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Trade Ideas

Global Trade Idea: Lantheus Holdings (LNTH US) - BUY

 

By Peet Serfontein & Hashmeel Suka.

Lantheus Holdings develops, manufactures, sells, and distributes diagnostic medical imaging agents and products that assist clinicians in the diagnosis of cancers, cardiovascular issues, and other diseases. The company serves a diverse range of customers worldwide.

Fundamental performance over the past five years has been quite strong, with adjusted EPS and revenue increasing 41% and 30%, respectively (on a compounded-annual basis). Growth during FY22 was particularly strong following the launch of PYLARIFY, which at the time was the world's first and only commercially available PSMA PET imaging agent (for prostate cancer). This introduced a strong sales pipeline to diversify the group's portfolio while boosting profit.

The stock price has formed an upward sloping megaphone pattern (refer to the first chart), which is a compelling technical indicator. Also known as a “broadening formation”, this pattern is characterised by successively higher highs and lower lows as the stock price moves within an expanding range, suggesting contrasting views in the market. This divergence creates higher volatility, which in turn attracts more investor interest. Often, this interest causes a break toward the upside.

The stock is trading below its 200-day simple moving average of ~$71.20, making this a contrarian trade.

Emerging upside momentum, according to the MACD indicator as well as steep upwards movement of the on-balance volume indicator, supports our bullish view.

Share Information

Share Code LNTH US
Industry Health Care Equipment & Services
Market Capital (USD) 4.48 billion
One Year Total Return -10.54%
Return Year-to-Date 5.45%
Current Price (USD) 65.38
52 Week High (USD) 100.85
52 Week Low (USD) 50.20
Financial Year End December
The stock price has come under pressure over the past twelve months, though various technical indicators suggest a recovery going forward.

Consensus expectations

(Bloomberg)

FY23 FY24E FY25E FY26E
Headline Earnings per Share (USD) 6.23 6.57 6.67 7.60
Growth (%) 5.46 1.49 14.04
Dividend Per Share (USD) - - - -
Growth (%) - - -
Forward PE (times) 9.93 9.59 8.60
Forward Dividend Yield (%) - - -
The market expects decent growth from top-to-bottom over the medium-term.

Buy/Sell Rationale

Technical Analysis:

  • The second chart shows the linear regression channel of the stock over the past 220 weeks. The stock is near the lower line (one standard deviation below the regression line) within an upward sloping channel. This makes for an attractive entry point, given that the overall trend is bullish.
  • Our recommended entry range is between $62 and $69 - a drop below this level would indicate a structural change in the trend, giving reason to negate the idea.
  • Our target price is $81, representing upside of ~24% from current levels.
  • Forward calculations of the RSI suggest that the stock will be in overbought territory at ~$110, making our profit target realistic.
  • Our proposed time to exit is mid-August 2024, though investors can adjust for either a longer or shorter time horizon, depending on price behaviour.
  • A drop below $59 (downside of ~10% from current levels) would imply weakening technicals. As such, a stop-loss is recommended at this level.
  • We expect moderate to high volatility going forward and hence suggest a low capital at-risk allocation for this trade. Increase exposure for a break above $69.

Long-term fundamental view:

  • Lantheus generates most of its revenue through two key products, PYLARIFY (~66%) and DEFINITY (~22%). The remainder (~12%) is generated from TechneLite, and the other nuclear and radiopharmaceutical offerings, as well as from its strategic partnerships.
  • PYLARIFY is an advanced radioactive diagnostic agent used in PET/CT scans to detect tumours in the prostate, lymph nodes, bones and other organs.
  • DEFINITY is an ultrasound contrast agent used to improve the quality of echocardiograms (ultrasounds of the heart) by portraying a sharper and clearer image of the heart.
  • TechneLite generates a radioactive solution (Sodium Pertechnetate Tc-99m) administered by injection, oral solution, through the eyes or by a catheter into the bladder and is used to depict how certain organs of the body are functioning.
  • Lantheus has almost 70 years of industry experience and is a global leader in precision diagnostics and radiopharmaceutical oncology.
  • The company maintained robust growth over FY23, with adjusted EPS and revenue increasing ~48% and ~39%, respectively. This was driven by solid demand for PYLARIFY (+61%) and DEFINITY (+14%), which helped offset some weakness within TechneLite (-2%) and the other offerings (-24%).
  • Lantheus has done well to leverage its first-to-market advantage and cement its leadership position in the face of rapid competition. The longer-term outlook for the company is still stable.
  • Some downside risks for the company include supply chain constraints impacting production and volume, regulatory intervention from the FDA and other health bodies, retaining key staff amid high competition, as well as the ability to adapt and improve on its existing product portfolio. Execution risk is also a concern, given the recent appointment of new CEO, Brian Markison.

Share Name and position CARZ - Buy
(Continue to hold)
KMX - Buy
(Continue to hold)
CVX - Buy
(Continue to hold)
Entry 53.61 73.30 147.89
Current 57.82 79.00 152.01
Movement 7.9% 7.8% 2.8%
An incomplete symmetrical triangle pattern remains of interest. The ETF remains above its 200-day moving average. Upside price momentum remains supportive.
Our profit target remains at $60, with a trailing stop-loss at $55.70. Exit the trade around 22 May 2024.
A price in a smaller inclining channel pattern remains of interest. The stock crossed above its 200-day moving average. Upside price momentum is supportive.
Our profit target is $86, with a trailing stop-loss of $73.70. Exit the position around 12 April 2024.
The stock price is holding above key support, and this remains attractive. Upside price momentum has halted, which is a concern.
Our profit target is $167, with a stop-loss of $145.30 Exit the position around 28 June 2024.

Share Name and position HSIC - Buy
(Continue to hold)
DAY - Buy
(Continue to hold)
BRY - Buy
(Continue to hold)
Entry 76.09 69.45 7.12
Current 76.47 69.76 7.05
Movement 0.5% 0.4% -1.3%
The emergence of a falling wedge pattern remains of interest. The stock remains above 200-day moving average. Upside price momentum halted again, which is a concern.

Our profit target is $85, with a trailing stop-loss of $73.70. Exit the position around 5 June 2024.
Note: Ceridian (CDAY) changed its name as well as its ticker to Dayforce (DAY) on 1 February 2024.

The stock is challenging the upper limit of an emerging symmetrical triangle pattern. The stock remains above its 200-day moving average. Upside price momentum has halted, which is a concern.

Our profit target is $80, with a trailing stop-loss of $65.70. Exit the position around 8 May 2024.
The formation of a falling wedge pattern remains attractive. The stock remains below its 200-day moving average and we maintain a counter-trend strategy. Emerging upside momentum is supportive.

Our profit target remains at $8.50, with a trailing stop-loss at $6.65. Exit the trade by 5 June 2024.

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