets:									Assets:
Money market	Money market	$	39,530	$	39,530	$	—	$	—	Money market	$	35,457	$	35,457	$	0	$	0
Contingent receivable										Contingent receivable	11,300		0		0		11,300
Total assets	Total assets	$	39,530	$	39,530	$	—	$	—	Total assets	$	46,757	$	35,457	$	0	$	11,300
Liabilities:										Liabilities:
Interest rate swaps										Interest rate swaps	$	1,908	$	0	$	1,908	$	0
Contingent consideration liabilities										Contingent consideration liabilities	15,800		0		0		15,800
Total liabilities										Total liabilities	$	17,708	$	0	$	1,908	$	15,800

~~(1)Includes purchase consideration of $3.7 million related to CVRs and $12.6 million of assumed contingent consideration liabilities.~~

During the three and six months ended June 30, ~~2020,~~2021, there were no transfers into or out of Level 3.

As part of the ~~acquisition of~~ Progenics Acquisition, the Company acquired the right to receive certain future milestone and royalty payments due to Progenics from CytoDyn Inc., related to a prior sale of certain intellectual property. The Company has the right to receive $5.0 million upon regulatory approval and a 5% royalty on net sales of approved products. The Company considers the contingent receivable a Level 3 instrument (one with significant unobservable inputs) in the fair value hierarchy. The estimated fair value was determined based on probability adjusted discounted cash flows that included significant estimates and assumptions pertaining to regulatory events and sales targets. The most significant unobservable inputs are the probabilities of achieving regulatory approval of the development projects and subsequent commercial success.

As part of the ~~acquisition of~~ Progenics Acquisition, the Company issued CVRs and recorded the fair value as part of consideration transferred. Refer to Note 1, “Basis of Presentation” for further details on the CVRs. Additionally, the Company assumed contingent consideration liabilities related to a previous acquisition completed by Progenics in ~~2013.~~2013 (“2013 Acquisition”). These contingent consideration liabilities include potential payments of up to $70.0 million if the Company attains certain net sales targets primarily for ~~Azedra~~AZEDRA and 1095 and a $5.0 million 1095 commercialization milestone. Additionally, there is a potential payment of up to $10.0 million related to a 1404 commercialization milestone. The Company’s total potential payments related to the 2013 Acquisition are approximately $85.0 million. The Company considers the contingent consideration liabilities relating to the CVRs and the 2013 Acquisition, each a Level 3 instrument (one with significant unobservable inputs) in the fair value hierarchy. The estimated fair value of these was determined based on probability adjusted discounted cash flows and Monte Carlo simulation models that included significant estimates and assumptions pertaining to commercialization events and sales targets. The most significant unobservable inputs are the probabilities of achieving regulatory approval of the development projects and subsequent commercial success.

Significant changes in any of the probabilities of success, or the probabilities as to the periods in which milestones will be achieved, discount rates or underlying revenue forecasts would result in a significantly higher or lower fair value measurement. The Company records the contingent consideration liability at fair value with changes in estimated fair values recorded in general and administrative expenses in the condensed consolidated statements of operations. The Company can give no assurance that the actual amounts paid, if any, in connection with the contingent consideration liabilities, including the CVRs, will be consistent with any recurring fair value estimate of such contingent consideration liabilities.

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The following tables summarize quantitative information and assumptions pertaining to the fair value measurement of assets and liabilities using Level 3 inputs at June 30, ~~2020.~~2021.


	Fair Value at						Assumptions
(in thousands)	June 30, 2021		December 31, 2020		Valuation Technique	Unobservable Input	June 30, 2021		December 31, 2020
Contingent receivable:
Regulatory milestone	$	3,300	$	3,200	Probability adjusted discounted cash flow model	Period of expected milestone achievement	2022		2021
						Probability of success	90	%	90	%
						Discount rate	18	%	24	%
Royalties	10,100		8,100		Probability adjusted discounted cash flow model
						Probability of success	13% - 77%		13% - 77%
						Discount rate	18	%	24	%
Total	$	13,400	$	11,300

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	Fair Value at						Assumptions
(in thousands)	June 30, 2021		December 31, 2020		Valuation Technique	Unobservable Input	June 30, 2021		December 31, 2020
Contingent consideration liability:
Net sales targets - PYLARIFY (CVRs)	$	30,400	$	4,200	Monte-Carlo simulation	Period of expected milestone achievement	2022 - 2023		2022 - 2023

						Discount rate	18	%	24	%
1095 commercialization milestone	1,900		2,200		Probability adjusted discounted cash flow model
						Period of expected milestone achievement	2026		2026
						Probability of success	40	%	45	%
						Discount rate	0.9	%	0.5	%



Net sales targets - AZEDRA and 1095	11,500		9,400		Monte-Carlo simulation
						Probability of success	40% - 100%		40% - 100%
						Discount rate	17% - 18%		23% - 24%
Total	$	43,800	$	15,800

(in thousands) Fair Value at June 30, 2020 Valuation Technique Unobservable Input Assumption
Contingent receivable:
Regulatory milestone $ 3,100 Probability adjusted discounted cash flow model Period of expected milestone achievement 2021
Probability of success 90 %
Discount rate 23 %
Royalties 7,000 Probability adjusted discounted cash flow model
Probability of success 13% - 77%
Discount rate 23 %
Total $ 10,100

(in thousands) Fair Value at June 30, 2020 Valuation Technique Unobservable Input Assumption
Contingent consideration liability:
Net sales targets - PyL (CVRs) $ 3,700 Monte-Carlo simulation Period of expected milestone achievement 2022 - 2023
Discount rate 24 %
1095 commercialization milestone 2,200 Probability adjusted discounted cash flow model Period of expected milestone achievement 2026
Probability of success 45 %
Discount rate 0.48 %
Net sales targets - AZEDRA and 1095 10,400 Monte-Carlo simulation Probability of success 40% - 100%
Discount rate 23% - 24%
Total $ 16,300

For those financial instruments with significant Level 3 inputs, the following table summarizes the activities for the periods ~~indicated (in thousands):~~indicated:

Financial Assets Financial Liabilities
(in thousands) Six Months Ended
June 30, 2020 Six Months Ended
June 30, 2020
Fair value, beginning of period $ — $ —
Progenics acquisition 10,100 16,300
Fair value, end of period $ 10,100 $ 16,300
Changes in unrealized gains (losses) included in earnings $ — $ —

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	Financial Assets				Financial Liabilities
(in thousands)	Six Months Ended June 30,				Six Months Ended June 30,
	2021		2020		2021		2020
Fair value, beginning of period	$	11,300	$	0	$	15,800	$	0
Progenics acquisition	0		10,100		0		16,300
Changes in fair value included in net loss	2,100		0		28,000		0

Fair value, end of period	$	13,400	$	10,100	$	43,800	$	16,300

The change in fair value of the contingent financial asset and contingent financial liabilities, including the CVRs, resulted in an expense of $25.9 million for the six months ended June 30, 2021 and was primarily due to changes in revenue forecasts, changes in market conditions, a decrease in discount rates and the passage of time.

5. Income Taxes

The Company provides for income taxes at the end of each interim period based on the estimated effective tax rate for the full year, adjusted for any discrete events which are recorded in the period they occur. The Company’s effective tax rate in fiscal 2020 differs from the U.S. federal statutory rate of 21% principally due to the impact of state taxes, non-deductible transaction costs, and the accrual of interest on uncertain tax positions. Cumulative adjustments to the tax provision are recorded in the interim period in which a change in the estimated annual effective tax rate is determined. The Company’s income tax expense is presented below:

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 2020 2019
Income tax expense $ 309 $ 1,698 $ 2,501 $ 4,513

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	Three Months Ended June 30,				Six Months Ended June 30,
(in thousands)	2021		2020		2021		2020
Income tax (benefit) expense	$	(1,879)	$	309	$	3,455	$	2,501

The Company regularly assesses its ability to realize its deferred tax assets. Assessing the realizability of deferred tax assets requires significant management judgment. In determining whether its deferred tax assets are more-likely-than-not realizable, the Company evaluated all available positive and negative evidence, and weighed the objective evidence and expected impact. The Company ~~has recorded~~assessed the need for a valuation allowance against certain state tax credit carryforwards added through the Progenics Acquisition. The Company continues to record other valuation allowances of ~~$3.0~~$1.2 million against the net deferred tax assets of ~~certain foreign subsidiaries, as well as a valuation allowance of $0.7~~its U.K. subsidiary, and $2.2 million against the net ~~state~~ deferred tax assets ~~due to the potential expiration~~ of ~~certain state tax losses and tax credits prior to utilization.~~its Sweden subsidiary.

In connection with the Company’s acquisition of the medical imaging business from Bristol-Myers Squibb (“BMS”) in 2008, the Company recorded a liability for uncertain state tax positions related to the acquired business and simultaneously entered into a tax indemnification agreement with BMS under which BMS agreed to indemnify the Company for any payments made to settle those uncertain tax positions with the state taxing authorities. Accordingly, a long-term receivable is recorded to account for the expected value to the Company of future indemnification payments ~~net of actual tax benefits received,~~ to be paid on behalf of the Company by ~~BMS.~~BMS, net of actual tax benefits received by the Company. The tax indemnification receivable is recorded within other long-term assets.

In accordance with the Company’s accounting policy, the change in the tax ~~liability,~~liabilities, penalties and interest associated with these obligations (net of any offsetting federal or state benefit) is recognized within income tax expense. As these reserves change, adjustments are included in income tax expense while the offsetting adjustment is included in other income. Assuming that the receivable from BMS continues to be considered recoverable by the Company, there will be no effect on net income and no net cash outflows related to these liabilities.

For the three and six months ended June 30, 2021, the Company released $0.7 million of liabilities for uncertain tax positions, including interest and penalties of $0.5 million. This included a release of liabilities of $0.5 million, including interest and penalties of $0.4 million, due to a change in estimate with respect to the Company’s indemnified uncertain tax positions arising from an effective settlement during the year. The remaining release of $0.2 million of liability was due to the lapse of a statute of limitations.

On June 19, 2020, the Company ~~acquired~~completed the ~~stock of~~ Progenics ~~Pharmaceuticals, Inc.~~Acquisition in a transaction that is expected to qualify as a tax-deferred reorganization under Section 368 of the Internal Revenue ~~Code of 1986, as amended.~~Code. The transaction resulted in an ownership change of Progenics under Section 382 of the Internal Revenue Code and a limitation on the utilization of Progenics’ ~~pre-transaction~~precombination tax attributes. All ~~pre-transaction~~of Progenics’ precombination federal research ~~credits~~ and Orphan drug credits have been removed from the balance sheet, and the gross carrying value of the tax loss carryforwards reduced to their realizable value on the opening balance sheet, in accordance with the Section 382 limitation. ~~Significant deferred~~Deferred tax liabilities arising from the purchase accounting basis step-up in identified intangibles were ~~also~~ recorded ~~as part of the purchase accounting,~~at acquisition, resulting in ~~a small~~an initial net overall deferred tax liability for Progenics after the application of ~~purchase~~acquisition accounting.

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The Company finalized the acquisition accounting for income taxes in the first quarter of 2021 resulting in a reduction of deferred tax assets, primarily related to state research credit carryforwards and an increase to goodwill of $2.6 million.

6. Inventory

Inventory consisted of the following:


(in thousands)	(in thousands)	June 30, 2020		December 31, 2019		(in thousands)	June 30, 2021		December 31, 2020
Raw materials	Raw materials	$	15,629	$	11,417	Raw materials	$	14,578	$	16,000
Work in process	Work in process	12,991		9,450		Work in process	11,687		11,212
Finished goods	Finished goods	6,714		8,313		Finished goods	5,454		8,532
Total inventory	Total inventory	$	35,334	$	29,180	Total inventory	$	31,719	$	35,744

Inventory costs associated with products that have not yet received regulatory approval are capitalized if the Company believes there is probable future commercial use of the product and future economic benefit of the asset. If future commercial use of the product is not probable, then inventory costs associated with such product are expensed during the period the costs are incurred. As of June 30, 2021, the Company had $2.6 million of such product costs included in inventories related to DEFINITY that have been manufactured through the Company’s in-house manufacturing capabilities, which is awaiting regulatory approval.

7. Property, Plant and Equipment, Net

Property, plant and equipment, net, consisted of the following:


(in thousands)	(in thousands)	June 30, 2020		December 31, 2019		(in thousands)	June 30, 2021		December 31, 2020
Land	Land	$	13,450	$	13,450	Land	$	13,450	$	13,450
Buildings	Buildings	69,643		75,654		Buildings	72,472		70,381
Machinery, equipment and fixtures	Machinery, equipment and fixtures	88,728		87,763		Machinery, equipment and fixtures	83,758		77,854
Computer software	Computer software	20,931		20,739		Computer software	24,110		23,644
Construction in progress	Construction in progress	15,535		10,546		Construction in progress	7,431		11,254
		208,287		208,152			201,221		196,583
Less: accumulated depreciation and amortization	Less: accumulated depreciation and amortization	(85,384)		(91,655)		Less: accumulated depreciation and amortization	(82,728)		(76,412)
Total property, plant and equipment, net	Total property, plant and equipment, net	$	122,903	$	116,497	Total property, plant and equipment, net	$	118,493	$	120,171

Depreciation and amortization expense related to property, plant and equipment, net, was ~~$2.7~~$3.2 million and ~~$2.5~~$2.7 million for the three months ended June 30, ~~2020~~2021 and ~~2019,~~2020, respectively, and ~~$5.7~~$6.2 million and ~~$5.0~~$5.7 million for the six months ended June 30, 2021 and 2020, ~~and 2019,~~ respectively.

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The Company tests long-lived assets for recoverability whenever events or changes in circumstances suggest that the carrying value of an asset or group of assets may not be recoverable. During the three months ended March 31, 2020, as a result of a decline in expected future cash flows and the effect of COVID-19 related to certain other nuclear legacy manufacturing assets, ~~in the U.S. segment,~~ the Company determined certain impairment triggers had occurred. Accordingly, the Company performed an undiscounted cash flow analysis as of March 31, 2020. Based on the undiscounted cash flow analysis, the Company determined that the manufacturing assets had net carrying values that exceeded their estimated undiscounted future cash flows. The Company then estimated the fair values of the asset group based on their discounted cash flows. The carrying value exceeded the fair value and as a result, the Company recorded a non-cash impairment of $7.3 million for the six months ended June 30, 2020 in cost of goods sold in the condensed consolidated statement of operations.

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8. Business Combinations

On June 19, 2020, the Company completed the ~~acquisition of~~ Progenics ~~an oncology company developing innovative medicines and artificial intelligence to find, fight and follow cancer.~~Acquisition. The acquisition ~~combines~~combined the commercialization, supply chain and manufacturing expertise of the Company with the currently commercialized products and research and development (“R&D&D”) pipeline of Progenics. Progenics ~~brings~~brought to the Company several commercial products and a pipeline of product candidates that ~~will~~ further diversify the Company’s commercial and clinical development portfolios.

Under the terms of the Merger Agreement, the Company acquired all of the issued and outstanding shares of Progenics common stock for a purchase price of $419.0 million by means of an all-stock transaction, which includes options to purchase Holdings common stock (“Replacement Stock ~~Options~~Options”) for precombination services as well as CVRs.

The CVRs were accounted for as contingent consideration, the fair value of which was determined using a Monte-Carlo simulation. Additionally, the fair value of ~~replacement options~~Replacement Stock Options related to ~~pre-acquisition~~precombination services was recorded as a component of consideration transferred. Finally, as a result of the acquisition, Lantheus effectively settled an existing bridge loan with Progenics at the recorded amount (principal and accrued interest) of $10.1 million, representing the effective settlement of a preexisting relationship. This effective settlement of the bridge loan was treated as a component of consideration transferred. The Company determined that the bridge loan was at market terms and no gain or loss was recorded upon settlement.

The acquisition date fair value of the consideration transferred in the acquisition consisted of the following:


(in thousands)	Amount
Issuance of common stock	$	398,110
Fair value of replacement options	7,125
Fair value of bridge loan settled at close	10,074
Fair value of contingent considerations (CVRs)	3,700
Total consideration transferred⁽¹⁾	$	419,009

(1)Non-cash investing and financing activities in the condensed consolidated statements of cash flows

The transaction was accounted for as a business combination which requires that assets acquired and liabilities assumed be recognized at their fair value as of the acquisition date. While the Company uses its best estimates and assumptions as part of the purchase price allocation process to value the assets acquired and liabilities assumed on the acquisition date, its estimates and assumptions are subject to refinement. Fair value estimates are based on a complex series of judgments about future events and uncertainties and rely heavily on estimates and assumptions. The judgments used to determine the estimated fair value assigned to each class of assets acquired and liabilities assumed, as well as asset lives, can materially impact the Company’s results of operations. The ~~purchase price allocation is preliminary and is subject~~Company recorded a measurement period adjustment of $2.6 million related to ~~change, including~~deferred taxes for the ~~valuation and amortization of intangible assets, income taxes and~~three months ended March 31, 2021, which finalized all measurement period adjustments related ~~valuation allowances and certain assets and liabilities among other items.~~ to the Progenics Acquisition.

The following table summarizes the provisional amounts recognized will be finalized as the information necessary to complete the analysis is obtained, but no later than one year after the acquisition date. Any potential adjustments made could be material in relation to the preliminary values presented below.

~~The preliminary fair value of the~~for assets acquired and liabilities assumed as of the acquisition date, as well as measurement period adjustments made to the amounts initially recorded in June 2020. The measurement period adjustments primarily resulted from finalizing the fair values of certain intangible assets and liabilities, deferred taxes and other changes to certain tangible assets and liability accounts. Measurement period adjustments were recognized in the reporting period in which the adjustments were determined and calculated as ~~follows:~~if the accounting had been completed at the acquisition date. The related impact to net loss that would have been recognized in previous periods if the adjustments were recognized as of the acquisition date is immaterial to the consolidated financial statements.

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~~(in thousands)~~	~~Amount~~
~~Cash and cash equivalents~~	$	~~15,421~~
~~Accounts receivable~~	~~5,787~~
~~Inventory~~	~~915~~
~~Other current assets~~	~~3,250~~
~~Property, plant and equipment~~	~~14,972~~
~~Identifiable intangible assets (weighted average useful life):~~
~~Currently marketed product (15 years)~~	~~142,100~~
~~Licenses (11.5 years)~~	~~87,500~~
~~Developed technology (9 years)~~	~~3,000~~
~~IPR&D~~	~~150,900~~

~~Other long-term assets~~	~~37,631~~
~~Accounts payable~~	~~(1,616)~~
~~Accrued expenses and other liabilities~~	~~(8,207)~~
~~Other long-term liabilities~~	~~(30,778)~~
~~Long-term debt and other borrowings~~	~~(40,200)~~
~~Deferred tax liabilities~~	~~(3,717)~~
~~Goodwill~~	~~42,051~~
~~Total consideration transferred~~	$	~~419,009~~



(in thousands)	Amounts Recognized as of Acquisition Date (as previously reported)		Measurement Period Adjustments		Amounts Recognized as of Acquisition Date (as adjusted)
Cash and cash equivalents	$	15,421	$	—	$	15,421
Accounts receivable	5,787		—		5,787
Inventory	915		160		1,075
Other current assets	3,250		434		3,684
Property, plant and equipment	14,972		—		14,972
Identifiable intangible assets (weighted average useful life):
Currently marketed product (15 years)	142,100		800		142,900
Licenses (11.5 years)	87,500		(1,700)		85,800
Developed technology (9 years)	3,000		(600)		2,400
IPR&D	150,900		200		151,100

Other long-term assets	37,631		—		37,631
Accounts payable	(1,616)		—		(1,616)
Accrued expenses and other liabilities	(8,207)		(80)		(8,287)
Other long-term liabilities	(30,778)		(380)		(31,158)
Long-term debt and other borrowings	(40,200)		—		(40,200)
Deferred tax liabilities	(3,717)		(2,258)		(5,975)
Goodwill	42,051		3,424		45,475
Total consideration transferred	$	419,009	$	0	$	419,009

Intangible assets acquired consist of currently marketed products, licenses, developed technology and in-process research and development (“IPR~~&D.~~&D”). The fair value of the acquired intangible assets was determined based on estimated future revenues, royalty rates and discount rates, among other variables and estimates. The acquired intangible assets subject to amortization were assigned useful lives based on the expected use of the assets and the regulatory and economic environment within which they are being used and are being amortized on a straight-line basis over the respective estimated useful lives. The estimated fair values of the IPR&D assets were determined based on the present values of the expected cash flows to be generated by the respective underlying assets. The Company used a discount rate of ~~24.0%~~23.0% and cash flows that have been probability adjusted to reflect the risks of product commercialization, which the Company believes are appropriate and representative of market participant assumptions.

As part of the ~~acquisition,~~Progenics Acquisition, the Company acquired the right to receive certain future milestone and royalty payments due to Progenics, related to a prior sale of certain intellectual property. The estimated fair value of the acquired contingent receivable of $10.1 million was determined by applying a probability adjusted discounted cash flow model based on estimated future expected payments and recorded in other long-term assets.

The goodwill recognized is attributable to future technologies that are not separately identifiable that could potentially add to the currently developed and pipeline products and Progenics’ assembled workforce. Future technologies did not meet the criteria for recognition separately from goodwill because they are part of the future development and growth of the business. Goodwill of ~~$42.1~~$45.5 million recognized in connection with the acquisition is not deductible for tax ~~purposes and has not yet been assigned to operating segments.~~purposes.

The Company recognized $7.5 million and $8.9 million of acquisition-related costs, including legal, accounting, compensation arrangements and other related fees that were expensed when incurred in the three and six months ended June 30, 2020, respectively. These costs are recorded in general and administrative expenses in the condensed consolidated statements of operations.

Progenics Pro Forma Financial Information

Progenics has been included in the Company’s consolidated financial statements since the ~~acquisition date.~~Closing Date. Progenics contributed revenues of $1.0 million and a net loss of $3.2 million to the Company’s condensed consolidated statement of operations for the three and six months ended June 30, 2020.

The following unaudited pro forma financial information presents the Company’s results as if the Progenics ~~acquisition~~Acquisition had occurred on January 1, 2019:

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Six Months Ended
June 30, 2020 Six Months Ended
June 30, 2019
(in thousands) Amount Amount
Pro forma revenue $ 167,619 $ 186,462
Pro forma net loss 18,115 42,901


	Six Months Ended June 30, 2020
(in thousands)	Amount
Pro forma revenue	$	167,619
Pro forma net loss	18,115

The unaudited pro forma financial information for all periods presented adjusts for the effects of material business combination items, including amortization of acquired intangible assets, transaction-related costs, adjustments to interest expense related to the assumption of long-term debt, retention and severance bonuses and the corresponding income tax effects of each. These pro forma results have been prepared for comparative purposes only and do not purport to be indicative of the operating results of the Company that would have been achieved had the ~~acquisition~~Progenics Acquisition actually taken place on January 1, 2019. In addition, these results are not intended to be a projection of future results and do not reflect events that may occur after the ~~acquisition,~~Progenics Acquisition, including, but not limited to, revenue enhancements, cost savings or operating synergies that the combined company may achieve as a result of the ~~acquisition.~~Progenics Acquisition.

9. Sale of Puerto Rico Subsidiary

During the fourth quarter of 2020, the Company entered into a stock purchase agreement (the “SPA”) with one of its existing radiopharmacy customers to sell all the stock of its Puerto Rico radiopharmacy subsidiary. The assets were classified as held for sale and the Company determined that the fair value of the net assets being sold significantly exceeded the carrying value as of December 31, 2020. The transaction was consummated on January 29, 2021.

The purchase price for the stock sale was $18.0 million in cash, which includes a holdback amount of $1.8 million to be due to the Company in January 2022 and will also include a working capital adjustment once settled. The SPA contains customary representations, warranties and covenants by each of the parties. Subject to certain limitations, the buyer will be indemnified for damages resulting from breaches or inaccuracies of the Company’s representations, warranties and covenants in the SPA.

As part of the transaction, the Company and the buyer also entered into a customary transition services agreement and a long-term supply contract under which the Company will supply the buyer with certain of the Company’s products on commercial terms and under which the buyer has agreed to certain product minimum purchase commitments.

The Company does not believe this sale of certain net assets, reported as held for sale in the international segment prior to the change in segments in the first quarter of 2021, constituted a strategic shift that would have a major effect on its operations or financial results. As a result, this transaction is not classified as discontinued operations in the Company’s accompanying consolidated financial statements.

The following table summarizes the major classes of assets and liabilities sold as of January 29, 2021 (date of sale) and held for sale as of December 31, 2020:

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(in thousands)	January 29, 2021		December 31, 2020
Current Assets:
Cash and cash equivalents	$	540	$	941
Accounts receivable, net	1,959		2,191
Inventory	530		420
Other current assets	65		43
Total current assets	3,094		3,595
Non-Current Assets:
Property, plant & equipment, net	780		761
Intangibles, net	96		96
Other long-term assets	774		790
Total assets held for sale	$	4,744	$	5,242

Current Liabilities:
Accounts payable	$	185	$	224
Accrued expense and other liabilities	369		661
Total current liabilities	554		885
Non-Current Liabilities:
Asset retirement obligations	306		302
Other long-term liabilities	588		606
Total liabilities held for sale	$	1,448	$	1,793

The sale resulted in a pre-tax book gain of $15.3 million, which was recorded within operating income in the condensed consolidated statement of operations for the six months ended June 30, 2021.

10. Asset Retirement Obligations

The Company considers its legal obligation to remediate its facilities upon a decommissioning of its radioactive-related operations as an asset retirement obligation. The Company has production facilities which manufacture and process radioactive materials at its North Billerica, Massachusetts ~~and San Juan, Puerto Rico sites.~~site. As of June 30, ~~2020,~~2021, the liability is measured at the present value of the obligation expected to be incurred, of approximately ~~$26.9~~$26.4 million.

The Company previously operated a production facility which manufactured and processed radioactive materials at its San Juan, Puerto Rico site. As of December 31, 2020, the liability for the San Juan, Puerto Rico site was recorded in liabilities held for sale and the sale was consummated on January 29, 2021.

The following table provides a summary of the changes in the Company’s asset retirement obligations:


(in thousands)	Amount
Balance at January 1, ~~2020~~2021	$	~~12,883~~14,020

Accretion expense	~~719~~777
Balance at June 30, ~~2020~~2021	$	~~13,602~~14,797

The Company is required to provide the U.S. Nuclear Regulatory Commission and Massachusetts Department of Public Health financial assurance demonstrating the Company’s ability to fund the decommissioning of its North Billerica, Massachusetts production facility upon closure, although the Company does not intend to close the facility. The Company has provided this financial assurance in the form of a $28.2 million surety bond.

~~10.~~11. Intangibles, Net

Intangibles, net, consisted of the following:

June 30, 2020
(in thousands) Amortization Method Cost Accumulated Amortization Net
Trademarks Straight-Line $ 13,540 $ (10,683) $ 2,857
Customer relationships Accelerated 98,903 (95,214) 3,689
Currently marketed product Straight-Line 142,100 (289) 141,811
Licenses Straight-Line 87,500 (235) 87,265
Developed technology Straight-Line 3,000 (10) 2,990
IPR&D N/A 150,900 — 150,900
Total $ 495,943 $ (106,431) $ 389,512

December 31, 2019
(in thousands) Amortization Method Cost Accumulated Amortization Net
Trademarks Straight-Line $ 13,540 $ (10,407) $ 3,133
Customer relationships Accelerated 99,019 (94,816) 4,203
Total $ 112,559 $ (105,223) $ 7,336

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	June 30, 2021
(in thousands)	Amortization Method	Cost		Accumulated Amortization		Net
Trademarks	Straight-Line	$	13,540	$	(11,234)	$	2,306
Customer relationships	Accelerated	97,022		(94,346)		2,676
Currently marketed products	Straight-Line	275,700		(11,205)		264,495
Licenses	Straight-Line	85,800		(7,781)		78,019
Developed technology	Straight-Line	2,400		(277)		2,123
IPR&D	N/A	15,640		—		15,640
Total		$	490,102	$	(124,843)	$	365,259


	December 31, 2020
(in thousands)	Amortization Method	Cost		Accumulated Amortization		Net
Trademarks	Straight-Line	$	13,540	$	(10,958)	$	2,582
Customer relationships	Accelerated	96,865		(93,770)		3,095
Currently marketed product	Straight-Line	142,900		(5,053)		137,847
Licenses	Straight-Line	85,800		(4,008)		81,792
Developed technology	Straight-Line	2,400		(144)		2,256
IPR&D	N/A	148,440		—		148,440
Total		$	489,945	$	(113,933)	$	376,012

The Company recorded amortization expense for its intangible assets of ~~$0.9~~$6.1 million and ~~$0.5~~$0.9 million for the three months ended June 30, ~~2020~~2021 and ~~2019,~~2020, respectively, and ~~$1.3~~$10.8 million and ~~$0.9~~$1.3 million for the six months ended June 30, 2021 and 2020, respectively.

In May 2021, PyL (18F-DCFPyL) was approved by the FDA under the name PYLARIFY. Accordingly, the Company reclassified the associated asset of $132.8 million from IPR&D to currently marketed products and ~~2019, respectively.~~commenced amortization of the asset.

The below table summarizes the estimated aggregate amortization expense expected to be recognized on the above intangible assets:


(in thousands)	(in thousands)	Amount		(in thousands)	Amount
2020		$	9,534
2021		18,813
Remainder of 2021				Remainder of 2021	$	16,746
2022	2022	18,684		2022	33,233
2023	2023	18,074		2023	32,634
2024	2024	17,998		2024	32,563
2025 and thereafter		155,509
2025				2025	32,508
2026 and thereafter				2026 and thereafter	201,935
Total	Total	$	238,612	Total	$	349,619

~~11.~~

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12. Long-Term Debt, Net, and Other Borrowings

As of June 30, ~~2020,~~2021, the Company’s maturities of principal obligations under its long-term debt and other borrowings are as follows:


(in thousands)	(in thousands)	Amount		(in thousands)	Amount
Remainder of 2020		$	8,607
2021		21,927
Remainder of 2021				Remainder of 2021	$	5,000
2022	2022	30,643		2022	11,250
2023	2023	15,972		2023	15,000
2024	2024	148,750		2024	148,750

Total principal outstanding	Total principal outstanding	225,899		Total principal outstanding	180,000
Unamortized debt premium		1,566
Unamortized debt discount				Unamortized debt discount	(598)
Unamortized debt issuance costs	Unamortized debt issuance costs	(687)		Unamortized debt issuance costs	(516)

Finance lease liabilities	Finance lease liabilities	375		Finance lease liabilities	735

Total	Total	227,153		Total	179,621
Less: current portion	Less: current portion	(17,143)		Less: current portion	(10,372)
Total long-term debt, net and other borrowings	Total long-term debt, net and other borrowings	$	210,010	Total long-term debt, net and other borrowings	$	169,249

At June 30, ~~2020,~~2021, the Company’s interest rate under the ~~2019~~five-year secured term loan facility, which matures on June 30, 2024 (the “2019 Term ~~Facility~~Facility”) was ~~3.4%~~2.4%.

On June 19, 2020, the Company amended its 2019 Credit Agreement (“the Amendment”) as a result of the impact of the COVID-19 pandemic on the business and operations of the Company and the near-term higher level of indebtedness resulting from the Company’s decision not to immediately repay the Progenics debt secured by the RELISTOR royalties following the Company’s acquisition of Progenics. The Company accounted for the Amendment as a debt modification and capitalized $1.2 million of associated costs.

The Amendment provides for, among other things, modifications to LMI’s financial maintenance covenants. The covenant related to Total Net Leverage Ratio (as defined in the Amended Credit Agreement) has been waived from the date of the Amendment through December 31, 2020. The maximum total net leverage ratio and interest coverage ratio permitted by the financial covenant is displayed in the table below:

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~~2020 Amended Credit Agreement~~
~~Period~~			~~Total Net Leverage Ratio~~
~~Q1 2021~~			~~5.50 to 1.00~~
~~Q2 2021~~			~~3.75 to 1.00~~
~~Thereafter~~			~~3.50 to 1.00~~

~~Period~~			~~Interest Coverage Ratio~~
~~Q2 2020 to Q1 2021~~			~~2.00 to 1.00~~
~~Thereafter~~			~~3.00 to 1.00~~

The Amendment also introduces a new financial covenant requiring Consolidated Liquidity (as defined in the Amended Credit Agreement) to be no less than $150.0 million. The Consolidated Liquidity covenant is tested on a continuing basis beginning on the date of the Amendment and ending on the date on which LMI delivers a compliance certificate for the fiscal quarter ending March 31, 2021.

For the period beginning on the date of the Amendment and ending on the Adjustment Date (as defined in the Amended Credit Agreement) for the fiscal quarter ending March 31, 2021, loans under the Amended Credit Agreement bear interest at LIBOR plus 3.25% or the Base Rate plus 2.25%. On and after the Adjustment Date for the fiscal quarter ending on March 31, 2021, loans bear interest at LIBOR plus a spread that ranges from 1.50% to 3.00% or the Base Rate plus a spread that ranges from 0.50% to 2.00%, in each case based on LMI’s Total Net Leverage Ratio.

The commitment fee applicable to the Revolving Facility is 0.50% until the Adjustment Date for the fiscal quarter ending March 31, 2021. On and after the Adjustment Date for the fiscal quarter ending on March 31, 2021, the ~~commitment fee ranges from 0.15% to 0.40% based~~Company voluntarily repaid in full the entire outstanding principal on ~~LMI’s Total Net Leverage Ratio.~~

~~On June 19, 2020, as a result of~~ the acquisition, the Company assumed Progenics outstanding debt as of such date in the amount of $40.2 million. Progenics, through a wholly-owned subsidiary MNTX Royalties Sub LLC (“MNTX Royalties”), entered into aoriginal $50.0 million loan agreement (the “Royalty-Backed Loan”) with a fund managed by HealthCare Royalty Partners III, L.P. ~~(“HCRP”) on November 4, 2016. Under~~in the ~~terms~~amount of $30.9 million, which included a prepayment amount of $0.5 million, and terminated the agreement governing the Royalty-Backed ~~Loan,~~Loan. The Company recorded a gain on extinguishment of debt of $0.9 million related to the ~~lenders have no recourse to Progenics or any~~write-off of its assets other than the right to receive royalty payments from the commercial sales of RELISTOR products owed under Progenics’ license agreement with Salix Pharmaceuticals, Inc., a wholly-owned subsidiary of Bausch Health Companies Inc. (“Bausch”). The RELISTOR royalty payments will be used to repay the principal and interest on the loan. The Royalty-Backed Loan bears interest at a per annum rate of 9.5% and matures on June 30, 2025. On June 22, 2020, HCRP waived the automatic acceleration of the Royalty-Backed Loan that otherwise would have been triggeredan unamortized debt premium offset by the ~~consummation of the Progenics Transaction and MNTX Royalties agreed not to prepay the loan until after December 31, 2020.~~prepayment amount.

Under the terms of the loan agreement, payments of interest and principal, if any, are made on the last day of each calendar quarter out of RELISTOR royalty payments received since the immediately-preceding payment date. On each payment date, 50% of RELISTOR royalty payments received since the immediately-preceding payment date in excess of accrued interest on the loan are used to repay the principal of the loan, with the balance retained by the Company. Starting on September 30, 2021, all of the RELISTOR royalties received since the immediately-preceding payment date will be used to repay the interest and outstanding principal balance until the balance is fully repaid.

~~12.~~13. Derivative Instruments

The Company uses interest rate swaps to reduce the variability in cash flows associated with a portion of the Company’s forecasted interest payments on its variable rate debt. In March 2020, the Company entered into interest rate swap contracts to fix the LIBOR rate on a notional amount of $100.0 million through May 31, 2024. The average fixed LIBOR rate on the interest rate swaps is approximately 0.82%. This agreement involves the receipt of floating rate amounts in exchange for fixed rate interest payments over the life of the agreement without an exchange of the underlying principal amount. The interest rate swaps were designated as cash flow hedges. In accordance with hedge accounting, the interest rate swaps are recorded on the Company’s condensed consolidated balance sheets at fair value, and changes in the fair value of the swap agreements are recorded to other comprehensive loss and reclassified to interest expense in the period during which the hedged transaction affected earnings or it will become probable that the forecasted transaction would not occur. At June 30, ~~2020,~~2021, accumulated other comprehensive loss included ~~$0.6~~$0.7 million of pre-tax deferred losses that are expected to be reclassified to earnings during the next 12 months.

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The following table presents the location and fair value amounts of derivative instruments reported in the condensed consolidated balance sheet:

~~(in thousands)~~

~~June 30, 2020~~

~~December 31, 2019~~

~~Derivatives type~~

~~Classification~~

~~Liabilities:~~

~~Interest rate swap~~

~~Accrued expenses and other liabilities~~

~~1,953~~

—

(in thousands)

June 30, 2021

December 31, 2020

Derivatives type

Classification

Liabilities:

Interest rate swap

Accrued expenses and other liabilities

897

1,908

~~13.~~14. Accumulated Other Comprehensive Loss

The components of ~~Accumulated Other Comprehensive Loss,~~accumulated other comprehensive loss, net of tax of ~~$0.5~~$0.2 million and ~~$0.0~~$0.5 million for the six months ended June 30, ~~2020~~2021 and ~~June 30, 2019,~~2020, respectively, consisted of the following:

(in thousands) Foreign currency translation Unrealized loss on cash flow hedges Accumulated other comprehensive loss
Balance at January 1, 2020 $ (960) $ — $ (960)
Other comprehensive loss before reclassifications (194) (1,528) (1,722)
Amounts reclassified to earnings — 76 76
Balance at June 30, 2020 $ (1,154) $ (1,452) $ (2,606)
Balance at January 1, 2019 $ (1,108) $ — $ (1,108)
Other comprehensive income before reclassifications 144 — 144
Amounts reclassified to earnings — — —
Balance at June 30, 2019 $ (964) $ — $ (964)

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(in thousands)	Foreign currency translation		Unrealized loss on cash flow hedges		Accumulated other comprehensive loss
Balance at January 1, 2021	$	(630)	$	(1,418)	$	(2,048)
Other comprehensive income before reclassifications	296		399		695
Amounts reclassified to earnings	0		353		353
Balance at June 30, 2021	$	(334)	$	(666)	$	(1,000)

Balance at January 1, 2020	$	(960)	$	0	$	(960)
Other comprehensive loss before reclassifications	(194)		(1,528)		(1,722)
Amounts reclassified to earnings	0		76		76
Balance at June 30, 2020	$	(1,154)	$	(1,452)	$	(2,606)

~~14.~~15. Stock-Based Compensation

The following table presents stock-based compensation expense recognized in the Company’s accompanying condensed consolidated statements of operations:

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 2020 2019
Cost of goods sold $ 645 $ 531 $ 1,263 $ 971
Sales and marketing 394 508 647 959
General and administrative 1,994 1,881 3,809 3,455
Research and development 352 438 741 693
Total stock-based compensation expense $ 3,385 $ 3,358 $ 6,460 $ 6,078


	Three Months Ended June 30,				Six Months Ended June 30,
(in thousands)	2021		2020		2021		2020
Cost of goods sold	$	906	$	645	$	1,528	$	1,263
Sales and marketing	692		394		1,042		647
General and administrative	2,391		1,994		4,311		3,809
Research and development	599		352		1,024		741
Total stock-based compensation expense	$	4,588	$	3,385	$	7,905	$	6,460

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~~15.~~16. Net (Loss) Income Per Common Share

A summary of net (loss) income per common share is presented below:


		Three Months Ended June 30,						Six Months Ended June 30,							Three Months Ended June 30,				Six Months Ended June 30,
(in thousands, except per share amounts)	(in thousands, except per share amounts)	2020		2019		2020		2019		(in thousands, except per share amounts)	2021		2020		2021		2020
Net (loss) income		$	(7,012)	$	6,412	$	(3,675)	$	16,361
Net loss										Net loss	$	(26,657)	$	(7,012)	$	(17,649)	$	(3,675)

Basic weighted-average common shares outstanding	Basic weighted-average common shares outstanding	43,135		38,972		41,284		38,789		Basic weighted-average common shares outstanding	67,505		43,135		67,300		41,284
Effect of dilutive stock options	Effect of dilutive stock options	—		98		—		80		Effect of dilutive stock options	0		0		0		0
Effect of dilutive restricted stock	Effect of dilutive restricted stock	—		1,169		—		1,195		Effect of dilutive restricted stock	0		0		0		0

Diluted weighted-average common shares outstanding	Diluted weighted-average common shares outstanding	43,135		40,239		41,284		40,064		Diluted weighted-average common shares outstanding	67,505		43,135		67,300		41,284

Basic (loss) income per common share		$	(0.16)	$	0.16	$	(0.09)	$	0.42
Diluted (loss) income per common share		$	(0.16)	$	0.16	$	(0.09)	$	0.41
Basic loss per common share										Basic loss per common share	$	(0.39)	$	(0.16)	$	(0.26)	$	(0.09)
Diluted loss per common share										Diluted loss per common share	$	(0.39)	$	(0.16)	$	(0.26)	$	(0.09)

Antidilutive securities excluded from diluted net income per common share	Antidilutive securities excluded from diluted net income per common share	1,649		31		1,517		55		Antidilutive securities excluded from diluted net income per common share	3,173		1,649		3,173		1,517

~~16.~~

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17. Other Income

Other income consisted of the following:


		Three Months Ended June 30,						Six Months Ended June 30,							Three Months Ended June 30,				Six Months Ended June 30,
(in thousands)	(in thousands)	2020		2019		2020		2019		(in thousands)	2021		2020		2021		2020
Foreign currency (losses) gains		$	94	$	47	$	(220)	$	89
Foreign currency (gains) losses										Foreign currency (gains) losses	$	(13)	$	(94)	$	29	$	220
Tax indemnification income, net	Tax indemnification income, net	554		802		1,109		1,604		Tax indemnification income, net	(158)		(554)		(731)		(1,109)
Interest income	Interest income	105		276		214		559		Interest income	(11)		(105)		(28)		(214)
Other	Other	3		187		3		247		Other	0		(3)		(1)		(3)
Total other income	Total other income	$	756	$	1,312	$	1,106	$	2,499	Total other income	$	(182)	$	(756)	$	(731)	$	(1,106)

~~17.~~18. Commitments and Contingencies

Legal Proceedings

From time to time, the Company is a party to various legal proceedings arising in the ordinary course of business. In addition, the Company has in the past been, and may in the future be, subject to investigations by governmental and regulatory authorities, which expose it to greater risks associated with litigation, regulatory or other proceedings, as a result of which the Company could be required to pay significant fines or penalties. The costs and outcome of litigation, regulatory or other proceedings cannot be predicted with certainty, and some lawsuits, claims, actions or proceedings may be disposed of unfavorably to the Company and could have a material adverse effect on the Company’s results of operations or financial condition. In addition, intellectual property disputes often have a risk of injunctive relief which, if imposed against the Company, could materially and adversely affect its financial condition or results of operations. If a matter is both probable to result in material liability and the amount of loss can be reasonably estimated, the Company estimates and discloses the possible material loss or range of loss. If such loss is not probable or cannot be reasonably estimated, a liability is not recorded in its condensed consolidated financial statements.

As of June 30, ~~2020,~~2021, the Company had the following material ongoing litigation in which the Company was a party:

RELISTOR ~~Subcutaneous Injection~~

Between November 19, 2015 and September 18, 2017, Progenics, Salix, Valeant (now Bausch) and Wyeth filed multiple lawsuits against Mylan Pharmaceuticals and certain of its affiliates (collectively, “Mylan”) in the United States District Court for the District of New Jersey for infringement of certain U.S. patents based upon Mylan’s filing of multiple ANDAs seeking to obtain approval to market a generic version of RELISTOR subcutaneous injection before some or all of those patents expire. These actions were later consolidated into two separate actions in the District of New Jersey.

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On May 1, 2018, in the lead action, the Court granted Plaintiffs’ motion for partial summary judgment as to the validity of a particular claim that Mylan had admitted it infringed. On May 23, 2018, the Court entered an order for final judgment in favor of Plaintiffs and against Mylan on that particular claim. As a result, trial on the merits in the lead action was adjourned, allowing trial, if necessary, to be consolidated with the lagging, second action. Fact discovery has concluded in the lagging case, but deadlines for expert discovery have not yet been set.

On May 25, 2018, Mylan filed a Notice of Appeal to the United States Court of Appeals for the Federal Circuit (“CAFC”). On April 8, 2020, the CAFC issued its decision reversing the Court’s grant of summary judgment and remanding for further proceedings. On June 22, 2020, Plaintiffs filed a petition for rehearing/rehearing en banc, and on July 24, 2020 that petition was denied.

~~RELISTOR Tablets - Actavis~~

Between December 6, 2016 and December 8, 2017, Progenics, Salix, Bausch, and Wyeth filed suit against Actavis, Actavis LLC, Teva Pharmaceuticals USA, Inc., and Teva Pharmaceuticals Industries Ltd. (collectively, “Actavis”) in the United States District Court for the District of New Jersey for infringement of certain U.S. patents based upon Actavis’s filing of an ANDA seeking to obtain approval to market a generic version of RELISTOR tablets before some or all of those patents expire. The actions were later consolidated into a single action in the District of New Jersey.

On May 6-9, 2019, a bench trial was held, and on July 17, 2019, the Court issued an Order finding the asserted claims of a certain U.S. patent valid and infringed. The Court additionally ordered that the effective date of any approval of Actavis’s ANDA may not be earlier than the expiration date of that patent. Actavis filed an appeal of the Court’s decision with the CAFC on August 13, 2019. The matter is currently pending on appeal at the CAFC and merits briefing is underway. Actavis’s opening brief was filed February 6, 2020. The deadline for Plaintiffs to file their responsive brief is currently September 15, 2020.

On June 13, 2019, Progenics, Salix, Bausch, and Wyeth filed another suit against Actavis in the United States District Court for the District of New Jersey for infringement of a separate, and at that time, recently granted U.S. patent based upon Actavis’s filing of an ANDA seeking to obtain approval to market a generic version of RELISTOR tablets before this patent expires. Litigation in this action is underway, and fact discovery has not yet begun.

~~RELISTOR~~ European Opposition Proceedings

In ~~addition to the above described ANDA notifications, in~~ October 2015, Progenics received notices of opposition to ~~three~~3 European patents relating to ~~methylnaltrexone.~~methylnaltrexone: EP1615646, EP2368553 and EP2368554. Notices of opposition were filed separately by each of Actavis Group PTC ehf and Fresenius Kabi Deutschland GmbH. Between May 11, 2017 and July 4, 2017, the opposition division provided notice that the ~~three~~3 European patents would be revoked. Each of these matters ~~are on appeal~~were appealed to with the European Patent Office. On November 13, 2020, Progenics withdrew the appeal for EP2368553 and EP2368554. Notices of termination of the proceedings with revocation of the patent were issued on November 23, 2020 for both patents. Oral proceedings ~~are set to occur~~for the third patent, EP1615646 were held on September 22, ~~2020, November 17, 2020~~2020. The decision under appeal was set aside and ~~November 18, 2020. For each of~~ the ~~above-described RELISTOR proceedings, Progenics and Bausch continue to cooperate closely to vigorously defend and enforce RELISTOR intellectual property rights. Pursuant~~case was remitted to the ~~RELISTOR license agreement between Progenics and Bausch, Bausch has the first right~~opposition division for further prosecution. The deadline for written submissions prior to ~~enforce the intellectual property rights at issue and~~an oral hearing is ~~responsible~~July 27, 2021. The oral hearing is set for ~~the costs of such enforcement.~~September 27, 2021. Because the outcome of litigation is uncertain, ~~and in these RELISTOR proceedings~~ the Company ~~does not control the enforcement of the intellectual property rights at issue, no assurance can be given as to~~cannot predict how or when ~~any of these RELISTOR proceedings~~this matter will ultimately be resolved.

German PSMA-617 Litigation

On November 8, 2018, Molecular Insight Pharmaceuticals, Inc., a subsidiary of Progenics (“MIP”), filed a complaint against the University of Heidelberg (the “University”) in the District Court ofin Mannheim, ~~in Germany.~~Germany (the “German District Court”). In this Complaint, MIP claimed that the discovery and development of PSMA-617 was related to work performed under a research collaboration sponsored by MIP. MIP alleged that the University breached certain contracts with MIP and that MIP is the co-owner of inventions embodied in certain worldwide patent filings related to PSMA-617 that were filed by the ~~University in its own name.~~University. On February 27, 2019, Endocyte, Inc., a wholly owned subsidiary of Novartis AG, filed a motion to intervene in the German litigation. Endocyte is the exclusive licensee of the patent rights that are the subject of the German proceedings.

On November 27, 2018, MIP requested that the European Patent Office (“EPO”) stay the examination of a certain European Patent ~~(EP)~~ and related Divisional Applications, pending a decision from the German District Court on MIP’s Complaint. On December 10, 2018, the EPO granted MIP’s request and stayed the examination of the patent and patent applications effective November 27, 2018. MIP filed a Confirmation of Ownership with the United States Patent and Trademark Office (“USPTO”) in ~~the~~ corresponding USU.S. patent ~~applications.~~applications (U.S. Serial Nos. 15/131,118; 15/805,900; 16/038,729, 16/114,988, 16/510,495, 16/551,198, and 17/110,558). MIP’s filing with the USPTO takes the position that, in light of the collaboration and contracts between MIP and the University, MIP is the co-owner of these pending U.S. patent ~~applications.~~applications (U.S. Serial Nos. 16/510,495, 16/551,198). On March 6, 2020, MIP filed with the

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USPTO a notice stating that the Power of Attorney in certain pending USU.S. patent applications was signed by less than all applicants or owners of the applications.

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On February 27, 2019, the German District Court set €0.4 million as the amount MIP must deposit with the German District Court as security in the event of an unfavorable final decision on the merits of the dispute. The German District Court held the first oral hearing in the case on August 6, 2019. The German District Court considered procedural matters and granted the parties the right to make further submissions. A further oral hearing occurred July 23, 2020, during which the German District Court heard live testimony from several ~~witnesses.~~witnesses, testifying on behalf of the defendants. On August 24, 2020, the German District Court issued its decision dismissing MIP’s claims, stating that MIP failed to discharge its burden of proof in the matter.

~~Progenics~~MIP filed a Notice of Appeal of the German District Court’s decision on September 24, 2020 and filed its appeal brief on November 26, 2020. The University and Endocyte each filed oppositions to MIP’s Notice of Appeal on March 12, 2021. MIP is ~~vigorously enforcing~~also considering its ~~rights~~legal and procedural alternatives against the defendants in ~~this~~other jurisdictions and proceedings. If MIP is not successful in its appeal, it will be responsible for the German ~~proceeding. Because Progenics is the plaintiff, if unsuccessful in this proceeding, Progenics may also have liability for Court~~court fees and fees and disbursements of defendant’s and intervenor’s counsel, both at first instance and on appeal. Most of such fees and disbursements ~~to be~~ at ~~least partially~~first instance are covered by ~~the aforementioned~~a cash security deposited with the German District Court. Because the outcome of litigation is uncertain, ~~no assurance can be given as to~~the Company cannot predict how or when this ~~German proceeding~~matter will ultimately be resolved.

~~Litigation Related to the Merger~~Petition for Post-Grant Review

~~Nine purported stockholders~~On February 4, 2021, Advanced Accelerator Applications USA, Inc. (“AAA”) filed a petition for post-grant review of Progenics filed ten lawsuits alleging, among other things, that Progenics and the members of the Progenics Board of Directors violated Sections 14(a) and 20(a) of the Securities Exchange Act of 1934, as amendedU.S. Patent No. 10,640,461 (the ~~“Exchange Act”~~“’461 patent”)~~, and 17 C.F.R. § 244.100 and Rule 14a-9 promulgated under the Exchange Act, by misstating or omitting certain allegedly material information in the S-4 Registration Statement filed~~ with the ~~Securities~~Patent Trial and ~~Exchange Commission~~Appeal Board (“~~SEC”~~PTAB”) on November 12, 2019, the amended S-4 Registration Statement filed with the SEC on March 16, 2020, and/or the Schedule 14A proxy statement filed with the SEC on March 19, 2020 related to the Merger. Two of the actions alleged that the Company and Plato Merger Sub, Inc. (“Merger Sub”) violated Section 14(a) and/or Section 20(a) of the Exchange Act. One of the actions further alleged that the members of the Progenics Board breached their fiduciary duties of care, loyalty and good faith to the stockholders of Progenics related to the Merger, that Progenics, the Company and Merger Sub aided and abetted such breaches of fiduciary duty, and that the Company and Merger Sub violated Section 14(a) of the Exchange Act. All such lawsuits have been voluntarily dismissed, with the last of the cases dismissed on June 23, 2020.

~~Whistleblower Complaint~~

In July 2019, Progenics received notification of a complaint submitted by Dr. Syed Mahmood, the former Vice President of Medical Affairs for Progenics, to the Occupational Safety and Health Administration of the United States ~~Department~~Patent and Trademark Office. The ’461 patent is owned by MIP. In the petition, AAA challenges the patentability of ~~Labor (“DOL”), alleging that the termination of his employment by Progenics was in violation of Section 806~~claims 1, 45, and 47 of the ~~Sarbanes-Oxley Act~~’461 patent under 35 U.S.C. §§ 112 and 102(a)(1). On February 9, 2021, the PTAB mailed a Notice of ~~2002 (“SOX”). Dr. Mahmood sought reinstatement~~Filing Date Accorded to ~~his former position~~Petition and Time for Filing Patent Owner Preliminary Response. The PTAB set a three month deadline for MIP to file a preliminary response. The filing of ~~Vice President~~a preliminary response to the petition is optional for MIP as the patent owner. Should the PTAB decide to institute post-grant review, a schedule will be set, and MIP will be afforded three months from the date of ~~Medical Affairs, back pay, front pay in lieu~~institution to formally respond to the petition. Because the outcome of ~~reinstatement, interest, attorneys’ fees and costs incurred, and special damages. In March 2020, Dr. Mahmood filed a complaint in~~litigation is uncertain, the U.S. District Court for the Southern District of New York (as permitted by SOX because the DOL had not issued a decision within 180 days). Dr. Mahmood’s federal complaint asserts claims of violation of Section 806 of SOX. The DOL action has been dismissed and theCompany cannot predict how or when this matter will ~~proceed in federal district court. Progenics’ Answer to the Complaint is presently due by August 26, 2020.~~

~~The Company believes the claims in this matter are without merit, and the Company has meritorious defenses to the claims. The Company intends to vigorously defend against the claims.~~

The Company is unable to estimate the potential liability with respect to the legal matters noted above. There are numerous factors that make it difficult to estimate reasonably possible loss or range of loss at the various stages of the legal proceedings noted above, including the significant number of legal and factual issues still to be ~~resolved in those various legal proceedings.~~ultimately resolved.

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~~18.~~19. Segment Information

In the first quarter of fiscal year 2021, the Company completed the evaluation of its operating and reporting structure, including the impact on the Company’s business of the acquisition of Progenics described in Notes 1 and 8, and the sale of the Puerto Rico subsidiary in the first quarter, which resulted in a change in operating and reportable segments. The Company ~~reports 2 operating segments, U.S.~~now operates as 1 business segment: the development, manufacture and ~~International, based~~sale of innovative diagnostic and therapeutic agents and products that assist clinicians in the diagnosis and treatment of heart disease, cancer and other diseases. This conclusion reflects the Company’s focus on ~~geographic customer base.~~the performance of the business on a consolidated worldwide basis. The results of ~~these~~this operating ~~segments~~segment are regularly reviewed by the Company’s chief operating decision maker, the President and Chief Executive Officer. The Company’s ~~segments derive revenues through~~chief operating decision maker does not manage any part of the ~~manufacture, marketing, selling~~Company separately, and ~~distribution~~the allocation of ~~innovative diagnostic~~resources and ~~therapeutic agents~~assessment of performance are based on the Company’s consolidated operating results.

20. Subsequent Events

In the third quarter of 2021, the Company concluded its assessment of eligibility related to first quarter 2021 qualified wages for the Coronavirus Aid, Relief and ~~products. All goodwill has been allocated~~Economic Security Act Employee Retention Credit (“ERTC”). The Company plans to file an amended tax return for the first quarter of 2021 to claim the ERTC and continues to evaluate eligibility as related to the U.S. operating segment, except for the goodwill recognized in connection with the Progenics acquisition which has not yet been assigned to operating segments. The Company does not identify or allocate assets to its segments.

~~Selected information regarding the Company’s segments is provided as follows:~~

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 2020 2019
Revenue by product from external customers
U.S.
  DEFINITY $ 39,544 $ 53,466 $ 94,554 $ 103,182
  TechneLite 15,591 16,865 34,947 36,923
  Other nuclear 5,804 9,127 14,866 18,651
  Rebates and allowances (3,540) (4,268) (8,223) (8,132)
Total U.S. Revenues 57,399 75,190 136,144 150,624
International
  DEFINITY 821 1,163 2,602 2,558
  TechneLite 3,318 3,241 7,060 7,328
  Other nuclear 4,473 6,119 10,911 11,715
  Rebates and allowances (1) (8) (3) (10)
Total International Revenues 8,611 10,515 20,570 21,591
Worldwide
  DEFINITY 40,365 54,629 97,156 105,740
  TechneLite 18,909 20,106 42,007 44,251
  Other nuclear 10,277 15,246 25,777 30,366
  Rebates and allowances (3,541) (4,276) (8,226) (8,142)
Total Revenues $ 66,010 $ 85,705 $ 156,714 $ 172,215

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 2020 2019
Operating (loss) income
U.S. $ (6,001) $ 12,689 $ (1,013) $ 27,273
International 456 1,848 2,593 3,433
Total operating (loss) income (5,545) 14,537 1,580 30,706
Interest expense 1,914 4,543 3,860 9,135
Loss on extinguishment of debt — 3,196 — 3,196
Other income (756) (1,312) (1,106) (2,499)
(Loss) income before income taxes $ (6,703) $ 8,110 $ (1,174) $ 20,874
second quarter 2021 qualified wages.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Cautionary Note Regarding Forward-Looking Statements

Some of the statements contained in this Quarterly Report on Form 10-Q are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). These forward-looking statements, including, in particular, statements about our plans, strategies, prospects and industry estimates are subject to risks and uncertainties. These statements identify prospective information and include words such as “anticipates,” “intends,” “plans,” “seeks,” “believes,” “estimates,” “expects,” “should,” “could,” “predicts,” “hopes” and similar expressions. Examples of forward-looking statements include statements we make relating to our outlook and expectations including, without limitation, in connection with: (i) the impact of the global COVID-19 pandemic on our business, financial conditions ~~or prospects;~~and prospects, and on the timing and enrollment of our clinical trials; (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 FDA 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 (“Mo-99”) supply; ~~(iv)~~(v) our products manufactured at Jubilant HollisterStier (“JHS”) and our recently-approved modified formulation of DEFINITY (“DEFINITY RT”) to be commercially manufactured at Samsung Biologics (“SBL”); ~~(v) our efforts in new product development, including for PyL,~~(vi) the continued integration of the Progenics ~~prostate cancer diagnostic imaging agent,~~products and product candidate portfolio into our business following the Progenics Acquisition; (vii) our ability to use in-house manufacturing capacity; (viii) the efforts and timing for commercialization of products or new clinical applications for our ~~products; (vi) the integration of the Progenics product~~products that we or our strategic partners may develop, including flurpiridaz F 18; and ~~product candidate portfolio following the consummation of the Progenics transaction (the “Progenics Transaction”); (vii) our capacity to use in-house manufacturing; and (viii)~~(ix) our ability to ~~commercialize our products in new ex-U.S. markets.~~develop highly contextualized assessments of disease burden using artificial intelligence (“AI”). Forward-looking statements are based on our current expectations and assumptions regarding our business, the economy and other future conditions. Because forward-looking statements relate to the future, such statements are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict. Our actual results may differ materially from those contemplated by the forward-looking statements. These statements are neither statements of historical fact nor guarantees or assurances of future performance. The matters referred to in the forward-looking statements contained in this Quarterly Report on Form 10-Q may not in fact occur. We caution you, therefore, against relying on any of these forward-looking statements. ~~Important factors that could cause actual results to differ materially from those in the~~These forward-looking statements ~~include regional, national or global political, economic, business, competitive, market and regulatory conditions and the following:~~

•The impact of the global COVID-19 pandemic on our business, financial condition or prospects, including a decline in the volume of procedures and treatments using our products, potential delays and disruptions to global supply chains, manufacturing activities, logistics, operations, clinical development programs, employees and contractors, the business activities of our suppliers, distributors, customers and other business partners, as well as the effects on worldwide economies, financial markets, social institutions, labor markets and healthcare systems;

•Our ability to continue to grow the appropriate use of DEFINITY in suboptimal echocardiograms in the face of segment competition from other echocardiography contrast agents, including Optison from GE Healthcare Limited (“GE Healthcare”) and Lumason from Bracco Diagnostics Inc. (“Bracco”), and potential generic competition as a result of patent and regulatory exclusivity expirations;

•The instability of the global Mo-99 supply, including (i) periodic outages at the NTP Radioisotopes (“NTP”) processing facility in South Africa in 2017, 2018 and 2019, and (ii) a recently resolved production volume limitations at the Australian Nuclear Science and Technology Organisation’s (“ANSTO”) new Mo-99 processing facility in Australia, in each case resulting in our inability to fill some or all of the demand for our TechneLite generators on certain manufacturing days during the outage periods;

•~~Our dependence upon third parties for the manufacture and supply of a substantial portion of our products, raw materials and components, including DEFINITY at JHS;~~

•~~Risks related to the integration of the Progenics Transaction, including:~~

•~~The integration of the Progenics Transaction may involve unexpected costs, liabilities or delays;~~

•~~The ability of our combined business to retain and hire key personnel and maintain relationships with customers, suppliers and others with whom we or Progenics do business,~~

•~~Unanticipated risks to our integration plan including in connection with timing, talent, and the potential need for additional resources;~~

•~~New or previously unidentified manufacturing, regulatory, or research and development issues in the Progenics business;~~

•~~Risks that the anticipated benefits of the Progenics Transaction or other commercial opportunities may otherwise not be fully realized or may take longer to realize than expected;~~

•Risks that contractual contingent value rights (“CVRs”) we issued as part of the Progenics Transaction may result in substantial future payments and could divert the attention of our management; and

•~~The impact of legislative, regulatory, competitive and technological changes on the combined business;~~

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•~~Risks related to the commercialization of AZEDRA, including in connection with market acceptance and reimbursement, that may cause the product not to meet revenue or operating income expectations;~~

•~~Risks related to RELISTOR, commercialized by Bausch, and that the revenues generated for us thereby may not meet expectations;~~

•The extensive costs, time and uncertainty associated with the development of new products, such as PyL, including further product development relying on external development partners or developing internally;

•~~Our ability to identify and acquire or in-license additional products, businesses or technologies to drive our future growth;~~

•~~Our ability to protect our intellectual property and the risk of claims that we have infringed on the intellectual property of others;~~

•Risks associated with the technology transfer programs to secure production of our products at additional contract manufacturer sites, including a modified formulation of DEFINITY at Samsung BioLogics (“SBL”) in South Korea;

•Risks associated with our investment in, and construction of, additional specialized manufacturing capabilities at our North Billerica, Massachusetts facility, including our ability to bring the new capabilities online by 2021;

•Our dependence on key customers for certain of our products, and our ability to maintain and profitably renew our contracts with those key customers, including GE Healthcare, Cardinal Health (“Cardinal”), United Pharmacy Partners (“UPPI”), Jubilant Radiopharma formerly known as Triad Isotopes, Inc. (“Jubilant Radiopharma”) and PharmaLogic Holdings Corp (“PharmaLogic”);

•~~Risks associated with our lead agent in development, PyL, including:~~

•~~Our ability to file our New Drug Application (“NDA”) with the U.S. Food and Drug Administration (“FDA”) later in 2020;~~

•~~Our ability to obtain FDA approval of PyL in 2021; and~~

•Our ability to successfully commercialize PyL in North America and on a global basis (other than Europe, where the agent has been previously out-licensed to Curium, and in Australia and New Zealand, where we do not have commercialization rights).

•~~Risks associated with flurpiridaz F 18, which in 2017 we out-licensed to GE Healthcare, including:~~

•~~GE Healthcare’s ability to successfully complete the Phase 3 development program, including delays in enrollment that have resulted from the COVID-19 pandemic;~~

•~~GE Healthcare’s ability to obtain Food and Drug Administration (“FDA”) approval; and~~

•~~GE Healthcare’s ability to gain post-approval market acceptance and adequate reimbursement;~~

•~~Risks associated with 1095, including delays in enrollment that have resulted from the COVID-19 pandemic and our ability to successfully complete the Phase 2 study in mCRPC;~~

•~~Risks associated with the manufacturing and distribution of our products and the regulatory requirements related thereto;~~

•~~The dependence of certain of our customers upon third-party healthcare payors and the uncertainty of third-party coverage and reimbursement rates;~~

•~~The existence and market success of competitor products;~~

•Uncertainties regarding the impact of U.S. and state healthcare reform measures and proposals on our business, including measures and proposals related to reimbursement for our current and potential future products, controls over drug pricing, drug pricing transparency and generic drug competition;

•~~Our being~~are subject to ~~extensive government regulation~~a number of risks, uncertainties and ~~oversight, our ability to comply with~~assumptions, including those ~~regulations and the costs of compliance;~~

•~~Potential liability associated with our marketing and sales practices;~~

•~~The occurrence of any serious or unanticipated side effects with our products;~~

•~~Our exposure to potential product liability claims and environmental, health and safety liability;~~

•~~Our ability to introduce new products and adapt to an evolving technology and medical practice landscape;~~

•~~Risks associated with prevailing economic or political conditions and events and financial, business and other factors beyond our control;~~

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•Risks associated with our international operations, including potential global disruptions in air transport due to COVID-19, which could adversely affect our international supply chains for radioisotopes and other critical materials as well as international distribution channels for our commercial products;

•~~Our ability to adequately qualify, operate, maintain and protect our facilities, equipment and technology infrastructure;~~

•~~Our ability to hire or retain skilled employees and key personnel;~~

•~~Our ability to utilize, or limitations in our ability to utilize, net operating loss carryforwards to reduce our future tax liability;~~

•~~Risks related to our outstanding indebtedness and our ability to satisfy those obligations;~~

•~~Costs and other risks associated with the Sarbanes-Oxley Act and the Dodd-Frank Act, including in connection with becoming a large accelerated filer as of December 31, 2019;~~

•~~Risks related to the ownership of our common stock; and~~

•~~Other factors that are~~ described in Part I, Item ~~1A. “Risk Factors”~~1A, "Risk Factors" in our Annual Report on Form 10-K for the year ended December 31, ~~2019,~~2020, in Part II, Item 1A. “Risk Factors” in our Quarterly Report on Form 10-Q for the period ended March 31, ~~2020,~~2021, and in Part II, Item 1A. “Risk Factors” in this Quarterly Report on Form 10-Q.

~~Factors that could cause or contribute to such differences include, but are not limited to, those that are discussed in other documents we file with the SEC.~~ Any forward-looking statement made by us in this Quarterly Report on Form 10-Q speaks only as of the date on which it is made. Factors or events that could cause our actual results to differ may emerge from time to time, and it is not possible for us to predict all of them. We undertake 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.

Available Information

Our global Internet site is www.lantheus.com. We routinely make available important information, including copies of our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act, as soon as reasonably practicable after those reports are electronically filed with, or furnished to, the SEC, free of charge on our website at ~~www.investor.lantheus.com.~~investor.lantheus.com. We recognize our website as a key channel of distribution to reach public investors and as a means of disclosing material non-public information to comply with our disclosure obligations under SEC Regulation FD. Information contained on our website shall not be deemed incorporated into, or to be part of this Quarterly Report on Form 10-Q, and any website references are not intended to be made through active hyperlinks.

Our reports filed with, or furnished to, the SEC are also available on the SEC’s website at www.sec.gov, and for Annual Reports on Form 10-K and Quarterly Reports on Form 10-Q, in an iXBRL (Inline Extensible Business Reporting Language) format. iXBRL is an electronic coding language used to create interactive financial statement data over the Internet. The information on our website is neither part of nor incorporated by reference ininto this Quarterly Report on Form 10-Q.

The following discussion and analysis of our financial condition and results of operations should be read together with the condensed consolidated financial statements and the related notes included in Item 1 of this Quarterly Report on Form 10-Q as well as the other factors described in Part I, Item 1A. “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, ~~2019, and~~2020, in Part II, Item ~~IA.~~1A. “Risk Factors” in our Quarterly Report on Form 10-Q for the period ended March 31, ~~2020,~~2021, and in Part II, Item ~~IA.~~1A. “Risk Factors” in this Quarterly Report on Form 10-Q.

Overview

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Our Business

We are ~~a global~~an established leader ~~in the development, manufacture~~ and ~~commercialization~~fully integrated provider of innovative ~~diagnostic~~imaging diagnostics, targeted therapeutics, and ~~therapeutic~~artificial intelligence solutions to Find, Fight and Follow serious medical conditions. Clinicians use our agents and products ~~that assist clinicians~~ in ~~the diagnosis~~echocardiography, nuclear imaging, and ~~treatment of heart disease, cancer and other diseases. For our diagnostic agents, we~~oncologic therapeutics. We believe that the resulting improved diagnostic information enables healthcare providers to better detect and characterize, or rule out, disease, potentially achieving ~~improved~~better patient outcomes, reducing patient risk and limiting overall costs for payers and the entire healthcare system.

Our commercial products are used by cardiologists, nuclear medicine physicians, radiologists, oncologists, urologists, internal medicine physicians, technologists and sonographers working in a variety of clinical settings. We sell our products to radiopharmacies, integrated delivery networks, hospitals, clinics and group practices.

We ~~sell our products globally~~produce and ~~operate our business in two reportable segments, which are further described below:~~

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•~~U.S. Segment~~ ~~produces and markets~~market our agents and products throughout the U.S. ~~In the U.S.~~, weselling primarily ~~sell~~ to radiopharmacies, integrated delivery networks, hospitals, clinics and group practices.

•~~International Segment~~ ~~operations consist~~ We sell our agents and products outside the U.S. through a combination of ~~production and distribution activities in Puerto Rico and some~~ direct distribution ~~activities~~ in ~~Canada. Additionally, within our International Segment, we have established~~Canada and ~~maintain~~ third-party distribution relationships ~~under which different products are marketed and sold~~ in Europe, Canada, Australia, Asia-Pacific and Latin America.

~~Acquisition~~In the first quarter of ~~Progenics~~

~~On June 19, 2020, pursuant to the Merger Agreement among Holdings, Merger Sub and Progenics,~~fiscal year 2021, we completed the evaluation of our operating and reporting structure, including the impact on our business of the acquisition of Progenics, ~~by means~~and the sale of our Puerto Rico subsidiary in the first quarter, which resulted in a ~~merger~~change in our operating segments to one reportable business segment.

PYLARIFY Approval and Commercial Launch

On May 27, 2021, we announced that the FDA had approved PYLARIFY, an F 18-labeled positron emission tomography (“PET”) imaging agent targeting prostate-specific membrane antigen (“PSMA”). PYLARIFY enables the visualization of Merger Sub with and into Progenics, with Progenics surviving the merger as a wholly-owned subsidiary of Holdings. Immediately thereafter, Holdings contributed the shares of Progenics to LMI so that Progenics is now a wholly-owned subsidiary of LMI.

Progenics is an oncology company focused on the development and commercialization of innovative targeted medicines and artificial intelligence to find, fight and follow cancer. Progenics’ portfolio of products and product candidates includes therapeutic agents designed to target cancer (AZEDRA, 1095 and PSMA TTC),primary prostate tumors as well as imaging agents designed to target PSMA for prostate cancer (PyL and 1404). Progenics’ current revenue is generated from two principal sources: first AZEDRA sales, and second, royalties, development and commercial milestones from strategic partnerships, in particular royalties from Bausch from sales of RELISTOR.

In accordance with the Merger Agreement, each share of Progenics common stock, par value $0.0013 per share, issued and outstanding immediately prior to the transaction was automatically cancelled and converted into the right to receive (i) 0.31 (the “Exchange Ratio”) of a share of Holdings common stock, par value $0.01 per share, and (ii) one CVR. Former Progenics stockholders received cash in lieu of any fractional shares of Holdings common stock.

In addition, in accordance with the Merger Agreement, each Progenics stock option with a per share exercise price less than or equal to $4.42 (an “in-the-money Progenics stock option”) received (i) an option to purchase Holdings common stock (each, a “Lantheus Stock Option”) converted based on the Exchange Ratio, and (ii) a vested or unvested CVR depending on whether the underlying in-the-money Progenics stock option was vested at the time of the transaction. Each Progenics stock option with a per share exercise price greater than $4.42 (an “out-of-the-money Progenics stock option”) received a Lantheus Stock Option converted on an exchange ratio determined based on the average of the volume weighted average price per share of common stock of Progenics and Holdings prior to the transaction, which exchange ratio was 0.31.

Holdings issued 26,844,877 shares of Holdings common stock and 86,630,633 CVRs to former Progenics stockholders in connection with the Merger. Holdings also assumed 34,000 in-the-money Progenics stock options and 6,507,342 out-of-the-money Progenics stock options, each converted into Lantheus Stock Options at the exchange ratios noted above.

~~As a result of the Progenics Transaction, Lantheus added the following products and product candidates to its portfolio:~~

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~~Product / Product Candidate~~

~~Description~~

~~Status~~

~~Market~~

~~Rights~~

~~Ultra-Orphan Theranostic~~

~~AZEDRA (iobenguane I 131) 555 MBq/mL injection~~

~~Unresectable, locally advanced or metastatic pheochromocytoma or paraganglioma~~

~~Approved~~

~~U.S~~

~~Progenics~~

~~Prostate Cancer Theranostics~~

~~PyL (18F-DCFPyL)~~

~~PSMA-targeted PET/CT imaging agent for prostate cancer~~

~~Preparing NDA~~

~~Worldwide (ex. EU, AU, & NZ)~~

~~Progenics~~

~~PyL (18F-DCFPyL)~~

~~PSMA-targeted PET/CT imaging agent for prostate cancer~~

~~Discussions with European Medicines Agency (EMA)~~

~~Europe~~

~~Curium~~

~~1095 (I 131 1095)~~

~~PSMA-targeted small molecule therapeutic for treatment of metastatic prostate cancer~~

~~Phase 2~~

~~Worldwide~~

~~Progenics~~

~~PSMA TTC (BAY 2315497)~~

~~PSMA-targeted antibody conjugate therapeutic for treatment of metastatic prostate cancer~~

~~Phase 1~~

~~Worldwide~~

~~Bayer~~

~~1404~~

~~Technetium-99m PSMA-targeted SPECT/CT imaging agent for prostate cancer~~

~~Discussions with EMA~~

~~Europe~~

~~ROTOP~~

~~Digital Technology~~

~~PSMA AI~~

~~Imaging analysis technology that uses artificial intelligence and machine learning to assist readers in the quantification and standardized reporting of PSMA-targeted imaging~~

~~Investigational Use Only~~

~~Worldwide~~

~~Progenics~~

~~Automated Bone Scan Index (aBSI)~~

~~Automated reading and quantification of bone scans of prostate cancer patients using artificial intelligence and deep learning~~

~~Approved in the U.S. and E.U. 510(k) cleared in the U.S. CE marked (E.U. countries)~~

~~Worldwide (ex. Japan)~~

~~Progenics~~

~~Automated Bone Scan Index (BONENAVI)~~

~~Automated reading and quantification of bone scans of prostate cancer patients using artificial intelligence and deep learning~~

~~Approved~~

~~Japan~~

~~FUJIFILM~~

~~Other Programs~~

~~RELISTOR Subcutaneous Injection (methylnaltrexone bromide)~~

~~OIC in adults with chronic non-cancer pain or advanced-illness adult patients~~

~~Approved~~

~~Worldwide~~

~~Bausch~~

~~RELISTOR Tablets (methylnaltrexone bromide)~~

~~OIC in adults with chronic non-cancer pain~~

~~Approved~~

~~U.S.~~

~~Bausch~~

~~Leronlimab (PRO 140)~~

~~HIV Infection~~

~~CytoDyn intends to request Type A meeting with FDA to discuss BLA~~

~~U.S.~~

~~CytoDyn~~

See Part I, Item 1A. “Risk Factors” in our Annual Report on form 10-K for the year ended December 31, 2019, and Part II, Item 1A. “Risk Factors” in our Quarterly Report on Form 10-Q for the period ended March 31, 2020 for information regarding certain risks associated with our proposed acquisition of Progenics.

~~Our Expanded Portfolio~~

~~Our commercial products now include the following:~~

•DEFINITY is a microbubble contrast agent used in ultrasound exams of the heart, also known as echocardiography exams. DEFINITY contains perflutren-containing lipid microspheres and is indicated in the U.S. for use in patients with suboptimal echocardiograms to assist in imaging the left ventricular chamber and left endocardial border of the heart in ultrasound procedures. We believe we are currently the leading provider of ultrasound microbubble contrast agents in the world.

•TechneLite is a Technetium (“Tc-99m”) generator that provides the essential nuclear material used by radiopharmacies to radiolabel Cardiolite, Neurolite and other Tc-99m-based radiopharmaceuticals used in nuclear medicine procedures. TechneLite uses Mo-99 as its active ingredient.

•~~Neurolite is an injectable, Tc-99m-labeled imaging agent used with SPECT technology to identify the area within the brain where blood flow has been blocked or reduced due to stroke.~~

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•Xenon Xe 133 Gas (“Xenon”) is a radiopharmaceutical gas that is inhaled and used to assess pulmonary function and also to image cerebral blood flow. Our Xenon is manufactured by a third party as a bi-product of Mo-99 production and is processed and finished by us. We believe we are currently the leading provider of Xenon in the U.S.

•FDG is an injectable, fluorine-18-radiolabeled imaging agent used with PET technology to identify and characterize tumors in patients undergoing oncologic diagnostic procedures. We manufacture and distribute FDG from our Puerto Rico radiopharmacy.

•Cardiolite, also known by its generic name sestamibi, is an injectable, Tc-99m-labeled imaging agent used in myocardial perfusion imaging (“MPI”) procedures to assess blood flow to the muscle of the heart using SPECT. Cardiolite was approved by the FDA in 1990 and its market exclusivity expired in July 2008. Included in Cardiolite revenues are branded Cardiolite and generic sestamibi revenues.

•~~Thallium TI 201 is an injectable radiopharmaceutical imaging agent used in MPI studies to detect cardiovascular disease. We manufacture Thallium using cyclotron technology.~~

•~~Gallium (Ga 67) is an injectable radiopharmaceutical imaging agent used to detect certain infections and cancerous tumors, especially lymphoma. We manufacture Gallium using cyclotron technology.~~

•AZEDRA (iobenguane I 131) is a radiotherapeutic, approved for the treatment of adult and pediatric patients 12 years and older with iobenguane scan positive, unresectable, locally advanced or metastatic pheochromocytoma or paraganglioma who require systemic anticancer therapy. AZEDRA is the first and only FDA-approved therapy for this indication.

•RELISTOR (methylnaltrexone bromide) is a treatment for opioid-induced constipation (“OIC”) that decreases the constipating side effects induced by opioid pain medications such as morphine and codeine without diminishing their ability to relieve pain. RELISTOR is approved in two forms: a subcutaneous injection (12 mg and 8 mg) and an oral tablet (450 mg once daily).

•Quadramet is an injectable radiopharmaceutical used to treat severe bone pain associated with osteoblastic metastatic bone lesions. We serve as the direct manufacturer and supplier of Quadramet in the U.S.

•Automated Bone Scan Index (“aBSI”) calculates the disease burden of prostate cancer by quantifying the hotspots on bone scans and automatically calculating the bone scan index value, representing the disease burden of prostate cancer shown on the bone scan. This quantifiable and reproducible calculation of the bone scan index value is intended to aid in the diagnosis and treatment of men with prostate cancer and may have utility in monitoring the course of the disease. The Japanese rights to the stand-alone aBSI have been transferred and sold to FUJIFILM Toyama Chemical Co. Ltd. (“FUJIFILM”) under the name BONENAVI®. The cloud based aBSI was cleared by the FDA for clinical use in the U.S. on August 5, 2019. In February 2020, Progenics received CE marking for the standalone workstation model of aBSI, meeting the quality standards set by the European Economic Area.

•~~Cobalt (Co 57) is a non-pharmaceutical radiochemical used in the manufacture of sources for the calibration and maintenance of SPECT imaging cameras.~~

Sales of our microbubble contrast agent, DEFINITY, are made in the U.S. and Canada through a DEFINITY direct sales team. In the U.S., our nuclear imaging products, including TechneLite, Xenon, Neurolite and Cardiolite, are primarily distributed through commercial radiopharmacies, the majority of which are controlled by or associated with GE Healthcare, Cardinal, UPPI, Jubilant Radiopharma and PharmaLogic. A small portion of our nuclear imaging product sales in the U.S. are made through our direct sales force to hospitals and clinics that maintain their own in-house radiopharmaceutical preparation capabilities. We own one radiopharmacy in Puerto Rico where we sell our own products as well as products of third parties to end-users. AZEDRA is also sold in the U.S. through an AZEDRA direct sales team. RELISTOR was licensed to Bausch, and we collect quarterly royalties based on their sales.

We also maintain our own direct sales force in Canada for certain of our products. In Europe, Australia, Asia-Pacific and Latin America, we generally rely on third-party distributors to market, sell and distribute our nuclear imaging and contrast agent products, either on a country-by-country basis or on a multi-country regional basis. Our headquarters are located in North Billerica, MA with offices in New York, NY, Somerset, NJ, San Juan, PR, Montreal, Canada and Lund, Sweden.

~~Product Candidates~~

~~In addition to our commercial products, we now have an extensive portfolio of product candidates in clinical development, including:~~

•~~PyL~~ ~~(also known as 18F-DCFPyL) is a fluorine 18-based PSMA-targeted PET imaging agent that enables visualization of both~~ bone and soft tissue metastases, with potential high clinical utility in the detection of recurrent and/or metastatic prostate cancer. The approval of PYLARIFY was based on data from two Company-sponsored pivotal studies (“OSPREY” and “CONDOR”) designed to establish the safety and diagnostic performance of PYLARIFY across the prostate cancer disease continuum. Results from OSPREY (Cohort A) demonstrated improvement in specificity and positive predictive value of PYLARIFY PET imaging over conventional imaging in men at risk for metastatic prostate cancer prior to initial definitive therapy. CONDOR studied men with biochemical recurrent prostate cancer. In patients with biochemical recurrent prostate cancer and non-informative baseline imaging, PYLARIFY demonstrated high correct localization and detection rates, including in patients with low prostate-specific antigen (“PSA”) blood level values (median PSA 0.8 ng/mL).

Upon approval, PYLARIFY was immediately available in parts of the U.S., such as the mid-Atlantic and the South. In July 2021, PYLARIFY availability expanded into additional regions, including the three largest metropolitan areas in the U.S. - New York, Los Angeles/San Diego and Chicago – as well as select locations in the Southeast, the Midwest, the Southwest and the Northwest. We expect PYLARIFY availability to continue to expand across the U.S. over the remainder of the year, with broad nationwide availability anticipated by year end.

The commercial launch of PYLARIFY is complex and expensive. We have hired and expect to continue to hire additional employees to assist us with the commercialization of PYLARIFY, including in sales, marketing, reimbursement, quality and medical affairs. To manufacture PYLARIFY, we have assembled and are qualifying a nationwide network of PMFs with radioisotope-producing cyclotrons that make fluorine-18, which has a 110 minute half-life, so PYLARIFY is manufactured and distributed rapidly to end-users. After being made on a cyclotron at a PMF, the F 18 is then combined with certain chemical ingredients in specially designed chemistry synthesis boxes to manufacture PYLARIFY, which is then transferred to a radiopharmacist who prepares and dispenses patient-specific doses of the final product. Because each of the PMFs manufacturing these products is deemed by the FDA to be a separate manufacturing site, each has to be approved by the FDA. Although we are able to provide PYLARIFY in the regions listed above, we can give no assurance that the FDA will continue to approve PMFs in accordance with our planned roll-out schedule. If FDA approval of manufacturing sites is delayed, our future business, results of operations, financial condition and cash flows could be adversely affected.

In addition, obtaining adequate reimbursement for PYLARIFY will be critical, including not only coverage from Medicare, Medicaid and other government payors, as well as private payors, but also appropriate payment levels, which adequately cover the manufacturing and distribution costs associated with an F 18-based agent. We can give no assurance that pass-through status will be granted or that other adequate reimbursement can be secured to allow PYLARIFY to become successfully commercialized.

Key Factors Affecting Our Results

Our 2021 financial performance will reflect full year results of the Progenics business, whereas the prior year only incorporated results since the Closing Date. We also expect that the approval of PYLARIFY in May 2021 and subsequent launch will result in increased revenues.

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cancer, as well as staging of high risk disease. Progenics has completed a clinical development program that consisted of two pivotal clinical studies, which were designed to provide robust, prospective, well-controlled, and pathology- or composite truth standard-verified data to establish the safety and diagnostic performance of PyL across the disease continuum of prostate cancer. The results from these studies provide data in support of the potential of PyL to reliably detect and localize disease, including in patients with low PSA values, and may help enable appropriate disease management, thus supporting the potential use for detection of recurrent or metastatic prostate cancer. Progenics completed two successful pre-NDA meetings with the FDA in the first quarter of 2020, and we intend to submit the PyL NDA to the FDA later in 2020.

•~~Flurpiridaz F 18~~ is a fluorine 18-based PET MPI agent to assess blood flow to the heart. On April 25, 2017, we announced entering into a definitive, exclusive Collaboration and License Agreement with GE Healthcare for the agent’s continued Phase 3 development and worldwide commercialization. The second Phase 3 trial is now underway; however, because of the COVID-19 pandemic, enrollment in the global clinical development program has been delayed. GE Healthcare now expects to complete enrollment by mid-2021 and, assuming regulatory approval, begin commercialization in early 2023.

•~~LMI 1195~~ is a fluorine 18-based PET imaging agent for the norepinephrine pathway. We are currently designing two Phase 3 clinical trials for the use of LMI 1195 for the diagnosis and management of neuroendocrine tumors in pediatric and adult populations, respectively. The FDA has granted an Orphan Drug designation for the use of LMI 1195 in the management indication. We have also received notice of eligibility for a rare pediatric disease priority review voucher for a subsequent human drug application so long as LMI 1195 is approved by the FDA for its rare pediatric disease indication prior to September 30, 2022.

•~~1095~~ (also known as I-131-1095) is a PSMA-targeted iodine-131 labeled small molecule that is designed to deliver a dose of beta radiation directly to prostate cancer cells with minimal impact on the surrounding healthy tissues. Following the removal of the import alert on Centre for Probe Development & Commercialization (“CPDC”), Progenics initiated eleven clinical sites in the U.S along with the six active sites in Canada to support enrollment in the Company’s multicenter, randomized, controlled, ARROW Phase 2 study in metastatic castration-resistant prostate cancer (“mCRPC”). Because of the COVID-19 pandemic, Progenics paused new enrollment in the Phase 2 trial to minimize the risk to subjects and healthcare providers during the pandemic. For subjects who are active and have been randomized for the study, they continue to receive treatment doses and are being monitored for safety and efficacy in a manner that is permissible by each clinical site.

•~~PSMA TTC~~ is a thorium-227 labeled PSMA-targeted antibody therapeutic. PSMA TTC is designed to deliver a dose of alpha radiation directly to prostate cancer cells with minimal impact on the surrounding healthy tissues. Bayer AG (“Bayer”) has exclusive worldwide rights to develop and commercialize products using our PSMA antibody technology in combination with Bayer’s alpha-emitting radionuclides. Bayer is conducting a Phase 1 trial of PSMA TTC in subjects with mCRPC.

•~~1404~~ is a Tc-99m labeled small molecule which binds to PSMA and is used as a SPECT/CT imaging agent to diagnose and detect localized prostate cancer as well as soft tissue and bone metastases. ROTOP has exclusive rights to develop, manufacture and commercialize 1404 in Europe.

•~~PSMA AI~~ is an imaging analysis technology that uses artificial intelligence and machine learning to assist readers in the quantification and standardized reporting of PSMA-targeted imaging. Progenics recently completed a performance study of automated segmentation algorithms with PyL/CT images from the PyL research access initiative. The study demonstrated the efficiency and effectiveness of a fully automated segmentation algorithm of the 49 bones and 12 soft tissue regions of the whole body from PyL-PSMA PET/CT images. This work provides automated generation of lesion quantification, localization and staging, leading to highly contextualized assessments of disease burden.

•~~Leronlimab~~ (PRO 140) is an investigational humanized IgG4 mAb that blocks CCR5, a cellular receptor that is important in HIV infection, tumor metastases, and other diseases including certain liver diseases. It is owned by CytoDyn Inc. (“CytoDyn”) pursuant to our agreement with CytoDyn, as described below. In May 2020, CytoDyn announced it submitted a Biologics License Application (“BLA”) to the FDA for approval of Leronlimab in combination therapy for HIV infection. On July 13, 2020, CytoDyn announced that it had received a refusal to file letter from the FDA for the BLA and that CytoDyn intends to request a Type A meeting with the FDA to discuss the FDA’s request for additional information.

~~Strategic Partnerships~~

~~In connection with our commercial products and product candidates, we now have a number of strategic partnerships, including:~~

•~~Bausch Agreement~~ -- Under its agreement with Salix Pharmaceuticals, Inc., a wholly-owned subsidiary of Bausch, Progenics received a $40 million development milestone upon U.S. marketing approval for subcutaneous RELISTOR in non-cancer pain patients in 2014, a $50 million development milestone for the U.S. marketing approval of an oral formulation of RELISTOR in July 2016, and a $10.0 million sales milestone for RELISTOR achieving U.S. net sales in excess of $100.0 million in 2019. We are also eligible to receive additional one-time sales milestone payments upon achievement of specified U.S. net sales targets, including:

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~~U.S. Net Sales Levels in any Single Calendar Year~~						~~Payment ($)~~
						~~(In thousands)~~
~~In excess of $150 million~~						~~15,000~~
~~In excess of $200 million~~						~~20,000~~
~~In excess of $300 million~~						~~30,000~~
~~In excess of $750 million~~						~~50,000~~
~~In excess of $1 billion~~						~~75,000~~

Each sales milestone payment is payable one time only, regardless of the number of times the condition is satisfied, and all six payments could be made within the same calendar year. We are also eligible to receive royalties from Bausch and its affiliates based on the following royalty scale: 15% on worldwide net sales up to $100 million, 17% on the next $400 million in worldwide net sales, and 19% on worldwide net sales over $500 million each calendar year, and 60% of any upfront, milestone, reimbursement or other revenue (net of costs of goods sold, as defined, and territory-specific research and development expense reimbursement) Bausch receives from sublicensees outside the U.S.

•~~GE Healthcare Agreement –~~ Under our April 2017 Collaboration and License Agreement, GE Healthcare will complete the worldwide development of flurpiridaz F 18, pursue worldwide regulatory approvals, and, if successful, lead a worldwide launch and commercialization of the agent, with us collaborating on both development and commercialization through a joint steering committee. We also have the right to co-promote the agent in the U.S. GE Healthcare’s development plan initially focuses on obtaining regulatory approval in the U.S., Japan, Europe and Canada. Under the agreement, we received an upfront cash payment of $5 million and are eligible to receive up to $60 million in regulatory and sales milestone payments, tiered double-digit royalties on U.S. sales, and mid-single digit royalties on sales outside of the U.S.

•~~Curium Agreement~~ – Curium has licensed exclusive rights to develop and commercialize PyL in Europe. Under the terms of the collaboration, Curium is responsible for the development, regulatory approvals and commercialization of PyL in Europe, and we are entitled to royalties on net sales of PyL. Curium is in discussions with EMA regarding the development path in Europe.

•~~Bayer Agreement~~ – Under Progenics’ April 2016 agreement with a subsidiary of Bayer granting Bayer exclusive worldwide rights to develop and commercialize products using our PSMA antibody technology, in combination with Bayer’s alpha-emitting radionuclides, Progenics received an upfront payment of $4.0 million and milestone payments totaling $5.0 million. We could receive up to an additional $44.0 million in potential clinical and development milestones. We are also entitled to single-digit royalties on net sales, and potential net sales milestone payments up to an aggregate of $130.0 million.

•~~CytoDyn Agreement~~ -- Leronlimab (PRO 140) is an investigational humanized IgG4 mAb that blocks CCR5, a cellular receptor that is important in HIV infection, tumor metastases, and other diseases including certain liver diseases. Progenics sold Leronlimab to CytoDyn in 2012, which sale included milestone and royalty payment obligations to Progenics. Under the 2012 agreement, CytoDyn is responsible for all development, manufacturing and commercialization efforts. Pursuant to such agreement, Progenics received $5.0 million in upfront and milestone payments, and we have the right to receive an additional $5.0 million upon the first U.S. or E.U. approval for the sale of the drug, and a 5% royalty on the net sales of approved products.

•~~ROTOP Agreement~~ -- In May 2019, Progenics entered into an exclusive license agreement with ROTOP, a Germany-based developer of radiopharmaceuticals for nuclear medicine diagnostics, to develop, manufacture and commercialize 1404 in Europe. Under the terms of the collaboration, ROTOP is responsible for the development, regulatory approvals and commercialization of 1404 in Europe while we are entitled to double-digit, tiered royalties on net sales of 1404 in Europe. ROTOP is in discussions with EMA regarding the development path in Europe.

•~~FUJIFILM Agreement~~ -- In June 2019, Progenics entered into a transfer agreement with FUJIFILM for the rights to the aBSI product in Japan for use under the name BONENAVI. Under the terms of the transfer agreement, FUJIFILM acquired, by a combination of purchase and license, the Japanese software, source code, supporting data and all Japanese patents associated with the aBSI product from Progenics for use in Japan. In exchange, Progenics received $4.0 million in an upfront payment and FUJIFILM agreed to pay Progenics support and service fees for aBSI and other AI products over the next three years in Japan. BONENAVI has been licensed to FUJIFILM for use in Japan since 2011.

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~~Key Factors Affecting Our Results~~

Our business and financial performance have been, and continue to be, affected by the following:

COVID-19 Pandemic

The global COVID-19 pandemic has had, and ~~will~~may continue to have, a material impact on our business. Towards the end of the first quarter of 2020 we began to experience, and through the date of this filing we are continuing to experience, impacts to our business and operations related to the COVID-19 pandemic, including the impact of stay-at-home mandates and advisories, and a decline in the volume of certain procedures and treatments using our products. ~~We cannot predict~~

For example, there has been a substantial reduction in pulmonary ventilation studies in which our product, Xenon, is used because of institutional concerns and professional society guidelines relating to the ~~magnitude or duration~~possible spread of COVID-19 to technicians and other patients, given that Xenon is both inhaled and exhaled by the patient. As a result, Xenon sales have decreased significantly. In March 2021, the Society of Nuclear Medicine and Medical Imaging (“SNMMI”), updated its guidance regarding in-hospital respiratory inhalation procedures administered (or performed) during the pandemic, modifying its previous position. Based on advances in testing and procedural protocols since the onset of the ~~pandemic’s impact on~~pandemic as well as increasing vaccination rates, SNMMI now allows that under appropriate conditions for safe administration, pulmonary ventilation studies can be performed where necessary to reach a definitive diagnosis for a patient. Notwithstanding this change in March 2021, our ~~business.~~Xenon sales during the second quarter of 2021 continued to be at reduced levels, and we expect these reduced levels to continue for at least as long as COVID-19 precautions remain in place. We can give no assurance that Xenon sales will return to historic levels.

As a result of the COVID-19 pandemic, we undertook a thorough analysis of all of our discretionary expenses. In the first quarter of 2020, we implemented certain cost reduction ~~initiatives, including, among other things, reducing travel and promotional expenses and implementing a hiring freeze through~~initiatives. For most of the ~~balance~~second quarter of ~~2020. In addition, effective April 13,~~ 2020, we reduced our work week from five days to four days ~~in order to better align manufacturing, supply, distribution~~ and ~~other activities with~~ reduced ~~product demand. We also reduced~~the pay for our personnel ~~including a 75% reduction for Mary Anne Heino, our President and Chief Executive Officer, a 35% reduction for members~~by varying amounts, depending on level of our executive team, a 25% reduction for our vice presidents, and across-the-board reductions of 20% of salaries for our other salaried employees and 20% of hours for our hourly employees for that same time period. In addition, our Board of Directors has also reduced director and committee member compensation by 35% for the second half of the year and has elected to receive all remaining compensation payable in 2020 in the form of time-based restricted stock units that will vest on the first anniversary of the grant date, rather than in cash. In the latter half of June 2020, we restored our work week back to five days and restored most salaries back to 100% (other than executive team members whose salaries were restored in early July and directors whose compensation will remain at reduced levels for the balance of the calendar year).

~~We can give no assurances that we will not have to take additional cost reduction measures if the pandemic continues to adversely affect the volume of procedures and treatments using our products.~~seniority.

During the second quarter of 2020, Progenics also implemented certain cost reduction initiatives, ~~including reducing promotional spending~~ and furloughing a portion of its field-based AZEDRA commercial operations and medical employees. Progenics also furloughed several of its clinical employees. The commercial and medical employees were returned to full service with Progenics as of June 22, 2020. In addition, Progenics paused new enrollment in the Phase 2 trial of 1095 in mCRPC patients was paused to minimize the risk to subjects and healthcare providers during the pandemic. New enrollment in that study restarted in October 2020.

GE Healthcare, our development and commercialization partner for flurpiridaz F 18, also delayed enrollment in the second Phase 3 clinical trial because of the pandemic and ~~has informed us that it now intends to resume~~resumed enrollment in the third quarter of 2020.

Although the COVID-19 pandemic appears to have begun to recede in much of the United States, the pandemic could still have a future negative impact on the Company's business, particularly if there is a resurgence as a result of mutations or other variations to the virus, which increase its communicability or its impact on certain populations.

While we are currently unable to estimate the impact of COVID-19 on our overall ~~2020~~2021 operations and financial results, we ended the second quarter of ~~2020~~2021 with ~~$90.3~~$91.5 million of cash and cash equivalents. With our available liquidity and prudent expense management, we currently believe that we ~~will be able~~have sufficient financial resources to ~~maintain a state of preparedness to resume full~~operate our business, ~~activities to~~ support our customers, launch PYLARIFY as ~~external conditions allow,~~a new commercial product, and support the continued development of our product candidate pipeline, although we can give no assurances that we will have sufficient liquidity iffor all of these items, as the future trajectory of the pandemic ~~continues to adversely~~is unknown and may affect ~~the volume of procedures and treatments using~~ our ~~products for an extended period of time.~~liquidity.

Anticipated Continued Growth of DEFINITY and Expansion of Our Ultrasound Microbubble Franchise

We believe the market opportunity for our ultrasound microbubble ~~contrast~~enhancing agent, DEFINITY, continues to be significant. DEFINITY ishas been our fastest growing and highest margin commercial product. We anticipate DEFINITY sales will continue to grow ~~over~~in the ~~longer term.~~future. As we continue to educate the physician and healthcare provider community about the benefits and risks of DEFINITY, we believe we will be able to continue to grow the appropriate use of DEFINITY in suboptimal echocardiograms. In a U.S. market with three echocardiography ~~contrast~~ultrasound enhancing agents approved by the FDA, we estimate that DEFINITY had over 80% of the market as of December 31, ~~2019.~~2020.

As we continue to pursue expanding our microbubble franchise, our activities include:

•Patents - We continue to actively pursue additional patents in connection with DEFINITY and DEFINITY RT, both in the U.S. and internationally. In the U.S.~~, three of our recently issued method of use patents covering~~ for DEFINITY, ~~were listed in the Orange Book. We~~we now ~~have~~own a total of four Orange Book-listed method of use patents, one of which expires in 2035 and three of which expire in 2037, as well as additional manufacturing patents that are not Orange Book-listed expiring in ~~2021,~~ 2023 and 2037. In the U.S. for DEFINITY RT, we now own a total of five Orange Book-listed patents, including a composition of matter patent which expires in 2035. Outside of the U.S., while our original DEFINITY patent protection and regulatory exclusivity have generally expired, we are currently prosecuting additional DEFINITY and DEFINITY RT patents ~~to try~~ to obtain similar ~~method of use and manufacturing~~ patent protection as ~~granted~~ in the U.S. The Orange Book-listed patents include a patent on the use of VIALMIX RFID which expires in 2037; additional VIALMIX RFID patent applications have been submitted in major markets throughout the world.

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Hatch-Waxman Act - Even though our longest duration Orange Book-listed DEFINITY patent extends until March 2037, because our Orange Book-listed composition of matter patent expired in June 2019, we may face generic DEFINITY challengers in the near to intermediate term. Under the Hatch-Waxman Act, the FDA can approve Abbreviated New Drug Applications (“ANDAs”) for generic versions of drugs if the ANDA applicant demonstrates, among other things, that (i) its generic candidate is the same as the innovator product by establishing bioequivalence and providing relevant chemistry, manufacturing and product data, and (ii) the marketing of that generic candidate does not infringe an Orange Book-listed ~~patent.~~patent or that an Orange Book-listed patent is invalid. With respect to any Orange Book-listed patent covering the innovator product, the ANDA applicant must give a notice to the innovator (a “Notice”) that the ANDA applicant certifies that its generic candidate will not infringe the innovator’s Orange Book-listed patent or that the Orange Book-listed patent is invalid. The innovator can then challenge the ANDA applicant in court within 45 days of receiving that Notice, and FDA approval to commercialize the generic candidate will be stayed (that is, delayed) for up to 30 months (measured from the date on which a Notice is received) while the patent dispute between the innovator and the ANDA applicant is resolved in court. The ~~30 month~~30-month stay could potentially expire sooner if the courts determine that no infringement had occurred or that the challenged Orange Book-listed patent is invalid or if the parties otherwise settle their dispute.

As of the date of filing of this Quarterly Report on Form 10-Q, we have not received any Notice from an ANDA applicant. If we were to (i) receive any such Notice in the future, (ii) bring a patent infringement suit against the ANDA applicant within 45 days of receiving that Notice, and (iii) successfully obtain the full ~~30 month~~30-month stay, then the ANDA applicant would be precluded from commercializing a generic version of DEFINITY prior to the expiration of that ~~30 month~~30-month stay period and, potentially, thereafter, depending on how the patent dispute is resolved. Solely by way of example and not based on any knowledge we currently have, if we received a Notice from an ANDA applicant in August ~~2020~~2021 and the full ~~30 month~~30-month stay was obtained, then the ANDA applicant would be precluded from commercialization until at least ~~January 2023.~~February 2024. If we received a Notice some number of months in the future and the full ~~30 month~~30-month stay was obtained, the commercialization date would roll forward in the future by the same calculation.

•~~Modified Formulation~~DEFINITY RT - ~~We are developing at SBL~~In November 2020, the FDA approved our supplemental new drug application (“sNDA”) for DEFINITY RT. DEFINITY RT is a modified formulation of ~~DEFINITY. We believe this modified formulation will provide an enhanced product profile enabling~~DEFINITY that allows both storage ~~as well as~~and shipment at room temperature (DEFINITY’s ~~current~~previously approved formulation requires refrigerated storage)~~, will give~~. The modified formulation provides clinicians an additional choice and ~~will allow~~allows for greater utility of this formulation in broader clinical settings. We have a composition of matter patent on the modified formulation which runs through 2035. If the modified formulation is approved by the FDA, then this patent would be eligible to be listed in the Orange Book. We currently believe ~~that, if approved by the FDA, the modified formulation could~~DEFINITY RT will become commercially available later in ~~early~~ 2021, although that timing cannot be assured. Given its physical characteristics, ~~the modified formulation may~~we believe DEFINITY RT is also ~~be well suited~~well-suited for inclusion in kits requiring microbubbles for other indications and applications (including in kits developed by third parties of the type described in the ~~next paragraph)~~paragraph entitled New Clinical Applications below).

•Vialmix RFID – In August 2020, we announced the FDA approved our sNDA for our next-generation activation device designed specifically for both DEFINITY and DEFINITY RT. The activation rate and time are controlled by VIALMIX RFID through the use of radio-frequency identification technology (“RFID”) to ensure reproducible activation of DEFINITY and DEFINITY RT. The RFID tag, which is affixed to the vial label, enables the DEFINITY or DEFINITY RT vial to be appropriately activated when utilized with the VIALMIX RFID activation device. We believe VIALMIX RFID will become available later in 2021, although that timing cannot be assured.

•New Clinical Applications - As we continue to look for other opportunities to expand our microbubble franchise, we are evaluating new indications and clinical applications beyond echocardiography and ~~contrast~~ultrasound enhancing agent imaging generally. ~~For example, in~~

•In April 2019, we announced a strategic development and commercial collaboration with Cerevast Medical, Inc. (“Cerevast”) in which our microbubble will be used in connection with Cerevast’s ocular ultrasound device to ~~target improving~~improve blood flow in occluded retinal veins in the eye. Retinal vein occlusion is one of the most common causes of vision loss worldwide.

•In December 2019, we announced a strategic commercial supply agreement with CarThera for the use of our microbubbles in combination with SonoCloud, a proprietary implantable device in development for the treatment of recurrent glioblastoma. Glioblastoma is a lethal and devastating form of brain cancer with median survival of 15 months after diagnosis.

•In October 2020, we announced a strategic collaboration with Insightec Ltd. (“Insightec”) which will use our microbubbles in connection with the development of Insightec’s transcranial guided focused ultrasound device for the treatment of glioblastoma as well as other neurodegenerative conditions.

•In April 2021, we announced a strategic collaboration with Allegheny Health Network (“AHN”) which will use our microbubbles in combination with AHN’s ultrasound-assisted non-viral gene transfer technology for the development of a proposed treatment of xerostomia. Xerostomia is a lack of saliva production leading to dry mouth and has a variety of causes, including radiotherapy and chemotherapy, the chronic use of drugs and rheumatic and dysmetabolic diseases.

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•In-House Manufacturing - We have completed construction of specialized, in-house manufacturing capabilities at our North Billerica, Massachusetts facility for DEFINITY and, potentially, other sterile vial products. We believe ~~the~~this investment ~~in these efforts~~ will allow us to better control DEFINITY manufacturing and inventory, reduce our costs in a potentially more price competitive environment, and provide us with supply chain redundancy. We currently expect to behave DEFINITY manufactured at this facility commercially available in ~~a position to use this in-house manufacturing capability in 2021,~~early 2022, although that timing cannot be assured.

•DEFINITY in China - OnIn March ~~19,~~ 2020 in connection with our Chinese development and distribution arrangement with ~~Double Crane~~Double-Crane Pharmaceutical Company (“Double-Crane”), we filed an Import Drug License application with the National Medical Products Administration, or the NMPA, for the use of DEFINITY for the echocardiography indication. We believe this is an important milestone in our efforts to commercialize DEFINITY in China. ~~Double Crane~~Double-Crane is also in the process of analyzing the clinical results relating to the liver and kidney indications and will also work with us to prepare an Import Drug License application for those indications.

Global Mo-99 Supply

We currently have Mo-99 supply agreements with Institute for Radioelements (“IRE”), running through December 31, 2022, and renewable by us on a year-to-year basis thereafter, and with NTP Radioisotopes (“NTP”) and ~~ANSTO,~~the Australian Nuclear Science and Technology Organisation (“ANSTO”), running through December 31, 2021. We also have a Xenon supply agreement with IRE which runs through June 30, 2022, and which is subject to further extension.

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Although we have a globally diverse Mo-99 supply with IRE in Belgium, NTP in South Africa, and ANSTO in Australia, we still face supplier and logistical challenges in our Mo-99 supply chain. The NTP processing facility had periodic outages in 2017, 2018 and 2019. When NTP was not producing, we relied on Mo-99 supply from both IRE and ANSTO to limit the impact of the NTP outages. In ~~the second quarter of~~ 2019 and 2020, ANSTO experienced ~~technical~~multiple facility issues ~~in its existing Mo-99 processing facility which~~that resulted in ~~a decrease in Mo-99 available to us. In addition, as~~ ANSTO ~~transitioned from its existing Mo-99 processing facility to its new Mo-99 processing facility in the second quarter of 2019, ANSTO experienced start-up~~outages and ~~transition challenges, which also resulted in a decrease in Mo-99 available to us. Further, starting in late June 2019 until April 2020, ANSTO’s new Mo-99 processing facility had production~~ volume limitations, ~~imposed on it by the Australian Radiation Protection and Nuclear Safety Agency~~during which ~~limited our ability to receive Mo-99 from ANSTO. During that~~ time we relied on IRE and NTP to limit the impact of those ~~ANSTO~~ outages and ~~volume~~ limitations. ~~As ANSTO increases its production volume over the course of 2020, we expect to receive increasing supply from ANSTO.~~ Because of the COVID-19 pandemic, ~~in the second quarter of 2020~~ we experienced challenges receiving regularly scheduled orders of Mo-99 from our global suppliers, ~~due~~particularly in the second quarter of 2020. We continue to the partial or complete delay or cancellation of international flights by our airfreight carriers. As of the filing of this report, these COVID-19-related transportation challenges have been largely eliminated. Because ofmanage these various supply chain ~~constraints,~~challenges, but depending on reactor and processor schedules and operations, at times we have not been able to fill some or all of the demand for our TechneLite generators on certain manufacturing days.

~~ANSTO’s new~~ A prolonged disruption of service from one of our three Mo-99 processing ~~facility~~sites or one of their main Mo-99-producing reactors could ~~eventually increase ANSTO’s~~have a substantial negative effect on our business, results of operations, financial condition and cash flows.

We are also pursuing additional sources of Mo-99 ~~production capacity~~ from ~~approximately 2,000 curies per week~~potential new producers to ~~3,500 curies per week with additional committed financial and operational resources. At full ramp-up capacity, ANSTO’s new facility could provide incremental supply to~~further augment our ~~globally diversified Mo-99 supply chain and therefore mitigate some risk among our Mo-99 suppliers, although~~current supply. In November 2014, we ~~can give no assurances to that effect. In addition, we also have~~entered into a strategic arrangement with SHINE ~~Medical Technologies, Inc. (“SHINE”), a Wisconsin-based company,~~ for the future supply of Mo-99. Under the terms of ~~that~~the supply agreement, SHINE will provide us Mo-99 produced using its proprietary LEU-solution technology for use in our TechneLite generators once SHINE’s facility becomes operational and receives all necessary regulatory approvals, which SHINE now estimates will occur in late 2022. However, we cannot assure you that SHINE or any other possible additional sources of Mo-99 will result in commercial quantities of Mo-99 for our business, or that these new suppliers together with our current suppliers will be able to deliver a sufficient quantity of Mo-99 to meet our needs.

Inventory Supply

We obtain a substantial portion of our imaging agents from a third-party supplier. JHS is currently our sole source manufacturer of DEFINITY, ~~Neurolite,~~NEUROLITE, Cardiolite and evacuation vials, the latter being an ancillary component for our TechneLite generators. We are currently seeking approval from certain foreign regulatory authorities for JHS to manufacture certain of our products. Until we receive these approvals, we will face continued limitations on where we can sell those products outside of the U.S.

In addition to JHS, we ~~are also currently working to secure additional alternative suppliers for~~rely on SBL as our ~~key products as part of our ongoing supply chain diversification strategy. We have ongoing development and technology transfer activities for a modified formulation~~sole source manufacturer of DEFINITY RT. Our manufacturing agreement with ~~SBL, which is located~~JHS relating to DEFINITY expires in ~~South Korea. We currently believe that if approved by the FDA, the modified formulation could be commercially available~~February 2022, and our manufacturing agreements relating to NEUROLITE and Cardiolite expire in ~~2021, although that timing cannot be assured.~~ December 2023. All these agreements are subject to further extension.

We have also completed construction of specialized, in-house manufacturing capabilities at our North Billerica, Massachusetts facility, ~~as part of a larger strategy to create a competitive advantage in specialized manufacturing,~~ which will also allow us to optimize our costs and reduce our supply chain risk. We ~~can give no assurance as~~currently expect to ~~when or if we will~~have DEFINITY manufactured at this facility commercially available in early 2022, although that timing cannot be ~~successful in these efforts or that we will be able to successfully manufacture any additional commercial products at our North Billerica, Massachusetts facility.~~assured.

Radiopharmaceuticals are decaying radioisotopes with half-lives ranging from a few hours to several days. These products cannot be kept in inventory because of their limited shelf lives and are subject to just-in-time manufacturing, processing and distribution, which takes place at our facilities in North Billerica, Massachusetts ~~facility.~~and Somerset, New Jersey.

Integration of the Progenics Acquisition

On June 19, 2020, we completed the Progenics Acquisition. Progenics’ portfolio of products and product candidates included, among other things, therapeutic agents designed to target cancer (AZEDRA, 1095 and PSMA TTC), diagnostic imaging agents designed to target PSMA for prostate cancer (PYLARIFY and 1404), RELISTOR for opioid-induced constipation, AI imaging

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technologies and leronlimab being developed for HIV infection. Progenics’ revenue was generated from two principal sources: first, royalties and development and commercial milestones from strategic partnerships, including royalties from Bausch Health Companies, Inc. (“Bausch”) from sales of RELISTOR; and second, AZEDRA sales.

The ultimate success of the Progenics Acquisition will depend on our ability to successfully combine the business of Progenics with our own and realize the anticipated benefits, including synergies, cost savings, innovation and operational efficiencies and revenue growth from the acquisition.

Our combined business is now larger and significantly more complex than our business was immediately prior to the consummation of the Progenics Acquisition. Our ability to successfully manage this combined business will depend upon our ability to continue to integrate and manage the combined business with its increased scale and scope, and increased costs and complexity. In addition, the CVRs issued as partial consideration for the Progenics Acquisition create additional operational obligations and accounting complexity. See Part II, Item 1A. “Risk Factors - The CVRs we issued as part of the Progenics Acquisition may result in substantial future payments and could divert the attention of our management; in addition, the actual payments made in connection with the CVRs, if any, may not be consistent with the estimated fair value of the CVRs that we are required to prepare for accounting purposes.” We can give no assurance that the actual amounts paid, if any, in connection with the CVRs will be consistent with any recurring fair value estimate of such CVRs.

Research and Development Expenses

To remain a leader in the marketplace, we have historically made substantial investments in new product ~~development. In addition to~~development, including, among other things, our flurpiridaz F 18 clinical development program, the expenses of which are now being borne by GE ~~Healthcare, and our proposed LMI 1195 Phase 3 clinical program for the diagnosis and management of neuroendocrine tumors~~Healthcare. The Progenics Acquisition resulted in ~~pediatric and adult populations, the final plans for which are still being developed, the Progenics Transaction brings~~ additional and substantial clinical development expense. ~~Progenics completed two successful pre-NDA meetings~~The PyL NDA filed with the FDA ~~in the first quarter of~~on September 29, 2020, ~~and we intend to submit the PyL NDA to~~was approved by the FDA ~~later~~ in ~~2020.~~May 2021. For 1095, the ARROW Phase 2 study in mCRPC patients ~~has~~had been paused to minimize risk to subjects and healthcare providers during the ~~pandemic.~~pandemic, and new enrollment in that study restarted in October 2020. We also are planning additional clinical development work for AZEDRA in two new potential therapeutic indications – neuroblastoma and gastroenteropancreatic neuroendocrine tumors – and LMI 1195 as a diagnostic agent for the management of neuroblastoma. In addition, the ~~Company’s development activities for~~Company has developed PSMA AI ~~are on-going.~~as described below under the heading “New Initiatives”. Our investments in these additional clinical activities will increase our operating expenses and impact our results of operations and cash flow, and we can give no assurances as to whether any of these clinical development candidates will be approved.

New Initiatives

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In addition to integrating the new assets and programs resulting from the Progenics ~~Transaction,~~Acquisition, we continue to seek ways to further expand our portfolio of products and product candidates and how best to optimize the value of our current assets, evaluating a number of different opportunities to collaborate with others or to acquire or in-license additional products, product candidates, businesses and technologies to drive our future growth. AsConsistent with the Progenics ~~Transaction indicates,~~Acquisition, we are particularly interested in expanding our presence in oncology, in both radiotherapeutics ~~as well as~~and diagnostics.

•In May 2019, we ~~entered~~commenced an initiative to build out our Pharma Services capabilities, which resides in our strategic partnerships and other revenue product category, by entering into a strategic collaboration and license agreement with NanoMab, ~~Technology Limited,~~ a privately-held biopharmaceutical company focusing on the development of next generation radiopharmaceuticals for cancer precision medicine. We believe this collaboration will provide the first broadly-available PD-L1 imaging biomarker research tool to pharmaceutical companies and academic centers conducting ~~research and development~~clinical trials on ~~PD-L1~~ immuno-oncology treatments, including combination therapies.

•In March 2021, we acquired from Ratio Therapeutics LLC (“Ratio”) (previously Noria Therapeutics, Inc.) exclusive, worldwide rights to NTI-1309, an innovative imaging biomarker that targets fibroblast activation protein (“FAP”), an emerging target with broad potential imaging applicability and use in oncology. Under the terms of this agreement, Ratio will drive the early clinical development of NTI-1309. We are integrating NTI-1309 into our portfolio of imaging biomarkers as part of our Pharma Services offering. Upon further clinical development, we will assess options to bring NTI-1309 to market as a diagnostic or potentially a therapeutic agent.

•We have also expanded our Pharma Services offering to include piflufolastat F 18 for pharmaceutical companies developing PSMA-targeted therapies and have entered into clinical supply agreements with each of Regeneron, Bayer and POINT BioPharma for use of piflufolastat F 18 in prostate cancer drug development programs.

•Our subsidiary, EXINI Diagnostics AB (“EXINI”), has developed aPROMISE, our artificial intelligence-based, deep learning-enabled, medical device software that is designed to allow healthcare professionals and researchers to perform quantitative assessments of PSMA PET/CT in oncology.

We can give no assurance as to when or if ~~this collaboration~~any of these Pharma Services collaborations will be successful or accretive to earnings.

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In addition, as described above, we continue to expand our microbubble franchise. See “Anticipated Continued Growth of DEFINITY and Expansion of Our Ultrasound Microbubble Franchise–New Clinical Applications” for further details.

Results of Operations

The following is a summary of our consolidated results of operations:


		Three Months Ended June 30,						Six Months Ended June 30,							Three Months Ended June 30,								Six Months Ended June 30,
(in thousands)	(in thousands)	2020		2019		2020		2019		(in thousands)	2021		2020		Change $		Change %		2021		2020		Change $		Change %
Revenues	Revenues	$	66,010	$	85,705	$	156,714	$	172,215	Revenues	$	101,064	$	66,010	$	35,054	53.1	%	$	193,573	$	156,714	$	36,859	23.5	%
Cost of goods sold	Cost of goods sold	40,162		41,132		92,864		83,558		Cost of goods sold	54,976		40,162		14,814		36.9	%	106,455		92,864		13,591		14.6	%
Gross profit	Gross profit	25,848		44,573		63,850		88,657		Gross profit	46,088		25,848		20,240		78.3	%	87,118		63,850		23,268		36.4	%
Operating expenses	Operating expenses									Operating expenses
Sales and marketing	Sales and marketing	6,305		10,948		16,435		21,345		Sales and marketing	17,631		6,305		11,326		179.6	%	31,804		16,435		15,369		93.5	%
General and administrative	General and administrative	20,670		13,293		37,369		25,882		General and administrative	43,177		20,670		22,507		108.9	%	59,315		37,369		21,946		58.7	%
Research and development	Research and development	4,418		5,795		8,466		10,724		Research and development	12,061		4,418		7,643		173.0	%	22,421		8,466		13,955		164.8	%
Total operating expenses	Total operating expenses	31,393		30,036		62,270		57,951		Total operating expenses	72,869		31,393		41,476		132.1	%	113,540		62,270		51,270		82.3	%
Gain on sale of assets										Gain on sale of assets	—		—		—		N/A		15,263		—		15,263		N/A
Operating (loss) income	Operating (loss) income	(5,545)		14,537		1,580		30,706		Operating (loss) income	(26,781)		(5,545)		(21,236)		383.0	%	(11,159)		1,580		(12,739)		(806.3)	%
Interest expense	Interest expense	1,914		4,543		3,860		9,135		Interest expense	1,937		1,914		23		1.2	%	4,655		3,860		795		20.6	%
Loss on extinguishment of debt		—		3,196		—		3,196
Gain on extinguishment of debt										Gain on extinguishment of debt	—		—		—		N/A		(889)		—		(889)		N/A
Other income	Other income	(756)		(1,312)		(1,106)		(2,499)		Other income	(182)		(756)		574		(75.9)	%	(731)		(1,106)		375		(33.9)	%
(Loss) income before income taxes		(6,703)		8,110		(1,174)		20,874
Income tax expense		309		1,698		2,501		4,513
Net (loss) income		$	(7,012)	$	6,412	$	(3,675)	$	16,361
Loss before income taxes										Loss before income taxes	(28,536)		(6,703)		(21,833)		325.7	%	(14,194)		(1,174)		(13,020)		1109.0	%
Income tax (benefit) expense										Income tax (benefit) expense	(1,879)		309		(2,188)		(708.1)	%	3,455		2,501		954		38.1	%
Net loss										Net loss	$	(26,657)	$	(7,012)	$	(19,645)	280.2	%	$	(17,649)	$	(3,675)	$	(13,974)	380.2	%

Comparison of the Periods Ended June 30, 2021 and 2020

Revenues

We classify our revenues into three product categories: precision diagnostics, radiopharmaceutical oncology, and strategic partnerships and other. Precision diagnostics includes DEFINITY, TechneLite and other imaging diagnostic products. Radiopharmaceutical oncology consists primarily of AZEDRA and PYLARIFY. Strategic partnerships and other includes partnerships related to other products, such as RELISTOR, that improve patient outcomes and care.

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~~Comparison of the Periods Ended June 30, 2020 and 2019~~

Revenues

~~Segment revenues~~ are summarized by product category on a net basis as follows:

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 Change
$ Change
% 2020 2019 Change
$ Change
%
U.S.
DEFINITY $ 39,544 $ 53,466 $ (13,922) (26.0) % $ 94,554 $ 103,182 $ (8,628) (8.4) %
TechneLite 15,591 16,865 (1,274) (7.6) % 34,947 36,923 (1,976) (5.4) %
Other nuclear 5,804 9,127 (3,323) (36.4) % 14,866 18,651 (3,785) (20.3) %
Rebates and allowances (3,540) (4,268) 728 (17.1) % (8,223) (8,132) (91) 1.1 %
Total U.S. revenues 57,399 75,190 (17,791) (23.7) % 136,144 150,624 (14,480) (9.6) %
International
DEFINITY 821 1,163 (342) (29.4) % 2,602 2,558 44 1.7 %
TechneLite 3,318 3,241 77 2.4 % 7,060 7,328 (268) (3.7) %
Other nuclear 4,473 6,119 (1,646) (26.9) % 10,911 11,715 (804) (6.9) %
Rebates and allowances (1) (8) 7 (87.5) % (3) (10) 7 (70.0) %
Total International revenues 8,611 10,515 (1,904) (18.1) % 20,570 21,591 (1,021) (4.7) %
Worldwide
DEFINITY 40,365 54,629 (14,264) (26.1) % 97,156 105,740 (8,584) (8.1) %
TechneLite 18,909 20,106 (1,197) (6.0) % 42,007 44,251 (2,244) (5.1) %
Other nuclear 10,277 15,246 (4,969) (32.6) % 25,777 30,366 (4,589) (15.1) %
Rebates and allowances (3,541) (4,276) 735 (17.2) % (8,226) (8,142) (84) 1.0 %
Total revenues $ 66,010 $ 85,705 $ (19,695) (23.0) % $ 156,714 $ 172,215 $ (15,501) (9.0) %


	Three Months Ended June 30,								Six Months Ended June 30,
(in thousands)	2021		2020(1)		Change $		Change %		2021		2020		Change $		Change %
DEFINITY	$	59,842	$	37,125	$	22,717	61.2	%	$	115,813	$	89,630	$	26,183	29.2	%
TechneLite	23,772		18,668		5,104		27.3	%	46,572		41,447		5,125		12.4	%
Other precision diagnostics	6,742		7,140		(398)		(5.6)	%	13,726		20,197		(6,471)		(32.0)	%
Total precision diagnostics	90,356		62,933		27,423		43.6	%	176,111		151,274		24,837		16.4	%
Radiopharmaceutical oncology	2,812		2,183		629		28.8	%	4,312		4,151		161		3.9	%
Strategic partnerships and other	7,896		894		7,002		783.2	%	13,150		1,289		11,861		920.2	%
Total revenues	$	101,064	$	66,010	$	35,054	53.1	%	$	193,573	$	156,714	$	36,859	23.5	%

(1)The Company reclassified rebates and allowances of $3.5 million and $8.2 million within each product category, which included $3.2 million and $7.5 million for DEFINITY, $0.3 million and $0.6 million for TechneLite and zero and $0.1 million for other precision diagnostics for the three and six months ended June 30, 2020, respectively.

The ~~decrease~~increase in ~~the U.S. segment~~ revenues for the three months ended June 30, ~~2020,~~2021, as compared to the prior year period, is primarily ~~due to a $13.9 million decrease~~driven by increases in DEFINITY ~~revenue~~and TechneLite volume period over period as a result of ~~lower unit volumes as a result of COVID-19. TechneLite revenue was $1.3 million lower driven by~~the COVID-19 ~~impact, partially offset by supplier disruptions~~pandemic in ~~2019. Other Nuclear revenue was lower than~~ the prior year ~~primarily associated with lower Xenon volume as a result~~and the addition of ~~COVID-19, which was~~the Progenics product portfolio, offset, in part, by ~~reduced rebate and allowance provisions~~the divestiture of ~~$0.7 million.~~our Puerto Rico business during the first quarter of 2021.

The ~~decrease~~increase in ~~the U.S. segment~~ revenues for the six months ended June 30, ~~2020,~~2021, as compared to the prior year period, is primarily ~~due to an $8.6 million decrease~~driven by increases in DEFINITY ~~revenue~~and TechneLite volume period over period as a result of ~~lower unit volumes as a result of~~the COVID-19 that was concentrated in the second quarter, offset by first quarter performance. TechneLite revenue was $2.0 million lower driven by COVID-19 impact, partially offset by supplier disruptions in 2019. Other Nuclear revenue was lower than the prior year primarily associated with $4.1 million lower Xenon revenue with lower volume as a result of COVID-19.

~~The Progenics business contributed approximately $1.0 million of revenue to the U.S. segment for the three and six months ended June 30, 2020.~~

~~The decrease in the International segment revenues for the three months ended June 30, 2020, as compared to the prior year period is primarily due to lower volume as a result of COVID-19.~~

The decrease in the International segment revenues for the six months ended June 30, 2020, as compared to the prior year period is primarily due to lower volume as a result of COVID-19 as well as opportunistic incremental demand of TechneLitepandemic in the prior year ~~period.~~

~~Table~~and the addition of ~~Contents~~

the Progenics product portfolio. This increase is partially offset by continued COVID-19 related reduced volumes in Xenon and the divestiture of our Puerto Rico business during the first quarter of fiscal year 2021.

Rebates and Allowances

Estimates for rebates and allowances represent our estimated obligations under contractual arrangements with third parties. Rebate accruals and allowances are recorded in the same period the related revenue is recognized, resulting in a reduction to revenue and the establishment of a liability which is included in accrued expenses. These rebates and allowances result from performance-based offers that are primarily based on attaining contractually specified sales volumes and growth, Medicaid rebate programs for our products, administrative fees of group purchasing organizations and certain distributor related commissions. The calculation of the accrual for these rebates and allowances is based on an estimate of the third-party’s buying patterns and the resulting applicable contractual rebate to be earned over a contractual period.

An analysis of the amount of, and change in, reserves is summarized as follows:


(in thousands)	Rebates and Allowances
Balance, January 1, ~~2020~~2021	$	~~6,985~~9,350
Provision related to current period revenues	~~8,216~~13,011
Adjustments relating to prior period revenues	1037
Payments or credits made during the period	~~(8,266)~~(13,218)
Balance, June 30, ~~2020~~2021	$	~~6,945~~9,180

Gross Profit

~~Gross profit is summarized by segment as follows:~~

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 Change
$ Change
% 2020 2019 Change
$ Change
%
U.S. $ 24,697 $ 42,033 $ (17,336) (41.2) % $ 59,760 $ 83,584 $ (23,824) (28.5) %
International 1,151 2,540 (1,389) (54.7) % 4,090 5,073 (983) (19.4) %
Total gross profit $ 25,848 $ 44,573 $ (18,725) (42.0) % $ 63,850 $ 88,657 $ (24,807) (28.0) %

The ~~decrease~~increase in ~~the U.S. segment~~ gross profit for the three months ended June 30, ~~2020,~~2021, as compared to the prior year period is primarily due to ~~lower~~ DEFINITY ~~TechneLite, Xenon and other nuclear product unit volumes due to COVID-19. This was~~volume increases, which is partially offset by ~~a decrease~~amortization expense of assets acquired in ~~rebate and allowance provisions.~~the Progenics Acquisition.

The ~~decrease~~increase in ~~the U.S. segment~~ gross profit for the six months ended June 30, ~~2020,~~2021, as compared to the prior year period is primarily due to ~~lower~~ DEFINITY ~~TechneLite, and Xenon unit volumes due to COVID-19~~volume increases and an asset impairment loss of $7.3 million on other nuclear ~~products.~~

~~The decrease~~products that occurred in the ~~International segment gross profit for the three~~prior year. This increase was offset, in part, by lower Xenon unit volumes and ~~six months ended June 30, 2020, as compared to the prior year period is primarily~~increased radioisotope transportation costs, both due to ~~lower DEFINITY and other nuclear product unit volumes due to COVID-19.~~COVID-19, as well as amortization expense of assets acquired in the Progenics Acquisition.

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Sales and Marketing

Sales and marketing expenses consist primarily of salaries and other related costs for personnel in field sales, marketing and customer service functions. Other costs in sales and marketing expenses include the development and printing of advertising and promotional material, professional services, market research and sales meetings.

Sales and marketing ~~expense is summarized by segment as follows:~~

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 Change
$ Change
% 2020 2019 Change
$ Change
%
U.S. $ 5,830 $ 10,369 $ (4,539) (43.8) % $ 15,437 $ 20,338 $ (4,901) (24.1) %
International 475 579 (104) (18.0) % 998 1,007 (9) (0.9) %
Total sales and marketing $ 6,305 $ 10,948 $ (4,643) (42.4) % $ 16,435 $ 21,345 $ (4,910) (23.0) %

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~~The decrease in the U.S. segment sales~~expenses increased $11.3 million and ~~marketing expenses~~$15.4 million for the three and six months ended June 30, ~~2020,~~2021, respectively, as compared to the prior year ~~period is~~period. This was primarily ~~due to reduced~~driven by the integration of the Progenics sales and marketing organization, preparation activities for the launch of PYLARIFY, as well as increased employee-related costs and marketing promotional programs ~~and travel~~ due to the impact of the COVID-19 ~~impact, as well as lower employee-related costs. The Progenics business contributed approximately $0.3 million of expense to the U.S. segment for the three and six months ended June 30, 2020.~~

~~The decrease in the International segment sales and marketing expenses for the three months ended June 30, 2020, as compared to the prior year period is primarily due to lower employee-related costs.~~

~~The International segment sales and marketing expenses for the six months ended June 30, 2020 is flat as compared to~~pandemic during the prior year.

General and Administrative

General and administrative expenses consist of salaries and other related costs for personnel in executive, finance, legal, information technology and human resource functions. Other costs included in general and administrative expenses are professional fees for information technology services, external legal fees, consulting and accounting services as well as bad debt expense, certain facility and insurance costs, including director and officer liability insurance.

General and administrative ~~expense is summarized by segment as follows:~~

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 Change
$ Change
% 2020 2019 Change
$ Change
%
U.S. $ 20,522 $ 13,323 $ 7,199 54.0 % $ 37,077 $ 25,671 $ 11,406 44.4 %
International 148 (30) 178 (593.3) % 292 211 81 38.4 %
Total general and administrative $ 20,670 $ 13,293 $ 7,377 55.5 % $ 37,369 $ 25,882 $ 11,487 44.4 %

~~The U.S. segment general~~expenses increased $22.5 million and ~~administrative expenses increased~~$21.9 million for the three and six months ended June 30, ~~2020~~2021, respectively, as compared to the prior year period. ~~The primary driver~~This was ~~an increase~~primarily driven by the $25.6 million fair value adjustment to the contingent asset and liabilities in the second quarter of 2021 (refer to Note 4, “Fair Value of Financial Instruments”, for further details on contingent consideration liabilities, including CVRs) and higher headcount related costs following the Progenics Acquisition, offset by acquisition-related costs associated with the ~~acquisition of~~ Progenics offset by lower employee-related costs driven by COVID related measures. In addition, the Progenics business contributed approximately $2.9 million of expense to the U.S. segment for the three and six months ended June 30, 2020.

~~The International segment general and administrative expenses increased for the three and six months ended June 30, 2020 as compared to~~Acquisition in the prior ~~year period driven primarily by an insurance benefit received in 2019 which was partly offset by lower employee related costs in 2020.~~year.

Research and Development

Research and development expenses relate primarily to the development of new products to add to our portfolio and costs related to our medical affairs, medical information and regulatory functions. ~~We do not allocate research and development expenses incurred in the U.S. to our International segment.~~

Research and development ~~expense is summarized by segment as follows:~~

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 Change
$ Change
% 2020 2019 Change
$ Change
%
U.S. $ 4,345 $ 5,652 $ (1,307) (23.1) % $ 8,258 $ 10,302 $ (2,044) (19.8) %
International 73 143 (70) (49.0) % 208 422 (214) (50.7) %
Total research and development $ 4,418 $ 5,795 $ (1,377) (23.8) % $ 8,466 $ 10,724 $ (2,258) 21.1 %

~~The decrease in the U.S. segment research and development~~ expenses increased $7.6 million for the three ~~and six~~ months ended June 30, ~~2020,~~2021 as compared to the prior year isperiod. This was primarily driven by ~~clinical research expenses related to DEFINITY studies completing and lower employee related expenses. The~~the integration of the Progenics ~~business contributed approximately $1.2 million of expense to the U.S. segment for the three and six months ended June 30, 2020.~~

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~~The decrease in the International segment~~ research and development ~~expenses~~organization now supporting our pipeline, which includes 1095 and preparation activities for the ~~three~~launch of PYLARIFY.

Research and ~~six months ended June 30, 2020, as compared to the prior year period is primarily driven by regulatory costs related to Brexit matters.~~

~~Interest Expense~~

~~Interest expense decreased by approximately $5.3~~development expenses increased $14.0 million for the six months ended June 30, ~~2020~~2021 as compared to the prior year period. This was primarily driven by the integration of the Progenics research and development organization now supporting our pipeline, which includes 1095, preparation activities for the launch of PYLARIFY and higher employee-related costs due to the impact of the COVID-19 pandemic during the prior year period.

Gain on Sale of Assets

We sold 100% of the stock of our Puerto Rico radiopharmacy subsidiary resulting in a pre-tax book gain of $15.3 million for the six months ended June 30, 2021.

Interest Expense

Interest expense increased by approximately $0.8 million for the six months ended June 30, 2021 as compared to the prior year period due to the ~~refinancing~~Royalty-Backed loan we assumed as part of ~~our existing indebtedness in~~ the ~~second quarter~~Progenics Acquisition.

Gain on Extinguishment of ~~2019 which reduced our underlying~~Debt

For the six months ended June 30, 2021, we realized a $0.9 million gain on extinguishment of debt related to the voluntary repayment of the outstanding principal ~~amount and decreased interest rates~~ on ~~our long-term debt.~~the Royalty-Backed Loan on March 31, 2021.

Income Tax (Benefit) Expense

~~Income~~The income tax ~~expense is summarized as follows:~~

Three Months Ended
June 30, Six Months Ended
June 30,
(in thousands) 2020 2019 Change
$ Change
% 2020 2019 Change
$ Change
%
Income tax expense $ 309 $ 1,698 $ (1,389) (81.8) % $ 2,501 $ 4,513 $ (2,012) (44.6) %
benefit recorded for the three months ended June 30, 2021 was primarily due to the tax benefit of a pre-tax loss reported during the quarter.

The income tax expense recorded for the ~~three and~~ six months ended June 30, ~~2020~~2021 was primarily due to the ~~recording~~tax benefit of ~~non-deductible transaction costs and~~a pre-tax loss reported during the period, offset by the accrual of interest associated with uncertain tax ~~positions.~~positions and the impact of permanent item adjustments including the accrual of our contingent consideration liabilities.

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We regularly assess our ability to realize our deferred tax assets. Assessing the realizability of deferred tax assets requires significant management judgment. In determining whether our deferred tax assets are more-likely-than-not realizable, we evaluate all available positive and negative evidence, and weigh the objective evidence and expected impact. AsWe continue to record a valuation allowance against certain of ~~June 30, 2020, we recorded valuation allowances of $3.0 million against the~~our foreign net deferred tax assets and a small component of ~~certain foreign subsidiaries, as well as a valuation allowance of $0.7 million against net state~~our domestic deferred tax ~~assets due to the potential expiration of certain state tax losses and tax credits prior to utilization.~~

On June 19, 2020, we acquired the stock of Progenics Pharmaceuticals, Inc. in a transaction that is expected to qualify as a tax-deferred reorganization under Section 368 of the Internal Revenue Code of 1986, as amended. The transaction resulted in an ownership change of Progenics under Section 382 and a limitation on the utilization of Progenics’ pre-transaction tax attributes. All pre-transaction research credits and Orphan drug credits have been removed from the balance sheet, and the gross carrying value of the tax loss carryforwards reduced to their realizable value on the opening balance sheet, in accordance with the Section 382 limitation. Significant deferred tax liabilities arising from the purchase accounting basis step-up in identified intangibles were also recorded as part of the purchase accounting, resulting in a small net overall deferred tax liability for Progenics after the application of purchase accounting.assets.

Our effective tax rate for each reporting period is presented as follows:

Six Months Ended
June 30,
2020 2019
Effective tax rate (213.0)% 21.6%


	Six Months Ended June 30,
	2021	2020
Effective tax rate	(24.3)%	(213.0)%

Our effective tax rate in fiscal ~~2020~~2021 differs from the U.S. statutory rate of 21% principally due to ~~the impact of U.S.~~ state income taxes ~~non-deductible transaction costs,~~ and the ~~accrual of interest on uncertain~~ tax ~~positions.~~benefits created by stock compensation expense and tax credits.

The decrease in the effective income tax rate for the six months ended June 30, ~~2020 as compared to the prior year period~~2021 is primarily due to the ~~lower~~increased amount of pre-tax ~~income driving an increased tax rate impact from~~earnings achieved through six months when compared to the ~~accrual of interest on uncertain tax positions in the current period and non-deductible transaction costs.~~prior period.

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Liquidity and Capital Resources

Cash Flows

The following table provides information regarding our cash flows:


		Six Months Ended June 30,							Six Months Ended June 30,
(in thousands)	(in thousands)	2020		2019		(in thousands)	2021		2020
Net cash provided by operating activities	Net cash provided by operating activities	$	7,252	$	31,521	Net cash provided by operating activities	$	35,687	$	7,252
Net cash provided by (used in) investing activities		$	2,609	$	(13,984)
Net cash provided by investing activities						Net cash provided by investing activities	$	10,647	$	2,609
Net cash used in financing activities	Net cash used in financing activities	$	(10,218)	$	(74,158)	Net cash used in financing activities	$	(35,506)	$	(10,218)

Net Cash Provided by Operating Activities

Net cash provided by operating activities of $35.7 million in the six months ended June 30, 2021 was driven primarily by a change in fair value of contingent assets and liabilities of $25.9 million (refer to Note 4, “Fair Value of Financial Instruments”, for further details on contingent consideration liabilities, including CVRs), depreciation, amortization and accretion expense of $17.7 million, stock-based compensation expense of $7.9 million, deferred income taxes of $2.7 million and a net increase of $11.5 million related to movements in our working capital accounts during the period. The overall increases in cash from our working capital accounts were primarily driven by an increase in sales collections, the timing of payments to large vendors, a reduction in inventory due to obsolescence as well as the timing of inventory purchases. These net sources of cash were offset by a net loss of $17.6 million and a gain on sale of assets of $15.3 million.

Net cash provided by operating activities of $7.3 million in the six months ended June 30, 2020 was driven primarily by ~~$7.8 million of~~ depreciation, amortization and accretion expense of $7.8 million, impairment of long-lived assets of $7.3 million, stock-based compensation expense of $6.5 million, and changes in deferred taxes of $1.1 million. These net sources of cash were offset by a net loss of $3.7 million and a net decrease of $14.4 million related to movements in our working capital accounts during the period. The overall decreases in cash from our working capital accounts were primarily driven by the payment of prior year annual bonuses as well as change in inventory related to COVID-19 impact on products and the timing of batch processes.

Net Cash Provided by Investing Activities

Net cash provided by ~~operating~~investing activities ~~of $31.5 million in~~during the six months ended June 30, ~~2019~~2021 was ~~driven~~ primarily due to cash proceeds of $15.8 million received from the sale of our Puerto Rico subsidiary, which was offset by ~~net income of $16.4 million plus $6.6~~$5.2 million of depreciation, amortization and accretion expense, debt extinguishment expense of $3.2 million, stock-based compensation expense of $6.1 million and changes in deferred taxes of $2.4 million. These net sources of cash were offset by a net decrease of $5.2 million related to movements in our working capital ~~accounts during the period. The overall decreases in cash from our working capital accounts were primarily driven by the payment of prior year annual bonuses.~~

~~Net Cash Provided by Investing Activities~~expenditures.

Net cash used in investing activities during the six months ended June 30, 2020 reflected $17.6 million of acquired cash related to the non-cash acquisition of Progenics offset by $10.0 million in lending on a note receivable to Progenics prior to the acquisition and $5.0 million in capital expenditures.

Net Cash Used in Financing Activities

Net cash used in ~~investing~~financing activities during the six months ended June 30, 2021 is primarily attributable to the payments on long-term debt and other borrowings of $38.1 million related to the 2019 ~~reflected $14.0~~Term Facility and Royalty-Backed Loan, including a voluntary repayment of the outstanding principal on the Royalty-Backed Loan and payments for minimum statutory tax withholding related to net share settlement of equity awards of $1.8 million ~~in capital expenditures.~~

~~Net Cash Used in Financing Activities~~offset by proceeds of $4.1 million from stock option exercises.

Net cash used in financing activities during the six months ended June 30, 2020 is primarily attributable to the payments on long-term debt and other borrowings of $7.0 million related to the 2019 Term Facility and Royalty-Backed Loan and payments for minimum statutory tax withholding related to net share settlement of equity awards of $2.0 million.

Net cash used in financing activities during the six months ended June 30, 2019 is primarily attributable to the net cash outflow of approximately $73 million in connection with the refinancing of our previous 2017 Facility and payments for minimum statutory tax withholding related to net share settlement of equity awards of $2.1 million. Starting in 2019, we require certain senior executives to cover tax liabilities resulting from the vesting of their equity awards pursuant to sell-to-cover transactions under 10b5-1 plans.

External Sources of Liquidity

In June 2019, we refinanced our 2017 ~~$275~~$275.0 million five-year term loan facility with the 2019 Term Facility. In addition, we replaced our ~~$75~~$75.0 million revolving facility with our five-year revolving credit facility (the “2019 Revolving Facility” and, together with the 2019 ~~Revolving Facility.~~Term Facility, the “2019 Facility”). The terms of the 2019 Facility are set forth in the Credit Agreement, dated as of June 27, 2019, by and among us, the lenders from time to time party thereto and Wells Fargo Bank, N.A., as administrative agent and collateral ~~agent (the “2019 Credit Agreement”).~~agent. We have the right to request an increase to the 2019 Term Facility or request the establishment of one or more new incremental term loan facilities, in an aggregate principal amount of up to ~~$100~~$100.0 million, plus additional amounts, in certain circumstances.

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We are permitted to voluntarily ~~prepay~~repay the 2019 Term Loans, in whole or in part, without premium or penalty. The 2019 Term Facility requires us to make mandatory prepayments of the outstanding 2019 Term Loans in certain circumstances. The 2019 Term Facility amortizes at ~~5.00%~~5.0% per year through September 30, 2022 and 7.5% thereafter, until its June 27, 2024 maturity date.

Under the terms of the 2019 Revolving Facility, the lenders thereunder agreed to extend credit to us from time to time until June 27, 2024 consisting of revolving loans in an aggregate principal amount not to exceed ~~$200~~$200.0 million at any time outstanding. The 2019 Revolving Facility includes a ~~$20~~$20.0 million sub-facility for the issuance of Letters of Credit. The 2019 Revolving Facility includes

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a ~~$10~~$10.0 million sub-facility for Swingline Loans. The Letters of Credit, Swingline Loans and the borrowings under the 2019 Revolving Facility are expected to be used for working capital and other general corporate purposes.

Please refer to our Form 10-K for fiscal year ended December 31, ~~2019~~2020 for further details on the 2019 Facility.

~~On April 6, 2020, the Company drew down $100.0 million under its 2019 Revolving Facility, and subsequently repaid such amounts on June 9, 2020.~~

On June 19, 2020, we amended our 2019 Credit Agreement ~~(“the Amendment”~~(the “Amendment”) as a result of the impact of the COVID-19 pandemic on our business and operations and the near-term higher level of indebtedness resulting from our decision not to immediately repay the Progenics debt secured by the RELISTOR royalties following ~~our acquisition of Progenics.~~the Progenics Acquisition.

The Amendment provides for, among other things, modifications to our financial maintenance covenants. The covenant related to Total Net Leverage Ratio (as defined in the Amended Credit Agreement) ~~has been~~was waived from the date of the Amendment through December 31, 2020. The maximum total net leverage ratio and interest coverage ratio permitted by the financial covenant is displayed in the table below:


2020 Amended Credit Agreement
Period			Total Net Leverage Ratio
~~Q1 2021~~			~~5.50 to 1.00~~
Q2 2021			3.75 to 1.00
Thereafter			3.50 to 1.00

Period			Interest Coverage Ratio
Q2 ~~2020 to Q1~~ 2021			~~2.00 to 1.00~~
~~Thereafter~~ and thereafter			3.00 to 1.00

~~The Amendment also introduces a new~~As of June 30, 2021, we were in compliance with all financial ~~covenant requiring Consolidated Liquidity (as defined in~~and other covenants under the Amended Credit Agreement) to be no less than $150.0 million. The Consolidated Liquidity covenant is tested on a continuing basis beginning on the date of the Amendment and ending on the date on which we deliver a compliance certificate for the fiscal quarter ending March 31, 2021.Amendment.

The commitment fee applicable to the Revolving Facility iswas 0.50% until the Adjustment Date for the fiscal quarter ending March 31, 2021. On and after the Adjustment Date for the fiscal quarter ending on March 31, 2021, the commitment fee ranges from 0.15% to 0.40% based on our Total Net Leverage Ratio.

On June 19, 2020, as a result of the Progenics ~~Transaction,~~Acquisition, we assumed Progenics outstanding debt as of such date in the amount of $40.2 million. Progenics, through a wholly-owned subsidiary MNTX Royalties Sub LLC (“MNTX Royalties”), entered into a $50.0 million loan agreement (the “Royalty-Backed Loan”) with a fund managed by HealthCare Royalty Partners III, L.P. (“HCRP”) on November 4, 2016. Under the terms of the Royalty-Backed Loan, the lenders ~~have~~had no recourse to Progenics or any of its assets other than the right to receive royalty payments from the commercial sales of RELISTOR products owed under Progenics’ license agreement with Salix Pharmaceuticals, Inc., a wholly-owned subsidiary of Bausch. The RELISTOR royalty payments ~~will be~~were used to repay the principal and interest on the loan. The Royalty-Backed Loan ~~bears~~bore interest at a per annum rate of 9.5% and ~~matures~~matured on June 30, 2025. On June 22, 2020, HCRP waived the automatic acceleration of the Royalty-Backed Loan that otherwise would have been triggered by the consummation of the Progenics ~~Transaction~~Acquisition and MNTX Royalties agreed not to prepay the loan until after December 31, 2020.

~~Under~~On March 31, 2021, we voluntarily repaid in full the ~~terms of the loan agreement, payments of interest and~~entire outstanding principal ~~if any, are made~~ on the ~~last day~~Royalty-Backed Loan in the amount of ~~each calendar quarter out~~$30.9 million, which included a prepayment amount of ~~RELISTOR royalty payments received since~~$0.5 million, and terminated the immediately-preceding payment date. On each payment date, 50% of RELISTOR royalty payments received since the immediately-preceding payment date in excess of accrued interest on the loan are used to repay the principal of the loan, with the balance retained by us. Starting on September 30, 2021, all of the RELISTOR royalties

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~~received since the immediately-preceding payment date will be used to repay the interest and outstanding principal balance until the balance is fully repaid.~~agreement.

Our ability to fund our future capital needs will be affected by our ability to continue to generate cash from operations and may be affected by our ability to access the capital markets, money markets or other sources of funding, as well as the capacity and terms of our financing arrangements.

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We may from time to time repurchase or otherwise retire our debt and take other steps to reduce our debt or otherwise improve our balance sheet. These actions may include prepayments of our term loans or other retirements or refinancing of outstanding debt, privately negotiated transactions or otherwise. The amount of debt that may be retired, if any, could be material and would be decided at the sole discretion of our Board of Directors and will depend on market conditions, our cash position and other considerations.

Funding Requirements

Our future capital requirements will depend on many factors, including:

•The level of product sales and the pricing environment of our currently marketed products, particularly DEFINITY and any additional products that we may market in the future, including decreased product sales resulting from the COVID-19 pandemic;

•Revenue mix shifts and associated volume and selling price changes that could result from contractual status changes with key customers and additional competition;

•The costs of the PYLARIFY commercial launch and our ability to successfully commercialize PYLARIFY;

•The costs of acquiring or in-licensing, developing, obtaining regulatory approval for, and commercializing, new products, businesses or technologies, together with the costs of pursuing opportunities that are not eventually consummated;

•Our investment in the further clinical development and commercialization of products and development candidates, including ~~the newly acquired Progenics assets~~ AZEDRA, ~~PyL,~~PYLARIFY, 1095, LMI 1195, aBSI and PSMA AI;

•The costs of investing in our facilities, equipment and technology infrastructure;

•The costs and timing of establishing manufacturing and supply arrangements for commercial supplies of our products and raw materials and components;

•Our ability to have product manufactured and released from JHS and other manufacturing sites in a timely manner in the future;

•The costs of further commercialization of our existing products, particularly in international markets, including product marketing, sales and distribution and whether we obtain local partners to help share such commercialization costs;

•The extent to which we choose to establish collaboration, co-promotion, distribution or other similar arrangements for our marketed products;

•The legal costs relating to maintaining, expanding and enforcing our intellectual property portfolio, pursuing insurance or other claims and defending against product liability, regulatory compliance or other claims; and

•The cost of interest on any additional borrowings which we may incur under our financing arrangements.

Until we successfully become dual sourced for our principal products, we are vulnerable to future supply shortages. Disruption in our financial performance could also occur if we experience significant adverse changes in product or customer mix, broad economic downturns, adverse industry or company conditions or catastrophic external events, including pandemics such as COVID-19, natural disasters and political or military conflict. If we experience one or more of these events in the future, we may be required to further implement ~~further~~ expense reductions, such as a delay or elimination of discretionary spending in all functional areas, as well as scaling back select operating and strategic initiatives.

If our capital resources become insufficient to meet our future capital requirements, we would need to finance our cash needs through public or private equity offerings, debt financings, assets securitizations, sale-leasebacks or other financing or strategic alternatives, to the extent such transactions are permissible under the covenants of our Credit Agreement. Additional equity or debt financing, or other transactions, may not be available on acceptable terms, if at all. If any of these transactions require an amendment or waiver under the covenants in our Credit Agreement, which could result in additional expenses associated with obtaining the amendment or waiver, we will seek to obtain such a waiver to remain in compliance with those covenants. However, we cannot be assured that such an amendment or waiver would be granted, or that additional capital will be available on acceptable terms, if at all.

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At June 30, ~~2020,~~2021, our only current committed external source of funds is our borrowing availability under our 2019 Revolving Facility. We had ~~$90.3~~$91.5 million of cash and cash equivalents at June 30, ~~2020.~~2021. Our 2019 Facility, as amended, contains a number of affirmative, negative, reporting and financial covenants, in each case subject to certain exceptions and materiality thresholds. Incremental borrowings under the 2019 Revolving Facility, as amended, may affect our ability to comply with the covenants in the 2019 Facility, as amended, including the financial covenants restricting consolidated net leverage and interest coverage. Accordingly, we may be limited in utilizing the full amount of our 2019 Revolving Facility, as amended, as a source of liquidity.

In addition, in connection with the Progenics Transaction, which we closed in June 2020, we incurred legal, accounting, financial advisory, consulting and printing fees, and transition, integration and other costs which we funded from our available cash and the available cash

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The CVRs we issued in the Progenics ~~Transaction~~Acquisition entitle holders thereof to future cash payments of 40% of ~~PyL~~PYLARIFY net sales over (i) ~~$100~~$100.0 million in 2022 and (ii) ~~$150~~$150.0 million in 2023, which, if payable, we currently intend to fund from our then-available cash. In no event will our aggregate payments under the CVRs, together with any other non-stock consideration treated as paid in connection with the Progenics ~~Transaction,~~Acquisition, exceed 19.9% (which we estimate could be approximately ~~$100~~$100.0 million) of the total consideration we pay in the Progenics ~~Transaction.~~Acquisition. Refer to Note 4, “Fair Value of Financial Instruments”, for further details on contingent consideration liabilities.

Based on our current operating plans, including our prudent expense management in response to the COVID-19 pandemic, we believe that our existing cash and cash equivalents, results of operations and availability under our 2019 Revolving Facility, as amended, will be sufficient to continue to fund our liquidity requirements for the foreseeable future.

Critical Accounting Policies and Estimates

The discussion and analysis of our financial condition and results of operations are based on our condensed consolidated financial statements, which have been prepared in accordance with U.S. GAAP. The preparation of these condensed consolidated financial statements ~~require~~requires us to make estimates and judgments that affect our reported assets and liabilities, revenues and expenses, and other financial information. Actual results may differ materially from these estimates under different assumptions and conditions. In addition, our reported financial condition and results of operations could vary due to a change in the application of a particular accounting standard.

There have been no other significant changes to our critical accounting policies or in the underlying accounting assumptions and estimates used in such policies in the six months ended June 30, ~~2020, except as set forth below.~~2021. For further information, refer to our summary of significant accounting policies and estimates in our Annual Report on Form 10-K filed for the year ended December 31, ~~2019.~~

~~Business Combinations~~

We account for business combinations using the acquisition method of accounting. We recognize the assets acquired and liabilities assumed in business combinations on the basis of their fair values at the date of acquisition. We assess the fair value of assets acquired, including intangible assets, and liabilities assumed using a variety of methods. Each asset acquired and liability assumed is measured at fair value from the perspective of a market participant. The method used to estimate the fair values of intangible assets incorporates significant assumptions regarding the estimates a market participant would make in order to evaluate an asset, including a market participant’s use of the asset and the appropriate discount rates. Acquired in-process research and development (“IPR&D”) is recognized at fair value and initially characterized as an indefinite-lived intangible asset, irrespective of whether the acquired IPR&D has an alternative future use. Any excess purchase price over the fair value of the net tangible and intangible assets acquired is allocated to goodwill. Transaction costs and restructuring costs associated with a business combination are expensed as incurred.

The fair values assigned to tangible and intangible assets acquired and liabilities assumed are based on our estimates and assumptions, as well as other information we have compiled, including valuations that utilize customary valuation procedures and techniques. If the actual results differ from the estimates and assumptions used in these estimates, it could result in a possible impairment of the intangible assets and goodwill, a required acceleration of the amortization expense of finite-lived intangible assets or the recognition of additional consideration, which would be expensed.

During the measurement period, which extends no later than one year from the acquisition date, we may record certain adjustments to the carrying value of the assets acquired and liabilities assumed with the corresponding offset to goodwill. After the measurement period, all adjustments are recorded in the condensed consolidated statements of operations as operating expenses or income.

~~Intangible and Long-Lived Assets~~

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We test intangible and long-lived assets for recoverability whenever events or changes in circumstances suggest that the carrying value of an asset or group of assets may not be recoverable. We measure the recoverability of assets to be held and used by comparing the carrying amount of the asset to future undiscounted net cash flows expected to be generated by the asset. If those assets are considered to be impaired, the impairment equals the amount by which the carrying amount of the assets exceeds the fair value of the assets. Any impairments are recorded as permanent reductions in the carrying amount of the assets. Long-lived assets, other than goodwill and other intangible assets, that are held for sale are recorded at the lower of the carrying value or the fair market value less the estimated cost to sell.

Intangible assets, consisting of trademarks, customer relationships, currently marketed products, licenses and developed technology are amortized in a method equivalent to the estimated utilization of the economic benefit of the asset.

Our IPR&D represents intangible assets acquired in a business combination that are used in research and development activities but have not yet reached technological feasibility, regardless of whether they have alternative future use. The primary basis for determining the technological feasibility or completion of these projects is whether we have obtained regulatory approval to market the underlying products in an applicable geographic region. Because obtaining regulatory approval can include significant risks and uncertainties, the eventual realized value of the acquired IPR&D projects may vary from their fair value at the date of acquisition. We classify IPR&D acquired in a business combination as an indefinite-lived intangible asset until the completion or abandonment of the associated research and development efforts. Upon completion of the associated research and development efforts, we will determine the useful life and begin amortizing the assets to reflect their use over their remaining lives. Upon permanent abandonment, we write-off the remaining carrying amount of the associated IPR&D intangible asset. We test our IPR&D assets at least annually or when a triggering event occurs that could indicate a potential impairment and we recognize any impairment loss in our condensed consolidated statements of operations.2020.

Off-Balance Sheet Arrangements

We are required to provide the U.S. Nuclear Regulatory Commission and Massachusetts Department of Public Health financial assurance demonstrating our ability to fund the decommissioning of our North Billerica, Massachusetts production facility upon closure, though we do not intend to close the facility. We have provided this financial assurance in the form of a $28.2 million surety bond.

Since inception, we have not engaged in any other off-balance sheet arrangements, including structured finance, special purpose entities or variable interest entities.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

For quantitative and qualitative disclosures about market risk, ~~except as set forth below,~~ see Part II, Item ~~7A,~~7A. “Quantitative and Qualitative Disclosures About Market Risk,” of our Annual Report on Form 10-K for the year ended December 31, ~~2019.~~2020. Our exposures to market risk have not changed materially since December 31, ~~2019.~~

~~Interest Rate Risk~~

The Company uses interest rate swaps to reduce the variability in cash flows associated with a portion of the Company’s forecasted interest payments on its variable rate debt. As of June 30, 2020, the Company had entered into interest rate swap contracts to fix the LIBOR rate on a notional amount of $100.0 million through May 31, 2024. The average fixed LIBOR rate on the interest rate swaps as of June 30, 2020 was approximately 0.82%. This agreement involves the receipt of floating rate amounts in exchange for fixed rate interest payments over the life of the agreement without an exchange of the underlying principal amount. Please refer to Note 12, “Derivative Instruments”, for further details on the interest rate swaps.2020.

Item 4. Controls and Procedures

Disclosure Controls and Procedures

The Company’s management, with the participation of the Company’s Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”), its principal executive officer and principal financial officer, respectively, has evaluated the effectiveness of the Company’s disclosure controls and procedures as defined in Rule 13a-15(e) and 15d-15(e) of the Exchange Act. Based on that evaluation, the Company’s CEO and CFO concluded that the Company’s disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) were effective as of the period covered by this report.

Changes in Internal Controls Over Financial Reporting

As of June 30, 2020, management is in the process of evaluating and integrating the internal controls of the acquired Progenics business into the Company's existing operations. During the quarter, the Company implemented controls over the accounting and disclosures related to the business combination and integration of the Progenics business. There were no ~~other material changes in the~~

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Company's internal control over financial reporting during the quarter ended June 30, 2020, that has materially affected, or is reasonably likely to materially affect, the Company's internal control over financial reporting. Additionally, as a result of the COVID-19 pandemic, certain employees began working remotely in March. Notwithstanding these changes to the working environment, we have not identified any material changes in our internal control over financial reporting ~~due~~during the six months ended June 30, 2021 that have materially affected, or are reasonably likely to ~~the COVID-19 pandemic.~~ materially affect, our internal control over financial reporting.

We are continually monitoring and assessing the ~~COVID-19 situation~~pandemic status to determine any potential impact on the design and operating effectiveness of our internal controls over financial reporting.

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PART II. OTHER INFORMATION

Item 1. Legal Proceedings

~~From time~~Information with respect to ~~time, the Company is a party to various~~certain legal proceedings ~~arising~~is included in ~~the ordinary course of business. In addition, the Company has in the past been,~~Note 18, “Commitments and may in the future be, subject to investigations by governmental and regulatory authorities, which expose it to greater risks associated with litigation, regulatory or other proceedings, as a result of which the Company could be required to pay significant fines or penalties. The costs and outcome of litigation, regulatory or other proceedings cannot be predicted with certainty, and some lawsuits, claims, actions or proceedings may be disposed of unfavorablyContingencies”, to the ~~Company and could have a material adverse effect~~consolidated financial statements contained in Part I, Item 1. Financial Statements of this Quarterly Report on the Company’s results of operations or financial condition. In addition, intellectual property disputes often have a risk of injunctive relief which, if imposed against the Company, could materially and adversely affect its financial condition or results of operations.

~~As of June 30, 2020, the Company had the following material ongoing litigation to which the Company was a party:~~

~~RELISTOR Subcutaneous Injection~~

~~RELISTOR Tablets - Actavis~~

~~RELISTOR European Opposition Proceedings~~

In addition to the above described ANDA notifications, in October 2015, Progenics received notices of opposition to three European patents relating to methylnaltrexone. Notices of opposition were filed separately by each of Actavis Group PTC ehf and Fresenius Kabi Deutschland GmbH. Between May 11, 2017 and July 4, 2017, the opposition division provided notice that the three European patents would be revoked. Each of these matters are on appeal with the European Patent Office. Oral proceedings are set to occur on September 22, 2020, November 17, 2020 and November 18, 2020. For each of the above-described RELISTOR proceedings, Progenics and Bausch continue to cooperate closely to vigorously defend and enforce RELISTOR intellectual property rights. Pursuant to the RELISTOR license agreement between Progenics and Bausch, Bausch has the first right to enforce the intellectual property rights at issueForm 10-Q and is ~~responsible for the costs of such enforcement. Because the outcome of litigation is uncertain~~incorporated herein by reference.

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and in these RELISTOR proceedings the Company does not control the enforcement of the intellectual property rights at issue, no assurance can be given as to how or when any of these RELISTOR proceedings will ultimately be resolved.

~~German PSMA-617 Litigation~~

On November 8, 2018, Molecular Insight Pharmaceuticals, Inc., a subsidiary of Progenics (“MIP”), filed a complaint against the University of Heidelberg (the “University”) in the District Court of Mannheim in Germany. In this Complaint, MIP claimed that the discovery and development of PSMA-617 was related to work performed under a research collaboration sponsored by MIP. MIP alleged that the University breached certain contracts with MIP and that MIP is the co-owner of inventions embodied in certain worldwide patent filings related to PSMA-617 that were filed by the University in its own name. On February 27, 2019, Endocyte, Inc., a wholly owned subsidiary of Novartis AG, filed a motion to intervene in the German litigation. Endocyte is the exclusive licensee of the patent rights that are the subject of the German proceedings.

On November 27, 2018, MIP requested that the European Patent Office (“EPO”) stay the examination of a certain European Patent (EP) and related Divisional Applications, pending a decision from the German District Court on MIP’s Complaint. On December 10, 2018, the EPO granted MIP’s request and stayed the examination of the patent and patent applications effective November 27, 2018. MIP filed a Confirmation of Ownership with the United States Patent and Trademark Office (“USPTO”) in the corresponding US patent applications. MIP’s filing with the USPTO takes the position that, in light of the collaboration and contracts between MIP and the University, MIP is the co-owner of these pending U.S. patent applications. On March 6, 2020, MIP filed with the USPTO a notice stating that the Power of Attorney in certain pending US patent applications was signed by less than all applicants or owners of the applications.

On February 27, 2019, the German District Court set €0.4 million as the amount MIP must deposit with the Court as security in the event of an unfavorable final decision on the merits of the dispute. The Court held the first oral hearing in the case on August 6, 2019. The Court considered procedural matters and granted the parties the right to make further submissions. A further oral hearing occurred July 23, 2020, during which the Court heard live testimony from several witnesses.

Progenics is vigorously enforcing its rights in this German proceeding. Because Progenics is the plaintiff, if unsuccessful in this proceeding, Progenics may also have liability for Court fees and fees and disbursements of defendant’s and intervenor’s counsel, such fees and disbursements to be at least partially covered by the aforementioned cash security deposited with the Court. Because the outcome of litigation is uncertain, no assurance can be given as to how or when this German proceeding will ultimately be resolved.

~~Litigation Related to the Merger~~

Nine purported stockholders of Progenics filed ten lawsuits alleging, among other things, that Progenics and the members of the Progenics Board of Directors violated Sections 14(a) and 20(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and 17 C.F.R. § 244.100 and Rule 14a-9 promulgated under the Exchange Act, by misstating or omitting certain allegedly material information in the S-4 Registration Statement filed with the Securities and Exchange Commission (“SEC”) on November 12, 2019, the amended S-4 Registration Statement filed with the SEC on March 16, 2020, and/or the Schedule 14A proxy statement filed with the SEC on March 19, 2020 related to the Merger. Two of the actions alleged that the Company and Plato Merger Sub, Inc. (“Merger Sub”) violated Section 14(a) and/or Section 20(a) of the Exchange Act. One of the actions further alleged that the members of the Progenics Board breached their fiduciary duties of care, loyalty and good faith to the stockholders of Progenics related to the Merger, that Progenics, the Company and Merger Sub aided and abetted such breaches of fiduciary duty, and that the Company and Merger Sub violated Section 14(a) of the Exchange Act. All such lawsuits have been voluntarily dismissed, with the last of the cases dismissed on June 23, 2020.

~~Whistleblower Complaint~~

In July 2019, Progenics received notification of a complaint submitted by Dr. Syed Mahmood, the former Vice President of Medical Affairs for Progenics, to the Occupational Safety and Health Administration of the United States Department of Labor (“DOL”), alleging that the termination of his employment by Progenics was in violation of Section 806 of the Sarbanes-Oxley Act of 2002 (“SOX”). Dr. Mahmood sought reinstatement to his former position of Vice President of Medical Affairs, back pay, front pay in lieu of reinstatement, interest, attorneys’ fees and costs incurred, and special damages. In March 2020, Dr. Mahmood filed a complaint in the U.S. District Court for the Southern District of New York (as permitted by SOX because the DOL had not issued a decision within 180 days). Dr. Mahmood’s federal complaint asserts claims of violation of Section 806 of SOX. The DOL action has been dismissed and the matter will proceed in federal district court. Progenics’ Answer to the Complaint is presently due by August 26, 2020.

~~The Company believes the claims in this matter are without merit, and the Company has meritorious defenses to the claims. The Company intends to vigorously defend against the claims.~~

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Item 1A. Risk Factors

There have been no material changes to the risk factors set forth in our Annual Report on Form 10-K for the year ended December 31, ~~2019 and our Quarterly Report on Form 10-Q for the quarter ended March 31,~~ 2020, except as set forth ~~below~~below:

Ultrasound enhancing agents may cause side effects which ~~generally relate to the COVID-19 pandemic and the Progenics business and assets we have recently acquired:~~

~~The COVID-19 pandemic~~ could ~~have a material impact on our business, results of operation and financial condition, operating results, cash flows and prospects.~~

In December 2019, a novel strain of coronavirus (COVID-19) emerged in Wuhan China. Less than four months later, in March 2020, the World Health Organization declared COVID-19 a pandemic. While the outbreak initially was largely concentrated in China and caused significant disruptions in its economy, the virus has now spread to many other countries and regions, and every state within the United States, including Massachusetts, where our primary offices and manufacturing facility are located, as well as New York, New Jersey, Puerto Rico, Canada and Sweden, where our other offices and manufacturing facilities are located.

Towards the end of the first quarter of 2020 we began to experience, and through the date of this filing we are continuing to experience, impacts to our business and operations related to the COVID-19 pandemic, including the impact of stay-at-home mandates and advisories, and a decline in the volume of procedures using our products. In response to the pandemic, healthcare providers have, and may need to further, reallocate resources, such as physicians, staff and facilities, as they prioritize limited resources and personnel capacity to focus on the treatment of patients with COVID-19 and implement limitations on access to hospitals and other medical institutions due to concerns about the potential spread of COVID-19 in such settings. These actions have significantly delayed the provision of other medical care including procedures involving our products, having an adverse effect on our revenue. These measures and challenges may continue for the duration of the COVID-19 pandemic, and such duration is uncertain and may significantly reduce our revenue and cash flows while the pandemic continues and thereafter until we and our customers are able to resume normal business operations. We cannot predict the magnitude or duration of the pandemic’s impact on our business.

~~In connection with the COVID-19 pandemic, the following risks could have a material effect on our business, financial condition, results of operations and prospects:~~

•The delay or cancellation by hospitals and clinics of the procedures in which our products are used as a result of their COVID-19 response efforts and the duration of such effects, thereby reducing sales of our products for an unknown period of time;

•The inability or unwillingness of some patients to visit hospitals or clinics in order to undergo procedures in which our products are used, thereby reducing sales of our products for an unknown period of time;

•The inability of some patients to pay for procedures and/or the co-pay associated with those procedures in which our products are used due to job loss or lack of insurance, thereby reducing sales of our products for an unknown period of time;

•The inability of our distributors, radiopharmacy customers, hospitals, clinics and other customers to conduct their normal operations, including supplying or conducting procedures in which our products are used, because of their COVID-19 response efforts, or the reduced capacity or productivity of their employees and contractors as a result of possible illness, quarantine or other inability to work, thereby reducing sales of our products for an unknown period of time;

•The reduction in pulmonary ventilation studies in which our Xenon-133 gas is used because of institutional concerns about a hospital’s ability to adequately decontaminate equipment used to administer those studies during the COVID-19 pandemic, thereby reducing Xenon-133 sales for an unknown period of time;

•The inability of global suppliers of raw materials or components used in the manufacture of our products, or contract manufacturers of our products, to supply and/or transport those raw materials, components and products to us in a timely and cost effective manner due to shutdowns, interruptions or delays, limiting and potentially precluding the production of our finished products, impactinglimit our ability to ~~supply customers, reducing our sales, increasing our costs~~sell DEFINITY.

DEFINITY is an ultrasound enhancing agent based on perflutren lipid microspheres. In 2007, the FDA received reports of ~~goods sold,~~deaths and ~~reducing our absorption~~serious cardiopulmonary reactions following the administration of ~~overhead;~~

•~~The partial~~ultrasound micro-bubble enhancing agents used in echocardiography. Four of the 11 reported deaths were caused by cardiac arrest occurring either during or ~~complete delay or cancellation~~within 30 minutes following the administration of ~~international or domestic flights by our airfreight carriers, resulting~~the ultrasound enhancing agent; most of the serious but non-fatal reactions also occurred in our inability to receive raw materials, components and products from our global suppliers or to ship and deliver our finished products to our domestic and international customers in a timely or cost effective manner, thereby potentially increasing our freight costs as we seek alternate, potentially more expensive, methods to ship raw materials, components or products, and negatively impacting our sales;

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•~~The reduced capacity or productivity of our complex, on-campus operations as~~this time frame. As a result, in October 2007, the FDA requested that we and GE Healthcare, which distributes Optison, a competitor to DEFINITY, add a boxed warning to these products emphasizing the risk for serious cardiopulmonary reactions and that the use of ~~possible illness, quarantine or other inability of our employees and contractors to work, despite all of~~these products was contraindicated in certain patients. In a strong reaction by the ~~preventative measures we continue to undertake to protect the health and safety of our workforce;~~

•~~The illiquidity or insolvency of our suppliers, contract manufacturers or freight carriers whose business activities could be shut down, interrupted or delayed;~~

•~~The illiquidity or insolvency of our distributors or customers, or their inability to pay our invoices in full or in a timely manner, due~~cardiology community to the ~~reduction in their revenues caused~~FDA’s new position, a letter was sent to the FDA, signed by 161 doctors, stating that the ~~cancellation or delay~~benefit of ~~procedures~~these ultrasound enhancing agents outweighed the risks and ~~other factors, which could potentially reduce our cash flow, reduce our liquidity and increase our bad debt reserves;~~

•~~A portion~~urging that the boxed warning be removed. In May 2008, the FDA substantially modified the boxed warning. On May 2, 2011, the FDA held an advisory committee meeting to consider the status of ~~our raw materials or finished product inventory may expire due to reduced demand for our drugs;~~

•~~Delays in our ability,~~ultrasound micro-bubble contrast agents and the ~~ability~~boxed warning. In October 2011, we received FDA approval of our development partners to conduct, enroll and complete clinical development programs such as our ARROW Phase 2 study in mCRPC, the flurpiridaz F 18 Phase 3 clinical development program currently being conducted by GE Healthcare, or the Phase 1 trial of PSMA TTC being conducted by Bayer AG;

•~~Delays of regulatory reviews and approvals, including with respect to our product candidates, by the FDA or other health or regulatory authorities;~~

•~~Decreased sales of those of our products that are promotionally sensitive, like DEFINITY, due~~further modifications to the ~~reduction of in-person sales and marketing activities and training caused by travel restrictions, quarantines, other similar social distancing measures and more restrictive hospital access policies;~~

•~~Our ability to maintain employee morale and motivate and retain management personnel and other key employees as a result of our previous work week and salary reductions;~~

•A disruption or delay in regulatory approval for, and operation of, our new, on-campus manufacturing facility, which would delay implementation of our supply diversification strategy for certain of our key products and impact our ability to benefit from a lower cost of goods for those products;

•A reduction in revenue with continued incurrence of high fixed costs relating to our already-existing, complex and expensive radiopharmaceutical manufacturing facility could adversely affect our cash flows, liquidity and ability to comply withDEFINITY label, including: further relaxing the ~~financial covenants in our 2019 Facility, and there can be no assurance that any required waiver or consent related to any such failure to comply would be granted by our current lenders similar to~~boxed warning; eliminating the ~~waiver of total net leverage ratio in exchange for a consolidated liquidity covenant recently included~~sentence in the ~~Amendment;~~

•~~The increased reliance on our personnel working from home, which may negatively impact productivity,~~Indication and Use section “The safety and efficacy of DEFINITY with exercise stress or ~~disrupt, delay or otherwise adversely impact our business;~~

•~~A delay~~pharmacologic stress testing have not been established” (previously added in achieving, or inability to achieve, successful integration of Lantheus and Progenics, or the synergies, cost savings, innovation and other anticipated benefits of the acquisition due to impact of the COVID-19 pandemic on the operations, financial condition and prospects of our Company;

•The instability to worldwide economies, financial markets, social institutions, labor markets and the healthcare systems as a result of the COVID-19 pandemic, which could result in an economic downturn that could adversely impact our business, results of operations and financial condition, as well as that of our suppliers, distributors, customers or other business partners; and

•~~A recurrence of the COVID-19 pandemic after social distancing and other similar measures have been relaxed.~~

The extent to which the COVID-19 pandemic impacts our business and our results of operations and financial condition will depend on future developments that are highly uncertain and cannot be predicted, including new information that may emergeOctober 2007 in connection with the ~~severity~~imposition of the ~~virus,~~box warning); and including summary data from the ~~ability~~post-approval CaRES (Contrast echocardiography Registry for Safety Surveillance) safety registry and the post-approval pulmonary hypertension study. Further, in January 2017, the FDA approved an additional modification to ~~treat~~the DEFINITY label, removing the contraindication statement related to use in patients with a known or suspected cardiac shunt. Bracco’s ultrasound enhancing agent, Lumason, has substantially similar safety labeling as DEFINITY and ~~ultimately prevent it, its potential recurrence,~~Optison. In April 2021, after reviewing certain adverse events that occurred in patients with a prior history of allergic reactions to polyethylene glycol (“PEG”), an inactive excipient in both DEFINITY and ~~actions that~~Lumason, the FDA and the marketing authorization holders of these products agreed to an additional contraindication for use of these products, including advising clinicians to assess patients for prior PEG hypersensitivity before administering these products. If additional safety issues arise (not only with DEFINITY but also potentially with Optison and Lumason), this may ~~be taken to contain its impact.~~

~~We rely~~result in unfavorable changes in labeling or result in restrictions on ~~Bausch to develop and commercialize RELISTOR, exposing us to significant risks.~~

~~We rely on Bausch to pursue and complete further development and obtain regulatory approvals for RELISTOR worldwide and to effectively commercialize~~the approval of our product, including removal of the product from the market. Lingering safety concerns about DEFINITY among some healthcare providers or future unanticipated side effects or safety concerns associated with DEFINITY could limit expanded use of DEFINITY and ~~manage pricing,~~have a material adverse effect on the unit sales of this product and ~~marketing practices~~our financial condition and ~~inventory levels~~results of operations.

In the U.S., we are heavily dependent on a few large customers to generate a majority of our revenues for our nuclear medical imaging products. Outside of the U.S., we rely primarily on distributors to generate a substantial portion of our revenue.

In the U.S., we have historically relied on a limited number of radiopharmacy customers, primarily Cardinal, RLS, UPPI, Jubilant Radiopharma and PharmaLogic, to distribute our current largest volume nuclear imaging products. Among the existing radiopharmacies in the ~~distribution channel. The revenue derived from royalty~~U.S., continued consolidations, divestitures and milestone payments from our RELISTOR collaboration with Bausch can fluctuate significantly from period to period, and our past revenue is therefore not necessarily indicative of our future revenue. We are and will be dependent upon Bausch and any other business partners with which we may collaborate in the future to perform and fund development, including clinical testing of RELISTOR, making related regulatory filings and manufacturing and marketing products, including for new indications and in new formulations, in their respective territories. Revenue from the sale of RELISTOR depends entirely upon the efforts of Bausch and its sublicensees, which have significant discretion in determining the

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efforts and resources they apply to sales of RELISTOR. Bausch may not be effective in obtaining approvals for new indications or formulations, marketing existing or future products or arranging for necessary sublicense or distribution relationships. Our business relationships with Bausch and other partners may not be scientifically, clinically or commercially successful. For example, Bausch has a variety of marketed products and its own corporate objectives, which may not be consistent with our best interests, and may change its strategic focus or pursue alternative technologies in a manner that results in reduced or delayed revenue to us. Bausch may also have commercial and financial interests that are not fully aligned with ours in a given territory or territories - which may make it more difficult for us to fully realize the value of RELISTOR. Wereorganizations may have ~~future disagreements with Bausch, which has significantly greater financial and managerial resources which it could draw upon in the event of~~ a ~~dispute. Such disagreements could lead to lengthy and expensive litigation or other dispute-resolution proceedings as well as extensive financial and operational consequences to us and have an adverse~~negative effect on our business, results of operations, financial condition and ~~financial condition. In addition, independent actions may be taken by Bausch concerning product development, marketing strategies, manufacturing and supply issues, and rights relating~~cash flows. We generally have distribution arrangements with our major radiopharmacy customers pursuant to ~~intellectual property.~~

~~We are also dependent on Bausch for compliance with regulatory requirements as they apply to RELISTOR.~~

~~The RELISTOR commercialization program continues to be~~multi-year contracts, each of which is subject to ~~risk.~~

~~Future developments in~~renewal. Recently, we extended our contract with Jubilant Radiopharma with respect to certain products, other than TechneLite and Thallium-201, through December 31, 2023. If these contracts are terminated prior to the ~~commercialization~~expiration of ~~RELISTOR may result in Bausch~~their term, or ~~any other business partner with which we may collaborate in the future taking independent actions concerning product development, marketing strategies~~are not renewed, or ~~other matters, including termination of its efforts to develop and commercialize the drug.~~

Under our license agreement with Bausch, Bausch is responsible for obtaining supplies of RELISTOR, including contracting with contract manufacturing organizations (“CMOs”) for supply of RELISTOR active pharmaceutical ingredient and subcutaneous and oral finished drug product. These arrangements may not beare renewed on terms that are ~~advantageous and, as a result of our royalty and other interests in RELISTOR’s commercial success, will subject~~less favorable to us, ~~to risks that the counterparties may not perform optimally in terms of quality or reliability.~~

Bausch’s ability to optimally commercialize either oral or subcutaneous RELISTOR in a given jurisdiction may be impacted by applicable labeling and other regulatory requirements. If clinical trials indicate, or regulatory bodies are concerned about, actual or possible serious problems with the safety or efficacy of RELISTOR, Bausch may stop or significantly slow further development or commercialization of RELISTOR. Inthen such an event we could be faced with either further developing and commercializing the drug on our own or with one or more substitute collaborators, either of which paths would subject us to the development, commercialization, collaboration and/or financing risks.

We are also aware of other approved and marketed products, as well as product candidates in pre-clinical or clinical development that are intended to target the side effects of opioid pain therapy and are direct competitors to RELISTOR. For instance, there are three approved products that target opioid-induced constipation: MOVANTIK® (naloxegol), AMITIZA® (lubiprostone), and Symproic® (naldemedine) which could compete with RELISTOR. The competitors who have developed these products and product candidates may have superior resources that allow them to implement more effective approaches to sales and marketing. There is no guarantee that RELISTOR will be able to compete commercially with these products. Additionally, there has been growing public concern regarding the use of opioid drugs. Any efforts by the FDA or other governmental authorities to restrict or limit the use of opioids may negatively impact the market for RELISTOR. In addition, there is a substantial risk that the revenue targets for receiving additional RELISTOR milestone payments will not be met. As a result, there is no assurance that we will realize the potential revenue represented by future RELISTOR milestone payments.

~~Any such significant action adverse to the further development and commercialization of RELISTOR could have an adverse impact on our business.~~

~~Our patents are subject to generic challenge, and the validity, enforceability and commercial value of these patents are highly uncertain.~~

Our ability to obtain and defend our patents impacts the commercial value of our products and product candidates. Third parties have challenged and are likely to continue challenging the patents that have been issued or licensed to us. Patent protection involves complex legal and factual questions and, therefore, enforceability is uncertain. Our patents may be challenged, invalidated, held to be unenforceable, or circumvented, which could negatively impact their commercial value. For example, Progenics (along with Bausch and Wyeth LLC) received notifications of a Paragraph IV certification for RELISTOR (methylnaltrexone bromide) subcutaneous injection and for RELISTOR (methylnaltrexone bromide) Tablets, for certain patents that are listed in the FDA Orange Book. The certifications resulted from filings by entities such as Mylan Pharmaceuticals Inc., Actavis LLC and Par Sterile Products, LLC of ANDAs with the FDA, challenging such patents for RELISTOR subcutaneous injection and seeking to obtain approval to market a generic version of RELISTOR subcutaneous injection and filings by Actavis

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Laboratories FL, Inc. seeking to obtain approval to market a generic version of RELISTOR Tablets before some or all of these patents expire. Furthermore, patent applications filed outside the United States may be challenged by other parties, for example, by filing third-party observations that argue against patentability or an opposition. Such opposition proceedings are increasingly common in the EU and are costly to defend. For example, we received notices of opposition to three European patents relating to methylnaltrexone.

Although we and Bausch are cooperating to defend against both the ANDA challenges and the European oppositions and intend to continue to vigorously enforce RELISTOR intellectual property rights, such litigation is inherently subject to significant risks and uncertainties, and there can be no assurance that the outcome of these litigations will be favorable to us or Bausch. An unfavorable outcome in these cases could result in the rapid genericization of RELISTOR products or could result in the shortening of available patent life. Any such outcome could have an adverse impact on our financial performance and stock price.

Pursuant to the RELISTOR license agreement between us and Bausch, Bausch has the first right to enforce the intellectual property rights at issue and is responsible for the costs of such enforcement. At the same time, we may incur substantial further costs in supporting the effort to uphold the validity of patents or to prevent infringement. Patent disputes are frequent, costly and can preclude, delay or increase the cost of commercialization of products. Progenics has previously been and is currently involved in patent litigation, and we expect to be subject to patent litigation in the future.

~~Our AZEDRA commercialization program is subject to significant risk.~~

It is very difficult to estimate the commercial potential of recently approved products, due to factors such as safety and efficacy compared to other available treatments (including potential generic drug alternatives with similar efficacy profiles), changing standards of care, third party payer reimbursement, patient and physician preferences, readiness of a clinical site to administer a new product and the availability of competitive alternatives that may emerge either during the approval process or after commercial introduction. Frequently, products that have shown promising results in clinical trials suffer significant setbacks even after they are approved for commercial sale.

On July 30, 2018, Progenics received FDA approval of our NDA for AZEDRA. There is no guarantee that AZEDRA will be a commercial success. Further, future uses of AZEDRA commercially may reveal that AZEDRA is ineffective, unacceptably toxic, has other undesirable side effects, is difficult to manufacture on a commercial scale, is not cost-effective or economically viable, infringes on proprietary rights of another party or is otherwise not fit for further use.

AZEDRA, designated as an Orphan Drug is intended to treat a rare disease with a small patient population. While we have received FDA approval, we are still in discussions with payors regarding pricing for AZEDRA. If pricing for AZEDRA is not accepted in the market at an appropriate level it may not generate enough revenue to make it economically viable. There have been recent examples of the market reacting poorly to the high cost of certain drugs. If the market reacts similarly to AZEDRA, it could result in negative publicity and reputational harm to us. Further, the Legislative and Executive branches of our federal government have indicated support for possible new measures related to drug pricing, which could increase the pricing pressures related to AZEDRA and further limit its economic viability.

~~If AZEDRA is determined to be unsafe or ineffective in humans, not economically viable or we are unable to successfully commercialize it, our business could be adversely affected.~~

~~We may not be able to maintain Orphan Drug exclusivity for AZEDRA and, even if we do, that exclusivity may not prevent the FDA, from approving competing products.~~

Under the Orphan Drug Act, the FDA may designate a product as an Orphan Drug if it is a drug intended to treat a rare disease or condition, which is generally defined as a patient population of fewer than 200,000 individuals annually in the United States, or a patient population greater than 200,000 in the United States where there is no reasonable expectation that the cost of developing the drug will be recovered from sales in the United States. AZEDRA currently has the Orphan Drug designation in the United States.

In the United States, Orphan Drug designation entitles a party to financial incentives such as opportunities for grant funding towards clinical trial costs, tax advantages and user-fee waivers. In addition, if a product that has Orphan Drug designation subsequently receives the first FDA approval for the disease for which it has such designation, the product is entitled to Orphan Drug exclusivity, which means the FDA may not approve any other application to market the same drug for the same indication for a period of seven years, except in limited circumstances, such as a showing of clinical superiority over the product with orphan exclusivity or where the manufacturer is unable to assure sufficient product quantity.

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We may not be able to maintain Orphan Drug exclusivity for AZEDRA. In addition, exclusive marketing rights in the United States may be limited if we seek approval for an indication broader than the orphan-designated indication or may be lost if the FDA later determines that the request for designation was materially defective or if we are unable to assure sufficient quantities of the product to meet the needs of patients with the rare disease or condition. Even after an Orphan Drug is approved, the FDA can subsequently approve the same drug with the same active moiety for the same condition if the FDA concludes that the later drug is safer, more effective or makes a major contribution to patient care. A loss of the Orphan Drug exclusivity for AZEDRA may have an adverse impact on our ability to adequately commercialize AZEDRA.

~~Failure to obtain marketing approval in foreign jurisdictions would prevent AZEDRA from being marketed abroad.~~

Approval by the FDA does not ensure approval by regulatory authorities in other countries or jurisdictions, and approval by one regulatory authority outside of the United States does not ensure approval by regulatory authorities in other countries or jurisdictions or by the FDA. In order to market and sell AZEDRA in the European Union and many other foreign jurisdictions, we or our potential third-party collaborators must obtain separate marketing approvals and comply with numerous and varying regulatory requirements. The approval process varies among countries and can involve additional testing. The time required to obtain approval may differ substantially from that required to obtain FDA approval. The regulatory approval process outside of the United States generally includes all of the risks associated with obtaining FDA approval. In addition, in many countries outside of the United States, it is required that the product be approved for reimbursement before the product can be approved for sale in that country. We or our potential third-party collaborators may not obtain approvals from regulatory authorities outside of the United States on a timely basis, if at all. However, a failure or delay in obtaining regulatory approval in one country may have a negative effect on the regulatory process in other countries. We may not be able to file for marketing approvals and may not receive necessary approvals to commercialize AZEDRA in any market outside of the United States.

~~Manufacturing resources could limit or adversely affect our ability to commercialize products.~~

We or our partners may engage third parties to manufacture our product candidates. We or our partners may not be able to obtain adequate supplies from third-party manufacturers in a timely fashion for development or commercialization purposes, and commercial quantities of products may not be available from CMOs at acceptable costs. For example, until December 2019, the CPDC was subject to an Import Alert by the FDA, which restricted the CPDC’s ability to ship products to the U.S. Although the CPDC has since been cleared by the FDA to ship products to the U.S., there can be no guarantee that the CPDC, or any other third-party manufacturer that we may partner with in the future, will not be subject to similar restrictions in the future.

In order to commercialize our product candidates successfully, we need to be able to manufacture or arrange for the manufacture of products in commercial quantities, in compliance with regulatory requirements, at acceptable costs and in a timely manner. Manufacture of our product candidates, can be complex, difficult to accomplish even in small quantities, difficult to scale-up for large-scale production and subject to delays, inefficiencies and low yields of quality products. The manufacture of radiopharmaceuticals is relatively complex and requires significant capital expenditures. Although Progenics recently acquired the assets comprising the AZEDRA radiopharmaceutical manufacturing facility, we continue to rely on CMOs for our product candidates. The cost of manufacturing our product candidates may make them prohibitively expensive. If adequate supplies of any of our product candidates or related materials are not available on a timely basis or at all, our clinical trials or commercialization of our product candidates could be seriously delayed, since these materials are time consuming to manufacture and cannot be readily obtained from third-party sources. We continue to rely on a limited number of highly specialized manufacturing and development partners, including single source manufacturers for certain of our product candidates. If we were to lose one or more of these key relationships, it could materially adversely affect our business. Establishing new manufacturing relationships, or creating our own manufacturing capability, would require significant time, capital and management effort, and the transfer of product-related technology and know-how from one manufacturer to another is an inherently complex and uncertain process.

~~Patents have a limited life and expire by law.~~

In addition to uncertainties as to scope, validity, enforceability and changes in law, patents by law have limited lives. Upon expiration of patent protection, our drug candidates and/or products may be subject to generic competition, which could adversely affect pricing and sales volumes of the affected products.

With regard to our RELISTOR-related intellectual property, the composition-of-matter patent for the active ingredient of RELISTOR, methylnaltrexone, has expired. University of Chicago, as well as we and our collaborators, have extended the methylnaltrexone patent estate with additional patents and pending patent applications covering various inventions relating to the product. Bausch has listed in the Orange Book eight U.S. patents relating to subcutaneous RELISTOR, which have expiration dates ranging from 2024 to 2030, and nine U.S. patents relating to RELISTOR tablet, which have expiration dates ranging from 2029 to 2031. In May 2018, Progenics entered into settlement agreements that granted non-exclusive limited licenses with respect to certain RELISTOR subcutaneous injection applications, effective on the earlier of January 1, 2028 and September 30, 2030 or

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other circumstances described in the settlement agreements, including in connection with future ANDA filers. Four Canadian patents (two expiring in 2024, one in 2027 and one in 2029) have been listed with Health Canada relating to subcutaneous RELISTOR.

The original patents surrounding the AZEDRA program were licensed from the University of Western Ontario (“UWO”). The patent family directed to processes for making polymer precursors, as well as processes for making the final product, expired in 2018 in the U.S. and Canada. Other licensed patent families from UWO relate to alternative approaches for preparing AZEDRA, which if implemented would expire in 2024, worldwide. Progenics owns pending applications worldwide directed to manufacturing improvements and the resulting compositions which, if issued, would expire in 2035.

Patent protection for the composition-of-matter patent on the PyL compound, radiolabeled form of the compound, as well as methods of use expire in 2030 in the United States. Corresponding patent family members are pending or issued worldwide, all with expirations of 2029. Process improvement patent applications are pending worldwide which, if issued, would expire in 2037.

Company-owned patents relating to 1095 have expiration ranges of 2027 to 2031 in the U.S. We view as most significant the composition-of-matter patent on this compound, as well as radiolabeled forms, which expires in 2027 in the U.S., as well as Europe. Additional U.S. patents are directed to stable compositions and radiolabeling processes which expire in 2030 and 2031, respectively.

We own patents relating to automated detection of bone cancer metastases. The patents on this technology expire in 2028 outside of the United States. The U.S. patent under reexamination was reissued with an expiration of 2032. Applications are pending relating to automated medical image analysis.

Owned and in-licensed patents relating to the 1404 product candidate have expiration ranges of 2020 to 2029; we view as most significant the composition-of-matter patent on the compound, as well as technetium-99 labeled forms, which expires in 2029 worldwide.

With respect to PSMA antibody, currently issued composition-of-matter patents comprising co-owned and in-licensed patents have expirations of 2022 and 2023 in the U.S. Corresponding foreign counterpart patents will expire in 2022. We view all of these patents as significant.

We depend on intellectual property licensed from third parties and unpatented technology, trade secrets and confidential information. If we lose any of these rights, including by failing to achieve milestone requirements or to satisfy other conditions, our business, results of operations and financial condition could be harmed.

Many of our product candidates incorporate intellectual property licensed from third parties. For example, PyL utilizes technology licensed to us from Johns Hopkins University. We could lose the right to patents and other intellectual property licensed to us if the related license agreement is terminated due to a breach by us or otherwise. Our ability to commercialize products incorporating licensed intellectual property would be impaired if the related license agreements were terminated. In addition, we are required to make substantial cash payments, achieve milestones and satisfy other conditions, including filing for and obtaining marketing approvals and introducing products, to maintain rights under our intellectual property licenses. Due to the nature of these agreements and the uncertainties of development, we may not be able to achieve milestones or satisfy conditions to which we have contractually committed, and as a result may be unable to maintain our rights under these licenses. If we do not comply with our license agreements, the licensors may terminate them, which could result in our losing our rights to, and therefore being unable to commercialize, related products.

We also rely on unpatented technology, trade secrets and confidential information. Third parties may independently develop substantially equivalent information and techniques or otherwise gain access to our technology or disclose our technology, and we may be unable to effectively protect our rights in unpatented technology, trade secrets and confidential information. We require each of our employees, consultants and advisors to execute a confidentiality agreement at the commencement of an employment or consulting relationship with us. These agreements may, however, not provide effective protection in the event of unauthorized use or disclosure of confidential information. Any loss of trade secret protection or other unpatented technology rights could harm our business, results of operations and financial condition.

~~If we do not achieve milestones or satisfy conditions regarding some of our product candidates, we may not maintain our rights under related licenses.~~

We are required to make substantial cash payments, achieve milestones and satisfy other conditions, including filing for and obtaining marketing approvals and introducing products, to maintain rights under certain intellectual property licenses. Due to the nature of these agreements and the uncertainties of research and development, we may not be able to achieve milestones or satisfy

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conditions to which we have contractually committed, and as a result may be unable to maintain our rights under these licenses. If we do not comply with our license agreements, the licensors may terminate them, which could result in our losing our rights to, and therefore being unable to commercialize, related products.

~~If we infringe third-party patent or other intellectual property rights, we may need to alter or terminate a product development program.~~

There may be patent or other intellectual property rights belonging to others that require us to alter our products, pay licensing fees or cease certain activities. If our products infringe patent or other intellectual property rights of others, the owners of those rights could bring legal actions against us claiming damages and seeking to enjoin manufacturing and marketing of the affected products. If these legal actions are successful, in addition to any potential liability for damages, we could be required to obtain a license in order to continue to manufacture or market the affected products. We may not prevail in any action brought against us, and any license required under any rights that we infringe may not be available on acceptable terms or at all. We are aware of intellectual property rights held by third parties that relate to products or technologies we are developing. For example, we are aware of other groups investigating PSMA or related compounds and monoclonal antibodies directed at PSMA, PSMA-targeted imaging agents and therapeutics, and methylnaltrexone and other peripheral opioid antagonists, and of patents held, and patent applications filed, by these groups in those areas. While the validity of these issued patents, the patentability of these pending patent applications and the applicability of any of them to our products and programs are uncertain, if asserted against us, any related patent or other intellectual property rights could adversely affect our ability to commercialize our products.

Research, development and commercialization of a biopharmaceutical product often require choosing between alternative development and optimization routes at various stages in the development process. Preferred routes may depend on subsequent discoveries and test results and cannot be predicted with certainty at the outset. There are numerous third-party patents in our field, and we may need to obtain a license under a patent in order to pursue the preferred development route of one or more of our products or product candidates. The need to obtain a license would decrease the ultimate profitability of the applicable product. If we cannot negotiate a license, we might have to pursue a less desirable development route or terminate the program altogether.

We have been and expect to continue to be dependent on collaborators for the development, manufacturing and sales of certain products and product candidates, which expose us to the risk of reliance on these collaborators.

In conducting our operations, we currently depend, and expect to continue to depend, on numerous collaborators. Key among these collaborations, are those with Bayer to develop and commercialize products using our PSMA antibody technology and with Fuji for the development and commercialization of 1404 and bone BSI in Japan. In addition, certain clinical trials for our product candidates may be conducted by government-sponsored agencies, and consequently will be dependent on governmental participation and funding. These arrangements expose us to the same considerations we face when contracting with third parties for our own trials.

If any of our collaborators breach or terminate its agreement with us or otherwise fail to conduct successfully and in a timely manner the collaborative activities for which they are responsible, the preclinical or clinical development or commercialization of the affected product candidate or research program could be delayed or terminated. We generally do not control the amount and timing of resources that our collaborators devote to our programs or product candidates. We also do not know whether current or future collaboration partners, if any, might pursue alternative technologies or develop alternative products either on their own or in collaboration with others, including our competitors, as a means for developing treatments for the diseases or conditions targeted by our collaborative arrangements. Our collaborators are also subject to similar development, regulatory, manufacturing, cyber-security and competitive risks as us, which may further impede their ability to successfully perform the collaborative activities for which they are responsible. Setbacks of these types to our collaborators could have a material adverse effect on our business, results of operations, ~~and financial condition.~~

~~We are involved in various legal proceedings that are uncertain, costly and time-consuming and could have a material adverse impact on our business,~~ financial condition and ~~results of operations.~~cash flows.

~~From time to time we are involved in legal proceedings and disputes and may be involved in litigation in the future. These proceedings are complex and extended and occupy the resources~~For all of our ~~management~~medical imaging products, we continue to experience significant pricing pressures from our competitors, large customers and employees. These proceedings are also costly to prosecute and defend and may involve substantial awards or damages payable by us if not found in our favor. We may also be required to pay substantial amounts or grant certain rights on unfavorable terms in order to settle such proceedings. Defending against or settling such claimsgroup purchasing organizations, and any ~~unfavorable legal decisions, settlements or orders~~significant, additional pricing pressures could lead to a reduction in revenue which could have a material adverse effect on our business, results of operations, financial condition and cash flows.

Outside of the U.S. and Canada, we have no sales force and, consequently, rely on third-party distributors, either on a country-by-country basis or on a multi-country, regional basis, to market, sell and distribute our products. In Canada, we maintain our own direct sales force to sell DEFINITY. In certain circumstances, distributors may also sell competing products to our own or products for competing diagnostic modalities and may have incentives to shift sales towards those competing products. As a result, we cannot assure you that our international distributors will increase or maintain current levels of unit sales or that we will be able to increase or maintain our current unit pricing, which, in turn, could have a material adverse effect on our business, results of operations, financial condition and ~~could cause the market value of our common stock to decline.~~cash flows.

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~~In particular,~~The CVRs we issued as part of the ~~pharmaceutical~~Progenics Acquisition may result in substantial future payments and ~~medical device industries historically have generated substantial litigation concerning~~could divert the ~~manufacture, use and sale~~attention of ~~products and we expect this litigation activity to continue. As a result, we expect that patents related to~~ our ~~products will routinely be challenged, and our patents~~management; in addition, the actual payments made in connection with the CVRs, if any, may not be ~~upheld. In order to protect or enforce patent rights, we may initiate litigation against third parties. If~~consistent with the estimated fair value of the CVRs that we are ~~not successful~~required to prepare for accounting purposes.

As part of the consideration for the Progenics Acquisition, we issued CVRs to the stockholders of Progenics and holders of in-the-money Progenics equity awards entitling them to future cash payments of 40% of PYLARIFY net sales over $100.0 million in ~~defending an attack on~~2022 and over $150.0 million in 2023. These payments could be substantial and could adversely impact our ~~patents~~liquidity. In addition, we are obligated to exercise a level of effort, expertise and ~~maintaining exclusive rights to market one or more of our products still under patent protection, we could lose a significant portion of sales~~resources consistent with those normally used in a ~~very short period. We may also become subject~~medical diagnostics business similar to ~~infringement claims by third parties~~our size and may have to defend against charges that we violated patents or the proprietary rights of third parties. If we infringe the intellectual property rights of others, we could lose our right to develop, manufacture or sell products, or could be required to pay monetary damages or royalties to license proprietary rights from third parties.

In addition, in the U.S., it has become increasingly common for patent infringement actions to prompt claims that antitrust laws have been violated during the prosecution of the patent or during litigation involving the defense of that patent. Such claims by direct and indirect purchasers and other payers are typically filed as class actions. The relief sought may include treble damages and restitution claims. Similarly, antitrust claims may be brought by government entities or private parties following settlement of patent litigation, alleging that such settlements are anti-competitive and in violation of antitrust laws. In the U.S. and Europe, regulatory authorities have continued to challenge as anti-competitive so-called “reverse payment” settlements between branded and generic drug manufacturers. We may also be subject to other antitrust litigation involving competition claims unrelated to patent infringement and prosecution. A successful antitrust claim by a private party or government entity against us could have a material adverse effect on our business, financial condition and results of operations and could cause the market value of our common stock to decline.

~~Marketplace acceptance depends in part on competition in our industry, which is intense, and competing products in development may adversely affect acceptance of our products.~~

The extent to which any of our future products achieves market acceptance will depend on competitive factors. Competition in the biopharmaceutical industry is intense and characterized by ongoing research and development and technological change. We face competition from many for-profit companies and major universities and research institutions in the U.S. and abroad. We face competition from companies marketing existing products or developing new products for diseases and conditions targeted by our technologies. We are aware of a number of products and product candidates which compete or may potentially compete with PSMA-targeted imaging agents and therapeutics, or our other product candidates. We are aware of several competitors, such as Johnson & Johnson subsidiary Janssen Biotech, Inc.; Novartis AG; Pfizer, Inc. in collaboration with Astellas Pharma US, Inc.; Aytu Bioscience, Inc.; Bracco Diagnostics, Inc.; Bayer HealthCare Pharmaceuticals Inc. and Telix Pharmaceuticals, which have received approval for or are developing treatments or diagnostics for prostate cancer. Any of these competing approved products or product candidates, or others which may be developed in the future, may achieve a significant competitive advantage relative to AZEDRA, PyL, 1095, 1404 or other product candidates.

~~Competition~~resources with respect to developing, seeking regulatory approval for and commercializing a product of similar market potential at a similar stage in its development or product life to PYLARIFY. We are also required to produce net sales statements for PYLARIFY that may be reviewed and challenged by CVR holders, with any disagreement to be resolved by an independent accountant. These requirements could divert management time and resources and result in additional costs.

Because the CVRs are considered contingent consideration liabilities, for accounting purposes we are required by U.S. GAAP to estimate their fair value on a recurring basis. Adjustments in the estimated fair value of the CVRs can impact our ~~technologies and product candidates~~financial statements on a quarterly or annual basis. The estimated fair value of the CVRs is determined based on ~~among other things, product efficacy, safety, reliability, method~~a Monte Carlo simulation model that include significant estimates and assumptions pertaining to commercialization events, sales targets, market conditions and discount rates. These estimates and assumptions are subject to the judgment of ~~administration, availability, price~~our management team and ~~clinical benefit relative~~are not prepared with a view towards public disclosure of projected sales. Our sales targets are also subject to ~~cost; timing and scope of regulatory approval; sales, marketing and manufacturing capabilities; collaborator capabilities; insurance~~significant economic, competitive, industry and other ~~reimbursement coverage;~~uncertainties and ~~patent protection. Competitive disadvantages~~contingencies, which are difficult to predict and in many cases are beyond our control. We can give no assurance that the actual amounts paid, if any, of these factors could materially harm our business and financial condition. Many of our competitors have substantially greater research and development capabilities and experience and greater manufacturing, marketing, financial and managerial resources than we do. These competitors may develop products that are superior to those we are developing and render our products or technologies non-competitive or obsolete. Our product candidates under development may not compete successfullyin connection with ~~existing products or product candidates under development by other companies, universities and other institutions. Drug manufacturers that are first in~~ the ~~market~~CVRs will be consistent with ~~a therapeutic~~any recurring fair value estimate for a specific indication generally obtain and maintain a significant competitive advantage over later entrants and therefore, the speed with which industry participants move to develop products, complete clinical trials, approve processes and commercialize products is an important competitive factor. If our product candidates receive marketing approval but cannot compete effectively in the marketplace, our operating results and financial position would suffer.such CVRs.

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Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

Repurchases

The following table presents information with respect to purchases of common stock we made during the ~~quarter~~three months ended June 30, ~~2020.~~2021. The Company does not currently have a share repurchase program in effect. The 2015 Equity Incentive Plan, adopted by the Company on June 24, 2015, as amended on April 26, 2016 and as further amended on April 27, 2017, ~~and~~ April 24, 2019 and April 28, 2021 (the “2015 Plan”), provides for the withholding of shares to satisfy minimum statutory tax withholding obligations. It does not specify a maximum number of shares that can be withheld for this purpose. The shares of common stock withheld to satisfy minimum tax withholding obligations may be deemed to be “issuer purchases” of shares that are required to be disclosed pursuant to this Item 2. These shares are then sold in compliance with Rule 10b5-1 into the market to allow the Company to satisfy the tax withholding requirements in cash.

Period Total Number of
Shares Purchased Average Price Paid
per Share Total Number of
Shares Purchased as
Part of Publicly
Announced Programs Approximate Dollar
Value of Shares that
May Yet Be Purchased Under
the Program
April 2020** 29,792 $ 13.43 * *
May 2020** 4,907 $ 12.57 * *
June 2020** 1,600 $ 13.59 * *
Total 36,299 *

Period

Total Number of
Shares Purchased

Average Price Paid
per Share

Total Number of
Shares Purchased as
Part of Publicly
Announced Programs

Approximate Dollar
Value of Shares that
May Yet Be Purchased Under
the Program

April 2021**

3,851

21.55

May 2021**

4,115

21.49

June 2021**

1,499

24.44

Total

9,465

________________________________

* These amounts are not applicable as the Company does not have a share repurchase program in effect.

** Reflects shares withheld to satisfy minimum statutory tax withholding amounts due from employees related to the receipt of stock which resulted from the exercise or vesting of equity awards.

Dividend Policy

We did not declare or pay any dividends, and we do not currently intend to pay dividends in the foreseeable future. We currently expect to retain future earnings, if any, for the foreseeable future, to finance the growth and development of our business and to repay indebtedness. Our ability to pay dividends is restricted by our financing arrangements. See Part I, Item 2. “Management’s Discussion and Analysis of Financial Condition and Results of Operations-Liquidity and Capital Resources-External Sources of Liquidity” for further information.

Item 3. Defaults Upon Senior Securities

None.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

None.

5640

Table of Contents

Item 6. Exhibits

INCORPORATED BY REFERENCE

EXHIBIT
NUMBER

DESCRIPTION OF EXHIBITS

FORM

FILE
NUMBER

EXHIBIT

FILING
DATE

EXHIBIT
NUMBER

DESCRIPTION OF EXHIBITS

FORM

FILE
NUMBER

EXHIBIT

FILING
DATE

10.1

Support Agreement, dated as of April 14, 2020, among Lantheus Holdings, Inc., Velan Capital, L.P., Altiva Management Inc., Velan Capital Partners LP, Velan Capital Holdings LLC, Velan Capital Investment Management LP, Velan Principals GP LLC, Velan Capital Management LLC, Balaji Venkataraman, Deepak Sarpangal and Kevin McNeill

8-K

001-36569

10.1

April 14, 2020

10.1

Fifth Amendment to Lantheus Holdings, Inc. 2015 Equity Incentive Plan

8-K

0001-36569

10.1

April 29, 2021

10.2*

Amendment No. 1 to Credit Agreement, dated as of June 19, 2020, among Lantheus Medical Imaging, Inc., as borrower, Lantheus Holdings, Inc. and Wells Fargo Bank, N.A., as administrative agent and collateral agent*

10.3

Contingent Value Rights Agreement, dated as of June 19, 2020, by and between Lantheus Holdings, Inc. and Computershare Trust Company, N.A., as rights agent.

8-K

001-36569

10.1

June 22, 2020

10.4

Lantheus Holdings, Inc. 2005 Stock Incentive Plan (f/k/a Progenics Pharmaceuticals, Inc. 2005 Stock Incentive Plan).

S-8

333-239491

4.4

June 26, 2020

10.5

Lantheus Holdings, Inc. 2018 Performance Incentive Plan (f/k/a Progenics Pharmaceuticals, Inc. 2018 Performance Incentive Plan).

S-8

333-239491

4.5

June 26, 2020

10.6†

License Agreement, dated February 3, 2011, by and between Salix Pharmaceuticals, Inc., the Registrant, Progenics Pharmaceuticals Nevada, Inc. and Excelsior Life Sciences Ireland Limited.

10-Q

000-23143

10.37(16)

May 10, 2011

10.7†

Lease, dated December 31, 2015, between the Registrant and WTC TOWER 1 LLC.

8-K

000-23143

10.46 (21)

January 5, 2016

10.8†

Loan Agreement, dated November 4, 2016, between the Registrant through its wholly-owned subsidiary MNTX Royalties Sub LLC and Healthcare Royalty Partners III, L.P.

8-K

000-23143

10.53(24)

November 7, 2016

31.1*

Certification of Chief Executive Officer pursuant to Exchange Act Rule 13a-14(a).

31.1*

Certification of Chief Executive Officer pursuant to Exchange Act Rule 13a-14(a).

31.2*

Certification of Chief Financial Officer pursuant to Exchange Act Rule 13a-14(a).

31.2*

Certification of Chief Financial Officer pursuant to Exchange Act Rule 13a-14(a).

32.1**

Certification pursuant to 18 U.S.C. Section 1350.

32.1**

Certification pursuant to 18 U.S.C. Section 1350.

101.INS*

Inline XBRL Instance Document

101.INS*

Inline XBRL Instance Document

101.SCH*

Inline XBRL Taxonomy Extension Schema Document

101.SCH*

Inline XBRL Taxonomy Extension Schema Document

101.CAL*

Inline XBRL Taxonomy Extension Calculation Linkbase Document

101.CAL*

Inline XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF*

Inline XBRL Taxonomy Extension Definition Linkbase Document

101.DEF*

Inline XBRL Taxonomy Extension Definition Linkbase Document

101.LAB*

Inline XBRL Taxonomy Extension Label Linkbase Document

101.LAB*

Inline XBRL Taxonomy Extension Label Linkbase Document

101.PRE*

Inline XBRL Taxonomy Extension Presentation Linkbase Document

101.PRE*

Inline XBRL Taxonomy Extension Presentation Linkbase Document

104*

Cover Page Interactive Data File (embedded within the Inline XBRL document)

104*

Cover Page Interactive Data File (embedded within the Inline XBRL document)

* Filed herewith.

** Furnished herewith.

~~† Confidential treatment granted as to certain portions omitted and filed separately with the Commission.~~

~~+ Indicates management contract or compensatory plan or arrangement.~~

5741

Table of Contents

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

LANTHEUS HOLDINGS, INC.

By:

/s/ MARY ANNE HEINO

Name:

Mary Anne Heino

Title:

President and Chief Executive Officer

(Principal Executive Officer)

Date:

July ~~31, 2020~~28, 2021

LANTHEUS HOLDINGS, INC.

By:

/s/ ROBERT J. MARSHALL, JR.

Name:

Robert J. Marshall, Jr.

Title:

Chief Financial Officer and Treasurer
(Principal Financial ~~Officer and Principal Accounting~~ Officer)

Date:

July ~~31, 2020~~28, 2021

5842


	Six Months Ended June 30, 2019
	Common Stock					Additional Paid-In Capital		Accumulated Deficit		Accumulated Other Comprehensive Loss		Total Stockholders’ Equity
	Shares	Amount
Balance, January 1, 2019	38,466	$	385	$	239,865	$	(168,140)	$	(1,108)	$	71,002
Net income	—	—		—		9,949		—		9,949

Other comprehensive income	—	—		—		—		56		56
Stock option exercises and employee stock plan purchases	37	—		606		—		—		606
Vesting of restricted stock awards and units	365	4		(4)		—		—		—
Shares withheld to cover taxes	(50)	(1)		(1,119)		—		—		(1,120)
Stock-based compensation	—	—		2,720		—		—		2,720
Balance, March 31, 2019	38,818	$	388	$	242,068	$	(158,191)	$	(1,052)	$	83,213
Net income	—	—		—		6,412		—		6,412

Other comprehensive income	—	—		—		—		88		88
Stock option exercises and employee stock plan purchases	9	—		120		—		—		120
Vesting of restricted stock awards and units	253	3		(3)		—		—		—
Shares withheld to cover taxes	(37)	(1)		(943)		—		—		(944)
Stock-based compensation	—	—		3,358		—		—		3,358
Balance, June 30, 2019	39,043	$	390	$	244,600	$	(151,779)	$	(964)	$	92,247


(in thousands)	Fair Value at June 30, 2020		Valuation Technique	Unobservable Input	Assumption
Contingent receivable:
Regulatory milestone	$	3,100	Probability adjusted discounted cash flow model	Period of expected milestone achievement	2021
				Probability of success	90	%
				Discount rate	23	%
Royalties	7,000		Probability adjusted discounted cash flow model
				Probability of success	13% - 77%
				Discount rate	23	%
Total	$	10,100


	Six Months Ended June 30, 2020		Six Months Ended June 30, 2019
(in thousands)	Amount		Amount
Pro forma revenue	$	167,619	$	186,462
Pro forma net loss	18,115		42,901