Lantheus
Annual Report 2013

Plain-text annual report

Use these links to rapidly review the documentTABLE OF CONTENTS PART IVTable of ContentsUNITED STATESSECURITIES AND EXCHANGE COMMISSIONWASHINGTON, D.C. 20549FORM 10-KCommission File Number 333-169785LANTHEUS MEDICAL IMAGING, INC.(Exact name of registrant as specified in its charter)Delaware(State of incorporation) 51-0396366(IRS Employer Identification No.)331 Treble Cove Road, North Billerica,MA(Address of principal executive offices) 01862(Zip Code)(978) 671-8001(Registrant's telephone number, including area code) Securities registered pursuant to Section 12(b) of the Act: None Securities registered pursuant to Section 12(g) of the Act: None(Mark One)  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACTOF 1934For the fiscal year ended December 31, 2013o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGEACT OF 1934For the transition period from to  Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes o No  Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes  No o 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 of1934 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 suchfiling requirements for the past 90 days. Yes o No  Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data Filerequired to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for suchshorter period that the registrant was required to submit and post such files). Yes  No o Indicate by check mark if disclosure of delinquent filers pursuant to item 405 of Regulation S-K is not contained herein, and will not be contained,to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this form 10-K or anyamendment to this form 10-K o Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.See definitions of "large accelerated filer," "accelerated filer," and "smaller reporting company" in Rule 12b-2 of the Exchange Act. Indicate by check mark whether the registrant is a shell company (as defined by Rule 12b-2 of the Act) Yes o No  The registrant is a privately-held corporation, and accordingly, as of June 30, 2013, there is no public market for its common stock. The registranthad one thousand shares of common stock, $0.01 par value per share, issued and outstanding as of March 11, 2014. Large acceleratedfiler o Accelerated filero Non-accelerated filer(Do not check if asmaller reportingcompany) Smaller reportingcompany oTable of ContentsEXPLANATORY NOTE The registrant has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934, as amended, during thepreceding 12 months but is not subject to such filing requirements.Table of ContentsTABLE OF CONTENTS Page PART I Item 1. Business 3 Item 1A. Risk Factors 27 Item 1B. Unresolved Staff Comments 51 Item 2. Properties 51 Item 3. Legal Proceedings 52 Item 4. Mine Safety Disclosures 52 PART II Item 5. Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases ofEquity Securities 53 Item 6. Selected Financial Data 53 Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations 57 Item 7A. Quantitative and Qualitative Disclosures About Market Risk 85 Item 8. Financial Statements and Supplementary Data 88 Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 140 Item 9A. Controls and Procedures 140 Item 9B. Other Information 140 PART III Item 10. Directors, Executive Officers and Corporate Governance 141 Item 11. Executive Compensation 146 Item 12. Security Ownership of Certain Beneficial Owners and Management and Related StockholderMatters 162 Item 13. Certain Relationships and Related Transactions, and Director Independence 163 Item 14. Principal Accountant Fees and Services 164 PART IV Item 15. Exhibits and Financial Statement Schedules 166 Table of ContentsPART I Cautionary Note Regarding Forward-Looking Statements Some of the statements contained in this annual report are forward-looking statements. Such forward-looking statements, including, in particular,statements about our plans, strategies, prospects and industry estimates are subject to risks and uncertainties. These statements identify prospectiveinformation and include words such as "anticipates," "intends," "plans," "seeks," "believes," "estimates," "expects," "should," "predicts," "hopes" andsimilar expressions. Examples of forward-looking statements include, but are not limited to, statements we make regarding: (i) outlook and expectationsrelated to product manufactured at Jubilant HollisterStier, or JHS; (ii) our outlook and expectations including, without limitation, in connection withcontinued market expansion and penetration for our commercial products, particularly DEFINITY; and (iii) our liquidity, including our belief that ourexisting cash, cash equivalents, anticipated revenues and availability under a revolving line of credit are sufficient to fund our existing operatingexpenses, capital expenditures and liquidity requirements for at least the next twelve months. Forward-looking statements are based on our currentexpectations and assumptions regarding our business, the economy and other future conditions. Because forward-looking statements relate to the future,they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict. Our actual results may differ materially fromthose contemplated by the forward-looking statements. They 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 annual report may not in fact occur. We caution you therefore against relyingon any of these forward-looking statements. Important factors that could cause actual results to differ materially from those in the forward-lookingstatements include regional, national or global political, economic, business, competitive, market and regulatory conditions and the following:•our dependence upon third parties for the manufacture and supply of a substantial portion of our products; •risks associated with the technology transfer programs to secure production of our products at alternate contract manufacturer sites; •risks associated with the manufacturing and distribution of our products and the regulatory requirements related thereto; •the instability of the global molybdenum-99, or Moly, supply; •our ability to continue to increase segment penetration for DEFINITY in suboptimal echocardiograms; •risks associated with both supply and demand for Xenon; •our dependence on key customers, primarily Cardinal Health, Inc., or Cardinal, United Pharmacy Partners, Inc., or UPPI, and GEHealthcare, for our nuclear imaging products, and our ability to maintain and profitably renew our contracts and relationships with thosekey customers; •our ability to compete effectively, including in connection with new market entrants; •the dependence of certain of our customers upon third-party healthcare payors and the uncertainty of third-party coverage andreimbursement rates; •uncertainties regarding the impact of U.S. healthcare reform on our business, including related reimbursements for our current andpotential future products; •our being subject to extensive government regulation and our potential inability to comply with such regulations;1Table of Contents•potential liability associated with our marketing and sales practices; •the occurrence of any side effects with our products; •our exposure to potential product liability claims and environmental liability; •risks associated with our lead clinical candidate, flurpiridaz F 18, including our ability to: •attract strategic partners to successfully complete the Phase 3 clinical program and possibly commercialize the agent; •obtain U.S. Food and Drug Administration, or the FDA, approval; and •gain post-approval market acceptance and adequate reimbursement; •risks associated with being able to negotiate in a timely manner relationships with potential strategic partners to advance our otherdevelopment programs on acceptable terms, or at all; •the extensive costs, time and uncertainty associated with new product development, including further product development relying onexternal development partners; our inability to introduce new products and adapt to an evolving technology and diagnostic landscape; ourinability to protect our intellectual property and the risk of claims that we have infringed on the intellectual property of others; •risks related to our outstanding indebtedness and our ability to satisfy such obligations; •risks associated with the current economic environment, including the U.S. credit markets; •risks associated with our international operations; •our inability to adequately protect our facilities, equipment and technology infrastructure; •our inability to hire or retain skilled employees and key personnel; •costs and other risks associated with the Sarbanes-Oxley Act and the Dodd-Frank Wall Street Reform and Consumer Protection Act of2010; and •other factors that are described in "Risk Factors," beginning on page 27.Any forward-looking statement made by us in this annual report speaks only as of the date on which it is made. Factors or events that could cause ouractual 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 updateany forward looking statement, whether as a result of new information, future developments or otherwise, except as may be required by law.Trademarks We own or have the rights to various trademarks, service marks and trade names, including, among others, the following: DEFINITY®,TechneLite®, Cardiolite®, Neurolite®, Ablavar®, Vialmix®, Quadramet® (U.S. only) and Lantheus Medical Imaging® referred to in this annualreport. Solely for convenience, we refer to trademarks, service marks and trade names in this annual report without the TM, SM and ® symbols. Suchreferences are not intended to indicate, in any way, that we will not assert, to the fullest extent permitted under applicable law, our rights to ourtrademarks, service marks and trade names. Each trademark, trade name or service mark of any other company appearing in this annual report, such asMyoview®, Optison® and SonoVue® are, to our knowledge, owned by such other company.2Table of ContentsItem 1. Business Unless the context requires otherwise, references to the "Company," "Lantheus," "LMI," "our company," "we," "us" and "our" refer to LantheusMedical Imaging, Inc. and its direct and indirect subsidiaries, references to "Lantheus Intermediate" refer to only Lantheus MI Intermediate, Inc., theparent of Lantheus, and references to "Holdings" refer only to Lantheus MI Holdings, Inc., the parent of Lantheus Intermediate.Overview We are a global leader in developing, manufacturing and distributing innovative diagnostic medical imaging agents and products that primarilyassist clinicians in the diagnosis of cardiovascular diseases. Our agents are routinely used to diagnose coronary artery disease, congestive heart failureand stroke, peripheral vascular disease and other diseases. Clinicians use our imaging agents and products across a range of imaging modalities,including nuclear imaging, echocardiography and magnetic resonance imaging, or MRI. We believe that the resulting improved diagnostic informationenables healthcare providers to better detect and characterize, or rule out, disease, potentially achieving improved patient outcomes, reducing patient riskand limiting overall costs for payers and the entire healthcare system. Our commercial products are used by nuclear physicians, cardiologists, radiologists, internal medicine physicians, technologists and sonographersworking in a variety of clinical settings. We sell our products to radiopharmacies, hospitals, clinics, group practices, integrated delivery networks, grouppurchasing organizations and, in certain circumstances, wholesalers. We market our products globally and have operations in the United States, Puerto Rico, Canada and Australia and distribution relationships inEurope, Asia Pacific and Latin America.Our Products Our portfolio of 10 commercial products is diversified across a range of imaging modalities. Our products include radiopharmaceuticals andcontrast agents. Radiopharmaceuticals, or nuclear imaging agents, are radiolabeled compounds that are used by clinicians to perform nuclear imagingprocedures, such as single-photon emission computed tomography, or SPECT, or positron emission tomography, or PET. Contrast agents are typicallynon-radiolabeled compounds that are used in diagnostic procedures such as echocardiograms or magnetic resonance imaging that are used by physiciansto improve the clarity of the diagnostic image.DEFINITY DEFINITY is the leading ultrasound contrast imaging agent delivered intravenously and indicated for use in patients with suboptimalechocardiograms. Numerous patient conditions can decrease the quality of images of the left ventricle, the primary pumping chamber of the heart. Of thenearly 28 million echocardiograms performed each year in the United States, it is estimated that approximately 20%, or approximately six millionechocardiograms, produce suboptimal images. The use of DEFINITY during echocardiography allows physicians to significantly improve theirassessment of the function of the left ventricle. DEFINITY is a clear, colorless, sterile liquid, which upon activation by Vialmix, a medical device specifically designed for DEFINITY, becomes ahomogenous, opaque, milky white injectable suspension of perflutren-containing lipid microspheres. After activation and intravenous injection,DEFINITY improves the ultrasound delineation of the left ventricular endocardial border, or innermost layer of tissue that lines the chamber of the leftventricle. Better visualization of the ventricle wall allows clinicians to see wall motion abnormalities, namely that the heart muscle is not expanding andcontracting in a normal, consistent and predictable way. We believe this allows clinicians to make3Table of Contentsmore informed decisions about disease status. DEFINITY offers flexible dosing and administration through an IV bolus injection or continuous IVinfusion. We believe DEFINITY's synthetic lipid-cased coating gives the compound a distinct competitive advantage because it provides a strongultrasound signal without using human albumin. Since its launch in 2001, DEFINITY has been used in imaging procedures in over 4.7 million patients throughout the world. In 2013, DEFINITYwas the leading ultrasound imaging agent, used by echocardiologists and sonographers, in approximately 2.5% of all echocardiograms performed in theUnited States. DEFINITY currently competes with Optison, a GE Healthcare product, as well as other non-echocardiography imaging modalities. DEFINITY and Optison both carry a FDA-required boxed warning, which has been loosened over time, to notify physicians and patients aboutpotentially serious safety concerns or risks posed by the products. See "Item 1A—Risk Factors—Ultrasound contrast agents may cause side effectswhich could limit our ability to sell DEFINITY." We recently transferred our manufacturing of DEFINITY from Ben Venue Laboratories, or BVL, to JHS at its facility in Spokane, WA. See "—Manufacturing—BVL and Technology Transfer." DEFINITY is currently patent protected in the United States until 2021 and in numerous foreign jurisdictions with patent or regulatory protectionuntil 2019. DEFINITY generated revenues of $78.1 million, $51.4 million and $68.5 million for the years ended December 31, 2013, 2012 and 2011,respectively. DEFINITY represented approximately 28%, 18% and 19% of our total revenues in 2013, 2012 and 2011, respectively.TechneLite TechneLite is a self-contained system or generator of Technetium (Tc99m), a radioactive isotope with a 6 hour half-life, used by radiopharmaciesto prepare various nuclear imaging agents. Technetium results from the radioactive decay of Moly, itself a radioisotope with a 66 hour half-life producedin nuclear research reactors around the world from enriched uranium. The TechneLite generator is a little larger than a coffee can in size and the self-contained system houses a vertical glass column at its core that contains Moly. During our manufacturing process, Moly is added to the column withinthe generator where it is adsorbed onto alumina powder. The column is sterilized, enclosed in a lead shield and further sealed in a cylindrical plasticcontainer, which is then immediately shipped to our radiopharmacy customers. Because of the short half-lives of Moly and Technetium,radiopharmacies typically purchase TechneLite generators on a weekly basis. The technetium produced by our TechneLite generator is the medical isotope that can be attached to a number of other radiopharmaceutical imagingagents, including Cardiolite and Neurolite, during the radiolabeling process. To radiolabel technetium-based radiopharmaceuticals, a vial of sterile salineand a vacuum vial are each affixed to the top of a TechneLite generator. The sterile saline is pulled through the generator where it attracts technetiumresulting from the degrading of Moly within the generator column. The technetium-containing radioactive saline is then pulled into the vacuum vial andsubsequently combined by a radiopharmacist with the applicable imaging agent, and individual patient-specific radiolabeled imaging agent doses arethen prepared. When administered, the imaging agent binds to specific tissues and organs for a period of time, illustrating the functional health of theimaged tissues. Our ability to produce and market TechneLite is highly dependent on our supply of Moly. See "—Raw Materials and SupplyRelationships—Molybdenum-99." TechneLite is produced in thirteen size variations and is currently marketed in North America, Latin America and Australia, largely toradiopharmacies that prepare unit doses of radiopharmaceutical imaging agents and that ship these preparations directly to hospitals for administration topatients. In the United States, we have supply arrangements with significant radiopharmacy chains, including4Table of ContentsCardinal, UPPI and GE Healthcare, and we believe TechneLite has approximately 41% of the market share, competing primarily with technetium-basedgenerators produced by Mallinckrodt Pharmaceuticals, or Mallinckrodt. In Canada and Puerto Rico, we also supply TechneLite to our Company-ownedradiopharmacies to prepare radiopharmaceutical imaging agent unit doses. The Moly used in our TechneLite generators can be produced using targets made of either highly enriched uranium, or HEU, or low enricheduranium, or LEU. LEU consists of uranium that contains less than 20% of the uranium-235 isotope. HEU is often considered weapons grade material,with 20% or more of uranium-235. On January 2, 2013, President Obama signed into law the American Medical Isotopes Production Act of 2011, orthe AMIPA, as part of the 2013 National Defense Authorization Act. The AMIPA encourages the domestic production of LEU Moly and provides forthe eventual prohibition of the export of HEU from the United States. Although Medicare generally does not provide separate payment to hospitals forthe use of diagnostic radiopharmaceuticals administered in an outpatient setting, since January 1, 2013, the Centers for Medicare and Medicaid Services,or CMS, the federal agency responsible for administering the Medicare program, has provided an add-on payment under the hospital outpatientprospective payment system for every technetium diagnostic dose produced from non-HEU sourced Moly, to cover the marginal cost for radioisotopesproduced from non-HEU sources. Our LEU TechneLite generator satisfies the new reimbursement requirements under the applicable CMS rules. TechneLite currently has patent protection in the U.S. and various foreign countries on certain component technology expiring in 2029. In addition,given the significant know-how and trade secrets associated with the methods of manufacturing and assembling the TechneLite generator, we believewe have a substantial amount of valuable and defensible proprietary intellectual property associated with the product. TechneLite generated revenues of$92.2 million, $114.2 million and $131.2 million for the years ended December 31, 2013, 2012 and 2011, respectively. TechneLite representedapproximately 33%, 40% and 37% of total revenues in 2013, 2012 and 2011, respectively.Other Commercial Products In addition to the products listed above, our portfolio of commercial products also includes important imaging agents in specific segments, whichprovide a stable base of recurring revenue. Most of these products have a favorable industry position as a result of our substantial infrastructureinvestment, our specialized workforce, our technical know-how and our supplier and customer relationships.•Xenon Xe 133 Gas, is a radiopharmaceutical inhaled gas used to assess pulmonary function and also for imaging blood flow, particularlyin the brain. Our Xenon is manufactured by a third party and packaged in-house. We are currently the sole provider of Xenon in NorthAmerica. In 2013, 2012 and 2011, Xenon Xe 133 Gas represented approximately 11%, 10% and 8%, respectively, of our total revenues.•Cardiolite, also known by its generic name sestamibi, is an injectable Technetium-based imaging agent used in myocardial perfusionimaging, or MPI, procedures to assess blood flow to the muscle of the heart using SPECT. Cardiolite was approved by the FDA in1990 and its market exclusivity expired in July 2008. With the advent of generic competition in September 2008, we have facedsignificant pricing and unit volume pressures on Cardiolite. We also sell Cardiolite in the form of a generic sestamibi at a slightly lowerprice than branded Cardiolite. Since the launch of Cardiolite in 1991, Cardiolite products have been used to image approximately52 million patients in the United States. Cardiolite represented approximately 9%, 12% and 19% of total revenues in 2013, 2012 and2011, respectively. Included in Cardiolite revenues are branded Cardiolite and generic sestamibi revenues, some of which we produceand some of which we procure from third parties from time to time.5Table of Contents•Neurolite, is an injectable Technetium-based imaging agent used with SPECT technology to identify the area within the brain whereblood flow has been blocked or reduced due to stroke. We launched Neurolite in 1995. In 2013, 2012 and 2011, Neurolite representedapproximately 2%, 2% and 3%, respectively, of our total revenues. •Thallium Tl 201, is an injectable radiopharmaceutical imaging agent used in MPI studies to detect coronary artery disease. We havemarketed Thallium since 1977 and manufacture the agent in-house using cyclotrons. In 2013, 2012 and 2011, Thallium representedapproximately 1%, 2% and 2%, respectively, of our total revenues. •Gallium Ga67, is an injectable radiopharmaceutical imaging agent used to detect certain infections and cancerous tumors, especiallylymphoma. We manufacture Gallium in-house using cyclotrons. In 2013, 2012 and 2011, Gallium represented approximately 2% of ourtotal revenues. •Gludef, is an injectable fluorine-18-based imaging agent used with PET technology to identify and characterize tumors in patientsundergoing oncologic diagnostic procedures. Gludef is our branded version of fludeoxyglucose F 18 injection, or FDG. In 2013, 2012and 2011, Gludef represented approximately 3%, 2% and 2%, respectively, of our total revenues. •Quadramet, our only therapeutic product, is an injectable radiopharmaceutical used to treat severe bone pain associated with certainkinds of cancer. Previously, we finished and packaged in-house for a third party Samarium 153, the radioisotope used to prepareQuadramet. Effective December 13, 2013, we purchased the rights to Quadramet in the United States and now serve as the directmanufacturer and supplier of Quadramet in the United States. In 2013, 2012 and 2011, Samarium 153 represented approximately 2% ofour total revenues. •Ablavar, is an injectable gadolinium-based contrast agent used with magnetic resonance angiography, or MRA, a type of MRI scan, toimage the iliac arteries that start at the aorta and go through the pelvis into the legs, in order to diagnose narrowing or blockage of thesearteries in known or suspected peripheral vascular disease. We launched Ablavar in January 2010. In 2013, 2012 and 2011, Ablavarrepresented approximately 0.9%, 0.9% and 0.5%, respectively, of our total revenues. For revenue and other financial information for our U.S. and International segments, see Note 18, "Segment Information" to our consolidatedfinancial statements.Distribution, Marketing and Sales In the United States, we sell DEFINITY through our sales team of approximately 77, mostly long-tenured employees that call on healthcareproviders in the echocardiography space, as well as group purchasing organizations and integrated delivery networks. For the year ended December 31,2013, sales by our direct sales force represented approximately 28% of our total revenue. Our radiopharmaceutical products are sold in the United States through a small nuclear products sales team, primarily to radiopharmacies. In 2013,we transitioned the sales and marketing efforts for Ablavar from our direct sales force to our customer service team in order to allow our direct salesforce to focus on driving our DEFINITY sales growth.6Table of Contents We sell a majority of our radiopharmaceutical products in the United States to radiopharmacies that are controlled by or associated with Cardinal,UPPI, GE Healthcare, and Triad Isotopes Inc., or Triad:•Cardinal maintains approximately 135 radiopharmacies that are typically located in large, densely populated urban areas in the UnitedStates. We estimate that Cardinal's radiopharmacies distributed approximately 45% of the aggregate U.S. SPECT doses sold in the firsthalf of 2013 (the latest information currently available to us). We currently have two agreements with Cardinal, one for TechneLitegenerators, Gallium, Xenon, Thallium and Neurolite (the TechneLite Agreement) and the other for Cardiolite products (the CardioliteAgreement), both of which require Cardinal to purchase minimum amounts of each of the products from us. The agreements containprovisions allowing for early termination by either party. The TechneLite Agreement allows for termination upon the occurrence ofspecified events, including a material breach by either party and force majeure events. The Cardiolite Agreement allows for terminationupon the occurrence of specified events, including a material breach by either party, Cardinal's termination of its business operations inthe nuclear medicine industry and force majeure events. The TechneLite and Cardiolite agreements both expire on December 31, 2014. •UPPI is a cooperative purchasing group (roughly analogous to a group purchasing organization) of over 80 independently owned orsmaller chain radiopharmacies located in the United States. UPPI's radiopharmacies are typically broadly dispersed geographically, withsome urban presence and a substantial number of radiopharmacies located in suburban and rural areas of the country. We estimate thatthese independent radiopharmacies, together with an additional 41 unofficial, independent radiopharmacies, distributed more than 25% ofthe aggregate U.S. SPECT doses sold in the first half of 2013. We currently have an agreement with UPPI for the distribution of bothCardiolite and TechneLite products to radiopharmacies or families of radiopharmacies within the UPPI cooperative purchasing group.The agreement contains specified pricing levels based upon specified purchase amounts for UPPI. We are entitled to terminate the UPPIagreement upon 60 days written notice. The UPPI agreement expires on December 31, 2016. •GE Healthcare maintains 31 radiopharmacies in the United States that purchase our TechneLite generators. These radiopharmaciesprimarily distribute GE Healthcare's Myoview, a technetium-labeled MPI agent. We estimate that GE Healthcare distributedapproximately 11% of the aggregate U.S. SPECT doses sold in the first half of 2013. We currently have one agreement with GEHealthcare for the distribution of TechneLite and other products. The agreement provides that GE Healthcare will purchase a minimumpercentage of TechneLite generators as well as certain other products in the United States or Canada from us. Our agreement, whichexpires on December 31, 2017, may be terminated by either party on (i) two years' written notice relating to TechneLite on and afterDecember 31, 2013 and (ii) six months' written notice relating to the other products. Our agreement also allows for termination upon theoccurrence of specified events including a material breach by either party, bankruptcy by either party and force majeure events. In addition to the distribution arrangements for our radiopharmaceutical products described above, we also sell our radiopharmaceutical productsdirectly to hospitals and clinics that maintain in-house radiopharmaceutical capabilities and operations, although this represents a small percentage ofoverall sales, because the majority of hospitals and clinics do not maintain these in-house capabilities. In the rest of the world, including Europe, Asia Pacific and Latin America, we utilize third party distributor relationships to market, distribute andsell our products, either on a country-by-country basis or on a multi-country regional basis. In October 2013, we entered into a new supply anddistribution agreement for Cardiolite and Neurolite in certain European countries with Mallinckrodt AG. In March 2012, we entered into a newdevelopment and distribution arrangement for DEFINITY in China, Hong7Table of ContentsKong S.A.R. and Macau S.A.R. with Double-Crane. Double-Crane is currently pursuing the Chinese regulatory approval required to commence thenecessary confirmatory clinical trials. We believe that international markets, particularly China, represent significant growth opportunities for ourproducts. These distribution agreements did not have a significant impact on our revenue during 2013. We sell our products (and others) directly to end users through the five radiopharmacies we own in Canada and the two radiopharmacies we ownin each of Australia and Puerto Rico. We also maintain our own direct sales forces in these markets so we can control the marketing, distribution andsale of our imaging agents in these regions.Customers For the year ended December 31, 2013, our largest customers were Cardinal, GE Healthcare and UPPI accounting for approximately 19%, 10%,and 10%, respectively, of our global net sales.Competition We believe that our key product characteristics, such as proven efficacy, reliability and safety, coupled with our core competencies, such as ourefficient manufacturing processes, our established distribution network, our long-tenured field sales organization and our customer service focus, areimportant factors that distinguish us from our competitors. The market for diagnostic medical imaging agents is highly competitive and continually evolving. Our principal competitors in existing diagnosticmodalities include large, global companies that are more diversified than we are and that have substantial financial, manufacturing, sales and marketing,distribution and other resources. These competitors include Mallinckrodt, GE Healthcare, Bayer Schering Pharma AG, or Bayer, BraccoDiagnostics Inc., or Bracco, and DRAXIS Specialty Pharmaceuticals Inc. (an affiliate of JHS), or Draxis, as well as other competitors. We cannotanticipate their competitive actions, such as price reductions on products that are comparable to our own, development of new products that are morecost-effective or have superior performance than our current products, the introduction of generic versions after our proprietary products lose theirpatent protection. Our current or future products could be rendered obsolete or uneconomical as a result of this competition. Generic competition has substantially eroded our market share for Cardiolite, beginning in September 2008 when the first generic product waslaunched. We are currently aware of four separate, third-party generic offerings of sestamibi. We also sell our own generic version of sestamibi. See"Item 1A—Risk Factors—Generic competition has significantly eroded our market share of the MPI segment for Cardiolite products and will likelycontinue to do so."Raw Materials and Supply Relationships We rely on certain raw materials and supplies to produce our products. Due to the specialized nature of our products and the limited and sometimesintermittent supply of raw materials available in the market, we have established relationships with several key suppliers. Our most important andwidely used raw material is Moly. For the year ended December 31, 2013, our largest supplier of raw materials and supplies was Nordion, accountingfor approximately 19% of our total purchases.Molybdenum-99 TechneLite, Cardiolite and Neurolite all rely on Moly, the radioisotope which is produced by bombarding Uranium-235 with neutrons in researchreactors. Moly is the most common radioisotope used for medical diagnostic imaging purposes. With a 66 hour half-life, Moly degrades intoTechnetium,8Table of Contentsanother radioisotope with a half-life of six hours that is the isotope that is attached to radiopharmaceuticals, including Cardiolite, Neurolite, during theradiolabeling process. We currently purchase finished Moly from four of the five main processing sites in the world, namely, Nordion, formerly known as MDSNordion, in Canada; NTP Radioisotopes, or NTP, in South Africa; Institute for Radioelements, or IRE, in Belgium; and ANSTO in Australia. These processing sites are, in turn, supplied by seven of the eight main Moly-producing reactors in the world, namely, NRU located in Canada;SAFARI located in South Africa; OPAL located in Australia; BR2 located in Belgium; OSIRIS located in France; LVR-10 located in the CzechRepublic; and High Flux Reactor, or HFR, located in The Netherlands. Historically, our largest supplier of Moly has been Nordion, which relies on the NRU reactor for its supply of Moly. In addition, because Xenonis a by-product of the Moly production process and is currently captured only by Nordion, we are currently reliant on Nordion as our sole supplier ofXenon to meet our customer demand. Our agreement with Nordion contains minimum percentage purchase requirements for Moly. The agreementallows for termination upon the occurrence of certain events. Nordion can terminate if we fail to purchase a minimum percentage of Moly or Nordionincurs certain cost increases, but in the latter case termination can occur no earlier than October 1, 2014. Either party may terminate if the other partyfails to comply with material obligations, is bankrupt or experiences a force majeure event subject to a waiting period. The agreement expires onDecember 31, 2015. Our agreement with NTP includes their consortium partner, ANSTO. The agreement contains minimum percentage volume requirements andprovides for the increased supply of Moly derived from LEU targets from NTP and ANSTO. The agreement allows for termination upon theoccurrence of certain events, including failure by NTP to provide our required amount of Moly, material breach of any provision by either party,bankruptcy by either party and force majeure events. Additionally, we have the ability to terminate the agreement with six months' written notice prior tothe expiration of the agreement. The agreement expires on December 31, 2017. In March 2013, we entered into a similar agreement with IRE, or the IRE Agreement. IRE previously supplied us as a subcontractor under theagreement with NTP. Similar to the agreement with NTP, the IRE Agreement contains minimum percentage volume requirements. The IRE Agreementalso requires IRE to provide certain increased quantities of Moly during periods of supply shortage or failure. The IRE Agreement also provides for anincreased supply of Moly derived from LEU targets upon IRE's completion of its ongoing conversion program to modify its facilities and processes inaccordance with Belgian nuclear security commitments. The IRE Agreement allows for termination upon the occurrence of certain events, includingfailure by IRE to provide our required amount of Moly, material breach of any provision by either party, bankruptcy by either party and force majeureevents. The IRE Agreement expires on December 31, 2017. To further augment and diversify our current supply, we are pursuing additional sources of Moly and Xenon from potential new producers aroundthe world that seek to produce Moly and Xenon with existing or new reactors or technologies.Other Materials We have additional supply arrangements for active pharmaceutical ingredients, or APIs, excipients, packaging materials and other materials andcomponents, none of which are exclusive, but a number of which are sole source, and all of which we believe are either in good standing or easilyreplaceable without any material disruption to our business.9Table of ContentsManufacturing We maintain manufacturing operations at our North Billerica, Massachusetts facility. We manufacture TechneLite on a highly-automatedproduction line and also manufacture Thallium and Gallium at this site using our cyclotron technology. We manufacture, finish and distribute ourradiopharmaceutical products on a just-in-time basis, and supply our customers with these products either by next day delivery services or by eitherground or air custom logistics. In addition to our in-house manufacturing capabilities, a substantial portion of our products are manufactured by third-party contract manufacturingorganizations, and in certain instances, we rely on them for sole source manufacturing. To ensure the quality of the products that are manufactured bythird parties, all raw materials used in those products are first sent to our North Billerica facility, where we test them prior to the third partymanufacturing the final product. After the final products are manufactured, they are sent back to us for final quality control testing and then we shipthem to our customers. We have expertise in the design, development and validation of complex manufacturing systems and processes, and our strongexecution and quality control culture supports the just-in-time manufacturing model at our North Billerica facility.BVL and Technology Transfer We have undertaken technology transfers in response to supply challenges at our primary third party contract manufacturer. Historically, we hadrelied on Ben Venue Laboratories, Inc., or BVL, as our sole manufacturer of DEFINITY and Neurolite and as one of our two manufacturers ofCardiolite. Following extended operational and regulatory challenges at BVL's Bedford, Ohio facility, in March 2012, we entered into a Settlement andMutual Release Agreement, or a Settlement Agreement, under which we and BVL agreed to a broad mutual waiver and release for all matters thatoccurred prior to the date of the Settlement Agreement, a covenant not to sue and a settlement payment to us in the amount of $30.0 million. We alsoentered into (i) a transition services agreement, or a Transition Services Agreement, under which BVL manufactured for us certain products and madepayments to us in the aggregate amount of $5.0 million; and (ii) a new Manufacturing and Service Contract, or a Manufacturing Agreement, underwhich BVL manufactured for us certain products following the initial supply provided under the Transition Services Agreement. BVL continued to face supply challenges and, in October 2013, it announced that it would cease to manufacture further new batches of ourproducts in its Bedford, Ohio facility. On November 12, 2013, in connection with the termination of the Manufacturing Agreement, we and BVLentered into a second Settlement and Release Agreement, or the Second Settlement Agreement. Pursuant to the Second Settlement Agreement, we andBVL agreed to a broad mutual waiver and release for all matters that occurred prior to the date of the Second Settlement Agreement, a covenant not tosue and settlement payments to us in the aggregate amount of $8.9 million. In addition, the Second Settlement Agreement provided that theManufacturing Agreement terminated as of November 15, 2013, subject to BVL's obligations to use commercially reasonable efforts to finalize specificbatches of DEFINITY, Cardiolite and saline manufactured and not yet released by the BVL quality function for commercial distribution. BVL has sincereleased for commercial distribution all of our remaining manufactured product that was awaiting quality approval. Contemporaneous with the BVL supply challenges, we expedited a number of technology transfer programs to secure and qualify production ofour BVL-manufactured products from alternate contract manufacturer sites.•DEFINITY—We entered into a Manufacturing and Supply Agreement, effective as of February 1, 2012, with JHS, for the manufactureof DEFINITY. Under the agreement, JHS manufactures DEFINITY for us for an initial term of five years. We have the right to extendthe agreement for an additional five-year period, with automatic renewals for additional one year10Table of Contentsperiods thereafter. The agreement allows for termination upon the occurrence of certain events such as a material breach or default byeither party, or bankruptcy by either party. The agreement also requires us to place orders for a minimum percentage of our requirementsfor DEFINITY with JHS.On November 12, 2013, we entered into a Manufacturing and Supply Agreement with Pharmalucence, Inc. ("Pharmalucence") tomanufacture and supply DEFINITY. There are no minimum purchase requirements under this agreement, which has an initial term offive years from the effective date and is renewable at our option for an additional five years. The Manufacturing Agreement allows fortermination upon the occurrence of certain events, including material breach or bankruptcy by either party. During the optional five yearterm, either party may terminate upon thirty months' advance notice.•Cardiolite—We currently have one manufacturer for our Cardiolite supply. We also entered into a Manufacturing and SupplyAgreement, effective as of May 3, 2012, with JHS for the manufacture of Cardiolite products. Under the agreement, JHS has agreed tomanufacture product for an initial term of five years. We have the right to extend the agreement for an additional five-year period, withautomatic renewals for additional one year periods thereafter. The agreement allows for termination upon the occurrence of specifiedevents, including material breach or bankruptcy by either party. The agreement requires us to place orders for a minimum percentage ofour requirements for Cardiolite with JHS during such term. We are currently considering our product volume requirements and need foradditional contract manufactures for Cardiolite. •Neurolite—We entered into a Manufacturing and Supply Agreement, effective as of May 3, 2012, with JHS for the manufacture ofNeurolite. Under the agreement, JHS has agreed to manufacture product for an initial term of five years. We have the right to extend theagreement for an additional five-year period, with automatic renewals for additional one year periods thereafter. The agreement allowsfor termination upon the occurrence of specified events, including material breach or bankruptcy by either party. The agreement alsorequires us to place orders for a minimum percentage of our requirements for Neurolite with JHS during such term. We are alsoconsidering additional contract manufacturers for Neurolite. Based on our current projections, we believe that we will have sufficient supply of DEFINITY from JHS to meet expected demand and sufficientCardiolite product supply from our current supplier to meet expected demand. We also currently anticipate JHS-manufactured Neurolite to be availableby the second half of 2014 when technology transfer and regulatory approval at JHS are completed. We are pursuing new manufacturing relationshipsto establish and secure additional long-term or alternative suppliers as described above, but we are uncertain of the timing as to when these arrangementscould provide meaningful quantities of product. See "Item 1A—Risk Factors—Our dependence upon third parties for the manufacture and supply of asubstantial portion of our products could prevent us from delivering our products to our customers in the required quantities, within the requiredtimeframes, or at all, which could result in order cancellations and decreased revenues," "Item 1A—Risk Factors—Challenges with product quality orproduct performance, including defects, caused by us or our suppliers could result in a decrease in customers and sales, unexpected expenses and lossof market share" and "Risk Factors—Our business and industry are subject to complex and costly regulations. If government regulations are interpretedor enforced in a manner adverse to us or our business, we may be subject to enforcement actions, penalties, exclusion and other material limitations onour operations."11Table of ContentsMallinckrodt We rely on sole source manufacturing for Ablavar at Mallinckrodt. The agreement requires us to purchase a minimum amount of Ablavar and canbe amended or terminated by mutual written agreement at any time. See "Item 1A—Risk Factors—Our business depends on our ability to successfullyintroduce new products and adapt to a changing technology and diagnostic landscape." The agreement also allows for termination upon the occurrenceof certain events such as a material breach or default by either party, or bankruptcy by either party. Currently, the agreement runs until September 30,2014, although we do not foresee the need to order any additional API or finished drug product under this agreement other than our outstandingpurchase commitment. At December 31, 2013, the remaining purchase commitment under the amended agreement was approximately $1.8 million andshould be satisfied by the second quarter of 2014. See "Item 1A—Risk Factors—Our dependence upon third parties for the manufacture and supply ofa substantial portion of our products could prevent us from delivering our products to our customers in the required quantities within the requiredtimeframe, or at all, which could result in order cancellations and decreased revenues."PET Manufacturing Facilities If flurpiridaz F 18 is ultimately successful in clinical trials (see "Research and Development—Flurpiridaz F 18 Phase 3 Program" below), a newmanufacturing model will have to be implemented where chemical ingredients of the imaging agent are provided to PET radiopharmacies that havefluorine-18 radioisotope-producing cyclotrons on premises. The ingredients will be combined with fluorine-18 manufactured in these radiopharmaciesin specially designed chemistry synthesis boxes to generate the final radiopharmaceutical imaging agent, flurpiridaz F 18. Radiopharmacists will be ableto prepare and dispense patient-specific doses from the final product. However, because each of these PET radiopharmacies will be deemed by the FDAto be a separate manufacturing site for flurpiridaz F 18, each will have to be included in the agent's New Drug Application, or NDA, and subsequentFDA filings. As a result, there will be quality and oversight responsibility for these PET radiopharmacies associated with the NDA, unlike the currentrelationship we have with our nuclear imaging agent distributors that operate radiopharmacies. Depending upon the nature and scope of any strategicpartnership we enter into for flurpiridaz F18, such responsibilities could eventually require us to commit additional financial and human resources, andwill potentially expose us to additional liability.Research and Development For the years ended December 31, 2013, 2012 and 2011, we invested $30.5 million, $40.6 million and $40.9 million, respectively, in research anddevelopment. Our research and development team includes our medical affairs and medical information functions, which educate physicians on thescientific aspects of our commercial products and the approved indications, labeling and the receipt of reports relating to product quality or adverseevents. We have developed a pipeline of three potential cardiovascular imaging agents which were discovered and developed in-house and are protectedby patents and patent applications we own in the United States and numerous foreign jurisdictions. In March 2013, we began to implement a strategicshift in how we will fund our important R&D programs. We will reduce over time our internal R&D resources while at the same time we seek toengage strategic partners to assist us in the further development and commercialization of these agents, including flurpiridaz F 18, 18F LMI 1195 andLMI 1174. See "Item 1A—Risk Factors—We will not be able to develop or commercialize our development candidates without successful strategicpartners."Flurpiridaz F 18—PET Perfusion Agent—Myocardial Perfusion We have developed flurpiridaz F 18, an internally discovered small molecule radiolabeled with fluorine-18, as an imaging agent used in PET MPIto assess blood flow to the heart. Today, most MPI12Table of Contentsprocedures use SPECT technology. Although this imaging provides substantial clinical value, there is growing interest in the medical community toutilize technology such as PET that can provide meaningful advantages. PET is an imaging technology that when used in combination with anappropriate radiopharmaceutical imaging agent can provide important insights into physiologic and metabolic processes in the body and be useful inevaluating a variety of conditions including neurological disease, heart disease and cancer. PET imaging has demonstrated broad utility for diagnosis,prognosis, disease staging and therapeutic response. Images generated with PET technology typically exhibit very high image resolution because ofsubstantially higher signal to noise efficiency, a measure of the efficiency by which energy can be captured to create an image. Although SPECT imaging used in conjunction with a radiopharmaceutical imaging agent, such as Cardiolite, is most commonly used for MPIstudies, PET imaging has gained considerable support in the field of cardiovascular imaging as it offers many advantages to SPECT imaging, including:higher image quality, increased diagnostic certainty, more accurate risk stratification and reduced patient radiation exposure. In addition, PET MPIimaging could be particularly useful in difficult to image patients, including women and obese patients. The use of PET technology in MPI testsrepresents a broad emerging application for a technology more commonly associated with oncology and neurology. We anticipate that the adoption ofPET technology in MPI tests will increase significantly in the future.Flurpiridaz F 18 Clinical Overview We submitted an Investigational New Drug Application, or IND, for flurpiridaz F 18 to the FDA in August 2006. Our clinical program to date hasconsisted of three Phase 1 studies, a Phase 2 clinical trial, conducted from 2007 to 2010, involving a total of 208 subjects who received PET MPIperformed with flurpiridaz F 18 and a Phase 3 clinical trial conducted from 2011 to 2013 involving 920 subjects who received PET MPI procedureswith flurpiridaz F 18.Flurpiridaz F 18 Phase 2 Trial We evaluated flurpiridaz F 18 in a Phase 2 trial consisting of 176 subjects from 21 centers. These subjects underwent rest and stress flurpiridazF 18 and SPECT MPI, both of which were evaluated for safety. 86 subjects underwent coronary angiography, the current standard clinical method fordiagnosing coronary artery disease. Coronary angiography is an invasive procedure using fluoroscopy performed in a cardiac catheterization lab whilethe subject is under mild sedation. These 86 subjects formed the population for evaluating diagnostic performance. PET MPI was performed withflurpiridaz F 18 at rest and at stress utilizing pharmacological coronary vasodilation or treadmill exercise. Unlike currently available PET imaging agentsfor MPI with half-lives measured in seconds, flurpiridaz F 18 can be used in conjunction with treadmill exercise given its substantially longer 110minute half-life. The Phase 2 trial results showed the following:•a significantly higher percentage of images were rated as either excellent or good quality with PET imaging, compared to SPECTimaging for stress images (98.8% vs. 84.9%, p<0.01) and rest images (95.3% vs. 69.8%, p<0.01); •diagnostic certainty of interpretation, the percentage of cases with definitely abnormal or definitely normal interpretation, wassignificantly higher for flurpiridaz F 18 compared to SPECT (90.7% vs. 75.6%, p<0.01); •the area under the ROC curve (the relative operating characteristic curve comparing the true positive rate to the false positive rate forcoronary artery disease diagnosis) was significantly higher for flurpiridaz F 18 than SPECT (0.82±0.05 vs. 0.70±0.05, p<0.05),indicating higher diagnostic performance;13Table of Contents•sensitivity with flurpiridaz F 18 imaging was significantly higher than SPECT (78.8% vs. 61.5%, p=0.02); •a trend toward higher specificity was noted, although the advantage was not statistically significant in the study; and •no drug-related serious adverse events were observed, demonstrating a positive safety profile for PET MPI imaging withflurpiridaz F 18.Flurpiridaz F 18 Phase 3 Program Our Phase 3 program for flurpiridaz F 18 includes a 301 trial and a 302 trial, which are each open-label, multicenter trials to assess the diagnosticefficacy of flurpiridaz F 18 PET MPI as compared with SPECT MPI in the detection of significant coronary artery disease. Coronary angiography isthe truth standard for all subjects. The clinical development program includes hypotheses for superiority for sensitivity (identifying disease) and non-inferiority for specificity (ruling out disease) with an adequate sample size to demonstrate superior specificity if present. In March 2011, we obtained agreement from the FDA on a Special Protocol Assessment for our 301 trial and in April 2012, we received a SpecialProtocol Assessment for our 302 trial. During the third quarter of 2013 we completed patient enrollment in the 301 trial. In the fourth quarter of 2013, we announced preliminary resultsfrom the 301 trial. Flurpiridaz F 18 appeared to be well-tolerated from a safety perspective and outperformed SPECT in a highly statistically significantmanner (p<.001) in sensitivity. In addition, flurpiridaz F 18 showed statistically significant improvements (p<.001) in image quality and diagnosticcertainty in comparison to SPECT. However, flurpiridaz F 18 did not meet the non-inferiority criterion for identifying subjects without disease. We have initiated discussions about potential next steps in the development process with the FDA, and we are seeking strategic partners to furtherdevelop and, if approved, commercialize flurpiridaz F 18.18F LMI 1195—Cardiac Neuronal Activity Imaging Agent We have developed 18F LMI 1195, also an internally discovered small molecule that is a fluorine-18-based radiopharmaceutical imaging agent,designed to assess cardiac sympathetic nerve function with PET. Sympathetic nerve activation increases the heart rate, constricts blood vessels andraises blood pressure by releasing a neurotransmitter called norepinephrine throughout the heart. Changes in the cardiac sympathetic nervous systemhave been associated with heart failure progression and fatal arrhythmias. Heart failure is a major public health problem in North America, associated with high morbidity and mortality, frequent hospitalizations and amajor cost burden on the community. In the U.S. alone, there are over 5 million patients living with congestive heart failure, and over a half million newdiagnoses each year. Mortality for this condition is around 50% within 5 years of diagnosis. Expensive therapies for heart failure are often utilizedwithout effective predictors of patient response. Costly device therapies (for example, implantable cardiac defibrillators, or ICDs, and cardiacresynchronization therapy) are often used, although they sometimes do not provide any benefits or are activated in only a minority of recipients.Conversely, heart failure clinical practice guidelines currently preclude the use of device therapy in many patients who might benefit. Thus, a keyopportunity is to better match patients to treatment based on the identification of the underlying molecular status of disease progression. 18F LMI 1195 is taken up by the transporter that regulates norepinephrine released by the sympathetic nervous system at multiple nerve endings ofthe heart. PET imaging using 18F LMI 1195 could allow for the identification of patients at risk of sudden death, potentially improving clinical14Table of Contentsdecision-making, including who could benefit from certain drug therapies or the implantation of certain anti-arrhythmia devices such as ICDs. We have completed a Phase 1 study of 18F LMI 1195 using PET imaging. Twelve normal subjects were injected intravenously withapproximately 6 millicuries of 18F LMI 1195, imaged sequentially for a period of approximately 5 hours and monitored closely to observe any potentialadverse events. Excellent quality images were obtained and the radiation dose to the subjects was found to be well within acceptable limits. Bloodradioactivity cleared quickly and lung activity was low throughout the study. The agent appeared to have a favorable safety profile. We are seeking toengage strategic partners to assist us with the ongoing development activities relating to this agent.LMI 1174—Vascular Remodeling We have developed LMI 1174, an internally discovered gadolinium-based MRI agent targeted to elastin in the arterial walls and atheroscleroticplaque. We believe that this agent could allow non-invasive assessment of plaque location, burden, type of arterial wall remodeling and therefore thepotential for a vascular event, which, in turn, could lead to heart attack or stroke. Atherosclerosis is the leading cause of heart attacks, strokes, and peripheral vascular disease. Elastin plays a key role in the structure of the arterialwall and in biological signaling functions. Several pathological stimuli may be responsible for triggering elastogenesis in atherosclerosis, leading to amarked increase in elastin content during plaque development. In addition to the increase in elastin seen in autopsy samples from patients with carotidatherosclerosis, there is also an increase of elastin in aortic aneurysm samples. As a result, an elastin-specific imaging agent may facilitate noninvasivedetection of remodeling of the arterial walls. The majority of the assessments of atherosclerosis are currently obtained using angiography or MPI. MRI using LMI 1174 could allow for theidentification, on a non-invasive basis without radiation exposure, of the presence and characteristics of atherosclerosis, potentially improving clinicaldecision-making to reduce the risks of cardiovascular events. In our preclinical work, we have identified a series of low molecular weight molecules that bind to elastin and final optimization is ongoing. Ourlead molecule, LMI 1174, has been used to demonstrate utility in a number of different animal models. We are seeking to engage strategic partners toassist us with the ongoing development activities relating to this agent.Intellectual Property Patents, trademarks and other intellectual property rights are very important to our business. We also rely on trade secrets, manufacturing know-how, technological innovations and licensing agreements to maintain and improve our competitive position. We review third-party proprietary rights,including patents and patent applications, as available, in an effort to develop an effective intellectual property strategy, avoid infringement of third-partyproprietary rights, identify licensing opportunities and monitor the intellectual property owned by others. Our ability to enforce and protect ourintellectual property rights may be limited in certain countries outside the United States, which could make it easier for competitors to capture marketposition in such countries by utilizing technologies that are similar to those developed or licensed by us. Competitors also may harm our sales bydesigning products that mirror the capabilities of our products or technology without infringing our intellectual property rights. If we do not obtainsufficient protection for our intellectual property, or if we are unable to effectively enforce our intellectual property rights, our competitiveness could beimpaired, which would limit our growth and future revenue.15Table of ContentsTrademarks, Service Marks and Trade Names We own various trademarks, service marks and trade names, including DEFINITY, TechneLite, Cardiolite, Neurolite, Ablavar, Vialmix,Quadramet (U.S. only) and Lantheus Medical Imaging. We have registered these trademarks, as well as others, in the United States and numerousforeign jurisdictions.Patents We actively seek to protect the proprietary technology that we consider important to our business, including chemical species, compositions andformulations, their methods of use and processes for their manufacture, as new intellectual property is developed. In addition to seeking patentprotection in the United States, we file patent applications in numerous foreign countries in order to further protect the inventions that we considerimportant to the development of our foreign business. We also rely upon trade secrets and contracts to protect our proprietary information. As ofFebruary 28, 2014, our patent portfolio included a total of 42 issued U.S. patents, 256 issued foreign patents, 27 pending patent applications in theUnited States and 144 pending foreign applications, including claims covering the composition of matter and methods of use for all of our preclinicaland clinical stage candidates. Our patents cover many of our commercial products, and our patent protection is generally in the United States, Canada, Mexico, most of WesternEurope and Scandinavia (including Austria, Belgium, Denmark, Finland, France, Germany, Great Britain, Italy, Luxembourg, Netherlands, Norway,Spain, Switzerland and Sweden), and markets in Asia (including China, Hong Kong, Japan, Singapore and South Korea) and Latin America (includingChile and Brazil). For DEFINITY, we hold a number of different compositions of matter, use, formulation and manufacturing patents, with U.S. patentprotection until 2021 and patent or regulatory extension protection in Canada, Europe and parts of Asia until 2019. For Ablavar, we hold a number ofdifferent compositions of matter, use, formulation and manufacturing patents, with the last U.S. patent not expiring until 2020 with regulatory extensionand a manufacturing patent application, which if granted, will expire in 2034 in the absence of any patent term adjustment or regulatory extension.Neither Cardiolite nor Neurolite is covered any longer by patent protection in either the United States or the rest of the world and we are not currentlyaware of any proposed generic competitors to Neurolite. TechneLite currently has patent protection in the U.S. and various foreign countries on certaincomponent technology expiring in 2029. In addition, given the significant know-how and trade secrets associated with the methods of manufacturingand assembling the TechneLite generator, we believe we have a substantial amount of valuable and defensible proprietary intellectual property associatedwith the product. Thallium, Gallium and Xenon are all generic radiopharmaceuticals. We have patents and patent applications in numerous jurisdictions covering composition, use, formulation and manufacturing of flurpiridaz F 18,one of which, if granted, will expire in 2033 and in the United States a composition patent expiring in 2026 and a method of use patent expiring in 2028in the absence of any regulatory extension. We also have patents and patent applications in numerous jurisdictions covering composition, use, andsynthesis of our cardiac neuronal imaging agent candidate, some of which, if granted, will expire in 2027 and some in 2031 in the absence of any patentterm adjustment or regulatory extensions, in the United States a composition patent expiring in 2030 in the absence of any regulatory extension, and inEurope a composition patent expiring in 2027 in the absence of any regulatory extension. Additionally, we have patent applications in numerousjurisdictions covering composition, use and synthesis of our vascular remodeling compound, some of which if granted, will expire in 2029 and some in2030 in the absence of any patent term adjustment or regulatory extensions and in the United States a composition and method of use patent expiring in2031 in the absence of any regulatory extension.16Table of Contents In addition to patents, we rely where necessary upon unpatented trade secrets and know-how, proprietary information, and continuingtechnological innovation to develop and maintain our competitive position. We seek to protect our proprietary information, in part, using confidentialityagreements with our collaborators, employees, consultants and other third parties and invention assignment agreements with our employees. Theseconfidentiality agreements may not prevent unauthorized disclosure of trade secrets and other proprietary information, and we cannot assure you that anemployee or an outside party will not make an unauthorized disclosure of our trade secrets, other technical know-how or proprietary information. Wemay not have adequate remedies for any unauthorized disclosure. This might happen intentionally or inadvertently. It is possible that a competitor willmake use of such information, and that our competitive position will be compromised, in spite of any legal action we might take against persons makingsuch unauthorized disclosures. In addition, our trade secrets may otherwise become known or be independently discovered by competitors. To theextent that our collaborators, employees and consultants use intellectual property owned by others in their work for us, disputes may arise as to therights in related or resulting know-how and inventions. In addition, we license a limited number of third-party technologies and other intellectual property rights that are incorporated into some elementsof our drug discovery and development efforts. These licenses are not material to our business, and the technologies can be obtained from multiplesources. We are currently party to separate royalty-free, non-exclusive, cross-licenses with each of Bracco, GE Healthcare and Imcor PharmaceuticalCompany which give us freedom to operate in connection with contrast-enhanced ultrasound imaging technology. We also in-license certain freedom tooperate rights for Ablavar from, among others, Bayer.Regulatory MattersFood and Drug Laws The development, manufacture, sale and distribution of our products are subject to comprehensive governmental regulation both within and outsidethe United States. A number of factors substantially increase the time, difficulty and costs incurred in obtaining and maintaining the approval to marketnewly developed and existing products. These factors include governmental regulation, such as detailed inspection of and controls over research andlaboratory procedures, clinical investigations, manufacturing, narcotic licensing, marketing, sampling, distribution, import and export, record keepingand storage and disposal practices, together with various post-marketing requirements. Governmental regulatory actions can result in the seizure orrecall of products, suspension or revocation of the authority necessary for their production and sale as well as other civil or criminal sanctions. Our activities in the development, manufacture, packaging or repackaging of our pharmaceutical and medical device products subjects us to a widevariety of laws and regulations. We are required to register for permits and/or licenses with, seek approvals from and comply with operating andsecurity standards of the FDA, the U.S. Nuclear Regulatory Commission ("NRC"), the U.S. Department of Health and Human Services ("HHS"),Health Canada, the European Medicines Agency ("EMA"), and various state and provincial boards of pharmacy, state and provincial controlledsubstance agencies, state and provincial health departments and/or comparable state and provincial agencies as well as foreign agencies, and certainaccrediting bodies depending upon the type of operations and location of product distribution, manufacturing and sale. The FDA and various state regulatory authorities regulate the research, testing, manufacture, safety, labeling, storage, recordkeeping, premarketapproval, marketing, advertising and promotion, import and export and sales and distribution of pharmaceutical products in the United States. Prior tomarketing a pharmaceutical product, we must first receive FDA approval. Specifically, in the United States, the FDA regulates drugs under the FederalFood, Drug, and Cosmetic Act, or FDCA, and the17Table of ContentsPublic Health Service Act, and implementing regulations. The process of obtaining regulatory approvals and compliance with appropriate federal, state,local, and foreign statutes and regulations require the expenditure of substantial time and financial resources. The process required by the FDA before adrug product may be marketed in the United States generally involves the following:•completion of preclinical laboratory tests, animal studies and formulation studies according to Good Laboratory Practices regulations; •submission to the FDA of an IND which must become effective before human clinical studies may begin; •performance of adequate and well-controlled human clinical studies according to Good Clinical Practices and other requirements, toestablish the safety and efficacy of the proposed drug product for its intended use; •submission to the FDA of a New Drug Application, or NDA, for a new drug; •satisfactory completion of an FDA inspection of the manufacturing facility or facilities at which the drug product is produced to assesscompliance with current Good Manufacturing Practices, or cGMP, regulations; and •FDA review and approval of the NDA. The testing and approval process requires substantial time, effort, and financial resources, and we cannot be certain that any approvals for ourproduct candidates will be granted on a timely basis, if at all. Once a pharmaceutical product candidate is identified for development, it enters thepreclinical testing stage. Preclinical tests include laboratory evaluations of product chemistry, toxicity, formulation, and stability, as well as animalstudies to assess its potential safety and efficacy. This testing culminates in the submission of the IND to the FDA. Once the IND becomes effective,the clinical trial program may begin. Each new clinical trial must be submitted to the FDA before the study may begin. Human clinical studies aretypically conducted in three sequential phases that may overlap or be combined: Phase 1. The product is initially introduced into healthy human subjects and tested for safety, dosage tolerance, absorption, metabolism,distribution and excretion. In the case of some products for severe or life-threatening diseases, especially when the product may be tooinherently toxic to ethically administer to healthy volunteers, the initial human testing is often conducted in patients. Phase 2. Involves studies in a limited patient population to identify possible adverse effects and safety risks, to evaluate preliminarily theefficacy of the product for specific targeted diseases and to determine dosage tolerance and optimal dosage and schedule. Phase 3. Clinical studies are undertaken to further evaluate dosage, clinical efficacy and safety in an expanded patient population atgeographically dispersed clinical study sites. These studies are intended to collect sufficient safety and effectiveness data to support the NDA forFDA approval. Sponsors may request a special protocol assessment from the FDA. The FDA's special protocol assessment process creates a written agreementbetween the sponsoring company and the FDA regarding the clinical trial design and other clinical trial issues that can be used to support approval of acandidate product. The special protocol assessment is intended to provide assurance that if the agreed-upon clinical trial protocols are followed and thetrial endpoints are achieved, the data may serve as the primary basis for an efficacy claim in support of an NDA. However, the special protocolassessment agreement is not a guarantee of an approval of a product or any permissible claims about the product. In particular, the special protocolassessment is not binding on the FDA if public health concerns become evident that are unrecognized at the time that the special protocol assessment18Table of Contentsagreement is entered into, other new scientific concerns regarding product safety or efficacy arise, or if the sponsor company fails to comply with theagreed upon trial protocols. Progress reports detailing the results of the clinical studies must be submitted at least annually to the FDA and safety reports must be submitted tothe FDA and the investigators for serious and unexpected adverse events. Submissions must also be made to inform the FDA of certain changes to theclinical trial protocol. Federal law also requires the sponsor to register the trials on public databases when they are initiated, and to disclose the results ofthe trials on public databases upon completion. Phase 1, Phase 2 and Phase 3 testing may not be completed successfully within any specified period, ifat all. The FDA or the sponsor may suspend or terminate a clinical study at any time on various grounds, including a finding that the research subjectsor patients are being exposed to an unacceptable health risk. Similarly, an institutional review board, or IRB, can suspend or terminate approval of aclinical study at its institution if the clinical study is not being conducted in accordance with the IRB's requirements or if the drug product has beenassociated with unexpected serious harm to patients. Failure to register a trial or disclose study results within the required time periods could result inpenalties, including civil monetary penalties. Concurrent with clinical studies, companies usually complete additional animal studies and must also develop additional information about thechemistry and physical characteristics of the product and finalize a process for manufacturing the product in commercial quantities in accordance withcGMP requirements. The manufacturing process must be capable of consistently producing quality batches of the product candidate and, among otherthings, the manufacturer must develop methods for testing the identity, strength, quality, and purity of the final product. Additionally, appropriatepackaging must be selected and tested and stability studies must be conducted to demonstrate that the product candidate does not undergo unacceptabledeterioration over its shelf life. The results of product development, preclinical studies, and clinical studies, along with descriptions of the manufacturing process, analytical testsconducted on the drug product, proposed labeling, and other relevant information, are submitted to the FDA as part of an NDA for a new drug,requesting approval to market the product. The submission of an NDA is subject to the payment of a substantial user fee, pursuant to the PrescriptionDrug User Fee Act ("PDUFA"), which was first enacted in 1992 to provide the FDA with additional resources to speed the review of important newmedicines. A waiver of such fee may be obtained under certain limited circumstances. PDUFA expires every five years and must be reauthorized byCongress. PDUFA IV expired on September 30, 2012, and was renewed as Title I of the FDA Safety and Innovation Act. PDUFA V reauthorizationreflected an agreement reached after months of discussion between FDA, industry and other stakeholders. The current PDUFA V agreement focuses onimproving the efficiency and predictability of the review process, strengthening the agency regulatory science base and enhancing benefit-riskassessment and post-approval safety surveillance. The approval process is lengthy and difficult and the FDA may refuse to approve an NDA if the applicable regulatory criteria are not satisfied. TheFDA has substantial discretion in the product approval process, and it is impossible to predict with any certainty whether and when the FDA will grantmarketing approval. The FDA may on occasion require the sponsor of an NDA to conduct additional clinical studies or to provide other scientific ortechnical information about the product, and these additional requirements may lead to unanticipated delay or expense. Even if such data and informationis submitted, the FDA may ultimately decide that the NDA does not satisfy the criteria for approval. Data obtained from clinical studies are not alwaysconclusive, and the FDA may interpret data differently than we interpret the same data. If a product receives regulatory approval, the approval may be significantly limited to specific diseases and dosages or the indications for use mayotherwise be limited, which could restrict the commercial value of the product. Further, the FDA may require that certain contraindications,19Table of Contentswarnings or precautions be included in the product labeling. In addition, the FDA may require Phase 4 testing which involves clinical studies designedto further assess a drug product's safety and effectiveness after NDA approval. The FDA also may impose a risk evaluation and mitigation strategy, orREMS, to ensure that the benefits of a product outweigh its risks. A REMS could add training requirements for healthcare professionals, safetycommunications efforts, and limits on channels of distribution, among other things. The sponsor would be required to evaluate and monitor the variousREMS activities and adjust them if need be. Whether a REMS would be imposed on any of our products and any resulting financial impact is uncertainat this time. Any drug products for which we receive FDA approvals are subject to continuing regulation by the FDA, including, among other things, record-keeping requirements, reporting of adverse experiences with the product, providing the FDA with updated safety and efficacy information, productsampling and distribution requirements, complying with certain electronic records and signature requirements, and complying with FDA promotion andadvertising requirements. The FDA strictly regulates labeling, advertising, promotion, and other types of information on products that are placed on themarket. Drugs may be promoted only for the approved indications and in accordance with the provisions of the approved label and promotional claimsmust be appropriately balanced with important safety information and otherwise be adequately substantiated. Further, manufacturers of drugs mustcontinue to comply with cGMP requirements, which are extensive and require considerable time, resources, and ongoing investment to ensurecompliance. In addition, changes to the manufacturing process generally require prior FDA approval before being implemented, and other types ofchanges to the approved product, such as adding new indications and additional labeling claims, are also subject to further FDA review and approval. Drug product manufacturers and other entities involved in the manufacturing and distribution of approved drugs products are required to registertheir establishments with the FDA and certain state agencies, and are subject to periodic unannounced inspections by the FDA and certain otheragencies for compliance with cGMP and other laws. The cGMP requirements apply to all stages of the manufacturing process, including theproduction, processing, sterilization, packaging, labeling, storage and shipment of the drug product. Manufacturers must establish validated systems toensure that products meet specifications and regulatory standards, and test each product batch or lot prior to its release. In addition, manufacturers ofcommercial PET products, including radiopharmacies, hospitals and academic medical centers, are required to submit either an NDA or AbbreviatedNew Drug Application, or ANDA, in order to produce PET drugs for clinical use, or produce the drugs under an IND. The FDA also regulates the preclinical and clinical testing, design, manufacture, safety, efficacy, labeling, storage, record keeping, sales anddistribution, postmarket adverse event reporting, import/export and advertising and promotion of any medical devices that we distribute pursuant to theFDCA and FDA's implementing regulations. The Federal Trade Commission shares jurisdiction with the FDA over the promotion and advertising ofcertain medical devices. The FDA can also impose restrictions on the sale, distribution or use of devices at the time of their clearance or approval, orsubsequent to marketing. Currently, two medical devices, both of which are manufactured by third parties who hold the product clearances, compriseonly a small portion of our total revenue. The FDA may withdraw a pharmaceutical or medical device product approval if compliance with regulatory standards is not maintained or ifproblems occur after the product reaches the market. Later discovery of previously unknown problems with a product may result in restrictions on theproduct or even complete withdrawal of the product from the market. Further, the failure to maintain compliance with regulatory requirements mayresult in administrative or judicial actions, such as fines, warning letters, holds on clinical studies, product recalls or seizures, product detention orrefusal to permit the import or export of products, refusal to approve pending applications or supplements, restrictions on marketing or manufacturing,injunctions, or civil or criminal penalties.20Table of Contents Because our operations include nuclear pharmacies and related businesses, such as cyclotron facilities used to produce PET products used indiagnostic medical imaging, we are subject to regulation by the NRC or the departments of health of each state in which we operate and the applicablestate boards of pharmacy. In addition, the FDA is also involved in the regulation of cyclotron facilities where PET products are produced andcompliance with cGMP requirements and United States Pharmacopeia requirements for PET drug compounding. Drug laws also are in effect in many of the non-U.S. markets in which we conduct business. These laws range from comprehensive drug approvalrequirements to requests for product data or certifications. In addition, inspection of and controls over manufacturing, as well as monitoring of adverseevents, are components of most of these regulatory systems. Most of our business is subject to varying degrees of governmental regulation in thecountries in which we operate, and the general trend is toward increasingly stringent regulation. The exercise of broad regulatory powers by the FDAcontinues to result in increases in the amount of testing and documentation required for approval or clearance of new drugs and devices, all of whichadd to the expense of product introduction. Similar trends also are evident in major non-U.S. markets, including Canada, the European Union, Australiaand Japan. To assess and facilitate compliance with applicable FDA, NRC and other state, federal and foreign regulatory requirements, we regularly reviewour quality systems to assess their effectiveness and identify areas for improvement. As part of our quality review, we perform assessments of oursuppliers of the raw materials that are incorporated into products and conduct quality management reviews designed to inform management of keyissues that may affect the quality of our products. From time to time, we may determine that products we manufactured or marketed do not meet ourspecifications, published standards, such as those issued by the International Standards Organization, or regulatory requirements. When a quality orregulatory issue is identified, we investigate the issue and take appropriate corrective action, such as withdrawal of the product from the market,correction of the product at the customer location, notice to the customer of revised labeling and other actions.Drug Price Competition and Patent Term Restoration Act of 1984 The Drug Price Competition and Patent Term Restoration Act of 1984, known as the Hatch-Waxman Act, added two additional routes to approvalof new drugs, in addition to the full NDA, known as the Section 505(b)(1) NDA. Specifically, the Hatch-Waxman Act permits the FDA to approveANDAs for generic versions of drugs if the ANDA applicant demonstrates that its product is bioequivalent to the innovator product and providesrelevant chemistry, manufacturing and product data. The Hatch Waxman Act also instituted a third type of drug application that requires the sameinformation as a full NDA, including full reports of clinical and preclinical studies, except that some of the information from the reports required formarketing approval comes from studies which the applicant does not own or have a legal right of reference. This type of application, a Section 505(b)(2)NDA, permits a manufacturer to obtain marketing approval for a drug without needing to conduct or obtain a right of reference for all of the requiredstudies. The Hatch-Waxman Act also provides for: (1) restoration of a portion of a product's patent term that was lost during clinical development andapplication review by the FDA; and (2) statutory protection, known as exclusivity, against the FDA's acceptance or approval of certain competitorapplications. Patent term extension can compensate for time lost during product development and the regulatory review process by returning up to five years ofpatent life for a patent that covers a new product or its use. This period is generally one-half the time between the effective date of an IND and thesubmission date of an NDA, plus the time between the submission date of an NDA and the approval of that application. Patent term extensions,however, are subject to a maximum extension of five years, and the patent term extension cannot extend the remaining term of a patent beyond a total21Table of Contentsof 14 years. The application for patent term extension is subject to approval by the U.S. Patent and Trademark Office in conjunction with the FDA. The Hatch-Waxman Act also provides for a period of statutory protection for new drugs that receive NDA approval from the FDA. If the FDAapproves a Section 505(b)(1) NDA for a new drug that is a new chemical entity, meaning that the FDA has not previously approved any other newdrug containing the same active moiety, then the Hatch-Waxman Act prohibits the submission or approval of an abbreviated application by a genericcompetitor or a Section 505(b)(2) NDA, for a period of five years from the date of approval of the NDA, except that in some cases the FDA may acceptan application for review after four years. The Hatch-Waxman Act will not prevent the filing or approval of a full NDA, as opposed to an abbreviatedapplication or Section 505(b)(2) NDA, for any drug, but the competitor would be required to conduct its own clinical trials, and any use of the drug forwhich marketing approval is sought could not violate another NDA holder's patent claims. If FDA approves an NDA for a new drug containing anactive ingredient that was previously approved by the FDA, but the NDA is for a drug that includes new clinical data (other than bioavailability andbioequivalence studies) to support an innovation over the previously approved drug and such studies were conducted or sponsored by the applicant andwere essential to approval of the application, then the Hatch-Waxman statutory exclusivity period is only three years from the date of the NDA approvalthat covers the innovation. This three year exclusivity period does not prohibit the FDA from accepting an application from a third party for that sameinnovation, but it does prohibit the FDA from approving such application for the three year period. The three year exclusivity does not prohibit theFDA, with limited exceptions, from approving generic drugs containing the same active ingredient but without the new innovation.Healthcare Reform Act and Related Laws The Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act, (collectively, the"Healthcare Reform Act") substantially changes the way in which healthcare is financed by both governmental and private insurers and has a significantimpact on the pharmaceutical industry. The Healthcare Reform Act contains a number of provisions that affect coverage and reimbursement of drugproducts and the medical imaging procedures in which our drug products are used. Key provisions include the following:•increasing the presumed utilization rate 50% to 75% for imaging equipment costing $1 million or more in the physician office and free-standing imaging facility setting for dates of service on or after January 1, 2011. Under the American Taxpayer Relief Act of 2012, orATRA, the presumed utilization rate was further increased to 90%, effective January 1, 2014, which reduces the Medicare per proceduremedical imaging reimbursement; •increasing the minimum rebate percentage of the average manufacturer price for Medicaid rebates payable by manufacturers of brand-name drugs (such as us) from 15.1% to the higher of 23.1% of the average manufacturer price or the difference between the averagemanufacturer price and the best price; •extending Medicaid rebates payable by manufacturers of brand-name drugs to drugs paid by Medicaid managed care organizations; •expanding eligibility criteria for Medicaid programs by, among other things, allowing states to offer Medicaid coverage to additionalindividuals and by adding new mandatory eligibility categories for certain individuals with income at or below 133% of the federalpoverty level, thereby potentially increasing a manufacturer's Medicaid rebate liability; •expanding access to commercial health insurance coverage through new state-based health insurance marketplaces, or exchanges; •imposing a non-deductible annual fee on pharmaceutical manufacturers or importers who sell brand name prescription drugs to specifiedfederal government programs; and •imposing an annual excise tax on an entity that manufactures or imports medical devices offered for sale in the United States.22Table of Contents The Healthcare Reform Act also establishes an Independent Payment Advisory Board, or IPAB, to reduce the per capita rate of growth inMedicare spending. The IPAB is mandated to propose changes in Medicare payments if it is determined that the rate of growth of Medicareexpenditures exceeds target growth rates or the projected percentage increase for the medical expenditures portion of the Consumer Price Index isgreater than the projected percentage increase in the Consumer Price Index for all items. A proposal made by the IPAB must be implemented by CMS,unless Congress adopts a proposal that achieves the necessary savings. Although under the Healthcare Reform Act, the IPAB proposals may impactpayments for physician and free-standing imaging services beginning in 2015 and for hospital services beginning in 2020, the threshold for triggeringIPAB proposals was not reached for 2015 so no adjustments will be made under the IPAB in 2015. The Healthcare Reform Act also amended the federal self-referral laws, requiring referring physicians to inform patients under certaincircumstances that the patients may obtain services, including MRI, computed tomography, PET, and certain other diagnostic imaging services, from aprovider other than that physician, his or her group practice, another physician in his or her group practice, or another individual under directsupervision of the physician or another physician in the group practice. The referring physician must provide each patient with a written list of othersuppliers who furnish such services in the area in which the patient resides. These new requirements could have the effect of shifting where certaindiagnostic medical imaging procedures are performed. In addition, the Budget Control Act of 2011, as amended by the ATRA imposed across-the-board cuts ("sequestrations") to mandatory anddiscretionary spending. Medicare (but not Medicaid) reimbursement rates were reduced by 2% beginning in April 2013. As a result of the BipartisanBudget Act of 2013, reductions now apply to Medicare reimbursement rates an additional two years through 2023. The ATRA also, among otherthings, further reduced Medicare payments to several providers, including hospitals and imaging centers. The Healthcare Reform Act has been subject to political and judicial challenges. In 2012, the Supreme Court considered the constitutionality ofcertain provisions of the law. The Court upheld as constitutional the mandate for individuals to obtain health insurance, but held the provision allowingthe federal government to withhold certain Medicaid funds to states that do not expand state Medicaid programs unconstitutional. Therefore, not allstates have expanded their Medicaid programs under the Healthcare Reform Act. Political and judicial challenges to the law may continue in the wake ofthe Court's ruling.Healthcare Fraud and Abuse Laws We are subject to various federal, state and local laws targeting fraud and abuse in the healthcare industry, including anti-kickback and false claimslaws. The Federal Anti-Kickback Statute prohibits persons from knowingly and willfully soliciting, offering, receiving or providing essentially anythingof value, directly or indirectly, in order to generate business, including the purchase or prescription of a drug, that is reimbursable by federal healthcareprograms such as Medicare or Medicaid. The scope of the Federal Anti-Kickback Statute is broad. Regulatory "safe harbors" protect certainarrangements within the scope of the statute that meet the specific requirements of the safe harbor. Arrangements outside of the safe harbor may besubject to scrutiny by government enforcement agencies and prosecuted if the arrangement is considered abusive. Moreover, recent healthcare reformlegislation has strengthened these laws. For example, the Healthcare Reform Act, among other things, amended the intent requirement of the FederalAnti-Kickback and criminal healthcare fraud statutes that prohibit executing a scheme to defraud any healthcare benefit program or making falsestatements relating to healthcare matters. A person or entity no longer needs to have actual knowledge of these statutes or specific intent to violate them.In addition, the Healthcare Reform Act provides that the government may assert that a claim including items or services resulting from a violation of theFederal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the False Claims Act. Many states have23Table of Contentsadopted laws similar to the Federal Anti-Kickback Statute. The scope of these state prohibitions vary and may prohibit proposed or actual financialinteractions involving business reimbursed under private health insurance as well as under government healthcare programs. At the federal and statelevel, there may not be regulations, guidance or court decisions that apply the laws to specific industry practices. There is therefore a possibility that ourpractices might be challenged under the anti-kickback laws. Federal and state false claims laws generally prohibit anyone from knowingly and willingly submitting, or causing the submission of, false orfraudulent claims for payment to third party payors (including Medicare and Medicaid). The Federal Civil False Claims Act, or False Claims Act,applies to false claims involving federal healthcare programs and permits a private individual acting as a "whistleblower" to bring actions on behalf ofthe federal government alleging violations of the False Claims Act and to share in any monetary recovery. State false claims acts may apply where aclaim is submitted to any third party payor (whether private health insurance or a government healthcare program). Government enforcement agenciesand private whistleblowers have asserted liability under false claims acts for claims submitted involving improper promotion of off-label uses (i.e., usesnot expressly approved by the FDA in a drug's label), mis-reporting of drug prices to federal agencies, medically unnecessary services ormisrepresentations of services rendered. The Healthcare Reform Act revised the False Claims Act to provide that a claim arising from a violation of theFederal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the False Claims Act. Our future activities may be subject toscrutiny under these laws, including activities related to the reporting of discount and rebate information and other information affecting federal, stateand private third-party reimbursement of our products and to the sale and marketing of our products. Laws and regulations have been enacted by the federal government and various states to regulate the sales and marketing practices ofpharmaceutical manufacturers. The laws and regulations generally limit financial interactions between manufacturers and healthcare providers or requiredisclosure to the government and public of such interactions. The laws include federal "sunshine" provisions enacted in 2010 as part of the HealthcareReform Act. The federal sunshine provisions apply to certain manufacturers, such as us, with prescription drug, biologic or medical device productsreimbursed under Medicare, Medicaid, and the Children's Health Insurance Program. Manufacturers subject to the provisions must disclose annually toCMS (for re-disclosure to the public) certain payments or transfers of value made to teaching hospitals, physicians and their immediate family members,and ownership and investment held by physicians and their immediate family members. Manufacturers must report data for the period from August toDecember 2013 in the first half of 2014, and CMS will then release the data later in the year. Separately, the Healthcare Reform Act requiresmanufacturers to submit information on the identity and quantity of drug samples requested and distributed during each year. The first report (for 2011)was to be submitted by April 1, 2012. The FDA indicated its intent to exercise enforcement discretion through October 1, 2012, and stated that theagency would issue notice to industry prior to beginning enforcement of this section. At this time, no such notice has been issued, and the FDAanticipates issuing additional guidance to the industry in calendar year 2014. State laws may also require disclosure of pharmaceutical pricinginformation and marketing expenditures. Many of these laws and regulations contain ambiguous requirements. Given the lack of clarity in laws andtheir implementation, our reporting actions could be subject to the penalty provisions of the pertinent federal and state laws and regulations. Federal and state authorities are paying increased attention to enforcement of fraud and abuse laws within the pharmaceutical industry and privateindividuals have been active in alleging violations of the laws and bringing suits on behalf of the government under the False Claims Act. We are unableto predict whether we would be subject to actions under fraud and abuse laws or the impact of such actions. If we were subject to allegationsconcerning, or were convicted of violating, these laws, our business could be harmed. Violations of federal and state laws related to fraud and abuse arepunishable by criminal or civil sanctions, including substantial fines, imprisonment and exclusion from24Table of Contentsparticipation in healthcare programs such as Medicare and Medicaid. Even the costs of defending such claims could adversely affect our financialperformance. Violations of international fraud and abuse laws could result in similar penalties, including exclusion from participation in health programsoutside the United States.Other Healthcare Laws Our operations may be affected by the Health Insurance Portability and Accountability Act of 1996, or HIPAA, and its implementing regulations,which established standards for certain "covered entities" (healthcare providers, health plans and healthcare clearinghouses) governing the conduct ofcertain electronic healthcare transactions and protecting the security and privacy of protected health information. The Health Information Technology forEconomic and Clinical Health Act, or HITECH, enacted in 2009, expands HIPAA's privacy and security standards. HITECH became effective onFebruary 17, 2010, and implementing regulations generally became effective in September 2013. Among other things, HITECH makes certain HIPAAprivacy and security standards directly applicable to "business associates", independent contractors of covered entities that receive or obtain protectedhealth information in connection with providing a service on behalf of covered entities. HITECH also increased the civil and criminal penalties that maybe imposed and gave state attorneys general new authority to file civil actions for damages or injunctions in federal courts to enforce the federal HIPAAlaws and seek attorney fees and costs associated with pursuing federal civil actions. Although we believe that we are neither a "covered entity" nor a"business associate" under the legislation, a business associate relationship may be imputed from facts and circumstances even in the absence of anactual business associate agreement. In addition, HIPAA and HITECH may affect our interactions with customers who are covered entities or theirbusiness associates.Laws Relating to Foreign Trade We are subject to various federal and foreign laws that govern our international business practices with respect to payments to governmentofficials. Those laws include the U.S. Foreign Corrupt Practices Act, or FCPA, which prohibits U.S. companies and their representatives from paying,offering to pay, promising, or authorizing the payment of anything of value to any foreign government official, government staff member, politicalparty, or political candidate for the purpose of obtaining or retaining business or to otherwise obtain favorable treatment or influence a person workingin an official capacity. In many countries, the healthcare professionals we regularly interact with may meet the FCPA's definition of a foreigngovernment official. The FCPA also requires public companies to make and keep books and records that accurately and fairly reflect their transactionsand to devise and maintain an adequate system of internal accounting controls. Those laws also include the U.K. Bribery Act of 2010, or Bribery Act, which proscribes giving and receiving bribes in the public and privatesectors, bribing a foreign public official, and failing to have adequate procedures to prevent employees and other agents from giving bribes. U.S.companies that conduct business in the United Kingdom generally will be subject to the Bribery Act. Penalties under the Bribery Act include potentiallyunlimited fines for companies and criminal sanctions for corporate officers under certain circumstances. Our policies mandate compliance with these anti-bribery laws. Our operations reach many parts of the world that have experienced governmentalcorruption to some degree, and in certain circumstances strict compliance with anti-bribery laws may conflict with local customs and practices. Despiteour training and compliance programs, our internal control policies and procedures may not always protect us from reckless or criminal acts committedby our employees or agents.25Table of ContentsHealth and Safety Laws We are also subject to various federal, state and local laws, regulations and recommendations, both in the United States and abroad, relating to safeworking conditions, laboratory and manufacturing practices and the use, transportation and disposal of hazardous or potentially hazardous substances.Environmental Matters We are subject to various federal, state and local laws and regulations relating to the protection of the environment, human health and safety in theUnited States and in other jurisdictions in which we operate. Our operations, like those of other medical product companies, involve the transport, use,handling, storage, exposure to and disposal of materials and wastes regulated under environmental laws, including hazardous and radioactive materialsand wastes. We cannot assure you that we have been or will be in compliance with environmental and health and safety laws at all times. If we violatethese laws and regulations, we could be fined, criminally charged or otherwise sanctioned by regulators. We believe that our operations currentlycomply in all material respects with applicable environmental laws and regulations. Certain environmental laws and regulations assess liability on current or previous owners or operators of real property for the cost of investigation,removal or remediation of hazardous materials or wastes at such formerly owned or operated properties or at third-party properties at which they havedisposed of hazardous materials or wastes. In addition to cleanup actions brought by governmental authorities, private parties could bring personalinjury, property damage or other claims due to the presence of, or exposure to, hazardous materials or wastes. We currently are not party to any claimsor any obligations to investigate or remediate contamination at any of our facilities. We are required to maintain a number of environmental permits and nuclear licenses for our North Billerica facility, which is our primarymanufacturing, packaging and distribution facility. In particular, we must maintain a nuclear byproducts materials license issued by the Commonwealthof Massachusetts. This license requires that we provide financial assurance demonstrating our ability to cover the cost of decommissioning anddecontaminating, or D&D, the Billerica site at the end of its use as a nuclear facility. We currently estimate the D&D cost at the Billerica site to beapproximately $24.3 million. As of December 31, 2013 and 2012, we have a liability recorded associated with the fair value of the asset retirementobligations of approximately $6.4 million and $5.4 million, respectively. We have recorded accretion expense of $0.6 million, $0.6 million and$0.5 million during the years ended December 31, 2013, 2012 and 2011, respectively. We currently provide this financial assurance in the form ofsurety bonds. We generally contract with third parties for the disposal of wastes generated by our operations. Prior to disposal, we store any low levelradioactive waste at our facilities until the materials are no longer considered radioactive, as allowed by our licenses and permits. Environmental laws and regulations are complex, change frequently and have become more stringent over time. While we have budgeted for futurecapital and operating expenditures to maintain compliance with these laws and regulations, we cannot assure you that our costs of complying withcurrent or future environmental protection, health and safety laws and regulations will not exceed our estimates or adversely affect our results ofoperations and financial condition. Further, we cannot assure you that we will not be subject to additional environmental claims for personal injury orcleanup in the future based on our past, present or future business activities. While it is not feasible to predict the future costs of ongoing environmentalcompliance, it is reasonably probable that there will be a need for future provisions for environmental costs that, in management's opinion, are not likelyto have a material effect on our financial condition, but could be material to the results of operations in any one accounting period.26Table of ContentsEmployees As of December 31, 2013, we had 519 employees, of which 396 were located in the United States and 123 were located internationally, andapproximately 82 contractors. None of our employees are represented by a collective bargaining unit, and we believe that our relationship with ouremployees is good. In 2013, we initiated a reduction in the number of our employees and contractors in connection with the strategic shift in our R&D program.Corporate History Founded in 1956 as New England Nuclear Corporation, we were purchased by E. I. du Pont de Nemours and Company in 1981. Bristol-MyersSquibb Company, or BMS, subsequently acquired the diagnostic medical imaging business as part of its acquisition of DuPont Pharmaceuticals in2001. Avista Capital Partners, L.P. and its affiliates, or collectively, Avista, acquired the medical imaging business from BMS in January 2008.Our Sponsor Avista is a leading private equity firm with over $5 billion under management and offices in New York, NY, Houston, TX and London, UK.Founded in 2005 as a spin-out from the former DLJ Merchant Banking Partners, or DLJMB, franchise, Avista makes controlling or influential minorityinvestments primarily in growth-oriented energy, healthcare, communications & media, industrial and consumer businesses. Through its team ofseasoned investment professionals and industry experts, Avista seeks to partner with exceptional management teams to invest in and add value to well-positioned businesses.Item 1A. Risk Factors You should carefully consider the following risks. These risks could materially affect our business, results of operations or financial condition,cause the trading price of our outstanding notes to decline materially or cause our actual results to differ materially from those expected or thoseexpressed in any forward-looking statements made by us or on our behalf. See "Cautionary Note Regarding Forward-Looking Statements" and therisks of our businesses described elsewhere in this annual report.Our dependence upon third parties for the manufacture and supply of a substantial portion of our products could prevent us from delivering ourproducts to our customers in the required quantities, within the required timeframes, or at all, which could result in order cancellations anddecreased revenues. We obtain a substantial portion of our products from third party suppliers. Historically, we relied on BVL as our sole manufacturer of DEFINITYand Neurolite and one of two manufacturers of our Cardiolite product supply. Following extended operational and regulatory challenges at its Bedford,Ohio facility, BVL ceased manufacturing any DEFINITY, Cardiolite or Neurolite for us as of November 15, 2013. BVL has subsequently released forcommercial distribution all of our remaining manufactured product that was awaiting their quality approval in November 2013. Following extensive technology transfer activities, we currently rely on JHS as our sole source manufacturer of DEFINITY. We have additionalongoing technology transfer activities at JHS for our Neurolite and Cardiolite product supply, but we can give no assurances as to when that technologytransfer will be completed and when we will actually receive supply of Neurolite and Cardiolite products from JHS. In the meantime, we have no othercurrently active supplier of Neurolite, and our Cardiolite product supply is currently manufactured by a single manufacturer. In addition, Mallinckrodt isour sole manufacturer for Ablavar.27Table of Contents Based on our current projections, we believe that we will have sufficient supply of DEFINITY from JHS and remaining BVL inventory to meetexpected demand, sufficient Cardiolite product supply from our current supplier to meet expected demand, and sufficient Ablavar product supply tomeet expected demand. We also currently anticipate that we will have sufficient BVL-manufactured Neurolite supply for the U.S. market to last untilNeurolite technology transfer and U.S. regulatory approval at JHS are completed. However, we can give no assurances that JHS or our othermanufacturing partners will be able to manufacture and distribute our products in a high quality and timely manner and in sufficient quantities to allowus to avoid product stock-outs and shortfalls. Currently, the regulatory authorities in certain countries prohibit us from marketing products previouslymanufactured by BVL, and JHS has not yet obtained approval of such regulatory authorities that would permit us to market products manufactured byJHS. Accordingly, until such regulatory approvals have been obtained, our international business, results of operations, financial condition, and cashflows will continue to be adversely affected. Our manufacturing agreement for Ablavar runs until 2014, although we do not foresee the need to order any additional API or finished drugproduct under this agreement other than our outstanding purchase commitment. We do not have any current plans to initiate technology transferactivities for Ablavar. If we do not engage in Ablavar technology transfer activities in the future and secure a new manufacturing partner for Ablavar,then our existing Ablavar inventory will expire in 2016 and we will have no further Ablavar inventory that we will be able to sell. In addition to the products described above, for reasons of quality assurance or cost effectiveness, we purchase certain components and rawmaterials from sole suppliers (including, for example, the lead casing for our TechneLite generators). Because we do not control the actual production ofmany of the products we sell, we may be subject to delays caused by interruption in production based on conditions outside of our control. At ourNorth Billerica, Massachusetts facility, we manufacture TechneLite on a relatively new, highly automated production line, as well as Thallium andGallium using our older cyclotron technology. If we or one of our manufacturing partners experiences an event, including a labor dispute, naturaldisaster, fire, power outage, security problem, failure to meet regulatory requirements, product quality issue, technology transfer issue or other issue, wemay be unable to manufacture the relevant products at previous levels or on the forecasted schedule, if at all. Due to the stringent regulations andrequirements of the governing regulatory authorities regarding the manufacture of our products, we may not be able to quickly restart manufacturing at athird party or our own facility or establish additional or replacement sources for certain products, components or materials. In addition to our existing manufacturing relationships, we are also pursuing new manufacturing relationships to establish and secure additional oralternative suppliers for our commercial products. For example, on November 12, 2013, we entered into a Manufacturing and Supply Agreement withPharmalucence to manufacture and supply DEFINITY. We cannot assure you, however, that these supply diversification activities, will be successful,or that before such alternate manufacturers or sources of product are fully functional and qualified that we will be able to avoid or mitigate interimsupply shortages. In addition, we cannot assure you that our existing suppliers or any new suppliers can adequately maintain either their financial healthor regulatory compliance to allow continued production and supply. A reduction or interruption in manufacturing, or an inability to secure alternativesources of raw materials or components, could eventually have a material adverse effect on our business, results of operations, financial condition andcash flows.Challenges with product quality or product performance, including defects, caused by us or our suppliers could result in a decrease in customersand sales, unexpected expenses and loss of market share. The manufacture of our products is highly exacting and complex and must meet stringent quality requirements, due in part to strict regulatoryrequirements, including the FDA's cGMPs. Problems may28Table of Contentsbe identified or arise during manufacturing quality review, packaging or shipment for a variety of reasons, including equipment malfunction, failure tofollow specific protocols and procedures, defective raw materials and environmental factors. Additionally, manufacturing flaws, component failures,design defects, off-label uses or inadequate disclosure of product-related information could result in an unsafe condition or the injury or death of apatient. Such events could lead to a recall of, or issuance of a safety alert relating to, our products. We also may undertake voluntarily to recall productsor temporarily shutdown production lines based on internal safety and quality monitoring and testing data. Quality, regulatory and recall challenges could cause us to incur significant costs, including costs to replace products, lost revenue, damage tocustomer relationships, time and expense spent investigating the cause and costs of any possible settlements or judgments related thereto and potentiallycause similar losses with respect to other products. Such challenges could also divert the attention of our management and employees from operational,commercial or other business efforts. If we deliver products with defects, or if there is a perception that our products or the processes related theretocontain errors or defects, we could incur additional recall and product liability costs, and our credibility and the market acceptance and sales of ourproducts could be materially adversely affected. Due to the strong name recognition of our brands, an adverse event involving one of our products couldresult in reduced market acceptance and demand for all products within that brand, and could harm our reputation and our ability to market our productsin the future. In some circumstances, adverse events arising from or associated with the design, manufacture or marketing of our products could resultin the suspension or delay of regulatory reviews of our applications for new product approvals. Such challenges could have a material adverse effect onour business, results of operations, financial condition and cash flows.The global supply of Moly is fragile and not stable. Our dependence on a limited number of third-party suppliers for Moly could prevent us fromdelivering some of our products to our customers in the required quantities, within the required timeframe, or at all, which could result in ordercancellations and decreased revenues. A critical ingredient of TechneLite, historically our largest product by annual revenues, is Moly. We currently purchase finished Moly from four ofthe five main processing sites in the world, namely Nordion in Canada, NTP in South Africa, IRE in Belgium, and ANSTO in Australia. Theseprocessing sites are, in turn, supplied by seven of the eight main Moly-producing reactors in the world, namely, NRU in Canada, SAFARI in SouthAfrica, OPAL in Australia, BR2 in Belgium, OSIRIS in France, LVR-10 in the Czech Republic, and HFR in The Netherlands. Historically, our largestsupplier of Moly has been Nordion which has relied on the NRU reactor owned and operated by Atomic Energy of Canada Limited, or AECL, aCrown corporation of the Goverment of Canada, located in Chalk River, Ontario. This reactor was off-line from May 2009 until August 2010 due to aheavy water leak in the reactor vessel. The inability of the NRU reactor to produce Moly and Nordion to finish Moly during the shutdown period had adetrimental effect on our business, results of operations and cash flows. As a result of the NRU reactor shutdown, we experienced business interruptionlosses. We estimate the quantity of such losses to be, in the aggregate, more than $70 million, including increases in the cost of obtaining limitedamounts of Moly from alternate, more distant, suppliers, and substantial decreases in revenue as a result of significantly curtailed manufacturing ofTechneLite generators and our decreased ability to sell other Moly-based medical imaging products, including Cardiolite, in comparison to ourforecasted results. The Government of Canada has stated publicly its intent to exit the isotope business when the NRU reactor's current license expiresin October 2016. As part of the conditions for the relicensing of the NRU reactor through October 2016, the Canadian government has asked AECL to shut downthe reactor for at least four weeks at least once a year for inspection and maintenance. The next shutdown period is currently scheduled to run from mid-April 2014 until mid-May 2014. We currently believe that we will be able to source all of our29Table of Contentsstanding-order customer demand for Moly during this time period from our other suppliers. However, because Xenon is a by-product of the Molyproduction process and is currently captured only by NRU, during this shutdown period, we do not currently believe that we will be able to supply allof our standing-order customer demand for Xenon. There can be no assurance that such off-line periods will last for the stated time or that the NRU willnot experience other unscheduled shutdowns in the future. Further prolonged scheduled or unscheduled shutdowns would limit the amount of Molyand Xenon available to us and limit the quantity of TechneLite that we could manufacture, distribute and sell and the amount of Xenon that we coulddistribute and sell, resulting in a further substantial negative effect on our business, results of operations, financial condition and cash flows. In the face of the NRU reactor operating challenges and licensure risks, we entered into Moly supply agreements with NTP, ANSTO and IRE toaugment our supply of Moly. While we believe this additional Moly supply now gives us the most balanced and diversified Moly supply chain in theindustry, a prolonged disruption of service from one of our significant Moly suppliers could have a material adverse effect on our business, results ofoperations, financial condition and cash flows. We are also pursuing additional sources of Moly from potential new producers around the world tofurther augment our current supply, but we cannot assure you that these possible additional sources of Moly will result in commercial quantities ofMoly for our business, or that these new suppliers together with our current suppliers will be able to deliver a sufficient quantity of Moly to meet ourneeds. Although our agreements with NTP, ANSTO and IRE run until December 31, 2017, our agreement with Nordion runs only until December 31,2015 and can be terminated by Nordion upon the occurrence of certain events, including if we fail to purchase a minimum percentage of Moly orNordion incurs certain cost increases, and in the latter case, as soon as October 1, 2014. U.S., Canadian and international governments have encouraged the development of a number of alternative Moly production projects with existingreactors and technologies as well as new technologies. However, the Moly produced from these projects will likely not become available until 2016 orlater. As a result, there is a limited amount of Moly available which could limit the quantity of TechneLite that we could manufacture, distribute and sell,resulting in a further substantial negative effect on our business, results of operations, financial condition and cash flows.The instability of the global supply of Moly and recent supply shortages have resulted in increases in the cost of Moly, which has negativelyaffected our margins, and more restrictive agreements with suppliers, which could further increase our costs. With the general instability in the global supply of Moly and supply shortages during 2009 and 2010, we have faced substantial increases in thecost of Moly in comparison to historical costs. We are generally able to pass these Moly cost increases on to our customers in our customer contracts. Ifwe are not able to do so in the future, our margins may decline further with respect to our TechneLite generators, which could have a material adverseeffect on our business, results of operations, financial condition and cash flows.The Moly supply shortage caused by the NRU reactor shutdown has had a negative effect on the demand for some of our products, which willlikely continue in the future. The Moly supply shortage also had a negative effect on the use of other technetium generator-based diagnostic medical imaging agents, includingCardiolite products. With less Moly, we manufactured fewer generators for radiopharmacies and hospitals to make up unit doses of Cardiolite products,resulting in decreased market share of Cardiolite products in favor of Thallium, an older medical isotope that does not require Moly, and otherdiagnostic modalities. With the return to service of the NRU reactor, we have seen increased sales of TechneLite. However, TechneLite unit volume hasnot returned to pre-shortage levels for, we believe, a number of reasons, including: (i) changing staffing30Table of Contentsand utilization practices in radiopharmacies, which have resulted in an increased number of unit-doses of technetium-based radiopharmaceuticals beingmade from available amounts of technetium; (ii) shifts to alternative diagnostic imaging modalities during the Moly supply shortage, which have notreturned to technetium-based procedures; and (iii) decreased amounts of technetium being used in unit-doses of technetium-based radiopharmaceuticalsdue to growing concerns about patient radiation dose exposure. We do not know if the staffing and utilization practices in radiopharmacies, the mixbetween technetium and non-technetium-based diagnostic procedures and the increased concerns about radiation exposure will allow technetiumdemand to ever return to pre-shortage levels, which could have a material adverse effect on our business, results of operations, financial condition andcash flows.Our just-in-time manufacturing of radiopharmaceutical products relies on the timely receipt of radioactive raw materials and the timely shipmentof finished goods, and any disruption of our supply or distribution networks could have a negative effect on our business. Because a number of our radiopharmaceutical products, including our TechneLite generators, rely on radioisotopes with limited half-lives, we mustmanufacture, finish and distribute these products on a just-in-time basis because the underlying radioisotope is in a constant state of radio decay. Forexample, if we receive Moly in the morning of a manufacturing day for TechneLite generators, we will generally ship finished generators to customersby the end of the business day. Shipment of generators may be by next day delivery services or by either ground or air custom logistics. Any delay inus receiving radioisotopes from suppliers or being able to have finished products delivered to customers because of weather or other unforeseentransportation issues could have a negative effect on our business, results of operations, financial condition and cash flows.The growth of our business is substantially dependent on increased market penetration for the appropriate use of DEFINITY in suboptimalechocardiograms. The growth of our business is substantially dependent on increased market penetration for the appropriate use of DEFINITY in suboptimalechocardiograms. Of the nearly 28 million echocardiograms performed each year in the United States, it is estimated that 20%, or approximately sixmillion echocardiograms, produce suboptimal images. Based on our estimates, we believe that DEFINITY is used in approximately 2.5% of allechocardiograms, or approximately 12% of all suboptimal echocardiograms. If we are not able to continue to grow DEFINITY sales through increasedmarket penetration, we will not be able to grow the revenue and cash flow of the business or continue to fund our other growth initiatives at plannedlevels, which could have a negative effect on our prospects.We face both potential supply and demand challenges for Xenon. Currently, Nordion is our sole supplier, and we believe the sole supplier on a global basis, of Xenon, which is captured by the NRU reactor as aby-product of the Moly production process. If we are not able to secure a new producer of Xenon prior to the expiration of the NRU reactor's license inOctober 2016 and obtain regulatory approval to sell Xenon from that new producer, we will no longer be able to offer Xenon in our portfolio ofcommercial products, which would have a negative effect on our business, results of operations, financial condition and cash flows. For the year endedDecember 31, 2013, Xenon represented approximately 11% of our total revenues. Currently, we are the only provider of packaged Xenon in the countries for which we have received regulatory approval to sell Xenon. If one ormore other providers obtained regulatory approval and began to sell packaged Xenon in one or more of those countries without otherwise increasingmarket penetration for the agent, or if there is an increase in the use of other imaging modalities in place of using packaged Xenon, our current salesvolumes would decrease, which could have a negative effect on our business, results of operations, financial condition and cash flows.31Table of Contents Xenon is frequently administered as part of a ventilation scan to evaluate pulmonary function prior to a perfusion scan with microaggregatedalbumin, or MAA, a technetium-based radiopharmaceutical used to evaluate blood flow to the lungs. Currently, Draxis is the sole supplier of MAA ona global basis. Recently, Draxis announced substantial price increases for MAA. If the increased price of MAA decreases the frequency that MAA isused for lung perfusion evaluation, which, in turn, decreases the frequency that Xenon is used for pulmonary function evaluation, the MAA priceincrease would have a negative effect on our business, results of operations, financial condition and cash flows.In the United States, we are heavily dependent on a few large customers to generate a majority of our revenues for our nuclear imaging products.Outside of the United States, we rely on distributors to generate a substantial portion of our revenue. In the United States, we rely on a limited number of radiopharmacy customers, primarily Cardinal, GE Healthcare and UPPI, to distribute ourcurrent largest volume nuclear imaging products and generate a majority of our revenues. These three customers accounted for approximately 39% ofour total revenues in the fiscal year ended December 31, 2013, with Cardinal, GE Healthcare, and UPPI accounting for 19%, 10% and 10%,respectively. Among the existing radiopharmacies in the United States, continued consolidations, divestitures and reorganizations may have a negativeeffect on our business, results of operations, financial condition or cash flows. We generally have distribution arrangements with our majorradiopharmacy customers pursuant to multi-year contracts, each of which is subject to renewal. Our current contract with Cardinal expires in December2014. If these contracts are not in force through the balance of their term or are not renewed, or are renewed on terms that are less favorable to us, itcould have a material adverse effect on our business, results of operations, financial condition and cash flows. Outside of the United States, Canada, Australia and Puerto Rico, we have no radiopharmacies or sales force and therefore rely on third-partydistributors, either on a country-by-country basis or on a multi-country, regional basis, to market, distribute and sell our products. These distributorsaccounted for approximately 13%, 16% and 19% of total non-U.S. revenues for the fiscal years ended December 31, 2013, 2012 and 2011,respectively. In certain circumstances, these distributors may also sell competing products to our own or products for competing diagnostic modalities.As a result, we cannot assure you that our international distributors will increase or maintain our current levels of unit sales or increase or maintain ourcurrent unit pricing, which, in turn, could have a material adverse effect on our business, results of operations, financial condition and cash flows.We face significant competition in our business and may not be able to compete effectively. The market for diagnostic medical imaging agents is highly competitive and continually evolving. Our principal competitors in existing diagnosticmodalities include large, global companies with substantial financial, manufacturing, sales and marketing, and logistics resources that are morediversified than us, such as Mallinckrodt, GE Healthcare, Bayer, Bracco and Draxis, as well as other competitors. We cannot anticipate their competitiveactions, such as price reductions on products that are comparable to our own, development or introduction of new products that are more cost-effectiveor have superior performance than our current products, the introduction of generic versions when our proprietary products lose their patent protectionor the new entry into a generic market in which we are already a participant. Our current or future products could be rendered obsolete or uneconomicalas a result of this competition. Our failure to compete effectively could cause us to lose market share to our competitors and have a material adverseeffect on our business, results of operations, financial condition and cash flows.32Table of Contents For example, Bracco may be seeking FDA approval in the United States for its echocardiography agent, SonoVue, which is already approved forsale in Europe and certain Asian markets, including Japan and Korea. If Bracco receives U.S. regulatory approval, Bracco will have one of three FDA-approved echocardiography contrast agents in the United States, together with GE Healthcare's Optison and DEFINITY. If Bracco receives U.S.regulatory approval and successfully commercializes SonoVue in the United States without otherwise increasing the overall usage of ultrasoundcontrast agents, our current and future sales volume could suffer, which would have a material adverse effect on our business, results of operations,financial condition and cash flows.Generic competition has significantly eroded our market share of the MPI segment for Cardiolite products and will likely continue to do so. We are currently aware of four separate third-party generic offerings of sestamibi, the first of which launched in September 2008. Cardioliteproducts accounted for approximately 9%, 12% and 19% of our total revenues in the fiscal years ended December 31, 2013, 2012, and 2011,respectively. Included in Cardiolite is branded Cardiolite and generic sestamibi, some of which we produce and some of which we procure from thirdparties. With the advent of generic competition in September 2008, we have faced significant pricing and unit volume pressures on Cardiolite. To theextent generic competitors further reduce their prices, we may be forced to further reduce the price of our Cardiolite products as well as lose additionalmarket share, which would have an adverse effect on our business, results of operations, financial condition and cash flows. See "Item 7—Management's Discussion and Analysis of Financial Condition and Results of Operations." In addition, because several of the products wemanufacture became less available due to recent supply challenges, certain of our customers may have begun to favor a generic offering or a competingagent or diagnostic modality. If we experience continued pricing and unit volume pressures or such product or modality shift is sustained, it could havea material adverse effect on our business, results of operation, financial condition and cash flows.Certain of our customers are highly dependent on payments from third-party payors, including government sponsored programs, particularlyMedicare, in the United States and other countries in which we operate, and reductions in third-party coverage and reimbursement rates for ourproducts could adversely affect our business and results of operations. A substantial portion of our revenue depends, in part, on the extent to which the costs of our products purchased by our customers are reimbursedby third-party private and governmental payors, including Medicare, Medicaid, other U.S. government sponsored programs, non-U.S. governmentalpayors and private payors. These third-party payors exercise significant control over patient access and increasingly use their enhanced bargainingpower to secure discounted rates and other requirements that may reduce demand for our products. Our potential customers' ability to obtain appropriatereimbursement for products and services from these third-party payors affects the selection of products they purchase and the prices they are willing topay. If these third-party payors do not provide appropriate reimbursement for the costs of our products (or services provided using our products), denythe coverage of the products (or those services), or reduce current levels of reimbursement, healthcare professionals may not prescribe our products andproviders and suppliers may not purchase our products. In addition, demand for new products may be limited unless we obtain favorablereimbursement policies (including coverage, coding and payment) from governmental and private third-party payors at the time of the product'sintroduction. Third-party payors continually review their coverage policies for existing and new therapies and can deny coverage for treatments thatinclude the use of our products or revise payment policies such that payments do not adequately cover the cost of our products. Even if third-partypayors make coverage and reimbursement available, such reimbursement may not be adequate or these payors' reimbursement policies may have anadverse effect on our business, results of operations, financial condition and cash flows.33Table of Contents Over the past several years, Medicare has implemented numerous changes to payment policies for imaging procedures in both the hospital settingand non-hospital settings (which include physician offices and freestanding imaging facilities). Some of these changes have had a negative impact onutilization of imaging services. Examples of these changes include:•limiting payments for imaging services in physician offices and free-standing imaging facility settings based upon rates paid to hospitaloutpatient departments; •reducing payments for certain imaging procedures when performed together with other imaging procedures in the same family ofprocedures on the same patient on the same day in the physician office and free-standing imaging facility setting; •making significant revisions to the methodology for determining the practice expense component of the Medicare payment applicable tothe physician office and free-standing imaging facility setting which results in a reduction in payment; and •revising payment policies and reducing payment amounts for imaging procedures performed in the hospital outpatient setting. For example, in 2013, although Medicare generally does not provide separate payment to hospitals for the use of diagnostic radiopharmaceuticalsadministered in an outpatient setting, CMS finalized a policy to make an additional payment to hospitals that utilize products with non-HEU, meaningthe product is 95% derived from non-HEU sources. This payment policy continues in 2014. Although some of our TechneLite generators aremanufactured using non-HEU, not all of our TechneLite generators meet CMS's definition of non-HEU, and therefore this payment will not be availablefor the latter category of TechneLite generators used by our customers. This payment as well as other changes to the Medicare Hospital OutpatientProspective Payment System payment rates could influence the decisions by hospital outpatient physicians to perform procedures that involve ourproducts. We believe that Medicare changes to payment policies for imaging procedures will continue to result in certain physicians practices ceasing toprovide these services and a further shifting of where certain medical imaging procedures are performed from the physician office and free-standingimaging facility settings to the hospital outpatient setting, which we believe may incrementally reduce the overall number of diagnostic medical imagingprocedures performed. Changes applicable to Medicare payment in the hospital outpatient setting could influence the decisions by hospital outpatientphysicians to perform procedures that involve our products. These changes overall could slow the acceptance and introduction of next-generationimaging equipment into the marketplace, which, in turn, could adversely impact the future market adoption of certain of our imaging agents already inthe market or currently in clinical or preclinical development. We expect that there will continue to be proposals to reduce or limit Medicare andMedicaid payment for diagnostic services. More generally, to the extent that any changes have the effect of reducing the aggregate number of diagnosticmedical imaging procedures performed in the United States, our business, results of operations, financial condition and cash flows would be adverselyaffected. See "Item 1—Business—Regulatory Matters.Reforms to the United States healthcare system may adversely affect our business. A significant portion of our patient volume is derived from U.S. government healthcare programs, principally Medicare, which are highly regulatedand subject to frequent and substantial changes. For example, in March 2010, the President signed one of the most significant healthcare reformmeasures in decades, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act, or, collectively,the Healthcare Reform Act. The Healthcare Reform Act contains a number of provisions that affect coverage and reimbursement of drug products andmedical imaging procedures in which our drug products are used. See "Item 1—Business—Regulatory Matters—Healthcare Reform Act and RelatedLaws." We cannot assure you that the Healthcare34Table of ContentsReform Act, as currently enacted or as amended in the future, will not adversely affect our business and financial results, and we cannot predict howfuture federal or state legislative or administrative changes relating to healthcare reform will affect our business. In addition, other legislative changes have been proposed and adopted since the Healthcare Reform Act was enacted. The Budget Control Act of2011 includes provisions to reduce the federal deficit. The Budget Control Act, as amended, resulted in the imposition of 2% reductions in Medicarepayments to providers, which went into effect on April 1, 2013. Recent legislation extends reductions for an additional two years, through 2023. Anysignificant spending reductions affecting Medicare, Medicaid or other publicly funded or subsidized health programs that may be implemented, and/orany significant taxes or fees that may be imposed on us, as part of any broader deficit-reduction effort or legislative replacement to the Budget ControlAct, could have an adverse impact on our results of operations. In addition, federal spending is also subject to a statutory debt ceiling. If the federal debt reaches the statutory debt ceiling, Congress must enactlegislation to suspend enforcement of, or increase, the statutory debt ceiling. If Congress fails to do so and, as a result, is unable to satisfy its financialobligations, including under Medicare, Medicaid and other publicly funded or subsidized health programs, our results of operations could be adverselyimpacted. The full impact on our business of the Healthcare Reform Act and the other new laws is uncertain. Nor is it clear whether other legislative changeswill be adopted or how such changes would affect our industry generally or our ability to successfully commercialize our products or the developmentof new products.The Healthcare Reform Act could potentially reduce the number of diagnostic medical imaging procedures performed or could reduce the amountof reimbursements paid for such procedures. The implementation of the Healthcare Reform Act could potentially reduce the aggregate number of diagnostic medical imaging proceduresperformed in the United States. Under the Healthcare Reform Act, referring physicians under the federal self-referral law must inform patients that theymay obtain certain services, including MRI, computed tomography, PET, and certain other diagnostic imaging services from a provider other than thatphysician, another physician in his or her group practice, or another individual under the direct supervision of the physician or another physician in thegroup practice. The referring physician must provide each patient with a written list of other suppliers who furnish such services in the area in which thepatient resides. These new requirements could have the effect of shifting where certain diagnostic medical imaging procedures are performed. Inaddition, they could potentially reduce the overall number of diagnostic medical imaging procedures performed. We cannot predict the full impact of theHealthcare Reform Act on our business. The reform law substantially changed the way healthcare is financed by both governmental and privateinsurers. Although certain provisions may negatively affect payment rates for certain imaging services, the Healthcare Reform Act also extendedcoverage to approximately 25 million previously uninsured people (based on May 2013 estimates from the Congressional Budget Office), which mayresult in an increase in the demand for our services, but we cannot be assured of a proportional, or any, increase in the use of our products. Further, we expect that there will continue to be proposals to reduce or limit Medicare and Medicaid payment for services. Rates paid by someprivate third-party payors are based, in part, on established physician, clinic and hospital charges and are generally higher than Medicare payment rates.Reductions in the amount of reimbursement paid for diagnostic medical imaging procedures and changes in the mix of our patients between non-governmental payors and government sponsored healthcare programs and among different types of non-government payor sources, could have amaterial adverse effect on our business, results of operations, financial condition and cash flows.35Table of ContentsOur business and industry are subject to complex and costly regulations. If government regulations are interpreted or enforced in a manneradverse to us or our business, we may be subject to enforcement actions, penalties, exclusion and other material limitations on our operations. Both before and after the approval of our products and product candidates, we, our products, product candidates, operations, facilities, suppliers,distributors, contract manufacturers, contract research organizations and contract testing laboratories are subject to extensive regulation by federal, stateand local government agencies in the United States as well as non-U.S. and transnational laws and regulations, with regulations differing from countryto country. In the United States, the FDA regulates, among other things, the pre-clinical testing, clinical trials, manufacturing, safety, efficacy, potency,labeling, storage, record keeping, quality systems, advertising, promotion, sale, distribution, and import and export of drug products. We are required toregister our business for permits and/or licenses with, and comply with the stringent requirements of the FDA, the NRC, the HHS, Health Canada, theEMA, state and provincial boards of pharmacy, state and provincial health departments and other federal, state and provincial agencies. Under U.S. law, we are required to report certain adverse events and production problems, if any, to the FDA. Additionally, we must comply withrequirements concerning advertising and promotion for our products, including the prohibition on the promotion of our products for indications thathave not been approved by the FDA or a so-called "off-label use." If the FDA determines that our promotional materials constitute the unlawfulpromotion of an off-label use, it could request that we modify our promotional materials or subject us to regulatory or enforcement actions. Also, qualitycontrol and manufacturing procedures at our own facility and at third-party suppliers must conform to cGMP regulations and other applicable law afterapproval, and the FDA periodically inspects manufacturing facilities to assess compliance with cGMPs and other applicable law, and, from time to time,makes such cGMPs more stringent. Accordingly, we and others with whom we work must expend time, money, and effort in all areas of regulatorycompliance, including manufacturing, production, and quality control. For example, we currently rely on JHS as our sole manufacturer of DEFINITYand, later in 2014, of Neurolite. JHS has recently received a warning letter from the FDA in connection with their manufacturing facility in Spokane,Washington where our products are, or will be, manufactured. If JHS cannot resolve the issues in their facility underlying the warning letter or theissues become worse, the FDA could take additional regulatory action which could limit or suspend the ability of JHS to manufacture our products andhave any additional products approved at the Spokane facility for manufacture until the issues are remediated. Such a limitation or suspension couldhave a material adverse effect on our business, results of operations, financial condition and cash flows. We are also subject to laws and regulations that govern financial and other arrangements between pharmaceutical manufacturers and healthcareproviders, including federal and state anti-kickback statutes, federal and state false claims laws and regulations, and other fraud and abuse laws andregulations. For example, in 2010, we entered into a Medicaid Drug Rebate Agreement for certain of our products, which could subject us to potentialliability under the False Claims Act, civil monetary penalties, or liability under other laws and regulations in connection with the covered products aswell as the products not covered by the agreement. Determination of the rebate amount for our products under the Medicaid program, as well asdetermination of payment amounts under Medicare and certain other third-party payers, including government payers, depends upon informationreported by us to the government. If we provide customers or government officials with inaccurate information about the products' pricing or eligibilityfor coverage, or the products fail to satisfy coverage requirements, we could be subject to potential liability under the False Claims Act or other laws andregulations or be subject to civil monetary penalties. See "Item 1—Business—Regulatory Matters—Healthcare Fraud and Abuse Laws."36Table of Contents Failure to comply with other requirements and restrictions placed upon us by laws and regulations can result in fines, civil and criminal penalties,exclusion from federal healthcare programs and debarment. Possible consequences of such actions could include:•substantial modifications to our business practices and operations; •significantly reduced demand for our products (if products become ineligible for reimbursement under federal healthcare programs); •a total or partial shutdown of production in one or more of our facilities while we remediate the alleged violation; •delays in or the inability to obtain future pre-market clearances or approvals; and •withdrawals or suspensions of current products from the market. Regulations are subject to change as a result of legislative, administrative or judicial action, which may also increase our costs or reduce sales.Violation of any of these regulatory schemes, individually or collectively, could disrupt our business and have a material adverse effect on our business,results of operations, financial condition and cash flows.Our marketing and sales practices may contain risks that could result in significant liability, require us to change our business practices andrestrict our operations in the future. We are subject to domestic (federal, state and local) and foreign laws addressing fraud and abuse in the healthcare industry, including the FalseClaims Act and Federal Anti-Kickback Statute, the FCPA, the Bribery Act, the self-referral laws and restrictions on the promotion of off-label uses ofour products. Violations of these laws are punishable by criminal or civil sanctions, including substantial fines, imprisonment and exclusion fromparticipation in healthcare programs such as Medicare and Medicaid as well as health programs outside the United States or the imposition of corporateintegrity agreements that could severely restrict or limit our business practices. These laws and regulations are complex and subject to changinginterpretation and application, which could restrict our sales or marketing practices. Even minor and inadvertent irregularities could potentially give riseto a charge that the law has been violated. Although we believe we maintain an appropriate compliance program, we cannot be certain that the programwill adequately detect or prevent violations and/or the relevant regulatory authorities may disagree with our interpretation. Additionally, if there is achange in law, regulation or administrative or judicial interpretations, we may have to change one or more of our business practices to be in compliancewith these laws. Required changes could be costly and time consuming. The Healthcare Reform Act, through its federal "sunshine" provisions, also imposes new requirements on certain device and drug manufacturers toreport certain financial interactions with physicians and teaching hospitals as well as ownership and investment interests held by physicians or theirimmediate family members. The first report for financial interactions and ownership interests is due in 2014 (covering August 1, 2013 throughDecember 31, 2013). A manufacturer may be subject to civil monetary penalties of up to $150,000 aggregate per year for failures to report requiredinformation and up to $1 million aggregate per year for "knowing" failures to report. Separately, the Healthcare Reform Act requires manufacturers to submit information on the identity and quantity of drug samples requested anddistributed by a manufacturer during each year. The first report (covering 2011) was to be submitted by April 1, 2012, but the FDA indicated that itwould exercise enforcement discretion until October 1, 2012, and would issue a notice prior to its decision to begin enforcing this decision. At this time,FDA has not published a notice to begin enforcement of this provision, but the FDA has indicated its intent to publish guidance in calendar year 2014.State laws may also require disclosure of pharmaceutical pricing information and marketing37Table of Contentsexpenditures, compliance with the pharmaceutical industry's voluntary compliance guidelines and the relevant compliance guidance promulgated by thefederal government, and/or the tracking and reporting of gifts, compensation, and other remuneration to physicians and other healthcare providers. Webelieve we have developed appropriate protocols to implement these state requirements. Any irregularities or mistakes in our reporting, however, couldresult in a finding that we have been non-compliant with these requirements, which could subject us to the penalty provisions of applicable federal andstate laws and regulations. The Healthcare Reform Act also provides greater financial resources to be allocated to enforcement of the fraud and abuse laws and amends theintent requirements of the Federal Anti-Kickback Statute and criminal healthcare fraud statutes that prohibit executing a scheme to defraud any healthcarebenefit program or making false statements relating to healthcare matters, which may increase overall compliance costs for industry participants,including us. A person or entity does not need to have actual knowledge of the statute or a specific intent to violate it. In addition, the Healthcare ReformAct revised the False Claims Act to provide that a claim arising from a violation of the Federal Anti-Kickback Statute constitutes a false or fraudulentclaim for purposes of the False Claims Act. If our operations are found to be in violation of these laws or any other government regulations that apply tous, we may be subject to penalties, including, without limitation, civil and criminal penalties, damages, fines, imprisonment, the curtailment orrestructuring of our operations, or exclusion from state and federal healthcare programs including Medicare and Medicaid, any of which could have amaterial adverse effect on our business, results of operations, financial condition and cash flows.Ultrasound contrast agents may cause side effects which could limit our ability to sell DEFINITY. DEFINITY is an ultrasound contrast agent based on perflutren lipid microspheres. In 2007, the FDA received reports of deaths and seriouscardiopulmonary reactions following the administration of ultrasound micro-bubble contrast agents used in echocardiography. Four of the 11 reporteddeaths were caused by cardiac arrest occurring either during infusion or within 30 minutes following the administration of the contrast agent; most ofthe serious but non-fatal reactions also occurred in this time frame. As a result, in October 2007, the FDA requested that we and GE Healthcare, whichdistributes Optison, a competitor to DEFINITY, add a boxed warning to these products emphasizing the risk for serious cardiopulmonary reactions andthat the use of these products was contraindicated in certain patients. In a strong reaction by the cardiology community to the FDA's new position, aletter was sent to the FDA, signed by 161 doctors, stating that the benefit of these ultrasound contrast agents outweighed the risks and urging that theboxed warning be removed. In May 2008, the FDA substantially modified the boxed warning. On May 2, 2011, the FDA held an advisory committeemeeting to consider the status of ultrasound micro-bubble contrast agents and the boxed warning. In October 2011, we received FDA approval offurther modifications to the DEFINITY label, including: further relaxing the boxed warning; eliminating the sentence in the Indication and Use section"The safety and efficacy of DEFINITY with exercise stress or pharmacologic stress testing have not been established" (previously added in October2007 in connection with the imposition of the box warning); and including summary data from the post-approval CaRES (Contrast echocardiographyRegistry for Safety Surveillance) safety registry and the post-approval pulmonary hypertension study. If additional safety issues arise, this may result infurther changes in labeling or result in restrictions on the approval of our product, including removal of the product from the market. Lingering safetyconcerns about DEFINITY among some healthcare providers or future unanticipated side effects or safety concerns associated with DEFINITY couldlimit expanded use of DEFINITY and have a material adverse effect on the unit sales of this product and our financial condition and results ofoperations.38Table of ContentsOur business depends on our ability to successfully introduce new products and adapt to a changing technology and diagnostic landscape. The healthcare industry is characterized by continuous technological development resulting in changing customer preferences and requirements.The success of new product development depends on many factors, including our ability to anticipate and satisfy customer needs, obtain regulatoryapproval on a timely basis based on performance of the clinical candidate versus its clinical study competitor, develop and manufacture products in acost-effective and timely manner, maintain advantageous positions with respect to intellectual property and differentiate our products from ourcompetitors. To compete successfully in the marketplace, we must make substantial investments in new product development whether internally orexternally through licensing or acquisitions. Our failure to introduce new and innovative products in a timely manner would have an adverse effect onour business, results of operations, financial condition and cash flows. Even if we are able to develop, manufacture and obtain regulatory approvals for our new products, the success of these products would dependupon market acceptance and adequate reimbursement. Levels of market acceptance for our new products could be affected by a number of factors,including:•the availability of alternative products from our competitors, such as, in the case of DEFINITY, GE Healthcare's Optison, Bracco'sSonoVue and other imaging modalities; •the price of our products relative to those of our competitors; •the timing of our market entry; •our ability to market and distribute our products effectively; •market acceptance of our products; and •our ability to obtain adequate reimbursement. The field of diagnostic medical imaging is dynamic, with new products, including equipment and agents, continually being developed and existingproducts continually being refined. Our own diagnostic imaging agents compete not only with other similarly administered imaging agents but also withimaging agents employed in different and often competing diagnostic modalities. New imaging agents in a given diagnostic modality may be developedthat provide benefits superior to the then-dominant agent in that modality, resulting in commercial displacement. Similarly, changing perceptions aboutcomparative efficacy and safety including, among other things, comparative radiation exposure, as well as changing availability of supply may favor oneagent over another or one modality over another. To the extent there is technological obsolescence in any of our products that we manufacture, resultingin lower unit sales or decreased unit sales prices, we will have increased unit overhead allocable to the remaining market share, which could have amaterial adverse effect on our business, results of operations, financial condition and cash flows. Our current portfolio of commercial products primarily focuses on heart disease and vascular disease. This particular focus, however, may not bein our long-term best interest if the incidence and prevalence of heart disease and vascular disease decrease over time. Despite the aging population inthe affluent parts of the world where diagnostic medical imaging is most frequently used, government and private efforts to promote preventative cardiaccare through exercise, diet and improved medications could decrease the overall demand for our products, which could have a material adverse effect onour business, results of operations, financial condition and cash flows.39Table of ContentsBecause market acceptance of Ablavar has been slower than we anticipated, we have had a series of asset write-downs. Given the lower market demand for Ablavar than we initially anticipated and the magnitude of the required purchase minimums originallycontained in the manufacturing agreement with Mallinckrodt, we entered into two separate amendments to the agreement in August 2010 and October2011 to reduce the minimum purchase requirements. In the fourth quarter of 2010, we recorded an inventory write-down of approximately$10.9 million for Ablavar finished good product that had already been manufactured by Mallinckrodt that would likely expire prior to its sale to and useby customers. In the second quarter of 2011, we recorded an impairment charge of $23.5 million, the full remaining value of the product's intellectualproperty. In addition, in the second and fourth quarters of 2011, we recorded a further inventory write-down of approximately $13.5 million and$12.3 million, respectively, and a loss of $1.9 million and $3.7 million, respectively, for the portion of committed purchases of Ablavar that we did notbelieve we would be able to sell prior to product expiry. In the third quarter of 2012, we recorded an additional inventory write-down of approximately$10.6 million and a loss of $1.9 million for the portion of committed purchases of Ablavar that we do not believe we will be able to sell prior to productexpiry. Finally, in the fourth quarter of 2013, we recorded an additional inventory write-down of approximately $1.6 million related to the API that theCompany would not be able to convert or be able to sell prior to its expiration. At December 31, 2013, we had a net Ablavar inventory balance of $1.5 million and the remaining purchase commitment under the agreement withMallinckrodt was approximately $1.8 million, of which $1.3 million is recorded as an accrued contract loss. In 2013, we transitioned the sales andmarketing efforts for Ablavar from our direct sales force to our customer service team in order to allow our direct sales force to drive our DEFINITYsales growth. If we do not meet our current sales goals or cannot sell the product we have committed to purchase prior to its expiration, we could incuradditional inventory losses and/or losses on our purchase commitments.The process of developing new drugs and obtaining regulatory approval is complex, time-consuming and costly, and the outcome is not certain. In our portfolio of development candidates, we currently have three agents, two of which (flurpiridaz F 18 and 18F LMI 1195) are currently inclinical development, while a third (LMI 1174) is in pre-clinical development. To obtain regulatory approval for these product candidates, we mustconduct extensive human tests, which are referred to as clinical trials, as well as meet other rigorous regulatory requirements. Satisfaction of allregulatory requirements typically takes many years and requires the expenditure of substantial resources. A number of other factors may causesignificant delays in the completion of our clinical trials, including unexpected delays in the initiation of clinical sites, slower than projected enrollment,competition with ongoing clinical trials and scheduling conflicts with participating clinicians, regulatory requirements, limits on manufacturing capacityand failure of a product candidate to meet required standards for administration to humans. In addition, it may take longer than we project to achievestudy endpoints and complete data analysis for a trial or we may decide to slow down the enrollment in a trial in order to conserve financial resources. Our product candidates are also subject to the risks of failure inherent in drug development and testing. The results of preliminary studies do notnecessarily predict clinical success, and larger and later-stage clinical trials may not produce the same results as earlier-stage trials. Sometimes, productcandidates that have shown promising results in early clinical trials have subsequently suffered significant setbacks in later clinical trials. Productcandidates in later-stage clinical trials may fail to show desired safety and efficacy traits, despite having progressed through initial clinical testing.Further, the data collected from clinical trials of our product candidates may not be sufficient to support regulatory approval, or regulators could interpretthe data differently and less favorably than we do. Further, the design of a clinical trial can determine whether its results will support approval of a40Table of Contentsproduct, and flaws in the design of a clinical trial may not become apparent until the clinical trial is well advanced. Clinical trials of potential productsoften reveal that it is not practical or feasible to continue development efforts. Regulatory authorities may require us or our partners to conduct additionalclinical testing, in which case we would have to expend additional time and resources. The approval process may also be delayed by changes ingovernment regulation, future legislation or administrative action or changes in regulatory policy that occur prior to or during regulatory review. Thefailure to provide clinical and preclinical data that are adequate to demonstrate to the satisfaction of the regulatory authorities that our product candidatesare safe and effective for their proposed use will delay or preclude approval and will prevent us from marketing those products. In our flurpiridaz F 18 Phase 3 program, in the fourth quarter of 2013 we announced preliminary results from the 301 trial, which is subject to aSpecial Protocol Assessment with the FDA. Although flurpiridaz F 18 appeared to be well-tolerated from a safety perspective and outperformedSPECT in a highly statistically significant manner in sensitivity, image quality and diagnostic certainty, the agent did not meet the non-inferioritycriterion for identifying subjects without disease. We can give no assurances that our Special Protocol Assessment agreement will be deemed bindingon the FDA or will result in any particular outcome from regulatory review of the study or the product candidate, that any of the data thus far generatedin the 301 trial can be used for NDA approval, that a strategic partner will have to conduct only one additional clinical trial, the planned 302 trial, prior tofiling an NDA, or that flurpiridaz F 18 will ever be approved as a PET MPI imaging agent by the FDA. We are not permitted to market our product candidates in the United States or other countries until we have received requisite regulatory approvals.For example, securing FDA approval for a new drug requires the submission of an NDA to the FDA for our drug candidates. The NDA must includeextensive nonclinical and clinical data and supporting information to establish the product candidate's safety and effectiveness for each indication. TheNDA must also include significant information regarding the chemistry, manufacturing and controls for the product. The FDA review process can takemany years to complete, and approval is never guaranteed. If a product is approved, the FDA may limit the indications for which the product may bemarketed, require extensive warnings on the product labeling, impose restricted distribution programs, require expedited reporting of certain adverseevents, or require costly ongoing requirements for post-marketing clinical studies and surveillance or other risk management measures to monitor thesafety or efficacy of the product candidate. Markets outside of the United States also have requirements for approval of drug candidates with which wemust comply prior to marketing. Obtaining regulatory approval for marketing of a product candidate in one country does not ensure we will be able toobtain regulatory approval in other countries, but a failure or delay in obtaining regulatory approval in one country may have a negative effect on theregulatory process in other countries. Also, any regulatory approval of any of our products or product candidates, once obtained, may be withdrawn.Approvals might not be granted on a timely basis, if at all. Even if our development candidates proceed successfully through clinical trials and receive regulatory approval, there is no guarantee that anapproved product can be manufactured in commercial quantities at a reasonable cost or that such a product will be successfully marketed. For example,flurpiridaz F 18 would require the creation of a complex, field-based manufacturing and distribution network involving PET cyclotrons located atradiopharmacies where the agent would be manufactured and distributed rapidly to end-users, given the agent's 110-minute half-life. In addition, in thecase of flurpiridaz F 18, obtaining adequate reimbursement is critical, including not only coverage from Medicare, Medicaid, other government payorsas well as private payors but also appropriate payment levels which adequately cover the substantially higher manufacturing and distribution costsassociated with a PET MPI agent in comparison to, for example, sestamibi.41Table of ContentsWe will not be able to develop or commercialize our development candidates without successful strategic partners. In March 2013, we implemented a strategic shift in how we fund our important R&D programs. We have reduced our internal R&D resourceswhile at the same time we seek to engage strategic partners to further develop and commercialize our important product candidates, includingflurpiridaz F 18, 18F LMI 1195 and LMI 1174. However, we may not be able to negotiate relationships with potential strategic partners on acceptableterms, or at all. If we are unable to establish or maintain such strategic partnerships, we will have to limit the size or scope of, or delay, our developmentprograms. In addition, our dependence on strategic partnerships is subject to a number of risks, including:•the inability to control the amount or timing of resources that our partners may devote to developing the product candidates; •the possibility that we may be required to relinquish important rights, including intellectual property, marketing and distribution rights; •the receipt of lower revenues than if we were to commercialize such products ourselves; •our failure to receive future milestone payments or royalties if a partner fails to commercialize one of our product candidatessuccessfully; •the possibility that a partner could separately move forward with a competing product candidate developed either independently or incollaboration with others, including our competitors; •the possibility that our strategic partners may experience financial difficulties; •business combinations or significant changes in a partner's business strategy that may adversely affect that partner's willingness or abilityto complete its obligations under any arrangement with us; and •the possibility that our partners may operate in countries where their operations could be negatively impacted by changes in the localregulatory environment or by political unrest. Any of these factors either alone or taken together could have a material adverse effect on our business, results of operations, financial conditionand cash flows.A heightened public or regulatory focus on the radiation risks of diagnostic imaging could have an adverse effect on our business. We believe that there has been heightened public and regulatory focus on radiation exposure, including the concern that repeated doses of radiationused in diagnostic imaging procedures pose the potential risk of long-term cell damage, cancer and other diseases. For example, starting in January2012, CMS required the accreditation of facilities providing the technical component of advanced imaging services, including CT, MRI, PET andnuclear medicine, in non-hospital free-standing settings. In August 2011, the Joint Commission (an independent, not-for-profit organization thataccredits and certifies more than 19,000 healthcare organizations and programs in the United States) issued an alert on the radiation risks of diagnosticimaging and recommended specific actions of providing "the right test and the right dose through effective processes, safe technology and a culture ofsafety." Heightened regulatory focus on risks caused by the radiation exposure received by diagnostic imaging patients could lead to increased regulation ofradiopharmaceutical manufacturers or healthcare providers who perform procedures that use our imaging agents, which could make the proceduresmore costly, reduce the number of providers who perform procedures and/or decrease the demand for our products. In addition, heightened public focuson or fear of radiation exposure could lead to decreased demand for our products by patients or by healthcare providers who order the procedures inwhich our42Table of Contentsagents are used. Although we believe that our diagnostic imaging agents when properly used do not expose patients and healthcare providers to unsafelevels of radiation, any of the foregoing risks could have an adverse effect on our business, results of operations, financial condition and cash flows.In the ordinary course of business, we may be subject to product liability claims and lawsuits, including potential class actions, alleging that ourproducts have resulted or could result in an unsafe condition or injury. Any product liability claim brought against us, with or without merit, could be costly to defend and could result in an increase of our insurancepremiums. Although we have not had any such claims to date, claims that could be brought against us might not be covered by our insurance policies.Furthermore, even where the claim is covered by our insurance, our insurance coverage might be inadequate and we would have to pay the amount ofany settlement or judgment that is in excess of our policy limits, which we believe are consistent with other pharmaceutical companies in the diagnosticmedical imaging industry. We may not be able to obtain insurance on terms acceptable to us or at all, since insurance varies in cost and can be difficult toobtain. Our failure to maintain adequate insurance coverage or successfully defend against product liability claims could have a material adverse effecton our business, results of operations, financial condition and cash flows.We use hazardous materials in our business and must comply with environmental laws and regulations, which can be expensive. Our operations use hazardous materials and produce hazardous wastes, including radioactive, chemical and, in certain circumstances, biologicalmaterials and wastes. We are subject to a variety of federal, state and local laws and regulations as well as non-U.S. laws and regulations relating to thetransport, use, handling, storage, exposure to and disposal of these materials and wastes. Environmental laws and regulations are complex, changefrequently and have become more stringent over time. We are required to obtain, maintain and renew various environmental permits and nuclearlicenses. Although we believe that our safety procedures for transporting, using, handling, storing and disposing of, and limiting exposure to, thesematerials and wastes comply in all material respects with the standards prescribed by applicable laws and regulations, the risk of accidentalcontamination or injury cannot be eliminated. We place a high priority in these safety procedures and seek to limit any inherent risks. We generallycontract with third parties for the disposal of wastes generated by our operations. Prior to disposal, we store any low level radioactive waste at ourfacilities until the materials are no longer considered radioactive. Although we believe we have complied in all material respects with all applicableenvironmental, health and safety laws and regulations, we cannot assure you that we have been or will be in compliance with all such laws at all times.If we violate these laws, we could be fined, criminally charged or otherwise sanctioned by regulators. We may be required to incur further costs tocomply with current or future environmental and safety laws and regulations. In addition, in the event of accidental contamination or injury from thesematerials, we could be held liable for any damages that result and any such liability could exceed our resources. While we have budgeted for current and future capital and operating expenditures to maintain compliance with these laws and regulations, wecannot assure you that our costs of complying with current or future environmental, health and safety laws and regulations will not exceed our estimatesor adversely affect our results of operations and financial condition. Further, we cannot assure you that we will not be subject to additionalenvironmental claims for personal injury, investigation or cleanup in the future based on our past, present or future business activities.43Table of ContentsIf we are unable to protect our intellectual property, our competitors could develop and market products with features similar to our products, anddemand for our products may decline. Our commercial success will depend in part on obtaining and maintaining patent protection and trade secret protection of our technologies andproduct candidates as well as successfully defending these patents and trade secrets against third-party challenges. We will only be able to protect ourintellectual property from unauthorized use by third parties to the extent that valid and enforceable patents or trade secrets cover them. The patent positions of pharmaceutical and biotechnology companies can be highly uncertain and involve complex legal and factual questions forwhich important legal principles remain unresolved. In addition, changes in either the patent laws or in interpretations of patent laws in the United Statesor other countries may diminish the value of our intellectual property. Accordingly, we cannot predict the breadth of claims that may be allowed orenforced in our patents or in third-party patents. The degree of future protection for our proprietary rights is uncertain because legal means afford only limited protection and may not adequatelyprotect our rights or permit us to gain or keep our competitive advantage. For example:•we might not have been the first to make the inventions covered by each of our pending patent applications and issued patents, and wecould lose our patent rights as a result; •we might not have been the first to file patent applications for these inventions or our patent applications may not have been timely filed,and we could lose our patent rights as a result; •others may independently develop similar or alternative technologies or duplicate any of our technologies; •it is possible that none of our pending patent applications will result in any further issued patents; •our issued patents may not provide a basis for commercially viable drugs, may not provide us with any protection from unauthorized useof our intellectual property by third parties, and may not provide us with any competitive advantages; •our patent applications or patents may be subject to interferences, oppositions, post-grant review, reexaminations or similaradministrative proceedings; •we may not develop additional proprietary technologies that are patentable; or •the patents of others may have an adverse effect on our business. Moreover, the issuance of a patent is not conclusive as to its validity or enforceability. A third party may challenge the validity or enforceability ofa patent even after its issuance by the U.S. Patent and Trademark Office. It is also uncertain how much protection, if any, will be afforded by our patentsif we attempt to enforce them and they are challenged in court or in other proceedings, which may be brought in U.S. or non-U.S. jurisdictions tochallenge the validity of a patent. The defense and prosecution of intellectual property suits, interferences, oppositions and related legal and administrative proceedings are costly,time consuming to pursue and result in diversion of resources. The outcome of these proceedings is uncertain and could significantly harm ourbusiness. If we are not able to defend the patents of our technologies and products, then we will not be able to exclude competitors from marketingproducts that directly compete with our products, which could have a material adverse effect on our business, results of operations, financial conditionand cash flows. We will also rely on trade secrets to protect our technology, especially where we do not believe patent protection is appropriate or obtainable.However, trade secrets are difficult to protect. We use reasonable efforts to protect our trade secrets, but our employees, consultants, contractors, outside44Table of Contentsscientific partners and other advisors may unintentionally or willfully disclose our confidential information to competitors or other third parties.Enforcing a claim that a third party improperly obtained and is using our trade secrets is expensive and time consuming, and the outcome isunpredictable. In addition, courts outside the United States are sometimes less willing to protect trade secrets. Moreover, our competitors mayindependently develop equivalent knowledge, methods and know-how. We often rely on confidentiality agreements with our collaborators, employees,consultants and other third parties and invention assignment agreements with our employees to protect our trade secrets and other know-how andproprietary information concerning our business. These confidentiality agreements may not prevent unauthorized disclosure of trade secrets and otherproprietary information, and there can be no guarantee that an employee or an outside party will not make an unauthorized disclosure of our tradesecrets, other technical know-how or proprietary information. We may not have adequate remedies for any unauthorized disclosure. This might happenintentionally or inadvertently. It is possible that a competitor will make use of such information, and that our competitive position will be compromised,in spite of any legal action we might take against persons making such unauthorized disclosures, which could have a material adverse effect on ourbusiness, results of operations, financial condition and cash flows. We rely on our trademarks, trade names, and brand names to distinguish our products from the products of our competitors, and have registered orapplied to register many of these trademarks, including DEFINITY, Cardiolite, TechneLite, Ablavar, Neurolite, Quadramet and Lantheus MedicalImaging. We cannot assure you that any pending trademark applications will be approved. Third parties may also oppose our trademark applications, orotherwise challenge our use of the trademarks. If our trademarks are successfully challenged, we could be forced to rebrand our products, which couldresult in loss of brand recognition, and could require us to devote resources to advertising and marketing new brands. Further, we cannot assure youthat competitors will not infringe our trademarks, or that we will have adequate resources to enforce our trademarks.We may be subject to claims that we have infringed, misappropriated or otherwise violated the patent or other intellectual property rights of a thirdparty. The outcome of any such claims is uncertain and any unfavorable result could adversely affect our business, financial condition andresults of operations. We may be subject to claims by third parties that we have infringed, misappropriated or otherwise violated their intellectual property rights. Whilewe believe that the products that we currently manufacture using our proprietary technology do not infringe upon or otherwise violate proprietary rightsof other parties or that meritorious defenses would exist with respect to any assertions to the contrary, we cannot assure you that we would not be foundto infringe on or otherwise violate the proprietary rights of others. We may be subject to litigation over infringement claims regarding the products we manufacture or distribute. This type of litigation can be costlyand time consuming and could generate significant expenses, damage payments (potentially including treble damages) or restrictions or prohibitions onour use of our technology, which could adversely affect our results of operations. In addition, if we are found to be infringing on proprietary rights ofothers, we may be required to develop non-infringing technology, obtain a license (which may not be available on reasonable terms, or at all), makesubstantial one-time or ongoing royalty payments, or cease making, using and/or selling the infringing products, any of which could have a materialadverse effect on our business, results of operations, financial condition and cash flows.45Table of ContentsWe may be adversely affected by the current economic environment. Our ability to attract and retain customers, invest in and grow our business and meet our financial obligations depends on our operating andfinancial performance, which, in turn, is subject to numerous factors, including the prevailing economic conditions and financial, business and otherfactors beyond our control, such as the rate of unemployment, the number of uninsured persons in the United States and inflationary pressures. Wecannot anticipate all the ways in which the current economic climate and financial market conditions could adversely impact our business. We are exposed to risks associated with reduced profitability and the potential financial instability of our customers, many of which may beadversely affected by volatile conditions in the financial markets. For example, unemployment and underemployment, and the resultant loss ofinsurance, may decrease the demand for healthcare services and pharmaceuticals. If fewer patients are seeking medical care because they do not haveinsurance coverage, our customers may experience reductions in revenues, profitability and/or cash flow that could lead them to modify, delay or cancelorders for our products. If customers are not successful in generating sufficient revenue or are precluded from securing financing, they may not be ableto pay, or may delay payment of, accounts receivable that are owed to us. This, in turn, could adversely affect our financial condition and liquidity. Inaddition, if economic challenges in the United States result in widespread and prolonged unemployment, either regionally or on a national basis, prior tothe effectiveness of certain provisions of the Healthcare Reform Act, a substantial number of people may become uninsured or underinsured. In turn,this may lead to fewer individuals pursuing or being able to afford diagnostic medical imaging procedures. To the extent economic challenges result infewer procedures being performed, our business, results of operations, financial condition and cash flows could be adversely affected.Our business is subject to international economic, political and other risks that could negatively affect our results of operations or financialposition. For the years ended December 31, 2013, 2012 and 2011, 25%, 27% and 25%, respectively, of our total revenues were derived from countriesoutside the United States. We anticipate that revenue from non-U.S. operations will grow. Accordingly, our business is subject to risks associated withdoing business internationally, including:•less stable political and economic environments and changes in a specific country's or region's political or economic conditions; •entering into or renewing commercial agreements with international governments or provincial authorities; •international customers which are agencies or institutions of foreign governments, •local business practices which may be in conflict with the FCPA and Bribery Act; •currency fluctuations; •potential negative consequences from changes in tax laws affecting our ability to repatriate profits; •unfavorable labor regulations; •greater difficulties in relying on non-U.S. courts to enforce either local or U.S. laws, particularly with respect to intellectual property; •greater potential for intellectual property piracy; •greater difficulties in managing and staffing non-U.S. operations;46Table of Contents•the need to ensure compliance with the numerous in-country and international regulatory and legal requirements applicable to ourbusiness in each of these jurisdictions and to maintain an effective compliance program to ensure compliance with these requirements; •changes in public attitudes about the perceived safety of nuclear facilities; •changes in trade policies, regulatory requirements and other barriers; •civil unrest or other catastrophic events; and •longer payment cycles of non-U.S. customers and difficulty collecting receivables in non-U.S. jurisdictions. These factors are beyond our control. The realization of any of these or other risks associated with operating in non-U.S. countries could have amaterial adverse effect on our business, results of operations or financial condition. As our international exposure increases and as we execute ourstrategy of international expansion, these risks may intensify.We face currency and other risks associated with international sales. We generate significant revenue from export sales, as well as from operations conducted outside the United States. During the years endedDecember 31, 2013, 2012 and 2011, the net impact of foreign currency changes on transactions was a loss of $349,000, $579,000 and $156,000,respectively. Operations outside the United States expose us to risks including fluctuations in currency values, trade restrictions, tariff and traderegulations, U.S. export controls, non-U.S. tax laws, shipping delays, and economic and political instability. For example, violations of U.S. exportcontrols, including those administered by the U.S. Treasury Department's Office of Foreign Assets Control, could result in fines, other civil or criminalpenalties and the suspension or loss of export privileges which could have a material adverse effect on our business, results of operations, financialconditions and cash flows. The functional currency of each of our non-U.S. operations is generally the local currency, although one non-U.S. operation's functional currencyis the U.S. Dollar. Exchange rates between some of these currencies and U.S. Dollar have fluctuated significantly in recent years and may do so in thefuture. Historically, we have not used derivative financial instruments or other financial instruments to hedge such economic exposures. It is possiblethat fluctuations in exchange rates will have a negative effect on our results of operations.U.S. credit markets may impact our ability to obtain financing or increase the cost of future financing, including, in the event we obtain financingwith a variable interest rate, interest rate fluctuations based on macroeconomic conditions that are beyond our control. As of December 31, 2013, we had approximately $408.0 million of total principal indebtedness consisting of $400.0 million of Notes issuedMay 10, 2010 and March 16, 2011 and due May 15, 2017 and a revolving line of credit, the Facility, with an outstanding balance of $8.0 million. TheFacility currently has $25.7 million of remaining availability. In addition to the $8.0 million outstanding under the Facility there is an $8.8 millionunfunded Standby Letter of Credit at December 31, 2013. During periods of volatility and disruption in the U.S., European, or global credit markets,obtaining additional or replacement financing may be more difficult and the cost of issuing new debt or replacing our Facility could be higher than underour current Facility. Higher cost of new debt may limit our ability to have cash on hand for working capital, capital expenditures and acquisitions onterms that are acceptable to us. Additionally, the Facility has a variable interest rate. By its nature, a variable interest rate will move up or down based onchanges in the economy and other factors, all of which are beyond our control. If interest rates increase, our interest expense could increase, affectingearnings and reducing cash flows available for working capital, capital expenditures and acquisitions.47Table of ContentsMany of our customer relationships outside of the United States are, either directly or indirectly, with governmental entities, and we could beadversely affected by violations of the U.S. Foreign Corrupt Practices Act and similar worldwide anti-bribery laws outside the United States. The FCPA, the Bribery Act and similar worldwide anti-bribery laws in non-U.S. jurisdictions generally prohibit companies and theirintermediaries from making improper payments to non-U.S. officials for the purpose of obtaining or retaining business. The FCPA prohibits us from providing anything of value to foreign officials for the purposes of obtaining or retaining business or securing anyimproper business advantage. It also requires us to keep books and records that accurately and fairly reflect our transactions. Because of thepredominance of government-sponsored healthcare systems around the world, many of our customer relationships outside of the United States are,either directly or indirectly, with governmental entities and are therefore subject to the FCPA and similar anti-bribery laws in non-U.S. jurisdictions. Inaddition, the Bribery Act has been enacted, and its provisions extend beyond bribery of foreign public officials and are more onerous than the FCPA ina number of other respects, including jurisdiction, non-exemption of facilitation payments and penalties. Our policies mandate compliance with these anti-bribery laws. We operate in many parts of the world that have experienced governmentalcorruption to some degree, and in certain circumstances strict compliance with anti-bribery laws may conflict with local customs and practices. Despiteour training and compliance programs, our internal control policies and procedures may not always protect us from reckless or criminal acts committedby our employees or agents. Violations of these laws, or allegations of such violations, could disrupt our business and result in a material adverse effecton our results of operations, financial condition and cash flows.Our business depends on the continued effectiveness and availability of our information technology infrastructure, and failures of thisinfrastructure could harm our operations. To remain competitive in our industry, we must employ information technologies to support manufacturing processes, quality processes,distribution, R&D and regulatory applications and that capture, manage and analyze the large streams of data generated in our clinical trials incompliance with applicable regulatory requirements. We rely extensively on technology to allow the concurrent conduct of work sharing around theworld. As with all information technology, our infrastructure ages and becomes subject to increasing maintenance and repair and our systems generallyare vulnerable to potential damage or interruptions from fires, blackouts, telecommunications failures and other unexpected events, as well as to break-ins, sabotage or intentional acts of vandalism. Given the extensive reliance of our business on technology, any substantial disruption or resulting loss ofdata that is not avoided or corrected by our backup measures could harm our business, operations and financial condition.We may not be able to hire or retain the number of qualified personnel, particularly scientific, medical and sales personnel, required for ourbusiness, which would harm the development and sales of our products and limit our ability to grow. Competition in our industry for highly skilled scientific, healthcare and sales personnel is intense. If we are unable to retain our existing personnel,or attract and train additional qualified personnel, either because of competition in our industry for such personnel or because of insufficient financialresources, our growth may be limited and it could have a material adverse effect on our business.If we lose the services of our key personnel, our business could be adversely affected. Our success is substantially dependent upon the performance, contributions and expertise of our chief executive officer, executive leadership andsenior management team. Jeffrey Bailey, our Chief48Table of ContentsExecutive Officer and President, and other members of our executive leadership and senior management team play a significant role in generating newbusiness and retaining existing customers. We have employment agreements with Mr. Bailey and a limited number of other individuals on our executiveleadership team, although we cannot prevent them from terminating their employment with us. We do not maintain key man life insurance policies onany of our executive officers. Our inability to retain our existing executive leadership and senior management team, maintain an appropriate internalsuccession program or attract and retain additional qualified personnel could have a material adverse effect on our business.Our future growth may depend on our ability to identify and in-license or acquire additional products, and if we do not successfully do so, orotherwise fail to integrate any new products into our operations, we may have limited growth opportunities and it could materially adversely affectour relationships with customers and/or result in significant impairment charges. We are continuing to seek to acquire or in-license products, businesses or technologies that we believe are a strategic fit with our business strategy.Future in-licenses or acquisitions, however, may entail numerous operational and financial risks, including:•exposure to unknown liabilities; •disruption of our business, customer base and diversion of our management's time and attention to develop acquired products ortechnologies; •a reduction of our current financial resources; •difficulty or inability to secure financing to fund development activities for such acquired or in-licensed technologies; •incurrence of substantial debt or dilutive issuances of securities to pay for acquisitions; and •higher than expected acquisition and integration costs. We may not have sufficient resources to identify and execute the acquisition or in-licensing of third-party products, businesses and technologiesand integrate them into our current infrastructure. In particular, we may compete with larger pharmaceutical companies and other competitors in ourefforts to establish new collaborations and in-licensing opportunities. These competitors likely will have access to greater financial resources than us andmay have greater expertise in identifying and evaluating new opportunities. Furthermore, there may be overlap between our products or customers andthe companies which we acquire that may create conflicts in relationships or other commitments detrimental to the integrated businesses. Additionally,the time between our expenditures to in-license or acquire new products, technologies or businesses and the subsequent generation of revenues fromthose acquired products, technologies or businesses (or the timing of revenue recognition related to licensing agreements and/or strategic collaborations)could cause fluctuations in our financial performance from period to period. Finally, if we devote resources to potential acquisitions or in-licensingopportunities that are never completed, or if we fail to realize the anticipated benefits of such efforts, we could incur significant impairment charges orother adverse financial consequences.We have a substantial amount of indebtedness which may limit our financial and operating activities and may adversely affect our ability to incuradditional debt to fund future needs. As of December 31, 2013, we had approximately $408.0 million of total principal indebtedness consisting of $400.0 million of the Notes, whichmature on May 15, 2017, and $8.0 million outstanding under the Facility. As of December 31, 2013, in addition to the $8.0 million outstanding underthe49Table of ContentsFacility, there is an $8.8 million unfunded Standby Letter of Credit. Our substantial indebtedness and any future indebtedness we incur could:•require us to dedicate a substantial portion of cash flow from operations to the payment of interest on and principal of our indebtedness,thereby reducing the funds available for other purposes; •make it more difficult for us to satisfy and comply with our obligations with respect to the Notes, namely the payment of interest andprincipal; •subject us to increased sensitivity to interest rate increases; •make us more vulnerable to economic downturns, adverse industry or company conditions or catastrophic external events; •limit our ability to withstand competitive pressures; •reduce our flexibility in planning for or responding to changing business, industry and economic conditions; and/or •place us at a competitive disadvantage to competitors that have relatively less debt than we have. In addition, our substantial level of indebtedness could limit our ability to obtain additional financing on acceptable terms, or at all, for workingcapital, capital expenditures and general corporate purposes. Our liquidity needs could vary significantly and may be affected by general economicconditions, industry trends, performance and many other factors not within our control.We may not be able to generate sufficient cash flow to meet our debt service obligations. Our ability to generate sufficient cash flow from operations to make scheduled payments on our debt obligations, which are currently $39.0 millionof interest per year based on our $400.0 million in total principal indebtedness as of December 31, 2013 related to the Notes, which principal is due atmaturity on May 15, 2017, will depend on our future financial performance, which will be affected by a range of economic, competitive and businessfactors, many of which are outside of our control. If we do not generate sufficient cash flow from operations to satisfy our debt obligations, includinginterest payments and the payment of principal at maturity, we may have to undertake alternative financing plans, such as refinancing or restructuringour debt, selling assets, entering into additional corporate collaborations or licensing arrangements for one or more of our products or productcandidates, reducing or delaying capital investments or seeking to raise additional capital. We cannot assure you that any refinancing would be possible,that any assets could be sold, licensed or partnered, or, if sold, licensed or partnered, of the timing of the transactions and the amount of proceedsrealized from those transactions, that additional financing could be obtained on acceptable terms, if at all, or that additional financing would be permittedunder the terms of our various debt instruments then in effect. Furthermore, our ability to refinance would depend upon the condition of the financialand credit markets. Our inability to generate sufficient cash flow to satisfy our debt obligations, or to refinance our obligations on commerciallyreasonable terms or on a timely basis, would have an adverse effect on our business, results of operations and financial condition.Despite our substantial indebtedness, we may incur more debt, which could exacerbate the risks described above. We and our subsidiaries may be able to incur substantial additional indebtedness in the future subject to the limitations contained in the agreementsgoverning our debt, including the Indenture (as defined below) governing the Notes. Although these agreements restrict us and our restrictedsubsidiaries from incurring additional indebtedness, these restrictions are subject to important exceptions and qualifications. For example, we aregenerally permitted to incur certain indebtedness,50Table of Contentsincluding, indebtedness arising in the ordinary course of business, indebtedness among restricted subsidiaries and us and indebtedness relating tohedging obligations. We are also permitted to incur indebtedness under the Indenture governing the Notes so long as we comply with an interestcoverage ratio of 2.0 to 1.0, determined on a pro forma basis for the most recently completed four fiscal quarters. See "Item 7—Management'sDiscussion and Analysis of Financial Condition and Results of Operations—Liquidity and Capital Resources—External Sources of Liquidity." If we orour subsidiaries incur additional debt, the risks that we and they now face as a result of our high leverage could intensify. In addition, the Indenturegoverning the Notes and the agreement governing the Facility will not prevent us from incurring obligations that do not constitute indebtedness underthe agreements.Our debt agreements contain restrictions that will limit our flexibility in operating our business. The Indenture governing the Notes and the agreement governing the Facility contain various covenants that limit our ability to engage in specifiedtypes of transactions. These covenants limit our and our restricted subsidiaries' ability to, among other things:•incur additional debt; •pay dividends or make other distributions; •redeem stock; •issue stock of subsidiaries; •make certain investments; •create liens; •enter into transactions with affiliates; and •merge, consolidate or transfer all or substantially all of our assets. A breach of any of these covenants could result in a default under the Indenture governing the Notes and the agreement governing the Facility. Wemay also be unable to take advantage of business opportunities that arise because of the limitations imposed on us by the restrictive covenants under ourindebtedness.Item 1B. Unresolved Staff Comments None.Item 2. Properties Our executive offices and primary manufacturing facilities are located at our North Billerica, Massachusetts facility, which we own. In addition, asof December 31, 2013, we lease 7 facilities in Canada, 2 in Australia and 2 in Puerto Rico. Our owned facilities consist of approximately578,000 square feet of manufacturing, laboratory, mixed use and office space, and our leased facilities consist of approximately 67,766 square feet ofmanufacturing, laboratory, mixed use and office space. We believe all of these facilities are well-maintained and suitable for the office, radiopharmacy,manufacturing or warehouse operations conducted in them.51Table of Contents The following table summarizes information regarding our significant leased and owned properties, as of December 31, 2013:Item 3. Legal Proceedings From time to time, we are a party to various legal proceedings arising in the ordinary course of business. In addition, we have in the past been, andmay in the future be, subject to investigations by governmental and regulatory authorities, which exposes us to greater risks associated with litigation,regulatory or other proceedings, as a result of which we could be required to pay significant fines or penalties. The outcome of litigation, regulatory orother proceedings cannot be predicted with certainty, and some lawsuits, claims, actions or proceedings may be disposed of unfavorably to us. Inaddition, intellectual property disputes often have a risk of injunctive relief which, if imposed against us, could materially and adversely affect ourfinancial condition or results of operations. On December 16, 2010, we filed suit against one of our insurance carriers seeking to recover business interruption losses associated with the NRUreactor shutdown and the ensuing global Moly supply shortage (Lantheus Medical Imaging, Inc., Plaintiff v. Zurich American Insurance Company,Defendant, United States District Court, Southern District of New York, Case No. 10 Civ 9371). The claim is the result of the shutdown of the NRUreactor in Chalk River, Ontario. The NRU reactor was off-line from May 2009 until August 2010 due to a "heavy water" leak in the reactor vessel. Thedefendant answered the complaint on January 21, 2011, denying substantially all of the allegations, presenting certain defenses and requesting dismissalof the case with costs and disbursements. Discovery has commenced and is continuing. We cannot be certain what amount, if any, or when, if ever, wewill be able to recover for business interruption losses related to this matter.Item 4. Mine Safety Disclosures Not applicable52Location Squarefootage Owned/LeasedUnited States North Billerica, Massachusetts 578,000 OwnedCanada Montreal 8,729 LeasedMississauga 13,747 LeasedDorval 13,079 LeasedQuebec 6,261 LeasedHamilton 5,300 LeasedVancouver 880 LeasedAustralia Melbourne 4,634 LeasedAdelaide 4,306 LeasedPuerto Rico San Juan 9,550 LeasedPonce 1,280 LeasedTable of ContentsPART II Item 5. Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities Market and Dividend Information Our outstanding common stock is privately held and there is no established public trading market for our common stock. There is one stockholderof record of our common stock as of December 31, 2013.Unregistered Sales of Equity Securities We sold no equity securities during the year ended December 31, 2013.Securities Authorized for Issuance Under Equity Compensations Plans See "Item 12—Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters—Securities Authorized forIssuance Under Equity Compensation Plans."Item 6. Selected Financial Data Basis of Financial Information Following our purchase of the medical imaging business from Bristol-Myers Squibb Company, or BMS, with the financial sponsorship of Avistaon January 8, 2008 (the "Acquisition"), our audited financial statements were prepared at the Lantheus Intermediate level rather than at the Lantheuslevel due to covenants in our financial arrangements undertaken in connection with the Acquisition.Non-GAAP Financial Measures EBITDA and Adjusted EBITDA and the ratios related thereto, or our EBITDA Measures, as defined below and presented in this annual report,are supplemental measures of our performance that are not required by, or presented in accordance with, generally accepted accounting principles in theUnited States, or GAAP. They are not measurements of our financial performance under GAAP and should not be considered as alternatives to netincome (loss) or any other performance measures derived in accordance with GAAP or as alternatives to cash flow from operating activities asmeasures of our liquidity. Our EBITDA Measures may not be comparable to similarly titled measures of other companies and are not measures of performance calculated inaccordance with GAAP. We have included information concerning our EBITDA Measures in this annual report because we believe that suchinformation is used by certain investors as one measure of a company's historical performance. Furthermore, certain financial ratios included in our debtcovenants are based on EBITDA as defined in the debt agreements. See Note 10, "Financing Arrangements." Our EBITDA Measures have limitations as analytical tools, and you should not consider them in isolation, or as a substitute for analysis of ouroperating results or cash flows as reported under GAAP. Some of these limitations are:•they do not reflect our cash expenditures, or future requirements, for capital expenditures or contractual commitments; •they do not reflect changes in, or cash requirements for, our working capital needs; •they do not reflect the significant interest expense or the cash requirements necessary to service interest or principal payments on ourdebt;53Table of Contents•although depreciation is a non-cash charge, the assets being depreciated will often have to be replaced in the future, and our EBITDAMeasures do not reflect any cash requirements for such replacements; •they are not adjusted for all non-cash income or expense items that are reflected in our statements of cash flows; and •other companies in our industry may calculate these measures differently than we do, limiting their usefulness as comparative measures. Because of these limitations, our EBITDA Measures should not be considered as measures of discretionary cash available to us to invest in thegrowth of our business. We compensate for these limitations by relying primarily on our GAAP results and using our EBITDA Measures only forsupplemental purposes. Please see the consolidated financial statements included elsewhere in this annual report for our GAAP results.Selected Financial Data The following table sets forth certain selected consolidated financial data for Lantheus Intermediate, our parent company and a guarantor of theNotes, as of and for the fiscal years ended December 31, 2013, 2012, 2011, 2010 and 2009, which have been derived from the audited consolidatedfinancial statements of Lantheus Intermediate. See "—Basis of Financial Information." The results indicated below and elsewhere in this annual report are not necessarily indicative of our future performance. You should read thisinformation together with "Item 7—Management's54Table of ContentsDiscussion and Analysis of Financial Condition and Results of Operations" and the consolidated financial statements and related notes included inItem 8 of this annual report.55 Year Ended December 31, 2013 2012 2011 2010 2009 (dollars in thousands) Statement of Comprehensive (Loss)Income Data: Total revenues $283,672 $288,105 $356,292 $353,956 $360,211 Cost of goods sold 206,311 211,049 255,466 204,006 184,844 Loss on firm purchase commitment — 1,859 5,610 — — General and administrative expenses 33,159 32,520 32,057 30,042 35,430 Sales and marketing expenses 35,227 37,437 38,689 45,384 42,337 Research and development expense 30,459 40,604 40,945 45,130 44,631 Proceeds from manufacturer (8,876) (34,614) — — — Impairment on land 6,406 — — — — Operating (loss) income (19,014) (750) (16,475) 29,394 52,969 Interest expense (42,915) (42,014) (37,658) (20,395) (13,458)Loss on early extinguishment of debt — — — (3,057) — Interest income 104 252 333 179 73 Other income (expense), net 1,161 (44) 1,429 1,314 2,720 Income (loss) before income taxes (60,664) (42,556) (52,371) 7,435 42,304 Provision (benefit) for income taxes 1,014 (555) 84,098 2,465 21,952 Net (loss) income $(61,678)$(42,001)$(136,469)$4,970 $20,352 Statement of Cash Flows Data: Net cash flows provided by (used in): Operating activities $(15,678)$523 $22,420 $26,317 $95,783 Investing activities (3,483) (8,145) (7,694) (8,550) (38,351)Financing activities 5,535 (2,039) (6,991) (17,550) (49,102)Other Financial Data: EBITDA(1) $6,789 $26,815 $16,832 $62,037 $96,214 Adjusted EBITDA(1) 61,664 59,070 80,084 85,228 104,060 Capital expenditures 5,010 7,920 7,694 8,335 8,856 Balance Sheet Data (at period end): Cash and cash equivalents $16,669 $31,595 $40,607 $33,006 $31,480 Total assets 259,385 322,926 358,804 495,881 492,543 Total liabilities 496,473 497,279 492,007 342,447 181,964 Current portion of long-term debt — — — — 30,000 Total long-term debt, net 399,037 398,822 398,629 250,000 63,649 Total stockholder's (deficit) equity (237,088) (174,353) (133,203) 153,434 310,579 (1)EBITDA is defined as net (loss) income plus interest, income taxes, depreciation and amortization. EBITDA is a measure usedby management to measure operating performance. Adjusted EBITDA is defined as EBITDA, further adjusted to excludeunusual items and other adjustments required or permitted in calculating Adjusted EBITDA under the indenture governing theCompany's notes and the credit agreement for the Company's revolving credit facility. Adjusted EBITDA is also used bymanagement to measure operating performance and by investors to measure a company's ability to service its debt and meet itsother cash needs. Management believes that the inclusion of the adjustments to EBITDA applied in presenting AdjustedEBITDA are appropriate to provide additional information to investors about the Company's performance across reportingperiods onTable of Contents56a consistent basis by excluding items that it does not believe are indicative of its core operating performance. See "—Non-GAAPFinancial Measures."The following table provides a reconciliation of our net (loss) income to EBITDA and Adjusted EBITDA for the periodspresented: Year Ended December 31, 2013 2012 2011 2010 2009 (dollars in thousands) Net (loss) income $(61,678)$(42,001)$(136,469)$4,970 $20,352 Interest expense, net 42,811 41,762 37,325 20,216 13,385 Provision for income taxes(a) (127) (901) 82,718 1,215 20,392 Depreciation and amortization 25,783 27,955 33,258 35,636 42,085 EBITDA 6,789 26,815 16,832 62,037 96,214 Non-cash stock-based compensation 578 1,240 (969) 1,634 1,209 Loss on early extinguishment of debt — — — 3,057 — Legal fees(b) 660 1,455 2,017 — — Loss on firm purchase commitment(c) — 1,859 5,610 — — Asset write-off(d) 28,349 13,095 52,973 14,084 4,125 Severance and recruiting costs(e) 5,239 1,761 1,995 1,001 — Sponsor fee and other(f) 1,457 1,042 1,020 1,090 1,060 New manufacturer costs(g) 4,164 8,945 606 1,816 910 Ablavar launch costs(h) — — — 509 542 Run-rate savings(i) 14,428 2,858 — — — Adjusted EBITDA $61,664 $59,070 $80,084 $85,228 $104,060 (a)Represents provision for income taxes, less tax indemnification associated with an agreement with BMS, and, in 2011,includes the establishment of a full valuation allowance against the U.S. deferred tax assets. (b)Represents legal services incurred in connection with our business interruption claim associated with the NRU reactorshutdown in 2009 to 2010. (c)Represents a loss associated with a portion of the committed purchases of Ablavar that we do not believe we will be ableto sell prior to expiration. (d)Represents non-cash losses incurred associated with the write-down of land, intangible assets, inventory and write-off oflong-lived assets. The 2013 amount consists primarily of a $6.4 million write-down of land, a $15.4 million impairmentcharge on the Cardiolite trademark intangible asset, a $1.7 million impairment charge on a customer relationship intangibleasset and a $1.6 million inventory write-down related to Ablavar. The 2012 amount consists primarily of a $10.6 millioninventory write-down related to Ablavar. The 2011 amount consists primarily of a $25.8 million inventory write-downrelated to Ablavar and a $23.5 million impairment charge to adjust the carrying value of the Ablavar patent portfolio assetto its fair value of zero. The 2010 amount consists primarily of a $10.9 million inventory write-down related to Ablavar.The 2009 amount is primarilyTable of ContentsItem 7. Management's Discussion and Analysis of Financial Condition and Results of Operations The following discussion and analysis of our financial condition and results of operations should be read together with "Item 6—SelectedFinancial Data" and the consolidated financial statements and the related notes included in Item 8 of this annual report. This discussion containsforward- looking statements, based on current expectations and related to future events and our future financial performance, that involve risks anduncertainties. Our actual results may differ materially from those anticipated in these forward-looking statements as a result of many factors,including those set forth under "Item 1A—Risk Factors" and "Cautionary Note Regarding Forward-Looking Statements."Overview We are a global leader in developing, manufacturing and distributing innovative diagnostic medical imaging agents and products that primarilyassist clinicians in the diagnosis of cardiovascular diseases. Our agents are routinely used to diagnose coronary artery disease, congestive heart failureand stroke, peripheral vascular disease and other diseases. Clinicians use our imaging agents and products across a range of imaging modalities,including nuclear imaging, echocardiography and magnetic resonance imaging, or MRI. We were founded in 1956 as New England NuclearCorporation and purchased by E. I. du Pont de Nemours and Company in 1981. We were subsequently acquired by BMS, as part of its acquisition ofDuPont Pharmaceuticals in 2001. On January 8, 2008, Avista purchased the medical imaging business from BMS for an aggregate purchase price of$518.7 million, and the medical imaging business is now known as LMI. Our commercial products are used by nuclear physicians, cardiologists, radiologists, internal medicine physicians, technologists and sonographersworking in a variety of clinical settings. We sell our products to radiopharmacies, hospitals, clinics, group practices, integrated delivery networks, grouppurchasing organizations and, in certain circumstances, wholesalers. We market our products globally and have operations in the United States, Puerto Rico, Canada and Australia and distribution relationships inEurope, Asia Pacific and Latin America.Our Products Our principal products include the following: DEFINITY is an ultrasound contrast agent used in ultrasound exams of the heart, also known as echocardiography exams. DEFINITY containsperflutren-containing lipid microspheres and is indicated in the United States for use in patients with suboptimal echocardiograms to assist in imagingthe left57related to the write-down of accessories related to our TechneLite product as a result of the global Moly shortage andCardiolite inventory acquired from BMS.(e)In 2013, 2012 and 2011, consists of severance and recruitment costs related to employees, executives and directors. In2010, consists of severance costs relating to one of our executive officers and a work force reduction in the fourthquarter. (f)Represents annual sponsor monitoring fee and related expenses, and certain non-recurring charges related to a customerrelationship. (g)Represents internal and external costs associated with establishing new manufacturing sources for our commercial andclinical candidate products. (h)Represents costs associated with the launch of Ablavar. (i)Represents run-rate cost savings, operating expense reductions and other expense and cost-saving synergies realized orexpected to be taken (calculated on a pro forma basis).Table of Contentsventricular chamber and left endocardial border of the heart in ultrasound procedures. We launched DEFINITY in 2001, and its last patent in the UnitedStates will currently expire in 2021 and in numerous foreign jurisdictions in 2019. TechneLite is a Technetium-based generator which provides the essential nuclear material used by radiopharmacies to radiolabel Cardiolite andother Technetium-based radiopharmaceuticals used in nuclear medicine procedures. TechneLite uses Moly as its main active ingredient. Xenon is a radiopharmaceutical inhaled gas used to assess pulmonary function and also for imaging blood flow, particularly in the brain. Xenon ismanufactured by a third party and packaged in-house. Cardiolite is a technetium-based radiopharmaceutical imaging agent used in myocardial perfusion imaging ("MPI") procedures to detect coronaryartery disease using SPECT. Cardiolite was approved by the FDA in 1990, and its market exclusivity expired in July 2008. In the United States, our nuclear imaging products, including TechneLite and Cardiolite, are primarily distributed through over 350radiopharmacies that are controlled by or associated with Cardinal, GE Healthcare, UPPI and Triad. A small portion of our nuclear imaging productsales in the United States are made through our direct sales force to hospitals and clinics that maintain their own in-house radiopharmaceuticalcapabilities. Sales of our contrast agent, DEFINITY, are made through our sales team of approximately 77 employees. Outside the United States, weown five radiopharmacies in Canada and two radiopharmacies in each of Puerto Rico and Australia. We also maintain a direct sales force in each ofthese countries. In the rest of the world, we rely on third-party distributors to market, distribute and sell our nuclear imaging and contrast agentproducts, either on a country-by-country basis or on a multi-country regional basis. Over the last three years, we experienced a mix shift from historically strong products such as Cardiolite and TechneLite to DEFINITY andXenon, which generate higher gross margins. We expect this trend to continue in the near term. The following table sets forth our revenue derived from our principal products: Included in Cardiolite revenue are sales of branded Cardiolite and generic sestamibi, some of which we produce and some of which we procurefrom third parties.58 Year Ended December 31, (dollars in thousands) 2013 % 2012 % 2011 % DEFINITY $78,094 27.5 $51,431 17.9 $68,503 19.2 TechneLite 92,195 32.5 114,249 39.7 131,241 36.9 Xenon 32,125 11.3 30,075 10.4 26,761 7.5 Cardiolite 26,137 9.2 34,995 12.1 66,127 18.6 Other 43,258 15.3 46,604 16.2 53,130 14.9 Net product revenues 271,809 95.8 277,354 96.3 345,762 97.1 License and other revenues 11,863 4.2 10,751 3.7 10,530 2.9 Total revenues $283,672 100.0 $288,105 100.0 $356,292 100.0 Table of ContentsKey Factors Affecting Our Results Our business and financial performance have been, and continue to be, affected by the following:Inventory Supply We obtain a substantial portion of our products from third party suppliers. Historically, we relied on BVL as our sole manufacturer of DEFINITYand Neurolite and one of two manufacturers of our Cardiolite product supply. Following extended operational and regulatory challenges at its Bedford,Ohio facility, as of November 15, 2013, BVL ceased manufacturing for us any DEFINITY, Cardiolite or Neurolite. BVL has since released forcommercial distribution all of our remaining manufactured product that was awaiting BVL quality approval. Following extensive technology transfer activities, we currently rely on JHS as our sole source manufacturer of DEFINITY. We have additionalongoing technology transfer activities at JHS for our Neurolite and Cardiolite product supply. In the meantime, we have no other currently activesupplier of Neurolite, and our Cardiolite product supply is manufactured by a single manufacturer. Based on our current projections, we believe that wewill have sufficient supply of DEFINITY from JHS to meet expected demand and sufficient Cardiolite product supply from our current supplier to meetexpected demand. We also currently anticipate that we will have sufficient BVL-manufactured Neurolite supply for the U.S. market to last untilNeurolite technology transfer and U.S. regulatory approval at JHS are completed. Currently, some regulatory authorities prohibit us from marketingproducts previously manufactured by BVL, and JHS has not yet obtained approval of such regulatory authorities that would permit us to marketproducts manufactured by JHS. Accordingly, until such regulatory approvals have been obtained, our international business, results of operations,financial condition, and cash flows will continue to be adversely affected. We are also currently working to secure additional alternative suppliers for our key products as part of our ongoing supply chain diversificationstrategy. For example, on November 12, 2013, we entered into a Manufacturing and Supply Agreement with Pharmalucence to manufacture and supplyDEFINITY. However, we are uncertain about the timing of the completion of the technology transfer contemplated by the Pharmalucence agreementand whether the Pharmalucence arrangement or any other arrangements could provide meaningful quantities of product. See "Item 1A—Risk Factors—Our dependence upon third parties for the manufacture and supply of a substantial portion of our products could prevent us from delivering ourproducts to our customers in the required quantities, within the required timeframe, or at all, which could result in order cancellations and decreasedrevenues."Growth of DEFINITY We believe the market opportunity for our contrast agent, DEFINITY, remains significant. As we better educate the physician and healthcareprovider community about the benefits and risks of this product, we believe we will experience further penetration of suboptimal echocardiograms.Prior to the supply issues with BVL in 2012, sales of DEFINITY continually increased year over year since June 2008, when we were able to have theboxed warning on DEFINITY modified. Unit sales of DEFINITY had decreased substantially in late 2007 and early 2008 as a result of an FDArequest in October 2007 that all manufacturers of ultrasound contrast agents add a boxed warning to their products to notify physicians and patientsabout potentially serious safety concerns or risks posed by the products. However, in May 2008, the boxed warning was modified by the FDA inresponse to the substantial advocacy efforts of prescribing physicians. In October 2011, we received FDA approval of further modifications to theDEFINITY label, including: further relaxing the boxed warning; eliminating the sentence in the Indication and Use section "The safety and efficacy ofDEFINITY with exercise stress or pharmacologic stress testing have not been established" (previously added in October 2007 in connection with theimposition of the box warning); and including summary data from the59Table of Contentspost-approval CaRES (Contrast echocardiography Registry for Safety Surveillance) safety registry and the post-approval pulmonary hypertensionstudy. However, as discussed above under "Inventory Supply", the future growth of our DEFINITY sales will be dependent on the ability of JHS tocontinue to manufacture and release DEFINITY on a timely and consistent basis and our ability to continue to increase segment penetration forDEFINITY in suboptimal echocardiograms. See "Item 1A—Risk Factors—The growth of our business is substantially dependent on increasedsegment penetration for DEFINITY in suboptimal echocardiograms."Global Moly Supply Historically, our largest supplier of Moly, our highest volume raw material, has been Nordion, which has relied on the NRU reactor in ChalkRiver, Ontario. This reactor was off-line from May 2009 until August 2010 due to a heavy water leak in the reactor vessel. As part of the conditions forthe relicensing of the NRU reactor through October 2016, the Canadian government has asked AECL to shut down the reactor for at least four weeks atleast once a year for inspection and maintenance. The 2014 shutdown period is currently scheduled to run from mid-April 2014 to mid-May 2014. Wecurrently believe that we will be able to source all of our standing order customer demand for Moly during this time period from our other suppliers.However, because Xenon is a by-product of the Moly production process and is currently captured only by NRU, during this shutdown period, we donot currently believe that we will be able to supply all of our standing order customer demand for Xenon during the outage. We currently have a supplyagreement with Nordion that runs through December 31, 2015, subject to certain early termination provisions (that cannot be effective prior toOctober 1, 2014) and supply agreements with NTP of South Africa, ANSTO of Australia, and IRE of Belgium, each running through December 31,2017. During the 2009 to 2010 period when the NRU reactor was off-line, instability in the global supply of Moly and supply shortages resulted insubstantial volatility in the cost of Moly in comparison to historical costs. We were able to pass some of these Moly cost increases on to our customersthrough our customer contracts. With less Moly, we manufactured fewer TechneLite generators for radiopharmacies and hospitals to make up unitdoses of Cardiolite, resulting in decreased sales of TechneLite and Cardiolite in favor of other diagnostic modalities that did not use Moly during the2009 to 2010 period when the NRU reactor was off-line.Demand for TechneLite Since the global Moly supply shortage in 2009 to 2010, we have experienced reduced demand for TechneLite generators from pre-shortage levelseven though volume has increased in absolute terms from shortage levels following the return of our normal Moly supply in August 2010. We aregenerally able to pass these Moly cost increases on to our customers pursuant to our customer contracts. However, we do not know if overall industrydemand for technetium will ever return to pre-shortage levels. We believe that TechneLite unit volume has not returned to pre-shortage levels for a number of reasons, including: (i) changing staffing andutilization practices in radiopharmacies, which have resulted in increased efficiencies in the preparation of unit doses of Technetium-basedradiopharmaceuticals; (ii) shifts to alternative diagnostic imaging modalities during the 2009 to 2010 Moly supply shortage, which have not returnedtoTechnetium-based procedures; and (iii) decreased amounts of technetium being used in unit-doses of Technetium-based radiopharmaceuticals due toincreased concerns about patient radiation dose exposure. We also believe that there has been an overall decline in the MPI study market because ofdecreased levels of patient studies during the Moly shortage period that have not returned to pre-shortage levels and industry-wide cost-containmentinitiatives that have resulted in a transition of where imaging procedures are performed from free60Table of Contentsstanding imaging centers to the hospital setting. We expect these factors will continue to affect technetium demand in the future. In November 2013, the Centers for Medicare and Medicaid Services, or CMS, announced the 2014 final Medicare payment rules for hospitaloutpatient settings and physician offices. Under the final rules, CMS is again reimbursing an incremental $10 for each technetium dose produced from agenerator for a diagnostic procedure in a hospital outpatient setting that is reimbursed by Medicare if such technetium dose is produced from a generatorcontaining Moly sourced from at least 95 percent low enriched uranium, or LEU. We currently understand that CMS expects to continue this incentiveprogram for the foreseeable future. In January 2013, we began to offer a TechneLite generator which contains Moly sourced from at least 95 percentLEU and which satisfies the requirements for reimbursement under this incentive program. Although demand for LEU generators appears to begrowing, it is too early to tell whether this incremental reimbursement for LEU Moly generators will result in a material increase in our generator sales.Cardiolite Competitive Pressures Cardiolite's market exclusivity expired in July 2008. In September 2008, the first of several competing generic products to Cardiolite was launched.With continued pricing and unit volume pressures from generic competitors, we also sell our Cardiolite product in the form of a generic sestamibi at thesame time as we continue to sell branded Cardiolite throughout the MPI segment. We believe this strategy of selling branded as well as genericsestamibi has slowed our market share loss by having multiple sestamibi offerings that are attractive in terms of brand, as well as price. In addition to pricing and unit volume pressures due to generics, our Cardiolite products have also faced a volume decline in the MPI segment dueto a change in professional society appropriateness guidelines, ongoing reimbursement pressures, the limited availability of Moly during the NRUreactor shutdown, the limited availability of Cardiolite products to us during the BVL outage, and the increase in use of other diagnostic modalities as aresult of a shift to more available imaging agents and modalities. We believe the continuing effects from the BVL outage and continued genericcompetition will result in further market share and margin erosion for our Cardiolite products. These factors have impacted the carrying value of our Cardiolite trademark intangible asset as further described in "Gross Profit".Research and Development Expenses To remain competitive in the marketplace, we have historically made substantial investments in new product development. As a result, the positivecontributions of those internally funded research and development programs have been a key factor in our historical results and success. In March 2013,we began to implement a strategic shift in how we fund our important R&D programs. We have reduced our internal R&D resources while at the sametime we are seeking to engage strategic partners to assist us in the further development and commercialization of our important development candidates,including flurpiridaz F 18, 18F LMI 1195 and LMI 1174. As a result of this shift, we are seeking strategic partners to assist us with the furtherdevelopment and possible commercialization of flurpiridaz F18. For our other two important development candidates, 18F LMI 1195 and LMI 1174,we will also seek to engage strategic partners to assist us with the ongoing development activities relating to these agents.Ablavar The Ablavar product was commercially launched in January 2010. The revenues for this product through December 31, 2013 have not beensignificant. In October 2011, we entered into Amendment No. 2 to the Supply Agreement dated as of April 6, 2009 between Mallinckrodt and us. TheAblavar61Table of Contentsagreement provided for the manufacture and supply by Mallinckrodt of Ablavar API and finished drug product for us. Among other things,Amendment No. 2 (i) extended the term of the Ablavar agreement from September 30, 2012 until September 30, 2014, (ii) reduced the amount of APIMallinckrodt is obligated to supply to us and we are obligated to purchase from Mallinckrodt over the term of the Ablavar agreement and (iii) increasedthe amount of finished drug product Mallinckrodt is obligated to supply to us and we are obligated to purchase from Mallinckrodt over the term of theAblavar agreement. As a result of Amendment No. 2, our aggregate future purchase obligations of LMI under the Ablavar agreement were reducedfrom approximately $33.8 million in the aggregate to approximately $20.9 million. During 2011, we recorded an inventory write-down to cost of goods sold of $25.8 million, which represented the cost of Ablavar finished goodproduct and API that we did not believe we would be able to sell prior to its expiration. We completed updated sales forecasts for Ablavar based onactual sales in consideration of our supply agreement for API and finished good product. Based on the updated sales forecasts, coupled with theaggregate six-year shelf life of API and finished goods, we also recorded in cost of goods sold a loss of $5.6 million for the loss associated with theportion of the committed purchases of Ablavar product that we did not believe we would be able to sell prior to its expiration. Additionally, wedetermined that the write-down of Ablavar inventory during 2011 represented an event that warranted assessment of the intellectual property associatedwith Ablavar for its recoverability and concluded that the intellectual property was not recoverable and in 2011, recorded in cost of goods sold animpairment of this intangible asset of $23.5 million. During 2012, we implemented a reduction in the sales force dedicated to Ablavar. We performed an analysis of expected future sales of ourAblavar product, based on an updated sales forecast reflecting the reduction in sales force personnel dedicated to Ablavar, and recorded to cost of goodssold an additional inventory write-down of $10.6 million and a reserve of $1.9 million associated with the portion of the committed purchases ofAblavar product that we did not believe we would sell prior to expiry. During the fourth quarter of 2013, we updated our strategic plan, which had a significant impact on the Ablavar sales forecast. We performed aninventory reserve analysis using expected future Ablavar sales and recorded an additional write-down of $1.6 million related to the API that we wouldnot be able to convert or be able to sell prior to its expiry as of December 31, 2013. After giving effect to these adjustments, as of December 31, 2013 and 2012, we have a total of $1.5 million and $2.8 million, respectively, ofAblavar inventory on hand. At December 31, 2013 and 2012, we had approximately $1.8 million and $9.4 million, respectively, of remainingcommitted Ablavar purchase obligations, of which $1.3 million and $7.5 million, respectively, is included in our accrued contract loss. In 2013, we havetransitioned the sales and marketing efforts for Ablavar from our direct sales force to our customer service team in order to allow our direct sales forceto drive our DEFINITY sale growth. If we do not meet our current sales goals or cannot sell the product we have committed to purchase prior to itsexpiration, we could incur additional inventory write-downs and/or losses on our purchase commitments.Segments We report our results of operations in two segments: United States and International.Operating Results The following have been included in our results as of and for the year ended December 31, 2013:•increased revenues and segment penetration for DEFINITY in the suboptimal echocardiogram segment as a result of sustainedavailability of product supply from BVL and JHS;62Table of Contents•decreased revenues due to limited supply of Neurolite product inventory as a result of the BVL production challenges, and a higher costof goods sold for Cardiolite because of more expensive sourcing from our current manufacturer of Cardiolite and from our third partymanufacturers of generic sestamibi; •decreased revenues for TechneLite due to a contract that took effect at the beginning of 2013 with a significant customer that reduced unitpricing; •decreased revenues resulting from continued generic competition to Cardiolite; •under-absorption of manufacturing overhead due to lower production and low lot yields resulting from the continued supply challengeswith BVL during 2013; •the impact of certain cost saving actions taken in March 2013 as we continue to implement a strategic shift in how we fund our researchand development ("R&D") programs; •lower material costs incurred for the production of TechneLite; •an impairment charge on certain excess land held for sale; •an impairment charge on the Cardiolite trademark intangible asset; •an impairment charge on customer relationship intangible assets; and •a total of $8.9 million received from BVL to compensate us for business losses. During the year ended December 31, 2013, we incurred a net loss of $61.7 million and an operating loss of $19.0 million. We have developedplans and taken steps that we believe will enable us to strengthen our operations and meet our operating and financing requirements. In March 2013, webegan to implement a strategic shift in how we fund our important R&D programs. We have reduced our internal R&D resources while at the same timeseeking to engage strategic partners to assist us in the further development and commercialization of our important development candidates, includingflurpiridaz F 18, 18F LMI 1195 and LMI 1174.63Table of ContentsYears Ended December 31, 2013, 2012 and 2011 2013 comparedto 2012 2012 comparedto 2011 December 31, Change$ Change% Change$ Change% (dollars in thousands) 2013 2012 2011 Revenues Net productrevenues $271,809 $277,354 $345,762 $(5,545) (2.0)%$(68,408) (19.8)%License and otherrevenues 11,863 10,751 10,530 1,112 10.3 221 2.1 Total revenues 283,672 288,105 356,292 (4,433) (1.5) (68,187) (19.1) Cost of goods sold 206,311 211,049 255,466 (4,738) (2.2) (44,417) (17.4)Loss on firmpurchasecommitment — 1,859 5,610 (1,859) (100.0) (3,751) (66.9) Total cost ofgoods sold 206,311 212,908 261,076 (6,597) (3.1) (48,168) (18.4) Gross profit 77,361 75,197 95,216 2,164 2.9 (20,019) (21.0) Operating expenses General andadministrativeexpenses 33,159 32,520 32,057 639 2.0 463 1.4 Sales andmarketingexpenses 35,227 37,437 38,689 (2,210) (5.9) (1,252) (3.2)Research anddevelopmentexpenses 30,459 40,604 40,945 (10,145) (25.0) (341) (0.8)Proceeds frommanufacturer (8,876) (34,614) — 25,738 (74.4) (34,614) (100.0)Impairment on land 6,406 — — 6,406 100.0 — — Total operatingexpenses 96,375 75,947 111,691 20,428 26.9 (35,744) (32.0) Operating loss (19,014) (750) (16,475) (18,264) 2,435.2 15,725 95.4 Interest expense (42,915) (42,014) (37,658) (901) 2.1 (4,356) 11.6 Interest income 104 252 333 (148) (58.7) (81) (24.3)Other income(expense), net 1,161 (44) 1,429 1,205 2,738.6 (1,473) (103.1) Loss beforeincome taxes (60,664) (42,556) (52,371) (18,108) 42.6 9,815 18.7 Provision (benefit)for income taxes 1,014 (555) 84,098 1,569 282.7 (84,653) (100.7) Net loss (61,678) (42,001) (136,469) (19,677) 46.8 94,468 69.2 Foreign currencytranslation, net oftaxes (1,729) 964 (337) (2,693) (279.4) 1,301 386.1 Total64comprehensiveloss $(63,407)$(41,037)$(136,806)$(22,370) 54.5%$95,769 70.0% Table of ContentsComparison of the Years Ended December 31, 2013, 2012, and 2011Revenues Revenues are summarized as follows:2013 v. 2012 Total revenues decreased $4.4 million, or 1.5%, to $283.7 million in the year ended December 31, 2013, as compared to $288.1 million in the yearended December 31, 2012. U.S. segment revenue increased $3.6 million, or 1.7%, to $213.6 million in the same period, as compared to $210.0 millionin the prior year. The increase of $3.6 million in U.S. segment revenue during the year ended December 31, 2013, as compared to the prior year periodis primarily driven by a $26.2 million increase in DEFINITY revenue given product supply shortages that impacted the prior year period. Offsetting thisincrease was a decrease in TechneLite revenues of $20.4 million over the prior year period as a result of: (i) a contract that took effect at the beginning of2013 with a significant customer that reduced unit pricing, resulting in lower revenues of $16.9 million as compared to the prior year period; (ii) adecline in a significant customer's market share which lowered its share of product purchases from us and decreased revenues by $5.7 million; and(iii) loss of a customer resulting in lower revenue of $1.3 million. Offsetting these decreases in TechneLite revenues was a higher share volume with a 2013 compared to2012 2012 compared to2011 December 31, Change$ Change% Change$ Change% (dollars in thousands) 2013 2012 2011 United States DEFINITY $76,539 $50,377 $67,442 $26,162 51.9%$(17,065) (25.3)%TechneLite 80,609 101,049 114,833 (20,440) (20.2) (13,784) (12.0)Cardiolite 8,612 13,851 39,214 (5,239) (37.8) (25,363) (64.7)Xenon 32,086 30,048 26,728 2,038 6.8 3,320 12.4 Other currentlymarketedproducts 3,930 3,935 9,618 (5) (0.1) (5,683) (59.1) Total U.S. netproduct revenues 201,776 199,260 257,835 2,516 1.3 (58,575) (22.7)License andother revenues 11,863 10,751 10,530 1,112 10.3 221 2.1 Total U.S. revenues $213,639 $210,011 $268,365 $3,628 1.7%$(58,354) (21.7)% International DEFINITY $1,555 $1,054 $1,061 $501 47.5%$(7) (0.7)%TechneLite 11,586 13,200 16,408 (1,614) (12.2) (3,208) (19.6)Cardiolite 17,525 21,144 26,913 (3,619) (17.1) (5,769) (21.4)Xenon 39 27 33 12 44.4 (6) (18.2)Other currentlymarketedproducts 39,328 42,669 43,512 (3,341) (7.8) (843) (1.9) Total Internationalnet productrevenues $70,033 $78,094 $87,927 $(8,061) (10.3)$(9,833) (11.2) Net productrevenues $271,809 $277,354 $345,762 $(5,545) (2.0)%$(68,408) (19.8)%License and otherrevenues 11,863 10,751 10,530 1,112 10.3 221 2.1 Total revenues $283,672 $288,105 $356,292 $(4,433) (1.5)%$(68,187) (19.1)% group of customers resulting in a $3.3 million increase in sales over the prior year period. Additionally, Cardiolite revenues were $5.2 million lowerthan the prior year period as a result of a contract with a significant customer that reduced unit pricing and volume commitments. The International segment revenues decreased $8.1 million, or 10.3%, to $70.0 million in the year ended December 31, 2013, as compared to$78.1 million in the year ended December 31, 2012. The65Table of Contentsdecrease of $8.1 million in the International segment revenue during the year ended December 31, 2013, as compared to the prior year period, is due inpart to a $3.3 million decrease in other marketed products. This decrease is the result of a new contract with an existing customer, which altered thetiming of shipments and reflected a lower selling price, as well as an unfavorable foreign exchange impact in the amount $1.9 million for the year endedDecember 31, 2013 versus the prior year. In addition, Cardiolite sales decreased by $3.6 million mainly due to competitive pressures in internationalmarkets, as well as $0.7 million in unfavorable foreign exchange. TechneLite sales decreased by $1.6 million due to reduced selling prices in Canada,lower sales volume in the Latin America and Asia Pacific markets as well as $0.3 million in unfavorable foreign exchange. Overall, total unfavorableforeign exchange totaled $2.9 million when compared to the prior period.2012 v. 2011 Total revenues decreased $68.2 million, or 19.1%, to $288.1 million in the year ended December 31, 2012, as compared to $356.3 million in theyear ended December 31, 2011. U.S. segment revenue decreased $58.4 million, or 21.7%, to $210.0 million in the same period, as compared to$268.4 million in the prior year. The decrease in the U.S. segment over the prior year is primarily due to the BVL production challenges impacting oursupply of DEFINITY, Cardiolite, and Neurolite, which represented $35.5 million of unit volume revenue decreases. We also experienced lower pricingon Cardiolite and DEFINITY products in 2012, which represented $11.1 million of the decrease in U.S. segment revenues. We experienced lowerTechneLite revenues due to the loss of a significant customer during the second quarter of 2012, resulting in lower revenues of $8.0 million. A declinein a significant customer's market share resulted in lower revenues of $4.1 million in 2012. Offsetting these decreases were increases in revenue for theU.S. segment of Xenon, with price increases of $5.1 million offset in part by lower unit volumes of $1.8 million. The International segment revenues decreased $9.8 million, or 11.2%, to $78.1 million in the year ended December 31, 2012, as compared to$87.9 million in the year ended December 31, 2011. The decrease was primarily due to the BVL production challenges impacting our supply ofCardiolite and Neurolite in the international markets and TechneLite decreases due to lower unit volume and pricing in certain markets.Rebates and Allowances Estimates for rebates and allowances represent our estimated obligations under contractual arrangements with third parties. Rebate accruals andallowances are recorded in the same period the related revenue is recognized, resulting in a reduction to product revenue and the establishment of aliability which is included in accrued expenses. These rebates result from performance-based offers that are primarily based on attaining contractuallyspecified sales volumes and growth, Medicaid rebate programs for certain products, administration fees of group purchasing organizations and certaindistributor related commissions. The calculation of the accrual for these rebates and allowances is based on an estimate of the third party's buyingpatterns and the resulting applicable contractual rebate or commission rate(s) to be earned over a contractual period.66Table of Contents An analysis of the amount of, and change in, reserves is summarized as follows: Sales rebates accrued were approximately $1.7 million and $1.5 million at December 31, 2013 and December 31, 2012, respectively. The increasein rebate provisions as compared to 2012 and 2011 is primarily related to the increase in DEFINITY revenues. In October 2010, we entered into aMedicaid Drug Rebate Agreement for certain of our products, which did not have a material impact on our results of operations in 2011, 2012 or 2013.If the demand for these products through the Medicaid program increases in the future, our rebates associated with this program could increase andcould have a material impact on future results of operations.Cost of Goods Sold Cost of goods sold consists of manufacturing, distribution, intangible asset amortization and other costs related to our commercial products. Inaddition, it includes the write-off of excess and obsolete inventory. Cost of goods sold is summarized as follows:67(in thousands) Rebates Allowances Total Balance, as of January 1, 2011 $910 $101 $1,011 Current provisions relating to revenues in current year 3,672 474 4,146 Adjustments relating to prior years' estimate (116) — (116)Payments/credits relating to revenues in current year (2,617) (441) (3,058)Payments/credits relating to revenues in prior years (493) (101) (594) Balance, as of December 31, 2011 1,356 33 1,389 Current provisions relating to revenues in current year 3,224 291 3,515 Adjustments relating to prior years' estimate (145) — (145)Payments/credits relating to revenues in current year (2,232) (223) (2,455)Payments/credits relating to revenues in prior years (661) (35) (696) Balance, as of December 31, 2012 1,542 66 1,608 Current provisions relating to revenues in current year 4,696 243 4,939 Adjustments relating to prior years' estimate (21) — (21)Payments/credits relating to revenues in current year (3,438) (220) (3,658)Payments/credits relating to revenues in prior years (1,040) (69) (1,109) Balance, as of December 31, 2013 $1,739 $20 $1,759 2013 compared to2012 2012 compared to2011 December 31, Change$ Change% Change$ Change% (dollars in thousands) 2013 2012 2011 United States $149,018 $156,098 $206,450 $(7,080) (4.5)%$(50,352) (24.4)%International 57,293 56,810 54,626 483 0.9 2,184 4.0 Total Cost ofGoods Sold $206,311 $212,908 $261,076 $(6,597) (3.1)%$(48,168) (18.4)% Table of Contents2013 v. 2012 Total cost of goods sold decreased $6.6 million, or 3.1%, to $206.3 million in the year ended December 31, 2013, as compared to $212.9 millionin the year ended December 31, 2012. U.S. segment cost of goods sold decreased approximately $7.1 million, or 4.5%, to $149.0 million in sameperiod, as compared to $156.1 million in the prior year period. The decrease in the U.S. segment cost of goods sold for the year ended December 31,2013 over the prior year period is primarily due to $10.9 million of lower write-off as compared to the prior year related to the Ablavar product line. Wealso incurred lower cost of goods sold of $9.3 million for TechneLite over the prior period primarily due to lower material cost and lower unit volumes.Technology transfer costs decreased by $4.0 million related to JHS becoming an approved manufacturing site for DEFINITY by the FDA in the firstquarter of 2013. Lower sales volume of Cardiolite contributed to lower cost of goods sold by $2.6 million. Offsetting these decreases was an increase inDEFINITY cost of goods sold of approximately $4.7 million primarily driven by an increase in units sold, an impairment charge of $15.4 millionrelated to the Cardiolite trademark intangible asset and an increase of $2.1 million related to Neurolite technology transfer. For the year ended December 31, 2013, the International segment cost of goods sold increased $0.5 million, or 0.9%, to $57.3 million, ascompared to $56.8 million in the prior year period. The increase in the International segment was primarily due to an impairment charge on customerrelationship intangible assets in Europe totaling $1.7 million, which was partially offset by favorable foreign exchange impact of $1.0 million, lowervolume and lower cost of goods sold for certain products.2012 v. 2011 Total cost of goods sold decreased $48.2 million, or 18.4%, to $212.9 million in the year ended December 31, 2012, as compared to$261.1 million in the year ended December 31, 2011. U.S. segment cost of goods sold decreased approximately $50.4 million, or 24.4%, to$156.1 million in same period, as compared to $206.5 million in the prior year period. The primary contributing factor to the decrease in the U.S.segment cost of goods sold was the prior period write-off for Ablavar intangible assets of $23.5 million and the decrease of $18.9 million in amountsrecorded for Ablavar inventory write-down and contract loss reserves associated with Ablavar inventory purchase commitments. We also incurredlower TechneLite material costs of $12.6 million due to lower unit volumes and lower cost with our primary supplier beginning in November 2012.These decreases were partially offset by higher DEFINITY technology transfer costs of $4.9 million, take or pay losses of $4.3 million on purchasecommitments for Moly (prior to a Moly supply contract amendment which changed purchase requirements from unit volume to percentage) and higherCardiolite manufacturing costs of $1.5 million due to increased material expenses as a result of sourcing material from an alternate higher costmanufacturer due to the BVL outage. For the year ended December 31, 2012, the International segment cost of goods sold increased $2.2 million, or 4.0%, to $56.8 million, ascompared to $54.6 million in the prior year period. Cost of goods sold in our International segment increased primarily due to temporary increases incosts for third party sestamibi and a substitute product for Neurolite. These increases were partially offset by lower Cardiolite, Neurolite and TechneLiteunit volumes in certain markets.68Table of ContentsGross Profit2013 v. 2012 Total gross profit increased $2.2 million, or 2.9%, to $77.4 million in the year ended December 31, 2013, as compared to $75.2 million in the yearended December 31, 2012. U.S. segment gross profit increased $10.7 million, or 19.9%, to $64.6 million, as compared to $53.9 million in the prior yearperiod. The increase in the U.S. segment gross profit for the year ended December 31, 2013 over the prior year period is primarily due to an ongoingshift in mix among products, specifically a higher DEFINITY gross profit of approximately $25.3 million primarily due to an increase in sales volumeand $4.0 million due to lower technology transfer cost related to JHS becoming an approved manufacturing site for DEFINITY by the FDA. Inaddition, gross profit improved due to a $10.9 million decrease in write-offs related to Ablavar. Offsetting these increases was a decrease in TechneLitegross margin of approximately $11.1 million over the prior period driven primarily by lower selling price and lower gross profit on Cardiolite due to animpairment charge of $15.4 million related to the Cardiolite trademark intangible asset and lower selling prices. For the year ended December 31, 2013, the International segment gross profit decreased $8.5 million, or 40.1%, to $12.7 million, as compared to$21.3 million in the prior year period. Gross profit in our International segment decreased due to a new contract with an existing customer, whichaltered the timing of shipments and reflected a lower selling price, unfavorable changes in foreign exchange rates, lower sales due to competitivepressures in all markets and a $1.7 million impairment charge on customer relationship intangible assets.2012 v. 2011 Total gross profit decreased $20.0 million, or 21.0%, to $75.2 million in the year ended December 31, 2012, as compared to $95.2 million in theyear ended December 31, 2011. U.S. segment gross profit decreased $8.0 million, or 12.9%, to $53.9 million, as compared to $61.9 million in the prioryear period. Gross profit in the U.S. segment decreased primarily due to lower profits of $40.9 million from Cardiolite, DEFINITY, and Neurolitecaused by supply issues resulting from the BVL production challenges. We also experienced decreased profits of $5.5 million from TechneLite, drivenby $4.3 million of take or pay losses on purchase commitments for Moly, $4.1 million in lower margins from lower unit sales, offset by $2.9 million inhigher selling price given the customer mix. Additionally, we incurred increased DEFINITY technology transfer costs of $4.9 million and higherCardiolite manufacturing costs of $1.5 million in 2012 due to increased material expenses as a result of sourcing material from an alternate higher costmanufacturer due to the BVL production challenges, contributing to a lower gross profit in comparison to the prior period. These decreases werepartially offset by the prior period write-off for Ablavar intangible assets of $23.5 million and the decrease of $18.9 million in amounts recorded forAblavar inventory write-down and contract loss reserves associated with Ablavar inventory purchase commitments and higher Xenon gross profit dueto price increases of $5.1 million offset by lower unit volumes reducing gross profit by $2.0 million. For the year ended December 31, 2012, the International segment gross profit decreased $12.0 million, or 36.1%, to $21.3 million, as compared to$33.3 million in the prior year period. Gross69 2013 compared to2012 2012 compared to2011 December 31, Change$ Change% Change$ Change% (dollars in thousands) 2013 2012 2011 United States $64,621 $53,913 $61,915 $10,708 19.9%$(8,002) (12.9)%International 12,740 21,284 33,301 (8,544) (40.1) (12,017) (36.1) Total Gross Profit $77,361 $75,197 $95,216 $2,164 2.9%$(20,019) (21.0)% Table of Contentsprofit in our International segment decreased due to lower Cardiolite and Neurolite unit sales volumes related to the product shortage issues resultingfrom the BVL production challenges, higher material expenses as we sourced material from alternate higher cost manufacturers and lower units salesvolumes given competitive pressures in certain markets. These decreases were partially offset by higher profits from sales of Neurolite ligand, whichwas unaffected by the BVL production challenges.General and Administrative General and administrative expenses consist of salaries and other related costs for personnel in executive, finance, legal, information technologyand 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 officerliability insurance.2013 v. 2012 Total general and administrative expenses increased approximately $0.6 million, or 2.0%, to $33.2 million in the year ended December 31, 2013, ascompared to $32.5 million in the year ended December 31, 2012. In the U.S. segment, general and administrative expenses increased $0.7 million, or2.2%, to $30.9 million, as compared to $30.2 million in the prior year period. The increase was primarily due to additional variable compensation in thecurrent period and severance expense from a reduction in workforce in the first quarter of 2013. Offsetting these increases were cost savings over theprior period through the renegotiation of certain information technology related contracts as support provided by certain vendors was reduced andreduced legal expense. In addition, compensation for performance-based awards was lower in the current period due to adjustments made based on theprobability of achievement. For the year ended December 31, 2013, general and administrative expenses in the International segment was consistent with the prior year periodat $2.3 million as lower salaries and employee related expenses, which were driven by lower headcount, were offset by increased bad debt expense andincreased recruiting fees.2012 v. 2011 Total general and administrative expenses increased approximately $0.5 million, or 1.4%, to $32.5 million in the year ended December 31, 2012, ascompared to $32.1 million in the year ended December 31, 2011. In the U.S. segment, general and administrative expenses increased $0.8 million, or2.6%, to $30.2 million, as compared to $29.4 million in the prior year period. The increase was primarily due to a $0.9 million increase in stockcompensation driven by the reversal of stock-based compensation expense in 2011 relating to the determination that the achievement of certainperformance targets was no longer probable and current year modifications to stock option agreements. In addition, depreciation expense increasedapproximately $0.3 million over the prior year as a result of certain capital spending projects occurring in late 2011 and early 2012 related primarily toinformation technology improvements. Offsetting this increase was an overall reduction in costs associated with external support primarily related toinformation technology.70 2013 compared to2012 2012 compared to2011 December 31, Change$ Change% Change$ Change% (dollars in thousands) 2013 2012 2011 United States $30,865 $30,192 $29,415 $673 2.2%$777 2.6%International 2,294 2,328 2,642 (34) (1.5) (314) (11.9) Total General andAdministrative $33,159 $32,520 $32,057 $639 2.0%$463 1.4% Table of Contents For the year ended December 31, 2012, general and administrative expenses in the International segment decreased $0.3 million or 11.9%, to$2.3 million as compared to $2.6 million in the prior year period. This decrease was primarily due to a recovery of previously reserved accountsreceivable during 2012 and reduced headcount in 2012 as compared to 2011.Sales and Marketing Sales and marketing expenses consist primarily of salaries and other related costs for personnel in field sales, marketing, business development andcustomer 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.2013 v. 2012 Total sales and marketing expenses decreased $2.2 million, or 5.9%, to $35.2 million in the year ended December 31, 2013, as compared to$37.4 million in the year ended December 31, 2012. In the U.S. segment, sales and marketing expense decreased $2.6 million, or 7.8%, to $31.0 millionin the same period, as compared to $33.6 million in the prior year. The decrease in the U.S. segment was primarily due to lower headcount andemployee related expenses, including contractors, due to a reduction in workforce and reduced marketing expenses related to Ablavar. Offsetting thedecreases were increases in variable compensation and marketing expenses related to DEFINITY. As a percentage of total U.S. revenues, sales andmarketing expenses in the U.S. segment were 14.5%, 16.0% and 12.7% for the years ended December 31, 2013, 2012 and 2011, respectively. For the year ended December 31, 2013, the International segment sales and marketing expense increased $0.4 million, or 10.6%, to $4.2 million ascompared to $3.8 million in the prior year period due to increased headcount and higher variable compensation. Offsetting the increases was a decreasein professional services. As a percentage of total International revenues, sales and marketing expenses in the International segment were 6.0%, 4.9%and 5.3% for the years ended December 31, 2013, 2012 and 2011, respectively.2012 v. 2011 Total sales and marketing expenses decreased $1.3 million, or 3.2%, to $37.4 million in the year ended December 31, 2012, as compared to$38.7 million in the year ended December 31, 2011. In the U.S. segment, sales and marketing expense decreased $0.4 million, or 1.2%, to $33.6 millionin the same period, as compared to $34.0 million in the prior year. Overall, there were lower expenses on sales and marketing activities as a result of$1.6 million of reductions in discretionary spending due to the prolonged BVL outage. Additionally, salary and other personnel costs in 2012 were$1.3 million lower primarily due to the workforce reductions during the second quarter of 2011 and March 2012. These decreases were offset by a$1.1 million reversal of stock-based compensation expense in the first quarter of 2011 and $1.4 million of increased sales incentive compensationrelated to the return of DEFINITY product to the market in June 2012.71 2013 compared to2012 2012 compared to2011 December 31, Change$ Change% Change$ Change% (dollars in thousands) 2013 2012 2011 United States $31,024 $33,638 $34,040 $(2,614) (7.8)%$(402) (1.2)%International 4,203 3,799 4,649 404 10.6 (850) (18.3) Total Sales andMarketing $35,227 $37,437 $38,689 $(2,210) (5.9)%$(1,252) (3.2)% Table of Contents For the year ended December 31, 2012, the International segment sales and marketing expense decreased $0.9 million or 18.3%, to $3.8 million ascompared to $4.6 million in the prior year period. The decrease in sales and marketing expenses in the International segment was primarily due to lowerheadcount and expenses on sales and marketing activities as a result of reductions in discretionary spending due to the prolonged BVL outage.Research and Development Research and development expenses relate primarily to the development of new products to add to our portfolio and costs related to its medicalaffairs, medical information and regulatory functions.2013 v. 2012 Total research and development expense decreased $10.1 million, or 25.0%, to $30.5 million for the year ended December 31, 2013, as comparedto $40.6 million in the year ended December 31, 2012. In the U.S. segment, research and development expense decreased approximately $10.3 million,or 25.5%, to $30.1 million, as compared to $40.4 million in the prior year period. The decrease in the U.S. segment research and development expensesfor the year ended December 31, 2013 over the prior year period is driven by a decline in external expense associated with the Phase 3 clinical trial forflurpiridaz F 18, as we completed patient enrollment during the third quarter of 2013. There were decreases in employee related costs as a result of thereduction in workforce from a strategic shift to use fewer internal resources and lower external expense as we expect to seek one or more strategicpartners to assist in the future development and commercialization of our development candidates. Offsetting these decreases, in part, was an increase inseverance expense and variable compensation. For the year ended December 31, 2013, the International segment research and development expenses increased approximately $0.2 million, or118.4%, to $0.3 million, as compared to $0.1 million in the prior year period. The increase in research and development expenses for the Internationalsegment was primarily due to depreciation expense since we shifted the primary utilization of certain assets to support research and developmentfunctions.2012 v. 2011 Total research and development expense decreased $0.3 million, or 0.8%, to $40.6 million for the year ended December 31, 2012, as compared to$40.9 million in the year ended December 31, 2011. In the U.S. segment, research and development expense increased approximately $0.1 million, or0.2%, to $40.4 million, as compared to $40.3 million in the prior year period. Research and development expense in the U.S. segment remainedrelatively flat from 2011 to 2012. We continued to actively enroll patients and activate sites for our flurpiridaz F 18 Phase 3 program. In the first half of2011, we were primarily in the planning and preparation stage for our flurpiridaz F 18 Phase 3 program. We enrolled our first patient in this Phase 3program during the second quarter of 2011. The resulting increase in clinical activity in 2012 were related to our clinical research organization,investigator expenses, drug products, lab supplies, and consultants by $5.3 million. These increases were offset by a reduction in workforce in thesecond quarter of 2011 by $4.4 million and the decrease in depreciation expense of $0.9 million.72 2013 compared to2012 2012 comparedto2011 December 31, Change$ Change% Change$ Change% (dollars in thousands) 2013 2012 2011 United States $30,138 $40,457 $40,387 $(10,319) (25.5)%$70 0.2%International 321 147 558 174 118.4 (411) (73.7) Total Research andDevelopment $30,459 $40,604 $40,945 $(10,145) (25.0)%$(341) (0.8)% Table of Contents For the year ended December 31, 2012, the International segment research and development expenses decreased approximately $0.4 million, or73.7%, to $0.1 million, as compared to $0.6 million in the prior year period. The decrease in research and development expenses for the Internationalsegment was primarily due to a reduction in workforce in the second quarter of 2011.Impairment of Land During the third quarter of 2013, we committed to a plan to sell certain of our excess land, which had a carrying value of $7.5 million. This eventqualified for held for sale accounting and the excess land was written down to its fair value, less costs to sell. The fair value was estimated utilizingLevel 3 inputs and using a market approach, based on available data for transactions in the region as well as the asking price of comparable properties inour principal market. This resulted in a loss of $6.4 million, which is included within operating loss as impairment of land in the accompanyingconsolidated statement of comprehensive loss. During the fourth quarter of 2013, we sold the excess land for net proceeds of $1.1 million.Proceeds from Manufacturer For the year ended December 31, 2013, as compared to the same period in 2012, proceeds from manufacturer decreased by $25.7 million as aresult of the receipt of the $30.0 million from BVL in 2012 to compensate us for business losses and an additional $5.0 million under the TransitionServices Agreement compared to proceeds of $8.9 million from BVL under a 2013 Settlement and Release Agreement. During the fourth quarter of 2013, BVL and LMI entered into a Settlement and Release Agreement. Pursuant to the Settlement and ReleaseAgreement, BVL and LMI agreed to a broad mutual waiver and release for all matters that occurred prior to the date of the Settlement Agreement, acovenant not to sue and settlement payments to us in the aggregate amount of $8.9 million. In addition, the Settlement and Release Agreement providesthat the Manufacturing and Service Contract terminates as of November 15, 2013, subject to BVL's obligations to use commercially reasonable effortsto finalize specific batches of DEFINITY, Cardiolite product and saline manufactured and not yet released by the BVL quality function for commercialdistribution. BVL has now released for commercial distribution all of our remaining manufactured product.Other Income (Expense), NetInterest Expense For the year ended December 31, 2013 compared to the same period in 2012, interest expense increased by 2.1% to $42.9 million from$42.0 million, as a result of increased amortization related to the capitalization of additional deferred financing costs in connection with our new line ofcredit and the write off of the existing unamortized deferred financing costs related to our old facility.73 2013 compared to2012 2012 compared to2011 December 31, Change$ Change% Change$ Change% (dollars in thousands) 2013 2012 2011 Interest expense $(42,915)$(42,014)$(37,658)$(901) 2.1%$(4,356) 11.6%Interest income 104 252 333 (148) (58.7) (81) (24.3)Other income(expense), net 1,161 (44) 1,429 1,205 2,738.6 (1,473) (103.1) Total OtherExpense, net $(41,650)$(41,806)$(35,896)$156 (0.4)%$(5,910) 16.5% Table of Contents For the year ended December 31, 2012 compared to the same period in 2011, interest expense increased by 11.6% to $42.0 million from$37.7 million, as a result of the issuance of $150.0 million of New Notes in the first quarter of 2011. See Note 10, "Financing Arrangements" in ouraccompanying consolidated financial statements.Interest Income For the year ended December 31, 2013 compared to the same period in 2012, interest income decreased by 58.7% to $104,000 from $252,000,primarily as a result of the change in balances in interest bearing accounts. For the year ended December 31, 2012 compared to the same period in 2011, interest income decreased by 24.3% to $252,000 from $333,000,primarily as a result of a decrease in cash in interest bearing accounts.Other Income (Expense), net For the year ended December 31, 2013 compared to the same period in 2012, other income (expense), net increased by $1.2 million from$(44,000) primarily due to a $0.8 million increase as a result of the closing of the statute of limitations relating to a federal research credit matter in 2012,which decreased the tax indemnification assets in the prior year. In addition, we received $0.4 million in consideration from the extinguishment of ourmembership interests in a mutual insurance company. For the year ended December 31, 2012, compared to the same period in 2011, other income (expense), net decreased by 103.1% to $(44,000) from$1.4 million primarily due to a decrease in the tax indemnification asset and changes in foreign currency exchange rates.Provision (Benefit) for Income Taxes For the year ended December 31, 2013 compared to the same period in 2012, provision (benefit) for income taxes increased by 282.7% to$1.0 million from $(0.6) million due primarily to lower credits associated with settlements and lapse of statute of limitations of uncertain tax positions inthe current year. For the year ended December 31, 2012 compared to the same period in 2011, provision (benefit) for income taxes decreased by 100.7% to $(0.6)million from $84.1 million due primarily to the valuation allowance that was recorded in 2011 and the release of prior year's uncertain tax positions dueto the lapse of statutes in 2012. We have generated domestic pre-tax losses for the past three years. This loss history demonstrates negative evidence concerning our ability toutilize our gross deferred tax assets. In order to overcome the presumption of recording a valuation allowance against our net deferred tax assets, wemust have sufficient positive evidence that we can generate sufficient taxable income to utilize these deferred tax assets within the carryover or forecastperiod. Although we have no history of expiring net operating losses or other tax attributes, based on our pre-tax loss of $60.7 million in 2013, and thecumulative domestic loss incurred over the three-year period ended December 31, 2013, management has determined that all of the net U.S. deferred taxassets are not more-likely-than-not recoverable. As a result of this analysis, we have recorded an additional valuation allowance in the amount of$25.6 million in 2013.74 2013 compared to2012 2012 compared to 2011 December 31, Change$ Change% Change$ Change% (dollars in thousands) 2013 2012 2011 Provision (benefit)for income taxes $1,014 $(555)$84,098 $1,569 282.7%$(84,653) (100.7)%Table of Contents Our effective tax rates for the years ended December 31, 2013, 2012, and 2011 were, (1.7)%, 1.3%, and (160.7)%, respectively. Our tax rate isaffected by recurring items, such as tax rates in foreign jurisdictions, which we expect to be fairly consistent in the near term. It is also affected bydiscrete events that may not occur in any given year, but are not consistent from year to year. The following items had the most significant impact on thedifference between our statutory U.S. federal income tax rate of 35% and our effective tax rate during the years ended:December 31, 2013•A $25.6 million increase to our valuation allowance against net domestic deferred tax assets. •A $1.4 million reduction relating primarily to prior year uncertain tax positions for a closed tax year. •A $1.8 million reduction primarily relating to a state income tax benefit related to state NOL's.December 31, 2012•A $20.2 million increase to our valuation allowance against net domestic deferred tax assets. •A $2.3 million reduction relating to prior year uncertain tax positions for a closed tax year. •A $1.8 million reduction relating to a state income tax benefit consisting of $1.1 million related to state NOL's, $0.3 million related toresearch credits, and $0.4 million to other changes to state deferred taxes.December 31, 2011•A $102.7 million increase to our valuation allowance against net domestic deferred tax assets. •A $1.1 million increase in our uncertain tax positions relating to state tax nexus and transfer pricing. •A $2.6 million increase relating to the establishment of a deferred tax liability for foreign subsidiary earnings that are no longerconsidered permanently reinvested. •A $1.8 million reduction relating to a state income tax benefit associated with changes to deferred taxes.Liquidity and Capital ResourcesCash Flows The following table provides information regarding our cash flows:75 % Change Year Ended December 31, 2013Comparedto 2012 2012Comparedto 2011 2013 2012 2011 (dollars in thousands) Cash provided by (used in): Operating activities $(15,678)$523 $22,420 (3,097.7)% (97.7)%Investing activities (3,483) (8,145) (7,694) (57.2)% 5.9%Financing activities 5,535 (2,039) (6,991) 371.5% (70.8)%Table of ContentsNet Cash Provided by (Used in) Operating Activities Cash provided by operating activities is primarily driven by our earnings and changes in working capital. The decrease in cash provided byoperating activities for the year ended December 31, 2013 as compared to 2012 was primarily driven by the receipt of $35.0 million from the BVLsettlement in 2012 as compared to the receipt of $8.9 million from the BVL settlement in 2013. Offsetting this was an increase in gross profit and fewerexpenditures related to research and development in 2013. The decrease in cash provided by operating activities for the year ended December 31, 2012 as compared to 2011 was primarily driven by theimpact of decreased unit sales due to the BVL production challenges. These decreases were offset by: (1) the receipt of the $35.0 million BVLsettlement in 2012; (2) an amended purchase agreement for one of our products of which $1.7 million of required purchases were made during the yearended December 31, 2012, versus $24.8 million for the year ended December 31, 2011; and (3) the timing of payments made to vendors.Net Cash Used in Investing Activities Our primary uses of cash in investing activities are for the purchase of property and equipment. Net cash used in investing activities in 2013, 2012and 2011 reflected the purchase of property and equipment for $5.0 million, $7.9 million and $7.7 million, respectively.Net Cash Used in Financing Activities Net cash provided by financing activities during 2013 was associated with an $8.0 million draw against our outstanding line of credit. OnMarch 21, 2011, we issued $150.0 million of our Notes and paid associated financing costs. Net cash used in 2012 and 2011 primarily represented theresults of these activities as well as the draw down and repayment in 2011 of $10.0 million on our line of credit. Our primary source of cash flows from financing activities is draws against our outstanding line of credit. Going forward, we expect our primarysource of cash flows from financing activities to be similar draws against our line of credit, issuances of securities or other financing arrangements intowhich we may enter. Our primary historical uses of cash in financing activities are principal payments on our term loan and line of credit as well asdividends to Holdings, our parent. See "—External Sources of Liquidity."External Sources of Liquidity On May 10, 2010, we issued $250.0 million in aggregate principal amount of 9.750% Senior Notes due in 2017, or the Restricted Notes, at facevalue, net of issuance costs of $10.1 million, under the indenture, dated as of May 10, 2010. On February 2, 2011, we consummated an exchange offerwhere we exchanged $250.0 million aggregate principal amount of our Restricted Notes for an equal principal amount of 9.750% Senior Notes due2017, or the Exchange Notes, that were registered under the Securities Act, with substantially identical terms in all respects. On March 21, 2011, we issued an additional $150.0 million in aggregate principal amount of New Restricted Notes, net of issuance costs of$4.9 million, under the indenture, dated as of May 10, 2010, as supplemented by the First Supplemental Indenture, dated as of March 14, 2011, and theSecond Supplemental Indenture, dated as of March 21, 2011, or together, the Indenture. The net proceeds were used to fund a $150.0 million dividendto Holdings. Holdings utilized the dividend to repurchase all of the remaining Holdings' Series A Preferred Stock at the accreted value of approximately$44.0 million and to issue an approximate $106.0 million dividend to our common securityholders. On May 10, 2011, we consummated an exchangeoffer where we exchanged $150.0 million aggregate principal amount of New Restricted Notes for an equal principal amount of 9.750% Senior Notesdue76Table of Contents2017, or the New Exchange Notes, registered under the Securities Act, with substantially identical terms in all respects. The Exchange Notes and the New Exchange Notes, or together, the Notes, mature on May 15, 2017. Interest on the Notes accrues at a rate of9.750% per year and is payable semiannually in arrears on May 15 and November 15 commencing on November 15, 2010 for the Notes issued onMay 10, 2010 and May 15, 2011 for the Notes issued on March 21, 2011. Our annual interest expense increased from $24.4 million to $39.0 million asa result of the March 21, 2011 issuance of Notes. In connection with the Restricted Notes issuance, we entered into a revolving facility (the "Old Facility") for total borrowings up to $42.5 million.During 2012, we entered into an unfunded Standby Letter of Credit for up to $8.8 million to support a surety bond related to a statutorydecommissioning obligation we have in connection with our Billerica facility. The letter of credit decreased the borrowing availability under the OldFacility by $8.8 million. On July 3, 2013, we entered into an amended and restated revolving credit facility (the "New Facility") in an aggregate principal amount not toexceed $42.5 million. The revolving loans under the New Facility bear interest subject to a pricing grid based on average historical excess availability under the NewFacility, with pricing based from time to time at our election at (i) LIBOR plus a spread ranging from 2.00% to 2.50% or (ii) the Reference Rate (asdefined in the agreement) plus a spread ranging from 1.00% to 1.50%. The New Facility also includes an unused line fee of 0.375% or 0.5%,depending on the average unused revolving credit commitments. The New Facility expires on the earlier of (i) July 3, 2018 or (ii) if the outstanding9.750% senior notes due in 2017 are not refinanced in full, the date that is 91 days before the maturity thereof, at which time all outstanding borrowingsare due and payable. On August 6, 2013, we transferred the $8.8 million unfunded Standby Letter of Credit, which expired on February 3, 2014, to our new lender.The unfunded Standby Letter of Credit requires annual fees, payable quarterly, between 2.00% and 2.50% of the face amount, and is automaticallyrenewed for a one year period at each anniversary date, unless we elect not to renew in writing within 60 days prior to such expiration. The New Facility is secured by a pledge of substantially all of our assets together with the assets of Lantheus Intermediate and Lantheus MI RealEstate, LLC ("Lantheus Real Estate"), including each such entity's accounts receivable, inventory and machinery and equipment, and is guaranteed byeach of Lantheus Intermediate and Lantheus Real Estate. Borrowing capacity is determined by reference to a borrowing base (the "Borrowing Base"),which is based on (i) a percentage of certain eligible accounts receivable, inventory and machinery and equipment minus (ii) any reserves. As ofDecember 31, 2013, the aggregate borrowing base was approximately $42.5 million, which was reduced by (i) an outstanding $8.8 million unfundedStandby Letter of Credit and (ii) an $8.0 million outstanding loan balance, resulting in a net borrowing base availability of approximately $25.7 million. The New Facility contains affirmative and negative covenants, as well as restrictions on the ability of Lantheus Intermediate, us and oursubsidiaries to: (i) incur additional indebtedness or issue preferred stock; (ii) repay subordinated indebtedness prior to its stated maturity; (iii) paydividends on, repurchase or make distributions in respect of capital stock or make other restricted payments; (iv) make certain investments; (v) sellcertain assets; (vi) create liens; (vii) consolidate, merge, sell or otherwise dispose of all or substantially all of our assets; and (viii) enter into certaintransactions with our affiliates. The New Facility also contains customary default provisions as well as cash dominion provisions which allow thelender to sweep our accounts during the period certain specified events of default are continuing under the New Facility or excess availability under theNew Facility falls below (i) the greater of $5.0 million or 15% of the then-current borrowing base for a period of more than five consecutive BusinessDays or (ii) $3.5 million. During a cash dominion period, we are required to77Table of Contentscomply with a consolidated fixed charge coverage ratio of not less than 1:00:1:00. The fixed charge coverage ratio is calculated on a consolidated basisfor Lantheus Intermediate and its subsidiaries for a trailing four-fiscal quarter period basis, as (i) EBITDA (as defined in the agreement) minus capitalexpenditures minus certain restricted payments divided by (ii) interest plus taxes paid or payable in cash plus certain restricted payments made in cashplus scheduled principal payments paid or payable in cash. On December 27, 2012, we entered into a second amendment to a license and supply agreement with one of our customers, which extended theterm from December 31, 2012 to December 31, 2014 and established new pricing and purchase requirements over the extended term. The secondamendment also provided for the supply of TechneLite generators containing molybdenum-99 sourced from LEU targets. The agreement included a$3.0 million upfront payment by our customer to us and during 2013, we received an additional $4.0 million, of which $3.6 million is included indeferred revenue as a current liability at December 31, 2013. During 2012, we received the $3.0 million upfront payment, of which $1.5 million wasincluded in deferred revenue as a current liability and $1.5 million was included in other long-term liabilities at December 31, 2012. We are recognizingthe upfront payment as revenue on a straight-line basis over the term of the two year 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 ourability to access the capital markets, money markets, or other sources of funding, as well as the capacity and terms of our financing arrangements. 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 open market repurchases of any notes outstanding, prepayments of our term loans or other retirements or refinancing ofoutstanding debt, privately negotiated transactions or otherwise. The amount of debt that may be repurchased or otherwise retired, if any, would bedecided upon at the sole discretion of our Board of Directors and will depend on market conditions, trading levels of our debt from time to time, ourcash position and other considerations.Funding Requirements Our future capital requirements will depend on many factors, including:•our ability to have product manufactured and released from JHS and other manufacturing sites in a timely manner in the future; •the level of product sales of our currently marketed products, particularly DEFINITY, and any additional products that we may market inthe future; •the costs of further commercialization of our existing products, particularly in international markets, including product marketing, salesand distribution and whether we obtain local partners to help share such commercialization costs; •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; •the extent to which we acquire or invest in products, businesses and technologies; •the extent to which we choose to establish collaboration, co- promotion, distribution or other similar arrangements for our marketedproducts;78Table of Contents•the legal costs relating to maintaining, expanding and enforcing our intellectual property portfolio, pursuing insurance or other claims anddefending 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. If JHS is not able to continue to manufacture and release product supply on a timely and consistent basis, or we are unable to continue to growDEFINITY sales, then we will need to implement certain additional expense reductions, such as a delay or elimination of discretionary spending in allfunctional areas, as well as other operating and strategic initiatives. See "Item 1A—Risk Factors—We may not be able to generate sufficient cash flowto meet our debt service obligations." If our capital resources become insufficient to meet our future capital requirements, we would need to finance our cash needs through public orprivate equity offerings, assets securitizations, debt financings, sale-leasebacks or other financing or strategic alternatives, to the extent such transactionsare permissible under the covenants of the New Facility and the Indenture. Additional equity or debt financing, or other transactions, may not beavailable on acceptable terms, if at all. If any of these transactions require an amendment or waiver under the covenants in the New Facility and underthe Indenture, which could result in additional expenses associated with obtaining the amendment or waiver, we will seek to obtain such a waiver toremain in compliance with the covenants of the New Facility and the Indenture. However, we cannot be assured that such an amendment or waiverwould be granted, or that additional capital will be available on acceptable terms, if at all. At December 31, 2013, our only current committed external source of funds is our borrowing availability under the New Facility. We generated anet loss of $61.7 million during the year ended December 31, 2013 and had $16.7 million of cash and cash equivalents at December 31, 2013.Availability under the New Facility is calculated by reference to the Borrowing Base. If we are not successful in achieving our forecasted results, ouraccounts receivable and inventory could be negatively affected, reducing the Borrowing Base and limiting our borrowing availability. We took actions during March 2013 to substantially reduce our discretionary spending in order to reposition us to focus our resources on ourhigher growth products. In particular, we have implemented a strategic shift in how we fund our important R&D programs. We have reduced ourinternal R&D resources during 2013 while at the same time we seek to engage one or more strategic partners to assist us in the further development andcommercialization of our important development candidates, including flurpiridaz F 18, 18F LMI 1195 and LMI 1174. Based on our current operatingplans, we believe that our existing cash and cash equivalents, results of operations and availability under the New Facility will be sufficient to continueto fund our liquidity requirements for at least the next twelve months.Contractual Obligations Contractual obligations represent future cash commitments and liabilities under agreements with third parties and exclude contingent contractualliabilities for which we cannot reasonably predict future payment, including contingencies related to potential future development, financing, certainsuppliers, contingent royalty payments and/or scientific, regulatory, or commercial milestone payments79Table of Contentsunder development agreements. The following table summarizes our contractual obligations as of December 31, 2013:Off-Balance Sheet Arrangements We are required to provide the U.S. Nuclear Regulatory Commission and Massachusetts Department of Public Health financial assurancedemonstrating our ability to fund the decommissioning of our North Billerica, Massachusetts production facility upon closure, though we do not intendto close the facility. We have provided this financial assurance in the form of a $28.2 million surety bond and an $8.8 million letter of credit. Since inception, we have not engaged in any other off-balance sheet arrangements, including structured finance, special purpose entities or variableinterest entities.Effects of Inflation We do not believe that inflation has had a significant impact on our revenues or results of operations since inception. We expect our cost of productsales and other operating expenses will change in the future in line with periodic inflationary changes in price levels. Because we intend to retain andcontinue to use our property and equipment, we believe that the incremental inflation related to the replacement costs of such items will not materiallyaffect our operations. However, the rate of inflation affects our expenses, such as those for employee compensation and contract services, which couldincrease our level of expenses and the rate at which we use our resources. While we generally believe that we will be able to offset the effect of price-level changes by adjusting our product prices and implementing operating efficiencies, any material unfavorable changes in price levels could have amaterial adverse affect on our financial condition, results of operations and cash flows.Recent Accounting Standards In July 2013, the Financial Accounting Standards Board (the "FASB") issued Accounting Standards Update ("ASU") No. 2013-11, "Presentationof an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists" ("ASU 2013-11"). The amendments in ASU 2013-11 provide guidance on the financial statement80 Payments Due by Period Total Less than1 Year 1 - 3 Years 3 - 5 Years More than5 Years (dollars in thousands) Debt obligations (principal) $400,000 $— $— $400,000 $— Interest on debt obligations 136,500 39,000 78,000 19,500 — Operating leases(1) 2,509 898 881 467 263 Purchase obligations(2) 3,416 3,416 — — — Asset retirement obligation 6,385 — — — 6,385 Other long-term liabilities(3) 34,898 — — — 34,898 Total contractual obligations $583,708 $43,314 $78,881 $419,967 $41,546 (1)Operating leases include minimum payments under leases for our facilities and certain equipment. (2)Purchase obligations include fixed or minimum payments under manufacturing and service agreements with third-parties. (3)Due to the uncertainty related to the timing of the reversal of uncertain tax positions, the liability is not subject to fixed paymentterms and the amount and timing of payments, if any, which we will make related to this liability are not known.Table of Contentspresentation of unrecognized tax benefits when a net operating loss carryforward, a similar tax loss, or a tax credit carryforward exists. ASU 2013-11 iseffective for fiscal years, and interim periods within those years, beginning after December 15, 2013. We will reflect the impact of these amendmentsbeginning with our Quarterly Report on Form 10-Q for the period ending March 31, 2014. We do not anticipate a material impact to our financialposition, results of operations or cash flows as a result of this change.Critical Accounting Policies and Estimates The discussion and analysis of our financial condition and results of operations are based on our consolidated financial statements, which havebeen prepared in accordance with GAAP. These financial statements require us to make estimates and judgments that affect our reported assets andliabilities, revenues and expenses, and other financial information. Actual results may differ materially from these estimates under different assumptionsand conditions. In addition, our reported financial condition and results of operations could vary due to a change in the application of a particularaccounting standard. We believe the following represent our critical accounting policies and estimates used in the preparation of our financial statements.Revenue Recognition Our revenue is generated from the sales of our diagnostic imaging agents to wholesalers, distributors, radiopharmacies and directly to hospitals andclinics. We recognize revenue when evidence of an arrangement exists, title has passed, substantially all the risks and rewards of ownership havetransferred to the customer, the selling price is fixed or determinable and collectability is reasonably assured. For transactions for which revenuerecognition criteria have not yet been met, the respective amounts are recorded as deferred revenue until such point in time when criteria are met andrevenue can be recognized. Revenue is recognized net of reserves, which consist of allowances for returns and sales rebates. The estimates of theseallowances are based on historical sales volumes and mix and require assumptions and judgments to be made in order to make such estimates. In theevent that the sales mix is different from our estimates, we may be required to pay higher or lower returns and sales rebates than we previouslyestimated. Any changes to these estimates are recorded in the current period. In 2013, 2012 and 2011, these changes in estimates were not material toour results. Revenue arrangements with multiple elements are divided into separate units of accounting if certain criteria are met, including whether thedelivered element has stand-alone value to the customer. The arrangement's consideration is then allocated to each separate unit of accounting based onthe relative selling price of each deliverable. The estimated selling price of each deliverable is determined using the following hierarchy of values:(i) vendor-specific objective evidence of fair value; (ii) third-party evidence of selling price; and (iii) best estimate of selling price. The best estimate ofselling price reflects the our best estimate of what the selling price would be if the deliverable was regularly sold by us on a stand-alone basis. Theconsideration allocated to each unit of accounting is then recognized as the related goods or services are delivered, limited to the consideration that is notcontingent upon future deliverables. Supply or service transactions may involve the charge of a nonrefundable initial fee with subsequent periodicpayments for future products or services. The up-front fees, even if nonrefundable, are earned (and revenue is recognized) as the products and/orservices are delivered and performed over the term of the arrangement.Inventory Inventories include material, direct labor and related manufacturing overhead, and are stated at the lower of cost or market determined on a first-in,first-out basis. We record inventory when we take delivery and title to the product. Any commitment for product ordered but not yet received is included81Table of Contentsas purchase commitments in our contractual obligations table. We assess the recoverability of inventory to determine whether adjustments forimpairment are required. Inventory that is in excess of future requirements is written down to its estimated net realizable value-based upon estimates offorecasted demand for our products. The estimates of demand require assumptions to be made of future operating performance and customer demand. Ifactual demand is less than what has been forecasted by management, additional inventory write downs may be required. Inventory costs associated with product that has not yet received regulatory approval are capitalized if we believe there is probable futurecommercial use of the product and future economic benefit of the asset. If future commercial use of the product is not probable, then inventory costsassociated with such product are expensed during the period the costs are incurred. At December 31, 2012, we had $1.5 million of such product costsincluded in inventories. Subsequent to the year ended December 31, 2012, the contract manufacturer received regulatory approval to manufacture thisproduct. At December 31, 2013, we had no such inventories.Goodwill, Intangibles and Long-Lived Assets Goodwill is not amortized, but is instead tested for impairment at least annually and whenever events or circumstances indicate that it is more likelythan not that they may be impaired. We have elected to perform the annual test for indications of goodwill impairment as of October 31 of each year. In performing tests for goodwill impairment, we are first permitted to perform a qualitative assessment about the likelihood of the carrying value ofa reporting unit exceeding its fair value. If we determine that it is more likely than not that the fair value of a reporting unit is less than its carryingamount based on the qualitative assessment, we are required to perform the two-step goodwill impairment test described below to identify the potentialgoodwill impairment and measure the amount of the goodwill impairment loss, if any, to be recognized for that reporting unit. However, if we concludeotherwise based on the qualitative assessment, the two-step goodwill impairment test is not required. The option to perform the qualitative assessment isnot an accounting policy election and can be utilized at our discretion. Further, the qualitative assessment need not be applied to all reporting units in agiven goodwill impairment test. For an individual reporting unit, if we elect not to perform the qualitative assessment, or if the qualitative assessmentindicates that it is more likely than not that the fair value of a reporting unit is less than its carrying amount, then we must perform the two-step goodwillimpairment test for the reporting unit. If the implied fair value of goodwill is less than the carrying value, then an impairment charge would be recorded. In performing the annual goodwill impairment test, we bypassed the option to perform a qualitative assessment and proceeded directly toperforming the first step of the two-step goodwill impairment test. We completed our required annual impairment test for goodwill in the fourth quarterof 2013, 2012 and 2011 and determined that at each of those periods the carrying amount of goodwill was not impaired. In each year, our fair value,which includes goodwill, was substantially in excess of our carrying value. In addition, as a result of the continued supply challenges with BVL, we performed an interim impairment test for goodwill as of December 31,2011. The interim impairment test did not indicate that there was any impairment as of December 31, 2011. There were no events at December 31, 2012that triggered an interim impairment test. During the first quarter of 2013, the strategic shift in how we fund our R&D programs significantly altered theexpected future costs and revenues associated with our development candidates. Accordingly, this action was deemed to be a triggering event for anevaluation of the recoverability of our goodwill as of March 31, 2013. We performed an interim impairment test and determined that there was noimpairment of goodwill as of March 31, 2013. Furthermore, we performed our annual impairment test for goodwill as of October 31, 2013, and there82Table of Contentswere no events through December 31, 2013 that triggered an interim impairment test. At each annual and interim impairment test date, the fair value ofour reporting unit, which includes goodwill, was substantially in excess of our carrying value. We calculate the fair value of our reporting units using the income approach, which utilizes discounted forecasted future cash flows and the marketapproach which utilizes fair value multiples of comparable publicly traded companies. The discounted cash flows are based on our most recent long-term financial projections and are discounted using a risk adjusted rate of return, which is determined using estimates of market participant risk-adjustedweighted average costs of capital and reflects the risks associated with achieving future cash flows. The market approach is calculated using theguideline company method, where we use market multiples derived from stock prices of companies engaged in the same or similar lines of business.There is not a quoted market price for our reporting units or the company as a whole, therefore, a combination of the two methods is utilized to derivethe fair value of the business. We evaluate and weigh the results of these approaches as well as ensure we understand the basis of the results of thesetwo methodologies. We believe the use of these two methodologies ensures a consistent and supportable method of determining our fair value that isconsistent with the objective of measuring fair value. If the fair value were to decline, then we may be required to incur material charges relating to theimpairment of those assets. We test intangible and long-lived assets for recoverability whenever events or changes in circumstances suggest that the carrying value of an assetor 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 tofuture undiscounted net cash flows expected to be generated by the asset. If such assets are considered to be impaired, the impairment equals the amountby which the carrying amount of the assets exceeds the fair value of the assets. Any impairments are recorded as permanent reductions in the carryingamount 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 carryingvalue or the fair market value less the estimated cost to sell. In the first quarter of 2012, we reviewed the estimated useful life of our Cardiolite trademark as a result of a triggering event. Utilizing the mostrecent forecasted revenue data, we revised the estimate of the remaining useful life of the Cardiolite trademark to five years. We continue to monitor therecoverability of our branded Cardiolite trademark intangible asset due to the ongoing generic competition based on actual results and existing estimatesof future undiscounted cash flows associated with the branded Cardiolite product. As of December 31, 2013, we conducted, using our revised salesforecast, an impairment analysis and concluded that the estimate of future undiscounted cash flows associated with the Cardiolite trademark intangibledid not exceed the carrying amount of the asset totaling $19.2 million and therefore, the asset has been written down to its fair value. Fair value wascalculated by utilizing Level 3 inputs in the relief-from-royalty method, an income-based approach. As a result of this analysis, we recorded animpairment charge of $15.4 million to adjust the carrying value to its fair value of $3.8 million. This expense was recorded within cost of goods sold inthe accompanying consolidated statement of comprehensive loss in the fourth quarter of 2013. In the third quarter of 2013, we were in negotiations with a new distributor for the sale of certain products within certain international markets.This agreement was signed in October 2013 and as a result we did not renew the agreements with our former distributors in these international markets.We determined the customer relationship intangible related to these former distributors was no longer recoverable and recorded an impairment charge of$1.0 million in the third quarter of 2013. In the fourth quarter of 2013, we updated our strategic plan to reflect the non-renewal of these agreements andthe uncertainty in the timing of product availability in this region. As a result, we reviewed the recoverability of certain of our customer relationshipintangible assets in the International segment that were impacted by our revised strategic plan. We conducted an impairment analysis and concluded thatthe estimate of future undiscounted cash flows associated with the customer relationship intangible83Table of Contentsasset did not exceed the carrying amount of the asset and therefore, the asset would need to be written down to its fair value. In order to calculate the fairvalue of the acquired customer relationship intangible assets, we utilized Level 3 inputs to estimate the future discounted cash flows associated withremaining customers and as a result of this analysis, recorded an impairment charge of $0.7 million in the fourth quarter of 2013. These impairmentcharges were recorded within cost of goods sold in the accompanying consolidated statement of comprehensive loss. During the third quarter of 2013, we committed to a plan to sell certain of our excess land in the U.S. segment, which had a carrying value of$7.5 million. This event qualified for held for sale accounting and the excess land was written down to its fair value, less estimated costs to sell. The fairvalue was estimated utilizing Level 3 inputs and using a market approach, based on available data for transactions in the region, discussions with realestate brokers and the asking price of comparable properties in its principal market. This resulted in a loss of $6.4 million, which is included withinoperating loss as impairment of land in the accompanying consolidated statement of comprehensive loss. During the fourth quarter of 2013, we sold theexcess land for net proceeds of $1.1 million. Fixed assets dedicated to R&D activities, which were impacted by the recent R&D strategic shift, have a carrying value of $6.3 million as ofDecember 31, 2013. We believe these fixed assets will be utilized for either internally funded ongoing R&D activities or R&D activities funded by astrategic partner. If we are not successful in finding a strategic partner, and there are no alternative uses for those fixed assets, they could be subject toimpairment in the future. We also tested certain long-lived assets utilized in the manufacturing of certain products in the U.S. for recoverability as of December 31, 2013 dueto a change in our contract to manufacture Quadramet. The analysis indicated that there was no impairment as of December 31, 2013. We also evaluatedthe remaining useful lives of long-lived assets that were tested for recoverability at December 31, 2013 and determined no revisions were required to theremaining periods of depreciation. Intangible assets, consisting of patents, trademarks and customer relationships related to our products are amortized in a method equivalent to theestimated utilization of the economic benefit of the asset. Trademarks and patents are amortized on a straight-line basis, and customer relationships areamortized on an accelerated basis.Accounting for Stock-Based Compensation Our employees are eligible to receive awards from our 2013 Equity Plan (as defined below). Our stock-based compensation cost is measured at thegrant date based on the fair value of the award and is recognized as expense over the requisite service period, which generally represents the vestingperiod, and includes an estimate of the awards that will be forfeited. We use the Black Scholes valuation model for estimating the fair value on the dateof grant of stock options. The fair value of stock option awards is affected by the valuation assumptions, including the volatility of market participants,expected term of the option, risk-free interest rate and expected dividends as well as the estimated fair value of our common stock. The fair value of ourcommon stock is determined quarterly and each award is approved by our Board of Directors at the fair value in effect as of such award date. Anymaterial change to the assumptions used in estimating the fair value of the options could have a material impact on our results of operations. When acontingent cash settlement of vested options becomes probable, we reclassify the vested awards to a liability and account for any incrementalcompensation cost in the period in which the settlement becomes probable.Income Taxes The provision for income taxes has been determined using the asset and liability approach of accounting for income taxes. The provision forincome taxes represents income taxes paid or payable84Table of Contentsfor the current year plus the change in deferred taxes during the year. Deferred taxes result from differences between the financial and tax bases of ourassets and liabilities. Deferred tax assets and liabilities are measured using the currently enacted tax rates that apply to taxable income in effect for theyears in which those tax attributes are expected to be recovered or paid, and are adjusted for changes in tax rates and tax laws when changes are enacted. Valuation allowances are recorded to reduce deferred tax assets when it is more likely than not that a tax benefit will not be realized. Theassessment of whether or not a valuation allowance is required involves the weighing of both positive and negative evidence concerning both historicaland prospective information with greater weight given to evidence that is objectively verifiable. A history of recent losses is negative evidence that isdifficult to overcome with positive evidence. In evaluating prospective information there are four sources of taxable income: reversals of taxabletemporary differences, items that can be carried back to prior tax years (such as net operating losses), pre-tax income and tax planning strategies. Anytax planning strategies that are considered must be prudent and feasible, and would only be undertaken in order to avoid losing an operating losscarryforward. Adjustments to the deferred tax valuation allowances are made in the period when such assessments are made. We account for uncertain tax positions using a recognition threshold and measurement attribute for the financial statement recognition andmeasurement of a tax position taken or expected to be taken in a tax return. Differences between tax positions taken in a tax return and amountsrecognized in the financial statements are recorded as adjustments to income taxes payable or receivable, or adjustments to deferred taxes, or both. Weprovide disclosure at the end of each annual reporting period on a tabular reconciliation of unrecognized tax benefits. We classify interest and penaltieswithin the provision for income taxes. We have a tax indemnification agreement with BMS related to certain contingent tax obligations arising prior to the acquisition of the businessfrom BMS. The tax obligations are recognized in liabilities and the tax indemnification receivable is recognized within other noncurrent assets. Thechanges in the tax indemnification asset are recognized within other income, net in the statement of income, and the changes in the related liabilities arerecorded within the tax provision. Accordingly, as these reserves change, adjustments are included in the tax provision while the offsetting adjustment isincluded in other income. Assuming that the receivable from BMS continues to be considered recoverable by us, there is no net effect on earningsrelated to these liabilities and no net cash outflows. The calculation of our tax liabilities involves certain estimates, assumptions and the application of complex tax regulations in numerousjurisdictions worldwide. Any material change in our estimates or assumptions, or the tax regulations, may have a material impact on our results ofoperations.Item 7A. Quantitative and Qualitative Disclosures About Market Risk We are exposed to market risk from changes in interest rates and foreign currency exchange rates. We do not hold or issue financial instruments toreduce these risks or for trading purposes.Interest Rate Risk We are subject to interest rate risk in connection with the New Facility, which is variable rate indebtedness. Interest rate changes could increase theamount of our interest payments and thus negatively impact our future earnings and cash flows. As of December 31, 2013, there was $8.0 millionoutstanding under the New Facility and an $8.8 million unfunded Standby Letter of Credit, which reduced availability to $25.7 million on the NewFacility. Any increase in the interest rate under the New Facility may have a negative impact on our future earnings to the extent we have outstanding85Table of Contentsborrowings under the New Facility. Historically, we have not used derivative financial instruments or other financial instruments to hedge sucheconomic exposures.Foreign Currency Risk We face exposure to movements in foreign currency exchange rates whenever we, or any of our subsidiaries, enter into transactions with thirdparties that are denominated in currencies other than ours, or its, functional currency. Intercompany transactions between entities that use differentfunctional currencies also expose us to foreign currency risk. During 2013, 2012 and 2011, the net impact of foreign currency changes on transactionswas a loss of $349,000, $579,000 and $156,000, respectively. Historically, we have not used derivative financial instruments or other financialinstruments to hedge such economic exposures. Gross margins of products we manufacture at our U.S. plants and sell in currencies other than the U.S. Dollar are also affected by foreign currencyexchange rate movements. Our gross margin on total revenue was 27.3%, 26.1% and 26.7% during the years ended December 31, 2013, 2012 and2011, respectively. If the U.S. Dollar had been stronger by 1%, 5% or 10%, compared to the actual rates during 2013, our gross margin on total netproduct sales would have been 27.3%, 27.5% and 27.7%, respectively. If the U.S. Dollar had been stronger by 1%, 5% or 10%, compared to the actualrates during 2012, our gross margin on total net product sales would have been 26.1%, 26.3% and 26.4%, respectively. If the U.S. Dollar had beenstronger by 1%, 5% or 10%, compared to the actual rates during 2011, our gross margin on total net product sales would have been 26.7%, 26.9% and27.0%, respectively. In addition, a portion of our earnings is generated by our foreign subsidiaries, whose functional currencies are other than the U.S. Dollar. Ourearnings could be materially impacted by movements in foreign currency exchange rates upon the translation of the earnings of such subsidiaries intothe U.S. Dollar. If the U.S. Dollar had been uniformly stronger by 1%, 5% or 10%, compared to the actual average exchange rates used to translate the financialresults of our foreign subsidiaries, our net product sales and net income for 2013 would have been impacted by approximately the following amounts: If the U.S. Dollar had been uniformly stronger by 1%, 5% or 10%, compared to the actual average exchange rates used to translate the financialresults of our foreign subsidiaries, our net product sales and net income for 2012 would have been impacted by approximately the following amounts:86 ApproximateChange inNet Revenue ApproximateChange inNet Income (dollars in thousands) 1% $(487)$38 5% (2,436) 191 10% (4,871) 382 ApproximateChange inNet Revenue ApproximateChange inNet Income (dollars in thousands) 1% $(519)$3 5% (2,593) 17 10% (5,187) 34 Table of Contents If the U.S. Dollar had been uniformly stronger by 1%, 5% or 10%, compared to the actual average exchange rates used to translate the financialresults of our foreign subsidiaries, our net product sales and net income for 2011 would have been impacted by approximately the following amounts:87 ApproximateChange inNet Revenue ApproximateChange inNet Income (dollars in thousands) 1% $(608)$(24)5% (3,041) (118)10% (6,082) (236)Table of ContentsItem 8. Financial Statements and Supplementary Data REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM To the Board of Directors and Stockholder ofLantheus MI Intermediate, Inc.North Billerica, Massachusetts We have audited the accompanying consolidated balance sheets of Lantheus MI Intermediate, Inc. and subsidiaries (the "Company") as ofDecember 31, 2013 and 2012, and the related consolidated statements of comprehensive loss, stockholder's (deficit) equity, and cash flows for each ofthe three years in the period ended December 31, 2013. These financial statements are the responsibility of the Company's management. Ourresponsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standardsrequire that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. TheCompany is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audits includedconsideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not forthe purpose of expressing an opinion on the effectiveness of the Company's internal control over financial reporting. Accordingly, we express no suchopinion. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing theaccounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believethat our audits provide a reasonable basis for our opinion. In our opinion, such consolidated financial statements present fairly, in all material respects, the financial position of the Company as ofDecember 31, 2013 and 2012, and the results of their operations and their cash flows for each of the three years in the period ended December 31,2013, in conformity with accounting principles generally accepted in the United States of America./s/ DELOITTE & TOUCHE LLPBoston, MassachusettsMarch 11, 201488Table of ContentsLantheus MI Intermediate, Inc. and subsidiaries Consolidated Balance Sheets (in thousands except share data) December 31,2013 December 31,2012 Assets Current assets Cash and cash equivalents $16,669 $31,595 Accounts receivable, net 38,910 41,380 Inventory 18,310 18,048 Income tax receivable 325 736 Deferred tax assets 18 115 Other current assets 3,087 2,943 Total current assets 77,319 94,817 Property, plant and equipment, net 97,653 109,573 Capitalized software development costs, net 1,470 2,234 Intangibles, net 34,998 66,802 Goodwill 15,714 15,714 Deferred financing costs 9,639 11,372 Deferred tax assets 15 — Other long-term assets 22,577 22,414 Total assets $259,385 $322,926 Liabilities and Stockholder's Deficit Current liabilities Line of credit 8,000 — Accounts payable 18,103 18,945 Accrued expenses and other liabilities 25,492 29,689 Deferred tax liability 57 — Deferred revenue 3,979 7,320 Total current liabilities 55,631 55,954 Asset retirement obligations 6,385 5,416 Long-term debt, net 399,037 398,822 Deferred tax liability 12 435 Other long-term liabilities 35,408 36,652 Total liabilities 496,473 497,279 Commitments and contingencies (see Notes 14 and 16) Stockholder's deficit Common stock ($0.001 par value, 10,000 shares authorized; 1 share issued andoutstanding) — — Due from parent (1,259) (1,353)Additional paid-in capital 2,903 2,325 Accumulated deficit (238,338) (176,660)Accumulated other comprehensive income (394) 1,335 Total stockholder's deficit (237,088) (174,353) Total liabilities and stockholder's deficit $259,385 $322,926 See notes to consolidated financial statements.89Table of ContentsLantheus MI Intermediate, Inc. and subsidiaries Consolidated Statements of Comprehensive Loss See notes to consolidated financial statements.90 Year Ended December 31, (in thousands) 2013 2012 2011 Revenues Net product revenues $271,809 $277,354 $345,762 License and other revenues 11,863 10,751 10,530 Total revenues 283,672 288,105 356,292 Cost of goods sold 206,311 211,049 255,466 Loss on firm purchase commitment — 1,859 5,610 Total cost of goods sold 206,311 212,908 261,076 Gross profit 77,361 75,197 95,216 Operating expenses General and administrative expenses 33,159 32,520 32,057 Sales and marketing expenses 35,227 37,437 38,689 Research and development expenses 30,459 40,604 40,945 Proceeds from manufacturer (8,876) (34,614) — Impairment on land 6,406 — — Total operating expenses 96,375 75,947 111,691 Operating loss (19,014) (750) (16,475)Interest expense (42,915) (42,014) (37,658)Interest income 104 252 333 Other income (expense), net 1,161 (44) 1,429 Loss before income taxes (60,664) (42,556) (52,371)Provision (benefit) for income taxes 1,014 (555) 84,098 Net loss (61,678) (42,001) (136,469) Foreign currency translation, net of taxes (1,729) 964 (337) Total comprehensive loss $(63,407)$(41,037)$(136,806) Table of ContentsLantheus MI Intermediate, Inc. and subsidiaries Consolidated Statements of Stockholder's (Deficit) Equity See notes to consolidated financial statements.91 Common Stock (AccumulatedDeficit)RetainedEarnings AccumulatedOtherComprehensiveIncome (Loss) TotalStockholder's(Deficit)Equity DuefromParent AdditionalPaid-InCapital (in thousands, except share data) Shares Amount Balance at January 1, 2011 1 $— $— $150,316 $2,410 $708 $153,434 Dividend paid to LMIHoldings (see Note 10) — — — (149,400) (600) — (150,000)Net loss — — — — (136,469) — (136,469)Foreign currencytranslation — — — — — (337) (337)Stock-based compensation — — — 169 — — 169 Balance at December 31,2011 1 — — 1,085 (134,659) 371 (133,203)Net loss — — — — (42,001) — (42,001)Due from parent (seeNote 17) — — (1,353) — — — (1,353)Foreign currencytranslation — — — — — 964 964 Stock-based compensation — — — 1,240 — — 1,240 Balance at December 31,2012 1 — (1,353) 2,325 (176,660) 1,335 (174,353)Net loss — — — — (61,678) — (61,678)Payments from parent — — 94 — — — 94 Foreign currencytranslation — — — — — (1,729) (1,729)Stock-based compensation — — — 578 — — 578 Balance at December 31,2013 1 $— $(1,259)$2,903 $(238,338)$(394)$(237,088) Table of ContentsLantheus MI Intermediate, Inc. and subsidiaries Consolidated Statements of Cash Flows See notes to consolidated financial statements.92 Year ended December 31, (in thousands) 2013 2012 2011 Cash flow from operating activities Net loss $(61,678)$(42,001)$(136,469)Adjustments to reconcile net loss to cash flow from operating activities Depreciation 9,336 9,722 12,915 Amortization 15,819 17,680 19,847 Impairment of land 6,406 — — Impairment of intangible assets 17,175 — 23,474 Amortization of debt related costs 2,600 2,403 1,554 Write-off of deferred financing costs 598 — — Provision for bad debt 63 (117) 301 Provision for excess and obsolete inventory 4,854 12,809 29,432 Stock-based compensation 578 1,240 (969)Deferred income taxes (272) (428) 81,330 Accretion of asset retirement obligations 628 553 496 Loss on disposal of long-lived assets 35 285 54 Loss on firm purchase commitment — 1,859 5,610 Long-term income tax receivable (566) 299 (1,122)Long-term income tax payable and other long-term liabilities 187 139 1,533 Increase (decrease) in cash from operating assets and liabilities Accounts receivable, net 2,627 (1,442) 9,466 Prepaid expenses and other current assets 1,043 1,304 626 Inventory (4,741) (6,903) (22,293)Due from parent — — (614)Deferred revenue (4,874) 5,349 (5,995)Accounts payable (1,147) (2,204) (1,002)Income tax payable 410 (2,217) 1,353 Accrued expenses and other liabilities (4,759) 2,193 2,893 Cash (used in) provided by operating activities (15,678) 523 22,420 Cash flows from investing activities Capital expenditures (5,010) (7,920) (7,694)Proceeds from sale of property, plant and equipment 1,527 — — Purchase of certificate of deposit — (225) — Cash used in investing activities (3,483) (8,145) (7,694) Cash flows from financing activities Proceeds from issuance of debt — — 152,250 Consent solicitation fee — — (3,750)Payments on note payable (1,310) (1,530) — Deferred financing costs (1,249) (442) (5,491)Payments from / (to) parent 94 (67) — Proceeds from line of credit 8,000 — 10,000 Payments on line of credit — — (10,000)Payment of dividend — — (150,000) Cash provided by (used in) financing activities 5,535 (2,039) (6,991) Effect of foreign exchange rate on cash (1,300) 649 (134) (Decrease) Increase in cash and cash equivalents (14,926) (9,012) 7,601 Cash and cash equivalents, beginning of year 31,595 40,607 33,006 Cash and cash equivalents, end of year $16,669 $31,595 $40,607 Supplemental disclosure of cash flow information Interest paid $39,150 $39,020 $33,958 Income taxes paid / (refunded), net $118 $1,146 $(233)Noncash investing and financing activities Property, plant and equipment included in accounts payable and accrued expenses and other liabilities $1,243 $963 $1,641 Table of ContentsLantheus MI Intermediate, Inc. and subsidiaries Notes to Consolidated Financial Statements Unless the context otherwise requires, references to the "Company," "Lantheus," "our company," "we," "us" and "our" refer to Lantheus MIIntermediate, Inc. and its direct and indirect subsidiaries, references to "Lantheus Intermediate" refer to only Lantheus MI Intermediate, Inc., the parentof Lantheus Medical Imaging, Inc., references to "Holdings" refer to Lantheus MI Holdings, Inc., the parent of Lantheus Intermediate and references to"LMI" refer to Lantheus Medical Imaging, Inc., the subsidiary of Lantheus Intermediate. Solely for convenience, we refer to trademarks, service marksand trade names without the TM, SM and ® symbols. Such references are not intended to indicate, in any way, that we will not assert, to the fullestextent permitted under applicable law, our rights to our trademarks, service marks and trade names.1. Description of BusinessOverview The Company manufactures, markets, sells and distributes medical imaging products globally with operations in the United States, Puerto Rico,Canada and Australia and distribution relationships in Europe, Asia Pacific and Latin America. The Company provides medical imaging products,primarily focused on cardiovascular diagnostic imaging, to nuclear physicians, cardiologists, radiologists, internal medicine physicians, independentdelivery networks, group purchasing organizations and technologists/sonographers working in a variety of clinical settings. The Company's principal products include:•DEFINITY—an ultrasound contrast agent; •TechneLite—a generator that provides the radioisotope used to radiolabel Cardiolite and other radiopharmaceuticals; •Xenon—a radiopharmaceutical inhaled gas used to assess pulmonary function and also for imaging blood flow, particularly in the brain;and •Cardiolite—a myocardial perfusion imaging agent. In the U.S., the Company's nuclear imaging products are primarily distributed through radiopharmacy chains, with a small portion of the sales ofthese products also made to hospitals and clinics that maintain their own in-house radiopharmacies. In the U.S., sales of the Company's contrast agentsare made through a direct sales force. Outside of the U.S., the Company owns five radiopharmacies in Canada and two radiopharmacies in each ofPuerto Rico and Australia. The Company also maintains a direct sales force in each of these countries. In the rest of the world, the Company relies onthird-party distributors to sell both nuclear imaging and contrast agent products.2. Summary of Significant Accounting PoliciesBasis of Consolidation and Presentation The financial statements have been prepared in United States dollars, in accordance with accounting principles generally accepted in the UnitedStates of America ("U.S. GAAP"). The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. Allintercompany accounts and transactions have been eliminated in consolidation. The accompanying financial statements have been prepared on a going concern basis, which contemplates the realization of assets and thedischarge of liabilities in the normal course of business.93Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued)The Company incurred a net loss of $61.7 million and an operating loss of $19.0 million during the year ended December 31, 2013. During 2013, theCompany relied on Ben Venue Laboratories, Inc. ("BVL") as its sole manufacturer of Neurolite and one of two manufacturers of its DEFINITY andCardiolite product supply. Following extended operational and regulatory challenges at BVL's Bedford, Ohio facility, as of November 15, 2013, BVLceased manufacturing for the Company any DEFINITY, Cardiolite or Neurolite. BVL has since released for commercial distribution all of theCompany's remaining manufactured product that was awaiting BVL quality approval. The supply challenges with BVL in recent years have had anegative impact on the Company's results. The Company has taken specific steps to address the supply chain risks and reduce discretionary spend. Following extensive technology transfer activities, the Company currently relies on Jubilant HollisterStier ("JHS") as its sole source manufacturerof DEFINITY. The Company has additional ongoing technology transfer activities at JHS for its Neurolite and Cardiolite product supply. In themeantime, the Company has no other currently active supplier of Neurolite, and its Cardiolite product supply is manufactured by a single manufacturer. Based on current projections, the Company believes that it will have sufficient supply of DEFINITY from JHS to meet expected demand andsufficient Cardiolite product supply from its current supplier to meet expected demand. The Company also currently anticipates that it will havesufficient BVL-manufactured Neurolite supply for the U.S. market to last until Neurolite technology transfer and U.S. regulatory approval at JHS arecompleted. Currently, the regulatory authorities in certain countries prohibit the Company from marketing products previously manufactured by BVL,and JHS has not yet obtained approval of such regulatory authorities that would permit the Company to market products manufactured by JHS.Accordingly, until such regulatory approvals have been obtained, the Company will not be able to sell and distribute those products in the relevantmarkets. The Company is currently working to secure additional alternative suppliers for its key products as part of its ongoing supply chain diversificationstrategy. For example, on November 12, 2013, the Company entered into a Manufacturing and Supply Agreement with Pharmalucence to manufactureand supply DEFINITY. However, the Company is uncertain about the timing of the completion of the technology transfer contemplated by thePharmalucence agreement and whether the Pharmalucence arrangement or any other arrangements could provide meaningful quantities of product. During 2012, the Company received net proceeds of $34.6 million from BVL to compensate the Company for business losses associated with alack of product supply. The Company has recognized these proceeds within the Company's results of operations, and the payments are included withinoperating income as proceeds from manufacturer. During the second quarter of 2013, the Company received $0.9 million from BVL to compensate theCompany for low yield and failed batches of DEFINITY and Cardiolite under the then-current manufacturing agreement with BVL. This payment isincluded within cost of goods sold in the statement of comprehensive loss for the year ended December 31, 2013. As 2013 progressed, the Companycontinued to experience losses as a result of the prolonged supply disruption from BVL. During the fourth quarter of 2013, the Company received anadditional $8.9 million from BVL under a second Settlement and Release Agreement to compensate the Company for additional historic business lossesassociated with limited product availability under the then-current manufacturing agreement with BVL. The Company does not anticipate any furthercash payments from BVL for historic losses.94Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued) During 2013, the Company has utilized its line of credit as a source of liquidity. On July 3, 2013, LMI, Lantheus Intermediate and Lantheus MIReal Estate, LLC ("Lantheus Real Estate") entered into an amended and restated revolving credit facility (the "New Facility") which replaced theprevious facility (the "Old Facility"), the terms of which New Facility are more fully described in Note 10. Borrowing capacity under the New Facilityis calculated by reference to a borrowing base consisting of a percentage of certain eligible accounts receivable, inventory and machinery and equipmentminus any reserves (the "Borrowing Base"). If the Company is not successful in achieving its forecasted results, the Company's accounts receivable andinventory could be negatively affected, thus reducing the Borrowing Base and limiting the Company's borrowing capacity. As of December 31, 2013,the aggregate borrowing base was approximately $42.5 million, which was reduced by (i) an outstanding $8.8 million unfunded Standby Letter ofCredit and (ii) an $8.0 million outstanding loan balance, resulting in a net borrowing base availability of approximately $25.7 million. The Company took actions during March 2013 to substantially reduce its discretionary spending. In particular, the Company began to implement astrategic shift in how it funds its research and development ("R&D") programs. The Company reduced its internal R&D resources during 2013, whileat the same time it seeks to engage one or more strategic partners to assist in the further development and commercialization of its developmentcandidates, including flurpiridaz F 18, 18F LMI 1195 and LMI 1174. The Company has completed its 301 trial for flurpiridaz F 18 with internalfunding. The Company will seek to engage strategic partners to assist with the further development and possible commercialization of the agent. For theother two development candidates, 18F LMI 1195 and LMI 1174, the Company will also seek to engage strategic partners to assist with the ongoingdevelopment activities relating to these agents. Based on the Company's current operating plans, the Company believes the existing cash and cashequivalents, results of operations and availability under the New Facility will be sufficient to continue to fund the Company's liquidity requirements forat least the next twelve months. If JHS is not able to continue to manufacture and release adequate product supply on a timely and consistent basis, the Company is not successfulwith the remainder of its JHS technology transfer programs and cannot obtain adequate supply from JHS, or the Company is unable to continue togrow DEFINITY sales, then the Company will need to implement additional expense reductions, such as a delay or elimination of discretionaryspending, in all functional areas as well as other operating and strategic initiatives.Use of Estimates The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make certain estimates andassumptions that affect the reported amounts of assets and liabilities at the date of the consolidated financial statements, and the reported amounts ofrevenues and expenses during the reporting period. The more significant estimates reflected in the Company's consolidated financial statements includecertain judgments regarding revenue recognition, goodwill, tangible and intangible asset valuation, inventory valuation and potential losses on purchasecommitments, asset retirement obligations, income tax liabilities, deferred tax assets and liabilities, accrued expenses and stock-based compensation.Actual results could materially differ from those estimates or assumptions.95Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued)Revenue Recognition The Company recognizes revenue when evidence of an arrangement exists, title has passed, the risks and rewards of ownership have transferred tothe customer, the selling price is fixed or determinable, and collectability is reasonably assured. For transactions for which revenue recognition criteriahave not yet been met, the respective amounts are recorded as deferred revenue until such point in time the criteria are met and revenue can berecognized. Revenue is recognized net of reserves, which consist of allowances for returns and rebates. Revenue arrangements with multiple elements are divided into separate units of accounting if certain criteria are met, including whether thedelivered element has stand-alone value to the customer. The arrangement's consideration is then allocated to each separate unit of accounting based onthe relative selling price of each deliverable. The estimated selling price of each deliverable is determined using the following hierarchy of values:(i) vendor-specific objective evidence of fair value; (ii) third-party evidence of selling price; and (iii) best estimate of selling price. The best estimate ofselling price reflects the Company's best estimate of what the selling price would be if the deliverable was regularly sold by the Company on a stand-alone basis. The consideration allocated to each unit of accounting is then recognized as the related goods or services are delivered, limited to theconsideration that is not contingent upon future deliverables. Supply or service transactions may involve the charge of a nonrefundable initial fee withsubsequent periodic payments for future products or services. The up-front fees, even if nonrefundable, are recognized as revenue as the productsand/or services are delivered and performed over the term of the arrangement. On January 1, 2009, LMI executed an amendment to a license and supply agreement (the "Agreement") with one of its customers, granting non-exclusive U.S. license and supply rights to the customer for the period from January 1, 2009 through December 31, 2012. Under the terms of theAgreement, the customer paid LMI $10.0 million in license fees; $8.0 million of which was received upon execution of the Agreement and $2.0 millionof which was received in June 2009 upon delivery of a special license as defined in the Agreement. The Company's product sales under the Agreementare recognized in the same manner as its normal product sales. The Company recognized the license fees as revenue on a straight-line basis over theterm of the four-year Agreement. The Company recognized $2.5 million in fiscal years 2012 and 2011 in license fee revenue pursuant to the Agreement. In February 2012, the Company entered in to the first amendment to the Agreement. The amendment contained obligations for the Company todeliver a specified number of product unit shipments at various prices. Revenue under this arrangement is being recognized at an average selling price asthe units are shipped. The Company recognized $5.6 million and $12.8 million in revenue pursuant to the first amendment during the years endedDecember 31, 2013 and 2012, respectively, and at December 31, 2012, had deferred revenue of $5.6 million attributable to units to be shipped. Therewas no deferred revenue attributable to these units at December 31, 2013. On December 27, 2012, the Company entered into the second amendment to the Agreement, which extended the term from December 31, 2012 toDecember 31, 2014 and established new pricing and purchase requirements over the extended term. The second amendment also provided for thesupply of TechneLite generators containing molybdenum-99 sourced from LEU targets. The agreement includes a $3.0 million upfront payment by thecustomer to the Company and potential future milestone payments. During 2012, the Company received the $3.0 million upfront payment, of which$1.5 million was included in deferred revenue as a current liability and $1.5 million was included in96Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued)other long-term liabilities at December 31, 2012 in the accompanying consolidated balance sheets. During 2013, the Company received an additional$4.0 million upon achievement of the required milestones. At December 31, 2013, $3.6 million is included in deferred revenue as a current liability inthe accompanying consolidated balance sheets. The Company is recognizing the upfront payment as revenue on a straight-line basis over the term of thetwo year agreement. The Company had other revenues of $8.5 million, $8.3 million and $8.0 million in fiscal years 2013, 2012 and 2011, respectively. Other revenueprimarily represents contract manufacturing services related to one of the Company's products for one customer. The related costs are included in cost ofgoods sold. Effective December 13, 2013, the Company entered into an Asset Purchase Agreement to purchase the rights to serve as the directmanufacturer and supplier of this product. These revenues will be reported as net product revenues in the consolidated statement of comprehensive loss.Under this agreement, the Company did not have to pay any upfront consideration and will be required to pay royalties based upon net revenuesgenerated by the sale of the product.Product Returns The Company provides a reserve for its estimate of sales recorded for which the related products are expected to be returned. The Company doesnot typically accept product returns unless an over shipment or non-conforming shipment was provided to the customer, or if the product was defective.The Company adjusts its estimate of product returns if it becomes aware of other factors that it believes could significantly impact its expected returns,including product recalls. These factors include its estimate of actual and historical return rates for non-conforming product and open return requests.Historically, the Company's estimates of returns have reasonably approximated actual returns.Distributor Relationships Revenue for product sold to distributors is recognized at shipment, unless revenue recognition criteria have not been met. In such instances wherecollectability cannot be determined or the selling price cannot be reasonably estimated until the distributor has sold through the goods, the Companydefers such revenue until such time as the goods have been sold through to the end-user customer, or the selling price can be reasonably estimated basedon history of transactions with such distributor.Rebates and Allowances Estimates for rebates and allowances represent the Company's estimated obligations under contractual arrangements with third parties. Rebateaccruals and allowances are recorded in the same period the related revenue is recognized, resulting in a reduction to product revenue and theestablishment of a liability which is included in accrued expenses in the accompanying consolidated balance sheets. These rebates result fromperformance-based offers that are primarily based on attaining contractually specified sales volumes and growth, Medicaid rebate programs for certainproducts, administration fees of group purchasing organizations and certain distributor related commissions. The calculation of the accrual for theserebates and allowances is based on an estimate of the third party's buying patterns and the resulting applicable contractual rebate or commission rate(s)to be earned over a contractual period. The accrual for rebates and allowances was approximately $1.7 million and $1.5 million at December 31, 2013 and 2012, respectively. Rebate andallowance charges against gross revenues totaled97Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued)$4.8 million, $2.8 million and $3.6 million for the years ended December 31, 2013, 2012 and 2011, respectively.Income Taxes The Company accounts for income taxes using an asset and liability approach. The provision for income taxes represents income taxes paid orpayable for the current year plus the change in deferred taxes during the year. Deferred taxes result from differences between the financial and tax basesof the Company's assets and liabilities. Deferred tax assets and liabilities are measured using the currently enacted tax rates that apply to taxable incomein effect for the years in which those tax attributes are expected to be recovered or paid, and are adjusted for changes in tax rates and tax laws whenchanges are enacted. Valuation allowances are recorded to reduce deferred tax assets when it is more likely than not that a tax benefit will not be realized. Theassessment of whether or not a valuation allowance is required involves the weighing of both positive and negative evidence concerning both historicaland prospective information with greater weight given to evidence that is objectively verifiable. A history of recent losses is negative evidence that isdifficult to overcome with positive evidence. In evaluating prospective information there are four sources of taxable income: reversals of taxabletemporary differences, items that can be carried back to prior tax years (such as net operating losses), pre-tax income, and tax planning strategies. Anytax planning strategies that are considered must be prudent and feasible, and would only be undertaken in order to avoid losing an operating losscarryforward. Adjustments to the deferred tax valuation allowances are made in the period when such assessments are made. The Company accounts for uncertain tax positions using a recognition threshold and measurement attribute for the financial statement recognitionand measurement of a tax position taken or expected to be taken in a tax return. Differences between tax positions taken in a tax return and amountsrecognized in the financial statements are recorded as adjustments to income taxes payable or receivable, or adjustments to deferred taxes, or both. TheCompany provides disclosure at the end of each annual reporting period on a tabular reconciliation of unrecognized tax benefits. The Companyclassifies interest and penalties within the provision for income taxes.Cash and Cash Equivalents Cash and cash equivalents include savings deposits, certificates of deposit and money market funds that have maturities of three months or lesswhen purchased.Accounts Receivable Accounts receivable consist of amounts billed and currently due from customers. The Company maintains an allowance for doubtful accounts forestimated losses. In determining the allowance, consideration includes the probability of recoverability based on past experience and general economicfactors. Certain accounts receivable may be fully reserved when specific collection issues are known to exist, such as pending bankruptcy. As ofDecember 31, 2013 and 2012, the Company had allowances for doubtful accounts of approximately $0.3 million.98Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued) Also included in accounts receivable are miscellaneous receivables of approximately $1.9 million and $1.7 million as of December 31, 2013 and2012, respectively.Concentration of Risks and Limited Suppliers Financial instruments which potentially subject the Company to concentrations of credit risk consist principally of trade accounts receivable. TheCompany periodically reviews its accounts receivable for collectability and provides for an allowance for doubtful accounts to the extent that amountsare not expected to be collected. The Company sells primarily to large national distributors, which in turn, may resell the Company's products. Therewere two customers that represented greater than 10% of the total net accounts receivable balance and net revenue during the year ended December 31,2013, the majority of which is included in the U.S. segment. The Company's cash and cash equivalents are maintained with various financial institutions. The Company relies on certain materials used in its development and manufacturing processes, some of which are procured from only one or a fewsources. The failure of one of these suppliers to deliver on schedule could delay or interrupt the manufacturing or commercialization process and therebyadversely affect the Company's operating results. In addition, a disruption in the commercial supply of, or a significant increase in, the cost of one of theCompany's materials from these sources could have a material adverse effect on the Company's business, financial position and results of operations.From May 2009 until August 2010, Nordion, the Company's largest supplier of molybdenum-99 ("Moly"), a key raw material in the Company'sTechneLite product, was affected by a nuclear reactor shutdown. The Company was not fully able to replace all of the quantity of supply it previouslyreceived from Nordion, which had a negative impact on the Company's results of operations. As part of the conditions for the relicensing of the NRUreactor through October 2016, the Canadian government has asked Atomic Energy of Canada Limited, or AECL, to shut down the reactor for at leastfour weeks at least once a year for inspection and maintenance. The scheduled 2012 shutdown period ran from mid-April 2012 until mid-May 2012,and during such period, some of LMI's customers diverted a small amount of business to LMI's competitor, which correspondingly reduced ouraggregate orders during the shutdown period. With this diversion, LMI was able to fulfill all customer demand for Moly from other suppliers during theshutdown period. On October 19, 2012 and October 30, 2012, the Company executed amendments to agreements with Nordion and NTP, theCompany's Moly suppliers, which extended the contract terms of those agreements to December 31, 2015 and December 31, 2017, respectively. Inaddition, because Xenon is a by-product of the Moly production process and is currently captured only by Nordion, the Company is currently reliant onNordion as the sole supplier of Xenon to meet customer demand. In March 2013, the Company entered into an agreement with Institute forRadioelements ("IRE") who had previously been supplying the Company with Moly under the previous agreement with NTP and this agreementexpires on December 31, 2017.99 AccountsReceivable asof December 31, Revenue for the yearended December 31, 2013 2012 2013 2012 2011 Company A 16.7% 30.7% 18.8% 27.4% 26.5%Company B 13.2% 8.8% 10.2% 8.4% 8.5%Company C 7.2% 7.0% 9.8% 11.5% 11.1%Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued) Historically, the Company has relied on BVL as its sole manufacturer of DEFINITY and Neurolite and one of two manufacturers of its Cardioliteproduct supply. Following extended operational and regulatory challenges at BVL's Bedford, Ohio facility, as of November 15, 2013 BVL ceasedmanufacturing for the Company any DEFINITY, Cardiolite or Neurolite. BVL has since released for commercial distribution all of the Company'sremaining manufactured product that was awaiting BVL quality approval. Following extensive technology transfer activities, the Company currently relies on JHS as its sole source manufacturer of DEFINITY. TheCompany has additional ongoing technology transfer activities at JHS for its Neurolite and Cardiolite product supply. In the meantime, the Companyhas no other currently active supplier of Neurolite, and its Cardiolite product supply is manufactured by a single manufacturer. Based on current projections, the Company believes that it will have sufficient supply of DEFINITY from JHS to meet expected demand andsufficient Cardiolite product supply from its current supplier to meet expected demand. The Company also anticipates that it has sufficient BVL-manufactured Neurolite supply for the U.S. market to last until Neurolite technology transfer and U.S. regulatory approval at JHS are completed.Currently, the regulatory authorities in certain countries prohibit the Company from marketing products previously manufactured by BVL, and JHS hasnot yet obtained approval of such regulatory authorities that would permit the Company to market products manufactured by JHS. Accordingly, untilsuch regulatory approvals have been obtained, the Company will not be able to sell and distribute those products in the relevant markets. The Company is also currently working to secure additional alternative suppliers for its key products as part of its ongoing supply chaindiversification strategy. For example, on November 12, 2013, the Company entered into a Manufacturing and Supply Agreement with Pharmalucenceto manufacture and supply DEFINITY. However, the Company is uncertain about the timing of the completion of the technology transfer contemplatedby the Pharmalucence agreement and whether the Pharmalucence arrangement or any other arrangements could provide meaningful quantities ofproduct. The following table sets forth net product revenues for the Company's products that represented greater than 10% of total net product revenue forthe years ended December 31, 2013, 2012 and 2011.Inventory Inventory includes material, direct labor and related manufacturing overhead, and is stated at the lower of cost or market on a first-in, first-outbasis. The Company does have consignment arrangements with certain customers where the Company retains title and the risk of ownership of theinventory, which is included in the Company's inventory balance. The Company assesses the recoverability of inventory to determine whether adjustments for excess and obsolete inventory are required. Inventorythat is in excess of future requirements is written down to its estimated net realizable value based upon forecasted demand for its products. If actualdemand is less favorable than what has been forecasted by management, additional inventory write-down may be required.100 Year EndedDecember 31, 2013 2012 2011 DEFINITY 28.7% 18.6% 19.8%TechneLite 33.9% 41.2% 38.0%Xenon 11.8% 10.8% 7.7%Cardiolite 9.6% 12.6% 19.1%Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued) Inventory costs associated with product that has not yet received regulatory approval are capitalized if the Company believes there is probablefuture commercial use of the product and future economic benefit of the asset. If future commercial use of the product is not probable, then inventorycosts associated with such product are expensed during the period the costs are incurred. At December 31, 2012, we had $1.5 million of such productcosts included in inventories relating to DEFINITY that was manufactured by JHS. In February 2013, the FDA informed the Company that the JHSfacility was approved to manufacture DEFINITY, and the Company is now shipping JHS-manufactured DEFINITY to customers. At December 31,2013, we had no capitalized inventories that did not have regulatory approval.Property, Plant and Equipment Property, plant and equipment are stated at cost. Replacements of major units of property are capitalized, and replaced properties are retired.Replacements of minor components of property and repair and maintenance costs are charged to expense as incurred. Depreciation is computed on astraight-line method based on the estimated useful lives of the related assets. The estimated useful lives of the major classes of depreciable assets are asfollows: Upon retirement or other disposal of property, plant and equipment, the cost and related amount of accumulated depreciation are removed from theasset and accumulated depreciation accounts, respectively. The difference, if any, between the net asset value and the proceeds is included incomprehensive loss.Capitalized Software Development Costs Certain costs to obtain internal use software for significant systems projects are capitalized and amortized over the estimated useful life of thesoftware, which ranges from 3 to 5 years. Costs to obtain software for projects that are not significant are expensed as incurred. Capitalized softwaredevelopment costs, net of accumulated amortization, were $1.5 million and $2.2 million at December 31, 2013 and 2012, respectively. Approximately$0.7 million and $0.2 million of software development costs were capitalized in the years ended December 31, 2013 and 2012, respectively.Amortization expense related to the capitalized software was $1.5 million, $1.5 million and $1.4 million for the years ended December 31, 2013, 2012and 2011, respectively.Goodwill, Intangibles and Long-Lived Assets Goodwill is not amortized, but is instead tested for impairment at least annually and whenever events or circumstances indicate that it is more likelythan not that they may be impaired. The Company has elected to perform the annual test for indications of goodwill impairment as of October 31 of eachyear.101Buildings 50 yearsLand improvements 40 yearsMachinery and equipment 3 - 20 yearsFurniture and fixtures 15 yearsLeasehold improvements Lesser of lease term or 15 yearsTable of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued) In performing tests for goodwill impairment, the Company is first permitted to perform a qualitative assessment about the likelihood of the carryingvalue of a reporting unit exceeding its fair value. If the Company determines that it is more likely than not that the fair value of a reporting unit is lessthan its carrying amount based on the qualitative assessment, it is required to perform the two-step goodwill impairment test described below to identifythe potential goodwill impairment and measure the amount of the goodwill impairment loss, if any, to be recognized for that reporting unit. However, ifthe Company concludes otherwise based on the qualitative assessment, the two-step goodwill impairment test is not required. The option to perform thequalitative assessment is not an accounting policy election and can be utilized at the Company's discretion. Further, the qualitative assessment need notbe applied to all reporting units in a given goodwill impairment test. For an individual reporting unit, if the Company elects not to perform the qualitativeassessment, or if the qualitative assessment indicates that it is more likely than not that the fair value of a reporting unit is less than its carrying amount,then the Company must perform the two- step goodwill impairment test for the reporting unit. If the implied fair value of goodwill is less than thecarrying value, then an impairment charge would be recorded. In performing the annual goodwill impairment test in 2013 and 2012, the Company bypassed the option to perform a qualitative assessment andproceeded directly to performing the first step of the two-step goodwill impairment test. The Company calculates the fair value of its reporting units using the income approach, which utilizes discounted forecasted future cash flows andthe market approach which utilizes fair value multiples of comparable publicly traded companies. The discounted cash flows are based on our mostrecent long-term financial projections and are discounted using a risk adjusted rate of return, which is determined using estimates of market participantrisk-adjusted weighted average costs of capital and reflects the risks associated with achieving future cash flows. The market approach is calculatedusing the guideline company method, where the Company uses market multiples derived from stock prices of companies engaged in the same or similarlines of business. There is not a quoted market price for the Company's reporting units or the company as a whole, therefore, a combination of the twomethods is utilized to derive the fair value of the business. The Company evaluated and weighed the results of these approaches as well as ensures itunderstands the basis of the results of these two methodologies. The Company believes the use of these two methodologies ensures a consistent andsupportable method of determining its fair value that is consistent with the objective of measuring fair value. If the fair value were to decline, then theCompany may be required to incur material charges relating to the impairment of those assets. The Company did not identify any impairment ingoodwill in 2013, 2012 or 2011. Goodwill is not deductible for tax purposes. In addition, as a result of the continued supply challenges with BVL, the Company performed an interim impairment test of goodwill as ofDecember 31, 2011. The analyses utilized the most recently available forecast information, which considered the potential impact of the continuedsupply challenges in 2011. The interim impairment test did not indicate that there was any impairment as of December 31, 2011. There were no events atDecember 31, 2012 that triggered an interim impairment test. During the first quarter of 2013, the strategic shift in how the Company funds its R&Dprograms significantly altered the expected future costs and revenues associated with our development candidates. Accordingly, this action was deemedto be a triggering event for an evaluation of the recoverability of the Company's goodwill as of March 31, 2013. The Company performed an interimimpairment test and determined that there was no impairment of goodwill as of March 31, 2013. Furthermore, the102Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued)Company performed its annual impairment test for goodwill as of October 31, 2013, and there were no events through December 31, 2013 thattriggered an interim impairment test. At each annual and interim impairment test date, the fair value of the Company's reporting unit, which includesgoodwill, was substantially in excess of its carrying value. The Company tests intangible and long-lived assets for recoverability whenever events or changes in circumstances suggest that the carrying valueof an asset or group of assets may not be recoverable. The Company measures the recoverability of assets to be held and used by comparing thecarrying amount of the asset to future undiscounted net cash flows expected to be generated by the asset. If such 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 aspermanent reductions in the carrying amount of the assets. Long-lived assets, other than goodwill and other intangible assets, that are held for sale arerecorded at the lower of the carrying value or the fair market value less the estimated cost to sell. In the first quarter of 2012, the Company reviewed the estimated useful life of its Cardiolite trademark as a result of a triggering event. Utilizing themost recent forecasted revenue data, the Company revised the estimate of the remaining useful life of the Cardiolite trademark to five years. TheCompany monitors the recoverability of its branded Cardiolite trademark intangible asset due to the ongoing generic competition based on actual resultsand existing estimates of future undiscounted cash flows associated with the branded Cardiolite product. As of December 31, 2013, the Companyconducted, using its revised sales forecast, an impairment analysis and concluded that the estimate of future undiscounted cash flows associated with theCardiolite trademark intangible did not exceed the carrying amount of the asset totaling $19.2 million and therefore, the asset has been written down toits fair value. Fair value was calculated by utilizing Level 3 inputs in the relief-from-royalty method, an income-based approach. As a result of thisanalysis, the Company recorded an impairment charge of $15.4 million to adjust the carrying value to its fair value of $3.8 million. This expense wasrecorded within cost of goods sold in the accompanying consolidated statement of comprehensive loss in the fourth quarter of 2013. In the third quarter of 2013, the Company was in negotiations with a new distributor for the sale of certain products within certain internationalmarkets. This agreement was signed in October 2013 and as a result the Company did not renew the agreements with its former distributors in theseinternational markets. The Company determined the customer relationship intangible related to these former distributors was no longer recoverable andrecorded an impairment charge of $1.0 million in the third quarter of 2013. In the fourth quarter of 2013, the Company updated its strategic plan toreflect the non-renewal of these agreements and the uncertainty in the timing of product availability in this region. As a result, the Company reviewedthe recoverability of certain of its customer relationship intangible assets in the International segment that were impacted by the Company's revisedstrategic plan. The Company conducted an impairment analysis and concluded that the estimate of future undiscounted cash flows associated with thecustomer relationship intangible asset did not exceed the carrying amount of the asset and therefore, the asset would need to be written down to its fairvalue. In order to calculate the fair value of the acquired customer relationship intangible assets, the Company utilized Level 3 inputs to estimate thefuture discounted cash flows associated with remaining customers and as a result of this analysis, recorded an impairment charge of $0.7 million in thefourth quarter of 2013. These impairment charges were recorded within cost of goods sold in the accompanying consolidated statement ofcomprehensive loss.103Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued) During the third quarter of 2013, the Company committed to a plan to sell certain of its excess land in the U.S. segment, which had a carryingvalue of $7.5 million. This event qualified for held for sale accounting and the excess land was written down to its fair value, less estimated costs to sell.The fair value was estimated utilizing Level 3 inputs and using a market approach, based on available data for transactions in the region, discussionswith real estate brokers and the asking price of comparable properties in its principal market. This resulted in a loss of $6.4 million, which is includedwithin operating loss as impairment of land in the accompanying consolidated statement of comprehensive loss. During the fourth quarter of 2013, theCompany sold the excess land for net proceeds of $1.1 million. Fixed assets dedicated to R&D activities, which were impacted by the recent R&D strategic shift, have a carrying value of $6.3 million as ofDecember 31, 2013. The Company believes these fixed assets will be utilized for either internally funded ongoing R&D activities or R&D activitiesfunded by a strategic partner. If the Company is not successful in finding a strategic partner, and there are no alternative uses for those fixed assets, theycould be subject to impairment in the future. The Company also tested certain long-lived assets utilized in the manufacturing of certain products in the U.S. for recoverability as ofDecember 31, 2013, due to a change in the Company's contract to manufacture Quadramet. The analysis indicated that there was no impairment as ofDecember 31, 2013. The Company also evaluated the remaining useful lives of these long-lived assets that were tested for recoverability atDecember 31, 2013 and determined no revisions were required to the remaining periods of depreciation. Intangible assets, consisting of patents, trademarks and customer relationships related to the Company's products are amortized in a methodequivalent to the estimated utilization of the economic benefit of the asset. Trademarks and patents are amortized on a straight-line basis, and customerrelationships are amortized on an accelerated basis.Deferred Financing Costs Deferred financing costs are capitalized and amortized to interest expense using the effective interest method. As of December 31, 2013 and 2012,the unamortized deferred financing costs were $9.6 million and $11.4 million, respectively. The expense associated with the amortization of deferredfinancing costs was $2.4 million, $2.2 million and $1.4 million for the years ended December 31, 2013, 2012 and 2011, respectively, and was includedin interest expense. In connection with the New Facility, the Company wrote off $0.6 million of the existing unamortized deferred financing costsrelated to the Old Facility, which is included in interest expense in the accompanying consolidated statements of comprehensive loss.Contingencies In the normal course of business, the Company is subject to loss contingencies, such as legal proceedings and claims arising out of its business,that cover a wide range of matters, including, among others, product and environmental liability. The Company records accruals for such losscontingencies when it is probable that a liability will be incurred and the amount of loss can be reasonably estimated. The Company does not recognizegain contingencies until realized.104Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued)Fair Value of Financial Instruments The estimated fair values of the Company's financial instruments, including its cash and cash equivalents, receivables, accounts payable andaccrued expenses approximate the carrying values of these instruments due to their short term nature. Assets measured at fair value on a nonrecurringbasis include long-lived assets held for sale and certain intangible assets. The estimated fair value of the debt, at December 31, 2013, based on Level 2inputs of recent market activity available to the Company was $356.0 million compared to the face value of $400.0 million. At December 31, 2012, theestimated fair value of the debt based on Level 2 inputs of recent market activity available to the Company was $380.0 million compared to the facevalue of $400.0 million.Shipping and Handling Revenues and Costs The Company typically does not charge customers for shipping and handling costs, but any shipping and handling costs charged to customers areincluded in product revenues. Shipping and handling costs are included in cost of goods sold and were $20.5 million, $20.4 million and $20.3 millionfor the years ended December 31, 2013, 2012 and 2011, respectively.Advertising and Promotion Costs Advertising and promotion costs are expensed as incurred and totaled $2.7 million, $3.2 million and $4.1 million for the years ended December 31,2013, 2012 and 2011, respectively, and are included in sales and marketing expenses.Research and Development Research and development costs are expensed as incurred and relate primarily to the development of new products to add to the Company'sportfolio and costs related to its medical affairs and medical information functions. Nonrefundable advance payments for goods or services that will beused or rendered for future research and development activities are deferred and recognized as an expense as the goods are delivered or the relatedservices are performed.Foreign Currency Translation The consolidated statements of comprehensive loss of the Company's foreign subsidiaries are translated into U.S. Dollars using average exchangerates. The net assets of the Company's foreign subsidiaries are translated into U.S. Dollars using the end of period exchange rates. The impact fromtranslating the net assets of these subsidiaries at changing rates are recorded in the foreign currency translation adjustment account, which is included inconsolidated accumulated other comprehensive loss. For the years ended December 31, 2013, 2012 and 2011, losses arising from foreign currency transactions totaled approximately $0.3 million,$0.6 million and $0.2 million, respectively. Transaction gains and losses are reported as a component of other income (expense), net.Accounting for Stock-Based Compensation The Company's stock-based compensation cost is measured at the grant date of the stock-based award based on the fair value of the award and isrecognized as expense over the requisite service105Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued)period, which generally represents the vesting period, and includes an estimate of the awards that will be forfeited. The Company uses the Black-Scholes valuation model for estimating the fair value of stock options. The fair value of stock option awards is affected by the valuation assumptions,including the expected volatility based on comparable market participants, expected term of the option, risk-free interest rate and expected dividends.When a contingent cash settlement of vested options becomes probable, the Company reclassifies its vested awards to a liability and accounts for anyincremental compensation cost in the period in which the settlement becomes probable.Accumulated Other Comprehensive (Loss) Income Comprehensive loss is comprised of net loss, plus all changes in equity of a business enterprise during a period from transactions and other eventsand circumstances from non-owner sources, including any foreign currency translation adjustments. These changes in equity are recorded asadjustments to accumulated other comprehensive (loss) income in the Company's consolidated balance sheet. The components of accumulated othercomprehensive income (loss) consist of foreign currency translation adjustments.Asset Retirement Obligations The Company's compliance with federal, state, local and foreign environmental laws and regulations may require it to remove or mitigate the effectsof the disposal or release of chemical substances in jurisdictions where it does business or maintains properties. The Company establishes accrualswhen such costs are legally obligated and probable and can be reasonably estimated. Accrual amounts are estimated based on currently availableinformation, regulatory requirements, remediation strategies, historical experience, the relative shares of the total remediation costs and a relevantdiscount rate, when the time periods of estimated costs can be reasonably predicted. Changes in these assumptions could impact the Company's futurereported results. The amounts recorded for asset retirement obligations in the accompanying balance sheets at December 31, 2013 and 2012 were$6.4 million and $5.4 million, respectively.Self Insurance Reserves The Company's consolidated balance sheet at December 31, 2013 and 2012 includes approximately $0.4 million and $0.5 million, respectively, ofaccrued liabilities associated with employee medical costs that are retained by the Company. The Company estimates the required liability of such claimson an undiscounted basis based upon various assumptions which include, but are not limited to, the Company's historical loss experience and projectedloss development factors. The required liability is also subject to adjustment in the future based upon changes in claims experience, including changes inthe number of incidents (frequency) and change in the ultimate cost per incident (severity). The Company also maintains a separate cash account to fundthese medical claims and must maintain a minimum balance as determined by the plan administrator. The balance of this restricted cash account wasapproximately $0.2 million and $27,000 at December 31, 2013 and 2012, respectively, and is included in other current assets.106Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)2. Summary of Significant Accounting Policies (Continued)Recent Accounting Standards In July 2013, the Financial Accounting Standards Board (the "FASB") issued Accounting Standards Update ("ASU") No. 2013-11, "Presentationof an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists" ("ASU 2013-11"). The amendments in ASU 2013-11 provide guidance on the financial statement presentation of unrecognized tax benefits when a net operating losscarryforward, a similar tax loss, or a tax credit carryforward exists. ASU 2013-11 is effective for fiscal years, and interim periods within those years,beginning after December 15, 2013. The Company will reflect the impact of these amendments beginning with the Company's Quarterly Report onForm 10-Q for the period ending March 31, 2014. The Company does not anticipate a material impact to the Company's financial position, results ofoperations or cash flows as a result of this change.3. 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 marketparticipants at the measurement date. In order to increase consistency and comparability in fair value measurements, financial instruments are categorizedbased 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 atthe measurement date. Level 2—Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets orliabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates, yieldcurves, etc.) and inputs that are derived principally from or corroborated by observable market data by correlation or other means (marketcorroborated inputs). Level 3—Unobservable inputs that reflect a Company's estimates about the assumptions that market participants would use in pricing theasset or liability. The Company develops these inputs based on the best information available, including its own data. At December 31, 2013 and 2012, the Company's financial assets that are measured at fair value on a recurring basis are comprised of moneymarket securities and are classified as cash equivalents. The Company invests excess cash from its operating cash accounts in overnight investments andreflects these amounts in cash and cash equivalents on the consolidated balance sheet using quoted prices in active markets for identical assets (Level 1).107Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)3. Fair Value of Financial Instruments (Continued) The tables below present information about the Company's assets and liabilities that are measured at fair value on a recurring basis as ofDecember 31, 2013 and 2012: In the first quarter of 2012, the Company invested $0.2 million in a certificate of deposit in which the Company's use of such cash is restricted andis included in the line item "Certificates of deposit—restricted" above. This investment is classified in other current assets on the consolidated balancesheet. The remaining $0.1 million represents a certificate of deposit that is collateral for a long-term lease and is included in other long-term assets on theconsolidated balance sheet. Certificates of deposit are classified within Level 2 of the fair value hierarchy as these are not traded on the open market. At December 31, 2013, the Company had total cash and cash equivalents of $16.7 million, which included approximately $1.2 million of moneymarket funds and $15.5 million of cash on-hand. At December 31, 2012, the Company had total cash and cash equivalents of $31.6 million, whichincluded approximately $2.0 million of money market funds and $29.6 million of cash on-hand. The estimated fair values of the Company's financial instruments, including its cash and cash equivalents, receivables, accounts payable andaccrued expenses approximate the carrying values of these instruments due to their short term nature. The estimated fair value of the debt, atDecember 31, 2013, based on Level 2 inputs of recent market activity available to the Company was $356.0 million compared to the face value of$400.0 million. At December 31, 2012, the estimated fair value of the debt based on Level 2 inputs of recent market activity available to the Companywas $380.0 million compared to the face value of $400.0 million.108(in thousands) Total fairvalue atDecember 31,2013 Quotedprices inactivemarkets(Level 1) Significantotherobservableinputs(Level 2) Significantunobservableinputs(Level 3) Money market $1,236 $1,236 $— $— Certificates of deposit—restricted 322 — 322 — $1,558 $1,236 $322 $— (in thousands) Total fairvalue atDecember 31,2012 Quotedprices inactivemarkets(Level 1) Significantotherobservableinputs(Level 2) Significantunobservableinputs(Level 3) Money market $2,004 $2,004 $— $— Certificates of deposit—restricted 328 — 328 — $2,332 $2,004 $328 $— Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)3. Fair Value of Financial Instruments (Continued) The table below presents information about the Company's assets and liabilities that are measured at fair value on a nonrecurring basis during theyear ended December 31, 2013, due to the remeasurement of assets resulting in impairment charges. During the third quarter of 2013, the Company recorded an impairment charge of $6.4 million to write down the carrying value of excess land heldfor sale in the U.S. segment totaling $7.5 million to its fair value, less estimated costs to sell. See Note 6 for further discussion regarding the impairmentcharge. The fair value of land held for sale was determined using Level 3 inputs and was estimated using a market approach, based on available data fortransactions in the region, discussions with real estate brokers and the asking price of comparable properties in its principal market. Unobservable inputsobtained from third parties are adjusted as necessary for the condition and attributes of the specific asset. The land sale was completed in the fourthquarter of 2013. During the third and fourth quarters of 2013, the Company recorded an impairment charge of $1.0 million and $0.7 million, respectively, to writedown the carrying value of a customer relationship intangible asset in the International segment totaling $1.8 million and $0.7 million, respectively, to itsfair value of zero. See Note 8 for further discussion regarding the impairment charge. The determination of the customer relationship intangible assetsimpairment charge was based on Level 3 measurements under the fair value hierarchy. The Company utilized an income approach to calculate thediscounted cash flows that would be generated by its remaining customer base. The unobservable inputs utilized by the Company includedmanagement's assumptions regarding future revenues and profitability from the remaining customers and a discount rate of 15% as of September 30,2013 and December 31, 2013, respectively. During the fourth quarter of 2013, the Company recorded an impairment charge of $15.4 million to write down the Cardiolite trademark intangibleasset in the U.S. segment totaling $19.2 million to its fair value of $3.8 million. See Note 8 for further discussion regarding the impairment charge. Thefair value measurements were determined using a relief-from-royalty method, which incorporates unobservable inputs, thereby classifying the fair valuemeasurements as a Level 3 measurement within the fair value hierarchy. The primary inputs used in the relief-from-royalty method, an income-basedapproach, included estimated prospective cash flows expected to be generated by Cardiolite and an estimated royalty rate that would be used by a marketparticipant. The unobservable inputs utilized by the Company included management's assumptions regarding future revenues and profitability from thebranded Cardiolite product, a royalty rate of 6%, a discount rate of 15% and a life of 15 years.109Year ending December 31, 2013(in thousands) Total fairvalue Quotedprices inactivemarkets(Level 1) Significantotherobservableinputs(Level 2) Significantunobservableinputs(Level 3) Cardiolite trademark $3,800 $— $— $3,800 Customer relationships — — — — Total $3,800 $— $— $3,800 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)4. Income Taxes The components of (loss) income before income taxes for the years ended December 31 were: The provision (benefit) for income taxes as of December 31 was: The Company's provision (benefit) for income taxes in the years ended December 31, 2013, 2012 and 2011 was different from the amountcomputed by applying the statutory U.S. Federal income tax rate to (loss) income from operations before income taxes, as a result of the following:110(in thousands) 2013 2012 2011 United States $(58,093)$(43,868)$(55,658)International (2,571) 1,312 3,287 $(60,664)$(42,556)$(52,371) (in thousands) 2013 2012 2011 Current Federal $(782)$(3,508)$(41)State 1,712 2,763 2,607 International 356 618 202 $1,286 $(127)$2,768 Deferred Federal $— $200 $75,939 State — — 6,326 International (272) (628) (935) (272) (428) 81,330 $1,014 $(555)$84,098 (in thousands) 2013 2012 2011 U.S. statutory rate $(21,224) 35.0%$(14,895) 35.0%$(18,331) 35.0%Permanent items andforeign tax credits 292 (0.5)% (1,200) 2.8% (363) 0.7%Uncertain tax positions 809 (1.3)% 892 (2.1)% 1,148 (2.2)%Research credits (1,346) 2.2% — — (910) 1.7%State and local taxes (1,780) 3.0% (1,821) 4.3% (1,815) 3.5%Impact of rate change ondeferred taxes 31 (0.1)% (974) 2.3% (393) 0.7%True-up of prior year tax (1,422) 2.3% (2,345) 5.5% 33 (0.1)%Foreign tax rate differential 92 (0.2)% (455) 1.1% (584) 1.1%Valuation allowance 25,674 (42.3)% 20,243 (47.6)% 102,692 (196.1)%Tax on repatriation (18) 0.0% — — 2,600 (5.0)%Other (94) 0.2% — — 21 —% $1,014 (1.7)%$(555) 1.3%$84,098 (160.7)% Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)4. Income Taxes (Continued) The components of deferred income tax assets (liabilities) at December 31 were: The Company files separate federal income tax returns for Lantheus MI Intermediate, Inc. and Lantheus Medical Imaging, Inc. For state taxpurposes, the Company files combined tax returns with Lantheus MI Holdings, Inc. For income tax provision purposes, the Company uses the separatereturn method in calculating its state tax provision. As of December 31, 2013 and December 31, 2012, the Company reflects an amount payable toLantheus MI Holdings of $85,000, for the tax benefit of losses incurred by Lantheus MI Holdings, which is included in due from parent on theconsolidated balance sheets. As of December 31, 2013 and 2012, total liabilities for tax obligations and associated interest and penalties were $34.9 million and $34.7 million,respectively, consisting of income tax provisions for uncertain tax benefits of $14.1 million and $15.4 million, interest accruals of $18.2 million and$16.5 million and penalty accruals of $2.6 million and $2.8 million, respectively, which were included in other long-term liabilities on the consolidatedbalance sheets with the offsetting asset in other long-term assets. The total noncurrent asset related to the indemnification was $19.7 million and$18.5 million as of December 31, 2013 and 2012, respectively. Included in the 2013, 2012 and 2011 tax provision is $1.9 million, $2.6 million and$2.4 million, respectively, relating to current year interest111(in thousands) 2013 2012 Deferred Tax Assets Federal benefit of state taxes payable $11,541 $10,926 Reserves, accruals and other 29,242 33,977 Capitalized research and development 30,057 22,320 Capital loss carryforward 2,309 — Amortization of intangibles other than goodwill 52,665 61,131 Net operating loss carryforwards 31,405 7,851 Deferred tax assets 157,219 136,205 Deferred Tax Liabilities Reserves, accruals and other (500) (1,125)Customer relationships (7,860) (10,274)Depreciation (360) (2,191) Deferred tax liability (8,720) (13,590)Less: Valuation allowance (148,535) (122,935) $(36)$(320) 2013 2012 Recorded in the accompanying consolidated balance sheet as: Current deferred tax assets $18 $115 Current deferred tax liabilities (57) — Noncurrent deferred tax assets 15 — Noncurrent deferred tax liability (12) (435) Net deferred tax liabilities $(36)$(320) Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)4. Income Taxes (Continued)expense, with an offsetting amount included in other income due to the indemnification related to these obligations. A reconciliation of the Company's changes in uncertain tax positions for 2013, 2012 and 2011 is as follows: As of December 31, 2013 and 2012, the total amount of unrecognized tax benefits was $13.1 million and $13.9 million, respectively, all of whichwould affect the effective tax rate, if recognized. These amounts are primarily associated with domestic state tax issues, such as the allocation of incomeamong various state tax jurisdictions, transfer pricing and U.S. federal R&D credits. Since the Company operates in a number of countries in which ithas income tax treaties, it believes that it is more-likely-than-not that the Company should be able to receive competent authority relief for potentialadjustments in those countries. Included in the Company's uncertain tax positions for transfer pricing exposures are $1.0 million, which is reflectedwithin other long-term liabilities, and an offset of $1.0 million, which is reflected in other long-term assets. The tabular rollforward reflected above is netof the $1.0 million of competent authority relief. The Company's U.S. income tax returns remain subject to examination for three years. The state income tax returns remain subject to examinationfor three to four years depending on the state's statute of limitations. In 2013, as a result of the expiration of the 2009 statute of limitations, the Company has recognized the benefit associated with the reversal ofuncertain tax positions including interest and penalties of $2.0 million. Included in other expense for the year ended December 31, 2013, is $0.9 million relating to the reduction in the indemnification receivable fromBMS associated with the expiration of statute of limitations. Within the next twelve months, unrecognized tax benefits of $6.9 million may berecognized associated with potential state settlements and transfer pricing due to the closing of the statute of limitations.112(in thousands) Beginning balance of uncertain tax positions as of January 1, 2011 $16,059 Additions related to current year tax positions 195 Reductions related to prior year tax positions (876) Balance of uncertain tax positions as of December 31, 2011 15,378 Additions related to current year tax positions 301 Reductions related to prior year tax positions — Settlements (651)Lapse of statute of limitations (1,122) Balance of uncertain tax positions as of December 31, 2012 13,906 Additions related to current year tax positions 18 Reductions related to prior year tax positions — Settlements (34)Lapse of statute of limitations (763) Balance of uncertain tax positions as of December 31, 2013 $13,127 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)4. Income Taxes (Continued) In accordance with the Company's acquisition of the medical imaging business from BMS in 2008, the Company obtained a tax indemnificationagreement with Bristol Myers Squibb ("BMS") related to certain tax obligations arising prior to the acquisition of the Company, for which theCompany has the primary legal obligation. The tax indemnification receivable is recognized within other noncurrent assets. The changes in the taxindemnification asset are recognized within other income, net in the consolidated statement of comprehensive (loss) income. In accordance with theCompany's accounting policy, the change in the tax liability and penalties and interest associated with these obligations (net of any offsetting federal orstate benefit) is recognized within the tax provision. Accordingly, as these reserves change, adjustments are included in the tax provision while theoffsetting adjustment is included in other income. Assuming that the receivable from BMS continues to be considered recoverable by the Company,there is no net effect on earnings related to these liabilities and no net cash outflows. During the fourth quarter of 2012, the Company was contacted by several state tax jurisdictions relating to tax matters that would be subject to theBMS indemnification agreement. It is not certain as to how these matters will be resolved. The effect on the Company's financial statements should beneutral as any changes to the Company's income tax provision will be offset by other income or expense as described below. During the year ended December 31, 2012, BMS, on behalf of the Company, made payments totaling $0.7 million to a number of states inconnection with prior year state income tax filings. As a result of these payments, the amount due from BMS, included within other long-term assets,decreased by $0.7 million which represents the total cash payments of $0.7 million in 2012. There were no payments made on behalf of the Company in2013. The Company has generated domestic pre-tax losses for the past three years. This loss history demonstrates negative evidence concerning theCompany's ability to utilize its domestic gross deferred tax assets. In order to overcome the presumption of recording a valuation allowance against thedeferred tax assets, the Company must have sufficient positive evidence that it can generate sufficient taxable income to utilize these deferred tax assetswithin the carryover or forecast period. Although the Company has no history of expiring net operating losses or other tax attributes, based on thecumulative loss incurred over the three-year period ended December 31, 2013, management determined that the net U.S. deferred tax assets are notmore-likely-than-not recoverable. As a result of this analysis, the Company continues to maintain a full valuation allowance primarily against its netU.S. deferred tax assets in the amount of $148.5 million and $122.9 million at December 31, 2013 and 2012, respectively.113Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)4. Income Taxes (Continued) The following is a reconciliation of the Company's valuation allowance for the years ending December 31, 2013, 2012, and 2011. At December 31, 2013, the Company has federal net operating loss carryovers of $74.3 million, which begin to expire in 2031. The Company has$2.4 million of federal research credits, which begin to expire in 2029. The Company has foreign tax credits of approximately $4.2 million that willbegin to expire in 2020. The Company has state research credits of $1.6 million, which will expire between 2024 and 2028. The Company hasMassachusetts investment tax credits of approximately $0.4 million, which have no expiration date. At December 31, 2013, the Company sold land which resulted in a capital loss of $6.0 million. A capital loss can only be carryforward for fiveyears and can only be offset against capital gains. Although the Company has no history of expiring capital tax losses, based on the history that theCompany has not generated capital gains, management determined that the deferred asset is not more-likely-than-not recoverable, a full valuationallowance was established. In 2010, the Company was granted a tax holiday from the Commonwealth of Puerto Rico, which expires on January 1, 2024. This grant providesfor a 4% tax rate on activities relating to the operations of the Company's radiopharmacies. This grant is conditioned upon the Company meeting certainemployment and investment thresholds. The impact of this tax holiday was to decrease foreign tax by approximately $0.3 million, $0.3 million and$0.2 million in 2013, 2012 and 2011, respectively. In September 2013, the Internal Revenue Service released final Tangible Property Regulations (the "Final Regulations"). The Final Regulationsprovide guidance on applying Section 263(a) of the Code to amounts paid to acquire, produce or improve tangible property, as well as rules formaterials and supplies (Code Section 162). These regulations contain certain changes from the temporary and proposed tangible property regulationsthat were issued on December 27, 2011. The Final Regulations are generally effective for taxable years beginning on or after January 1, 2014. Inaddition, taxpayers are permitted to early adopt the Final Regulations for taxable years beginning on or after January 1, 2012. The Company does notexpect the Final Regulations to have a material effect on its results of operations or financial condition.114(in thousands) Balance at January 1, 2011 $0 Charged to provision for income taxes 102,692 Deductions — Balance at December 31, 2011 102,692 Charged to provision for income taxes 20,243 Deductions — Balance at December 31, 2012 122,935 Charged to provision for income taxes 25,600 Deductions — Balance at December 31, 2013 $148,535 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)5. Inventory The Company includes within current assets the amount of inventory that is estimated to be utilized within twelve months. Inventory that will beutilized after twelve months is classified within other long-term assets. Inventory, classified in inventory or other long-term assets, consisted of the following: At December 31, 2013, inventories reported as other long-term assets included $1.7 million of raw materials. At December 31, 2012, other long-term assets included $1.5 million of raw materials and $0.6 million of finished goods. The Company's Ablavar product was commercially launched in January 2010. The revenues for this product through December 31, 2013 have notbeen significant. At December 31, 2013 and 2012, the balances of inventory on-hand reflect approximately $1.5 million and $2.8 million, respectively,of finished products and raw materials related to Ablavar. At December 31, 2013 and 2012, approximately $0.5 million and $2.1 million, respectively,of Ablavar inventory were included in long-term assets. The Company entered into an agreement and subsequent amendments with a supplier to provide Active Pharmaceutical Ingredient ("API") andfinished products for Ablavar under which the Company is required to purchase future minimum quantities. At December 31, 2013, the remainingpurchase commitment under the amended agreement was approximately $1.8 million, of which the Company has accrued a loss of $1.3 millionassociated with this future purchase commitment. The Company records the inventory when it takes delivery, at which time the Company assumes titleand risk of loss. During 2011, the Company recorded inventory write-downs to cost of goods sold of $25.8 million, which represented the cost of Ablavar finishedgood product and API that the Company did not believe it would be able to sell prior to its expiration. The Company completed updated sales forecastsfor Ablavar based on actual sales in consideration of its supply agreement for API. Based on the updated sales forecasts, coupled with the aggregatesix-year shelf life of API and finished goods, the Company also recorded in cost of goods sold a total of $5.6 million for the loss associated with theportion of the committed purchases of Ablavar product that the Company did not believe it would be able to sell prior to its expiration. Additionally, theCompany determined that its write-down of Ablavar inventory during 2011 represented an event that warranted assessment of the intellectual propertyassociated with Ablavar for its recoverability and concluded that the intellectual property was not recoverable and in 2011, recorded in cost of goodssold an impairment of this intangible asset of $23.5 million. See Note 8, "Intangibles, net." During 2012, the Company implemented a reduction in the sales force dedicated to Ablavar. The Company performed an analysis of expectedfuture sales of its Ablavar product, based on an updated115(in thousands) December 31,2013 December 31,2012 Raw materials $7,063 $7,573 Work in process 5,849 5,019 Finished goods 5,398 5,456 Inventory 18,310 18,048 Other long-term assets 1,687 2,090 Total $19,997 $20,138 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)5. Inventory (Continued)sales forecast reflecting the reduction in sales force personnel dedicated to Ablavar, and recorded to cost of goods sold, an additional inventory write-down of $10.6 million and an additional reserve of $1.9 million associated with the portion of the committed purchases of Ablavar product that theCompany did not believe it would sell prior to expiry. In 2013, the Company transitioned the sales and marketing efforts for Ablavar from its direct sales force to the Company's customer service team.During the fourth quarter of 2013, the Company updated its strategic plan, which had a significant impact on the Ablavar sales forecast. The Companyperformed an inventory reserve analysis using its expected future Ablavar sales and recorded an additional write-down of $1.6 million related to theAPI that the Company would not be able to convert or be able to sell prior to its expiry as of December 31, 2013. In the event that the Company doesnot meet its revised sales expectations for Ablavar or cannot sell the product it has committed to purchase prior to its expiration, the Company couldincur additional inventory write-downs and/or losses on its purchase commitments.6. Property, Plant and Equipment, net Property, plant and equipment consisted of the following at December 31: Depreciation expense related to property, plant and equipment was $9.3 million, $9.7 million and $12.9 million for the years ended December 31,2013, 2012 and 2011, respectively. Included within machinery, equipment and fixtures are spare parts of approximately $2.5 million and $2.7 million as of December 31, 2013 and2012, respectively. Spare parts include replacement parts relating to plant and equipment and are either recognized as an expense when consumed or re-classified and capitalized as part of the related plant and equipment and depreciated over a time period not exceeding the useful life of the related asset. The Company tests long-lived assets for recoverability whenever events or changes in circumstances suggest that the carrying value of an asset orgroup of assets may not be recoverable. The Company measures the recoverability of assets to be held and used by comparing the carrying amount ofthe asset to future undiscounted net cash flows expected to be generated by the asset. If such assets are considered to be impaired, the impairment equalsthe amount by which the carrying amount of the assets exceeds the fair value of the assets. Any impairments are recorded as permanent reductions in thecarrying 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 thecarrying value or the fair market value less the estimated cost to sell. As of December 31, 2013, the Company reviewed certain long-lived assets, utilizedin the manufacturing of certain products in the U.S. due to a change in the Company's contract to manufacture Quadramet for recoverability and theanalysis indicated that there was no impairment116(in thousands) 2013 2012 Land $14,950 $22,450 Buildings 65,787 64,649 Machinery, equipment and fixtures 65,026 63,503 Construction in progress 8,029 7,331 Accumulated depreciation (56,139) (48,360) Property, plant and equipment, net $97,653 $109,573 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)6. Property, Plant and Equipment, net (Continued)as of December 31, 2013. The Company also evaluated the remaining useful lives of long-lived assets that were tested for recoverability and determinedno revisions were required to the remaining periods of depreciation. Fixed assets dedicated to R&D activities, which were impacted by the recent R&D strategic shift, have a carrying value of $6.3 million as ofDecember 31, 2013. The Company believes these fixed assets will be utilized for either internally funded ongoing R&D activities or R&D activitiesfunded by a strategic partner. If the Company is not successful in finding a strategic partner and there are no alternative uses for these fixed assets, thenthey could be subject to impairment in the future.Long-Lived Assets Held for Sale During the third quarter of 2013, the Company committed to a plan to sell certain of its excess land in the U.S. segment, which had a carryingvalue of $7.5 million. This event qualified for held for sale accounting and the excess land was written down to its fair value, less estimated costs to sell.The fair value was estimated utilizing Level 3 inputs and using a market approach, based on available data for transactions in the region, discussionswith real estate brokers and the asking price of comparable properties in its principal market. This resulted in a loss of $6.4 million, which is includedwithin operating loss as impairment of land in the accompanying consolidated statement of comprehensive loss. During the fourth quarter of 2013, theCompany sold the excess land for net proceeds of $1.1 million.7. Asset Retirement Obligations The Company considers the legal obligation to remediate its facilities upon a decommissioning of its radioactive related operations as an assetretirement obligation. The operations of the Company have radioactive production facilities at its North Billerica, Massachusetts and San Juan, PuertoRico sites. The Company is required to provide the U.S. Nuclear Regulatory Commission and Massachusetts Department of Public Health financial assurancedemonstrating the Company's ability to fund the decommissioning of the North Billerica, Massachusetts production facility upon closure, though theCompany does not intend to close the facility. The Company has provided this financial assurance in the form of a $28.2 million surety bond and an$8.8 million letter of credit. The fair value of a liability for asset retirement obligations is recognized in the period in which the liability is incurred. The liability is measured atthe present value of the obligation expected to be incurred, of approximately $25.9 million, and is adjusted in subsequent periods as accretion expense isrecorded. The corresponding asset retirement costs are capitalized as part of the carrying value of the related long-lived assets and depreciated over theasset's useful life.117Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)7. Asset Retirement Obligations (Continued) The following is a reconciliation of the Company's asset retirement obligations for the years ended December 31, 2013, 2012 and 2011: The Company revises the asset retirement obligation as information about material changes to the liability becomes known. During the year endedDecember 31, 2013, the Company revised the asset retirement obligation, which resulted in an additional asset capitalization, in the amount of$0.3 million.8. Intangibles, net Intangibles, net consisted of the following: On April 6, 2009, the Company acquired the U.S., Canadian and Australian territory rights to a Gadolinium-based blood pool contrast agent,Ablavar (formerly known as Vasovist), from EPIX Pharmaceuticals for an aggregate purchase price of $32.6 million, including drug product and active(in thousands) Balance at January 1, 2011 $4,372 Capitalization — Accretion expense 496 Balance at December 31, 2011 4,868 Capitalization — Net decrease due to changes in estimated future cash flows (5)Accretion expense 553 Balance at December 31, 2012 5,416 Capitalization — Net increase due to changes in estimated future cash flows 341 Accretion expense 628 Balance at December 31, 2013 $6,385 December 31, 2013(in thousands) Cost Accumulatedamortization Net AmortizationMethodTrademarks $13,540 $3,298 $10,242 Straight-lineCustomer relationships 106,298 84,476 21,822 AcceleratedOther patents 42,780 39,846 2,934 Straight-line $162,618 $127,620 $34,998 December 31, 2012(in thousands) Cost Accumulatedamortization Net AmortizationMethodTrademarks $53,390 $20,743 $32,647 Straight-lineCustomer relationships 114,000 83,385 30,615 AcceleratedOther patents 42,780 39,240 3,540 Straight-line $210,170 $143,368 $66,802 118Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)8. Intangibles, net (Continued)pharmaceutical ingredient inventory. Ablavar was approved by the U.S. Food and Drug Administration ("FDA") in December 2008 and commerciallylaunched by the Company in early January 2010 after final FDA approval of its product label. As noted in Note 5, during 2011, the Company conducted an impairment analysis on the intellectual property associated with Ablavar andconcluded that the estimate of future undiscounted cash flows associated with the Ablavar product did not exceed the carrying amount and therefore, theasset would need to be written down to its fair value. In order to calculate the fair value of the Ablavar intellectual property intangible asset, theCompany estimated the future discounted cash flows associated with the Ablavar product and as a result of this analysis, recorded an impairment chargeof $23.5 million to adjust the carrying value to its fair value of zero. This expense was recorded within cost of goods sold in the accompanyingconsolidated statement of comprehensive loss. During 2012, the Company reviewed the estimated useful life of its Cardiolite trademark. As a result of utilizing the most recent forecasted data,the Company revised its estimate of the remaining useful life of the Cardiolite trademark from eleven to five years, which increased the amortizationexpense by $3.5 million during the year ended December 31, 2012. The Company monitors the recoverability of its branded Cardiolite trademarkintangible asset due to the ongoing generic competition based on actual results and existing estimates of future undiscounted cash flows associated withthe branded Cardiolite product. As of December 31, 2013, the Company conducted, using its revised sales forecast, an impairment analysis andconcluded that the estimate of future undiscounted cash flows associated with the Cardiolite trademark intangible did not exceed the carrying amount ofthe asset totaling $19.2 million and therefore, the asset has been written down to its fair value. Fair value was calculated by utilizing Level 3 inputs in therelief-from-royalty method, an income-based approach. As a result of this analysis, the Company recorded an impairment charge of $15.4 million toadjust the carrying value to its fair value of $3.8 million. This expense was recorded within cost of goods sold in the accompanying consolidatedstatement of comprehensive loss in the fourth quarter of 2013. In the third quarter of 2013, the Company was in negotiations with a new distributor for the sale of certain products within certain internationalmarkets. This agreement was signed in October 2013 and as a result the Company did not renew the agreements with its former distributors in theseinternational markets. The Company determined the customer relationship intangible related to these former distributors was no longer recoverable andrecorded an impairment charge of $1.0 million in the third quarter of 2013. In the fourth quarter of 2013, the Company updated its strategic plan toreflect the non-renewal of these agreements and the uncertainty in the timing of product availability in this region. As a result, the Company reviewedthe recoverability of certain of its customer relationship intangible assets in the International segment that were impacted by the revised strategic plan.The Company conducted an impairment analysis and concluded that the estimate of future undiscounted cash flows associated with the acquiredcustomer relationships did not exceed the carrying amount of the asset and therefore, the asset would need to be written down to its fair value. In orderto calculate the fair value of the acquired customer relationship intangible assets, the Company utilized Level 3 inputs to estimate the future discountedcash flows associated with remaining customers and as a result of this analysis, recorded an impairment charge of $0.7 million in the fourth quarter of2013. These impairment charges were recorded within cost of goods sold in the accompanying consolidated statement of comprehensive loss.119Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)8. Intangibles, net (Continued) The Company recorded amortization expense for its intangible assets of $14.4 million, $16.1 million and $18.5 million for the years endedDecember 31, 2013, 2012 and 2011, respectively. Expected future amortization expense related to the intangible assets is as follows (in thousands): Changes in the gross carrying amount of intangible assets for the year ended December 31, 2013 were as follows (in thousands):9. Accrued Expenses and Other Liabilities Accrued expenses are comprised of the following at December 31: As of December 31, 2013 and 2012, the Company had accrued a contract loss of $1.3 million and $7.5 million, respectively, associated with theportion of the committed purchases of Ablavar product from the Company's supplier that the Company did not believe it would sell prior to expiry andwas included in accrued expenses.120Years ended December 31, 2014 $7,629 2015 6,036 2016 5,349 2017 3,530 2018 2,799 2019 and thereafter 9,655 $34,998 (in thousands) Balance at December 31, 2012 $210,170 Asset impairment charges (46,592)Effect of currency translation (960) Balance at December 31, 2013 $162,618 (in thousands) 2013 2012 Compensation and benefits $10,209 $5,351 Accrued interest 4,989 5,040 Accrued professional fees 1,361 1,628 Research and development services 338 3,205 Freight, distribution and operations 3,432 3,633 Accrued loss on firm purchase commitment 1,315 7,469 Marketing expense 749 1,168 Accrued rebates, discounts and chargebacks 1,739 1,542 Other 1,360 653 $25,492 $29,689 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)9. Accrued Expenses and Other Liabilities (Continued) During March 2013, the Company took actions to reduce its workforce, which resulted in a $2.7 million charge to the consolidated statement ofcomprehensive loss for severance expense during the first quarter of 2013. At December 31, 2013, $0.6 million associated with these actions isincluded in accrued expenses.10. Financing Arrangements On March 21, 2011, LMI issued $150.0 million of New Restricted Notes. The New Restricted Notes were issued at a price of 101.50% and wereissued as additional debt securities under the Indenture pursuant to which LMI previously issued $250.0 million in aggregate principal amount of9.750% Senior Notes due 2017. The New Restricted Notes were issued with the same terms and conditions as the Senior Notes, except that the NewRestricted Notes were subject to a separate registration rights agreement. The New Notes and the Senior Notes, or together, the Notes, vote as one classunder the Indenture. As a result of the issuance of the New Restricted Notes, LMI has $400.0 million in aggregate principal amount of Notesoutstanding. The Notes bear interest at a rate of 9.750% per year, payable on May 15 and November 15 of each year, beginning May 15, 2011 withrespect to the New Restricted Notes. Interest on the Senior Notes accrued from November 15, 2010. The Notes mature on May 15, 2017. The netproceeds of the Senior Notes were used to repay $77.9 million due under LMI's then outstanding credit agreement and to pay a $163.8 million dividendto Holdings to repay a $75.0 million demand note it issued and for Holdings to repurchase $90.0 million of its Series A Preferred Stock at the accretedvalue. The net proceeds of the New Restricted Notes were used to pay a $150.0 million dividend to Holdings, which it used to fully redeem the balanceof its Series A Preferred Stock at the accreted value of $44.0 million and to pay a $106.0 million dividend to the holders of its common securities andstock options. In conjunction with the issuance of the New Restricted Notes, LMI also made a cash payment of $3.75 million to the Holders of theSenior Notes in exchange for the Holders of the Senior Notes consent to amend the Indenture to modify the restricted payments covenant to provide foradditional restricted payment capacity in order to accommodate the dividend payment. The premium of $2.25 million and the consent fee of$3.75 million were capitalized and are being amortized over the term of the Notes as an adjustment to interest expense. All of the Notes have beenregistered with the Securities and Exchange Commission.Redemption LMI can redeem the Notes at 100% of the principal amount on May 15, 2016 or thereafter. LMI may also redeem the Notes prior to May 15, 2016depending on the timing of the redemption during the twelve-month period beginning May 15 of each of the years indicated below: At any time prior to May 15, 2014, LMI may also redeem all or any part of the Notes, with notice, at a redemption price equal to 100% of theprincipal amount thereof of the Notes redeemed plus the applicable premium (as defined in the Indenture) as of, and accrued and unpaid interest andadditional121Year Percentage 2014 104.875%2015 102.438%2016 100.000%Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)10. Financing Arrangements (Continued)interest (as defined in the Indenture), if any, to, but not including, the redemption date, subject to the rights of holders of record on the relevant recorddate to receive interest due on the relevant interest payment date. Upon a change of control (as defined in the Indenture), LMI will be required to make an offer to purchase each holder's Note at a price of 101% ofthe principal amount thereof, plus accrued and unpaid interest, if any, to the date of purchase. If LMI or its subsidiaries engage in asset sales (as defined in the Indenture), they generally must either invest the net cash proceeds from such salesin such business within a specified period of time, prepay certain indebtedness or make an offer to purchase a principal amount of the Notes equal to theexcess net cash proceeds (as defined in the Indenture), subject to certain exceptions. The Notes are unsecured and are equal in right of payment to all of the existing and future senior debt, including borrowings under its securedcredit facilities, subject to the security interest thereof. LMI's obligations under the Notes are fully and unconditionally guaranteed, jointly and severally,on an unsecured senior basis by Lantheus Intermediate and by one of LMI's subsidiaries, and the obligations of such guarantors under their guaranteesare equal in right of payment to all of their existing and future senior debt.Revolving Line of Credit As of December 31, 2012, LMI had outstanding the Old Facility with an aggregate principal amount not to exceed $42.5 million and an interestrate of LIBOR plus 3.75% or the Reference Rate (as defined in the agreement) plus 2.75%. The Old Facility also contained an unused line of credit feeof 0.75%, which was payable quarterly. At December 31, 2012, there was no outstanding balance under the Old Facility, other than the $8.8 millionunfunded Standby Letter of Credit, and the aggregate borrowing capacity was $33.7 million. On July 3, 2013, LMI, Lantheus Intermediate andLantheus Real Estate entered into the New Facility which replaced the Old Facility. As of December 31, 2013, LMI has a New Facility with an aggregate principal amount not to exceed $42.5 million. The revolving loans under theNew Facility bear interest subject to a pricing grid based on average historical excess availability under the New Facility, with pricing based from timeto time at the election of the Company at (i) LIBOR plus a spread ranging from 2.00% to 2.50% or (ii) the Reference Rate (as defined in the agreement)plus a spread ranging from 1.00% to 1.50%. The New Facility also includes an unused line fee of 0.375% or 0.5%, depending on the average unusedrevolving credit commitments. The New Facility expires on the earlier of (i) July 3, 2018 or (ii) if the outstanding Notes are not refinanced in full, thedate that is 91 days before the maturity thereof, at which time all outstanding borrowings are due and payable. On February 3, 2012, the Company entered into an unfunded Standby Letter of Credit for up to $4.4 million. On April 11, 2012, the unfundedStandby Letter of Credit was increased to $8.8 million. On August 6, 2013, the Company transferred the $8.8 million unfunded Standby Letter ofCredit, which expired on February 3, 2014, to a new lender. The unfunded Standby Letter of Credit requires annual fees, payable quarterly, between2.00% and 2.50% of the face amount, and expires on February 5, 2015, which will automatically renew for a one year period at each anniversary date,unless the Company elects not to renew in writing within 60 days prior to such expiration.122Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)10. Financing Arrangements (Continued)Covenants The New Facility is secured by a pledge of substantially all of the assets of each of the Company, LMI and Lantheus Real Estate, including eachentity's accounts receivable, inventory and machinery and equipment, and is guaranteed by each of Lantheus Intermediate and Lantheus Real Estate.Borrowing capacity is determined by reference to a borrowing base, which is based on (i) a percentage of certain eligible accounts receivable, inventoryand machinery and equipment minus (ii) any reserves. As of December 31, 2013, the aggregate borrowing base was approximately $42.5 million,which was reduced by (i) an outstanding $8.8 million unfunded Standby Letter of Credit and (ii) an $8.0 million outstanding loan balance, resulting in anet borrowing base availability of approximately $25.7 million. The New Facility contains affirmative and negative covenants, as well as restrictions on the ability of the Company and its subsidiaries to: (i) incuradditional indebtedness or issue preferred stock; (ii) repay subordinated indebtedness prior to its stated maturity; (iii) pay dividends on, repurchase ormake distributions in respect of capital stock or make other restricted payments; (iv) make certain investments; (v) sell certain assets; (vi) create liens;(vii) consolidate, merge, sell or otherwise dispose of all or substantially all of its assets; and (viii) enter into certain transactions with its affiliates. TheNew Facility also contains customary default provisions as well as cash dominion provisions which allow the lender to sweep its accounts during theperiod certain specified events of default are continuing under the New Facility or excess availability under the New Facility falls below (i) the greater of$5.0 million or 15% of the then-current borrowing base for a period of more than five consecutive Business Days or (ii) $3.5 million. During a cashdominion period, the Company is required to comply with a consolidated fixed charge coverage ratio of not less than 1:00:1:00. The fixed chargecoverage ratio is calculated on a consolidated basis for Lantheus Intermediate and its subsidiaries for a trailing four fiscal quarter period basis, as(i) EBITDA minus capital expenditures minus certain restricted payments divided by (ii) interest plus taxes paid or payable in cash plus certain restrictedpayments made in cash plus scheduled principal payments paid or payable in cash.Financing Costs LMI incurred and capitalized approximately $15.6 million in direct financing fees including $5.2 million associated with the New Restricted Notesissued in March 2011, consisting primarily of underwriting fees and expenses, consent solicitation fee, legal fees, accounting fees and printing costs inconnection with the issuance of the New Restricted Notes, the Existing Notes and the Old Facility. Deferred financing costs are being amortized overthe life of the Notes, as appropriate, using the effective interest method and are included in interest expense in the accompanying consolidated statementsof comprehensive loss. During the years ended December 31, 2013 and 2012, LMI incurred approximately $0.1 million and $0.4 million, respectively, in fees andexpenses associated with amendments under the Old Facility. These fees were being amortized over the remaining life of the Old Facility using thestraight-line method and was included in interest expense in the accompanying consolidated statements of comprehensive loss. During the year endedDecember 31, 2013, the Company wrote off $0.6 million of the existing unamortized deferred financing costs related to the Old Facility, which isincluded in interest expense in the accompanying consolidated statements of comprehensive loss. In connection with the New Facility, LMI incurred approximately $1.1 million in fees and expenses, which are being amortized on a straight-linebasis over the term of the New Facility.123Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)11. Stockholder's Equity As of December 31, 2013 and 2012, the authorized capital stock of the Company consisted of 10,000 shares of voting common stock with a parvalue of $0.001 per share and 1 share outstanding.12. Stock-Based Compensation The Company's employees are eligible to receive awards under the Holdings 2013 Equity Incentive Plan (the "2013 Plan"). The 2013 Plan isadministered by the Holdings Board of Directors and permits the granting of nonqualified stock options, stock appreciation rights (or SARs), restrictedstock and restricted stock units to employees, officers, directors and consultants of Holdings or any subsidiary of Holdings (including LantheusIntermediate and LMI). On August 5, 2013, the Holdings Board of Directors adopted a resolution providing that no further grants be made under theHoldings 2008 Equity Incentive Plan (the "2008 Plan"). At the same time, the maximum number of shares that may be issued pursuant to awards underthe 2013 Plan was increased from 1,500,000 to 2,700,000. Option awards under the 2013 Plan are granted with an exercise price equal to the fair valueof Holdings' stock at the date of grant, as determined by the Board of Directors of Holdings. Time based option awards vest based on time, either fouror five years, and performance based option awards vest based on the performance criteria specified in the grant. All option awards have a ten-yearcontractual term. The Company recognizes compensation costs for its time based awards on a straight-line basis equal to the vesting period. Thecompensation cost for performance based awards is recognized on a graded vesting basis, based on the probability of achieving the performance targetsover the requisite service period for the entire award. The fair value of each option award is estimated on the date of grant using a Black-Scholesvaluation model that uses the assumptions noted in the following table. Expected volatilities are based on the historic volatility of a selected peer group.Expected dividends represent the dividends expected to be issued at the date of grant. The expected term of options represents the period of time thatoptions granted are expected to be outstanding. The risk-free interest rate assumption is the U.S. Treasury rate at the date of the grant which mostclosely resembles the expected life of the options. The Company uses the following Black-Scholes inputs to determine the fair value of new stock option grants.124 Years Ended December 31, 2013 2012 2011Expected volatility 30 - 37% 36 - 41% 33 - 40%Expected dividends — — —Expected life (in years) 3.6 - 6.3 5.5 - 6.5 6.5Risk-free interest rate 0.5 - 1.7% 0.7 - 1.4% 1.9 - 2.9%Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)12. Stock-Based Compensation (Continued) A summary of option activity for 2013 is presented below: The weighted average grant-date fair value of options granted during the years ended December 31, 2013, 2012 and 2011 was $2.45, $3.29 and$4.05, respectively. During the years ended December 31, 2013, 2012 and 2011, 349,605, 710,139 and 362,300 options vested, respectively, with anaggregate fair value of approximately $1.0 million, $1.0 million and $0.4 million, respectively. During the years ended December 31, 2013, 2012 and 2011, 631,518, 21,220 and 14,650 stock options, respectively, were exercised on a cashlessbasis for which 459,171, 9,085 and 4,629 shares of common stock, respectively, were issued. Stock-based compensation expense (income) for both time based and performance based awards was recognized in the consolidated statements ofcomprehensive loss as follows: Time Based PerformanceBased TotalShares WeightedAverageExercisePrice WeightedAverageRemainingContractualTerm AggregateIntrinsicValue Outstanding atJanuary 1,2013 2,326,350 1,002,948 3,329,298 $3.11 5.6 $15,336,000 Options granted 1,348,177 600,000 1,948,177 6.77 Optionscancelled (228,925) (260,980) (489,905) 2.33 Optionsexercised (583,750) (47,768) (631,518) 2.00 Optionsforfeited andexpired (100,815) (196,775) (297,590) 7.66 Outstanding atDecember 31,2013 2,761,037 1,097,425 3,858,462 $4.89 6.9 $6,777,0000 Vested andexpected tovest atDecember 31,2013 2,675,020 722,055 3,397,075 $4.63 6.6 $6,777,0000 Exercisable atDecember 31,2013 1,491,401 506,705 1,998,106 $2.90 4.7 $6,777,0000 Years Ended December 31, (in thousands) 2013 2012 2011 Cost of goods sold $41 $79 $2 General and administrative 429 982 58 Sales and marketing 93 111 (1,064)Research and development 15 68 35  Stock-based compensation expense (income) recognized in the consolidated statement of comprehensive loss for the years ended December 31,2013, 2012, and 2011 are based on awards ultimately expected to vest as well as any changes in the probability of achieving certain performancefeatures as required.125Total stock-based compensation expense (income) $578 $1,240 $(969) Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)12. Stock-Based Compensation (Continued) During the year ended December 31, 2012, the Company recognized approximately $0.6 million of stock-based compensation expense associatedwith the modification of three option agreements, two of which were effectuated in the first quarter of 2012 and one of which was effectuated in thethird quarter of 2012. The modification of these awards affected the vesting terms of the awards, allowing vesting to continue beyond the last day ofemployment, so long as the option holders, whom are no longer employees, continue to provide services to the Company or Avista Capital Partners, themajority stockholder of the Company's ultimate parent, as applicable. The Company remeasured the fair value of these options at each reporting perioduntil the services were completed. The Company used the following Black-Scholes inputs to determine the fair value of stock options that were modified during the quarters endedMarch 31, 2012 and September 30, 2012. The Company used the following Black-Scholes inputs to remeasure the fair value of stock options that were modified during 2012 as ofDecember 31, 2012. No remeasurement was required during 2013 since the consulting services had been completed. Upon termination of employment, Holdings has the right to call shares held by employees that were purchased or acquired through option exercise.As a result of this right, upon termination of service, vested stock-based awards are reclassified to liability-based awards when it is probable theemployee will exercise the option and Holdings will exercise its call right. The Company did not reclassify any equity awards to liability-based awardsas of December 31, 2013 and 2012, since the Company concluded it was not probable that Holdings would exercise its call right. There were no liabilityawards paid out during the years ended December 31, 2013, 2012 and 2011. The Company recorded a benefit of approximately $1.0 million in thethree-month period ended March 31, 2011 related to 2010 liability awards which expired during the period. The Company did not recognize an income tax benefit for the years ended December 31, 2013, 2012 and 2011. As of December 31, 2013, therewas approximately $3.0 million of total unrecognized compensation costs related to non-vested stock options granted under the 2013 and 2008 Plans.These costs are expected to be recognized over a weighted-average remaining period of 1.7 years. In addition, performance based awards contain certaincontingent features, such as change in control provisions,126 Three MonthsEndedMarch 31, 2012 Three MonthsEndedSeptember 30,2012 Expected volatility 30 - 36% 31%Expected dividends — — Expected term (in years) 0.3 - 3.5 3.3 Risk-free interest rate 0.3 - 0.8% 0.3% Year EndedDecember 31,2012 Expected volatility 30.0%Expected dividends — Expected term (in years) 2.5 Risk-free interest rate 0.3%Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)12. Stock-Based Compensation (Continued)which allow for the vesting of previously forfeited and unvested awards. As of December 31, 2013, there was approximately $1.0 million ofunrecognized compensation expense relating to these features, which could be recognized through 2018 or longer.13. Other Income (Expense), net Other income, net consisted of the following:14. Commitments The Company leases certain buildings, hardware and office space under operating leases. In addition, the Company has entered into purchasingarrangements in which minimum quantities of goods or services have been committed to be purchased on an annual basis. Minimum lease and purchase commitments under noncancelable arrangements are as follows (in thousands): Lease expense was $0.9 million, $1.0 million and $1.0 million for the years ended December 31, 2013, 2012 and 2011, respectively. The Company has an agreement with a supplier to provide API and finished products for Ablavar under which LMI is required to purchase futureminimum quantities through September 30, 2014. Annual purchases under this supply agreement were $7.7 million, $1.7 million and $24.8 million forthe years ended December 31, 2013, 2012 and 2011, respectively. At December 31, 2013, $1.7 million is included in accounts payable as unpaidpurchases under this agreement and an additional $1.8 million of committed purchases remain. At December 31, 2012, there were no unpaid purchasesunder this agreement that were included in accounts payable and accrued expenses. As described in Note 9, "Accrued Expenses", the Company hadaccrued a contract loss of $1.3 million and $7.5 million at December 31, 2013 and 2012, respectively, associated with the portion of the committedpurchases of Ablavar product under this agreement that the Company does not believe it would sell prior to expiry.127 Years Ended December 31, (in thousands) 2013 2012 2011 Foreign currency (losses) $(349)$(579)$(156)Tax indemnification income 1,141 346 1,380 Other income 369 189 205 Total other income (expense), net $1,161 $(44)$1,429 Years ended December 31, OperatingLeases Other Total 2014 $898 $3,416 $4,314 2015 535 — 535 2016 345 — 345 2017 267 — 267 2018 200 — 200 2019 and thereafter 264 — 264 $2,509 $3,416 $5,925 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)14. Commitments (Continued) The Company has entered into agreements which contain certain percentage volume purchase requirements. The Company has excluded thesefuture purchase commitments from the table above since there are no minimum purchase commitments or payments under these agreements.15. 401(k) Plan The Company maintains a qualified 401(k) plan (the "401(k) Plan") for its U.S. employees. The 401(k) Plan covers U.S. employees who meetcertain eligibility requirements. Under the terms of the 401(k) Plan, the employees may elect to make tax-deferred contributions through payrolldeductions within statutory and plan limits, and the Company may elect to make non-elective discretionary contributions. During the year endedDecember 31, 2011, the Company matched employee contributions up to 4.5% of eligible compensation and did not contribute an additional non-elective discretionary match. Effective April 2012, the employer match was suspended and was subsequently reinstated in January 2013. The Companydid not contribute any additional non-elective discretionary match during the years ended December 31, 2013 and 2012. The Company may also makeoptional contributions to the 401(k) Plan for any plan year at its discretion. Expense recognized by the Company for matching contributions related tothe 401(k) Plan was $1.2 million, $0.4 million and $1.9 million for the years ended December 31, 2013, 2012 and 2011, respectively.16. 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 inthe past been, and may in the future be, subject to investigations by governmental and regulatory authorities, which expose it to greater risks associatedwith litigation, regulatory or other proceedings, as a result of which the Company could be required to pay significant fines or penalties. The outcome oflitigation, regulatory or other proceedings cannot be predicted with certainty, and some lawsuits, claims, actions or proceedings may be disposed ofunfavorably to the Company. 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 December 31, 2013, the Company had no material ongoinglitigation in which the Company was a defendant or any material ongoing regulatory or other proceedings and had no knowledge of any investigationsby government or regulatory authorities in which the Company is a target that could have a material adverse effect on its current business. On December 16, 2010, LMI filed suit against one of its insurance carriers seeking to recover business interruption losses associated with theNRU reactor shutdown and the ensuing global Moly supply shortage. The claim is the result of the shutdown of the NRU reactor in Chalk River,Ontario. The NRU reactor was off-line from May 2009 until August 2010 due to a "heavy water" leak in the reactor vessel. The defendant answered thecomplaint on January 21, 2011, denying substantially all of the allegations, presenting certain defenses and requesting dismissal of the case with costsand disbursements. Discovery has commenced and is continuing. The Company cannot be certain what amount, if any, or when, if ever, it will be ableto recover for business interruption losses related to this matter.128Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)17. Related Party Transactions In the third quarter of 2012, LMI reclassified the then outstanding receivable from Holdings of $1.2 million to stockholder's deficit since Holdingsdid not and continues to not have assets sufficient to repay amounts due to LMI. At December 31, 2013 and 2012, LMI had outstanding receivablesfrom Holdings in the amount of $1.3 million and $1.4 million, respectively, which was included in due from parent within stockholder's deficit. Avista, the majority shareholder of LMI Holdings, provides certain advisory services to the Company pursuant to an advisory services andmonitoring agreement. The Company is required to pay an annual fee of $1.0 million and other reasonable and customary advisory fees, as applicable,paid on a quarterly basis. The initial term of the agreement is seven years. Upon termination, all remaining amounts owed under the agreement shallbecome due immediately. The Company incurred costs associated with this agreement totaling $1.0 million for each of the years ended December 31,2013, 2012 and 2011. At December 31, 2013 and 2012, $30,000 was included in accrued expenses. In the third quarter of 2012, the Company entered into a Master Contract Research Organization Services Agreement with INC Research, LLC("INC") to provide clinical development services in connection with the flurpiridaz F 18 Phase III program. Avista and certain of its affiliates are theprincipal owners of both INC and the Company. The agreement has a term of five years and the Company incurred costs associated with this agreementof approximately $0.5 million and $0.9 million during the years ended December 31, 2013 and 2012, respectively. At December 31, 2012, $0.5 millionwas included in accounts payable and accrued expenses. There was no balance outstanding at December 31, 2013. The Company purchases inventory supplies from VWR Scientific ("VWR"). Avista and certain of its affiliates are principal owners of both VWRand the Company. The Company made purchases of approximately $0.3 million during each of the years ended December 31, 2013, 2012 and 2011. AtDecember 31, 2013 and 2012, $1,000 and $19,000, respectively, was included in accounts payable. At December 31, 2013 and 2012, the Company had $0.1 million due from an officer of the Company included in accounts receivable, net. Theseamounts represent federal and state tax withholdings paid by the Company on behalf of the officer.18. Segment Information The Company reports two operating segments, U.S. and International, based on geographic customer base. The results of these operating segmentsare regularly reviewed by our chief operating decision maker, the President and Chief Executive Officer. The Company's segments derive revenuesthrough the manufacturing, marketing, selling and distribution of medical imaging products, focused primarily on cardiovascular diagnostic imaging.The U.S. segment comprises 75.3%, 72.9% and 75.3% of consolidated revenues in 2013, 2012 and 2011, respectively, and 89.8% and 86.7% ofconsolidated assets at December 31, 2013 and 2012, respectively. All goodwill has been allocated to the U.S. operating segment. Included in Cardiolite revenues are branded Cardiolite and generic sestamibi revenues, some of which is produced by the Company and some ofwhich is procured from time to time from third parties. Reflected in the 2011 table below, is the reclassification of $0.8 million of generic sestamibirevenues from "Other" revenues to "Cardiolite" revenues to conform with the current period presentation.129Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)18. Segment Information (Continued) Selected information for each business segment are as follows (in thousands):(in thousands) 2013 2012 2011 Revenues U.S. $234,567 $229,926 $291,344 International 70,033 78,094 87,927 Total revenue, including inter-segment 304,600 308,020 379,271 Inter-segment revenue (20,928) (19,915) (22,979) $283,672 $288,105 $356,292 Revenues from external customers U.S. $213,639 $210,011 $268,365 International 70,033 78,094 87,927 $283,672 $288,105 $356,292 Revenues by product DEFINITY $78,094 $51,431 $68,503 TechneLite 92,195 114,249 131,241 Cardiolite 26,137 34,995 66,127 Xenon 32,125 30,075 26,761 Other 55,121 57,355 63,660 $283,672 $288,105 $356,292 Geographical revenue U.S. $213,639 $210,011 $268,365 Canada 35,502 37,017 42,366 All other 34,531 41,077 45,561 $283,672 $288,105 $356,292 Operating income/(loss) U.S. $(18,904)$(11,104)$(25,881)International 703 9,820 12,767 Total operating loss, including inter-segment (18,201) (1,284) (13,114)Inter-segment operating income (loss) (813) 534 (3,361) Operating loss (19,014) (750) (16,475)Interest expense (42,915) (42,014) (37,658)Interest income 104 252 333 Other income (expense), net 1,161 (44) 1,429 Loss before income taxes $(60,664)$(42,556)$(52,371) Depreciation and amortization U.S. $22,146 $23,918 $28,912 International 3,009 3,484 3,850 130International 3,009 3,484 3,850 $25,155 $27,402 $32,762 Capital expenditures U.S. $4,903 $7,353 $7,100 International 107 567 594 $5,010 $7,920 $7,694 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)18. Segment Information (Continued) 19. Valuation and Qualifying Accounts Amounts charged to deductions from reserves represent the write-off of uncollectible balances.20. Guarantor Financial Information The Notes, issued by LMI, are guaranteed by Lantheus Intermediate (the "Parent Guarantor") and Lantheus Real Estate, one of LantheusIntermediate's wholly-owned consolidated subsidiaries (the "Guarantor Subsidiary"). The guarantees are full and unconditional and joint and several.The following supplemental financial information sets forth, on a condensed consolidating basis, balance sheet information as of December 31, 2013and 2012, and comprehensive (loss) income and cash flow information for the years ended December 31, 2013, 2012 and 2011 for LantheusIntermediate, LMI, the Guarantor Subsidiary and Lantheus Intermediate's other wholly-owned subsidiaries (the "Non-Guarantor Subsidiaries"). Thesupplemental financial information have been prepared on the same basis as the consolidated financial statements of Lantheus Intermediate. The equitymethod of accounting is followed within this financial information.131 2013 2012 Assets U.S. $232,973 $279,808 International 26,412 43,118 $259,385 $322,926 2013 2012 Long-lived assets U.S. $91,683 $101,773 International 5,970 7,800 $97,653 $109,573 (in thousands) Balance atBeginning ofFiscal Year Charge to CostsandExpenses(Recovery ofwrite-offs) DeductionsFromReserves Balance at Endof Fiscal Year Year ended December 31, 2013: Allowance for doubtful accounts $301 $63 $(74)$290 Year ended December 31, 2012: Allowance for doubtful accounts $462 $(117)$(44)$301 Year ended December 31, 2011: Allowance for doubtful accounts $796 $301 $(635)$462 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)20. Guarantor Financial Information (Continued)Consolidating Balance Sheet Information December 31, 2013 (in thousands) LantheusIntermediate LMI GuarantorSubsidiary Non-GuarantorSubsidiaries Eliminations Total Assets: Current assets Cash and cashequivalents $— $11,995 $— $4,674 $— $16,669 Accountsreceivable,net — 28,099 — 10,811 — 38,910 Intercompanyaccountsreceivable — 2,671 — — (2,671) — Inventory — 15,414 — 2,896 — 18,310 Income taxreceivable — 297 — 28 — 325 Deferred taxassets — — — 18 — 18 Other currentassets — 2,906 — 181 — 3,087 Total currentassets — 61,382 — 18,608 (2,671) 77,319 Property, plantand equipment,net — 76,068 15,615 5,970 — 97,653 Capitalizedsoftwaredevelopmentcosts, net — 1,468 — 2 — 1,470 Intangibles, net — 31,838 — 3,160 — 34,998 Goodwill — 15,714 — — — 15,714 Deferredfinancing costs — 9,639 — — — 9,639 Deferred taxassets — — — 15 — 15 Investment insubsidiaries (237,088) 40,289 — — 196,799 — Intercompanynote receivable — — — 5,396 (5,396) — Other long-termassets — 22,370 — 207 — 22,577 Total assets $(237,088)$258,768 $15,615 $33,358 $188,732 $259,385 132 Liabilities and(deficit) equity: Currentliabilities Line of Credit $— $8,000 $— $— $— $8,000 Accountspayable — 16,672 — 1,431 — 18,103 Intercompanyaccountspayable — — — 2,671 (2,671) — Accruedexpenses andotherliabilities — 21,409 — 4,083 — 25,492 Deferred taxliability — — — 57 — 57 Deferredrevenue — 3,979 — — — 3,979 Total currentliabilities — 50,060 — 8,242 (2,671) 55,631 Asset retirementobligations — 6,212 — 173 — 6,385 Long-term debt,net — 399,037 — — — 399,037 Intercompanynote payable — 5,396 — — (5,396) — Deferred taxliability — — — 12 — 12 Other long-termliabilities — 35,151 — 257 — 35,408 Totalliabilities — 495,856 — 8,684 (8,067) 496,473 (Deficit) equity (237,088) (237,088) 15,615 24,674 196,799 (237,088) Totalliabilitiesand(deficit)equity $(237,088)$258,768 $15,615 $33,358 $188,732 $259,385 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)20. Guarantor Financial Information (Continued)Consolidating Balance Sheet Information December 31, 2012 (in thousands) LantheusIntermediate LMI GuarantorSubsidiary Non-GuarantorSubsidiaries Eliminations Total Assets: Current assets Cash and cashequivalents $— $17,635 $— $13,960 $— $31,595 Accountsreceivable,net — 30,218 — 11,162 — 41,380 Intercompanyaccountsreceivable — 1,992 — — (1,992) — Inventory — 15,417 — 2,631 — 18,048 Income taxreceivable — 291 — 445 — 736 Deferred taxassets — — — 115 — 115 Other currentassets — 2,596 — 347 — 2,943 Total currentassets — 68,149 — 28,660 (1,992) 94,817 Property, plantand equipment,net — 78,578 23,195 7,800 — 109,573 Capitalizedsoftwaredevelopmentcosts, net — 2,230 — 4 — 2,234 Intangibles, net — 60,370 — 6,432 — 66,802 Goodwill — 15,714 — — — 15,714 Deferredfinancing costs — 11,372 — — — 11,372 Investment insubsidiaries (174,353) 58,166 — — 116,187 — Other long-termassets — 22,192 — 222 — 22,414 Total assets $(174,353)$316,771 $23,195 $43,118 $114,195 $322,926 Liabilities and(deficit) equity: Currentliabilities 133Accountspayable $— $16,835 $— $2,110 $— $18,945 Intercompanyaccountspayable — — — 1,992 (1,992) — Accruedexpenses — 26,592 — 3,097 — 29,689 Deferredrevenue — 7,229 — 91 — 7,320 Total currentliabilities — 50,656 — 7,290 (1,992) 55,954 Asset retirementobligations — 5,268 — 148 — 5,416 Long-term debt,net — 398,822 — — — 398,822 Deferred taxliability — — — 435 — 435 Other long-termliabilities — 36,378 — 274 — 36,652 Totalliabilities — 491,124 — 8,147 (1,992) 497,279 (Deficit) equity (174,353) (174,353) 23,195 34,971 116,187 (174,353) Totalliabilitiesand(deficit)equity $(174,353)$316,771 $23,195 $43,118 $114,195 $322,926 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)20. Guarantor Financial Information (Continued)Consolidating Comprehensive Loss Information Year Ended December 31, 2013 (in thousands) LantheusIntermediate LMI GuarantorSubsidiary Non-GuarantorSubsidiaries Eliminations Total Revenues Net productrevenues $— $231,216 $— $61,521 $(20,928)$271,809 License and otherrevenues — 11,863 — — — 11,863 Total revenues — 243,079 — 61,521 (20,928) 283,672 Cost of goodssold — 169,334 — 57,905 (20,928) 206,311 Gross profit — 73,745 — 3,616 — 77,361 Operating expenses General andadministrativeexpenses — 30,785 80 2,294 — 33,159 Sales and marketingexpenses — 31,668 — 3,559 — 35,227 Research anddevelopmentexpenses — 30,138 — 321 — 30,459 Proceeds frommanufacturer — (8,876) — — — (8,876)Impairment on land — — 6,406 — — 6,406 Operating loss — (9,970) (6,486) (2,558) — (19,014)Interest expense — (43,011) — — 96 (42,915)Interest income — 1 — 199 (96) 104 Other income(expense) — 1,373 — (212) — 1,161 Equity in earnings(losses) of affiliates (61,678) (9,142) — — 70,820 — (Loss) incomebefore incometaxes (61,678) (60,749) (6,486) (2,571) 70,820 (60,664)Provision (benefit) forincome taxes — 929 — 85 — 1,014 Net (loss)income (61,678) (61,678) (6,486) (2,656) 70,820 (61,678) Foreign currencytranslation, net of134taxes — — — (1,729) — (1,729)Equity in othercomprehensiveincome (loss) ofsubsidiaries (1,729) (1,729) — — 3,458 — Total othercomprehensive(loss) income $(63,407)$(63,407)$(6,486)$(4,385)$74,278 $(63,407) Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)20. Guarantor Financial Information (Continued)Consolidating Comprehensive Loss Information Year Ended December 31, 2012 (in thousands) LantheusIntermediate LMI GuarantorSubsidiary Non-GuarantorSubsidiaries Eliminations Total Revenues Net productrevenues $— $230,655 $— $66,614 $(19,915)$277,354 License and otherrevenues — 10,751 — — — 10,751 Total revenues — 241,406 — 66,614 (19,915) 288,105 Cost of goods sold — 171,257 — 59,707 (19,915) 211,049 Loss on firm purchasecommitment — 1,859 — — — 1,859 Total cost ofgoods sold — 173,116 — 59,707 (19,915) 212,908 Gross profit — 68,290 — 6,907 — 75,197 Operating expenses General andadministrativeexpenses — 30,112 80 2,328 — 32,520 Sales and marketingexpenses — 34,220 — 3,217 — 37,437 Research anddevelopmentexpenses — 40,457 — 147 — 40,604 Proceeds frommanufacturer — (34,614) — — — (34,614) Operatingincome(loss) — (1,885) (80) 1,215 — (750)Interest expense — (42,014) — — — (42,014)Interest income — 1 — 251 — 252 Other income(expense) — 110 — (154) — (44)Equity in earnings(losses) of affiliates (42,001) 1,242 — — 40,759 — (Loss) incomebefore incometaxes (42,001) (42,546) (80) 1,312 40,759 (42,556)Provision (benefit) forincome taxes — (545) — (10) — (555) 135Net (loss)income (42,001) (42,001) (80) 1,322 40,759 (42,001) Foreign currencytranslation, net oftaxes — 200 — 764 — 964 Equity in othercomprehensiveincome (loss) ofsubsidiaries 964 764 — — (1,728) — Total othercomprehensive(loss) income $(41,037)$(41,037)$(80)$2,086 $39,031 $(41,037) Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)20. Guarantor Financial Information (Continued)Consolidating Comprehensive Loss Information Year Ended December 31, 2011 (in thousands) LantheusIntermediate LMI GuarantorSubsidiary Non-GuarantorSubsidiaries Eliminations Total Revenues Net productrevenues $— $293,775 $— $74,966 $(22,979)$345,762 License and otherrevenues — 10,530 — — — 10,530 Total revenues — 304,305 — 74,966 (22,979) 356,292 Cost of goods sold — 213,121 — 65,324 (22,979) 255,466 Loss on firmpurchasecommitment — 5,610 — — — 5,610 Total cost ofgoods sold — 218,731 — 65,324 (22,979) 261,076 Gross profit — 85,574 — 9,642 — 95,216 Operating expenses General andadministrativeexpenses — 29,335 80 2,642 — 32,057 Sales andmarketingexpenses — 34,665 — 4,024 — 38,689 Research anddevelopmentexpenses — 40,387 — 558 — 40,945 Operatingincome(loss) — (18,813) (80) 2,418 — (16,475)Interest expense — (37,658) — — — (37,658)Interest income — 1 — 332 — 333 Other income(expense) — 1,573 — (144) — 1,429 Equity in earnings(losses) of affiliates (136,469) 3,288 — — 133,181 — (Loss) incomebefore incometaxes (136,469) (51,609) (80) 2,606 133,181 (52,371)Provision (benefit)for income taxes — 84,860 (28) (734) — 84,098 Net (loss)136income (136,469) (136,469) (52) 3,340 133,181 (136,469) Foreign currencytranslation — — — (104) — (104)Income tax expenserelated to items ofothercomprehensive(loss) income — (233) — — — (233) Total othercomprehensive(loss) income $(136,469)$(136,702)$(52)$3,236 $133,181 $(136,806) Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)20. Guarantor Financial Information (Continued)Condensed Consolidating Cash Flow Information Year Ended December 31, 2013 LantheusIntermediate LMI GuarantorSubsidiary Non-GuarantorSubsidiaries Eliminations Total Cash providedby operatingactivities $— $(17,273)$— $3,333 $(1,738)$(15,678) Cash flowsfrominvestingactivities Capitalexpenditures — (4,903) — (107) — (5,010)Proceeds fromdividend — 5,268 — — (5,268) — Proceeds fromsale ofproperty,plant andequipment — 433 1,094 — — 1,527 Cashprovidedby (usedin)investingactivities — 798 1,094 (107) (5,268) (3,483) Cash flowsfromfinancingactivities Proceeds online of credit — 8,000 — — — 8,000 Payments onnote payable — (1,310) — — — (1,310)Payments ofdeferredfinancingcosts — (1,249) — — — (1,249)Due fromparent — 94 — — — 94 Intercompanynote — 5,300 — (5,300) — — 137Payment ofdividend — — (1,094) (5,912) 7,006 — Cashprovidedby (usedin)financingactivities — 10,835 (1,094) (11,212) 7,006 5,535 Effect offoreignexchange rateon cash — — — (1,300) — (1,300) Decrease incash and cashequivalents — (5,640) — (9,286) — (14,926)Cash and cashequivalents,beginning ofyear — 17,635 — 13,960 — 31,595 Cash and cashequivalents,end of year $— $11,995 $— $4,674 $— $16,669 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)20. Guarantor Financial Information (Continued)Condensed Consolidating Cash Flow Information Year Ended December 31, 2012 LantheusIntermediate LMI GuarantorSubsidiary Non-GuarantorSubsidiaries Eliminations Total Cashprovidedbyoperatingactivities $— $3,829 $— $4,568 $(7,874)$523 Cash flowsfrominvestingactivities Capitalexpenditures — (7,353) — (567) — (7,920)Purchase ofcertificate ofdeposit — (225) — — — (225)Proceeds fromdividend — 2,949 — — (2,949) — Cashprovidedby (usedin)investingactivities — (4,629) — (567) (2,949) (8,145) Cash flowsfromfinancingactivities Payments onnote payable — (1,530) — — — (1,530)Payments ofdeferredfinancingcosts — (442) — — — (442)Due fromparent — (67) — — — (67)Payment ofdividend — — — (10,823) 10,823 — Cash usedin138financingactivities — (2,039) — (10,823) 10,823 (2,039) Effect offoreignexchangerate on cash — — — 649 — 649 Decrease incash andcashequivalents — (2,839) — (6,173) — (9,012)Cash and cashequivalents,beginning ofyear — 20,474 — 20,133 — 40,607 Cash and cashequivalents,end of year $— $17,635 $— $13,960 $— $31,595 Table of ContentsLantheus MI Intermediate, Inc. and subsidiariesNotes to Consolidated Financial Statements (Continued)20. Guarantor Financial Information (Continued)Condensed Consolidating Cash Flow Information Year Ended December 31, 2011 LantheusIntermediate LMI GuarantorSubsidiary Non-GuarantorSubsidiaries Eliminations Total Cashprovidedbyoperatingactivities $600 $15,409 $— $7,011 $(600)$22,420 Cash flowsfrominvestingactivities Capitalexpenditures — (7,023) — (671) — (7,694)Proceeds fromdividend 149,400 — — — (149,400) — Cashprovidedby (usedin)investingactivities 149,400 (7,023) — (671) (149,400) (7,694) Cash flowsfromfinancingactivities Proceeds fromissuance ofdebt — 152,250 — — — 152,250 Consentsolicitationfee — (3,750) — — — (3,750)Payments ofdeferredfinancingcosts — (5,491) — — — (5,491)Proceeds fromline of credit — 10,000 — — — 10,000 Payments online of credit — (10,000) — — — (10,000)Payment of139dividend (150,000) (150,000) — — 150,000 (150,000) Cash usedinfinancingactivities (150,000) (6,991) — — 150,000 (6,991) Effect offoreignexchangerate on cash — — — (134) — (134) Increase incash andcashequivalents — 1,395 — 6,206 — 7,601 Cash and cashequivalents,beginning ofyear — 19,079 — 13,927 — 33,006 Cash and cashequivalents,end of year $— $20,474 $— $20,133 $— $40,607 Table of ContentsItem 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure Not applicable.Item 9A. Controls and Procedures Disclosure Controls and Procedures Under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, weconducted an evaluation of our disclosure controls and procedures, as such term is defined under Rule 13a-15(e) or 15d-15(e) promulgated under theSecurities Exchange Act of 1934, as amended (the "Exchange Act"). Based on this evaluation, our principal executive officer and our principal financialofficer concluded that our disclosure controls and procedures were effective as of the end of the period covered by this report.Management's Annual Report on Internal Control Over Financial Reporting Our management, with the participation of our principal executive officer and principal financial officer, is responsible for establishing andmaintaining adequate internal control over financial reporting as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act. Our internal controlsystem is designed to provide reasonable assurance to our management and Board of Directors regarding the preparation and fair presentation ofpublished financial statements. Our management assessed the effectiveness of our internal control over financial reporting as of December 31, 2013. In making its assessment ofinternal control over financial reporting, our management used the criteria set forth by the Committee of Sponsoring Organizations of the TreadwayCommission in Internal Control—Integrated Framework (1992). Based on this assessment, management concluded that, as of December 31, 2013, ourinternal control over financial reporting is effective. We do not include an attestation report of our independent registered public accounting firm regarding internal control over financial reporting inthis annual report. Our report was not subject to attestation by the Company's independent registered public accounting firm pursuant to the Dodd-FrankWall Street Reform and Consumer Protection Act signed into law on July 21, 2010 ("Dodd-Frank"). Dodd-Frank provides a permanent exemptionfrom the requirements of Section 404(b) of the Sarbanes-Oxley Act of 2002 for those entities that are neither large accelerated filers nor acceleratedfilers. As a result, we were not required to have our independent registered public accounting firm attest to, and report on, internal controls overfinancial reporting.Changes in Internal Control Over Financial Reporting There have been no changes during the quarter ended December 31, 2013 in our internal control over financial reporting (as defined in Rule 13a-15(f) promulgated under the Exchange Act) that have materially affected, or are reasonably likely to materially affect, our internal control over financialreporting.Item 9B. Other Information None.140Table of ContentsPART III All information contained in Part III is included in this annual report and not incorporated by reference because we do not have any public equitythat requires us to file a definitive proxy statement.Item 10. Directors, Executive Officers and Corporate Governance The following table sets forth the names, ages and positions of the executive officers and directors of Holdings and other key employees ofLantheus, as of March 11, 2014. Holdings is our ultimate parent company, and the Board of Directors of Holdings is the primary board that takes actionwith respect to our business and strategic planning. Set forth below is a description of the business experience of the foregoing persons. Brian. A. Markison is the Non-Executive Chairman of the Board of Directors of Holdings, Lantheus Intermediate and LMI. Mr. Markison joinedthe Board of Holdings in September 2012 and was elevated to Chairman in January 2013. Mr. Markison has been a Healthcare Industry Executive forAvista since September 2012. Mr. Markison is a seasoned executive with more than 30 years of operational, marketing, commercial development andsales experience with international pharmaceutical companies. He most recently held the position of President and Chief Executive Officer and memberof the Board of Directors of Fougera Pharmaceuticals Inc., a specialty pharmaceutical company in dermatology, prior to its sale to Sandoz, the genericsdivision of Novartis AG. Before leading Fougera, Mr. Markison was Chairman and Chief Executive Officer of King Pharmaceuticals, which he joinedas Chief Operating Officer in March 2004, and was promoted to President and CEO later that year, and elected Chairman in 2007. Prior to joining King,Mr. Markison held various senior leadership positions at Bristol-Myers Squibb, including President of Oncology, Virology and Oncology TherapeuticsNetwork; President of Neuroscience, Infectious Disease and Dermatology; and Senior Vice President, Operational Excellence and Productivity.Mr. Markison also serves on the Board of Directors of Immunomedics, Inc., PharmAthene, Inc. and Rosetta Genomics, Ltd., where he also serves asBoard Chairman. He is also a Director of the Komen Foundation for South / Central New Jersey, the College of New Jersey and the PenningtonSchool. Mr. Markison holds a BS degree from Iona College. Mr. Markison was chosen as a Director because of his strong commercial and operationalmanagement background and extensive experience in the pharmaceutical industry. Jeffrey Bailey became our new President and Chief Executive Officer effective January 23, 2013 and is a Director of Holdings, LantheusIntermediate and LMI. Mr. Bailey has more than 26 years of141Name Age PositionBrian Markison 53 Director and Non-Executive Chairman of the BoardJeffrey Bailey 51 Director, President and Chief Executive OfficerJohn Golubieski 48 Interim Chief Financial OfficerWilliam Dawes 42 Vice President, Manufacturing and OperationsMichael Duffy 53 Vice President, General Counsel and SecretaryMary Anne Heino 54 Chief Commercial OfficerMichael Heslop 54 Vice President, Business Development and Strategic PlanningCesare Orlandi 63 Chief Medical OfficerSimon Robinson 54 Vice President, Research and Pharmaceutical DevelopmentCyrille Villeneuve 62 Vice President, InternationalNigel Williams 54 Vice President, QualityDavid Burgstahler 45 DirectorSamuel Leno 68 DirectorPatrick O'Neill 64 DirectorSriram Venkataraman 41 DirectorTable of Contentsdiverse pharmaceutical leadership experience across multiple functions, including sales, marketing, manufacturing, supply chain and operations. Prior tojoining Lantheus, Mr. Bailey served from July 2011 to August 2012 as Chief Operating Officer and a member of the Executive Committee of FougeraPharmaceuticals, Inc. prior to its sale to Sandoz. Before joining Fougera, from April 2010 to June 2011, Mr. Bailey served as the Chief CommercialOfficer of King-Pfizer Pharmaceuticals. From January 2008 to April 2010, he worked with Novartis Pharmaceuticals as President and GeneralManager of the Northwest Operating Unit, and from June 1984 to June 2006 he served in several roles with increasing responsibilities acrossmanufacturing operations, commercial operations and general management at the Johnson & Johnson Family of Companies. Mr. Bailey holds aBachelor of Arts in Business from Rutgers University. Mr. Bailey was chosen to serve as a Director because of his extensive experience in thehealthcare industry in senior commercial and operating positions. As our President and Chief Executive Officer and the only management representativeon our Board of Directors, Mr. Bailey has significant knowledge of the pharmaceutical industry and provides valuable insight into a variety of businessissues and challenges we face. John Golubieski has served as our Interim Chief Financial Officer since August 2013. Mr. Golubieski has more than 25 years of diverse financialleadership experience in the pharmaceutical industry. Prior to joining Lantheus, Mr. Golubieski served from July 2011 to October 2012 as ChiefFinancial Officer and a member of the Executive Committee of Fougera Pharmaceuticals, Inc. prior to its sale to Sandoz. Before joining Fougera, fromOctober 2005 to June 2011, Mr. Golubieski held the role of Vice President Financial Planning & Analysis at King-Pfizer Pharmaceuticals. FromSeptember 2000 to October 2005, he worked with Bristol Meyers Squibb as Senior Director—Strategic Analysis of the Worldwide Medicines Groupafter serving in several roles with increasing responsibilities in finance from August 1989 to September 2000. Mr. Golubieski began his career withPrice Waterhouse. Mr. Golubieski holds a Bachelor's degree in Commerce and a Masters of Business Administration from Rider University. He is alsoa Certified Public Accountant for the State of New Jersey. William Dawes is our Vice President, Manufacturing and Operations since November 2010. Mr. Dawes held the position of Vice President,Manufacturing & Supply Chain from January 2008 to November 2010. From 2005 to 2008, Mr. Dawes served as General Manager, Medical ImagingTechnical Operations, Interim General Manager, Medical Imaging Technical Operations, and Director, Engineering and Maintenance for BMSMI.Mr. Dawes began his career with DuPont Merck Pharmaceuticals. He holds a Bachelor's degree in Engineering from Hofstra University. Michael Duffy is our Vice President, General Counsel and Secretary, a position he has held since January 2008. From 2002 to 2008, he served asSenior Vice President, General Counsel and Secretary of Point Therapeutics, Inc., a Boston-based biopharmaceutical company. Between 1999 and2001, Mr. Duffy served as Senior Vice President, General Counsel and Secretary of Digital Broadband Communications, Inc., a competitive localexchange carrier which filed for protection under Chapter 11 of the United States Bankruptcy Code in December 2000. After the filing, Mr. Duffyserved as the court-appointed liquidating trustee of the bankruptcy estate. From 1996 to 1999, Mr. Duffy served as Senior Vice President, GeneralCounsel and Secretary of ETC w/tci, a sub-portfolio of TCI Ventures, Inc./Liberty Media Corporation. Mr. Duffy began his legal career with the lawfirm Ropes & Gray and holds law degrees from the University of Pennsylvania and Oxford University and a Bachelor's degree in History of Sciencefrom Harvard College. Mr. Duffy is also the current Chairman of the Board of Directors of CORAR, the Council on Radionuclides andRadiopharmaceuticals, a national trade association for the radiopharmaceutical industry. Mary Anne Heino joined Lantheus in April 2013 as Chief Commercial Officer. Ms. Heino brings more than 25 years of diverse pharmaceuticalindustry experience. Prior to joining Lantheus, Ms. Heino led Angelini Labopharm LLC and Labopharm USA in the roles of President and Senior VicePresident of World Wide Sales & Marketing from February 2007 to March 2012. From May 2000 until February 2007, Ms. Heino served in numerouscapacities at Centocor, Inc., a Johnson & Johnson Company,142Table of Contentsincluding Vice President Strategic Planning & Competitive Intelligence, Vice President Sales, Executive Director Customer Relationship Managementand Senior Director Immunology Marketing. Ms. Heino began her professional career with Janssen Pharmaceutical as a Sales Representative in June1989 and worked her way up to the role of Field Sales Director in 1999. Ms. Heino received her Master's in Business Administration from New YorkUniversity. She earned a Bachelor's of Science in Nursing from the City University of New York and a Bachelor's of Science in Biology from the StateUniversity of New York at Stony Brook. Michael Heslop joined Lantheus in June 2012 as our Vice President, International and became our Vice President, Business Development andStrategic Planning in April 2013. Mr. Heslop possesses more than 25 years of general management and commercial experience. Prior to joiningLantheus, Mr. Heslop was General Manager and Senior Vice President, Biosurgical Specialties at Genzyme Corporation from 2009 to 2011. While atGenzyme, Mr. Heslop also held the positions of General Manager and Senior Vice President, Endocrinology from 2003 to 2009, and Vice President,Global Marketing, PGH Business from 2000 to 2003. Previously Mr. Heslop held the positions of Vice President, Business Development at SciptgenPharmaceuticals from 1998 to 2000 and Director, Marketing Anti-Infectives at Glaxo Welcome USA from 1996 to 1998. Mr. Heslop received a B.S.degree in Biology from McGill University and an M.B.A. from Concordia University. Dr. Cesare Orlandi joined Lantheus in March 2013 as Chief Medical Officer. Dr. Orlandi brings more than 20 years of diverse pharmaceuticalindustry experience. Prior to joining Lantheus, Dr. Orlandi served from January 2012 until February 2013 as Senior Vice President and Chief MedicalOfficer of TransTech Pharma, Inc., a clinical stage pharmaceutical company focused on discovery and development of human therapeutics. From 2007until 2011, Dr. Orlandi served as Senior Vice President and Chief Medical Officer of Cardiokine, Inc., a specialty pharmaceutical company developinghospital products for cardiovascular indications. From 1998 until 2007, Dr. Orlandi served, in among other positions, as Vice President, Global ClinicalDevelopment of Otsuka Pharmaceuticals, a large Japanese pharmaceutical company. Earlier in his career, Dr. Orlandi served in increasing roles ofclinical research responsibility at Medco Research, Inc. and the Radiopharmaceutical Division of The DuPont Merck Pharmaceutical Company, apredecessor organization to Lantheus, and The Upjohn Company. Dr. Orlandi received his medical degree from the University of Pavia Medical Schoolin Pavia, Italy. He is currently an Adjunct Assistant Professor of Medicine at Tufts University School of Medicine in Boston, Massachusetts, and he isa founding member of the American Society of Nuclear Cardiology, and a Fellow of the American College of Cardiology, the European Society ofCardiology and the American College of Angiology. Dr. Simon Robinson is our Vice President, Research and Pharmaceutical Development, a position he has held since February 2010. Dr. Robinsonwas our Senior Director Discovery Research from 2008 to 2010 and our Director Discovery Biology and Veterinary Sciences from 2001 to 2008. Priorto joining us, he held research positions at BMS, Sphinx Pharmaceuticals, BASF and Dupont Pharmaceuticals. He holds a Ph.D. and B.Sc. inPharmacology from the University of Leeds, England and did post-doctoral training at the University of Wisconsin Clinical Cancer Center. Cyrille Villeneuve was our Chief Commercial Officer from October 2011 to April 2013, and he currently serves as our Vice President,International, responsible for global sales and marketing. Previously, Mr. Villeneuve was our Vice President and General Manager, International, aposition he held since November 2008. Prior to joining us in 1985, Mr. Villeneuve held positions at the Montreal Heart Institute and Hospital Hotel-Dieu Montreal. He holds a Bachelor of Arts from Montreal University and a Master of Public Administration from the Ecole Nationale AdministrationPublique. Nigel Williams joined Lantheus Medical Imaging in April 2012 as Vice President, Quality. Mr. Williams brings more than 30 years of industryexperience in manufacturing, quality and supply of a wide range of healthcare and diagnostic products. Prior to joining Lantheus, Mr. Williams servedas143Table of ContentsHead of Quality for Merck KGaA Chemicals Operations from 2001- 2012, Vice President, Quality Management at EMD Millipore from 2009 - 2011and Director of Manufacturing for Millipore Corporation from 2006 to 2009. He held the roles of Site General Manager from 2005 to 2006 andDirector of operations from 2004 to 2005 for Celliance Limited. Mr. Williams received a B.S. honors degree in Applied Biology from BrunelUniversity. David Burgstahler is a Director of Holdings, Lantheus Intermediate and LMI and the Chairman of our Compensation Committee, serving on ourBoard of Directors of each entity since January 2008. He is a founding partner of Avista since 2005 and since 2009, has been President of Avista. Priorto forming Avista, he was a partner of DLJMB. He was at DLJ Investment Banking from 1995 to 1997 and at DLJMB from 1997 through 2005. Priorto that, he worked at Andersen Consulting (now known as Accenture) and McDonnell Douglas (now known as Boeing). He holds a Bachelor ofScience in Aerospace Engineering from the University of Kansas and a Master of Business Administration from Harvard Business School. Hecurrently serves as a Director of AngioDynamics Inc. (NASDAQ: ANGO), Armored AutoGroup Inc., ConvaTec Inc., INC Research Holdings, Inc.,Strategic Partners, Inc., Visant Corporation and WideOpenWest, LLC. He previously served as a Director of Warner Chilcott plc (NASDAQ: WCRX)and BioReliance Holdings, Inc. Mr. Burgstahler was chosen as a Director because of his strong finance and management background, with over18 years in banking and private equity finance. He has extensive experience serving as a director for a diverse group of private and public companies. Samuel Leno is a Director of Holdings, Lantheus Intermediate and LMI and the Chairman of our Audit Committee, serving on the Board ofDirectors of Holdings since May 2012. Mr. Leno is a strategic executive with more than 40 years of experience with complex multinational companies.He most recently held the positions of Executive Vice President and Chief Operations Officer at Boston Scientific. He previously served as ExecutiveVice President, Finance and Information Systems and Chief Financial Officer. He retired from Boston Scientific in December 2011. Prior to joiningBoston Scientific, Mr. Leno served as Executive Vice President, Finance and Corporate Services and Chief Financial Officer at Zimmer Holdings, Inc.and Chief Financial Officer positions at Arrow Electronics, Inc., Corporate Express, Inc. and Coram Healthcare. Previously, he held a variety of seniorfinancial positions at Baxter International, Inc. and American Hospital Supply Corporation. He is a member of the Board of Directors and the AuditCommittee of Omnicare, is the Chairman of the Board of Zest Anchors, Inc. and serves as a Director of Endotronix. He is also a member of theAdvisory Board of the Harvard Business School Healthcare Initiative. He previously served on the Board and Audit Committee of Tomotherapy, Inc.Mr. Leno served as a Lieutenant in the United States Navy and is a Vietnam veteran. He holds a Bachelor of Science in Accounting from NorthernIllinois University and an MBA from Roosevelt University. Mr. Leno was chosen as a Director because of his finance expertise and industrybackground. Dr. Patrick O'Neill is a Director of Holdings, Lantheus Intermediate and LMI, serving on the Board of Directors of Holdings since February2008. He is also an industry advisor for Avista, a position he has held since 2008. Dr. O'Neill was at Johnson & Johnson from 1976 to 2006, holdingResearch and Development and New Business Development leadership positions in Johnson & Johnson's pharmaceutical business, their MedicalDevices and Diagnostics Group, and the surgical and interventional cardiology/radiology business units until he retired in February 2006. He served asExecutive in Residence at New Enterprise Associates from March 2006 through 2007. Dr. O'Neill holds a Bachelor of Science in Pharmacy and Ph.D.in Pharmacology from Ohio State University. He currently serves as Director of OptiNose US Inc. and Zest Anchors, Inc. Dr. O'Neill was chosen as aDirector because of his experience in the pharmaceutical industry. Dr. O'Neill has participated directly in the development of pharmaceutical productsfor other companies, which provides valuable insight into strategic business decisions.144Table of Contents Sriram Venkataraman is a Director of Holdings, Lantheus Intermediate and LMI, serving on the Board of Directors of Holdings since November2010. He is also a Partner of Avista, having joined in May 2007. Prior to joining Avista, Mr. Venkataraman was a Vice President in the HealthcareInvestment Banking group at Credit Suisse Group AG from 2001 to 2007. Previously, he worked at GE Healthcare (formerly known as GE MedicalSystems) from 1996 to 1999. Mr. Venkataraman holds a Master of Science in Electrical Engineering from the University of Illinois, Urbana-Champaign and a Master of Business Administration with Honors from The Wharton School. He currently serves as a Director ofAngioDynamics, Inc. (Nasdaq: ANGO), OptiNose Inc., Zest Anchors, Inc. and Vertical / Trigen Holdings, LLC Mr. Venkataraman was chosen as aDirector because of his experience in the healthcare industry and his strong finance and management background. He also has experience serving as adirector of private and public companies.Former Executives included in our Named Executive Officers Don Kiepert was our President and Chief Executive Officer, a position he held from January 2008 to January 2013. He was also a Director ofHoldings, Lantheus Intermediate and LMI, serving from January 2008 to January 2013. Mr. Kiepert ceased being our President and Chief ExecutiveOfficer effective January 23, 2013 (see "Item 11—Executive Compensation—Potential Payment Upon Termination or Change of Control—Employment Agreements and Arrangements" for additional details). Jeffrey Young was our Chief Financial Officer, a position he held from January 2012 to August 2013. Mr. Young resigned as Chief FinancialOfficer effective August 9, 2013.Board of Directors The Board of Directors is responsible for the management of our business. The Board of Directors is comprised of six directors. Directors whoare elected annually serve in their position until their next election and until their successors are elected and qualified. Pursuant to the management andemployee Shareholders Agreements described in "Item 13—Certain Relationships and Related Transactions, and Director Independence—Transactionswith Related Persons—Shareholders Agreement," Avista has designation rights with respect to the composition of the Holdings board of directors andAvista is entitled to majority representation on any committee that the Board creates. Messrs. Pickering, Kiepert, Burgstahler, O'Neill and Venkataramanwere appointed pursuant to these agreements. Mr. Larry Pickering, our former Chairman retired from the Board in September 2012. Mr. DonaldKiepert, our former President and CEO, resigned from the Board in January 2013. Messrs. Markison, Leno and Bailey were appointed to the Board inSeptember 2012, May 2012 and January 2013, respectively. Although not formally considered by the Board of Directors of Holdings because our securities are not registered or traded on any nationalsecurities exchange, we believe that Mr. Markison, Mr. Leno and Dr. O'Neill would be considered independent for our Board of Directors and thatMr. Leno would be considered independent for our Audit Committee and that Mr. Markison would be considered independent for our CompensationCommittee based upon the listing standards of the New York Stock Exchange.Board Committees The Audit Committee of Holdings is composed of Messrs. Leno and Venkataraman. Mr. Leno, the Chairman of the Audit Committee, has beendesignated by the Board of Directors of Holdings as our "audit committee financial expert." The Compensation Committee of Holdings is composed ofMessrs. Burgstahler and Markison. Additionally, because we are a closely-held company with no public trading market for our common stock, theBoard of Directors has not deemed it necessary for us to145Table of Contentshave a standing nominating committee or committee performing a similar function. Presently, all directors participate in the consideration of directornominees.Code of Ethics We have a code of conduct and ethics for all of our employees, including our principal executive, financial and accounting officers and ourcontroller, or persons performing similar functions, and each of the non-employee directors on our Board of Directors. Our Company Code of Conductis currently available on our website, www.lantheus.com. The information on our web site is not part of, and is not incorporated into, this annual report.We intend to provide any required disclosure of any amendment to or waiver from such code that applies to our principal executive officer, principalfinancial officer, principal accounting officer or controller, or persons performing similar functions, in a Current Report on Form 8-K filed with theCommission.Item 11. Executive Compensation Compensation Discussion and Analysis The Compensation Committee is generally charged with the oversight of our executive compensation program. The Compensation Committee iscomposed of Messrs. Burgstahler and Markison. Responsibilities of the Compensation Committee include the review and approval of the followingitems:•executive compensation strategy and philosophy; •compensation arrangements for executive management; •design and administration of the annual incentive plan; •design and administration of our equity incentive plans; •executive benefits; and •any other compensation or benefits related items deemed appropriate by the Compensation Committee. In addition, the Compensation Committee considers the proper alignment of executive pay with our values and strategy by overseeing executivecompensation policies, measuring and assessing corporate performance and taking into account our Chief Executive Officer's performance assessmentof the Company. The Compensation Committee engaged the services of an independent compensation consultant, Pearl Meyers & Partners, to assist in the strategicreview of programs and arrangements relating to executive compensation and performance. The following executive compensation discussion and analysis describes the principles underlying our executive compensation policies anddecisions including material elements of compensation for our named executive officers. Our named executive officers for 2013 were:•Jeffrey Bailey, President and Chief Executive Officer; •John Golubieski, Interim Chief Financial Officer; •Mary Anne Heino, Chief Commercial Officer; •Cesare Orlandi, Chief Medical Officer; •Michael Duffy, Vice President, General Counsel and Secretary; •Donald Kiepert, (former) President and Chief Executive Officer; and •Jeffrey Young, (former) Chief Financial Officer and Treasurer. As discussed in more detail below, the material elements and structure of our executive compensation program were negotiated and determined inconnection with the Acquisition.146Table of ContentsCompensation Philosophy and Objectives The core philosophy of our executive compensation program is to support our primary objective of providing innovative medical imaging solutionsto improve the treatment of human disease while enhancing our long-term value to our stockholders. Specifically, the Compensation Committee believes the most effective executive compensation program for all executives, including namedexecutive officers:•reinforces our strategic initiatives; •aligns the economic interests of our executives with those of our stockholders; and •encourages attraction and long-term retention of key contributors. The Compensation Committee considers the following factors when determining compensation for our executive officers, including our namedexecutive officers:•the executive's individual performance during the year; •his or her projected role and responsibilities for the coming year; •his or her actual and potential impact on the successful execution of our strategy; •recommendations from our President and Chief Executive Officer and any independent compensation consultants, if used; •an officer's prior compensation, experience, and professional status; •the requirements of any applicable employment agreements; •relative pay among the executive officers; and •employment market conditions and compensation practices within our peer group. The weighting of these and other relevant factors is determined on an individual basis for each executive upon consideration of the relevant factsand circumstances. The Compensation Committee is committed to a strong, positive link between our objectives and our compensation practices. Our compensationphilosophy also allows for flexibility in establishing executive compensation based on an evaluation of information prepared by management or otheradvisors and other objective and subjective considerations deemed appropriate by the Compensation Committee, subject to any contractual agreementswith our executives. This flexibility is important to ensure our compensation programs are competitive and that our compensation decisionsappropriately reflect the unique contributions and characteristics of the Company executive officers.Compensation Benchmarking The Compensation Committee ensures executives' pay levels are materially consistent with our compensation philosophy and objectives describedabove by conducting annual assessments of competitive executive compensation. We utilize data from publicly traded, similarly-sized pharmaceutical,biopharmaceutical and other life science companies as our primary source for competitive pay levels. However, the Compensation Committee does notsupport rigid adherence to benchmarks or compensatory formulas and strives to make compensation decisions which effectively support ourcompensation objectives and reflect the unique attributes of the Company and each executive. For 2013 compensation for our executive officers, including our named executive officers, the Compensation Committee reviewed executivecompensation data provided by Radford Life Sciences Survey, a nationally recognized survey source. The Compensation Committee looked atcompensation147Table of Contentsdata for life sciences companies, which most closely approximated our size, and, to the extent possible, had comparable position matches andcompensation components. For 2013 compensation for our President and Chief Executive Officer, data was also collected from a review of the following industry peers: Acorda Therapeutics, Analogic, AngioDynamics, ArthroCare, Auxilium Pharmaceuticals, Greatbatch, Hi Tech Pharmaceuticals, ICU Medical,Impax Laboratories, Integra LifeSciences, Masimo, The Medicines Company, Merit Medical Systems, Myriad Genetics, Nordion, NuVasive,Symmetry Medical, Thoratec, ViroPharma and Volcano. The data used was from the most recent proxy available as of July 2012. This peer group hadmean revenue of $418 million and a mean enterprise value of $910 million. This peer group selection included 20 life science and specialtypharmaceutical companies. It was selected to best reflect similarly-sized companies in our industry with mature products and full field sales operations.Employment Agreements The Compensation Committee determined that it was appropriate to enter into employment agreements with each of our named executive officers.Among other things, these agreements set the executives' compensation terms, their rights upon a termination of employment, and restrictive covenantsrelating to non-competition, non-solicitation, and confidentiality. See "—Potential Payment Upon Termination or Change of Control—EmploymentAgreements and Arrangements."Mr. Golubieski's Consulting Agreement Mr. Golubieski has a consulting agreement with us which provides that he will serve as our interim Chief Financial Officer on a month-to-monthbasis unless otherwise terminated by the parties. His compensation is $25,000 per month plus reimbursement for reasonable and necessary travelexpenses. Either party may terminate the agreement on 10 days written notice. Mr. Golubieski will also be paid a bonus, as determined by theCompensation Committee, in recognition of his contribution as interim Chief Financial Officer in 2013.Elements of Compensation Our compensation program is heavily weighted towards performance-based compensation, reflecting our philosophy of increasing our long-termvalue and supporting strategic imperatives, as discussed above. Total compensation and other benefits consist of the following elements:•base salary; •annual non-equity incentive compensation; and •long-term equity incentives in the form of stock options. We do not offer a defined benefit pension plan. The Compensation Committee supports a competitive employee benefit package, but does notsupport executive perquisites or other supplemental programs targeted to executives.Base Salary Base salaries are intended to provide reasonable and competitive fixed compensation for regular job duties. In 2013, the Compensation Committeeapproved adjustments to Messrs. Duffy's and Young's respective salaries to $315,000 in recognition of their performance and roles within theCompany. The base salaries of Messrs. Bailey, Ms. Heino and Dr. Orlandi were negotiated as part of their employment offers and were deemed to be inline with our assessment of competitive salaries for their respective roles. Mr. Golubieski does not receive a salary in his capacity of a consultant to the148Table of Contentscompany (see Mr. Golubieski's Consulting Agreement above). Mr. Kiepert did not receive a salary increase in 2013. Our general practice with respect to cash compensation is that executive base salaries and annual cash incentive compensation values shouldgenerally position total annual cash compensation at or below market median of similarly-sized life science companies. See "—CompensationDiscussion and Analysis—Compensation Benchmarking." Cash compensation is generally between the 25th percentile and the median relative to ourpeers. As of December 31, 2013, the base salaries of Messrs. Bailey, Golubieski, Ms. Heino, Dr. Orlandi, and Duffy, were as follows:Annual Cash Incentive Compensation Our 2013 Executive Leadership Team Incentive Bonus Plan (the "Bonus Plan") was intended to reward executive officers, including our namedexecutive officers, except for our interim Chief Financial Officer Mr. Golubieski, for annual financial performance, performance of other corporategoals that may be long-term in nature and meeting or exceeding certain short-term objectives. Cash incentive compensation under the Bonus Plan is subject to the achievement of a certain EBITDA target. For purposes of the Bonus Plan, weutilize management EBITDA, see "Item 6—Selected Financial Data—Non-GAAP Financial Measures" for the calculation of EBITDA as defined in theaward agreements. The Bonus Plan provides for adjustments to the EBITDA targets by the Compensation Committee for extraordinary and unforeseenevents. The Compensation Committee chose two primary performance measures from which to structure annual incentives: EBITDA weighted 75% andGAAP cash, net of line of credit ("GAAP Cash") weighted 25%. EBITDA was selected as the primary metric for a number of reasons:•it effectively measures our overall performance; •it can be considered an important surrogate for cash flow, a critical metric related to servicing our outstanding debt; •it is a key metric driving our valuation, consistent with the valuation approach used by industry analysts; and •it is consistent with the metric used for the vesting of the financial performance portion of our option grants. These EBITDA targets should not be understood as management's predictions of future performance or other guidance, and investors should notapply these in any other context. EBITDA targets were linked to our short-term and long-term business objectives to ensure incentives are provided forappropriate performance.149Name BaseSalary Jeffrey Bailey $450,000 John Golubieski $— Mary Anne Heino $340,000 Cesare Orlandi $365,000 Michael Duffy $315,000 Don Kiepert (former President and CEO) $— Jeffrey Young (former CFO) $— Table of Contents The year-end GAAP Cash position of the company was selected as the second performance as it provided executive focus on the liquidity of thecompany and the goal of minimizing the utilization of credit for ongoing operations. The Compensation Committee believes our cash incentive compensation structure is consistent with competitive practice. The potential bonus payouts under various scenarios in 2013 for our named executive officers were as follows: For our participating named executives, pursuant to their employment agreements, payout of the target level bonus was tied to the achievement ofthe EBITDA target, GAAP Cash and other corporate performance goals established by the Compensation Committee. Pursuant to the Bonus Plan, payout of the target level bonus for our other named executive officers was tied to the achievement of the EBITDAtarget, GAAP Cash and the achievement of certain department performance and individual performance goals. The achievement of the EBITDA targetaccounts for 75% of the total bonus award and GAAP Cash accounts for the remaining 25%. The achievement of department performance andindividual performance goals is applied as a multiplier. Department performance goals are recommended and approved by our Chief Executive Officerat the start of each year. Achievement of individual performance goals are assessed by our Chief Executive Officer at the end of each year. These targetswere intended to provide a meaningful incentive for executives to achieve or exceed performance goals. If we did not meet the threshold of 90% of the EBITDA target of $45.0 million, no bonus would be awarded under the plan. If we achieve thestretch goals above the EBITDA and GAAP Cash targets established for the year, each participating named executive offer would be eligible foradditional payout above their target bonus subject to the application of their individual performance multiplier. Our EBITDA and GAAP Cash targets relative to the Bonus Plan for the fiscal year ended December 31, 2013 was established at $49.5 millionand $3.8 million, respectively. In the fiscal year ended December 31, 2013, our Adjusted EBITDA and GAAP Cash were approximately $47.2 millionand $8.7 million, respectively. For Mr. Bailey in 2013, performance goals included: in addition to our EBITDA and GAAP Cash goals: driving revenue from DEFINITY andthe nuclear product portfolio; responding to the supply challenge presented by the shutdown of the BVL facilities; implementing a revised research and150Named Executive Officer Threshold Bonus(1)(as % of Base Salary) Target Bonus(as % of Base Salary) Above Target Bonus(as % of Base Salary) Jeffrey Bailey 50% 100% 180%John Golubieski(2) N/A N/A N/A Mary Anne Heino 22.5% 45% 81%Cesare Orlandi 20% 40% 72%Michael Duffy 20% 40% 72%Don Kiepert(2) N/A N/A N/A Jeffrey Young(2) N/A N/A N/A (1)Assuming that the EBITDA and GAAP Cash thresholds were achieved and the named executive achieved his/her departmentand individual performance goals. (2)Mr. Golubieski was not eligible for a bonus under the Bonus Plan in 2013. Mr. Kiepert ceased being our President and ChiefExecutive Officer effective January 23, 2013 and was not eligible for a bonus in 2013. Mr. Young resigned as Chief FinancialOfficer effective August 9, 2013 and was not eligible for a bonus in 2013.Table of Contentsdevelopment strategy to focus on advancing flupiridaz F 18 in Phase 3; achieving certain project milestones toward expanding the International businessinto China; and developing a five year operating plan for improved profitability and growth. For Ms. Heino, performance goals included: achieving global revenue targets; revenue targets for select products and markets; translatingunderperforming assets into value contributors; and increasing the focus on metrics and accountability within the Commercial organization. For Dr. Orlandi, performance goals included: completion of the flurpiridaz 301 clinical trial; oversight of medical affairs and pharmacovigilancesupport to commercial operations; and clinical development and regulatory affairs support to advance DEFINITY in China, Luminity in Europe andmanufacturing tech transfer activities in the United States. For Mr. Duffy, performance goals included: successfully negotiating and closing key agreements; partnering with various functional areas toachieve corporate goals; advancing the Zurich litigation to optimize our potential recovery; managing the global intellectual property portfolio; andmanaging all legal aspects of any potential strategic transaction. The Compensation Committee reviewed each executive's performance relative to the goals set forth above and recognized significant achievementsand attainment of most individual objectives. The Compensation Committee concluded that cash incentives should be paid as detailed in the SummaryCompensation Table for each participating executive.Long-Term Equity Incentive Awards In connection with the Acquisition, the Board of Directors approved and adopted the Lantheus MI Holdings, Inc. 2008 Equity Incentive Plan andthe Lantheus MI Holdings, Inc. 2013 Equity Incentive Plan, or the Equity Plans, which allow grants of equity awards and options for shares ofHoldings. The purpose of the Equity Plans are to:•promote our long-term financial interests and growth by attracting and retaining management and other personnel and key serviceproviders with the training, experience and abilities to enable them to make substantial contributions to the success of our business; •motivate management personnel by means of growth-related incentives to achieve long range goals; and •further the alignment of interests of participants with those of our stockholders through opportunities for increased stock or stock-basedownership in us. We look at competitive long-term equity incentive award values when assessing our compensation programs, as described above under "—Compensation Discussion and Analysis—Compensation Benchmarking". In the five year period following the Acquisition, we issued large upfrontstock option grants that vested over time and with the achievement of certain performance goals in lieu of annual grants. In 2013, we determined that itwas appropriate to provide supplemental merit grants to improve our competitive position. The Compensation Committee believes these stock optiongrants establish performance objectives and incentives and help align our executives' interests with the interests of the stockholders in fostering long-term value. The options have an exercise price equal to fair market value on the date of grant. Since our common stock is not currently traded on a nationalsecurities exchange, fair market value is determined reasonably and in good faith by the Board of Directors. These options have a ten-year term. Options are generally issued either as time based options, or the Time Vesting Options or EBITDA-based performance options, or thePerformance Vesting Options.151Table of Contents The Performance Vesting Options are intended to motivate financial performance in line with investors' outlook for performance during our firstfive years. We chose EBITDA as the performance metric since it is a key driver of our valuation and for the reasons described above in "Annual CashIncentive Compensation." EBITDA is defined in the award agreements as the sum of net income (or loss) of the business or entity for such period; plusinterest expense, income taxes, depreciation expenses, amortization expenses, all fees paid by us or any of our subsidiaries pursuant to the AdvisoryServices Agreements with Avista, dated as of January 8, 2008, non-recurring expenses for executive severance, relocation, recruiting and one-timecompensation, the aggregate amount of all other non-cash charges reducing net income including stock-based compensation expense, retention bonusespaid in fiscal year 2008; all extraordinary losses; less all extraordinary gains in each case determined in accordance with GAAP. The Time Vesting Options are also granted to align our executives with factors that drive the valuation of the Company and to aid in their long-term retention. The combination of time and performance-based vesting of these awards is designed to compensate our executive officers, including ournamed executive officers, for their long-term commitment to us. All of our stock options are issued with provisions that join the optionees to the Lantheus Shareholder Agreement in the event of an exercise oftheir options. The provisions for control, forfeiture and ownership of the Shareholder Agreements are designed to help ensure that the investors havereceived an appropriate return on their invested capital before executive officers receive significant value from these options. In 2013, the options granted to Mr. Bailey in conjunction with his employment offer are 50% Time Vesting Options and 50% EBITDA-basedperformance options. Mr. Bailey's Time Vesting Options vest ratably each month over a four year period from his date of hire; the options granted toMs. Heino and Dr. Orlandi in conjunction with their employment offers vest ratably on the anniversary of grant date over a four year period; 50% areTime Vesting Options and 50% are EBITDA-based performance options. In 2013, the supplemental options granted to Mr. Duffy and Dr. Orlandi were 100% Time Vesting Options which will vest ratably on theanniversary of grant date over a four year period. The EBITDA targets can be adjusted by the Board of Directors in consultation with our Chief Executive Officer as described below. Due to the number of events that can occur within our industry in any given year that are beyond the control of management but may significantlyimpact EBITDA and our financial performance, such as significant fluctuations in the cost of raw materials and unit sales volume, and regulatory andreimbursement changes, we have incorporated certain vesting provisions into each stock option grant agreement that allow such Performance VestingOptions to vest later than the date specified. Performance Vesting Options that were eligible to vest but failed to vest due to our failure to achieve anEBITDA target in any given year may vest if we exceed the annual EBITDA target in a subsequent year. Consistent with the EBITDA targets under the Bonus Plan, pursuant to the terms of the 2008 and 2013 Equity Plans and the individual StockOption Agreements governing each option grant, the Board of Directors, in consultation with our Chief Executive Officer, has the ability to adjust theEBITDA targets for significant events, changes in accounting rules and other customary adjustment events. We believe these adjustments may benecessary in order to effectuate the intents and purposes of our compensation plans and to avoid unintended consequences that are inconsistent withthese intents and152Table of Contentspurposes. If our EBITDA is below the EBITDA target but is equal to at least 90% of the EBITDA target, then a percentage of the Performance VestingOptions vests in that year, calculated as follows: Our EBITDA target relative to performance vesting of options in 2013 was $49.5 million. In the fiscal year ended December 31, 2013, our actualEBITDA relative to performance vesting of options in 2013 was $46.4 million. As a result, 94% of the Performance Vesting Options vested in 2013. For additional information concerning the options awarded in 2011, 2012 and 2013, see "—2013 Grants of Plan-Based Awards" and "—Outstanding Equity Awards at 2013 Fiscal Year-End."Other BenefitsRetirement Plans We offer a 401(k) qualified defined contribution retirement plan for U.S.-based employees, including named executive officers, with a 4.5%company match of the contributor's base salary. The company match was temporarily suspended from April 2012 to December 2012 and reinstated inJanuary 2013. Mr. Villeneuve participates in deferred profit sharing plan (DPSP) plan in Canada which was funded with a contribution of 2.5% ofeligible pay for 2013.Personal Benefits Except as otherwise discussed herein, other welfare and employee-benefit programs are the same for all of our eligible employees, including ournamed executive officers. Our other named executive officers do not receive additional benefits outside of those offered to our other employees.Ownership Guidelines In the event of exercise of an option grant, the resulting shares are subject to the provisions of the Employee Shareholder Agreement whichrestricts transfer and voting rights to ensure alignment with the initial investors. For example, Employee Shareholders (as defined in the EmployeeShareholder Agreement) are restricted from transferring any of our securities, subject to certain exceptions outlined in the Employee ShareholderAgreement. We do not maintain formal ownership guidelines.Severance and Change in Control Benefits In January 2008, we entered into an employment agreement with Don Kiepert, our former President and Chief Executive Officer, which detailed,among other things, his rights upon a termination of employment in exchange for non-competition, non-solicitation and confidentiality covenants. See "—Potential Payment Upon Termination or Change in Control." We believe that reasonable severance benefits are appropriate in order to be competitive in our executive retention efforts. These benefits reflect thefact that it may be difficult for such executives to find comparable employment within a short period of time. We also believe formalized severancearrangements are at times a competitive requirement to attract the required talent for the role. Mr. Bailey's employment agreement provides for 12 months of salary, bonus and health benefit subsidies in the event of termination by thecompany without cause or by Mr. Bailey with good reason. If his termination under these provisions is within 12 months following a change of control,the153 (Incremental EBITDA over (10% of possible 90% of EBITDA target) (90% of possiblevested Performance × + vested PerformanceVesting Options) (EBITDA target—10% of Vesting Options) EBITDA target) Table of Contentsagreement provides for 12 months of 2 times his salary, 2 times in bonus and 12 months of certain benefit subsidies. See "—Potential Payment UponTermination or Change in Control." All of our other current named executive officers are covered by employment agreements which provide for 12 months of salary, prorated bonusand certain benefit subsidies in the event of termination by the company without cause. If their termination is by the company without cause or by theexecutive for good reason within 12 months following a change of control, the agreements provides for 12 months salary, full target bonus and12 months of certain benefit subsidies. See "—Potential Payment Upon Termination or Change in Control."Tax and Accounting Implications We were not subject to Section 162(m) of the Internal Revenue Code. For 2013 and beyond, the Compensation Committee will consider the impactof Section 162(m) in the design of its compensation strategies. Under Section 162(m), compensation paid to executive officers in excess of $1,000,000cannot be taken by us as a tax deduction unless the compensation qualifies as performance-based compensation. We have determined, however, that wewill not necessarily seek to limit executive compensation to amounts deductible under Section 162(m) if such limitation is not in the best interests of ourstockholders. While considering the tax implications of its compensation decisions, the Compensation Committee believes its primary focus should beto attract, retain and motivate executives and to align the executives' interests with those of our stockholders. The Compensation Committee operates its compensation programs with the good faith intention of complying with Section 409A of the InternalRevenue Code. We account for stock based payments with respect to our long-term equity incentive award programs in accordance with therequirements of ASC 718.Compensation Risk Assessment In consultation with the Compensation Committee, members of Human Resources, Legal and Finance groups conducted an annual assessment ofwhether our compensation policies and practices encourage excessive or inappropriate risk taking by our employees, including employees other than ournamed executive officers. This assessment included a review of the risk characteristics of our business and the design of our incentive plans andpolicies. Although a significant portion of our executive compensation program is performance-based, the Compensation Committee has focused onaligning our compensation policies with our long-term interests and avoiding rewards or incentive structures that could create unnecessary risks to us. Management reported its findings to the Compensation Committee, which agreed with management's assessment that our plans and policies do notencourage excessive or inappropriate risk taking and determined such policies or practices are not reasonably likely to have a material adverse effect onus.154Table of ContentsSummary Compensation Table The following table sets forth certain information with respect to compensation for the years ended December 31, 2013, 2012 and 2011 earned byor paid to our named executive officers.Name and Principal Position Year Salary($) Bonus($)(1) OptionAwards($)(2)(3) Non-EquityIncentive PlanCompensation($)(4) All OtherCompensation($)(5)(6)(7)(8) Total($) Jeffrey Bailey 2013 $401,538 $— $2,440,000 $500,000 $79,281 $3,420,819 President and CEO 20122011 (New hire in 2013) John Golubieski(9) 2013 $— $70,000 $— $— $120,415 $190,415 Interim Chief FinancialOfficer 20122011 (New hire in 2013) Mary Anne Heino 2013 $228,846 $— $312,500 $112,000 $150,432 $803,778 Chief CommercialOfficer 20122011 (New hire in 2013) Cesare Orlandi 2013 $287,787 $30,000 $211,750 $108,000 $9,172 $646,709 Chief Medical Officer 20122011 (New hire in 2013) Michael Duffy 2013 $304,581 $— $177,100 $129,000 $10,876 $621,557 VP, General Counseland Secretary 2012 $268,163 $— $— $— $248,933 $517,096 2011 $278,934 $— $— $— $249,854 $528,788 Donald Kiepert 2013 $45,922 $— $— $— $492,371(10)$538,293 (Former) President andCEO 2012 $406,739 $— $— $— $1,229,866 $1,636,605 2011 $422,538 $— $— $— $1,206,074 $1,628,612 Jeffrey Young 2013 $209,502 $— $— $— $9,828 $219,330 (Former) ChiefFinancial Officer 2012 $251,354 $— $59,850 $— $109,774 $420,978 2011 $243,083 $40,550 $142,450 $— $48,850 $474,933 (1)Mr. Golubieski was awarded a bonus in recognition of his contribution as interim Chief Financial Officer in 2013. Dr. Orlandiwas granted a $30,000 sign-on bonus to offset certain reimbursements required of his previous employer. Mr. Young wasgranted a bonus for his individual contributions to the business in 2011 prior to being promoted to the role of Chief FinancialOfficer. (2)Mr. Bailey, Ms. Heino and Dr. Orlandi received initial stock option grants in conjunction with their employment offer in 2013.Dr. Orlandi and Mr. Duffy were granted supplemental grants in August 2013 in recognition of their performance and to improveour competitive position. In January 2012, Mr. Young was granted a supplemental grant of stock options in connection with hispromotion to CFO. (3)Includes the grant date fair value of the stock option awards granted during the fiscal years ended December 31, 2013, 2012 and2011, in accordance with ASC 718 with respect to options to purchase shares of our common stock awarded to the namedexecutive officers in 2013, 2012 and 2011 under our 2008 and 2013 Equity Plans. See "Item 7—Management's Discussion andAnalysis of Financial Condition and Results of Operations—Critical Accounting Policies and Estimates—Accounting for Stock-Based Compensation." 155(4)For 2013, the Compensation Committee awarded bonuses to Messrs Bailey, Ms. Heino, Dr. Orlandi, and Duffy under theBonus Plan. For 2012 and 2011, Messrs. Duffy, Kiepert, and Young did not earn bonuses under the Bonus Plan. (5)Effective March 21, 2011, the Board of Directors declared a dividend of approximately $1.93 per common share and awarded adividend equivalent right on all outstanding stock options. All option holders, including our named executive officers employedat the time, were paid a cash dividend of approximately $1.93 for each vested option. DERs on all unvested options as ofMarch 21, 2011 were placed in escrow and were subject to forfeiture. In recognition of management's efforts in 2012, theCompensation Committee determined to distribute the balance of the DERs to each eligible active executive. Included in the AllOther Compensation column above is the value of DERs distributed to Messrs. Duffy, Kiepert, and Young were $244,541,$1,224,660 and $106,788, respectively during 2012. The value of DERs distributed to Messrs. Duffy, Kiepert, and Young were$237,788, $1,190,844 and $37,911, respectively during 2011. None of our named executive officers held DERs in 2013.Table of Contents156(6)For Messrs. Bailey, Duffy, Kiepert ,Young, Ms. Heino and Dr. Orlandi, the amounts reflect matching contributions to ourdefined contribution retirement plans in 2013 of $7,057, $9,566, $1,722, $8,971, $2,887 and $4,853, respectively. ForMessrs. Duffy, Kiepert, and Young, the amounts reflect matching contributions to our defined contribution retirement plans in2012 of $3,082, $3,896 and $1,676, respectively. For Messrs. Duffy, Kiepert and Young, the amounts reflect matchingcontributions to our defined contribution retirement plans in 2011 of $12,066, $15,230 and $10,939, respectively. (7)For Messrs. Bailey, Duffy, Kiepert, Young, Ms. Heino and Dr. Orlandi, the amounts reflect employer contributions to our longterm disability insurance premiums in 2013 of $1,159, $1,310, $151, $857, $907 and $1,058, respectively. For Messrs. Duffy,Kiepert, and Young, the amounts reflect employer contributions to our long term disability insurance premiums in 2012 of$1,310, $1,310 and $1,310, respectively. Prior to 2012, the employees were responsible for long term disability insurancepremiums. (8)As part of Mr. Bailey's agreement he has been compensated for his commuting expenses from the New Jersey area andtemporary housing expenses in Massachusetts, and that compensation arrangement is terminating as of March 31, 2014. Includedin his "All Other Compensation" is $71,065 for these expenses which included a tax gross up on aggregate basis of one and ahalf times. As part of Ms. Heino's agreement she was reimbursed for certain relocation expenses from the New Jersey area toMassachusetts. Included in her "All Other Compensation" is $146,639 for taxable expenses associated with her home sales,temporary housing and physical move which includes the associated tax gross up on an aggregate basis. As part of Dr. Orlandi'sagreement he was reimbursed for certain relocation expenses. Included in her "All Other Compensation" is $3,261 for taxableexpenses associated with the physical move which includes the associated tax gross up on an aggregate basis. (9)Mr. Golubieski entered into a consulting agreement with Lantheus to provide for continuity of leadership upon the departure ofMr. Young in August 2013. Under the terms of his consulting arrangement with Lantheus, Mr. Golubieski is paid a consultingfee of $25,000 each month and is reimbursed for standard travel and expenses. Included in his "All Other Compensation" is$100,000 for consulting fees and $20,415 for associated expenses. Mr. Golubieski will also be paid a bonus in recognition of hiscontribution as interim Chief Financial Officer in 2013. (10)Mr. Kiepert received severance payments totaling $380,498 during 2013. To have a smooth leadership transition, Mr. Kiepertreceived $110,000 under a consulting agreement with us.Table of Contents2013 Grants of Plan-Based Awards The following table sets forth certain information with respect to grants of plan-based awards for the year ended December 31, 2013 with respectto the named executive officers. All OtherOptionAwards:Number ofSecuritiesUnderlyingOptions(#) Estimated Future Payouts Under Non-EquityIncentive Plan Awards Estimated Future PayoutsUnder Equity Incentive PlanAwards ExerciseorBasePriceofOptionAwards($/Sh) Name Grant Date Threshold($)(1) Target($)(2) Maximum($)(3) Threshold(#) Target(#) Maximum(#) JeffreyBailey(4) — $225,000 $450,000 $810,000 05/08/13(4) 50,000 500,000 500,000 500,000 $6.80 JohnGolubieski — — — — — — — — — Mary AnneHeino(4) — $54,493 $108,986 $196,175 04/15/13(4) 6,250 62,500 62,500 62,500 $6.80 CesareOrlandi(4) — $60,400 $120,800 $217,440 08/15/13(5) 25,000 $6.64 03/04/13(4) 3,750 37,500 37,500 37,500 $7.51 MichaelDuffy — $63,000 $126,000 $226,800 08/15/13(5) 70,000 $6.64 DonaldKiepert — — — — — — — — — JeffreyYoung — — — — — — — — — (1)The amounts shown in the "Threshold" column reflect the threshold payment, which is 50% of the amount shown in the "Target"column. See "—Compensation Discussion and Analysis—Elements of Compensation—Annual Cash Incentive Compensation." (2)The amount shown in the "Target" column is the potential cash incentive award given to our named executive officers if theEBITDA target is hit in 2013. For Mr. Bailey that amount is 100% of his respective 2013 base salary. For Mr. Duffy, Ms. Heinoand Dr. Orlandi, that amount is 40%, 45% and 40% of their respective 2013 base salaries prorated for their length of service in2013. See "—Compensation Discussion and Analysis—Elements of Compensation—Annual Cash Incentive Compensation."As a result of their termination of employment, Messrs. Kiepert and Young were not eligible for awards in 2013. (3)The amount shown in the "Maximum" column is 180% of the amount shown in the "Target" column. Pursuant to the BonusPlan, if we achieve an EBITDA and GAAP Cash level that is at the stretch target, the Bonus Plan specifies a cap of 120% targetwith an individual multiplier capped at 150% for amounts achieved above the Target. The maximum payment from the BonusPool for Mr. Bailey is 180% of his base salary. The maximum for all other participants, including our other named executiveofficers, ranges from 71% to 82% of their respective base salaries. See "—Compensation Discussion and Analysis—Elements ofCompensation—Annual Cash Incentive Compensation." 157(4)The options granted to Mr. Bailey in conjunction with his employment offer are 50% Time Vesting Options and 50% EBITDA-based performance options. Mr. Bailey's Time Vesting Options vest ratably each month over a four year period from his date ofhire. The options granted to Ms. Heino and Dr. Orlandi in conjunction with their employment offers vest ratably on theanniversary of grant date over a four year period; 50% are Time Vesting and Options and 50% are EBITDA-based performanceoptions. See "—Compensation Discussion and Analysis—Elements of Compensation—Long-Term Equity Incentive Awards." (5)In 2013, the supplemental options granted to Mr. Duffy and Dr. Orlandi were 100% Time Vesting Option which will vestratably on the anniversary of grant date over a four year period. See "—Compensation Discussion and Analysis—Elements ofCompensation—Long-Term Equity Incentive Awards."Table of ContentsOutstanding Equity Awards at 2013 Fiscal Year-End The following table includes certain information with respect to options held by the named executive officers as of December 31, 2013.158 Option Awards Name Number ofSecuritiesUnderlyingUnexercisedOptions(#)Exercisable Number ofSecuritiesUnderlyingUnexercisedOptions (#)Unexercisable Equity IncentivePlan Awards:Securities ofUnderlyingUnexercisedUnearnedOptions (#) OptionExercisePrice($) OptionExpirationDate Jeffrey Bailey Stock Options(1) 114,583 385,417 500,000 $6.80 05/08/23 John Golubieski(4) — — — — — Mary Anne Heino Stock Options(1) — 62,500 62,500 $6.80 04/14/23 Cesare Orlandi: Stock Options(1) — 37,500 37,500 $7.51 03/03/23 Stock Options(2) — 25,000 — $6.64 08/04/23 Michael Duffy: Stock Options(2) — 70,000 — $6.64 08/04/23 Stock Options(3) 173,250 — 76,750 $2.00 04/03/18 Don Kiepert (formerPresident & CEO)(5) — — — — — Jeffrey Young (formerCFO)(5) — — — — — (1)The options granted to Mr. Bailey in conjunction with his employment offer are 50% Time Vesting Options and 50% EBITDA-based performance options. Mr. Bailey's Time Vesting Options vest ratably each month over a four year period from his date ofhire; the options granted to Ms. Heino and Dr. Orlandi in conjunction with their employment offers vest ratably on theanniversary of grant date over a four year period; 50% are Time Vesting and Options and 50% are EBITDA-based performanceoptions. See "—Compensation Discussion and Analysis—Elements of Compensation—Long-Term Equity Incentive Awards." (2)In 2013, the supplemental options granted to Mr. Duffy and Dr. Orlandi were 100% Time Vesting Option which will vestratably on the anniversary of grant date over a four year period. See "—Compensation Discussion and Analysis—Elements ofCompensation—Long-Term Equity Incentive Awards." (3)Relative to Mr. Duffy's grant in 2008, 100% of his Time Vesting Options were vested as of December 31, 2013 with 20%vesting in each of January 2009, 2010, 2011, 2012 and 2013. Upon the Compensation Committee's determination that weachieved the EBITDA performance targets, 20% of the Performance Vesting Options vested on April 16, 2009 and 18.6%vested in April 2010. We did not meet our EBITDA targets in 2010, 2011 or 2012, and as such, none of the PerformanceVesting Options vested for those years. As EBITDA targets were not met for 2012, these options will remain unvested, subjectto other vesting opportunities under the 2008 Equity Plan. (4)As a consultant and interim CFO, Mr. Golubieski has not been granted equity in the company (see "Mr. Golubieski's ConsultingAgreement"). (5)As former employees, Messrs Kiepert and Young did not hold any Lantheus options as of December 31, 2013.Table of ContentsOption Exercises and Stock Vested in 2013 The following table provides information regarding the number of Company stock options that were exercised by named officers for the fiscal yearended December 31, 2013, and the value realized from the exercise of such awards. No other named executive officers exercised any options during 2013. We do not offer any stock awards, other than stock options, from whichvesting would occur.2013 Pension Benefits We do not offer our executives or others a pension plan. Retirement benefits are limited to participation in our 401(k) plan with a 4.5% employermatch of the contributor's salary and a corresponding international plan. In 2012, the employer match was suspended from April through December andreinstated in January 2013.Nonqualified Deferred Compensation We do not offer our executives any nonqualified deferred compensation.Potential Payment Upon Termination or Change in Control The information below describes and quantifies certain compensation that would become payable under certain named executive officer'semployment agreements if, as of December 31, 2013, his or her employment had terminated or there was a change in control. Due to the number offactors that affect the nature and amount of any benefits provided upon the events discussed below, any actual amounts paid or distributed may bedifferent. Factors that could affect these amounts include the timing during the year of any such event.Employment Agreements and ArrangementsJeffrey Bailey Mr. Bailey's employment agreement provides for 12 months of salary of $450,000, a bonus of $450,000 and health benefit subsidies of $20,080 inthe event of termination by the company without cause or by Mr. Bailey with good reason totaling to $920,080. If his termination under theseprovisions is within 12 months following a change of control, the agreement provides for 12 months of two times his salary in the amount of $900,000,two times in bonus payment of $900,000 and 12 months of certain benefit subsidies of $20,080 totaling to $1,820,080.Other Active Named Executive Officers The following table sets forth certain information with respect to agreements for Ms. Heino, Dr. Orlandi and Mr. Duffy who are covered byemployment agreements which provide for 12 months159 Option Awards Name Number of SharesAcquiredon Exercise Value RealizedonExercise Donald Kiepert (former President & CEO) 337,660 $2,539,200 Table of Contentsof salary, prorated bonus and 12 months of certain benefit subsidies in the event of termination by the company without cause. If their termination is by the company without cause or by the executive for good reason within 12 months following a change of control, theagreements provides for 12 months salary, full target bonus and 12 months of certain benefit subsidies. Mr. Golubieski's consulting contract requires ten days notice and no other compensation for ending the arrangement.Donald Kiepert On February 19, 2013, we entered into a separation agreement with Don Kiepert, our former President and Chief Executive Officer. Pursuant tohis separation agreement, Mr. Kiepert received 12 months of severance payments totaling $426,000, and continuation of life insurance and subsidizedCOBRA health benefits at the active employee rate for 12 months totaling $12,305. Mr. Kiepert will be paid a pro rata bonus for 2013 in the amount of$26,844 in early 2014. To effect a smooth leadership transition, Mr. Kiepert has also agreed to a consulting arrangement with us at a rate of $10,000 permonth for 12 months. Mr. Kiepert also reaffirmed his non-competition, non-solicitation and confidentiality obligations to the Company under hisoriginal employment agreement.The Equity Plans The Equity Plans and each individual Stock Option Agreement provides for accelerated vesting of both Time Vesting Options and PerformanceVesting Options granted under the 2008 and 2013 Equity Plans upon a change of control if net cumulative cash proceeds received by our investorsexceed certain multiples of their initial investment. If such a change in control occurred on December 31, 2013, each named executive officer's unvestedTime Vesting Options and Performance Vesting Options would immediately vest and become exercisable. The aggregate dollar value of unvested stockoptions held by such named executive officer on December 31, 2013 as listed below.160Name Salary Bonus Benefits Total Mary Anne Heino $340,000 $108,986 $20,080 $469,066 Cesare Orlandi $365,000 $120,800 $14,052 $499,852 Michael Duffy $315,000 $126,000 $21,365 $462,365 Name Salary Bonus Benefits Total Mary Anne Heino $340,000 $153,000 $20,080 $513,080 Cesare Orlandi $365,000 $146,000 $14,052 $525,052 Michael Duffy $315,000 $126,000 $21,365 $462,365 Name Aggregate DollarValue of Options(1) Jeffrey Bailey $— John Golubieski $— Mary Anne Heino $— Cesare Orlandi $— Michael Duffy $312,373 Don Kiepert (former President and CEO) $— Jeffrey Young $— (1)The aggregate dollar value is the difference between the fair market value of shares of common stock on December 31,2013 based upon an internal valuation model and the per share exercise price of each option, multiplied by the number ofshares subject to the unvested option.Table of ContentsDirector Compensation The compensation paid to Messrs. Bailey and Kiepert, our current and former Presidents and CEOs and Directors, is reported in the SummaryPlan Compensation Table as they were paid only as named executive officers. We do not compensate our board members with per meeting fees. Ourdirectors are reimbursed for any expenses incurred in connection with their services and as detailed in the table and notes below.161Name Fees Earned orPaid in Cash($) All OtherCompensation($) Total($) Brian Markison(1) $126,056 $80,829 $206,885 David Burgstahler(2) $— $— $— Samuel Leno(3) $81,250 $45,324 $126,574 Dr. Patrick O'Neill(4) $62,500 $33,824 $96,324 Sriram Venkataraman(2) $— $— $— (1)On January 23, 2013, Mr. Markison was appointed Non-Executive Chairman of the Board. For 2013, Mr. Markison wascompensated with an annual retainer for his services on the Board of Directors of $100,000, paid in quarterly increments. Inaddition, Mr. Markison receives $10,000, paid in quarterly increments for his service on the Compensation Committee. Inconnection with that appointment, (i) his annual director compensation was increased to $100,000 effective as of January 23,2013, (ii) 4,760 shares of his previous 12,500 option grant were deemed to be vested with the balance of 7,740 shares terminatedas forfeitures, (iii) he received a new grant of 35,765 time vesting option shares that have a ten-year term and vest monthly over a12-month basis, and (iv) on each anniversary date of his appointment, in consideration of his services as Chairman and for solong as he serves in that capacity, he will be granted a stock option to purchase $200,000 worth of common stock, calculated asthe multiple of the then fair market value times the number of shares necessary to equal $200,000. (2)Messrs. Burgstahler and Venkataraman are Principals of Avista and do not receive any direct compensation for their services asDirectors. We pay Avista a management fee of $1,000,000 annually pursuant to the Advisory Services and ManagementAgreement, dated as of January 8, 2008. See "Item 13—Certain Relationships and Related Party Transactions, and DirectorIndependence—Transactions with Related Persons—Advisory and Monitoring Services Agreement." (3)Samuel Leno is compensated with an annual retainer for his services on the Board of Directors of $50,000, paid in quarterlyincrements. In addition, Mr. Leno receives $15,000, paid in quarterly increments for his role as Chairman of the AuditCommittee. Mr. Leno received a grant of 19,706 stock options in Holdings in 2013. These options have a ten-year term and areTime Vesting Options vesting in full on the first anniversary of grant. On each anniversary date of his appointment, inconsideration of his services as a Director of Holdings and for so long as he serves in that capacity, he will be granted a stockoption to purchase $100,000 worth of common stock of Holdings, calculated as the multiple of the then fair market value timesthe number of shares necessary to equal $100,000. (4)Dr. Patrick O'Neill is compensated with an annual retainer for his services on the Board of Directors of $50,000, paid inquarterly increments. Dr. O'Neill received a grant of 50,000 stock options in Holdings in 2008. These options have a ten-yearterm and are Time Vesting Options. 20% of the shares subject to the Time Vesting Options vested on each anniversary of thegrant in 2008 - 2012. The remaining shares subject to the Time Vesting Options were vested in full on January 8, 2013.Dr. O'Neill received a grant of 14,706 stock options in Holdings in 2013. TheseTable of ContentsCompensation Committee Interlocks and Insider Participation During 2013, the members of our Compensation Committee were Messrs. Burgstahler and Markison. Mr. Burgstahler is the President ofAvista. Mr. Markison is a Healthcare Industry Executive with Avista. Avista provides us with advisory services pursuant to the AdvisoryServices and Monitoring Agreement (as defined below) and has entered into other transactions with us. See "Item 13—Certain Relationshipsand Related Person Transactions, and Director Independence—Transactions with Related Persons—Advisory and Monitoring ServicesAgreement."Compensation Committee Report Our Compensation Committee has reviewed and discussed the "Item 11—Executive Compensation—Compensation Discussion andAnalysis" section with our management. Based upon this review and discussion, the Compensation Committee recommended to the Board ofDirectors that the "Item 11—Executive Compensation—Compensation Discussion and Analysis" section be included in this Annual Report onForm 10-K for the fiscal year ended December 31, 2013. Respectfully submitted by the Compensation Committee of the Board of Directors.David BurgstahlerBrian Markison The information contained in the foregoing report shall not be deemed to be "filed" or to be "soliciting material" with the Commission, nor shallsuch information be incorporated by reference into any future filing under the Securities Act of 1933 or the Exchange Act, except to the extent that wespecifically incorporate it by reference in a filing.Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters Principal Stockholders Holdings indirectly owns all of our issued and outstanding capital stock through its direct subsidiary and our direct parent, Lantheus Intermediate.Avista Capital Partners, L.P., Avista Capital Partners (Offshore), L.P. and ACP-Lantern Co-Invest, LLC, or, together, the Avista Entities, collectivelyown approximately 99.5% of Holdings' issued and outstanding capital stock. Avista Capital Partners GP, LLC ultimately exercises voting anddispositive power over the shares held by Avista Capital Partners, L.P., Avista Capital Partners (Offshore), L.P. and ACP-Lantern Co-Invest, LLC.Voting and disposition decisions at Avista Capital Partners GP, LLC with respect to such shares are made by an investment committee, the members ofwhich are Thompson Dean, Steven Webster, David Burgstahler and David Durkin. In connection with the Acquisition, certain members of managementpurchased shares of Holdings' common stock equaling approximately 0.5% of Holdings' issued and outstanding capital stock.162options have a ten-year term and are Time Vesting Options vesting in full on the first anniversary of grant. On each anniversarydate of his appointment, in consideration of his services as a Director of Holdings and for so long as he serves in that capacity, hewill be granted a stock option to purchase $100,000 worth of common stock of Holdings, calculated as the multiple of the thenfair market value times the number of shares necessary to equal $100,000.Table of ContentsSecurities Authorized for Issuance Under Equity Compensation Plans The following table gives information as of December 31, 2013 about the common stock that may be issued under all of our existing equitycompensation plans.Item 13. Certain Relationships and Related Transactions, and Director Independence The Board of Directors has the responsibility to review and approve all transactions or series of related financial transactions, arrangements orrelationships between us and any related party if the amount involved exceeds $120,000. We do not otherwise have any policies or procedures for thereview, approval or ratification of such transactions.Transactions with Related PersonsShareholders Agreements In connection with the Acquisition, Holdings entered into (i) a Shareholders Agreement with the Avista Entities and Don Kiepert, as ManagementShareholder, dated January 8, 2008 and subsequently amended on February 26, 2008, or the Initial Shareholders Agreement, and (ii) an EmployeeShareholders Agreement with the Avista Entities and certain employee shareholders named therein, dated as of May 30, 2008, or the EmployeeShareholders Agreement and, collectively with the Initial Shareholders Agreement, the Shareholders Agreements. Messrs. Markison, Bailey and Lenoand Dr. O'Neill have joined as parties to the Initial Shareholders Agreement. The Shareholders Agreements govern the parties' respective rights, dutiesand obligations with respect to the ownership of Holdings securities. Pursuant to the Shareholders Agreements, Avista has designation rights withrespect to the composition of the Holdings board of directors and Avista is entitled to majority representation on any committee that the board creates. Inaddition, the Management Shareholder and the employee shareholders must vote their shares in such a manner that is consistent with the composition ofthe board designed by the Avista Entities. Pursuant to the option award agreements between Holdings and its options holders, as a condition to a validexercise of any such options, the optionee is obligated to join either the Initial Shareholders Agreement or the Employee Shareholders Agreement, asapplicable, with respect to the shares of Holdings it is to receive upon exercise of any such option.Advisory and Monitoring Services Agreement In connection with the closing of the Acquisition, we entered into an advisory services and monitoring agreement with Avista CapitalHoldings, L.P., or Avista Capital Holdings, dated as of January 8, 2008, or the Advisory Services and Monitoring Agreement, pursuant to which ACPLantern Acquisition, Inc. (a corporation which was merged into us as part of the Acquisition), paid Avista Capital Holdings a one-time fee equal to$10 million for the consulting and advisory and monitoring163Plan Category Number of Securitiesto be Issued UponExercise ofOutstanding Options,Warrants and Rights Weighted AverageExercise Price ofOutstanding Options,Warrants and Rights Number of SecuritiesRemaining Available forFuture Issuance UnderEquity CompensationPlans (Excluding SecuritiesReflected in Column (a)) Equity compensation plansapproved by securityholders 4,639,892 $4.62 965,823 Equity compensation plansnot approved by securityholders(1) — — — Total 4,639,892 $4.62 965,823 (1)Represents the Lantheus MI Holdings, Inc. 2008 and 2013 Equity Incentive Plans.Table of Contentsservices to us, our subsidiaries and our parent companies, in connection with the Acquisition. In addition, the agreement provides for the payment of anannual fee equal to $1 million as consideration for ongoing advisory services. To the extent of any future transaction entered into by us or our affiliates,Avista Capital Holdings will receive an additional fee that is reasonable and customary for the services it provides in connection with such futuretransaction. In addition, we will pay directly, or reimburse Avista Capital Holdings for, its out-of-pocket expenses in connection with its performance ofservices under the Advisory Services and Monitoring Agreement. The Advisory Services and Monitoring Agreement has a seven-year term andautomatically renews on each anniversary of its execution date such that it has a seven-year term from the date of each such renewal. In connection withthe termination of the Advisory Services and Monitoring Agreement, the Company would be obligated to pay to Avista all amounts that wouldotherwise be payable to Avista under the agreement for the remainder of the term.INC Research Master Services Agreement In the third quarter of 2012, we entered into a Master Contract Research Organization Services Agreement with INC Research, LLC ("INC") toprovide clinical development services in connection with the flurpiridaz F 18 Phase 3 program. The agreement has a term of five years, and we incurredcosts associated with this agreement of approximately $0.5 million and $0.9 million in the years ended December 31, 2013 and 2012, respectively.Avista Capital Partners and its affiliates are principal owners of both INC and the Company.VWR Scientific Purchases We purchase inventory supplies from VWR Scientific, VWR . Avista Capital Partners and certain affiliates are principal owners of both VWR andus. We made purchases of approximately $0.3 million during each of the years ended December 31, 2013, 2012 and 2011.Director Independence As disclosed in "Item 10—Directors, Executive Officers and Corporate Governance," although not formally considered by the Board of Directorsof Holdings because our securities are not registered or traded on any national securities exchange, we believe that Mr. Markison, Mr. Leno andDr. O'Neill would be considered independent for our Boards of Directors, that Mr. Leno would be considered independent for our Audit Committeeand that Mr. Markison would be considered independent for our Compensation Committee, based upon the listing standards of the New York StockExchange.Item 14. Principal Accountant Fees and Services Deloitte & Touche LLP, or Deloitte, serves as our independent registered public accounting firm. The following table presents fees paid for theaudit of our annual consolidated financial statements and all other professional services rendered by Deloitte for the years ended December 31, 2013 and2012:164 Year Ended December 31, 2013 2012 Audit Fees $1,439,170 $1,443,412 Audit-Related Fees — 52,400 Tax Fees — 31,750 Total Fees $1,439,170 $1,527,562 Table of ContentsAudit Fees These are fees related to professional services rendered in connection with the audit of our annual financial statements, the reviews of the interimfinancial statements included in each of our quarterly reports on Form 10-Q, and other professional services provided by our independent registeredpublic accounting firm in connection with statutory or regulatory filings or engagements. All other fees consist primarily of the reimbursement ofexpenses associated with completion of services noted above.Audit-Related Fees These are fees for assurance and related services that are reasonably related to performance of the audit and review of our financial statements, andwhich are not reported under "Audit Fees." These services consisted primarily of attestation services for such matters as required for consents related tofinancings, registration statements and other filings with the Commission.Tax Fees These are fees billed for professional services for tax compliance, tax advice and tax planning services.Pre-Approval Policies The services provided by Deloitte were pre-approved by the Audit Committee. The Audit Committee has considered whether the provision of theabove-noted services is compatible with maintaining the independence of the independent registered public accounting firm and has determined that theprovision of such services has not adversely affected Deloitte's independence. The Audit Committee approved 100% of the services covered by audit-related fees, tax fees and all other similar fees.165Table of ContentsPART IV Item 15. Exhibits and Financial Statement Schedules (a)(1) Financial Statements Included in Part II of this annual report:(a)(2) Schedules None.166 Page Report of Independent Registered Public Accounting Firm 88 Consolidated Balance Sheets as of December 31, 2013 and 2012 89 Consolidated Statements of Comprehensive Loss for the Years Ended December 31, 2013, 2012 and 2011 90 Consolidated Statements of Stockholder's (Deficit) Equity for the Years Ended December 31, 2013, 2012 and2011 91 Consolidated Statements of Cash Flows for the Years Ended December 31, 2013, 2012 and 2011 92 Notes to Consolidated Financial Statements as of and for the Years Ended December 31, 2013, 2012 and 2011 93 Table of Contents(a)(3) Exhibits167Exhibit Description 3.1 Certificate of Incorporation of Lantheus Medical Imaging, Inc., as amended (incorporated by reference toExhibit 3.1 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on October 6, 2010 (file number 333-169785)). 3.2 Second Amended and Restated By-Laws of Lantheus Medical Imaging, Inc (incorporated by reference toExhibit 3.2 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on October 6, 2010 (file number 333-169785)). 4.1 Indenture, dated as of May 10, 2010, among Lantheus Medical Imaging, Inc., Lantheus MIIntermediate, Inc. and Lantheus MI Real Estate, LLC as guarantors, and Wilmington Trust FSB, as trustee(incorporated by reference to Exhibit 4.1 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on October 6, 2010 (file number 333-169785)). 4.2 First Supplemental Indenture, dated as of March 14, 2011, among Lantheus Medical Imaging, Inc.,Lantheus MI Intermediate, Inc. and Lantheus MI Real Estate, LLC as guarantors, and Wilmington TrustFSB, as trustee (incorporated by reference to Exhibit 4.1 to Lantheus Medical Imaging, Inc.'s CurrentReport on Form 8-K filed with the Commission on March 16, 2011 (file number 333-169785)). 4.3 Second Supplemental Indenture, dated as of March 21, 2011, among Lantheus Medical Imaging, Inc.,Lantheus MI Intermediate, Inc. and Lantheus MI Real Estate, LLC as guarantors, and Wilmington TrustFSB, as trustee (incorporated by reference to Exhibit 4.1 to Lantheus Medical Imaging, Inc.'s CurrentReport on Form 8-K filed with the Commission on March 21, 2011 (file number 333-169785)). 4.4 Registration Rights Agreement, dated May 10, 2010, by and among Lantheus Medical Imaging, Inc.,Lantheus MI Intermediate, Inc. and Lantheus MI Real Estate, LLC, as guarantors, and Jefferies &Company, Inc. (incorporated by reference to Exhibit 4.2 to Lantheus Medical Imaging, Inc.'s RegistrationStatement on Form S-4 filed with the Commission on October 6, 2010 (file number 333-169785)). 4.5 Registration Rights Agreement, dated March 21, 2011, by and among Lantheus Medical Imaging, Inc.,Jefferies & Company, Inc., as representative of the initial purchasers and the guarantors party thereto(incorporated by reference to Exhibit 4.2 to Lantheus Medical Imaging, Inc.'s Current Report on Form 8-Kfiled with the Commission on March 21, 2011 (file number 333-169785)). 4.6 Form of 9.750% Senior Notes due 2017 (included in Exhibit 4.1). 10.1 Advisory Services and Monitoring Agreement, dated January 8, 2007, by and between ACP LanternAcquisition, Inc. (now known as Lantheus Medical Imaging, Inc.) and Avista Capital Holdings, L.P.(incorporated by reference to Exhibit 10.3 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on October 6, 2010 (file number 333-169785)). 10.2 Amended and Restated Shareholders Agreement, dated as of February 26, 2008 among Lantheus MIHoldings, Inc., Avista Capital Partners, L.P., Avista Capital Partners (Offshore), L.P., ACP-Lantern Co-Invest, LLC and certain management shareholders named therein (incorporated by reference to Exhibit 10.4to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onOctober 6, 2010 (file number 333-169785)). Table of Contents168Exhibit Description 10.3 Employee Shareholders Agreement, dated as of May 8, 2008, among Lantheus MI Holdings, Inc., AvistaCapital Partners, L.P., Avista Capital Partners (Offshore), L.P., ACP-Lantern Co-Invest, LLC and certainemployee shareholders named therein (incorporated by reference to Exhibit 10.5 to Lantheus MedicalImaging, Inc.'s Registration Statement on Form S-4 filed with the Commission on October 6, 2010 (filenumber 333-169785)). 10.4†Sales Agreement, dated as of April 1, 2009, between Lantheus Medical Imaging, Inc. and NTPRadioisotopes (Pty) Ltd. (incorporated by reference to Exhibit 10.9 to Lantheus Medical Imaging, Inc.'sRegistration Statement on Form S-4 filed with the Commission on December 23, 2010 (file number 333-169785)). 10.5†Amendment No. 1 to Sales Agreement, dated as of January 1, 2010, between Lantheus MedicalImaging, Inc. and NTP Radioisotopes (Pty) Ltd. (incorporated by reference to Exhibit 10.10 to LantheusMedical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission on December 1,2010 (file number 333-169785)). 10.6†Amendment No. 2 to Sales Agreement, dated as of January 1, 2010, between Lantheus MedicalImaging, Inc. and NTP Radioisotopes (Pty) Ltd. (incorporated by reference to Exhibit 10.1 to LantheusMedical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2011(file number 333-169785)). 10.7†Purchase and Supply Agreement, dated as of April 1, 2010, between Lantheus Medical Imaging, Inc. andNordion (Canada) Inc. (formerly known as MDS Nordion, a division of MDS (Canada) Inc.)(incorporated by reference to Exhibit 10.12 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on December 23, 2010 (file number 333-169785)). 10.8†Amendment No. 1 to the Purchase and Supply Agreement, dated as of December 1, 2010, betweenLantheus Medical Imaging, Inc. and Nordion (Canada) Inc. (incorporated by reference to Exhibit 10.13 toLantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the fiscal year ended December 31,2010 (file number 333-169785)). 10.9†Amended and Restated Cardiolite License and Supply Agreement, dated January 1, 2004, by and betweenLantheus Medical Imaging, Inc. and Cardinal Health 414, LLC (incorporated by reference to Exhibit 10.13to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onDecember 23, 2010 (file number 333-169785)). 10.10†Amendment No. 1 to the Amended and Restated Supply Agreement (Thallium and Generators), dated as ofDecember 29, 2009 between Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC (incorporatedby reference to Exhibit 10.26 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filedwith the Commission on December 1, 2010 (file number 333-169785)). 10.11†Amended and Restated Supply Agreement (Thallium and Generators), dated October 1, 2004, by andbetween Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC (incorporated by reference toExhibit 10.14 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on December 23, 2010 (file number 333-169785)). Table of Contents169Exhibit Description 10.12†Distribution Agreement, dated as of October 31, 2001, by and between Bristol-Myers Squibb PharmaCompany (now known as Lantheus Medical Imaging, Inc.) and Medi-Physics Inc., doing business asAmersham Health (incorporated by reference to Exhibit 10.16 to Lantheus Medical Imaging, Inc.'sRegistration Statement on Form S-4 filed with the Commission on December 29, 2010 (file number 333-169785)). 10.13†First Amendment to Distribution Agreement, dated as of January 1, 2005, by and between Bristol-MyersSquibb Medical Imaging, Inc. (formerly known as Bristol-Myers Squibb Pharma Company and nowknown as Lantheus Medical Imaging, Inc.) and Medi-Physics Inc., doing business as G.E. Healthcare(incorporated by reference to Exhibit 10.17 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on December 1, 2010 (file number 333-169785)). 10.14†Manufacturing and Supply Agreement, dated as of April 6, 2009, by and between Lantheus MedicalImaging, Inc., and Mallinckrodt Inc. (a subsidiary of Covidien PLC) (incorporated by reference toExhibit 10.27 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on December 23, 2010 (file number 333-169785)). 10.15†Amendment No. 1 to the Manufacturing and Supply Agreement, dated as of August 2, 2010, by andbetween Lantheus Medical Imaging, Inc. and Mallinckrodt Inc. (a subsidiary of Covidien PLC)(incorporated by reference to Exhibit 10.28 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on December 1, 2010 (file number 333-169785)). 10.16†Amendment No. 2 to the Manufacturing and Supply Agreement, dated as of August 2, 2010, by andbetween Lantheus Medical Imaging, Inc. and Mallinckrodt Inc. (a subsidiary of Covidien PLC)(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Quarterly Report onForm 10-Q for the quarterly period ended September 30, 2011 (file number 333-169785)). 10.17 Lantheus MI Holdings, Inc. 2008 Equity Incentive Plan (incorporated by reference to Exhibit 10.18 toLantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onOctober 6, 2010 (file number 333-169785)). 10.18 Amendment No. 1 to Lantheus MI Holdings, Inc. 2008 Equity Incentive Plan (incorporated by reference toExhibit 10.19 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on October 6, 2010 (file number 333-169785)). 10.19 Amendment No. 2 to Lantheus MI Holdings, Inc. 2008 Equity Incentive Plan (incorporated by reference toExhibit 10.20 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on October 6, 2010 (file number 333-169785)). 10.20 Form of Option Grant Award Agreement (incorporated by reference to Exhibit 10.21 to Lantheus MedicalImaging, Inc.'s Registration Statement on Form S-4 filed with the Commission on October 6, 2010 (filenumber 333-169785)). 10.21 Lantheus Medical Imaging, Inc. Employee Bonus Plan—2009 (incorporated by reference to Exhibit 10.22to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onOctober 6, 2010 (file number 333-169785)). Table of Contents170Exhibit Description 10.22 Lantheus Medical Imaging, Inc. 2010 Executive Leadership Team Incentive Bonus Plan (incorporated byreference to Exhibit 10.31 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the fiscalyear ended December 31, 2010 (file number 333-169785)). 10.23 Lantheus Medical Imaging, Inc. Severance Plan Policy (incorporated by reference to Exhibit 10.24 toLantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onOctober 6, 2010 (file number 333-169785)). 10.24 Employment Agreement, dated March 10, 2008, by and between Lantheus Medical Imaging, Inc. andMichael Duffy (incorporated by reference to Exhibit 10.21 to Lantheus Medical Imaging, Inc.'s AnnualReport on Form 10 K for the fiscal year ended December 31, 2011 (file number 333-169785)). 10.25†Second Amendment, effective as of January 1, 2012, to the Distribution Agreement, dated as ofOctober 31, 2001, by and between Lantheus Medical Imaging, Inc., formerly known as Bristol-MyersSquibb Medical Imaging, Inc., and Medi-Physics, Inc., doing business as G.E. Healthcare Inc.(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Quarterly Report onForm 10-Q for the quarterly period ended March 31, 2012 (file number 333-169785)). 10.26†Manufacturing and Supply Agreement, dated as of February 1, 2012, for the manufacture of DEFINITY®by and between Lantheus Medical Imaging, Inc. and Jubilant HollisterStier LLC (incorporated by referenceto Exhibit 10.2 to Lantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterlyperiod ended March 31, 2012 (file number 333-169785)). 10.27†Amendment No. 1, effective as of February 9, 2012, to the Amended and Restated Cardiolite License andSupply Agreement by and between Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC enteredinto as of January 1, 2009 and effective as of January 1, 2004 (incorporated by reference to Exhibit 10.3 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period endedMarch 31, 2012 (file number 333-169785)). 10.28†Settlement and Mutual Release Agreement, effective as of March 20, 2012, by and between Ben VenueLaboratories, Inc. and Lantheus Medical Imaging, Inc. (incorporated by reference to Exhibit 10.4 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period endedMarch 31, 2012 (file number 333-169785)). 10.29†Transition Services Agreement, effective as of March 20, 2012, by and between Ben VenueLaboratories, Inc. and Lantheus Medical Imaging, Inc. (incorporated by reference to Exhibit 10.5 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period endedMarch 31, 2012 (file number 333-169785)). 10.30†Manufacturing and Service Contract for Commercial Products, entered into as of March 20, 2012, by andbetween Ben Venue Laboratories, Inc. and Lantheus Medical Imaging, Inc. (incorporated by reference toExhibit 10.6 to Lantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly periodended March 31, 2012 (file number 333-169785)). Table of Contents171Exhibit Description 10.31†First Amendment to Manufacturing and Supply Agreement, dated as of May 3, 2012, for the manufactureof DEFINITY® by and between Lantheus Medical Imaging, Inc. and Jubilant HollisterStier LLC(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Quarterly Report onForm 10-Q for the quarterly period ended June 30, 2012 (file number 333-169785)). 10.32†Manufacturing and Supply Agreement, dated as of May 3, 2012, for the manufacture of Cardiolite® byand between Lantheus Medical Imaging, Inc. and Jubilant HollisterStier LLC (incorporated by reference toExhibit 10.2 to Lantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly periodended June 30, 2012 (file number 333-169785)). 10.33†Manufacturing and Supply Agreement, dated as of May 3, 2012, for the manufacture of Neurolite® by andbetween Lantheus Medical Imaging, Inc. and Jubilant HollisterStier LLC (incorporated by reference toExhibit 10.3 to Lantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly periodended June 30, 2012 (file number 333-169785)). 10.34†Amendment No. 2, dated as of October 15, 2012, to the Purchase and Supply Agreement betweenLantheus Medical Imaging, Inc. and Nordion (Canada) Inc. (incorporated by reference to Exhibit 10.1 toLantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012(file number 333-169785)). 10.35†Amendment No. 3, effective as of October 1, 2012, to Sales Agreement between Lantheus MedicalImaging, Inc. and NTP Radioisotopes (Pty) Ltd. (incorporated by reference to Exhibit 10.1 to LantheusMedical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012 (filenumber 333-169785)). 10.36†Amendment No. 2, effective as of December 27, 2012, to the Amended and Restated Supply Agreement(Thallium and Generators) between Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012 (file number 333-169785)). 10.37†Amendment No. 2, effective as of December 27, 2012, to the Amended and Restated Cardiolite® Licenseand Supply Agreement by and between Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012 (file number 333-169785)). 10.38†License and Distribution Agreement, effective as of January 1, 2013, by and between Lantheus MedicalImaging, Inc. and FUJIFILM RI Pharma Co., Ltd. (incorporated by reference to Exhibit 10.1 to LantheusMedical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012 (filenumber 333-169785)). 10.39 Separation Agreement, dated February 19, 2013, by and between Lantheus Medical Imaging, Inc. and DonKiepert (incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Annual Report onForm 10-K for the year ended December 31, 2012 (file number 333-169785)). 10.40 Fission Mo-99 Supply Agreement, effective January 1, 2013, by and between Lantheus MedicalImaging, Inc. and the Institut National des Radioelements (incorporated by reference to Exhibit 10.1 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period endedMarch 31, 2013 (file number 333-169785)). Table of ContentsExhibit Description 10.41 Lantheus MI Holdings, Inc. 2013 Equity Incentive Plan (incorporated by reference to Exhibit 10.1 toLantheus Medical Imaging, Inc.'s Current Report on Form 8-K filed with the Commission on May 6, 2013(file number 333-169785)). 10.42 Form of Employee Option Grant Award Agreement (incorporated by reference to Exhibit 10.2 to LantheusMedical Imaging, Inc.'s Current Report on Form 8-K filed with the Commission on May 6, 2013 (filenumber 333-169785)). 10.43 Form of Non-Employee Director Option Grant Award Agreement (incorporated by reference toExhibit 10.3 to Lantheus Medical Imaging, Inc.'s Current Report on Form 8-K filed with the Commissionon May 6, 2013 (file number 333-169785)). 10.44 Employment Agreement, dated May 8, 2013, by and between Lantheus Medical Imaging, Inc. and JeffreyBailey (incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Quarterly Report onForm 10-Q for the quarterly period ended September 30, 2013 (file number 333-169785). 10.45 Amended and Restated Credit Agreement date as of July 3, 2013, by and among Lantheus MedicalImaging Inc., Lantheus MI Intermediate Inc., Lantheus MI Real Estate, LLC, the lenders from time to timeparty thereto, and Well Fargo Bank, National Association collateral agent and administrative agent and assole lead arranger, back runner and syndication agent (incorporated by reference to Exhibit 10.1 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period ended June 30,2013 (file number 333-169785)). 10.46*Consulting Agreement, dated July 24, 2013, by and between Lantheus Medical Imaging, Inc. and JohnGolubieski. 10.47*Employment Agreement, effective August 12, 2013, by and between Lantheus Medical Imaging, Inc. andMary Anne Heino. 10.48*Employment Agreement, effective August 12, 2013, by and between Lantheus Medical Imaging, Inc. andCesare Orlandi. 10.49*†Manufacturing and Supply Agreement, effective as of November 12, 2013, by and between LantheusMedical Imaging, Inc. and Pharmalucence, Inc. 10.50*†Settlement and Mutual Release Agreement, dated as of November 12, 2013, by and between LantheusMedical Imaging, Inc. and Ben Venue Laboratories, Inc. 10.51*†Letter Agreement, dated February 6, 2014, by and between Lantheus Medical Imaging, Inc. andPharmalucence, Inc. 12.1*Statements re: Computation of Ratio of Earnings to Fixed Charges. 14.1 Lantheus Medical Imaging, Inc. Company Code of Conduct and Ethics (incorporated by reference toExhibit 14.1 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year endedDecember 31, 2010 (file number 333-169785)). 14.2 Lantheus Medical Imaging, Inc. Compliance Code. (incorporated by reference to Exhibit 14.2 to LantheusMedical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2010 (filenumber 333-169785)). 21.1 Subsidiaries of Lantheus MI Intermediate, Inc. and Lantheus Medical Imaging, Inc. (incorporated byreference to Exhibit 21.1 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year172ended December 31, 2010 (file number 333-169785)). Table of Contents173Exhibit Description 24.1*Power of Attorney (included as part of the signature page hereto). 31.1*Certification of Chief Executive Officer pursuant to Rule 13a-14 Securities Exchange Act Rules 13a-14(a)and 15d-14(a), pursuant to section 302 of the Sarbanes-Oxley Act of 2002. 31.2*Certification of Chief Financial Officer pursuant to Rule 13a-14 Securities Exchange Act Rules 13a-14(a)and 15d-14(a), pursuant to section 302 of the Sarbanes-Oxley Act of 2002. 32.1**Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, asadopted by Section 906 of the Sarbanes-Oxley Act of 2002. 101.INS*XBRL Instance 101.SCH*XBRL Taxonomy Extension Schema 101.CAL*XBRL Taxonomy Extension Calculation 101.DEF*XBRL Taxonomy Extension Definition 101.LAB*XBRL Taxonomy Extension Labels 101.PRE*XBRL Taxonomy Extension Presentation*Filed herewith. **Furnished herewith. †Confidential treatment requested as to certain portions, which portions have been filed separately with the Securities andExchange Commission.Table of ContentsSIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signedon its behalf by the undersigned, thereunto duly authorized. We, the undersigned directors and officers of Lantheus Medical Imaging, Inc., hereby severally constitute and appoint Jeffrey Bailey, JohnGolubieski and Michael P. Duffy, and each of them individually, with full powers of substitution and resubstitution, our true and lawful attorneys, withfull powers to them and each of them to sign for us, in our names and in the capacities indicated below, any and all amendments to this Annual Reporton Form 10-K filed with the Securities and Exchange Commission, granting unto said attorneys-in-fact and agents, each acting alone, full power andauthority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all intents andpurposes as he might or could do in person, hereby ratifying and confirming that any such attorney-in-fact and agent, or his substitute or substitutes,may lawfully do or cause to be done by virtue hereof. Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of theregistrant and in the capacities and on the dates indicated.174 LANTHEUS MEDICAL IMAGING, INC. By: /s/ JEFFREY BAILEY Name: Jeffrey Bailey Title: President and Chief Executive Officer Date: March 11, 2014Signature Title Date /s/ JEFFREY BAILEYJeffrey Bailey President, Chief Executive Officer andDirector (Principal Executive Officer) March 11, 2014/s/ JOHN GOLUBIESKIJohn Golubieski Interim Chief Financial Officer (PrincipalFinancial Officer) March 11, 2014/s/ BRIAN MARKISONBrian Markison Chairman of the Board of Directors March 11, 2014/s/ DAVID BURGSTAHLERDavid Burgstahler Director March 11, 2014/s/ SAMUEL R. LENOSam R. Leno Director March 11, 2014Table of Contents175Signature Title Date /s/ PATRICK J. O'NEILLPatrick J. O'Neill Director March 11, 2014/s/ SRIRAM VENKATARAMANSriram Venkataraman Director March 11, 2014Table of ContentsEXHIBIT INDEX 176Exhibit Description 3.1 Certificate of Incorporation of Lantheus Medical Imaging, Inc., as amended (incorporated by reference toExhibit 3.1 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on October 6, 2010 (file number 333-169785)). 3.2 Second Amended and Restated By-Laws of Lantheus Medical Imaging, Inc (incorporated by reference toExhibit 3.2 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on October 6, 2010 (file number 333-169785)). 4.1 Indenture, dated as of May 10, 2010, among Lantheus Medical Imaging, Inc., Lantheus MIIntermediate, Inc. and Lantheus MI Real Estate, LLC as guarantors, and Wilmington Trust FSB, as trustee(incorporated by reference to Exhibit 4.1 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on October 6, 2010 (file number 333-169785)). 4.2 First Supplemental Indenture, dated as of March 14, 2011, among Lantheus Medical Imaging, Inc.,Lantheus MI Intermediate, Inc. and Lantheus MI Real Estate, LLC as guarantors, and Wilmington TrustFSB, as trustee (incorporated by reference to Exhibit 4.1 to Lantheus Medical Imaging, Inc.'s CurrentReport on Form 8-K filed with the Commission on March 16, 2011 (file number 333-169785)). 4.3 Second Supplemental Indenture, dated as of March 21, 2011, among Lantheus Medical Imaging, Inc.,Lantheus MI Intermediate, Inc. and Lantheus MI Real Estate, LLC as guarantors, and Wilmington TrustFSB, as trustee (incorporated by reference to Exhibit 4.1 to Lantheus Medical Imaging, Inc.'s CurrentReport on Form 8-K filed with the Commission on March 21, 2011 (file number 333-169785)). 4.4 Registration Rights Agreement, dated May 10, 2010, by and among Lantheus Medical Imaging, Inc.,Lantheus MI Intermediate, Inc. and Lantheus MI Real Estate, LLC, as guarantors, and Jefferies &Company, Inc. (incorporated by reference to Exhibit 4.2 to Lantheus Medical Imaging, Inc.'s RegistrationStatement on Form S-4 filed with the Commission on October 6, 2010 (file number 333-169785)). 4.5 Registration Rights Agreement, dated March 21, 2011, by and among Lantheus Medical Imaging, Inc.,Jefferies & Company, Inc., as representative of the initial purchasers and the guarantors party thereto(incorporated by reference to Exhibit 4.2 to Lantheus Medical Imaging, Inc.'s Current Report on Form 8-Kfiled with the Commission on March 21, 2011 (file number 333-169785)). 4.6 Form of 9.750% Senior Notes due 2017 (included in Exhibit 4.1). 10.1 Advisory Services and Monitoring Agreement, dated January 8, 2007, by and between ACP LanternAcquisition, Inc. (now known as Lantheus Medical Imaging, Inc.) and Avista Capital Holdings, L.P.(incorporated by reference to Exhibit 10.3 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on October 6, 2010 (file number 333-169785)). 10.2 Amended and Restated Shareholders Agreement, dated as of February 26, 2008 among Lantheus MIHoldings, Inc., Avista Capital Partners, L.P., Avista Capital Partners (Offshore), L.P., ACP-Lantern Co-Invest, LLC and certain management shareholders named therein (incorporated by reference to Exhibit 10.4to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onOctober 6, 2010 (file number 333-169785)). Table of Contents177Exhibit Description 10.3 Employee Shareholders Agreement, dated as of May 8, 2008, among Lantheus MI Holdings, Inc., AvistaCapital Partners, L.P., Avista Capital Partners (Offshore), L.P., ACP-Lantern Co-Invest, LLC and certainemployee shareholders named therein (incorporated by reference to Exhibit 10.5 to Lantheus MedicalImaging, Inc.'s Registration Statement on Form S-4 filed with the Commission on October 6, 2010 (filenumber 333-169785)). 10.4†Sales Agreement, dated as of April 1, 2009, between Lantheus Medical Imaging, Inc. and NTPRadioisotopes (Pty) Ltd. (incorporated by reference to Exhibit 10.9 to Lantheus Medical Imaging, Inc.'sRegistration Statement on Form S-4 filed with the Commission on December 23, 2010 (file number 333-169785)). 10.5†Amendment No. 1 to Sales Agreement, dated as of January 1, 2010, between Lantheus MedicalImaging, Inc. and NTP Radioisotopes (Pty) Ltd. (incorporated by reference to Exhibit 10.10 to LantheusMedical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission on December 1,2010 (file number 333-169785)). 10.6†Amendment No. 2 to Sales Agreement, dated as of January 1, 2010, between Lantheus MedicalImaging, Inc. and NTP Radioisotopes (Pty) Ltd. (incorporated by reference to Exhibit 10.1 to LantheusMedical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2011(file number 333-169785)). 10.7†Purchase and Supply Agreement, dated as of April 1, 2010, between Lantheus Medical Imaging, Inc. andNordion (Canada) Inc. (formerly known as MDS Nordion, a division of MDS (Canada) Inc.)(incorporated by reference to Exhibit 10.12 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on December 23, 2010 (file number 333-169785)). 10.8†Amendment No. 1 to the Purchase and Supply Agreement, dated as of December 1, 2010, betweenLantheus Medical Imaging, Inc. and Nordion (Canada) Inc. (incorporated by reference to Exhibit 10.13 toLantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the fiscal year ended December 31,2010 (file number 333-169785)). 10.9†Amended and Restated Cardiolite License and Supply Agreement, dated January 1, 2004, by and betweenLantheus Medical Imaging, Inc. and Cardinal Health 414, LLC (incorporated by reference to Exhibit 10.13to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onDecember 23, 2010 (file number 333-169785)). 10.10†Amendment No. 1 to the Amended and Restated Supply Agreement (Thallium and Generators), dated asof December 29, 2009 between Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC(incorporated by reference to Exhibit 10.26 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on December 1, 2010 (file number 333-169785)). 10.11†Amended and Restated Supply Agreement (Thallium and Generators), dated October 1, 2004, by andbetween Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC (incorporated by reference toExhibit 10.14 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on December 23, 2010 (file number 333-169785)). Table of Contents178Exhibit Description 10.12†Distribution Agreement, dated as of October 31, 2001, by and between Bristol-Myers Squibb PharmaCompany (now known as Lantheus Medical Imaging, Inc.) and Medi-Physics Inc., doing business asAmersham Health (incorporated by reference to Exhibit 10.16 to Lantheus Medical Imaging, Inc.'sRegistration Statement on Form S-4 filed with the Commission on December 29, 2010 (file number 333-169785)). 10.13†First Amendment to Distribution Agreement, dated as of January 1, 2005, by and between Bristol-MyersSquibb Medical Imaging, Inc. (formerly known as Bristol-Myers Squibb Pharma Company and nowknown as Lantheus Medical Imaging, Inc.) and Medi-Physics Inc., doing business as G.E. Healthcare(incorporated by reference to Exhibit 10.17 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on December 1, 2010 (file number 333-169785)). 10.14†Manufacturing and Supply Agreement, dated as of April 6, 2009, by and between Lantheus MedicalImaging, Inc., and Mallinckrodt Inc. (a subsidiary of Covidien PLC) (incorporated by reference toExhibit 10.27 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on December 23, 2010 (file number 333-169785)). 10.15†Amendment No. 1 to the Manufacturing and Supply Agreement, dated as of August 2, 2010, by andbetween Lantheus Medical Imaging, Inc. and Mallinckrodt Inc. (a subsidiary of Covidien PLC)(incorporated by reference to Exhibit 10.28 to Lantheus Medical Imaging, Inc.'s Registration Statement onForm S-4 filed with the Commission on December 1, 2010 (file number 333-169785)). 10.16†Amendment No. 2 to the Manufacturing and Supply Agreement, dated as of August 2, 2010, by andbetween Lantheus Medical Imaging, Inc. and Mallinckrodt Inc. (a subsidiary of Covidien PLC)(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Quarterly Report onForm 10-Q for the quarterly period ended September 30, 2011 (file number 333-169785)). 10.17 Lantheus MI Holdings, Inc. 2008 Equity Incentive Plan (incorporated by reference to Exhibit 10.18 toLantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onOctober 6, 2010 (file number 333-169785)). 10.18 Amendment No. 1 to Lantheus MI Holdings, Inc. 2008 Equity Incentive Plan (incorporated by reference toExhibit 10.19 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on October 6, 2010 (file number 333-169785)). 10.19 Amendment No. 2 to Lantheus MI Holdings, Inc. 2008 Equity Incentive Plan (incorporated by reference toExhibit 10.20 to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with theCommission on October 6, 2010 (file number 333-169785)). 10.20 Form of Option Grant Award Agreement (incorporated by reference to Exhibit 10.21 to Lantheus MedicalImaging, Inc.'s Registration Statement on Form S-4 filed with the Commission on October 6, 2010 (filenumber 333-169785)). 10.21 Lantheus Medical Imaging, Inc. Employee Bonus Plan—2009 (incorporated by reference to Exhibit 10.22to Lantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onOctober 6, 2010 (file number 333-169785)). Table of Contents179Exhibit Description 10.22 Lantheus Medical Imaging, Inc. 2010 Executive Leadership Team Incentive Bonus Plan (incorporated byreference to Exhibit 10.31 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the fiscalyear ended December 31, 2010 (file number 333-169785)). 10.23 Lantheus Medical Imaging, Inc. Severance Plan Policy (incorporated by reference to Exhibit 10.24 toLantheus Medical Imaging, Inc.'s Registration Statement on Form S-4 filed with the Commission onOctober 6, 2010 (file number 333-169785)). 10.24 Employment Agreement, dated March 10, 2008, by and between Lantheus Medical Imaging, Inc. andMichael Duffy (incorporated by reference to Exhibit 10.21 to Lantheus Medical Imaging, Inc.'s AnnualReport on Form 10 K for the fiscal year ended December 31, 2011 (file number 333-169785)). 10.25†Second Amendment, effective as of January 1, 2012, to the Distribution Agreement, dated as ofOctober 31, 2001, by and between Lantheus Medical Imaging, Inc., formerly known as Bristol-MyersSquibb Medical Imaging, Inc., and Medi-Physics, Inc., doing business as G.E. Healthcare Inc.(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Quarterly Report onForm 10-Q for the quarterly period ended March 31, 2012 (file number 333-169785)). 10.26†Manufacturing and Supply Agreement, dated as of February 1, 2012, for the manufacture of DEFINITY®by and between Lantheus Medical Imaging, Inc. and Jubilant HollisterStier LLC (incorporated by referenceto Exhibit 10.2 to Lantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterlyperiod ended March 31, 2012 (file number 333-169785)). 10.27†Amendment No. 1, effective as of February 9, 2012, to the Amended and Restated Cardiolite License andSupply Agreement by and between Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC enteredinto as of January 1, 2009 and effective as of January 1, 2004 (incorporated by reference to Exhibit 10.3 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period endedMarch 31, 2012 (file number 333-169785)). 10.28†Settlement and Mutual Release Agreement, effective as of March 20, 2012, by and between Ben VenueLaboratories, Inc. and Lantheus Medical Imaging, Inc. (incorporated by reference to Exhibit 10.4 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period endedMarch 31, 2012 (file number 333-169785)). 10.29†Transition Services Agreement, effective as of March 20, 2012, by and between Ben VenueLaboratories, Inc. and Lantheus Medical Imaging, Inc. (incorporated by reference to Exhibit 10.5 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period endedMarch 31, 2012 (file number 333-169785)). 10.30†Manufacturing and Service Contract for Commercial Products, entered into as of March 20, 2012, by andbetween Ben Venue Laboratories, Inc. and Lantheus Medical Imaging, Inc. (incorporated by reference toExhibit 10.6 to Lantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly periodended March 31, 2012 (file number 333-169785)). Table of Contents180Exhibit Description 10.31†First Amendment to Manufacturing and Supply Agreement, dated as of May 3, 2012, for the manufactureof DEFINITY® by and between Lantheus Medical Imaging, Inc. and Jubilant HollisterStier LLC(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Quarterly Report onForm 10-Q for the quarterly period ended June 30, 2012 (file number 333-169785)). 10.32†Manufacturing and Supply Agreement, dated as of May 3, 2012, for the manufacture of Cardiolite® byand between Lantheus Medical Imaging, Inc. and Jubilant HollisterStier LLC (incorporated by reference toExhibit 10.2 to Lantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly periodended June 30, 2012 (file number 333-169785)). 10.33†Manufacturing and Supply Agreement, dated as of May 3, 2012, for the manufacture of Neurolite® by andbetween Lantheus Medical Imaging, Inc. and Jubilant HollisterStier LLC (incorporated by reference toExhibit 10.3 to Lantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly periodended June 30, 2012 (file number 333-169785)). 10.34†Amendment No. 2, dated as of October 15, 2012, to the Purchase and Supply Agreement betweenLantheus Medical Imaging, Inc. and Nordion (Canada) Inc. (incorporated by reference to Exhibit 10.1 toLantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012(file number 333-169785)). 10.35†Amendment No. 3, effective as of October 1, 2012, to Sales Agreement between Lantheus MedicalImaging, Inc. and NTP Radioisotopes (Pty) Ltd. (incorporated by reference to Exhibit 10.1 to LantheusMedical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012 (filenumber 333-169785)). 10.36†Amendment No. 2, effective as of December 27, 2012, to the Amended and Restated Supply Agreement(Thallium and Generators) between Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012 (file number 333-169785)). 10.37†Amendment No. 2, effective as of December 27, 2012, to the Amended and Restated Cardiolite® Licenseand Supply Agreement by and between Lantheus Medical Imaging, Inc. and Cardinal Health 414, LLC(incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012 (file number 333-169785)). 10.38†License and Distribution Agreement, effective as of January 1, 2013, by and between Lantheus MedicalImaging, Inc. and FUJIFILM RI Pharma Co., Ltd. (incorporated by reference to Exhibit 10.1 to LantheusMedical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2012 (filenumber 333-169785)). 10.39 Separation Agreement, dated February 19, 2013, by and between Lantheus Medical Imaging, Inc. and DonKiepert (incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Annual Report onForm 10-K for the year ended December 31, 2012 (file number 333-169785)). 10.40 Fission Mo-99 Supply Agreement, effective January 1, 2013, by and between Lantheus MedicalImaging, Inc. and the Institut National des Radioelements (incorporated by reference to Exhibit 10.1 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period endedMarch 31, 2013 (file number 333-169785)). Table of ContentsExhibit Description 10.41 Lantheus MI Holdings, Inc. 2013 Equity Incentive Plan (incorporated by reference to Exhibit 10.1 toLantheus Medical Imaging, Inc.'s Current Report on Form 8-K filed with the Commission on May 6, 2013(file number 333-169785)). 10.42 Form of Employee Option Grant Award Agreement (incorporated by reference to Exhibit 10.2 to LantheusMedical Imaging, Inc.'s Current Report on Form 8-K filed with the Commission on May 6, 2013 (filenumber 333-169785)). 10.43 Form of Non-Employee Director Option Grant Award Agreement (incorporated by reference toExhibit 10.3 to Lantheus Medical Imaging, Inc.'s Current Report on Form 8-K filed with the Commissionon May 6, 2013 (file number 333-169785)). 10.44 Employment Agreement, dated May 8, 2013, by and between Lantheus Medical Imaging, Inc. and JeffreyBailey (incorporated by reference to Exhibit 10.1 to Lantheus Medical Imaging, Inc.'s Quarterly Report onForm 10-Q for the quarterly period ended September 30, 2013 (file number 333-169785). 10.45 Amended and Restated Credit Agreement date as of July 3, 2013, by and among Lantheus MedicalImaging Inc., Lantheus MI Intermediate Inc., Lantheus MI Real Estate, LLC, the lenders from time to timeparty thereto, and Well Fargo Bank, National Association collateral agent and administrative agent and assole lead arranger, back runner and syndication agent (incorporated by reference to Exhibit 10.1 toLantheus Medical Imaging, Inc.'s Quarterly Report on Form 10-Q for the quarterly period ended June 30,2013 (file number 333-169785)). 10.46*Consulting Agreement, dated July 24, 2013, by and between Lantheus Medical Imaging, Inc. and JohnGolubieski. 10.47*Employment Agreement, effective August 12, 2013, by and between Lantheus Medical Imaging, Inc. andMary Anne Heino. 10.48*Employment Agreement, effective August 12, 2013, by and between Lantheus Medical Imaging, Inc. andCesare Orlandi. 10.49*†Manufacturing and Supply Agreement, effective as of November 12, 2013, by and between LantheusMedical Imaging, Inc. and Pharmalucence, Inc. 10.50*†Settlement and Mutual Release Agreement, dated as of November 12, 2013, by and between LantheusMedical Imaging, Inc. and Ben Venue Laboratories, Inc. 10.51*†Letter Agreement, dated February 6, 2014, by and between Lantheus Medical Imaging, Inc. andPharmalucence, Inc. 12.1*Statements re: Computation of Ratio of Earnings to Fixed Charges. 14.1 Lantheus Medical Imaging, Inc. Company Code of Conduct and Ethics (incorporated by reference toExhibit 14.1 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year endedDecember 31, 2010 (file number 333-169785)). 14.2 Lantheus Medical Imaging, Inc. Compliance Code. (incorporated by reference to Exhibit 14.2 to LantheusMedical Imaging, Inc.'s Annual Report on Form 10-K for the year ended December 31, 2010 (filenumber 333-169785)). 21.1 Subsidiaries of Lantheus MI Intermediate, Inc. and Lantheus Medical Imaging, Inc. (incorporated byreference to Exhibit 21.1 to Lantheus Medical Imaging, Inc.'s Annual Report on Form 10-K for the year181ended December 31, 2010 (file number 333-169785)). Table of Contents182Exhibit Description 24.1*Power of Attorney (included as part of the signature page hereto). 31.1*Certification of Chief Executive Officer pursuant to Rule 13a-14 Securities Exchange Act Rules 13a-14(a)and 15d-14(a), pursuant to section 302 of the Sarbanes-Oxley Act of 2002. 31.2*Certification of Chief Financial Officer pursuant to Rule 13a-14 Securities Exchange Act Rules 13a-14(a)and 15d-14(a), pursuant to section 302 of the Sarbanes-Oxley Act of 2002. 32.1**Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350,as adopted by Section 906 of the Sarbanes-Oxley Act of 2002. 101.INS*XBRL Instance 101.SCH*XBRL Taxonomy Extension Schema 101.CAL*XBRL Taxonomy Extension Calculation 101.DEF*XBRL Taxonomy Extension Definition 101.LAB*XBRL Taxonomy Extension Labels 101.PRE*XBRL Taxonomy Extension Presentation*Filed herewith. **Furnished herewith. †Confidential treatment requested as to certain portions, which portions have been filed separately with the Securities andExchange Commission.Exhibit 10.46 CONSULTING AGREEMENT Contract Number: CONLMI07201302 Mr. John Golubieski (the Consultant”) 22 Tulsa CourtMonmouth Junction, NJ 08852 This Consulting Agreement (this “Agreement”), effective on the date on which both parties have fully executed the Agreement, is between the Consultant namedabove and Lantheus Medical Imaging, Inc., with a place of business at 331 Treble Cove Road, N. Billerica, MA 01862 (including its subsidiaries andaffiliates, “LMI”). 1. Term: The term of this Agreement shall be month-to-month, commencing on the effective date, unless otherwise terminated as provided herein. 2. Services: Consultant shall provide the services to LMI described in Attachment A. 3. Compensation: As full compensation for the satisfactory performance of Consultant’s services, LMI will pay Consultant the fees set forth inAttachment A. 4. Independent Contractor: For the purpose of this Agreement, Consultant will be deemed an independent contractor and not an employee or agentof LMI. Nothing in this Agreement shall be construed to create an employment relationship between Consultant and LMI. It is accordinglyunderstood that LMI will not withhold any amounts in respect of taxes from the compensation of Consultant hereunder, and that by reason ofservices provided under this Agreement, Consultant shall not be entitled to receive, nor shall such services make Consultant eligible toparticipate in, any benefits or privileges given or extended to LMI employees. 5. Representations, Warranties, and Covenants: Consultant represents and warrants that he will perform all such services in a mannercommensurate with the highest professional standards applicable to the industry. Consultant will also comply, in all material respects, with allfederal and state laws, regulations and orders applicable to the services. Consultant represents and warrants that he has not been debarred orotherwise excluded, and to the best of Consultant’s knowledge is not under consideration to be debarred or otherwise excluded, by the U.S. Foodand Drug Administration or similar agencies from working in or providing consulting services to any pharmaceutical or device company.Consultant is under no contractual or other obligation or restriction which is inconsistent with Consultant’s execution of this Agreement or theperformance of the services and, during the term of this Agreement, Consultant will not enter into any agreement, either written or oral, inconflict with Consultant’s obligations under this Agreement. Consultant also agrees not to make any use of any funds, materials, documents,personnel, facilities, equipment, information, intellectual property or other resources of a third party in performing the services, or to take anyother action that would result in a third party owning or having a right in the results of the services or LMI’s intellectual property or information. 1 6. Confidentiality: It is understood that during the course of the services, Consultant may be exposed to materials and information which areconfidential or proprietary to LMI. All such material and information, written or verbal (including, but not limited to, financial or strategicinformation), made available, disclosed, or otherwise made known to Consultant as a result of its services under this Agreement, shall beconsidered confidential, and shall be the sole property of LMI and shall be used by Consultant only for the benefit of LMI and shall not bedisclosed to any third party without LMI’s prior written approval. In accordance with the terms of the Confidential Disclosure Agreement datedas of June 27 2013, Consultant agrees not to, directly or indirectly, use or disclose any of LMI’s confidential information without the priorwritten consent of LMI. This Agreement does not, and shall not be construed to, grant to Consultant any license or other right to the patent, trademark, copyright orother intellectual property of LMI, whether or not related to confidential information. 7. Proprietary Information: 7.1 All documentation, information, and other materials owned or controlled by LMI and furnished to Consultant and all associated intellectualproperty rights are and will remain the exclusive property of LMI. Consultant shall use such materials only as necessary to perform the servicesand shall not transfer the materials to any third party without the prior written consent of LMI. In using the materials, Consultant will alsocomply with the standard operating procedures and other written instructions provided by LMI. 7.2 Consultant acknowledges that any and all writings, documents, designs, discoveries, inventions, improvements, specifications, data andother materials that Consultant makes, conceives or develops at any time as a result of or in connection with Consultant’s performance of theservices or exposure to any confidential information, together with any associated patent, copyright, trademark, trade secret and other intellectualproperty rights (collectively, “Works”), shall be deemed “works made for hire”, shall be the sole and exclusive property of LMI, and shall betreated as LMI’s confidential information.. Consultant shall and hereby does assign and transfer to LMI any and all of Consultant’s rights, titleand interest in and to the Works. Consultant shall execute and deliver any and all instruments and other documents and take such other actionsas may be necessary or reasonably requested by LMI to document the aforesaid assignment and transfer of the Works to LMI, or to enable LMIto secure, register, maintain, enforce or otherwise fully protect its rights in and to the Works. If LMI is unable because of Consultant’sunavailability, refusal, dissolution or for any other reason to secure a signature by or on behalf of Consultant to apply for or to pursue anyapplication, registration, filing or other instrument for intellectual property rights covering the Works, then Consultant hereby irrevocablydesignates and appoints LMI and its duly authorized officers and agents as Consultant’s agent and attorney in fact, to act for and onConsultant’ s behalf and stead to execute and file any such application, registration, filing or other instrument, and to do all other lawfullypermitted acts to further the prosecution and issuance of such intellectual property rights, with the same legal force and effect as if executed byConsultant. 7.3 Consultant shall keep accurate and complete records relating to the services. All such records, whether paper or electronic, shall be the soleproperty of LMI and subject to LMI’ review at a mutually agreeable time. Promptly upon the termination or expiration of this Agreement, all suchrecords, whether they were prepared by Consultant solely or jointly with others, all such information, any other property of LMI and anymaterials provided to Consultant by LMI, or its designee shall be turned over by Consultant to LMI. 2 8. Termination: Each party may terminate this Agreement at any time, with or without cause, upon at least ten (10) days prior written notice to theother party, and Consultant shall immediately stop performing the services described herein. In the event this Agreement is terminated, LMI shallbe under no further obligation to Consultant other than to pay any monies then due and owing because of any properly completed serviceshereunder. In the event of expiration or termination of this Agreement, Consultant agrees to provide LMI with all reports, materials or deliverableitems in whatever state of completion as of the date of termination. All rights granted to LMI under this Agreement that are expressly indicated tosurvive termination or expiration of this Agreement or by their nature should survive the termination or expiration of this Agreement shall survivethe termination or expiration of this Agreement, including, without limitation, Sections 5, 6, 7, 8, 9, 10, and 11. 9. Entire Agreement; Assignment: This Agreement, together with the Confidential Disclosure Agreement dated as of June 27, 2013, constitutes theentire agreement between the parties with respect to the subject matter and shall supersede and prevail over any other prior or contemporaneousarrangements as to the services, whether written or oral. This Agreement may be modified in writing only and is binding upon the parties heretoand their successors, but is not otherwise assignable, except that LMI may assign this Agreement, without consent, for the benefit of any lendersunder any financing arrangement or in connection with a merger, acquisition, recapitalization, reorganization, change of control or sale of all orsubstantially all of its assets or business so long as the successor party as of the date of such event agrees to be bound by the terms andprovisions hereof as if an initial party hereto. 10. Choice of Law: This Agreement shall be construed under and governed by the substantive laws of the Commonwealth of Massachusetts, UnitedStates of America, without giving effect to the conflicts of laws provision thereof. Any disputes arising between the parties relating to thisAgreement shall be subject to the exclusive jurisdiction and venue of the state and federal courts located in the Commonwealth of Massachusetts,and the parties hereby waive any objection which they may have now or hereafter to the laying of venue of any proceedings in said courts and toany claim that such proceedings have been brought in an inconvenient forum, and further irrevocably agree that a judgment or order in any suchproceedings shall be conclusive and binding upon each of them and may be enforced in the courts of any other jurisdiction. 11. No Publicity: Consultant acknowledges and agrees to maintain the existence of this Agreement, together with the terms of this Agreement,confidential. Consultant shall not issue, make, release, distribute or authorize for distribution any press release, information, statement, lettersor materials (irrespective of medium) that makes mention of or uses LMI’s name(s), logos, trademarks, or goodwill in any manner whatsoever. 12. Counterparts; Electronic Signatures: This Agreement may be executed in counterparts, each of which shall be deemed an original, but all ofwhich together shall constitute one and the same original. Signatures to this Agreement may be delivered by facsimile, by electronic mail (e.g., a“.pdf’ file) or by any other electronic means that is intended to preserve the original appearance of the document, and such delivery will have thesame effect as the delivery of the paper document bearing the actual, hand-written signatures Signature Page to Follow 3 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their duly authorized representatives as set forth below. CONSULTANTLANTHEUS MEDICAL IMAGING, INC. By:/s/ John GolubieskiBy:/s/ Michael DuffyName:John GolubieskiName:Michael DuffyTitle:Independent ConsultantTitle:Vice President and SecretaryDate:7/10/13Date:July 24, 2013 4 Attachment A Services: John Golubieski shall provide consulting services relating to general business matters, including services relating to accounting, financial reporting, treasury,risk management, SEC compliance, and information system management, as such services are requested by LMI and, effective as of August 9, 2013, shallprovide services in his role as the Company’s interim Chief Financial Officer. Compensation: As full compensation for the satisfactory performance of Consultant’s services, LMI agrees to pay Consultant a rate of Twenty Five Thousand Dollars($25,000) per month (or pro rata portions thereof), which shall be paid on a monthly basis. No minimum number of months or days of services is promisedor guaranteed in any way by LMI. In addition, in accordance with its standard travel and expense policies for non-employees, LMI agrees to reimburseConsultant for any reasonable and necessary travel expenses related to the services. Consultant shall provide invoices to LMI on a monthly basis or asotherwise directed by LMI. 5Exhibit 10.47 EMPLOYMENT AGREEMENT EMPLOYMENT AGREEMENT (the “Agreement”) dated as of August, 2013 by and between Lantheus Medical Imaging, Inc., a Delawarecorporation (the “Company”) and Mary Anne Heino (“Executive”). The Company desires to employ Executive and to enter into an agreement embodying the terms of such employment; Executive desires to accept such employment and enter into such an Agreement. In consideration of the premises and mutual covenants herein and for other good and valuable consideration, the parties agree as follows: 1. At-Will Employment. Executive’s employment with the Company commenced as of April 15, 2013. This agreement was subsequentlyput in place as of August 12, 2013 (the “Effective Date”). Such employment shall be “at-will” employment. Subject to the terms of this Agreement, theCompany may terminate Executive’s employment and this Agreement for any reason at any time, with or without prior notice and with or without Cause(as defined herein), but subject to certain terms set forth in Section 8 below. Similarly, subject to the terms of this Agreement, Executive may terminate hisemployment at any time, subject to Section 8 below. 2. Position. a. Commencing as of the Effective Date, Executive shall serve as the Company’s Chief Commercial Officer and shall report to theChief Executive Officer of the Company (the “CEO”) or such CEO’s designee. Executive shall have such duties and responsibilities as areconsistent with such title and position and/or such other duties and responsibilities as may be assigned from time to time by the CEO or the Board ofDirectors of Lantheus MI Holdings, Inc. (the “Board”). If requested, Executive shall serve as an officer or a member of the Board of Directors of anyof the Company’s subsidiaries or affiliates without additional compensation. b. Executive will devote Executive’s full business time and best efforts to the performance of Executive’s duties hereunder and willnot engage in any other business, profession or occupation for compensation or otherwise which would conflict or interfere with the rendition of suchservices either directly or indirectly, without the prior written consent of the Board; provided that nothing herein shall preclude Executive, subject tothe prior approval of the Board, from accepting appointment to or continuing to serve on any board of directors or trustees of any businesscorporation or any charitable organization; provided in each case, and in the aggregate, that such activities do not conflict or interfere with theperformance of Executive’s duties hereunder or conflict with Section 9. 3. Base Salary. During Executive’s employment hereunder, the Company shall pay Executive a base salary at the annualized rate of$340,000, payable in regular installments in accordance with the Company’s payment practices from time to time. Executive shall be entitled to annualperformance and salary review, and any increase in base salary shall be in the sole 1 discretion of the Compensation Committee of the Board. Executive’s annual base salary, as in effect from time to time, is hereinafter referred to as the“Base Salary”. 4. Annual Bonus. With respect to each full fiscal year ending during Executive’s employment hereunder, Executive shall be eligible to earn anannual bonus award of forty five percent (45%) of Executive’s Base Salary (the “Target”) based upon achievement of annual EBITDA and/or otherperformance targets established by the Compensation Committee of the Board within the first three months of each fiscal year (the “Annual Bonus”).The Annual Bonus, if any, shall be paid to Executive at the same time as an annual bonus is paid to other similarly situated executives; provided, thatExecutive is an active employee in good standing with the Company on such date of payment. 5. Equity. Executive shall be eligible to receive future equity awards from time to time pursuant to the Lantheus MI Holdings, Inc. 2013Equity Incentive Plan, commensurate with Executive’s level of responsibilities and the level of awards for similarly situated executives, as determined bythe Compensation Committee of the Board in its sole discretion. The terms and conditions of any such equity awards shall be set forth in a separateaward agreement. 6. Employee Benefits. During Executive’s employment hereunder, Executive shall be entitled to participate in the Company’s health, life anddisability insurance, and retirement and fringe employee benefit plans as in effect from time to time (collectively “Employee Benefits”), on the samebasis as those benefits are generally made available to other similarly situated executives of the Company. 7. Business Expenses. During Executive’s employment hereunder, reasonable business expenses incurred by Executive in the performance ofExecutive’s duties hereunder shall be reimbursed by the Company in accordance with Company policies. 8. Termination of Employment. (a) Termination By the Company Without Cause. If Executive’s employment is terminated by the Company without Cause, executive shall receive thefollowing, subject to Section 8(g): (i) an amount equal to Executive’s Base Salary on the date of termination, less taxes and withholdings, payable in substantially equal installmentsover a period of 12 months in accordance with the Company’s normal payroll practices, with payments commencing with the Company’s firstpayroll after the sixtieth (60th) day following Executive’s termination of employment, and such first payment shall include any such amounts thatwould otherwise be due prior thereto; (ii) a pro rata portion of the Target Annual Bonus amount that Executive would have been eligible to receive pursuant to Section 4 hereof in such yearof termination, based upon the percentage of the fiscal year that shall have elapsed through the date of Executive’s termination of employment, lesstaxes and withholdings, payable in substantially equal installments over a period of 12 months in accordance with the Company’s normal payrollpractices, with payments commencing with the Company’s first payroll after the sixtieth (60th) day following Executive’s termination ofemployment, and such first payment shall include any such amounts that would be otherwise due prior thereto; 2 (iii) provided that Executive elects to purchase continued healthcare coverage under COBRA, an amount equal to the Company’s portion of thepremium for medical and dental benefits under the Company’s group medical and dental plans that the Company was paying on Executive’s behalfon the date of termination (which subsidy will be treated as imputed income) for a period of 12 months, with the first payment commencing on theCompany’s first payroll date after the 60th day following Executive’s termination of employment, and such first payment shall include any suchamounts that would otherwise be due prior thereto; (iv) a lump sum amount equal to any earned, but unpaid, Annual Cash Bonus, if any, for the year prior to the year of termination, less taxes andwithholdings, which shall be payable on the 60th day following Executive’s termination of employment; (v) a lump sum amount equal to any earned, but unpaid, Base Salary, if any, through the date of Executive’s termination of employment, less taxesand withholdings, which shall be payable with the Company’s first payroll after Executive’s termination of employment; and (vi) a lump sum amount equal to any unreimbursed business expenses, if any, pursuant to and in accordance with Section 7, incurred through thedate of Executive’s termination of employment. (b) Termination Without Cause or For Good Reason following a Change of Control. If, within 12 months following the occurrence of a Change of Control(as defined in the Shareholders Agreement) of Holdings, Executive terminates his employment for Good Reason or the Company terminates Executive’semployment with the Company without Cause, Executive shall receive the following, subject to Section 8(g): (i) an amount equal to the Executive’s Base Salary on the date of termination, less taxes and withholdings, payable in substantially equalinstallments over a period of 12 months in accordance with the Company’s normal payroll practices, with payments commencing with theCompany’s first payroll after the sixtieth (60th) day following Executive’s termination of employment, and such first payment shall include anysuch amounts that would otherwise be due prior thereto; (ii) an amount equal to the full Target Bonus for the year of termination, less taxes and withholdings, payable in substantially equal installmentsover a period of 12 months in accordance with the Company’s normal payroll practices, with payments commencing with the Company’s firstpayroll after the sixtieth (60th) day following Executive’s termination of employment, and such first payment shall include any such amounts thatwould otherwise be due prior thereto; (iii) provided that Executive elects to purchase continued healthcare coverage under COBRA, an amount equal to the Company’s portion of thepremium for medical and dental benefits under the Company’s group medical and dental plans that the Company was paying on Executive’s behalfon the date of termination (which subsidy will be treated as imputed income) for a period of 12 months, with the first payment commencing on theCompany’s first payroll date after the 60th day following Executive’s termination of employment, and such first payment shall include any suchamounts that would otherwise be due prior thereto; (iv) a lump sum amount equal to any earned, but unpaid, Annual Cash Bonus, if any, for the year prior to the year of termination, less taxes andwithholdings, which shall be payable on the 60th day following Executive’s termination of employment; 3 (v) a lump sum amount equal to any earned, but unpaid, Base Salary, if any, through the date of Executive’s termination of employment, less taxesand withholdings, which shall be payable on the first payroll date after Executive’s termination of employment; and (vi) a lump sum amount equal to any unreimbursed business expenses, if any, pursuant to and in accordance with Section 7, incurred through thedate of Executive’s termination of employment. Executive acknowledges and agrees that, in connection with any Change of Control transaction,except as otherwise provided in a separate agreement, Executive shall not be entitled to receive, and shall not be paid, any transaction, success, saleor similar bonus or payment. (c) Termination Due to Death or Permanent Disability. Executive’s employment with the Company shall terminate automatically on Executive’s death. Inthe event of Executive’s Permanent Disability, the Company shall be entitled to terminate his employment. For purposes of this Agreement, the “Permanent Disability” of Executive shall mean Executive’s inability, because of mental or physical illness orincapacity, whether total or partial, to perform one or more of the material functions of Executive’s position with or without reasonable accommodation,for a period of: (i) 90 consecutive calendar days or (ii) an aggregate of 120 days out of any consecutive 12 month period, and which entitles Executive toreceive benefits under a disability plan provided by the Company. In the event of a termination of employment under this section, Executive shall be entitled to following, subject to Section 8(g): (i) a lump sum amount equal to any earned, but unpaid, Annual Cash Bonus, if any, for the year prior to the year of termination, less taxesand withholdings, payable on the sixtieth (60th) day following Executive’s termination of employment; (ii) a lump sum amount equal to any earned, but unpaid, Base Salary, if any, through the date of Executive’s termination of employment, lesstaxes and withholdings, which shall be payable on the first payroll date after Executive’s termination of employment; (iii) a lump sum amount equal to any unreimbursed business expenses, if any, pursuant to and in accordance with Section 7, incurredthrough the date of Executive’s termination of employment; and (iv) a pro rata portion of any Annual Cash Bonus, to the extent earned based on actual performance by the Company, that Executive wouldhave been eligible to receive hereunder in the year of termination, based on the percentage of the fiscal year that shall have elapsed throughthe date of Executive’s termination of employment, payable at such time as any such Annual Cash Bonuses are paid to active seniorexecutives of the Company. (d) Other Terminations. Executive shall not be entitled to the post-termination benefits set forth in Section 8(a), Section 8(b) or Section 8(c) above if hisemployment with the Company ceases for any reason other than his termination by the Company without Cause, his resignation for Good Reason or histermination as a result of his death or Permanent Disability; it being understood that if Executive’s employment with the Company ceases or terminates forany other reason, he will not be entitled to any severance or post-termination benefits or payments, whether 4 hereunder or pursuant to any policy of the Company, other than a lump sum amount equal to any earned, but unpaid, Base Salary, if any, through thedate of Executive’s termination of employment, less taxes and withholdings (payable on the first payroll date after Executive’s termination ofemployment), and a lump sum amount equal to any unreimbursed business expenses, if any, pursuant to and in accordance with Section 3(e), incurredthrough the date of Executive’s termination of employment; provided, that this paragraph shall not alter Executive’s rights or obligations he may have orbe subject to in connection with or with respect to his equity interests in Holdings, and Executive’s indemnification rights shall continue to be governed inaccordance with any Directors and Officers Liability Insurance Policy that the Company may maintain and/or with the Company’s certificate ofincorporation or by-bylaws or similar governing document, and otherwise in accordance with Section 7. (e) Cause Definition. For purposes of this Agreement, “Cause” means (i) material failure by Executive to perform Executive’s employment duties (otherthan as a consequence of any illness, accident or disability), (ii) continued, willful failure of Executive to carry out any reasonable lawful direction of theCompany, (iii) material failure of Executive to comply with any of the applicable rules of the Company contained in its Employee Handbook or any otherCompany policy, (iv) fraud, willful malfeasance, gross negligence or recklessness of Executive in the performance of employment duties, (v) willfulfailure of Executive to comply with any of the material terms of this Agreement, (vi) other serious, willful misconduct of Executive which causes materialinjury to the Company or its reputation, including, but not limited to, willful or gross misconduct toward any of the Company’s other employees, and(vii) conviction of a crime (or a pleading of guilty or nolo contendere), other than one which in the opinion of the Board does not affect Executive’s positionas an employee of the Company. (f) Good Reason Definition. For purposes of this Agreement, “Good Reason” shall mean, without the Executive’s Consent, (A) the failure of the Companyto pay, or cause to be paid, Executive’s Base Salary or Bonus, as the case may be, when due, (B) a permanent decrease in the Executive’s Base Salary, ora failure by the Company to pay material compensation or provide material benefits due and payable to the Executive under his Employment Agreement,(C) the Company requiring the Executive to be based at any office or location that is more than 50 miles from the Company’s current headquarters inBillerica, Massachusetts, or (D) the failure of the Company to cause the transferee or successor to all or substantially all of the assets of the Company toassume by operation of law or contractually the Company’s obligations hereunder, and provided further that any of the events described in clauses (A) or(D) of this section shall constitute Good Reason only if the Company fails to cure such event within 30 days after receipt from Executive of written noticeof the event which constitutes Good Reason, and provided further, that Good Reason shall cease to exist for an event on the 30 day following the later ofits occurrence or Executive’s knowledge thereof, unless Executive has given the Company written notice thereof prior to such date; For the avoidance ofdoubt, (x) a change in Executive’s reporting relationships, including but not limited to a change in the number of direct or indirect reports to Executive,shall not constitute a material and adverse reduction in Executive’s responsibilities, and (y) commensurate with Executive performing his duties Executivewill be expected to work at the Company’s headquarters in North Billerica, Massachusetts, as necessitated by business demands or as reasonablyrequested by the Company. 5th (g) Separation Agreement and General Release. The payments and benefits set forth in Sections 8(a), 8(b) and 8(c) above shall be expressly conditionedupon Executive’s (or his estate or legal representatives, in the case of Section 4(c)) execution and delivery to the Company of a Separation Agreement andGeneral Release in a form that is acceptable to the Company (the “Separation Agreement”) and such Separation Agreement becoming irrevocable withinsixty (60) days following Executive’s termination of employment; provided, that any payments or benefits otherwise due prior to such sixtieth (60th) dayshall be paid on such sixtieth (60th) day. For the avoidance of doubt, the payments and benefits set forth in Sections 8(a), 8(b) and 8(c) above shall beforfeited if such Separation Agreement has not been executed, delivered and become irrevocable within such sixty (60) day period. Such SeparationAgreement shall contain release language substantially similar to the language set forth in Exhibit A attached hereto. e. Board/Committee Resignation. Upon termination of Executive’s employment for any reason, Executive agrees to resign, as of thedate of such termination and to the extent applicable, from the Board (and any committees thereof) and the Board of Directors (and any committeesthereof) of any of the Company’s subsidiaries or affiliates. 9. Non-Competition. a. Executive acknowledges and recognizes the highly competitive nature of the businesses of the Company and its affiliates andaccordingly agrees as follows: (1) During Executive’s employment with the Company and, for a period of one year following the date Executive ceases to be employed by theCompany (the “Restricted Period”), Executive will not, whether on Executive’s own behalf or on behalf of or in conjunction with any person, firm,partnership, joint venture, association, corporation or other business organization, entity or enterprise whatsoever (“Person”), directly or indirectly solicit orassist in soliciting in competition with the Company, the business of any client or prospective client: (i) with whom Executive had personal contact or dealings on behalf of the Company during the one-year period precedingExecutive’s termination of employment; (ii) with whom employees reporting to Executive had personal contact or dealings on behalf of the Company during the one yearimmediately preceding the Executive’s termination of employment; or (iii) for whom Executive had direct or indirect responsibility during the one year immediately preceding Executive’s termination ofemployment. (2) During the Restricted Period, Executive will not directly or indirectly: 6 (i) engage in any business that competes with the business or businesses of the Company or any of its affiliates, namely in thetesting, development and manufacturing services for the development, manufacture, distribution, marketing or sale of radiopharmaceuticalproducts, contrast imaging agents and/or radioactive generators for the global medical imaging and pharmaceutical industries, and including,without limitation, businesses which the Company or its affiliates have specific plans to conduct in the future and as to which Executive is aware ofsuch planning (a “Competitive Business”); (ii) enter the employ of, or render any services to, any Person (or any division or controlled or controlling affiliate of any Person) whoor which engages in a Competitive Business; (iii) acquire a financial interest in, or otherwise become actively involved with, any Competitive Business, directly or indirectly, asan individual, partner, shareholder, officer, director, principal, agent, trustee or consultant; or (iv) interfere with, or attempt to interfere with, business relationships (whether formed before, on or after the date of this Agreement)between the Company or any of its affiliates and customers, clients, suppliers, partners, members or investors of the Company or its affiliates. (3) Notwithstanding anything to the contrary in this Agreement, Executive may, directly or indirectly, own, solely as an investment, securitiesof any Person engaged in the business of the Company or its affiliates which are publicly traded on a national or regional stock exchange or on the over-the-counter market if Executive (i) is not a controlling person of, or a member of a group which controls, such Person and (ii) does not, directly or indirectly, own5% or more of any class of securities of such Person. (4) During the Restricted Period, Executive will not, whether on Executive’s own behalf or on behalf of or in conjunction with any Person,directly or indirectly: i. solicit or encourage any employee or consultant of the Company or its affiliates to leave the employment of, or cease providingservices to, the Company or its affiliates; or ii. hire any such employee or consultant who was employed by or providing services to the Company or its affiliates as of the date ofExecutive’s termination of employment with the Company or who left the employment of or ceased providing services to the Company or its affiliatescoincident with, or within one year prior to or after, the termination of Executive’s employment with the Company. iii. It is expressly understood and agreed that although Executive and the Company consider the restrictions contained in thisSection 9 to be reasonable, if a final judicial determination is made by a court of competent jurisdiction that the time or territory or any otherrestriction contained in this Agreement is an unenforceable restriction against Executive, the provisions of this Agreement shall not be rendered voidbut shall be deemed 7 amended to apply as to such maximum time and territory and to such maximum extent as such court may judicially determine or indicate to beenforceable. Alternatively, if any court of competent jurisdiction finds that any restriction contained in this Agreement is unenforceable, and suchrestriction cannot be amended so as to make it enforceable, such finding shall not affect the enforceability of any of the other restrictions containedherein. The provisions of this Section 9 shall survive the termination of this Agreement and Executive’s employment for any reason. 10. Non-Disparagement. The Executive shall not at any time (whether during or after Executive’s employment with the Company) make, orcause to be made, any statement or communicate any information (whether oral or written) that disparages or reflects negatively on the Company or any of itsaffiliates, except for truthful statements that may be made pursuant to legal process, including without limitation in litigation, arbitration or similar disputeresolution proceedings. This Section 10 shall survive the termination of this Agreement and Executive’s employment for any reason. 11. Confidentiality; Intellectual Property. a. Confidentiality. (i) Executive will not at any time (whether during or after Executive’s employment with the Company) (x) retain or use for thebenefit, purposes or account of Executive or any other Person; or (y) disclose, divulge, reveal, communicate, share, transfer or provide access to any Personoutside the Company (other than its professional advisers who are bound by confidentiality obligations), any non-public, proprietary or confidentialinformation - including, without limitation, trade secrets, know-how, research and development, software, databases, inventions, processes, formulae,technology, designs and other intellectual property, information concerning finances, investments, profits, pricing, costs, products, services, vendors,customers, clients, partners, investors, personnel, compensation, recruiting, training, advertising, sales, marketing, promotions, government and regulatoryactivities and approvals - concerning the past, current or future business, activities and operations of the Company, its subsidiaries or affiliates and/or anythird party that has disclosed or provided any of same to the Company on a confidential basis (“Confidential Information”) without the prior writtenauthorization of the Board. (ii) Confidential Information shall not include any information that is (A) generally known to the industry or the public other than asa result of Executive’s breach of this covenant or any breach of other confidentiality obligations by third parties; (B) made legitimately available to Executiveby a third party without breach of any confidentiality obligation; or (C) required by law to be disclosed; provided that Executive shall give prompt writtennotice to the Company of such requirement, disclose no more information than is so required, and cooperate with any attempts by the Company to obtain aprotective order or similar treatment. 8 (iii) Except as required by law, Executive will not disclose to anyone, other than Executive’s immediate family and legal or financialadvisors, the existence or contents of this Agreement; provided that Executive may disclose to any prospective future employer the provisions of Sections 9, 10and 11 of this Agreement provided they agree to maintain the confidentiality of such terms. (iv) Upon termination of Executive’s employment with the Company for any reason, Executive shall (x) cease and not thereaftercommence use of any Confidential Information or intellectual property (including without limitation, any patent, invention, copyright, trade secret, trademark,trade name, logo, domain name or other source indicator) owned or used by the Company, its subsidiaries or affiliates; (y) immediately return to the Companyall Company property and destroy, delete, or return to the Company, at the Company’s option, all originals and copies in any form or medium (includingmemoranda, books, papers, plans, computer files, letters and other data) in Executive’s possession or control (including any of the foregoing stored or locatedin Executive’s office, home, laptop or other computer, whether or not Company property) that contain Confidential Information or otherwise relate to thebusiness of the Company, its affiliates and subsidiaries, except that Executive may retain only those portions of any personal notes, notebooks and diariesthat do not contain any Confidential Information; and (z) notify and fully cooperate with the Company regarding the delivery or destruction of any otherConfidential Information of which Executive is or becomes aware and promptly return any other Company property in Executive’s possession. b. Intellectual Property. (i) If Executive has created, invented, designed, developed, contributed to or improved any works of authorship, inventions,intellectual property, materials, documents or other work product (including without limitation, research, reports, software, databases, systems, applications,presentations, textual works, content, or audiovisual materials) (“Works”), either alone or with third parties, prior to Executive’s employment by theCompany, that are relevant to or implicated by such employment (“Prior Works”), Executive hereby grants the Company a perpetual, nonexclusive, royalty-free, worldwide, assignable, sublicensable license under all rights and intellectual property rights (including rights under patent, industrial property,copyright, trademark, trade secret, unfair competition and related laws) therein for all purposes in connection with the Company’s current and futurebusiness. A list of all such material Works as of the date hereof is attached hereto as Exhibit B. (ii) If Executive creates, invents, designs, develops, contributes to or improves any Works, either alone or with third parties, at anytime during Executive’s employment by the Company and within the scope of such employment and/or with the use of any Company resources (“CompanyWorks”), Executive shall promptly and fully disclose such works to the Company and hereby irrevocably assigns, transfers and conveys, to the maximumextent permitted by applicable law, all rights and intellectual property rights therein (including rights under patent, industrial property, copyright, trademark,trade secret, unfair competition and related laws) to the Company 9 to the extent ownership of any such rights does not vest originally in the Company. (iii) Executive agrees to keep and maintain adequate and current written records (in the form of notes, sketches, drawings, and anyother form or media requested by the Company) of all Company Works. The records will be available to and remain the sole property and intellectual propertyof the Company at all times. (iv) Executive shall take all requested actions and execute all requested documents (including any licenses or assignments required bya government contract) at the Company’s expense (but without further remuneration) to assist the Company in validating, maintaining, protecting, enforcing,perfecting, recording, patenting or registering any of the Company’s rights in the Prior Works and Company Works. If the Company is unable for any otherreason to secure Executive’s signature on any document for this purpose, then Executive hereby irrevocably designates and appoints the Company and its dulyauthorized officers and agents as Executive’s agent and attorney-in-fact, to act for and on Executive’s behalf to execute any documents and to do all otherlawfully permitted acts in connection with the foregoing. (v) Executive shall not improperly use for the benefit of, bring to any premises of, divulge, disclose, communicate, reveal, transferor provide access to, or share with the Company any confidential, proprietary or non-public information or intellectual property relating to a former employeror other third party without the prior written permission of such third party. Executive hereby indemnifies, holds harmless and agrees to defend the Companyand its officers, directors, partners, employees, agents and representatives from any breach of the foregoing covenant. Executive shall comply with all relevantpolicies and guidelines of the Company, including regarding the protection of confidential information and intellectual property and potential conflicts ofinterest. Executive acknowledges that the Company may amend any such policies and guidelines from time to time, and that Executive remains at all timesbound by their most current version. c. The provisions of this Section 11 shall survive the termination of this Agreement and Executive’s employment for any reason. 12. Specific Performance. ·Executive acknowledges and agrees that the Company’s remedies at law for a breach or threatened breach of any ofthe provisions of Section 9, Section 10 or Section 11 would be inadequate and the Company would suffer irreparable damages as a result of such breach orthreatened breach. In recognition of this fact, Executive agrees that, in the event of such a breach or threatened breach, in addition to any remedies at law, theCompany, without posting any bond, shall be entitled to cease making any payments or providing any benefit otherwise required by this Agreement andobtain equitable relief in the form of specific performance, temporary restraining order, temporary or permanent injunction or any other equitable remedywhich may then be available. 10 13. Miscellaneous. a. Governing Law. This Agreement shall be governed by, construed and interpreted in all respects, in accordance with the laws ofthe State of New York, without regard to conflicts of laws principles thereof. b. Entire Agreement/Amendments. This Agreement contains the entire understanding of the parties with respect to the employment ofExecutive by the Company and supersedes all prior agreements, understandings, discussions, negotiations and undertakings, whether written or oral betweenthe Executive and the Company or any of its affiliates with respect to the Executive’s employment. There are no restrictions, agreements, promises,warranties, covenants or undertakings between the parties with respect to the subject matter herein other than those expressly set forth herein. This Agreementmay not be altered, modified, or amended except by written instrument signed by the parties hereto. c. No Waiver. The failure of a party to insist upon strict adherence to any term of this Agreement on any occasion shall not beconsidered a waiver of such party’s rights or deprive such party of the right thereafter to insist upon strict adherence to that term or any other term of thisAgreement. d. Severability. In the event that any one or more of the provisions of this Agreement shall be or become invalid, illegal orunenforceable in any respect, the validity, legality and enforceability of the remaining provisions of this Agreement shall not be affected thereby. e. Assignment. This Agreement, and all of Executive’s rights and duties hereunder, shall not be assignable or delegable byExecutive. Any purported assignment or delegation by Executive in violation of the foregoing shall be null and void ab initio and of no force and effect. ThisAgreement may be assigned by the Company to a person or entity which is an affiliate or a successor in interest to substantially all of the business operationsof the Company. Upon such assignment, the rights and obligations of the Company hereunder shall become the rights and obligations of such affiliate orsuccessor person or entity. f. Set Off. The Company’s obligation to pay Executive the amounts provided and to make the arrangements provided hereundershall be subject to set-off, counterclaim or recoupment of amounts owed by Executive to the Company or its affiliates. g. Dispute Resolution. Except with respect to Sections 9, 10, 11 and 12 hereof, any controversy or claim arising out of or related toany provision of this Agreement that cannot be mutually resolved by the parties hereto shall be settled by final, binding and nonappealable arbitration in NewYork, NY by a single mutually-acceptable arbitrator. Subject to the following provisions, the arbitration shall be conducted in accordance with 11 the applicable rules of American Arbitration Association then in effect. Any award entered by the arbitrator shall be final, binding and nonappealable andjudgment may be entered thereon by either party in accordance with applicable law in any court of competent jurisdiction. This arbitration provision shall bespecifically enforceable. The arbitrator shall have no authority to modify any provision of this Agreement or to award a remedy for a dispute involving thisAgreement other than a benefit specifically provided under or by virtue of the Agreement. Each party shall be responsible for its own expenses relating to theconduct of the arbitration or litigation (including attorney’s fees and expenses) and shall share the fees of the American Arbitration Association and thearbitrator equally. h. Compliance with Section 409A of the Code. The parties acknowledge and agree that the interpretation of Section 409 A of theCode and its application to the terms of this Agreement is uncertain and may be subject to change as additional guidance and interpretations become available.Anything to the contrary herein notwithstanding, all benefits or payments provided by the Company to the Executive that would be deemed to constitute“nonqualified deferred compensation” within the meaning of Section 409A of the Code are intended to comply with Section 409A of the Code. If, however, anysuch benefit or payment is deemed to not comply with Section 409A of the Code, the Company and the Executive agree to renegotiate in good faith any suchbenefit or payment (including, without limitation, as to the timing of any severance payments payable hereunder), if possible, so that either (i) Section 409A ofthe Code will not apply or (ii) compliance with Section 409A ofthe Code will be achieved. The Company shall consult with Executive in good faith regardingthe implementation of the provisions of this Section 13(h); provided that neither the Company nor any of its employees or representatives shall have anyliability to Executive with respect to thereto. i. Successors; Binding Agreement. This Agreement shall inure to the benefit of and be binding upon personal or legalrepresentatives, executors, administrators, successors, heirs, distributees, devisees and legatees of the parties hereto. j. Notice. For the purpose of this Agreement, notices and all other communications provided for in the Agreement shall be in writingand shall be deemed to have been duly given when delivered by hand or overnight courier or three days after it has been mailed by United States registeredmail, return receipt requested, postage prepaid, addressed to the respective addresses set forth below in this Agreement, or to such other address as either partymay have furnished to the other in writing in accordance herewith, except that notice of change of address shall be effective only upon receipt. If to the Company:Lantheus Medical Imaging, Inc.331 Treble Cove Rd.Bldg. 600-2N. Billerica, MA 01862Attention: Michael Duffy,Vice President and General CounselEmail: Michael.Duffy@lantheus.com 12 If to Executive:To Executive’s address on file with the Company k. Executive Representation. Executive hereby represents to the Company that (i) Executive has been provided with sufficientopportunity to review this Agreement and has been advised by the Company to conduct such review with an attorney of his choice, and (ii) the execution anddelivery of this Agreement by Executive and the Company and the performance by Executive of Executive’s duties hereunder shall not constitute a breach of,or otherwise contravene, the terms of any employment agreement or other agreement or policy to which Executive is a party or otherwise bound. 1. Cooperation. Executive shall provide Executive’s reasonable cooperation in connection with any action or proceeding (or anyappeal from any action or proceeding) which relates to events occurring during Executive’s employment hereunder. This provision shall survive anytermination of this Agreement or Executive’s employment. m. Withholding Taxes. The Company may withhold from any amounts payable under this Agreement such Federal, state and localtaxes as may be required to be withheld pursuant to any applicable law or regulation. n. Counterparts. This Agreement may be signed in counterparts, each of which shall be an original, with the same effect as if thesignatures thereto and hereto were upon the same instrument. [Signatures on following page] IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day and year fIrst above written. Lantheus Medical Imaging, Inc. /s/ Jeffrey Bailey/s/ Mary Anne HeinoBy: Jeffrey BaileyMary Anne HeinoTitle: President and Chief Executive Officer 13 EXHIBIT ARELEASE This RELEASE (“Release”) dated as of , 20 between Lantheus Medical Imaging, Inc., a Delaware corporation (the “Company”), and (the “Executive”). WHEREAS, the Company and the Executive previously entered into an employment agreement dated March , 2008 (the “EmploymentAgreement”); and WHEREAS, the Executive’s employment with the Company has terminated effective , 20 ; NOW, THEREFORE, in consideration of the premises and mutual agreements contained herein and in the Employment Agreement, the Companyand the Executive agree as follows: 1. Executive agrees to and does waive any claims he may have for employment by the Company and agrees not to seek such employment orreemployment by the Company in the future. The Executive, on his own behalf and on behalf of his heirs, estate and beneficiaries, further does hereby releasethe Company, and in such capacities, any of its subsidiaries or affiliates, and each of their respective past, present and future officers, directors, agents,employees, shareholders, investors, employee benefit plans and their administrators or fiduciaries, insurers of any such entities, and its and their successorsand assigns and others related to such entities from any and all claims made, to be made, or which might have been made of whatever nature, whether knownor unknown, from the beginning of time, including those that arose as a consequence of his employment with the Company, or arising out of the separationfrom the Company, the severance of such employment relationship, or any act committed or omitted during or after the existence of such employmentrelationship, all up through and including the date on which this Release is executed, including, but not limited to, those which were, could have been or couldbe the subject of an administrative or judicial proceeding filed by the Executive or on his behalf under federal, state or local law, whether by statute, regulation,in contract or tort, and including, but not limited to, every claim for front pay, back pay, wages, bonus, fringe benefit, any form of discrimination, wrongfultermination, tort, emotional distress, pain and suffering, breach of contract, fraud, defamation, compensatory or punitive damages, interest, attorney’s fees,reinstatement or reemployment, and any rights or claims under the Civil Rights Act of 1866, the Age Discrimination in Employment Act of 1967, asamended, 29 U.S.C. sec. 621, et seq., the Americans with Disabilities Act, the Family and Medical Leave Act, the Civil Rights Act of 1964, Title VII, asamended, the Civil Rights Act of 1991, the Employee Retirement Income Security Act of 1974, as amended, the Equal Pay Act, the Worker Adjustment andRetraining Notification Act, the New York State Human Rights Law, the New York City Human Rights Law, the Massachusetts Civil Rights Act, theMassachusetts Equal Pay and Maternity Benefits Law, the Massachusetts Equal Rights for Elderly and Disabled Law, the Massachusetts Small NecessitiesLeave Act, the Massachusetts Age Discrimination Law, or any other federal, state or local law relating to employment, discrimination in employment,termination of employment, wages, benefits or otherwise. The Executive acknowledges and agrees that even though claims and facts in addition to those nowknown or believed by him to exist may subsequently be discovered, it is his intention to fully settle and release all claims he may have against the Companyand the persons and entities described above, whether known, unknown or suspected. Employee does not waive his right to have 14 a charge filed with the Equal Employment Opportunity Commission (“EEOC”) or any state civil rights agency or to participate in an investigation conductedby the EEOC or any state civil rights agency; however, Employee expressly waives his right to recover any monetary relief should any administrative agency,including but not limited to the EEOC, pursue any claim on Employee’s behalf. 2. The Company and the Executive acknowledge and agree that the release contained in Paragraph 1 does not, and shall not be construed to, release orlimit the scope of any existing obligation of the Company and/or any of its subsidiaries or affiliates (i) to indemnify the Executive for his acts as an officer ordirector of the Company and/or its subsidiaries or affiliates in accordance with their respective charters or bylaws or under an indemnification agreement towhich the Executive and the Company or any of its subsidiaries are parties or under any applicable Directors and Officers insurance policies or under anyapplicable law or (ii) to the Executive and his eligible, participating dependents or beneficiaries under any existing group welfare (excluding severance), equity,or retirement plan of the Company in which the Executive and/or such dependents are participants. 3. The Executive acknowledges that before entering into this Release, he has had the opportunity to consult with any attorney or other advisor of theExecutive’s choice, and the Executive is hereby advised to consult with an attorney. The Executive further acknowledges that by signing this Release, he doesso of his own free will and act, that it is his intention to be legally bound by its terms, and that no promises or representations have been made to the Executiveby any person to induce the Executive to enter into this Release other than the express terms set forth herein. The Executive further acknowledges that he hascarefully read this Release, knows and understands its contents and its binding legal effect, including the waiver and release of claims set forth in Paragraph 1above. 4. The Executive acknowledges that he has been provided at least 21 days to review the Release. In the event the Executive elects to sign this Releaseprior to this 21 day period, he agrees that it is a knowing and voluntary waiver of his right to wait the full 21 days. The Executive further understand that hehas 7 days after the signing hereof to revoke this Release by so notifying the Company, Lantheus Medical Imaging, Inc., 331 Treble Cove Rd., Bldg. 600-2,N. Billerica, MA 01862, Attention: Michael Duffy in writing, such notice to be received by the Company within the 7 day period. This Release shall notbecome effective or enforceable, and no payments or benefits under Sections 8(c)(ii)(B),(C) and (D) of the Employment Agreement, as applicable, shall bemade or provided, until this seven (7) day revocation period expires without the Executive having revoked this Release. 15 IN WITNESS WHEREOF, the parties have executed this Release on the date first above written. Lantbeus Medical Imaging, Inc. By:Name:Title: Employee Name 16 EXHIBIT BPRIOR WORKS [None] 17Exhibit 10.48 EMPLOYMENT AGREEMENT EMPLOYMENT AGREEMENT (the “Agreement”) dated as of August, 2013 by and between Lantheus Medical Imaging, Inc., a Delawarecorporation (the “Company”) and Cesare Orlandi (“Executive”). The Company desires to employ Executive and to enter into an agreement embodying the terms of such employment; Executive desires to accept such employment and enter into such an Agreement. In consideration of the premises and mutual covenants herein and for other good and valuable consideration, the parties agree as follows: 1. At-Will Employment. Executive’s employment with the Company commenced as of March 4, 2013. This agreement was subsequently putin place as of August 12, 2013 (the “Effective Date”). Such employment shall be “at-will” employment. Subject to the terms of this Agreement, theCompany may terminate Executive’s employment and this Agreement for any reason at any time, with or without prior notice and with or without Cause(as defined herein), but subject to certain terms set forth in Section 8 below. Similarly, subject to the terms of this Agreement, Executive may terminate hisemployment at any time, subject to Section 8 below. 2. Position. a. Commencing as of the Effective Date, Executive shall serve as the Company’s Chief Medical Officer and shall report to the ChiefExecutive Officer of the Company (the “CEO”) or such CEO’s designee. Executive shall have such duties and responsibilities as are consistent withsuch title and position and/or such other duties and responsibilities as may be assigned from time to time by the CEO or the Board of Directors ofLantheus MI Holdings, Inc. (the “Board”). If requested, Executive shall serve as an officer or a member of the Board of Directors of any of theCompany’s subsidiaries or affiliates without additional compensation. b. Executive will devote Executive’s full business time and best efforts to the performance of Executive’s duties hereunder and willnot engage in any other business, profession or occupation for compensation or otherwise which would conflict or interfere with the rendition of suchservices either directly or indirectly, without the prior written consent of the Board; provided that nothing herein shall preclude Executive, subject tothe prior approval of the Board, from accepting appointment to or continuing to serve on any board of directors or trustees of any businesscorporation or any charitable organization; provided in each case, and in the aggregate, that such activities do not conflict or interfere with theperformance of Executive’s duties hereunder or conflict with Section 9. 3. Base Salary. During Executive’s employment hereunder, the Company shall pay Executive a base salary at the annualized rate of$365,000, payable in regular installments in accordance with the Company’s payment practices from time to time. Executive shall be entitled to annualperformance and salary review, and any increase in base salary shall be in the sole 1 discretion of the Compensation Committee of the Board. Executive’s annual base salary, as in effect from time to time, is hereinafter referred to as the“Base Salary”. 4. Annual Bonus. With respect to each full fiscal year ending during Executive’s employment hereunder, Executive shall be eligible to earn anannual bonus award of forty percent (40%) of Executive’s Base Salary (the “Target”) based upon achievement of annual EBITDA and/or otherperformance targets established by the Compensation Committee of the Board within the first three months of each fiscal year (the “Annual Bonus”).The Annual Bonus, if any, shall be paid to Executive at the same time as an annual bonus is paid to other similarly situated executives; provided, thatExecutive is an active employee in good standing with the Company on such date of payment. 5. Equity. Executive shall be eligible to receive future equity awards from time to time pursuant to the Lantheus MI Holdings, Inc. 2013Equity Incentive Plan, commensurate with Executive’s level of responsibilities and the level of awards for similarly situated executives, as determined bythe Compensation Committee of the Board in its sole discretion. The terms and conditions of any such equity awards shall be set forth in a separateaward agreement. 6. Employee Benefits. During Executive’s employment hereunder, Executive shall be entitled to participate in the Company’s health, life anddisability insurance, and retirement and fringe employee benefit plans as in effect from time to time (collectively “Employee Benefits”), on the samebasis as those benefits are generally made available to other similarly situated executives of the Company. 7. Business Expenses. During Executive’s employment hereunder, reasonable business expenses incurred by Executive in the performance ofExecutive’s duties hereunder shall be reimbursed by the Company in accordance with Company policies. 8. Termination of Employment. (a) Termination By the Company Without Cause. If Executive’s employment is terminated by the Company without Cause, executive shall receive thefollowing, subject to Section 8(g): (i) an amount equal to Executive’s Base Salary on the date of termination, less taxes and withholdings, payable in substantially equal installmentsover a period of 12 months in accordance with the Company’s normal payroll practices, with payments commencing with the Company’s firstpayroll after the sixtieth (60th) day following Executive’s termination of employment, and such first payment shall include any such amounts thatwould otherwise be due prior thereto; (ii) a pro rata portion of the Target Annual Bonus amount that Executive would have been eligible to receive pursuant to Section 4 hereof in such yearof termination, based upon the percentage of the fiscal year that shall have elapsed through the date of Executive’s termination of employment, lesstaxes and withholdings, payable in substantially equal installments over a period of 12 months in accordance with the Company’s normal payrollpractices, with payments commencing with the Company’s first payroll after the sixtieth (60th) day following Executive’s termination ofemployment, and such first payment shall include any such amounts that would be otherwise due prior thereto; 2 (iii) provided that Executive elects to purchase continued healthcare coverage under COBRA, an amount equal to the Company’s portion of thepremium for medical and dental benefits under the Company’s group medical and dental plans that the Company was paying on Executive’s behalfon the date of termination (which subsidy will be treated as imputed income) for a period of 12 months, with the first payment commencing on theCompany’s first payroll date after the 60th day following Executive’s termination of employment, and such first payment shall include any suchamounts that would otherwise be due prior thereto; (iv) a lump sum amount equal to any earned, but unpaid, Annual Cash Bonus, if any, for the year prior to the year of termination, less taxes andwithholdings, which shall be payable on the 60th day following Executive’s termination of employment; (v) a lump sum amount equal to any earned, but unpaid, Base Salary, if any, through the date of Executive’s termination of employment, less taxesand withholdings, which shall be payable with the Company’s first payroll after Executive’s termination of employment; and (vi) a lump sum amount equal to any unreimbursed business expenses, if any, pursuant to and in accordance with Section 7, incurred through thedate of Executive’s termination of employment. (b) Termination Without Cause or For Good Reason following a Change of Control. If, within 12 months following the occurrence of a Change of Control(as defined in the Shareholders Agreement) of Holdings, Executive terminates his employment for Good Reason or the Company terminates Executive’semployment with the Company without Cause, Executive shall receive the following, subject to Section 8(g): (i) an amount equal to the Executive’s Base Salary on the date of termination, less taxes and withholdings, payable in substantially equalinstallments over a period of 12 months in accordance with the Company’s normal payroll practices, with payments commencing with theCompany’s first payroll after the sixtieth (60th) day following Executive’s termination of employment, and such first payment shall include anysuch amounts that would otherwise be due prior thereto; (ii) an amount equal to the full Target Bonus for the year of termination, less taxes and withholdings, payable in substantially equal installmentsover a period of 12 months in accordance with the Company’s normal payroll practices, with payments commencing with the Company’s firstpayroll after the sixtieth (60th) day following Executive’s termination of employment, and such first payment shall include any such amounts thatwould otherwise be due prior thereto; (iii) provided that Executive elects to purchase continued healthcare coverage under COBRA, an amount equal to the Company’s portion of thepremium for medical and dental benefits under the Company’s group medical and dental plans that the Company was paying on Executive’s behalfon the date of termination (which subsidy will be treated as imputed income) for a period of 12 months, with the first payment commencing on theCompany’s first payroll date after the 60th day following Executive’s termination of employment, and such first payment shall include any suchamounts that would otherwise be due prior thereto; (iv) a lump sum amount equal to any earned, but unpaid, Annual Cash Bonus, if any, for the year prior to the year of termination, less taxes andwithholdings, which shall be payable on the 60th day following Executive’s termination of employment; 3 (v) a lump sum amount equal to any earned, but unpaid, Base Salary, if any, through the date of Executive’s termination of employment, less taxesand withholdings, which shall be payable on the first payroll date after Executive’s termination of employment; and (vi) a lump sum amount equal to any unreimbursed business expenses, if any, pursuant to and in accordance with Section 7, incurred through thedate of Executive’s termination of employment. Executive acknowledges and agrees that, in connection with any Change of Control transaction,except as otherwise provided in a separate agreement, Executive shall not be entitled to receive, and shall not be paid, any transaction, success, saleor similar bonus or payment. (c) Termination Due to Death or Permanent Disability. Executive’s employment with the Company shall terminate automatically on Executive’s death. Inthe event of Executive’s Permanent Disability, the Company shall be entitled to terminate his employment. For purposes of this Agreement, the “Permanent Disability” of Executive shall mean Executive’s inability, because of mental or physical illness orincapacity, whether total or partial, to perform one or more of the material functions of Executive’s position with or without reasonable accommodation,for a period of: (i) 90 consecutive calendar days or (ii) an aggregate of 120 days out of any consecutive 12 month period, and which entitles Executive toreceive benefits under a disability plan provided by the Company. In the event of a termination of employment under this section, Executive shall be entitled to following, subject to Section 8(g): (i) a lump sum amount equal to any earned, but unpaid, Annual Cash Bonus, if any, for the year prior to the year of termination, less taxesand withholdings, payable on the sixtieth (60th) day following Executive’s termination of employment; (ii) a lump sum amount equal to any earned, but unpaid, Base Salary, if any, through the date of Executive’s termination of employment, lesstaxes and withholdings, which shall be payable on the first payroll date after Executive’s termination of employment; (iii) a lump sum amount equal to any unreimbursed business expenses, if any, pursuant to and in accordance with Section 7, incurredthrough the date of Executive’s termination of employment; and (iv) a pro rata portion of any Annual Cash Bonus, to the extent earned based on actual performance by the Company, that Executive wouldhave been eligible to receive hereunder in the year of termination, based on the percentage of the fiscal year that shall have elapsed throughthe date of Executive’s termination of employment, payable at such time as any such Annual Cash Bonuses are paid to active seniorexecutives of the Company. (d) Other Terminations. Executive shall not be entitled to the post-termination benefits set forth in Section 8(a), Section 8(b) or Section 8(c) above if hisemployment with the Company ceases for any reason other than his termination by the Company without Cause, his resignation for Good Reason or histermination as a result of his death or Permanent Disability; it being understood that if Executive’s employment with the Company ceases or terminates forany other reason, he will not be entitled to any severance or post-termination benefits or payments, whether 4 hereunder or pursuant to any policy of the Company, other than a lump sum amount equal to any earned, but unpaid, Base Salary, if any, through thedate of Executive’s termination of employment, less taxes and withholdings (payable on the first payroll date after Executive’s termination ofemployment), and a lump sum amount equal to any unreimbursed business expenses, if any, pursuant to and in accordance with Section 3(e), incurredthrough the date of Executive’s termination of employment; provided, that this paragraph shall not alter Executive’s rights or obligations he may have orbe subject to in connection with or with respect to his equity interests in Holdings, and Executive’s indemnification rights shall continue to be governed inaccordance with any Directors and Officers Liability Insurance Policy that the Company may maintain and/or with the Company’s certificate ofincorporation or by-bylaws or similar governing document, and otherwise in accordance with Section 7. (e) Cause Definition. For purposes of this Agreement, “Cause” means (i) material failure by Executive to perform Executive’s employment duties (otherthan as a consequence of any illness, accident or disability), (ii) continued, willful failure of Executive to carry out any reasonable lawful direction of theCompany, (iii) material failure of Executive to comply with any of the applicable rules of the Company contained in its Employee Handbook or any otherCompany policy, (iv) fraud, willful malfeasance, gross negligence or recklessness of Executive in the performance of employment duties, (v) willfulfailure of Executive to comply with any of the material terms of this Agreement, (vi) other serious, willful misconduct of Executive which causes materialinjury to the Company or its reputation, including, but not limited to, willful or gross misconduct toward any of the Company’s other employees, and(vii) conviction of a crime (or a pleading of guilty or nolo contendere), other than one which in the opinion of the Board does not affect Executive’s positionas an employee of the Company. (f) Good Reason Definition. For purposes of this Agreement, “Good Reason” shall mean, without the Executive’s Consent, (A) the failure of the Companyto pay, or cause to be paid, Executive’s Base Salary or Bonus, as the case may be, when due, (B) a permanent decrease in the Executive’s Base Salary, ora failure by the Company to pay material compensation or provide material benefits due and payable to the Executive under his Employment Agreement,(C) the Company requiring the Executive to be based at any office or location that is more than 50 miles from the Company’s current headquarters inBillerica, Massachusetts, or (D) the failure of the Company to cause the transferee or successor to all or substantially all of the assets of the Company toassume by operation of law or contractually the Company’s obligations hereunder, and provided further that any of the events described in clauses (A) or(D) of this section shall constitute Good Reason only if the Company fails to cure such event within 30 days after receipt from Executive of written noticeof the event which constitutes Good Reason, and provided further, that Good Reason shall cease to exist for an event on the 30 day following the later ofits occurrence or Executive’s knowledge thereof, unless Executive has given the Company written notice thereof prior to such date; For the avoidance ofdoubt, (x) a change in Executive’s reporting relationships, including but not limited to a change in the number of direct or indirect reports to Executive,shall not constitute a material and adverse reduction in Executive’s responsibilities, and (y) commensurate with Executive performing his duties Executivewill be expected to work at the Company’s headquarters in North Billerica, Massachusetts, as necessitated by business demands or as reasonablyrequested by the Company. 5th (g) Separation Agreement and General Release. The payments and benefits set forth in Sections 8(a), 8(b) and 8(c) above shall be expressly conditionedupon Executive’s (or his estate or legal representatives, in the case of Section 4(c)) execution and delivery to the Company of a Separation Agreement andGeneral Release in a form that is acceptable to the Company (the “Separation Agreement”) and such Separation Agreement becoming irrevocable withinsixty (60) days following Executive’s termination of employment; provided, that any payments or benefits otherwise due prior to such sixtieth (60th) dayshall be paid on such sixtieth (60th) day. For the avoidance of doubt, the payments and benefits set forth in Sections 8(a), 8(b) and 8(c) above shall beforfeited if such Separation Agreement has not been executed, delivered and become irrevocable within such sixty (60) day period. Such SeparationAgreement shall contain release language substantially similar to the language set forth in Exhibit A attached hereto. e. Board/Committee Resignation. Upon termination of Executive’s employment for any reason, Executive agrees to resign, as of thedate of such termination and to the extent applicable, from the Board (and any committees thereof) and the Board of Directors (and any committeesthereof) of any of the Company’s subsidiaries or affiliates. 9. Non-Competition. a. Executive acknowledges and recognizes the highly competitive nature of the businesses of the Company and its affiliates andaccordingly agrees as follows: (1) During Executive’s employment with the Company and, for a period of one year following the date Executive ceases to be employed by theCompany (the “Restricted Period”), Executive will not, whether on Executive’s own behalf or on behalf of or in conjunction with any person, firm,partnership, joint venture, association, corporation or other business organization, entity or enterprise whatsoever (“Person”), directly or indirectly solicit orassist in soliciting in competition with the Company, the business of any client or prospective client: (i) with whom Executive had personal contact or dealings on behalf of the Company during the one-year period precedingExecutive’s termination of employment; (ii) with whom employees reporting to Executive had personal contact or dealings on behalf of the Company during the one yearimmediately preceding the Executive’s termination of employment; or (iii) for whom Executive had direct or indirect responsibility during the one year immediately preceding Executive’s termination ofemployment. (2) During the Restricted Period, Executive will not directly or indirectly: 6 (i) engage in any business that competes with the business or businesses of the Company or any of its affiliates, namely in thetesting, development and manufacturing services for the development, manufacture, distribution, marketing or sale of radiopharmaceuticalproducts, contrast imaging agents and/or radioactive generators for the global medical imaging and pharmaceutical industries, and including,without limitation, businesses which the Company or its affiliates have specific plans to conduct in the future and as to which Executive is aware ofsuch planning (a “Competitive Business”); (ii) enter the employ of, or render any services to, any Person (or any division or controlled or controlling affiliate of any Person) whoor which engages in a Competitive Business; (iii) acquire a financial interest in, or otherwise become actively involved with, any Competitive Business, directly or indirectly, asan individual, partner, shareholder, officer, director, principal, agent, trustee or consultant; or (iv) interfere with, or attempt to interfere with, business relationships (whether formed before, on or after the date of this Agreement)between the Company or any of its affiliates and customers, clients, suppliers, partners, members or investors of the Company or its affiliates. (3) Notwithstanding anything to the contrary in this Agreement, Executive may, directly or indirectly, own, solely as an investment, securitiesof any Person engaged in the business of the Company or its affiliates which are publicly traded on a national or regional stock exchange or on the over-the-counter market if Executive (i) is not a controlling person of, or a member of a group which controls, such Person and (ii) does not, directly or indirectly, own5% or more of any class of securities of such Person. (4) During the Restricted Period, Executive will not, whether on Executive’s own behalf or on behalf of or in conjunction with any Person,directly or indirectly: i. solicit or encourage any employee or consultant of the Company or its affiliates to leave the employment of, or ceaseproviding services to, the Company or its affiliates; or ii. hire any such employee or consultant who was employed by or providing services to the Company or its affiliates as ofthe date of Executive’s termination of employment with the Company or who left the employment of or ceased providing services to the Company orits affiliates coincident with, or within one year prior to or after, the termination of Executive’s employment with the Company. iii. It is expressly understood and agreed that although Executive and the Company consider the restrictions contained inthis Section 9 to be reasonable, if a final judicial determination is made by a court of competent jurisdiction that the time or territory or any otherrestriction contained in this Agreement is an unenforceable restriction against Executive, the provisions of this Agreement shall not be rendered voidbut shall be deemed 7 amended to apply as to such maximum time and territory and to such maximum extent as such court may judicially determine or indicate to beenforceable. Alternatively, if any court of competent jurisdiction finds that any restriction contained in this Agreement is unenforceable, and suchrestriction cannot be amended so as to make it enforceable, such finding shall not affect the enforceability of any of the other restrictions containedherein. The provisions of this Section 9 shall survive the termination of this Agreement and Executive’s employment for any reason. 10. Non-Disparagement. The Executive shall not at any time (whether during or after Executive’s employment with the Company) make, or cause tobe made, any statement or communicate any information (whether oral or written) that disparages or reflects negatively on the Company or any of its affiliates,except for truthful statements that may be made pursuant to legal process, including without limitation in litigation, arbitration or similar dispute resolutionproceedings. This Section 10 shall survive the termination of this Agreement and Executive’s employment for any reason. 11. Confidentiality; Intellectual Property. a. Confidentiality. (i) Executive will not at any time (whether during or after Executive’s employment with the Company) (x) retain or use for thebenefit, purposes or account of Executive or any other Person; or (y) disclose, divulge, reveal, communicate, share, transfer or provide access to any Personoutside the Company (other than its professional advisers who are bound by confidentiality obligations), any non-public, proprietary or confidentialinformation - including, without limitation, trade secrets, know-how, research and development, software, databases, inventions, processes, formulae,technology, designs and other intellectual property, information concerning finances, investments, profits, pricing, costs, products, services, vendors,customers, clients, partners, investors, personnel, compensation, recruiting, training, advertising, sales, marketing, promotions, government and regulatoryactivities and approvals - concerning the past, current or future business, activities and operations of the Company, its subsidiaries or affiliates and/or anythird party that has disclosed or provided any of same to the Company on a confidential basis (“Confidential Information”) without the prior writtenauthorization of the Board. (ii) Confidential Information shall not include any information that is (A) generally known to the industry or the public other than asa result of Executive’s breach of this covenant or any breach of other confidentiality obligations by third parties; (B) made legitimately available to Executiveby a third party without breach of any confidentiality obligation; or (C) required by law to be disclosed; provided that Executive shall give prompt writtennotice to the Company of such requirement, disclose no more information than is so required, and cooperate with any attempts by the Company to obtain aprotective order or similar treatment. 8 (iii) Except as required by law, Executive will not disclose to anyone, other than Executive’s immediate family and legal or financialadvisors, the existence or contents of this Agreement; provided that Executive may disclose to any prospective future employer the provisions of Sections 9, 10and 11 of this Agreement provided they agree to maintain the confidentiality of such terms. (iv) Upon termination of Executive’s employment with the Company for any reason, Executive shall (x) cease and not thereaftercommence use of any Confidential Information or intellectual property (including without limitation, any patent, invention, copyright, trade secret, trademark,trade name, logo, domain name or other source indicator) owned or used by the Company, its subsidiaries or affiliates; (y) immediately return to the Companyall Company property and destroy, delete, or return to the Company, at the Company’s option, all originals and copies in any form or medium (includingmemoranda, books, papers, plans, computer files, letters and other data) in Executive’s possession or control (including any of the foregoing stored or locatedin Executive’s office, home, laptop or other computer, whether or not Company property) that contain Confidential Information or otherwise relate to thebusiness of the Company, its affiliates and subsidiaries, except that Executive may retain only those portions of any personal notes, notebooks and diariesthat do not contain any Confidential Information; and (z) notify and fully cooperate with the Company regarding the delivery or destruction of any otherConfidential Information of which Executive is or becomes aware and promptly return any other Company property in Executive’s possession. b. Intellectual Property. (i) If Executive has created, invented, designed, developed, contributed to or improved any works of authorship, inventions,intellectual property, materials, documents or other work product (including without limitation, research, reports, software, databases, systems, applications,presentations, textual works, content, or audiovisual materials) (“Works”), either alone or with third parties, prior to Executive’s employment by theCompany, that are relevant to or implicated by such employment (“Prior Works”), Executive hereby grants the Company a perpetual, nonexclusive, royalty-free, worldwide, assignable, sublicensable license under all rights and intellectual property rights (including rights under patent, industrial property,copyright, trademark, trade secret, unfair competition and related laws) therein for all purposes in connection with the Company’s current and futurebusiness. A list of all such material Works as of the date hereof is attached hereto as Exhibit B. (ii) If Executive creates, invents, designs, develops, contributes to or improves any Works, either alone or with third parties, at anytime during Executive’s employment by the Company and within the scope of such employment and/or with the use of any Company resources (“CompanyWorks”), Executive shall promptly and fully disclose such works to the Company and hereby irrevocably assigns, transfers and conveys, to the maximumextent permitted by applicable law, all rights and intellectual property rights therein (including rights under patent, industrial property, copyright, trademark,trade secret, unfair competition and related laws) to the Company 9 to the extent ownership of any such rights does not vest originally in the Company. (iii) Executive agrees to keep and maintain adequate and current written records (in the form of notes, sketches, drawings, and anyother form or media requested by the Company) of all Company Works. The records will be available to and remain the sole property and intellectual propertyof the Company at all times. (iv) Executive shall take all requested actions and execute all requested documents (including any licenses or assignments required bya government contract) at the Company’s expense (but without further remuneration) to assist the Company in validating, maintaining, protecting, enforcing,perfecting, recording, patenting or registering any of the Company’s rights in the Prior Works and Company Works. If the Company is unable for any otherreason to secure Executive’s signature on any document for this purpose, then Executive hereby irrevocably designates and appoints the Company and its dulyauthorized officers and agents as Executive’s agent and attorney-in-fact, to act for and on Executive’s behalf to execute any documents and to do all otherlawfully permitted acts in connection with the foregoing. (v) Executive shall not improperly use for the benefit of, bring to any premises of, divulge, disclose, communicate, reveal, transferor provide access to, or share with the Company any confidential, proprietary or non-public information or intellectual property relating to a former employeror other third party without the prior written permission of such third party. Executive hereby indemnifies, holds harmless and agrees to defend the Companyand its officers, directors, partners, employees, agents and representatives from any breach of the foregoing covenant. Executive shall comply with all relevantpolicies and guidelines of the Company, including regarding the protection of confidential information and intellectual property and potential conflicts ofinterest. Executive acknowledges that the Company may amend any such policies and guidelines from time to time, and that Executive remains at all timesbound by their most current version. c. The provisions of this Section 11 shall survive the termination of this Agreement and Executive’s employment for any reason. 12. Specific Performance. ·Executive acknowledges and agrees that the Company’s remedies at law for a breach or threatened breach of any ofthe provisions of Section 9, Section 10 or Section 11 would be inadequate and the Company would suffer irreparable damages as a result of such breach orthreatened breach. In recognition of this fact, Executive agrees that, in the event of such a breach or threatened breach, in addition to any remedies at law, theCompany, without posting any bond, shall be entitled to cease making any payments or providing any benefit otherwise required by this Agreement andobtain equitable relief in the form of specific performance, temporary restraining order, temporary or permanent injunction or any other equitable remedywhich may then be available. 10 13. Miscellaneous. a. Governing Law. This Agreement shall be governed by, construed and interpreted in all respects, in accordance with the laws ofthe State of New York, without regard to conflicts of laws principles thereof. b. Entire Agreement/Amendments. This Agreement contains the entire understanding of the parties with respect to the employment ofExecutive by the Company and supersedes all prior agreements, understandings, discussions, negotiations and undertakings, whether written or oral betweenthe Executive and the Company or any of its affiliates with respect to the Executive’s employment. There are no restrictions, agreements, promises,warranties, covenants or undertakings between the parties with respect to the subject matter herein other than those expressly set forth herein. This Agreementmay not be altered, modified, or amended except by written instrument signed by the parties hereto. c. No Waiver. The failure of a party to insist upon strict adherence to any term of this Agreement on any occasion shall not beconsidered a waiver of such party’s rights or deprive such party of the right thereafter to insist upon strict adherence to that term or any other term of thisAgreement. d. Severability. In the event that any one or more of the provisions of this Agreement shall be or become invalid, illegal orunenforceable in any respect, the validity, legality and enforceability of the remaining provisions of this Agreement shall not be affected thereby. e. Assignment. This Agreement, and all of Executive’s rights and duties hereunder, shall not be assignable or delegable byExecutive. Any purported assignment or delegation by Executive in violation of the foregoing shall be null and void ab initio and of no force and effect. ThisAgreement may be assigned by the Company to a person or entity which is an affiliate or a successor in interest to substantially all of the business operationsof the Company. Upon such assignment, the rights and obligations of the Company hereunder shall become the rights and obligations of such affiliate orsuccessor person or entity. f. Set Off. The Company’s obligation to pay Executive the amounts provided and to make the arrangements provided hereundershall be subject to set-off, counterclaim or recoupment of amounts owed by Executive to the Company or its affiliates. g. Dispute Resolution. Except with respect to Sections 9, 10, 11 and 12 hereof, any controversy or claim arising out of or related toany provision of this Agreement that cannot be mutually resolved by the parties hereto shall be settled by final, binding and nonappealable arbitration in NewYork, NY by a single mutually-acceptable arbitrator. Subject to the following provisions, the arbitration shall be conducted in accordance with 11 the applicable rules of American Arbitration Association then in effect. Any award entered by the arbitrator shall be final, binding and nonappealable andjudgment may be entered thereon by either party in accordance with applicable law in any court of competent jurisdiction. This arbitration provision shall bespecifically enforceable. The arbitrator shall have no authority to modify any provision of this Agreement or to award a remedy for a dispute involving thisAgreement other than a benefit specifically provided under or by virtue of the Agreement. Each party shall be responsible for its own expenses relating to theconduct of the arbitration or litigation (including attorney’s fees and expenses) and shall share the fees of the American Arbitration Association and thearbitrator equally. h. Compliance with Section 409A of the Code. The parties acknowledge and agree that the interpretation of Section 409 A of theCode and its application to the terms of this Agreement is uncertain and may be subject to change as additional guidance and interpretations become available.Anything to the contrary herein notwithstanding, all benefits or payments provided by the Company to the Executive that would be deemed to constitute“nonqualified deferred compensation” within the meaning of Section 409A of the Code are intended to comply with Section 409A of the Code. If, however, anysuch benefit or payment is deemed to not comply with Section 409A of the Code, the Company and the Executive agree to renegotiate in good faith any suchbenefit or payment (including, without limitation, as to the timing of any severance payments payable hereunder), if possible, so that either (i) Section 409A ofthe Code will not apply or (ii) compliance with Section 409A ofthe Code will be achieved. The Company shall consult with Executive in good faith regardingthe implementation of the provisions of this Section 13(h); provided that neither the Company nor any of its employees or representatives shall have anyliability to Executive with respect to thereto. i. Successors; Binding Agreement. This Agreement shall inure to the benefit of and be binding upon personal or legalrepresentatives, executors, administrators, successors, heirs, distributees, devisees and legatees of the parties hereto. j. Notice. For the purpose of this Agreement, notices and all other communications provided for in the Agreement shall be in writingand shall be deemed to have been duly given when delivered by hand or overnight courier or three days after it has been mailed by United States registeredmail, return receipt requested, postage prepaid, addressed to the respective addresses set forth below in this Agreement, or to such other address as either partymay have furnished to the other in writing in accordance herewith, except that notice of change of address shall be effective only upon receipt. If to the Company: Lantheus Medical Imaging, Inc.331 Treble Cove Rd.Bldg. 600-2N. Billerica, MA 01862Attention: Michael Duffy,Vice President and General CounselEmail: Michael.Duffy@lantheus.com 12 If to Executive: To Executive’s address on file with the Company k. Executive Representation. Executive hereby represents to the Company that (i) Executive has been provided with sufficientopportunity to review this Agreement and has been advised by the Company to conduct such review with an attorney of his choice, and (ii) the execution anddelivery of this Agreement by Executive and the Company and the performance by Executive of Executive’s duties hereunder shall not constitute a breach of,or otherwise contravene, the terms of any employment agreement or other agreement or policy to which Executive is a party or otherwise bound. 1. Cooperation. Executive shall provide Executive’s reasonable cooperation in connection with any action or proceeding (or anyappeal from any action or proceeding) which relates to events occurring during Executive’s employment hereunder. This provision shall survive anytermination of this Agreement or Executive’s employment. m. Withholding Taxes. The Company may withhold from any amounts payable under this Agreement such Federal, state and localtaxes as may be required to be withheld pursuant to any applicable law or regulation. n. Counterparts. This Agreement may be signed in counterparts, each of which shall be an original, with the same effect as if thesignatures thereto and hereto were upon the same instrument. [Signatures on following page] IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day and year fIrst above written. Lantheus Medical Imaging, Inc. /s/ Jeffrey Bailey/s/ Cesare OrlandiBy: Jeffrey BaileyCesare OrlandiTitle: President and Chief Executive Officer 13 EXHIBIT ARELEASE This RELEASE (“Release”) dated as of , 20 between Lantheus Medical Imaging, Inc., a Delaware corporation (the “Company”), and (the “Executive”). WHEREAS, the Company and the Executive previously entered into an employment agreement dated March , 2008 (the “EmploymentAgreement”); and WHEREAS, the Executive’s employment with the Company has terminated effective , 20 ; NOW, THEREFORE, in consideration of the premises and mutual agreements contained herein and in the Employment Agreement, the Companyand the Executive agree as follows: 1. Executive agrees to and does waive any claims he may have for employment by the Company and agrees not to seek such employment orreemployment by the Company in the future. The Executive, on his own behalf and on behalf of his heirs, estate and beneficiaries, further does hereby releasethe Company, and in such capacities, any of its subsidiaries or affiliates, and each of their respective past, present and future officers, directors, agents,employees, shareholders, investors, employee benefit plans and their administrators or fiduciaries, insurers of any such entities, and its and their successorsand assigns and others related to such entities from any and all claims made, to be made, or which might have been made of whatever nature, whether knownor unknown, from the beginning of time, including those that arose as a consequence of his employment with the Company, or arising out of the separationfrom the Company, the severance of such employment relationship, or any act committed or omitted during or after the existence of such employmentrelationship, all up through and including the date on which this Release is executed, including, but not limited to, those which were, could have been or couldbe the subject of an administrative or judicial proceeding filed by the Executive or on his behalf under federal, state or local law, whether by statute, regulation,in contract or tort, and including, but not limited to, every claim for front pay, back pay, wages, bonus, fringe benefit, any form of discrimination, wrongfultermination, tort, emotional distress, pain and suffering, breach of contract, fraud, defamation, compensatory or punitive damages,interest, attorney’s fees,reinstatement or reemployment, and any rights or claims under the Civil Rights Act of 1866, the Age Discrimination in Employment Act of 1967, asamended, 29 U.S.C. sec. 621, et seq., the Americans with Disabilities Act, the Family and Medical Leave Act, the Civil Rights Act of 1964, Title VII, asamended, the Civil Rights Act of 1991, the Employee Retirement Income Security Act of 1974, as amended, the Equal Pay Act, the Worker Adjustment andRetraining Notification Act, the New York State Human Rights Law, the New York City Human Rights Law, the Massachusetts Civil Rights Act, theMassachusetts Equal Pay and Maternity Benefits Law, the Massachusetts Equal Rights for Elderly and Disabled Law, the Massachusetts Small NecessitiesLeave Act, the Massachusetts Age Discrimination Law, or any other federal, state or local law relating to employment, discrimination in employment,termination of employment, wages, benefits or otherwise. The Executive acknowledges and agrees that even though claims and facts in addition to those nowknown or believed by him to exist may subsequently be discovered, it is his intention to fully settle and release all claims he may have against the Companyand the persons and entities described above, whether known, unknown or suspected. Employee does not waive his right to have 14 a charge filed with the Equal Employment Opportunity Commission (“EEOC”) or any state civil rights agency or to participate in an investigation conductedby the EEOC or any state civil rights agency; however, Employee expressly waives his right to recover any monetary relief should any administrative agency,including but not limited to the EEOC, pursue any claim on Employee’s behalf. 2. The Company and the Executive acknowledge and agree that the release contained in Paragraph 1 does not, and shall not be construed to, release orlimit the scope of any existing obligation of the Company and/or any of its subsidiaries or affiliates (i) to indemnify the Executive for his acts as an officer ordirector of the Company and/or its subsidiaries or affiliates in accordance with their respective charters or bylaws or under an indemnification agreement towhich the Executive and the Company or any of its subsidiaries are parties or under any applicable Directors and Officers insurance policies or under anyapplicable law or (ii) to the Executive and his eligible, participating dependents or beneficiaries under any existing group welfare (excluding severance), equity,or retirement plan of the Company in which the Executive and/or such dependents are participants. 3. The Executive acknowledges that before entering into this Release, he has had the opportunity to consult with any attorney or other advisor of theExecutive’s choice, and the Executive is hereby advised to consult with an attorney. The Executive further acknowledges that by signing this Release, he doesso of his own free will and act, that it is his intention to be legally bound by its terms, and that no promises or representations have been made to the Executiveby any person to induce the Executive to enter into this Release other than the express terms set forth herein. The Executive further acknowledges that he hascarefully read this Release, knows and understands its contents and its binding legal effect, including the waiver and release of claims set forth in Paragraph 1above. 4. The Executive acknowledges that he has been provided at least 21 days to review the Release. In the event the Executive elects to sign this Releaseprior to this 21 day period, he agrees that it is a knowing and voluntary waiver of his right to wait the full 21 days. The Executive further understand that hehas 7 days after the signing hereof to revoke this Release by so notifying the Company, Lantheus Medical Imaging, Inc., 331 Treble Cove Rd., Bldg. 600-2,N. Billerica, MA 01862, Attention: Michael Duffy in writing, such notice to be received by the Company within the 7 day period. This Release shall notbecome effective or enforceable, and no payments or benefits under Sections 8(c)(ii)(B),(C) and (D) of the Employment Agreement, as applicable, shall bemade or provided, until this seven (7) day revocation period expires without the Executive having revoked this Release. 15 IN WITNESS WHEREOF, the parties have executed this Release on the date first above written. Lantbeus Medical Imaging, Inc. By:Name:Title: Employee Name 16 EXHIBIT BPRIOR WORKS [None] 17 Exhibit 10.49 CONFIDENTIAL TREATMENT REQUESTED INFORMATION FOR WHICH CONFIDENTIAL TREATMENT HAS BEEN REQUESTED IS OMITTED AND NOTED WITH “****”. ANUNREDACTED VERSION OF THIS DOCUMENT HAS ALSO BEEN PROVIDED TO THE SECURITIES AND EXCHANGECOMMISSION. CONFIDENTIALExecution Version MANUFACTURING AND SUPPLY AGREEMENT This Manufacturing and Supply Agreement (this “Agreement”), dated as of November 12, 2013 (the “Effective Date”), is hereby entered into by andbetween Lantheus Medical Imaging, Inc., a corporation organized and existing under the laws of Delaware with its principal place of business at 331 TrebleCove Road, North Billerica, MA 01862 (“LMI”), and Pharmalucence, Inc., a corporation organized and existing under the laws of Delaware with a place ofbusiness at 29 Dunham Road, Billerica, MA 01862 (“CMO”). LMI and CMO are referred to herein individually as a “Party” and collectively as the“Parties”. RECITALS WHEREAS, CMO is experienced in the manufacture and supply of products; WHEREAS, LMI desires that CMO manufacture the Product(s) (as defined below) for and supply the Product(s) to LMI on the terms andconditions set forth in this Agreement; and WHEREAS, CMO is willing to manufacture the Product(s) for and supply the Product(s) to LMI on the terms and conditions set forth in thisAgreement; NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the Parties, intending to be legally bound, herebyagree as follows: 1. DEFINITIONS 1.1 Defined terms. As used herein, the following terms shall have the following meanings: (a) “Affiliate” means any corporation or other entity which controls, is controlled by, or is under common control with, a Party tothis Agreement. A corporation or other entity shall be regarded as in control of another corporation or entity if it owns or directly or indirectly controlsmore than fifty percent (50%) of the voting stock or other ownership interest of the other corporation or entity, or if it possesses, directly or indirectly,the power to direct or cause the direction of the management and policies of the corporation or other entity or the power to elect or appoint fifty percent(50%) or more of the members of the governing body of the corporation or other entity. For the avoidance of doubt, none of Avista Capital Partners,its associated companies and  entities, their respective successors and assigns, or their own direct and indirect investments (other than Lantheus MI Holdings, Inc. and its directand indirect subsidiaries) shall be deemed to be Affiliates of LMI. (b) “API” means, with respect to any Product, the pharmacologically active drug substance described on the applicable Proposal,which can be used to manufacture such Product pursuant to Product’s NDA. (c) “Batch” means a specific quantity of the applicable Product that is intended to have uniform character and quality, withinspecified limits, and is produced according to a single manufacturing order during the same cycle of manufacture. (d) “cGMPs” means all applicable current good manufacturing practices, as may be amended or supplemented from time to time,including the current good manufacturing practices required by the FDA pursuant to 21 CFR Parts 210 and 211 and ICH Q7, each as amendedfrom time to time. (e) “CMC” means (i) manufacturing process development for all presentations of Product; (ii) all chemistry, manufacturing andcontrol procedures necessary for the manufacturing, testing and quality control release of all presentations of the Product; and (iii) sourcing andtesting of all raw materials and components used in the production of all presentations of the applicable Product. (f) “Calendar Quarter” means any period of three consecutive calendar months commencing with the first day of any January,April, July, or October. (g) “DMF” means a Drug Master File as described in 21 CFR 14.420. (h) “FDA” means the United States Food and Drug Administration or any successor entity thereto and similar health regulatoryagencies in other countries in the Territory. (i) “Intellectual Property” means all right, title and interest in or relating to intellectual property, whether protected, created or arisingunder the laws of the United States or any other jurisdiction, including: (i) all patents and applications therefor, including all continuations,divisionals, and continuations-in-part thereof and patents issuing thereon, along with all reissues, reexaminations and extensions thereof; (ii) allcopyrights and all mask work, database and design rights, whether or not registered or published, all registrations and recordations thereof and allapplications in connection therewith, along with all reversions, extensions and renewals thereof; (iii) all trade secrets; and (iv) all other intellectualproperty rights arising from or relating to Technology. (j) “LMI Materials” means the materials supplied by LMI to CMO, as identified in the Proposal(s) (including, but not limited to, theapplicable API), which shall be used to manufacture the applicable Product pursuant to the applicable Product NDA. 2 (k) “Lot” means, with respect to any Product, a Batch, or a specific identified portion of a Batch, which consists of at least thenumber of vials of such Product set forth on the applicable Proposal. (l) “NDA” means the New Drug Application and similar regulatory approvals filed with the FDA or other agencies for the applicableProduct, and any amendments or Supplemental New Drug Applications thereto, or documents incorporated by reference. (m) “Product” means the final finished dosage form presentations of any of the product(s) named and described on any of theProposal(s), which is manufactured pursuant to the applicable Product NDA and suitable for distribution in commerce in the Territory. (n) “Proposals” means proposals and quotations submitted by CMO to LMI and mutually accepted by both Parties in writing,copies of which shall be attached hereto and shall be automatically deemed incorporated herein by reference. In the event of any conflict between theProposal(s) and this Agreement, the terms of this Agreement shall control. (o) “Specifications” means the written specifications for the applicable Product separately agreed to by the Parties in writing, as thesame may be amended from time-to-time pursuant to the provisions of Section 2.7, and the quality standards, including tests, analytical proceduresand acceptance criteria, that are established to confirm the quality of such Product which are mutually agreed to in writing and contained orreferenced in the Master Batch Record for such Product or as otherwise mutually agreed to in writing by the Parties. (p) “Technology” means, collectively, all information, designs, formulae, algorithms, procedures, methods, techniques, ideas,know-how, research and development, technical data, programs, subroutines, tool design, material specifications, processes, inventions (whetherpatentable or unpatentable and whether or not reduced to practice), apparatus, design, creations, improvements, works of authorship and othersimilar materials, and all recordings, graphs, drawings, reports, analyses, and other writings, and other tangible embodiments of the foregoing, inany form whether or not specifically listed herein, and all related technology, that are used in, incorporated in, embodied in, displayed by or relate to,or are used in connection with the foregoing. (q) “Territory” means all countries or regions in the world. 1.2 Terms Defined Elsewhere in this Agreement. For purposes of this Agreement, the following terms have meanings set forth in the sectionsindicated: TermSectionAct5.1AgreementPreambleCMOPreambleDispute8.1(a)DMF3.4(b) 3 Force Majeure Event9.5Forecast2.2(a)Improvements6.1(a)Indemnitee7.3Indemnitor7.3Initial Forecast2.2(a)Information6.2(a)Liability7.1LMIPreambleManufacturing Defect7.1Party or PartiesPreamblePre-existing Intellectual Property6.1(a)Quality Agreements5.7Rejection Notice5.6Senior Executive8.1(a)Subsequent Forecast2.2(a)Term3.1terminal supply3.3(c)TPM EHS Assessment Program5.8(b)Transfer Notice2.5 1.3 Interpretation. References in this Agreement to the singular include references to the plural and vice versa. Unless the context otherwiserequires, references in this Agreement to Articles, Sections, and Exhibits shall be deemed references to Articles and Sections of, and Exhibits to, thisAgreement. Unless the context otherwise requires, the words “hereof”, “hereby” and “herein” and words of similar meaning when used in this Agreement referto this Agreement (together with any Proposal(s)) in its entirety and not to any particular Article, Section or provision of this Agreement. Any reference to anyfederal, state or local statute or law shall be deemed also to refer to all rules and regulations promulgated thereunder, unless the context requires otherwise. 2. SERVICES 2.1 Services. (a) Development. CMO shall perform development services in support of the manufacture of Product(s) as defined by theProposal(s) and for the pricing set forth for such development services in the Proposal(s). CMO hereby represents and warrants that it has theexperience, capability and resources, including but not limited to sufficient personnel and supervisors, to efficiently and expeditiously perform suchdevelopment services in a professional, competent and timely manner. CMO further represents and warrants that it will at all times devote thenecessary personnel and supervisors to perform such development services and that, in fulfilling its obligations, CMO shall assign only personswith the appropriate training and qualifications to perform such services. LMI and CMO shall use commercially reasonable efforts to qualify CMOas a 4 supplier of the Product named and defined in Proposal #1 dated as of the date hereof under the applicable Product NDA. (b) No Debarment. CMO represents and warrants that neither it, nor any of its employees, agents or consultants performingservices under this Agreement, have been debarred, suspended, or otherwise excluded by the FDA or any other regulatory authority from conductingbusiness and, to the best of its knowledge after due inquiry, are not under consideration to be debarred, suspended or otherwise excluded. CMOagrees to notify LMI as soon as practicable upon CMO’s learning of the occurrence of any such debarment, conviction, investigation or inquiryrelating to a potential debarment, suspension or exclusion, of any person performing services pursuant to this Agreement, agrees that said personshall be immediately prohibited from performing services under this Agreement and agrees that LMI shall have the right to terminate this Agreementtherefor immediately upon written notice. (c) No Conflict. CMO warrants and represents that no trade secrets or other confidential information of any other person, firm,corporation, institution or other entity will be wrongfully disclosed by it to LMI or any third party in connection with any of the services called forhereunder. CMO further warrants and represents that none of the provisions of this Agreement, nor the services which will be performed by CMOpursuant to the work to be performed hereunder, contravenes or is in conflict with any agreement of CMO or its Affiliates with, or obligation to, anyother person, firm, corporation, institution or other entity including, without limiting the generality of the foregoing, employment agreements,consulting agreements, service agreements, disclosure agreements or agreements for assignment of inventions. CMO shall not subcontract with anythird party or use Affiliates or agents to perform any of its obligations hereunder without the prior written consent of LMI (not to be unreasonablywithheld, delayed or conditioned). CMO shall cause all of its employees and any permitted subcontractor, agent or Affiliate to be bound by, and tocomply with, all confidentiality, quality assurance, regulatory and other obligations and requirements as set forth in this Agreement. 2.2 Purchase and Sale. CMO shall manufacture, sell and deliver to LMI, and LMI shall purchase from CMO, the Product(s) on the termsand conditions set forth in this Agreement. The following provisions shall apply with respect to the Product(s): (a) Forecasts; Orders. LMI shall send to CMO a twelve (12) month forecast (the “Initial Forecast”) for the type and quantities ofProduct(s) which LMI expects to have delivered from CMO during such 12-month period. LMI shall provide the Initial Forecast for Product(s) toCMO within **** (****) days after CMO is approved as a supplier of Product(s) under the NDA. LMI shall thereafter update such forecast atleast one day prior to the first business day of each calendar quarter thereafter (a “Subsequent Forecast”, and together with the Initial Forecast, a“Forecast”), providing CMO with a rolling **** (****) month forecast for Product(s). Each Forecast shall include an estimated number of Batchesfor each month during the ****-month period covered by such Forecast. Amounts set forth in a Forecast are estimates, to be used for planningpurposes only, and Forecasts shall not constitute binding purchase orders, except that the 5 first **** (****) months of each Forecast shall be binding upon LMI and LMI shall place purchase orders corresponding to the binding portion ofsuch Forecast. CMO will use all commercially reasonable efforts to accommodate any changes in quantities of Product(s) ordered by LMI. (b) Purchase Orders; Rejection of Orders. LMI will provide CMO with a firm purchase order (specifying location(s) of deliveryand requested delivery date(s)) at least **** (****) days prior to the earliest delivery date specified in such purchase order. All purchase orders willbe sent by facsimile or electronic mail to the address specified by CMO. CMO shall accept each purchase order and confirm the date ofmanufacturing and shipment within **** (****) business days of receipt thereof. Such purchase order shall be deemed accepted by CMO if CMOdoes not reject a purchase order within the **** business-day period. In addition, CMO will use all commercially reasonable efforts to ****. (c) Prices. Pricing for Product(s) supplied by CMO shall be as set forth in the applicable Proposal. (d) Taxes. Such prices do not include sales, use, value added or other excise tax. LMI will pay (or, if paid by CMO, reimburseCMO) for all such taxes arising under this Agreement (but not any taxes based upon CMO’s income). In lieu thereof, LMI may provide to CMO atax or other levy exemption certificate acceptable to the taxing or other levying authority. (e) Superiority of Agreement. The terms of this Agreement and of the Quality Agreements shall prevail over any inconsistent termsin any Proposal, purchase order, acknowledgment or invoice, and no additional terms (other than those set forth in this Agreement and the QualityAgreements or allowed pursuant to the terms of this Section 2.2) in a purchase order, acknowledgement or invoice shall be binding on either Party. 2.3 Delivery. (a) Schedule; Quantities. CMO will ship, and LMI will take delivery, of all Product(s) within **** (****) days of the applicabledelivery date(s) set forth in the applicable accepted purchase order; provided that LMI and CMO may mutually agree to modify any such deliverydate(s) at any time prior to actual shipment by CMO; and provided further that, in the event that LMI (or its designee) fails to take delivery ofProduct(s) within **** (****) days of the originally specified delivery date(s) (other than because Product(s) are appropriately rejected pursuant toSection 5.6), then CMO shall store such Product(s) at a mutually agreed upon storage facility (such agreement not to be unreasonably withheld,conditioned or delayed) at LMI’s cost. In the event that CMO, at any time during the term of this Agreement, has reason to believe that it will beunable to perform any of the services under this Agreement or meet the requested delivery date(s) specified in the purchase orders, CMO shallpromptly notify LMI in writing of such delay(s) within **** (****) business days of such determination. To the extent that (i) a Lot is delivered**** (****) or more days after the specified delivery date which had previously been accepted by CMO and (ii) such delay is due to CMO’sbreach, 6 negligence or willful misconduct, then LMI shall have the right to purchase such Lot if it so desires at **** (****%) of the applicable Batch price. (b) Terms of Delivery. Delivery terms shall be DDP North Billerica, MA (or any other location designated by LMI in writing), atwhich time risk of loss and responsibility for the Product(s) will transfer to LMI. DDP has the meaning assigned it in the ICC Incoterms, 2010. CMO shall ship the Product(s) using LMI’s designated carrier in accordance with LMI’s instructions regarding destination, delivery date,temperature control and such other factors as LMI reasonably believes are relevant for purposes of the delivery. CMO shall ship all Product to thelocations designated by LMI. 2.4 Payment Terms. Invoices will reflect actual quantities and types of Product(s) properly delivered in accordance with the applicablepurchase order. All undisputed portions of invoices issued by CMO to LMI shall be paid within **** (****) days after the date of receipt of thecorresponding invoice (or as otherwise agreed to by the Parties in writing if prompt payment discounts are made available to LMI by CMO). Such paymentsshall be made in U.S. dollars by check or wire transfer or by such other method as CMO and LMI shall reasonably designate from time to time. In no eventshall LMI be responsible for any payments related to Product(s) for which CMO was unable to satisfy its obligations under this Agreement, whether by ForceMajeure Event or otherwise. Interest shall be payable on all undisputed amounts not paid on the due date at a rate of ****% for each month the amountsremain unpaid. If any amount on an undisputed invoice is not paid when due hereunder, without prejudice to any other rights or remedies CMO may have,CMO will be entitled to (i) suspend the manufacturing and delivery of Product(s) until it has received payment in full for all past due amounts and (ii) recoverfrom LMI the costs and expenses incurred in connection with collecting the same (including reasonable and documented costs of investigation and attorneys’fees). 2.5 Transfer Notice. LMI shall have the right to qualify itself, any Affiliate or any third party as a manufacturer of any of the Product(s),and to seek and obtain regulatory approval(s) of such manufacturing site or sites. If LMI requires CMO’s assistance in connection with such activities, LMIshall notify CMO in writing, specifying the Technology to be transferred (“Transfer Notice”). Upon receipt of such Transfer Notice, the Parties will agree ingood faith upon a schedule for commencement and completion of the transfer. Any transfer of Technology under this provision will be pursuant to a protocolestablished by LMI and shall include the delivery of all applicable Product-specific documents required to carry out the transfer. CMO hereby agrees toperform such transfer in accordance with the protocol and mutually agreed upon schedule in return for reasonable compensation, commensurate with level ofeffort, market comparables and as agreed between the Parties. 2.6 Inventory; Packaging Information. CMO shall, at all times during the Term, maintain inventory levels of components and rawmaterials required to manufacture the volume of Product(s) forecasted by LMI for **** pursuant to Section 2.2(a) of this Agreement. At CMO’s option,within **** (****) **** of the end of each calendar year, LMI shall purchase from CMO, at ****, such raw materials and components in good, saleablecondition purchased by CMO in reliance on Forecasts (as set forth above) for the applicable Calendar Quarters that could not be returned to the originalsupplier by CMO or used by CMO in the supply of Product(s) to LMI during such calendar year due to lower orders of Product(s) than Forecast 7 through no fault of CMO, unless the Parties reasonably believe that such materials will be used in ****. LMI shall provide CMO with all packaging andlabeling information and designs, if applicable, including without limitation, all art work and usage instructions to be applied to each Product (which are theproperty of LMI, only to be used as set forth herein and returned to LMI upon termination of this Agreement) at least **** (****) days in advance of anyrequirement that any Product be delivered in packaged form to enable CMO to obtain the necessary packaging materials and meet such delivery requirements(provided, however, CMO shall use all commercially reasonable efforts to accommodate any changes requested by LMI with less than ****-days advancenotice). LMI will be fully responsible and liable for the content and format of all labeling and artwork provided by LMI and used in connection with thesupply of any Product hereunder. CMO shall be solely responsible for ensuring that the content and format of all labeling and artwork used in connectionwith the supply of the Product(s), as provided by LMI, are accurately and consistently produced in accordance with the Specifications. The Parties shallcooperate to ensure that all packaging and labeling information and materials are compatible with CMO’s equipment and specifications. 2.7 Changes in Manufacturing Processes. Any process changes requested by the CMO after establishment of commercial Product supplyunder a Proposal shall be made by CMO at its cost, but in all instances subject to LMI’s prior written approval and the other procedures and requirements setforth in the Quality Agreement. CMO agrees to notify LMI in advance of any such change or improvement that it desires to implement pursuant to the QualityAgremeent in order to assess the impact of such change. Process changes requested by LMI after establishment of commercial Product supply under aProposal shall be subject to CMO fees in accordance with ****. The Parties will in all events reasonably cooperate with the other Party in effecting anyprocess changes or improvements reasonably requested by such Party and, to the extent such changes constitute Intellectual Property, the Parties shallreasonably cooperate in connection with the preparation, filing and prosecution of any patent applications/patents relating thereto, any such changes and anysuch patents/applications to constitute Improvements to LMI’s Pre-Existing Intellectual Property and Technology pursuant to Section 6. 2.8 API and Other LMI Materials. (a) LMI will supply, at its expense, sufficient quantities of the LMI Materials to CMO’s facility **** to enable CMO to meet itsobligations hereunder. CMO will provide LMI with an inventory report for the LMI Materials on a **** basis (or as otherwise agreed to by theParties). All such LMI Materials shall conform to the specifications agreed to by CMO and LMI. (b) Title to the LMI Materials shall remain at all times with LMI, and CMO shall and hereby does agree to enter into any form ofwarehouseman or bailee agreement required by a then-current lender to LMI. If any of the LMI Materials are lost or damaged as a result of CMO’sacts or omissions (including, but not limited to, in-process failures determined to be the fault of the CMO), at LMI’s option, CMO shall(i) reimburse LMI for ****, or (ii) allow LMI a purchase price credit equal to ****, which purchase price credit shall be applied, at LMI’s direction,against future purchase orders of any product manufactured by CMO for LMI. Any credits hereunder not settled within 8 **** (****)**** of issuance, or within **** (****) days of the effective date of any termination or expiration of this Agreement, will be refundedto LMI. 3. TERM; TERMINATION 3.1 Term; Renewal. Unless terminated sooner in accordance with the terms of this Agreement, this Agreement shall commence on the EffectiveDate and shall have an initial term of five (5) years. LMI shall have the right to extend this Agreement for an additional five (5) year period upon written noticeto CMO; provided that each Party shall have the right to terminate this Agreement for any or no reason at any time during such additional five (5) year periodby providing the other Party at least thirty (30) months advance written notice of such termination. The initial term and any additional period shall be referredto collectively as the “Term”. 3.2 Termination by Mutual Agreement. This Agreement may be terminated by mutual written agreement of CMO and LMI at any time. 3.3 Termination for Cause. This Agreement may be terminated by a Party as follows: (a) If a Party files a petition or similar action for its protection or is the subject of an involuntary petition or similar action notdismissed within ninety (90) days, under bankruptcy, insolvency, reorganization or receivership law, or such Party is placed in receivership ormakes an assignment for benefit of creditors, the other Party may elect to terminate this Agreement immediately by written notice to the first Partywithout prejudice to any right or remedy the other Party may have under the Agreement, including damages for breach, if any. (b) In the event that a Party materially defaults under or materially breaches any of the provisions of this Agreement or the QualityAgreements, the other Party shall have the right to terminate this Agreement upon sixty (60) days’ prior written notice, unless such material default orbreach is cured during such sixty (60) day period (or in the event any breach is incapable of being cured in such time period, the other Party presentsa plan to attempt cure of such breach and prevent similar breaches, which plan is reasonably acceptable to the terminating Party), in which eventthis Agreement shall continue in full force and effect. (c) If LMI is the Party with the right to terminate this Agreement in accordance with Sections 3.3(b) due to the uncured materialbreach of CMO, LMI shall have the option to delay the termination and continue to have CMO supply LMI under this Agreement upon written noticeto CMO detailing the same, until such time as (i) the Technology transfer described in Section 2.5 is complete and LMI has qualified and obtainedregulatory approval for itself, an Affiliate or a third party as manufacturer of Product(s) or (ii) CMO delivers a terminal supply of Product(s) (at****) under Section 3.4(d) of this Agreement. For purposes of this Agreement, “terminal supply” means the amount of Product(s) reasonablyrequested by LMI so as to avoid any disruption to LMI’s supply or sale of Product (s), including during any commercially reasonable 9 Technology transfer period described in Section 2.5. CMO shall be responsible for any costs or expenses reasonably incurred by LMI as a result ofCMO’s breach. 3.4 Effect of Expiration or Termination; Accrued Rights; Surviving Obligations. Upon any expiration or termination of this Agreement: (a) Product on Hand. CMO shall notify LMI of the amount and type of Product(s) it has on hand as of the effective date of anytermination or expiration as a result of purchase orders placed by LMI, and LMI shall purchase such Product(s) at the applicable price as set forth inthe applicable Proposal, but LMI shall not be required to purchase any Product(s) (i) that fail to meet Specifications, (ii) for which CMO is unable toprovide the certificates of analysis specified in Section 5.4 of this Agreement, (iii) for which CMO is unable to provide the certificates ofmanufacturing compliance specified in Section 5.5, or (iv) that are appropriately rejected by LMI pursuant to Section 5.6. In addition LMI shallpurchase from CMO, within **** (****) days of CMO’s request, at ****, unused raw materials or components (such as vials, stoppers, sealers)purchased by CMO pursuant to the inventory requirements described in Section 2.6 to the extent such materials or components are in good, saleablecondition and cannot be returned to the original supplier by CMO (if such return is requested by LMI). (b) Regulatory Information. On and as of the effective date of any termination or expiration, or such earlier date as LMI mayreasonably request prior to an upcoming termination or expiration, CMO shall promptly transfer to LMI or its nominee all information andTechnology in CMO’s possession and used in connection with the manufacture of the Product(s), all information and Technology relevant to specificmethods of applicable Product manufacture or applicable Product characterization or testing, all information relevant to obtaining an FDA regulatoryapproval and any other applicable regulatory approval of the Product(s), all information contained in CMO’s regulatory submissions in connectionwith the development and approval of the Product (s), and all other information relating to the manufacture of the Product(s), which is useful toenable LMI or a third party to manufacture and obtain regulatory approval for the Product(s). LMI has the right to use such information inregulatory submissions in order to gain or maintain approval to sell products containing the Product(s) or to aid in investigations. CMO willcooperate with LMI in providing reasonably necessary assistance to LMI in support of LMI’s efforts to obtain or maintain approval to sell productscontaining the Product(s) and to aid in investigations. LMI and its nominees may only use any Information of CMO received pursuant to thisSection 3.4(b) in connection with the Product(s). Upon request by LMI, CMO will prepare and file a Drug Master File (“DMF”) in CMO’s name forthe manufacture of the Product(s). In the event that CMO is unable for any reason to supply LMI’s requirements of Product(s), then LMI may useCMO’s batch records and DMF solely for the purpose of making or having made Product(s). In such event, such batch records and DMF may bedisclosed to third parties by LMI, but only subject to written agreements obligating such third parties to keep such batch records and DMF inconfidence in accordance with the terms of this Agreement. In such event, CMO will cooperate with LMI and any such third party to optimize theability and speed of LMI and any such third party to successfully manufacture Product(s). 10 (c) Orders in Progress. In the event of any termination or expiration of this Agreement, CMO shall, unless such termination hasoccurred because of a material uncured breach or default by LMI under this Agreement, notwithstanding the effective date of any termination orexpiration, upon written request of LMI, complete any purchase orders for Product(s) that were placed by LMI and accepted by CMO prior to suchdate and LMI shall pay CMO for any Product(s) produced in accordance with such purchase orders at the applicable price and on the terms set forthin this Agreement. (d) Terminal Supply; Post-Termination or Expiration Acceptance of Orders. Unless CMO terminates this Agreement pursuant toSections 3.3(b), upon LMI’s request, CMO shall use commercially reasonable efforts to provide LMI with a terminal supply of Product(s) (at ****)so as to minimize disruption of LMI’s supply or sale of Product(s). Any acceptance by CMO of any purchase order from LMI or the sale of anyProduct(s) by CMO to LMI after the delivery of notice of termination or after the expiration or termination of the Term shall not be construed as arenewal or extension of this Agreement or as a waiver of termination thereof. (e) Prior Obligations. Termination or expiration of this Agreement, in whole or in part, for any reason shall be without prejudice toany rights which shall have accrued to the benefit of either Party prior to such termination or expiration, and such termination or expiration shall notrelieve either Party from obligations which are expressly indicated to survive termination or expiration of the Term. 4. REGULATORY ISSUES. 4.1 Regulatory Obligations. Unless otherwise noted in the Quality Agreement, all obligations relating to the NDA shall, at all times duringthe Term, remain with LMI, including without limitation (a) the obligation to prepare and make any updates or amendments to the NDA or CMC, (b) to payany fees or other costs associated with such filings, or (c) to collect, investigate and report to the FDA and other appropriate regulatory authorities any NDA-related adverse experience reports, quality reports, and complaint reports. CMO shall provide LMI with access to any such information reasonably required toenable LMI to comply with its obligations under this Section 4.1. CMO shall remain solely responsible, at CMO’s expense (except as provided in thefollowing sentence), for compliance with (i) cGMPs (including any comparable requirements imposed by foreign authorities, but limited to those jurisdictionsthat are within the Territory as set forth in any amendment to this Agreement); (ii) obtaining or maintaining establishment registrations and all other requiredpermits and licenses for all relevant facilities; and (iii) the preparation and submission of all records and reports required by FDA and other appropriateregulatory authorities in connection with the manufacture and sale to LMI of the Product, including, without limitation, updating the DMF in countries orregions within the Territory and providing LMI with the necessary DMF Authorization Letters, if applicable. The allocation of **** shall be mutuallydetermined by the Parties reasonably and in good faith, taking into consideration ****. All information, documents and updates with regard to, relating to, orotherwise affecting, the Product or the manufacture, testing or shipping of Product which are required or requested by any governmental agency shall beprovided by CMO to such agency in a timely manner (in each case, after providing LMI with (x) such information, documents and updates, (y) a reasonableopportunity to confer and comment on such information, documents 11 and updates and (z) good faith consideration of any such conference and comments, in each case, reasonably in advance of submitting such information,documents and updates to such agency), and CMO shall submit to all inquiries and inspections by any such agencies (and notify, confer with, and in goodfath consider the comments of, LMI reasonably in advance of (or, if not possible, immediately following) any such inquiries and inspections). CMO agreesto notify LMI of (and provide LMI with copies of any documentation relating to, and summaries of any unwritten communications relating to) any regulatory,civil or criminal proceedings, investigations, warnings or other adverse actions relating to any actual or alleged violations of applicable laws or regulationsrelating to, arising out of or, or otherwise in connection with, its manufacture of the Product. CMO shall keep records of the manufacture, testing andshipping of the Product(s), and retain samples of such Product(s) that are necessary to comply with manufacturing regulatory requirements as well as to assistwith resolving product complaints and other similar investigations. Copies of such records and samples shall be made available to LMI upon its request andshall be retained by CMO and be available to LMI for a period of **** (****) years following the date of manufacture, or longer if required by law. 4.2 Product Recalls. (a) If either Party reasonably decides such Party is required to initiate a Product recall, withdrawal or field correction with respect to,or if there is any governmental seizure of, the Product(s), then the Parties will initiate and conduct any such recall pursuant to the terms set forth inthe Quality Agreement. (b) To the extent that any such recall, withdrawal, field correction or seizure occurs due to (i) failure of any Product(s) produced byCMO hereunder to conform to Specifications (including being adulterated or misbranded, but excluding the failure of any LMI Materials to conformto their respective specifications other than due to CMO’s fault) or any warranty or other requirement set forth in this Agreement (it beingacknowledged and agreed by the Parties that compliance with release Specifications followed by a legitimate field complaint shall not be deemed to bea failure to conform to Specifications), (ii) the failure of CMO to comply in all material respects with any applicable law, rule, regulation, guideline,standard, court order or decree or (iii) the negligent or intentional wrongful act or omission of CMO in connection with the production ofProduct(s) hereunder, then CMO shall bear the cost and expense of any such seizure, recall, withdrawal or field correction (including reimbursementfor any purchase price payments made to CMO and related taxes or credits to the extent related to such recalled Product(s)). To the extent that anysuch recall, withdrawal, field correction or seizure occurs due to any reason other than that set forth in the immediately preceding sentence, then LMIshall bear the cost and expense of any such seizure, recall, withdrawal or field correction with respect to the Product(s) recalled by LMI. If bothCMO and other factors contribute to the cause of a seizure, recall, withdrawal or field correction, then the cost and expense thereof will be shared inproportion to CMO’s and such other factors’ respective contributions to the problem with respect to the Product(s) recalled by LMI. For the purposesof this Agreement, the expenses of any recall, withdrawal, field correction or seizure shall include, without limitation, the out-of-pocket expenses ofnotification and destruction or return of the recalled Product(s) and all other out-of-pocket costs or credits incurred in connection with such recall. 12 4.3 Sharing of Information. CMO shall promptly advise LMI of any information of which it obtains knowledge that may affect the safety,efficacy or labelling of the Product(s) and any actions in response to such information. 4.4. Adverse Events and Product Quality Complaints. The Parties agree to the following provisions regarding adverse events and complaints: (a) LMI shall be responsible to report adverse events involving the products sold by LMI to the FDA and other regulatory authorities,and (b) respond to quality complaints and medical and technical inquiries, respecting such LMI products. (b) In the event CMO (i) receives information regarding any adverse event relating to the products sold by LMI, (ii) receives anycomplaints relating to the Products sold by LMI, (iii) receives any medical or technical inquiry relating to the Products sold by LMI, (iv) discovers oris notified of any material defect in the Products sold by LMI, it shall immediately notify LMI, through its agent for global pharmacovigilance, or(iv) discovers or is notified of any facts, circumstances or occurrences that do or could adversely affect the Product manufactured on LMI’s behalf,as follows (or to such other address, contact person, telephone number, facsimile number or e mail address as may be specified by LMI): Prior to January 1, 2014: PhoneFaxEmail #-###-###-#### or ###-###-#####-###-###-#### or ###-###-####**** On and following January 1, 2014: To the address, contact person, telephone number, facsimile number or email address that LMI will specify pursuant to a separate writtennotice after the date of this Agreement. CMO shall also conduct an investigation of such event pursuant to the requirements set forth in the Quality Agreement. The Parties shall reasonablycooperate with and assist each other in connection with any such matter. In addition, CMO will ensure that all relevant personnel are sufficientlyinformed and trained on the terms and procedures outlined in this Agreement, including without limitation, the process for the receipt, recordation,exchange, communication and submission of safety data for the Product(s) and all relevant regulations and laws thereto. CMO agrees to documentthe training activities, including the training material(s) used, and make these documents reasonably accessible to LMI upon request. 5. WARRANTIES AND QUALITY ASSURANCE 5.1 CMO Warranties. CMO represents and warrants that it has the full right and authority to enter into this Agreement, and that it is notaware of any impediment that would inhibit its ability to perform its obligations hereunder. CMO further represents and warrants that 13 all Product delivered to LMI: (a) will have been manufactured, packaged, labeled, tested and/or re-tested in compliance with applicable provisions of theFederal Food, Drug and Cosmetic Act (the “Act”), regulations thereunder, and any other comparable laws and regulations applicable in the Territory where theProduct(s) are being distributed, relating to development, manufacture and supply under this Agreement, and in compliance with the specific U.S. or otherapplicable regulatory approvals regarding the Product(s); (b) shall conform to the Specifications; (c) shall comply with the Quality Agreement, the MasterBatch Record and the cGMPs where the Product(s) are being distributed; and (d) will, at the time of such delivery, not be adulterated within the meaning of theAct or other applicable law where the Product(s) are being distributed, as such Act or law is constituted and effective at the time of delivery, and will not be anarticle which may not, under the provisions of such Act, be introduced into interstate commerce. CMO further represents and warrants that there are nooutstanding regulatory, civil or criminal proceedings, investigations, warnings or other adverse actions relating to any actual or alleged violations of applicablelaws or regulations relating to, arising out of or, or otherwise in connection with, its manufacture of the Product. CMO further represents and warrants that itsfacility shall conform to cGMP and other applicable laws of such jurisdictions in the Territory where Product(s) are being distributed and regulations and thatthe services provided by CMO and the use, practice or exploitation of the Technology or Intellectual Property provided by CMO shall not infringe, violate ormisappropriate the intellectual property rights of any third party and that CMO holds all patents, trademarks and licenses necessary to manufacture andsupply the Product(s) and that CMO’s performance under this Agreement will not infringe upon the patent, trademark, licensing or other rights of anyone. Atthe time of delivery, the Product(s) shall have a minimum shelf life of not less than **** (****) **** less than the maximum shelf life set forth in theSpecifications. 5.2 LMI Warranties. LMI represents, warrants and covenants that: (a) it has the full right and authority to enter into this Agreement, and that it is not aware of any impediment that would inhibit its ability toperform its obligations hereunder; (b) the marketing, distribution and sale of Product(s) shall comply with the Act and all other applicable laws, rules and regulations; and (c) all laboratory, scientific, technical and/or other data submitted by LMI to CMO relating to the Product(s) shall be complete and correctand shall not contain any material misrepresentation or omission. 5.3 DISCLAIMER OF ALL OTHER WARRANTIES. THE WARRANTIES SET FORTH IN THIS AGREEMENT ARE THEPARTIES’ ONLY WARRANTIES WITH RESPECT TO THE SUBJECT MATTER OF THIS AGREEMENT AND ARE MADE EXPRESSLY IN LIEUOF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WHICH ARE HEREBY DISCLAIMED, INCLUDING ANY IMPLIED WARRANTIES OFFITNESS FOR A PARTICULAR PURPOSE, MERCHANTABILITY, OR ARISING FROM THE COURSE OF PERFORMANCE, COURSE OFDEALING OR USAGE OF TRADE OR OTHERWISE. 14 5.4 Certificates of Analysis. CMO shall perform, or cause to be performed, sample tests on each Lot or Batch of Product(s) suppliedpursuant to this Agreement and Quality Agreement before delivery to LMI (or its designee), and shall produce a test report setting forth the results of suchtesting. Each test report shall set forth, for each Lot or Batch of Product(s) delivered hereunder, the items tested, specifications and test results in a certificateof analysis, containing the types of information reasonably agreed upon by CMO and LMI. CMO shall send such certificates to LMI (and its designee, asapplicable) concurrent with delivery of each Lot or Batch of Product. 5.5 Certificates of Manufacturing Compliance. CMO shall perform such quality control and quality assurance testing and review as isspecified in the applicable Proposal(s) or otherwise agreed to by the Parties in writing to ensure that the Product(s) comply with all manufacturing requirementsand specifications. CMO shall provide or cause to be provided for each Lot or Batch of Product(s) purchased under this Agreement a certificate ofmanufacturing compliance, containing the type of information reasonably agreed upon by CMO and LMI, per the Quality Agreement which will certify thateach Lot or Batch of Product(s) was manufactured in accordance with the Specifications and cGMP, including without limitation 21 CFR 210 and 211 andICH Q7, as the same may be amended from time to time. CMO shall send such certificates to LMI (and its designee, as applicable) concurrent with deliveryof each Lot or Batch of Product(s). CMO agrees that it shall maintain all of the facilities used for the manufacture of the Product(s) in material compliancewith all applicable state, local, federal or international laws and regulations and shall permit the relevant governmental agencies to inspect the manufacturingfacilities used for the manufacture of the Product(s) whenever deemed necessary by such agencies. CMO shall advise LMI **** if an authorized agent of theFDA or other governmental agency visits any of CMO’s facilities where any Product is being manufactured, or where any component of any Product ismanufactured, processed or controlled, or of any official contact concerning any Product; provided, however, that LMI shall have the right to be present for allscheduled inspections relating to the manufacture of any Product. CMO shall furnish to LMI the portion of the report by such agency that relates to such visitto the extent that such report relates to any Product, within (i) **** of CMO’s receipt of such report if such report relates to urgent matters such as a recall ofany Product, facility shutdown or similar events and (ii) **** after CMO’s receipt of such report for other matters. In addition to the observation rights setforth herein and in the applicable Proposal(s), upon reasonable advance notice to CMO, CMO shall allow LMI and its consultants (subject to entering intosuitable confidentially agreements reasonably acceptable to CMO) reasonable access during normal business hours throughout the Term to any of CMO’sfacilities where any Product is being manufactured, or where any component of any Product is manufactured, processed or controlled to verify compliancewith CMO’s obligations under this Agreement or the Quality Agreement. Notwithstanding anything to the contrary hereunder, LMI shall have the right topostpone all pending and future purchase orders hereunder (and adjust all Forecasts accordingly), without penalty, in the event of (i) any such notices,observations or communications; (ii) any regulatory or other concerns under the applicable laws or regulations; (iii) any material issues with the supply ofProduct(s) hereunder (including, but not limited to, atypical manufacturing deviations of the sort requiring investigation); (iv) any consent decree; or(v) violations of any of any Product quality provisions of this Agreement or the Quality Agreement. 15 5.6 Acceptance. (a) LMI shall have **** (****) days from the date of receipt of the shipment of any Product, the corresponding certificate ofanalysis and the corresponding certificate of manufacturing compliance to confirm conformance with the applicable Specifications and to claim anyshortage in quantity of any shipment of any Product. Any notice of rejection or shortage of any shipment of any Product must be given in writing (“Rejection Notice”), must contain a report of the reason for such rejection or shortage and be received by CMO within said **** (****) day periodor such shipment will be deemed to have been accepted; provided, however that this limitation shall not apply to hidden or latent defects, it beingunderstood that in that case, LMI shall have **** (****) days from the date it becomes aware of any hidden or latent defect to reject any Product inaccordance with applicable terms and conditions hereof. CMO shall assist in necessary analytical Technology transfers to accomplish such testingby LMI. (b) Upon receipt of a Rejection Notice, CMO shall have **** (****) days to notify LMI as to whether it agrees that the subjectProduct deviates from the Specifications. If CMO disagrees with the contents of such Rejection Notice, it shall so advise LMI by notice in writingwithin **** (****) days after receipt of such Rejection Notice. If LMI and CMO fail to agree within **** (****) days after CMO’s notice to LMIas to whether any Product identified in the Rejection Notice deviates from the applicable Specifications, the parties shall mutually determine anindependent laboratory to evaluate whether such Product deviates from the Specifications. All retesting shall be performed in accordance with LMIretesting procedures and cGMP. The evaluation shall be binding on the parties, and if such evaluation certifies that any Product deviates from theapplicable Specifications, LMI may reject that Product. Notwithstanding anything to the contrary, in the event LMI rejects any Product as providedhereunder, CMO shall ****, if LMI so requests. (c) Subject to the provisions of Section 5.6(a), LMI has the right to reject and return, at the expense of CMO and for ****, anyportion of any shipment which deviates from the applicable Specifications, without invalidating the remainder of the purchase order, to the extentthat such deviation arises from CMO’s failure to manufacture the applicable Product in accordance with the applicable Specifications. Allreasonable expenses incurred pursuant to this Section 5.6, including those of an independent laboratory, shall be paid by the Party against whom thedispute is decided. 5.7 Quality Agreements. The Parties agree that, within **** (****) days of the date hereof,they will enter into one or more separate qualityagreements that will cover arrangements for quality control, testing documentation, quality assurance and other related matters (the “Quality Agreements”). The Parties acknowledge that stability testing for any Product manufactured during the Term will continue after termination or expiration of the Agreement forthe Product(s)’ remaining shelf life, unless LMI decides in its sole discretion to undertake such stability testing or to assign such responsibilities to a thirdparty. 16 5.8 Health, Safety and Environmental Compliance. (a) Manufacturing operations are to be performed by CMO using appropriate safety measures and containment techniques asdictated by applicable law, regulations and industry standards. CMO shall be solely responsible for implementing and maintaining health andsafety procedures for the manufacture of Product and performance of services under this agreement and for the handling of any materials orhazardous waste used in or generated by such activities. CMO, in consultation with LMI, shall develop safety and handling procedures for Product;provided, however, that LMI shall have no responsibility for CMO’s health and safety program. The generation, collection, storage, handling,transportation, movement and release of hazardous materials and waste generated in connection with the manufacture of any Product and otherservices under this Agreement shall be the responsibility of CMO, at CMO’s cost and expense, unless otherwise agreed to in writing by the Parties forspecial situations and conditions. Without limiting other legally applicable requirements, CMO shall prepare, execute and maintain, as the generatorof waste, all licenses, registrations, approvals and authorizations, notices, shipping documents and waste manifests required under applicable lawand regulations. (b) LMI has established a program for systematic assessment of its supplier’s EHS programs (“TPM EHS Assessment Program”)and CMO agrees to participate and reasonably cooperate with LMI in effectively implementing this TPM EHS Assessment Program. (c) CMO will review LMI’s TPM EHS Assessment Program and cooperate with LMI in developing a reasonable plan for CMO’scompliance with respect to the Product(s). Specifically and subject to the foregoing, CMO agrees to: (i) promptly respond to reasonable requests from LMI for non-confidential information made as part of LMI’s TPM EHSAssessment Program; LMI will provide a questionnaire to CMO and CMO is expected to provide the complete response within **** (****)days; (ii) reasonably cooperate with LMI to clarify and supplement any information related to its facilities and operations; and (iii) provide to LMI, upon request, copies of CMO’s environmental, health and safety permits required by anygovernmental authority which are associated with the Product(s) and all facility operation related thereto. (d) CMO agrees that LMI or its appointed agent(s) (subject to entering into suitable confidentiality agreements reasonably acceptableto CMO, provided such agents(s) are reasonably acceptable to CMO) shall be entitled to conduct inspections and audits no more than once per yearupon **** notice and mutually convenient times of any areas or facilities used to produce the Product(s) or required for production of theProduct(s) in order (i) to assist in completion of LMI’s TPM EHS Assessment Program and (ii) to allow for a loss prevention inspection of thefacility by LMI’s insurance 17 underwriting company as necessary for LMI to obtain contingent business interruption insurance; provided that, if LMI discovers any issues duringsuch audit or inspection requiring remediation, then LMI shall be entitled to reaudit or reinspect such areas or facilities under thisSection 5.9(d) within the later of **** (****) days or CMO’s written notice to LMI that such remediation has been completed. (e) CMO shall take reasonable and appropriate precautions to ensure that its personnel (including its employees, contractors andagents) are protected from the Product and/or the Product’s manufacturing process exposures through either engineering infrastructure, personnelprotective equipment or a combination of both. Upon request, within **** (****) days, CMO shall provide workplace monitoring data whichdemonstrates the effectiveness of controls. 5.9 Facility. CMO shall perform all services under this Agreement at the agreed upon facility located at ****. CMO shall not change thelocation of such facility or use any additional facility for the performance of services under this Agreement without the prior written consent of LMI, suchconsent not to be unreasonably withheld, delayed or conditioned. CMO will be responsible for all applicable costs and expenses in connection with any suchchange of location of the facility or use of any additional facility for the performance of services under this Agreement (including, but not limited to, costs forqualification and validation batches). 6. INTELLECTUAL PROPERTY; NONDISCLOSURE; CONFIDENTIALITY 6.1 Intellectual Property. (a) As between the Parties, subject to the licenses granted under Section 6.1(b) and (c) below, each Party retains all right, title andinterest in and to the Intellectual Property and Technology that each Party currently owns, licenses and/or uses to the extent related to the purposes ofthis Agreement (“Pre-Existing Intellectual Property and Technology”). Under no circumstances will the licenses granted in Section 6.1(b) or (c) belowbe construed as a sale of any of the Pre-Existing Intellectual Property and Technology by either Party. As between the Parties, each Party shall,subject to the licenses granted in Section 6.1(b) and (c) below, own all right, title and interest in and to any modifications, derivative works,enhancements or improvements of or to any of the Pre-Existing Intellectual Property and Technology related to this Agreement that such Party creates,develops, discovers, conceives and/or reduces to practice in the course of performing under this Agreement (“Improvements”); provided, however,CMO agrees that LMI shall own, and shall and hereby does assign to LMI, all right, title and interest in and to all **** to the extent ****. Subjectto the foregoing, the Parties shall jointly own and have the right to use and license (without accounting to the other) all inventions and developments,whether modifications, derivative works, enhancements or improvements to any Intellectual Property and/or Technology related to this Agreement,which are jointly created or developed during the Term. (b) CMO hereby grants to LMI a **** license, with right to sublicense, in and to all CMO-owned Pre-Existing Intellectual Propertyand Technology and Improvements relating to such Pre-Existing Intellectual Property and Technology for use in connection 18 with the Product(s). This license shall **** of the Agreement and shall be included within **** in Sections 2.5 and 3.3. (c) LMI hereby grants to CMO a **** license, with right to sublicense to LMI-approved subcontractors, in and to all LMI-ownedPre-Existing Intellectual Property and Technology and Improvements relating to such Pre-Existing Intellectual Property and Technology solely for usein connection with development and manufacturing of the Product(s) hereunder for LMI. This license shall **** of the Agreement. 6.2 Nondisclosure and **** Obligations. (a) Except as otherwise specifically contemplated by Section 2.5 or as provided in this Section 6, during the Term of this Agreementand for a period of **** thereafter, both Parties shall maintain in confidence (i.e., not disclose to any third party) and use only for purposesspecifically authorized under this Agreement Information received from or on behalf of the other Party, whether such Information is contained in awritten or electronic document, whether it is oral or whether it is disclosed by means of inspection. “Information” shall mean any and all non-public,confidential, trade secret, proprietary information or data, in any form, whether oral, written, electronic, graphic or tangible, and all copies thereof,relating to the Product(s) or either Party’s business, including, but not restricted to, marketing plans and strategies, software codes, software,products, materials, sales figures, methods, know-how, manufacturing, packaging, distribution, inventions, research or development plans and thelike that will be disclosed by or on behalf of one Party to the other. (b) For purposes of clarity, CMO acknowledges and agrees that LMI’s “Information” includes, without limitation, **** developedby CMO for LMI in connection with the services described herein, and any ****. To the extent it is reasonably necessary or appropriate to fulfill itsobligations or exercise its rights under this Agreement, a Party may disclose Information it is otherwise obligated under this Section not to disclose, toits Affiliates, employees, officers, directors, lenders, sublicensees, consultants, outside contractors and clinical investigators (collectively,“Representatives”) on a need-to-know basis and on condition that such entities or persons are directed to only use such Information for purposesspecifically authorized under this Agreement and to keep the Information confidential for the same time periods and to the same extent as such Partyis required to keep the Information confidential; notwithstanding the foregoing the Party so disclosing Information will be liable to the other Partyhereunder for any misuse or improper disclosure of any such Information by any such firms or individuals. A Party or its Representatives maydisclose such Information to government or other regulatory authorities to the extent that such disclosure is reasonably necessary to obtain patents orauthorizations to conduct clinical trials of, and to commercially market, the Product(s). The obligation not to disclose Information shall not apply toany part of such Information that (i) is or becomes part of the public domain other than by disclosure by the receiving Party or its Representatives inbreach of this Agreement, (ii) can be shown by written documents to have been disclosed to the receiving Party or its Representatives by a third party,provided such Information 19 was not obtained by such third party directly or indirectly from the other Party or its Representatives subject to confidentiality obligations or duties,(iii) prior to disclosure under this Agreement can be shown by written documents to have been already in the possession of the receiving Party or itsRepresentatives, provided such Information was not obtained directly or indirectly from the other Party under this Agreement pursuant to aconfidentiality agreement, or (iv) can be shown by written documents to have been independently developed outside of this Agreement by the receivingParty or its Affiliates without reference to the Information or breach of any of the provisions of this Agreement. The Party asserting the applicabilityof one of the exclusions set forth in the immediately preceding sentence shall have the burden of proving the applicability of any such exclusion inany particular circumstance. If a receiving Party is required to disclose Information of the other Party pursuant to interrogatories, requests forinformation or documents, subpoena, civil investigative demand of a court or governmental agency, it shall use commercially reasonable efforts to doso on a confidential basis (and provided that the disclosing Party furnishes only that portion of the Information which is legally required), and, inany event, it shall provide (if legally permissible) the other Party prompt notice after receipt of any such official requests to enable the other Party toseek a protective order or similar relief. (c) CMO understands and acknowledges that Information, Intellectual Property, and Technology relating to LMI’s products has beendeveloped or obtained by the investment of significant time, effort and expense by LMI, and that such Information, Intellectual Property, andTechnology is a valuable, special and unique asset of LMI which provides LMI with a significant commercial advantage, and needs to be protectedfrom improper use and disclosure (including, but not limited to, any improper use by CMO and its Representatives). CMO further recognizes that**** and, as a result, CMO agrees not to undertake, in any manner, directly or indirectly for itself, its Affiliates, or any third party, **** ****during ****. For purposes of this Agreement, “****” includes ****. CMO agrees that there may be no adequate remedy at law for any suchbreach and, upon any such breach or any threat thereof, LMI shall be entitled to appropriate equitable relief, including injunctive relief, in addition towhatever other remedies it might be entitled. Such additional remedies will include, without limitation, LMI’s reasonable attorney’s fees, court costsand related expenses in connection with the investigation of such activities and the enforcement of this provision. In addition, in order to protectagainst the disclosure of LMI’s Information, upon termination or expiration of this Agreement, or as otherwise requested by LMI, CMO willpromptly deliver to LMI or, at the request of LMI, destroy all copies of the Information in its possession; provided, in each case, that CMO mayretain, in a secure location, a copy of such documents and records for purposes of defending any legal proceedings or as is required to be maintainedin order to satisfy any law, rule, or regulation to which CMO is subject. 6.3 Terms of this Agreement. (a) LMI and CMO each agree not to disclose, whether by press release or in any other manner, the existence of this Agreement or anyterms or conditions of this Agreement, to any third party without the prior written consent of the other Party (which 20 shall not be unreasonably withheld), except as required by applicable law; it being understood that LMI will be able to file this Agreement with theU.S. Securities and Exchange Commission and other government agencies to the extent it reasonably determines such filing is required underapplicable rules and regulations, provided that LMI shall be required to use reasonable efforts to seek confidential treatment of pricing and othercommercially sensitive information. In addition, each Party may disclose the terms and conditions of this Agreement to a lender or third party towhich it is considering transferring all or substantially all of its interests in the assets to which this Agreement relates; provided, however, that suchthird party executes a confidentiality agreement by which such third party is bound to hold the disclosed information in confidence. (b) The Parties shall agree in good faith upon the substance of Information that can be used as a routine reference in the usual courseof business to describe the terms of this transaction and each of them may disclose such Information, as modified by mutual agreement from time totime, without the other Party’s consent. 6.4 Injunctive Relief. The Parties hereto understand and agree that remedies at law may be inadequate to protect against any breach of any ofthe provisions of this Section 6 by a Party or its employees, agents, officers or directors or any other person acting in concert with it or on its behalf. Accordingly, each Party shall be entitled to seek injunctive relief or any other equitable relief appropriate under the circumstances by a court of competentjurisdiction against or with respect to any action that constitutes any such breach of this Section 6. 7. INDEMNIFICATION; INSURANCE. 7.1 By CMO. Except to the comparative extent LMI is responsible to indemnify CMO and/or others under Section 7.2, CMO will indemnifyand hold LMI, its Affiliates, and its and their directors, officers, agents and employees harmless against any and all liability, damages, losses, costs orexpenses, including without limitation, reasonable fees and disbursement of attorneys (collectively, “Liability”) resulting from any third party claims made orsuits brought against them to the extent such Liability arises from (i) CMO’s services in developing the Product(s), (ii) CMO’s manufacturing, supplying,processing or otherwise manufacturing the Product(s), (iii) CMO’s negligent acts or omissions or willful misconduct in the manufacture, storage, packaging,labeling, handling or shipping of the Product(s); (iv) CMO’s breach of any representation, warranty or covenant, or failure to perform any of its obligations,hereunder; or (v) personal injuries and/or deaths that are proximately caused (as defined under Massachusetts law) by a Manufacturing Defect. For purposesof this Section 7.1, “Manufacturing Defect” means the negligence, recklessness (having a baseline not less than negligence), wrongful intentional acts ornegligent omissions, willful misconduct, or strict liability, of or by CMO, its Affiliates, and its and their directors, officers, agents and employees resultingfrom, or arising out of, or in connection with, the development and manufacture of any Product by CMO or its permitted subcontractors hereunder. 7.2 By LMI. Except to the comparative extent CMO is responsible to indemnify LMI and/or others under Section 7.1, LMI will indemnify andhold CMO and its directors, officers, agents and employees harmless against any and all Liability resulting from any third party claims 21 made or suits brought against them to the extent such Liability arises from (i) any packaging or labeling of any Product(s) to the extent that such packaging orlabeling has been supplied by or at the direction of LMI and applied in accordance with instructions from LMI, (ii) LMI’s negligence or willful misconduct inthe storage, handling, shipping, use, marketing, distribution or sale of the Product(s), or any other product packaged or included with the Product(s); (iii) abreach of a representation, warranty or covenant made by LMI; or (iv) personal injuries and/or death resulting from, arising out of, or in connection with, anydistribution or sale of any Product by LMI, its Affiliates or its distributors, including claims based on negligence, warranty, strict liability or any other theoryof liability or violation of applicable law. 7.3 Conditions of Indemnification. A Party or any of its Affiliates or their respective directors, officers, employees or agents (the“Indemnitee”) that intends to claim indemnification under this Section 7 shall promptly notify the other Party (the “Indemnitor”) of any Liability in respect ofwhich the Indemnitee intends to claim such indemnification reasonably promptly after the Indemnitee is aware thereof, and the Indemnitor shall have the rightto assume the defense of any related third party action, suit or proceeding with counsel mutually satisfactory to the Parties; provided, however, that anIndemnitee shall have the right to retain its own counsel and participate in the defense thereof at its own cost and expense. The indemnity agreement in thisSection 7 shall not apply to amounts paid in settlement of any claim, loss, damage or expense if such settlement is effected without the consent of theIndemnitor, which consent shall not be withheld or delayed unreasonably. The failure of an Indemnitee to deliver notice to the Indemnitor within a reasonabletime after becoming aware of any such matter, if prejudicial to the Indemnitor’s ability to defend such action, shall relieve the Indemnitor of any liability to theIndemnitee under this Section 7 to the extent of such prejudice. The Indemnitee under this Section 7 and its directors, officers, employees and agents shallcooperate fully with the Indemnitor and its legal representatives in the investigation and defense of any matter covered by this indemnification. 7.4 Insurance. LMI and CMO will each, at its own cost and expense, obtain and maintain in full force and effect, during the term of thisAgreement and for a period of one year following the expiration or other termination of this Agreement, commercial general liability insurance with an insurancecarrier reasonably acceptable to the other Party, with limits of liability, including excess coverage, of an amount at least equal to the greater of (i) **** and(ii) **** (**** ) times the amounts paid to CMO hereunder for the previous calendar year (up to **** in coverage), combined single limit bodily injury andproperty damage covering its duties and obligations under the Agreement. 8. ALTERNATIVE DISPUTE RESOLUTION. (a) The Parties will attempt in good faith to resolve any controversy, claim or dispute (“Dispute”) arising out of or relating to thisAgreement promptly by negotiations. Any such Dispute which is not settled by the Parties within thirty (30) days after notice of such Dispute isgiven by one Party to the other in writing shall be referred to a senior executive of LMI and a senior executive of CMO who are authorized to settlesuch Disputes on behalf of their respective companies (“Senior Executives”). If the Dispute has not been resolved within thirty (30) days after theend of the thirty (30) day negotiation period referred to above (which period may be extended by mutual 22 agreement), subject to any rights to injunctive relief and unless otherwise specifically provided for herein, any Dispute shall be settled by bindingarbitration as described in subsection (b) below, if the Parties so choose. (b) Any Dispute which is not resolved by the Parties within the time period described in subsection (a) shall be settled by final andbinding arbitration to be conducted by a single arbitrator in Boston, Massachusetts, pursuant to the then-existing Commercial Rules of the AmericanArbitration Association. The decision or award of the arbitrator shall be final, and judgment upon such decision or award may be entered in anycompetent court or application may be made to any competent court for judicial acceptance of such decision or award and an order of enforcement. The arbitrator shall allocate the costs of the arbitration to one or both of the Parties as it sees fit. (c) Nothing contained in this Section or any other provision of this Agreement shall be construed to limit or preclude a Party frombringing an action in any court of competent jurisdiction for injunctive or other provisional relief to compel the other Party to comply with itsobligations hereunder before or during the pendency of mediation or arbitration proceedings. 9. MISCELLANEOUS. 9.1 Relationship of the Parties. In making and performing this Agreement, the Parties are acting, and intend to be treated, as independententities and nothing contained in this Agreement shall be construed or implied to create an agency, partnership, joint venture or employer and employeerelationship between LMI and CMO. Each Party shall retain the exclusive right of control with respect to its employees and agents, and shall be responsiblefor all taxes, withholdings, and other statutory or contractual obligations of any sort in respect of its employees and agents providing Product(s) and serviceshereunder including, but not limited to, workers’ compensation insurance. Except as otherwise provided herein, neither Party may make any representation,warranty or commitment, whether express or implied, on behalf of or incur any charges or expenses for or in the name of the other Party. No Party shall beliable for the act of any other Party unless such act is expressly authorized in writing by both Parties hereto. 9.2 Expenses. Except as specifically provided herein, each Party shall each pay its own expenses (including the fees and expenses of theirrespective agents, representatives, counsel and accountants) incidental to the preparation, negotiation and consummation of this Agreement and thetransactions contemplated hereby. 9.3 Survival. The following provisions shall survive the termination or expiration of this Agreement (along with any payment obligationsaccruing during the Term under any other provision) for any reason in accordance with their respective terms: Section 1 (Definitions)Section 2.5 (Transfer Notice)Section 3.3(c) (Terminal Supply)Section 3.4 (Effect of Expiration or Termination; Accrued Rights; Surviving Obligations) 23 Section 4 (Regulatory Issues)Section 5 (Warranties and Quality Assurance)Section 6 (Intellectual Property; Nondisclosure; Confidentiality)Section 7 (Indemnification)Section 8 (Alternative Dispute Resolution)Section 9 (Miscellaneous) 9.4 Notices. All notices, demands and other communications to be given or delivered under or by reason of the provisions of this Agreementshall be deemed to be given upon receipt (or refusal) and shall be in writing and (a) personally delivered or sent by confirmed telecopy (with hard copy tofollow); (b) sent by reputable overnight express courier (charges prepaid); or (c) mailed by certified or registered mail, postage prepaid and return receiptrequested. Unless another address is specified in writing, notices, demands and communications to LMI and CMO shall be sent to the addresses indicatedbelow: Notices to LMI: Lantheus Medical Imaging, Inc.331 Treble Cove RoadNorth Billerica, Massachusetts 01862Attn: Vice President, Manufacturing and Operations with a copy to: Lantheus Medical Imaging, Inc.331 Treble Cove RoadNorth Billerica, Massachusetts 01862Attn: General Counsel Notices to CMO: Pharmalucence, Inc.29 Dunham RoadBillerica, MA 01821Attention: Chief Operating OfficerE-mail: **** 9.5 Force Majeure. If the performance of any obligation under this Agreement by either Party is prevented, restricted, interfered with ordelayed by reason of natural disaster, casualty, acts of God, riots, acts of terrorism or such other event of similar nature, all of which are outside thereasonable control of the affected Party (“Force Majeure Event”), the Party so affected shall, upon giving prompt written notice to the other Party (including afull description of particulars), be excused from such performance to the extent of such prevention, restriction, interference or delay; provided that the affectedParty shall use its reasonable commercial efforts to avoid or remove such causes of non-performance and shall continue performance whenever such causes areremoved. 24 9.6 LIMITATIONS ON LIABILITY. IN NO EVENT SHALL EITHER PARTY BE LIABLE TO THE OTHER PARTY OR TO ANYTHIRD PARTY FOR ANY INDIRECT, INCIDENTAL, SPECIAL, PUNITIVE, EXEMPLARY, OR CONSEQUENTIAL DAMAGES ARISING FROMTHIS AGREEMENT, WHETHER THE BASIS OF THE LIABILITY IS BREACH OF CONTRACT, TORT, STATUTES, OR ANY OTHER LEGALTHEORY, EXCEPT TO THE EXTENT NECESSARY TO SATISFY A THIRD PARTY CLAIM UNDER SECTION 7 OF THIS AGREEMENT OR TOTHE EXTENT SUCH LIABILITY ARISES FROM CMO’S WILLFUL MISCONDUCT, FRAUD OR GROSSLY NEGLIGENT ACTS OR OMISSIONSOR A PARTY’S BREACH OF THE CONFIDENTIALITY AND NON-USE OBLIGATIONS SET FORTH HEREIN, AND WHETHER SUCH FIRSTPARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES OR NOT. 9.7 Successors and Assigns; Assignment. This Agreement shall be binding upon and inure to the benefit of the Parties and their respectivesuccessors and permitted assigns. This Agreement or any part thereof, may not be assigned, in whole or in part, without the prior written consent of the otherParty, which consent may be withheld in the sole discretion of the other Party; provided, however, that either Party may assign this Agreement without theconsent of the other Party, in whole or in part, (i) to any Affiliate of such Party, it being agreed that no such assignment to a Party’s Affiliate shall release theassigning Party from its obligations hereunder, or (ii) for the benefit of any lenders under any financing arrangement, or (iii) in connection with the direct orindirect (x) transfer and sale of all or substantially all of the assets or business of such Party or any of its Affiliates or (y) the transfer and sale of all orsubstantially all of the assets or business of the specific business line, division or unit of such Party or any of its Affiliates to which this Agreement relates, inthe case of clause (iii), so long as the transferee or assignee agrees in writing to assume the obligations of the transferor or assignor as if an original party hereto. 9.8 Entire Agreement; Modification. This Agreement (together with all Proposals) supersedes all prior agreements and understandingsbetween the Parties or any of their respective Affiliates (written or oral) relating to the subject matter hereof, including any term sheets, and this Agreement(together with all Proposals) is the entire and complete statement of the terms of the agreement between the Parties with respect to the subject matter hereof. ThisAgreement and any Proposal may be amended, modified, or supplemented only in a writing signed by LMI and CMO. 9.9 Waivers. The failure of a Party at any time or times to require performance of any provision hereof shall in no manner affect its right at alater time to enforce the same. No waiver by a Party of any condition or of any breach of any term, covenant, representation or warranty contained in thisAgreement shall be effective unless in writing, and no waiver in any one or more instances shall be deemed to be a further or continuing waiver of any suchcondition or breach in other instances or a waiver of any other condition or breach of any other term, covenant, representation or warranty. 9.10 Section and Other Headings. The section and other headings contained in this Agreement are for reference purposes only and shall not inany way affect the meaning or interpretation of this Agreement. 25 9.11 Governing Law. This Agreement (and all claims, controversies and causes of actions relating hereto or otherwise arising hereunder or inconnection herewith) shall be exclusively interpreted in accordance with and governed by the laws of the Commonwealth of Massachusetts, without regard tothe conflicts of law rules thereof. 9.12 Severability. To the extent that a court of competent jurisdiction determines that any term or provision of this Agreement is invalid orunenforceable, the Parties agree that (a) such term or provision shall be reformed (whether by reducing its scope, duration or area or replacing any such term orprovision with a term or provision that is valid and enforceable and that comes closest to expressing the intention of the invalid or unenforceable term orprovision), and this Agreement shall be enforceable as so reformed, and (b) any such invalidity or unenforceability shall not invalidate or render unenforceableany other term or provision of this Agreement. 9.13 No Third Party Beneficiaries. Neither this Agreement nor any provision hereof is intended to confer upon any person (other than theParties hereto and, in the case of Section 7, the Indemnittees, which shall be third party beneficiaries thereunder) any rights or remedies hereunder. 9.14 Construction. The Parties have participated jointly in the negotiation and drafting of this Agreement. In the event an ambiguity or questionof intent or interpretation arises, this Agreement shall be construed as if drafted jointly by the Parties and no presumption or burden of proof shall arisefavoring or disfavoring any Party by virtue of the authorship of any of the provisions of this Agreement. 9.15 Counterparts. This Agreement may be executed in two or more counterparts, each of which shall be deemed to be an original, and suchcounterparts shall together constitute one and the same instrument. A facsimile transmission of an executed counterpart signature page shall be deemed anoriginal. [The remainder of this page is left blank intentionally.] 26 IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed by their respective duly authorized representatives as of the datefirst above written. LANTHEUS MEDICAL IMAGING, INC. By:/s/ Jeff BaileyName:Jeff BaileyTitle:Chief Executive Officer PHARMALUCENCE, INC. By:/s/ Edward J. ConnollyName:Edward J. ConnollyTitle:COO 27 Proposal #1:DEFINITY® Vial for (Perflutren Lipid Microsphere) Injectable Suspension November 12, 2013 The following proposal (“Proposal #1”), upon execution and delivery, will constitute a Proposal pursuant to, and as defined in, the Manufacturing andSupply Agreement (the “Agreement”), dated as of November 12, 2013, by and between Lantheus Medical Imaging, Inc., and Pharmalucence, Inc. All capitalized terms used but not defined herein shall have the meanings ascribed to those terms in the Agreement. Proposal #1 shall be attached to the Agreement and shall be automatically deemed incorporated into the Agreement by reference. In the event of any conflict between this Proposal #1 and the Agreement, the terms of the Agreement shall control. The pricing indicated below is based upon the testing and manufacturing requirements set forth in the RFP Proposal, dated September 13, 2013. Any changesto the manufacturing or test parameters shall be subject to mutual agreement and attached as an addendum hereto. For the avoidance of doubt, this Proposal#1 reflects the sole pricing terms set forth in the Agreement, and none of the pricing or other economic terms set forth in the RFP Proposal, dated September 13,2013, attached hereto are effective. **** CONFIDENTIAL  IN WITNESS WHEREOF, the Parties have caused this Proposal #1 to be executed by their respective duly authorized representatives as of the datefirst above written. LANTHEUS MEDICAL IMAGING, INC. By:/s/ Jeff BaileyName:Jeff BaileyTitle:Chief Executive Officer PHARMALUCENCE, INC. By:/s/ Edward J. ConnollyName:Edward J. ConnollyTitle:COO CONFIDENTIAL Exhibit 10.50 CONFIDENTIAL TREATMENT REQUESTED INFORMATION FOR WHICH CONFIDENTIAL TREATMENT HAS BEEN REQUESTED IS OMITTED AND NOTED WITH “****”. ANUNREDACTED VERSION OF THIS DOCUMENT HAS ALSO BEEN PROVIDED TO THE SECURITIES AND EXCHANGECOMMISSION. SETTLEMENT AND RELEASE AGREEMENT THIS SETTLEMENT AND RELEASE AGREEMENT (“Settlement Agreement”) is entered into as of November 12, 2013 (the “Effective Date”) byand between BEN VENUE LABORATORIES, INC. (“BVL”), and LANTHEUS MEDICAL IMAGING, INC. (“LMI”). BVL and LMI are collectivelyreferred to as the “Parties” or in the singular as a “Party.” RECITALS WHEREAS, BVL is a Delaware corporation that provides services to the pharmaceutical industry as a contract manufacturer which supplies itscustomers with sterile finished dosage forms, with its principal place of business located in Ohio; and WHEREAS, LMI is a Delaware corporation engaged in the business of developing, manufacturing and distributing diagnostic medical imagingproducts, with its principal place of business located in Massachusetts; and WHEREAS, BVL and LMI during their business relationship have been parties to a number of contractual arrangements, including but not limitedto that certain Manufacturing & Service Contract for Commercial Products effective as of March 20, 2012 (“Agreement”); and WHEREAS, BVL has experienced a variety of issues that have challenged its ability to consistently provide development services and manufactureproduct to LMI pursuant to the Agreement between the Parties; and 1 WHEREAS, the Parties have cooperated in good faith to satisfactorily resolve all issues of concern and material disputes arising from their businessrelationship and the Agreement; and WHEREAS, BVL has provided the notice of termination required by Section 12.7 of the Agreement, such that the Agreement shall terminate onNovember 15, 2013; and WHEREAS, the Parties desire to resolve fully and finally any and all disputes and/or claims whatsoever between them relating to, arising from, or inconnection with the Agreement or otherwise as a result of any other business dealing between them; and WHEREAS, the Parties have mutually resolved, to each other’s satisfaction, a complete and final compromise and resolution of all outstandingissues and disputes. NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, and for other good and valuable consideration,receipt and sufficiency of which is hereby acknowledged, and with full consultation or the opportunity for consultation with counsel and such other advisorsas they deem appropriate, the Parties to this Settlement Agreement hereby agree as follows: TERMS & CONDITIONS 1. The foregoing Recitals are incorporated herein and constitute express terms of the Settlement Agreement. 2. In full and final satisfaction of LMI’s release of any and all LMI Claims (as defined in ¶7 of this Settlement Agreement), BVL shallprovide the Liquidated Damages and Consideration recited herein under the terms and conditions described herein. The Parties mutually agree that BVL’spayment of the Liquidated Damages and Consideration described herein is intended to fully and completely resolve any and all LMI Claims that LMI has ormay have against the BVL Released Parties, including but not limited to LMI Claims relating to, arising out of, or based upon the Agreement. 2 3. The Parties acknowledge and agree that, in accordance with Section 12.7 of the Agreement and pursuant to BVL’s letter to LMI datedOctober 16, 2013, the Agreement shall terminate on November 15, 2013, at which time the Agreement shall have no further force or effect. The Partiesacknowledge that, upon the effective date of termination, neither Party shall have any further obligations under the Agreement except for: (i) those obligationsthat expressly survive termination under Section 12.11 of the Agreement; (ii) BVL’s obligation under Section 12.8.3 of the Agreement (as modified by thisparagraph 3); and (iii) BVL’s obligation under paragraph 6 of this Settlement Agreement. With respect to BVL’s obligation under Section 12.8.3, the Parties have agreed that BVL will, at no cost to LMI, provide the reasonable technicaltransfer assistance as specifically set forth in Attachment I. The Parties have reviewed Attachment I and agree as to its scope. The Parties have agreed thatBVL will provide this technical transfer assistance up until December 31, 2013, at which time BVL will have no further obligations under Section 12.8.3. LIQUIDATED DAMAGES 4. Pursuant to Sections 12.7 and 34 of the Agreement, BVL will pay, as liquidated damages, the sum of THREE MILLION EIGHTHUNDRED AND SEVENTY-SIX THOUSAND AND THIRTY-SEVEN DOLLARS ($3,876,037) to LMI within five (5) business days of the EffectiveDate of this Settlement Agreement. Such payment will be by wire transfer per instructions to be provided by LMI no later than the Effective Date. CONSIDERATION 5. As consideration for the release set forth in Paragraph 7, which takes effect upon LMI’s receipt of both payments described in paragraph 4and this paragraph 5, BVL will also pay LMI the sum of FIVE MILLION DOLLARS ($5,000,000) within five (5) business days of 3 the Effective Date of this Settlement Agreement. Such payment will be by wire transfer per instructions to be provided by LMI no later than the Effective Date. 6. The Parties acknowledge that BVL will use commercially reasonable efforts to finalize, and is still in the process of finalizing, theBatches set forth in Attachment II to batch disposition and certification. The Parties further acknowledge that there is a risk that these Batches may not bereleasable. Notwithstanding these risks and notwithstanding BVL’s commercially reasonable efforts, the Parties agree that, other than those amounts set forthin Paragraphs 4 and 5 above, no additional compensation will be provided to LMI for any reason whatsoever. RELEASE & COVENANT NOT TO SUE 7. Effective immediately upon receipt by LMI of both of the payments by BVL to LMI described in Paragraphs 4 and 5 of this SettlementAgreement, LMI, for itself and its predecessors, successors, affiliates, heirs, assigns, administrators, agents, shareholders, directors, principals, officers,partners, employees, agents, contractors, attorneys, and representatives, hereby releases and forever discharges BVL, its parent, subsidiaries, divisions,affiliates, predecessors, successors, assigns, shareholders, directors, principals, officers, employees, agents, contractors, insurers and attorneys (the “BVLReleased Parties”), from any and all claims, potential claims, rights, demands, actions, causes of action, suits and damages of every kind and naturewhatsoever through the Effective Date, whether such claims have accrued or not accrued as of the Effective Date, including, without limitation, anyclaims at law or in equity, requests or demands for actual, compensatory, consequential, liquidated, exemplary and punitive damages, attorney’s fees,injunctive or other equitable relief, and any and all claims, potential claims, rights, demands, actions, causes of action, suits and damages whether ornot LMI is aware of such (the italicized language herein defined as “LMI Claims”). This release and discharge is 4 intended to be broad and expansive, to release and waive any and all LMI Claims that LMI has or may have against the BVL Released Parties as of theEffective Date, including, but not limited to LMI Claims arising out of, or based upon the negotiation, execution, representations, warranties, duties,obligations, performance, non-performance, termination or breach of the Agreement, provided however, that this release shall be deemed null and void abinitio, in the event that BVL and/or any party asserting rights on behalf of BVL, recovers or rescinds any of the payments made by BVL under thisSettlement Agreement, whether as a result of bankruptcy proceedings or otherwise, including but not limited to “voidable preference” or “fraudulentconveyance” actions. 8. Effective immediately upon receipt by LMI of both of the payments by BVL to LMI described in Paragraphs 4 and 5 of this SettlementAgreement, BVL, for itself and its predecessors, successors, affiliates, heirs, assigns, administrators, agents, shareholders, directors, principals, officers,partners, employees, agents, contractors, attorneys, and representatives, hereby releases and forever discharges LMI, its parent, subsidiaries, divisions,affiliates, predecessors, successors, assigns, shareholders, directors, principals, officers, employees, agents, contractors, insurers and attorneys (the “LMIReleased Parties”), from any and all claims, potential claims, rights, demands, actions, causes of action, suits and damages of every kind and naturewhatsoever through the Effective Date, whether such claims have accrued or not accrued as of the Effective Date, including, without limitation, anyclaims at law or in equity, requests or demands for actual, compensatory, consequential, liquidated, exemplary and punitive damages, attorney’s fees,injunctive or other equitable relief, and any and all claims, potential claims, rights, demands, actions, causes of action, suits and damages whether ornot BVL is aware of such (the italicized language herein defined as “BVL Claims”). This release and discharge is 5 intended to be broad and expansive, to release and waive any and all BVL Claims that BVL has or may have against the LMI Released Parties as of theEffective Date, including, but not limited to BVL Claims arising out of, or based upon the negotiation, execution, representations, warranties, duties,obligations, performance, non-performance, termination or breach of the Agreement. 9. Except as to enforcement of this Settlement Agreement, as otherwise provided for in Paragraph 7 of this Agreement, or with respect to thesurviving provisions of the Agreement, LMI covenants and agrees that it will forever refrain from instituting, prosecuting, maintaining or pressing any LMIClaim, action, suit, or proceeding against the BVL Released Parties relating to, or arising out of, any right or LMI Claim released in Paragraph 7 of theSettlement Agreement. 10. Except as to enforcement of this Settlement Agreement or with respect to the surviving provisions of the Agreement, BVL covenants andagrees that it will forever refrain from instituting, prosecuting, maintaining or pressing any BVL Claim, action, suit, or proceeding against the LMI ReleasedParties relating to, or arising out of, any right or BVL Claim released in Paragraph 8 of the Settlement Agreement. 11. OTHER PROVISIONS 12. This Settlement Agreement shall in no event be construed as or be deemed to be evidence of an admission or concession on the part of anyParty of any claim or any fault or liability or damages whatsoever. 13. LMI represents and warrants that no person or entity other than LMI has any interest in, and that LMI has not made any assignment ortransfer of, any right, LMI Claim or other matter covered by the release in Paragraph 7 of this Settlement Agreement. 6 14. BVL represents and warrants that no person or entity other than BVL has any interest in, and that BVL has not made any assignment ortransfer of, any right, BVL Claim or other matter covered by the release in Paragraph 8 of this Settlement Agreement. 15. The Parties and their counsel agree not to disclose to any person or entity, directly or indirectly, or by or through any agent, employee, orother representative, the terms or conditions of this Settlement Agreement other than as necessary to effectuate the provisions of this Settlement Agreement or asmay be required by any applicable law, including the United States securities laws, or the rules of any stock exchange or NASDAQ. Notwithstanding theforegoing, the Parties may disclose the fact of settlement and that their disputes have been resolved. 16. This Settlement Agreement may not be introduced into evidence in any proceeding by any person or entity, nor may it be used in support ofor for the prosecution of any cause of action against any Party except for enforcing the terms and conditions of this Settlement Agreement. 17. Each Party, on its own, has made such investigation of the facts pertaining to the LMI Claims or BVL Claims released herein as it hasdeemed necessary. Each Party agrees and acknowledges that there may be facts of which it is presently unaware, but it nonetheless assumes the risk ofentering into this Settlement Agreement. Each Party further agrees and acknowledges that there may be LMI Claims or BVL Claims that are as yet unknownto the Party and that may not be known until some future time. Notwithstanding this fact, each Party has explicitly negotiated and bargained for the releaseherein. Thus, in furtherance of their intentions, the Settlement Agreement shall remain in full force and effect notwithstanding the discovery of any additionalfacts or law, or changes in facts or law, and the Settlement 7 Agreement shall not be subject to rescission or modification by reason of any change or difference in facts or law. 18. By signing this Settlement Agreement, the Parties acknowledge that they have been advised with respect thereto by their respectiveattorneys, that they have been afforded ample opportunity to review this Settlement Agreement, that they have read and do understand this SettlementAgreement, and that they have executed this Settlement Agreement freely and voluntarily. The Parties specifically acknowledge that they have reviewed or havehad the opportunity to review this Settlement Agreement with their legal or other advisors, and are fully aware of all of their rights and alternatives. 19. LMI represents that it has carefully considered the terms of the Settlement Agreement and that its Board of Directors using their bestbusiness judgment have determined that it is in the best interest of the company and its shareholders to enter into this Settlement Agreement. 20. BVL represents that it has carefully considered the terms of the Settlement Agreement and that its Board of Directors using their bestbusiness judgment have determined that it is in the best interest of the company and its shareholders to enter into this Settlement Agreement. 21. This Settlement Agreement (a) contains the entire understanding of the Parties hereto, (b) supersedes any and all prior agreements regardlessof their nature, and (c) shall not be amended or modified except by a written instrument hereafter signed by all Parties hereto. 22. EACH PARTY FURTHER ACKNOWLEDGES AND AGREES THAT, IN ENTERING INTO THIS SETTLEMENTAGREEMENT, IT HAS NOT IN ANY WAY RELIED UPON ANY ORAL OR WRITTEN AGREEMENTS, STATEMENTS, PROMISES, 8 INFORMATION, ARRANGEMENTS, UNDERSTANDINGS, REPRESENTATIONS, OR WARRANTIES, EXPRESS OR IMPLIED, NOTSPECIFICALLY SET FORTH IN THIS SETTLEMENT AGREEMENT. 23. Should any provision of this Settlement Agreement be held illegal, invalid or nonbinding on any of the Parties, such holding shall notinvalidate the whole of this Settlement Agreement. Instead, the Parties shall negotiate in good faith to reform this Settlement Agreement in order to give effect tothe original intention of the Parties in all material respects. All other provisions hereof shall remain in full force and effect and shall be liberally construed inorder to carry out the intentions of the Parties as nearly as may be possible. 24. No waiver of the breach of any of the provisions of this Settlement Agreement shall be a waiver of any preceding or succeeding breach ofthat provision, or of any other provision(s) of this agreement. No waiver of any provision of this Settlement Agreement shall be effective unless evidenced by awritten instrument signed by the waiving Party. 25. The Parties each acknowledge that the terms and conditions of this Settlement Agreement have been the subject of active, arms-lengthnegotiations, and that such terms and conditions should not be construed in favor of or against any Party by reason of the extent to which any Party or itsprofessional advisors participated in the preparation of this Settlement Agreement. Neither of the Parties shall be considered the drafter of this SettlementAgreement or any provision of the agreement for the purpose of any statute, case law or rule of construction that would or might cause any provision to beconstrued against the drafter. 26. The Parties agree to execute any and all supplementary documents and to take all additional steps reasonably necessary to give full forceand effect to the terms and intent of this Settlement Agreement. 9 27. All covenants and agreements herein shall bind and inure to the benefit of the respective successors of the Parties hereto. 28. This Settlement Agreement shall be construed and interpreted to effectuate the Parties’ intent, which is to resolve completely any and allLMI Claims or BVL Claims, as the case may be, that either Party has against the other, including, but not limited to, LMI Claims or BVL Claims relating to,arising out of, or based upon the Agreement. 29. This Settlement Agreement and the rights and obligations of the Parties hereunder shall be governed by Delaware law and, to the extent thelaws of the State of Delaware are preempted or otherwise made inapplicable by federal law, the laws of the United States of America. 30. Each of the Parties irrevocably and unconditionally agrees that any suit, action or legal proceeding arising out of or relating to thisSettlement Agreement any obligation existing as a result of §12.11 of the Agreement shall be instituted in the United States District Court for Delaware, or ifsuch court does not possess subject matter jurisdiction, of any type, or will not accept jurisdiction, in any court of general jurisdiction in Wilmington,Delaware; consents and submits to the exclusive jurisdiction of such foregoing courts in any such suit, action or proceeding; consents to personal jurisdictionin such courts; waives any objection which it may have to laying of venue of any such suit, action or proceeding in said courts; and waives any claim ordefense of inconvenient forum. 31. In the event of (a) an alleged breach of the Settlement Agreement, (b) a dispute between or among the Parties in connection with theperformance of the Settlement Agreement or (c) any obligation existing as a result of §12.11 the Agreement, the Parties shall be required to first provide noticeand a reasonable opportunity to cure. Unless otherwise stated in writing 10 subsequent to the Effective Date of this Settlement Agreement, all notifications and communications made pursuant to this Agreement shall be submitted to thepersons and entities listed below by Federal Express, UPS, or any other overnight carrier in which case the notice shall be deemed given two (2) business daysfrom the date of delivery to such carrier or by confirmed facsimile (followed by delivery of an original via overnight carrier), in which case the notice shall bedeemed given on confirmation of transmission: Lantheus Medical Imaging, Inc.331 Treble Cove RoadNorth Billerica, MA 08162Attn: General CounselTelephone (###) ###-####Facsimile: (###) ###-#### Ben Venue Laboratories, Inc.300 Northfield RoadBedford, OH 44146Attn: Vice President, Contract Manufacturing ServicesTelephone: (###) ###-####Facsimile: (###) ###-#### With a copy (that shall not constitute legal notice) to: Division CounselBen Venue Laboratories, Inc.300 Northfield RoadBedford, Ohio 44146Telephone: (###) ###-####Facsimile: (###) ###-#### 32. The undersigned individual signatories each represent that they are authorized to execute this agreement on behalf of the Party identifiedwith respect to each. 33. This Settlement Agreement may be executed in counterparts and it is the intent of the Parties that the copy signed by any Party will be fullyenforceable against said Party. 34. The Effective Date of this Settlement Agreement is the date of signature of the last signatory to the Settlement Agreement. 11 IN WITNESS WHEREOF, the Parties have executed this Settlement Agreement through their duly authorized representatives. BEN VENUE LABORATORIES, INC.LANTHEUS MEDICAL IMAGING, INC. By:/s/ William A. OwenBy:/s/ Jeffrey A. Bailey Print:William A. OwenPrint:Jeffrey A. Bailey Title:VP FinanceTitle:President/CEO Date Signed:11/12/13Dated Signed:11/12/13 By:/s/ Sheila A. Denton Print:Sheila A. Denton Title:ED Legal Date Signed:11/12/13 12 ATTACHMENT ITECH TRANSFER ASSISTANCE BVL will provide the following technical support to LMI per Section 3 of the Agreement dated November 13 2013. · Reasonable participation in conference calls to address any product-specific questions related to the manufacturing or testing of the product; · Reasonable reproduction of product-specific document, including Master Production Records, Specifications, and Test Methods. 13 ATTACHMENT IIBATCHES PENDING DISPOSITION **** 14Exhibit 10.51 CONFIDENTIAL TREATMENT REQUESTED INFORMATION FOR WHICH CONFIDENTIAL TREATMENT HAS BEEN REQUESTED IS OMITTED AND NOTED WITH “****”. ANUNREDACTED VERSION OF THIS DOCUMENT HAS ALSO BEEN PROVIDED TO THE SECURITIES AND EXCHANGECOMMISSION. Lantheus Medical Imaging, Inc.331 Treble Cove RoadNorth Billerica, MA 01862 February 6, 2014 Pharmalucence, Inc.29 Dunham RoadBillerica, MA 01862Attention:Edward J. Connolly,Chief Operating Officer Re: Letter Agreement Imposing **** Obligations (this “Letter Agreement”) Dear Edward: In connection with our companies’ partnership under the long-term Manufacturing and Supply Agreement by and between Pharmalucence, Inc. (“CMO”) andLantheus Medical Imaging, Inc. (“LMI”), dated as of November 12, 2013 (as may be amended, modified or supplemented from time to time, the“Agreement”), the Parties desire to amend the Agreement to provide for **** obligations, as follows: 1. No Hire and Non-Solicitation. The Agreement is hereby amended by providing for a new Section 6.2(d) that states as follows: During the term of this Agreement and for **** thereafter, each Party hereby agrees not to (and agrees to cause its controlled affiliates notto), ****. 2. Miscellaneous. Capitalized terms used but not defined in this Letter Agreement shall have the meanings ascribed to those terms in the Agreement. Article 9 of the Agreement (entitled “Miscellaneous”) is hereby expressly incorporated by reference into this Agreement. The Parties acknowledge andagree that, except as expressly amended by this Letter Agreement, the Agreement (as so amended) remains in full force and effect in accordance withits terms. Please confirm your company’s agreement with the terms and conditions of this Letter Agreement by countersigning two copies of this letter and returning onefully executed copy to my attention. [The remainder of this page is left blank intentionally.]  IN WITNESS WHEREOF, the Parties have caused this Letter Agreement to be executed by their respective duly authorized representatives as of the date firstabove written. Lantheus: LANTHEUS MEDICAL IMAGING, INC. By:/s/ William C. Dawes Jr.Name:William C. Dawes Jr.Title:V.P. MFG + OPS Pharmalucence: PHARMALUCENCE, INC. By:/s/ Edward J. ConnollyName:Edward J. ConnollyTitle:COO QuickLinks -- Click here to rapidly navigate through this documentExhibit 12.1 STATEMENTS RE: COMPUTATION OF RATIO OFEARNINGS TO FIXED CHARGES Year-Ended December 31, (in thousands) 2013 2012 2011 2010 2009 Earnings Income (loss) from continuing operations $(60,664)$(42,556)$(52,371)$7,435 $42,304 Fixed charges 43,607 42,111 37,753 22,767 13,539 Total earnings $(17,057)$(445)$(14,618)$30,202 $55,843 Fixed Charges Interest Expense $42,915 $42,014 $37,658 $20,395 $13,458 Estimated interest portion within rental expense 94 97 95 94 81 Write-off of deferred financing costs 598 — — 2,278 — Total fixed charges $43,607 $42,111 $37,753 $22,767 $13,539 Ratio of earnings to fixed charges(1) — — — 1.3x 4.1x (1)Earnings were insufficient to cover fixed charges by $60.7 million, $42.6 million and $52.4 million, for the years endedDecember 31, 2013, 2012 and 2011, respectively.QuickLinksExhibit 12.1STATEMENTS RE: COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGESQuickLinks -- Click here to rapidly navigate through this documentExhibit 31.1 CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TOSECURITIES EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a), AS ADOPTEDPURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 I, Jeffrey Bailey, certify that:1.I have reviewed this annual report on Form 10-K of Lantheus Medical Imaging, Inc.; 2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make thestatements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by thisreport; 3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects thefinancial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; 4.The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined inExchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and15d-15(f)) for the registrant and have: a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under oursupervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us byothers within those entities, particularly during the period in which this report is being prepared; b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under oursupervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements forexternal purposes in accordance with generally accepted accounting principles; c.Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about theeffectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and d.Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's mostrecent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonablylikely to materially affect, the registrant's internal control over financial reporting; and 5.The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, tothe registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions): a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which arereasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internalcontrol over financial reporting.Dated: March 11, 2014 /s/ JEFFREY BAILEY Name: Jeffrey Bailey Title: President and Chief Executive OfficerQuickLinksExhibit 31.1CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO SECURITIES EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a),AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002QuickLinks -- Click here to rapidly navigate through this documentExhibit 31.2 CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TOSECURITIES EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a), AS ADOPTEDPURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 I, John Golubieski, certify that:1.I have reviewed this annual report on Form 10-K of Lantheus Medical Imaging, Inc.; 2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make thestatements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by thisreport; 3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects thefinancial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; 4.The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined inExchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and15d-15(f)) for the registrant and have: a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under oursupervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us byothers within those entities, particularly during the period in which this report is being prepared; b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under oursupervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements forexternal purposes in accordance with generally accepted accounting principles; c.Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about theeffectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and d.Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's mostrecent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonablylikely to materially affect, the registrant's internal control over financial reporting; and 5.The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, tothe registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions): a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which arereasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internalcontrol over financial reporting.Dated: March 11, 2014 /s/ JOHN GOLUBIESKI Name: John Golubieski Title: Interim Chief Financial OfficerQuickLinksExhibit 31.2CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TO SECURITIES EXCHANGE ACT RULES 13a-14(a) AND 15d-14(a), ASADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002QuickLinks -- Click here to rapidly navigate through this documentExhibit 32.1 CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICERPURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTEDBY SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 Each of the undersigned hereby certifies that to his knowledge the Annual Report on Form 10-K for the fiscal year ended December 31, 2013 ofLantheus Medical Imaging, Inc. (the "Company") filed with the Securities and Exchange Commission on the date hereof fully complies with therequirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934 and that the information contained in such report fairly presents, in allmaterial respects, the financial condition and results of operations of the Company. A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company andfurnished to the Securities and Exchange Commission or its staff upon request.Dated: March 11, 2014 /s/ JEFFREY BAILEY Name: Jeffrey Bailey Title: President and Chief Executive OfficerDated: March 11, 2014 /s/ JOHN GOLUBIESKI Name: John Golubieski Title: Interim Chief Financial OfficerQuickLinksExhibit 32.1CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER PURSUANT TO 18 U.S.C. SECTION 1350,AS ADOPTED BY SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

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