v3.26.1
Revenue and Segment Information
6 Months Ended
Jun. 30, 2026
Segment Reporting [Abstract]  
Revenue and Segment Information

11. Revenue and Segment Information

Disaggregated Revenue

The Company disaggregates revenue from contracts with customers related to OCS transplant by organ type and geographical area as it believes this presentation best depicts how the nature, amount, timing and uncertainty of the Company’s revenue and cash flows are affected by economic factors, as shown below (in thousands):

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2026

 

 

2025

 

 

2026

 

 

2025

 

OCS transplant revenue by country
  by organ(1)(2):

 

 

 

 

 

 

 

 

 

 

 

 

United States

 

 

 

 

 

 

 

 

 

 

 

 

Lung total revenue

 

$

2,253

 

 

$

4,154

 

 

$

4,450

 

 

$

7,790

 

Heart total revenue

 

 

33,381

 

 

 

32,171

 

 

 

59,238

 

 

 

58,437

 

Liver total revenue

 

 

147,989

 

 

 

115,862

 

 

 

286,959

 

 

 

224,577

 

Total United States OCS
  transplant revenue

 

 

183,623

 

 

 

152,187

 

 

 

350,647

 

 

 

290,804

 

All other countries

 

 

 

 

 

 

 

 

 

 

 

 

Lung revenue

 

 

409

 

 

 

421

 

 

 

1,036

 

 

 

796

 

Heart revenue

 

 

4,587

 

 

 

3,495

 

 

 

9,598

 

 

 

7,045

 

Liver revenue

 

 

245

 

 

 

244

 

 

 

255

 

 

 

384

 

Total all other countries OCS
  transplant revenue

 

 

5,241

 

 

 

4,160

 

 

 

10,889

 

 

 

8,225

 

Total OCS transplant revenue

 

$

188,864

 

 

$

156,347

 

 

$

361,536

 

 

$

299,029

 

(1)
Revenue by country is categorized based on the location of the end customer. Total OCS transplant revenue includes product and service revenue.
(2)
Service revenue unrelated to OCS transplant, which was $1.0 million and $2.3 million, respectively, for the three and six months ended June 30, 2026 and $1.0 million and $1.9 million for the three and six months ended June 30, 2025, respectively, is not included in this table.

 

Payments to Customers

In connection with its clinical trials, the Company makes payments to customers to reimburse the cost of clinical trial materials and other costs incurred by customers in executing specified clinical trial protocols related to the Company’s OCS products. The Company evaluates the appropriate accounting treatment for these payments based on their nature, including whether the payments are in exchange for distinct goods or services.

Payments that do not represent consideration for a distinct good or service received from the customer at fair value are recorded as a reduction of revenue. The Company recognizes such reductions of revenue and the related accrual in the same period in which the associated revenue is recognized. The Company updates its estimates of these accruals as additional information becomes available, with a corresponding adjustment to revenue. For each of the three and six months ended June 30, 2026 and 2025, the impact of adjustments to revenue related to these payments was not material.

Payments that represent consideration for distinct goods or services received from the customer, and for which the consideration reflects the fair value of those goods or services, are recorded as operating expenses. For the three and six months ended June 30, 2026, the Company recorded $2.4 million and $4.6 million, respectively, as operating expenses related to these payments. For the three and six months ended June 30, 2025, the Company recorded $1.7 million and $3.0 million, respectively, as operating expenses related to these payments.

Segment Information

The Company manages its operations as a single segment for the purposes of assessing performance and making operating decisions. Operating segments are defined as components of an enterprise for which separate financial information is regularly evaluated by the Company’s chief operating decision maker, or decision-making group (the “CODM”), in deciding how to allocate resources and assess performance. The CODM of the Company is the Chief Executive Officer. The CODM assesses performance and allocates resources based on the Company’s consolidated statements of operations and the Company’s operations are managed on a consolidated basis to decide where to allocate and invest additional resources within the business to continue growth. The CODM also utilizes the consolidated balance sheet for resource allocation and segment asset information is not provided to the CODM to allocate resources.

As a single reportable segment entity, the Company’s segment performance measure is net income (loss). Significant segment expenses, as provided to the CODM, are presented below (in thousands):

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Total revenue

 

$

189,948

 

 

$

157,370

 

 

$

363,881

 

 

$

300,907

 

Less:

 

 

 

 

 

 

 

 

 

 

 

 

Cost of net product revenue

 

 

25,566

 

 

 

19,421

 

 

 

49,874

 

 

 

35,733

 

Cost of service revenue

 

 

51,184

 

 

 

41,360

 

 

 

99,648

 

 

 

80,357

 

Research, development and clinical trials:

 

 

 

 

 

 

 

 

 

 

 

 

Personnel related (including stock-based
   compensation expense)

 

 

7,754

 

 

 

5,964

 

 

 

16,162

 

 

 

12,216

 

Laboratory supplies and research materials

 

 

6,218

 

 

 

5,206

 

 

 

10,359

 

 

 

10,162

 

Consulting and third-party services

 

 

12,866

 

 

 

2,302

 

 

 

21,275

 

 

 

6,475

 

Clinical trials costs

 

 

1,615

 

 

 

267

 

 

 

2,320

 

 

 

348

 

Facility and IT related and other

 

 

3,179

 

 

 

2,195

 

 

 

6,395

 

 

 

3,893

 

Selling, general and administrative:

 

 

 

 

 

 

 

 

 

 

 

 

Personnel related (including stock-based
   compensation expense)

 

 

30,931

 

 

 

27,307

 

 

 

65,037

 

 

 

54,978

 

Professional and consultant fees

 

 

8,263

 

 

 

5,696

 

 

 

17,525

 

 

 

13,254

 

NOP support

 

 

1,923

 

 

 

1,932

 

 

 

3,503

 

 

 

4,338

 

Tradeshows and conferences

 

 

1,721

 

 

 

1,549

 

 

 

2,990

 

 

 

1,975

 

Facility and IT related and other

 

 

8,648

 

 

 

5,960

 

 

 

16,440

 

 

 

10,282

 

Depreciation and amortization expense

 

 

4,289

 

 

 

1,644

 

 

 

10,351

 

 

 

2,886

 

Transaction-related costs

 

 

1,745

 

 

 

 

 

 

4,452

 

 

 

 

Headquarters relocation costs

 

 

65

 

 

 

 

 

 

272

 

 

 

 

ERP implementation costs

 

 

245

 

 

 

 

 

 

245

 

 

 

 

Other segment items(1)

 

 

9,054

 

 

 

1,660

 

 

 

15,036

 

 

 

3,421

 

Net income

 

$

14,682

 

 

$

34,907

 

 

$

21,997

 

 

$

60,589

 

(1)
Other segment items include interest income, interest expense, foreign currency exchange gains and losses and income taxes. See the condensed consolidated financial statements for other financial information regarding the Company’s operating segment.

Substantially all of the Company’s tangible long-lived assets are located in the United States.