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Revenue Recognition (Tables) | 6 Months Ended
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Jun. 30, 2026
Revenue from Contract with Customer [Abstract] |
Schedule of Revenues Recognized | 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 |
Summary of Significant Changes in Contract Liability Balances | 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 | )
Summary of Consideration Allocated to Performance Obligations | 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 |

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