Exhibit 99.1 The Medicines Company Reports Fourth Quarter and Full Year 2003 Financial Results PARSIPPANY, N.J.--(BUSINESS WIRE)--Feb. 10, 2004--The Medicines Company (Nasdaq:MDCO) -- 123% revenue growth from 2002 to 2003 -- Significant clinical, regulatory, manufacturing and product acquisition achievements in 2003 -- First quarterly profit reported The Medicines Company (Nasdaq:MDCO) today announced its financial results for the fourth quarter and full year 2003. Financial highlights include: -- Net revenues of $28.9 million for the fourth quarter 2003, compared to $14.3 million for the fourth quarter 2002. For the full year 2003, net revenues were $85.6 million, compared to net revenues of $38.3 million for 2002 -- Net income of $2.3 million for the fourth quarter 2003, compared to a net loss of $9.8 million for the fourth quarter 2002. For the full year 2003, the net loss was $16.9 million, compared to a net loss of $45.8 million for 2002 -- Net income per share of $0.05 (diluted) for the fourth quarter 2003, compared to a net loss per share of $0.25 for the fourth quarter 2002. For the full year 2003, the net loss per share was $0.37, compared to a net loss per share of $1.23 for 2002 Fourth quarter 2003 operations highlights include: -- Acquisition of an exclusive license to a new product candidate - cangrelor, a short-acting intravenous antiplatelet agent -- Presentation of one-year mortality data from the REPLACE-2 trial of Angiomax(R) (bivalirudin) in coronary angioplasty -- Initiation of Phase III trials of Clevelox(TM)(clevidipine), the Company's intravenous, short-acting calcium channel antagonist 2003 full year operations highlights include: -- Publication and presentation of 30-day, six-month and twelve-month results of the REPLACE-2 clinical trial, playing a significant role in Angiomax market share gains versus heparin in coronary angioplasty -- U.S. regulatory approval of chemilog, a new, more efficient Angiomax manufacturing process -- Two major regulatory filings for Angiomax -- In the U.S., seeking an amended Angiomax product label (to include use in patients undergoing coronary angioplasty with heparin-induced thrombocytopenia and thrombosis syndrome (HIT/HITTS) and REPLACE data) -- In Europe, seeking market authorization for Angiomax use in percutaneous coronary interventions -- Initiation of two Phase III clinical trial programs studying Angiomax use in: -- Coronary artery bypass graft (CABG) surgery -- Patients presenting to the emergency department with acute coronary syndromes -- Development of two recently acquired product candidates -- Clevelox(TM) - in Phase III clinical trials -- Cangrelor - in technology transfer and manufacturing development Clive Meanwell, Executive Chairman of The Medicines Company, stated, "Strong growth in Angiomax revenues is fueling our development investments for new indications and products. With two regulatory reviews for Angiomax underway, two pivotal clinical trial programs ongoing for Angiomax and two new products in development, our work in 2003 has set a foundation for the potential future launch of six major indications or products." There will be a conference call with management today at 5:00 P.M. to discuss the 2003 financial results and financial outlook for 2004. To listen live, webcast login is available at http://www.themedicinescompany.com Alternatively, the call dial-in is 800-472-8325 (request The Medicines Company financial results call). From outside U.S.: dial 706-679-0816. Replay available for two weeks following call: 800-642-1687 Replay outside the U.S.: 706-645-9291 Replay passcode: 5036393. About The Medicines Company: The Medicines Company meets the demands of the world's most advanced medical practitioners by developing products that improve hospital acute care. The Company markets Angiomax(R) (bivalirudin), an anticoagulant approved in the U.S. and other countries for use in patients undergoing coronary angioplasty procedures. The Medicines Company creates value using its range of clinical and commercial skills to develop products acquired from leading life science innovators. About Angiomax: Angiomax is a synthetic product currently approved for use in unstable angina patients undergoing coronary angioplasty. Angiomax is a direct thrombin inhibitor with a naturally reversible mechanism of action. In clinical trials, Angiomax has shown a reduction in the incidence of death, myocardial infarction, and the need for revascularization in patients undergoing coronary angioplasty, as well as significant reductions in bleeding complications compared to heparin, or heparin plus a GP IIb/IIIa inhibitor, in the contemporary catheterization lab setting. These reductions in ischemic and bleeding complications are consistent and remain evident in high-risk patients unlike outcomes in high-risk patients treated with heparin. Reductions in these complications represent not only the opportunity for better patient care, but also the opportunity for cost savings. Angiomax is indicated for use as an anticoagulant in patients with unstable angina undergoing percutaneous transluminal coronary angioplasty (PTCA). Angiomax is intended for use with aspirin. The most common adverse events for Angiomax in clinical trials comparing Angiomax and heparin were back pain, pain, nausea, headache, and hypotension. The incidence of these adverse events was comparable in both the Angiomax and heparin groups. An unexplained fall in blood pressure or hematocrit, or any unexplained symptom, should lead to serious consideration of a hemorrhagic event and cessation of Angiomax administration. Angiomax is contraindicated in patients with active major bleeding or hypersensitivity to Angiomax or its components. Please see full prescribing information available at http://www.angiomax.com. Statements contained in this press release about The Medicines Company and Angiomax, the development of additional indications of Angiomax and of new products, and all other statements that are not purely historical, may be deemed to be forward-looking statements for purposes of the safe harbor provisions under The Private Securities Litigation Reform Act of 1995. Without limiting the foregoing, the words "believes", "anticipates", plans", "expects", "intends", "potential" and similar expressions are intended to identify forward-looking statements. These forward-looking statements involve known and unknown risks and uncertainties that may cause the Company's actual results, levels of activity, performance or achievements to be materially different from those expressed or implied by these forward-looking statements. Important factors that may cause or contribute to such differences include the extent of the commercial success of Angiomax, whether the Company's products will advance in the clinical trials process, whether the Company's products will receive approval from regulatory agencies, physicians' acceptance of clinical trial results, the Company's ability to identify, select and acquire additional product candidates, and such other factors as are set forth in the risk factors detailed from time to time in the Company's periodic reports and registration statements filed with the Securities and Exchange Commission including, without limitation, the risk factors detailed in the Company's Quarterly Report on Form 10-Q filed on November 6, 2003, which are incorporated herein by reference. The Company specifically disclaims any obligation to update these forward-looking statements. The Medicines Company Condensed Consolidated Statements of Operations Three months ended (in thousands, except per share data) December 31, ------------------- (unaudited) ------------------- 2003 2002 --------- --------- Net revenue $28,888 $14,297 Operating expenses Cost of revenue 2,914 5,324 Research and development 11,069 9,384 Selling, general and administrative 12,891 9,609 --------- --------- Total operating expenses 26,874 24,317 --------- --------- Income/(loss) from operations 2,014 (10,020) Interest income, net 410 183 --------- --------- Income/(loss) before income taxes 2,424 (9,837) Income taxes (128) - --------- --------- Net income/(loss) $2,296 $(9,837) ========= ========= Basic earnings/(loss) per common share $0.05 $(0.25) ========= ========= Shares used in computing earnings/(loss) per common share: 47,322 39,587 ========= ========= Diluted earnings/(loss) per common share $0.05 $- ========= ========= Shares used in computing diluted earnings/(loss) per common share: 50,155 - ========= ========= Year-to-date (in thousands, except per share data) December 31, ------------------- 2003 2002 --------- --------- Net revenue $85,591 $38,301 Operating expenses Cost of revenue 22,749 10,284 Research and development 35,905 37,951 Selling, general and administrative 45,082 36,808 --------- --------- Total operating expenses 103,736 85,043 --------- --------- Loss from operations (18,145) (46,742) Interest income, net 1,403 911 --------- --------- Loss before income taxes (16,742) (45,831) Income taxes (128) - --------- --------- Net loss $(16,870) $(45,831) ========= ========= Basic and diluted loss per common share $(0.37) $(1.23) ========= ========= Shares used in computing net loss per common share: Basic and diluted 45,624 37,210 ========= ========= The Medicines Company Condensed Consolidated Balance Sheets (Unaudited) Dec. 31, Dec. 31, (in thousands) 2003 2002 --------- -------- Assets Cash, cash equivalents, available for sales securities $135,864 $43,509 Accrued interest receivable 991 129 Accounts receivable, net 15,660 15,078 Inventories 11,460 14,179 Other current assets 976 661 --------- -------- Total Current Assets 164,951 73,556 --------- -------- Fixed assets, net 1,511 924 Other assets 200 234 --------- -------- Total Assets $166,662 $74,714 ========= ======== Liabilities and Stockholders' Equity Current liabilities $25,227 $19,384 Deferred revenue 1,270 1,396 Stockholders' equity 140,165 53,934 --------- -------- Total Liabilities and Stockholders' Equity $166,662 $74,714 ========= ======== CONTACT: The Medicines Company Michael Mitchell, 973-656-1616 investor.relations@themedco.com