XML 23 R11.htm IDEA: XBRL DOCUMENT
v3.26.1

Revenue Recognition | 6 Months Ended
--- | ---
Jun. 30, 2026
Revenue from Contract with Customer [Abstract] |
Revenue Recognition | 3. REVENUE RECOGNITION Revenue recognized for each revenue stream was as follows:
|  | Three Months Ended June 30, |  |  | Six Months Ended June 30, |
(in thousands) |  | 2026 |  |  | 2025 |  |  | 2026 |  |  | 2025 |
Pellet procedures |  | $ | 30,308 |  |  | $ | 35,205 |  |  | $ | 61,602 |  |  | $ | 71,247 |
Dietary supplements |  |  | 11,357 |  |  |  | 10,749 |  |  |  | 22,394 |  |  |  | 20,019 |
Disposable trocars |  |  | 1,211 |  |  |  | 1,229 |  |  |  | 2,341 |  |  |  | 2,404 |
Shipping fees and other |  |  | 505 |  |  |  | 474 |  |  |  | 939 |  |  |  | 1,012 |
Product revenue |  |  | 43,381 |  |  |  | 47,657 |  |  |  | 87,276 |  |  |  | 94,682 |
Training |  |  | 134 |  |  |  | 333 |  |  |  | 264 |  |  |  | 659 |
Contract-term services |  |  | 311 |  |  |  | 338 |  |  |  | 643 |  |  |  | 673 |
Other |  |  | 406 |  |  |  | 535 |  |  |  | 984 |  |  |  | 1,841 |
Service revenue |  |  | 851 |  |  |  | 1,206 |  |  |  | 1,891 |  |  |  | 3,173 |
Total revenue |  | $ | 44,232 |  |  | $ | 48,863 |  |  | $ | 89,167 |  |  | $ | 97,855 |
Revenue recognized by geographic region was as follows:
|  | Three Months Ended June 30, |  |  | Six Months Ended June 30, |
(in thousands) |  | 2026 |  |  | 2025 |  |  | 2026 |  |  | 2025 |
United States |  | $ | 43,165 |  |  | $ | 47,405 |  |  | $ | 86,858 |  |  | $ | 94,184 |
All other |  |  | 216 |  |  |  | 252 |  |  |  | 418 |  |  |  | 498 |
Product revenue |  |  | 43,381 |  |  |  | 47,657 |  |  |  | 87,276 |  |  |  | 94,682 |
United States |  |  | 851 |  |  |  | 1,206 |  |  |  | 1,891 |  |  |  | 3,173 |
All other |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |
Service revenue |  |  | 851 |  |  |  | 1,206 |  |  |  | 1,891 |  |  |  | 3,173 |
Total revenue |  | $ | 44,232 |  |  | $ | 48,863 |  |  | $ | 89,167 |  |  | $ | 97,855 |
Significant changes in contract liability balances were as follows:
|  | Six Months Ended June 30, |
|  | 2026 |  |  | 2025 |
Description of change (in thousands) |  | Deferred Revenue |  |  | Deferred Revenue, Long-term |  |  | Deferred Revenue |  |  | Deferred Revenue, Long-term |
Revenue recognized that was included in the contract liability balance at the beginning of the period |  | $ | (861 | ) |  | $ | — |  |  | $ | (966 | ) |  | $ | — |
Increases due to cash received, excluding amounts recognized as revenue during the period |  |  | 1,065 |  |  |  | 289 |  |  |  | 1,232 |  |  |  | 707 |
Transfers between current and non-current liabilities due to the expected revenue recognition period |  |  | 603 |  |  |  | (603 | ) |  |  | 778 |  |  |  | (778 | )
Total increase (decrease) in contract liabilities |  | $ | 807 |  |  | $ | (314 | ) |  | $ | 1,044 |  |  | $ | (71 | )
Consideration allocated to initial training due to deposits paid upfront is presented within deferred revenue, current in the unaudited condensed consolidated balance sheets and is expected to be recognized as revenue within one year as the training is performed. Consideration allocated to contract-term services is presented within deferred revenue, current and deferred revenue, net of current portion for the amounts expected to be recognized within one year and longer than one year, respectively. Consideration allocated to the premiums within the management fee for pellet procedures is presented within deferred revenue, current and deferred revenue, net of current portion for amounts expected to be recognized within one year and longer than one year, respectively. Consideration allocated to performance obligations was as follows:
|  | June 30, |  |  | December 31, |
(in thousands) |  | 2026 |  |  | 2025 |
Unsatisfied training obligations, current |  | $ | 183 |  |  | $ | 158 |
Unsatisfied contract-term services, current |  |  | 1,248 |  |  |  | 1,471 |
Unsatisfied contract-term services, net of current portion |  |  | 497 |  |  |  | 745 |
Total allocated to unsatisfied contract-term services |  |  | 1,745 |  |  |  | 2,216 |
Unsatisfied pellet procedures, current |  |  | 1,192 |  |  |  | 1,388 |
Unsatisfied pellet procedures, net of current portion |  |  | 294 |  |  |  | 352 |
Total allocated to unsatisfied pellet procedures |  |  | 1,486 |  |  |  | 1,740 |
Total deferred revenue, current |  | $ | 2,623 |  |  | $ | 3,017 |
Total deferred revenue, net of current portion |  | $ | 791 |  |  | $ | 1,097 |
The Company does not have a history of material returns or refunds and generally does not offer warranties or guarantees for any products or services. There were no expected returns or refunds recorded as a reduction of revenue for the three and six months ended June 30, 2026 and 2025.

X
- References No definition available. + Details
Name: | us-gaap_RevenueFromContractWithCustomerAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 7 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-7 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 9 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-9 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 10 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-10 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 15 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-15 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 12 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-12 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 13 -Subparagraph (b)(2) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-13 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Name Accounting Standards Codification -Topic 606 -Publisher FASB -URI https://asc.fasb.org/606/tableOfContent + Details
Name: | us-gaap_RevenueFromContractWithCustomerTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration