v3.26.3
Revenue from Contracts with Customers
9 Months Ended
Sep. 30, 2026
Revenue from Contract with Customer [Abstract]  
Revenue from Contracts with Customers

3. Revenue from Contracts with Customers

Disaggregation of Revenue

The following table summarizes revenue by source as follows:

 

 

 

Three Months Ended
September 30,

 

 

Nine Months Ended
September 30,

 

(in thousands)

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Major Products /Service Lines

 

 

 

 

 

 

 

 

 

 

 

 

Product revenue, net(1)

 

$

378,367

 

 

$

376,687

 

 

$

1,125,149

 

 

$

1,118,152

 

License and royalty revenues

 

 

11,546

 

 

 

7,327

 

 

 

30,277

 

 

 

16,671

 

Total revenues

 

$

389,913

 

 

$

384,014

 

 

$

1,155,426

 

 

$

1,134,823

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
The Company’s product revenue includes PYLARIFY, Neuraceq, DEFINITY, and prior to January 1, 2026, TechneLite, among other products. TechneLite was sold in connection with the Company’s sale of its single-photon emission computerized tomography (“SPECT”) business to SHINE Technologies, LLC (“SHINE”), a wholly-owned subsidiary of Illuminated Holdings, Inc. (“Illuminated”), on January 1, 2026. This category represents the delivery of physical goods. The Company applies the same revenue recognition policies and judgments for all its principal products.

Prior to January 1, 2026, the Company classified its revenues into three product categories: Radiopharmaceutical Oncology, Precision Diagnostics, and Strategic Partnerships and Other Revenue. Following the Company’s sale of its SPECT business on January 1, 2026, the Company classifies its revenues into four product categories: Oncology, Neurology, Cardiology, and Strategic Partnerships and Other Revenue. The change in classification reflects the Company’s current business structure subsequent to its acquisition of two companies in 2025 and the sale of the SPECT business. The Company has presented the prior year numbers for revenues to conform with its current year presentation, including the disaggregation of revenue related to its sale of the SPECT business.

Revenue by product category on a net basis is as follows:

 

 

 

Three Months Ended
September 30,

 

 

Nine Months Ended
September 30,

 

(in thousands)

 

2026

 

 

2025

 

 

2026

 

 

2025

 

PYLARIFY

 

$

238,930

 

 

$

240,616

 

 

$

720,220

 

 

$

748,912

 

Total oncology

 

 

238,930

 

 

 

240,616

 

 

 

720,220

 

 

 

748,912

 

Neuraceq

 

 

45,577

 

 

 

20,442

 

 

 

120,632

 

 

 

20,442

 

Total neurology

 

 

45,577

 

 

 

20,442

 

 

 

120,632

 

 

 

20,442

 

DEFINITY

 

 

85,673

 

 

 

81,785

 

 

 

258,579

 

 

 

244,935

 

Total cardiology

 

 

85,673

 

 

 

81,785

 

 

 

258,579

 

 

 

244,935

 

Strategic partnerships and other

 

 

19,733

 

 

 

13,705

 

 

 

55,995

 

 

 

36,042

 

SPECT

 

 

—

 

 

 

27,466

 

 

 

—

 

 

 

84,492

 

Total revenues

 

$

389,913

 

 

$

384,014

 

 

$

1,155,426

 

 

$

1,134,823

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The following table presents the Company’s revenue by geographic region determined by location of customer or other party for the periods presented:

 

 

Three Months Ended
September 30,

 

 

Nine Months Ended
September 30,

 

(in thousands)

 

2026

 

 

% of Revenue

 

 

2025

 

 

% of Revenue

 

 

2026

 

 

% of Revenue

 

 

2025

 

 

% of Revenue

 

United States

 

$

379,019

 

 

 

97.2

%

 

$

364,069

 

 

 

94.8

%

 

$

1,101,736

 

 

 

95.4

%

 

$

1,078,128

 

 

 

95.0

%

Rest of world

 

 

10,894

 

 

 

2.8

%

 

 

19,945

 

 

 

5.2

%

 

 

53,690

 

 

 

4.6

%

 

 

56,695

 

 

 

5.0

%

Total revenues

 

$

389,913

 

 

 

100.0

%

 

$

384,014

 

 

 

100.0

%

 

$

1,155,426

 

 

 

100.0

%

 

$

1,134,823

 

 

 

100.0

%

Product Returns

The Company generally offers customers a limited right of return due to non-conforming product. The Company estimates the amount of its product sales that may be returned by its customers and records this estimate as a reduction of revenue in the period the related product revenue is recognized. The Company currently estimates product return liabilities using its historical product return information and considers

other factors that it believes could significantly impact its expected returns, including product recalls. Reserves for product returns are not significant to the Company due to the nature of its products including radiopharmaceutical products with limited half-lives.

Rebates

Estimates for rebates represent the Company’s estimated obligations under contractual arrangements with third parties. Rebate accruals are recorded in the same period the related revenue is recognized, resulting in a reduction of revenue and the establishment of a liability which is included in accrued expenses and other current liabilities in the Company’s condensed consolidated balance sheets. These rebates result from performance-based offers that are primarily based on attaining contractually specified sales volumes or market share, Medicaid rebate programs for the Company’s products, administrative fees of group purchasing organizations and certain distributor-related commissions. The calculation of the accrual for these rebates is based on an estimate of the third-party’s expected purchases and the resulting applicable contractual rebate to be earned over a contractual period.

An analysis of the amount of, and change in, accruals for rebate liabilities is summarized as follows:

 

(in thousands)

 

Rebates

 

Balance at January 1, 2026

 

$

66,448

 

Provision related to current period revenues

 

 

162,046

 

Payments or credits made during the period

 

 

(156,254

)

Balance at September 30, 2026

 

$

72,240

 

Contract Assets and Liabilities

The Company recognizes an asset for incremental costs of obtaining a contract with a customer if it expects to recover those costs. The Company’s sales incentive compensation plans qualify for capitalization since these plans are directly related to sales achieved during a period of time. However, the Company has elected the practical expedient to expense these costs as incurred within sales and marketing expenses, because the amortization period is less than one year.

The following table provides a roll forward of deferred revenue:

(in thousands)

 

Deferred Revenue

 

Balance at January 1, 2026

 

$

6,984

 

Revenue recognized in relation to the beginning of the year contract liability balance

 

 

(4,408

)

Revenue deferred

 

 

6,792

 

Balance at September 30, 2026

 

$

9,368

 

The Company is required to allocate a portion of its revenue received from commercial contracts to future reporting periods to the extent the Company had performance obligations that extended beyond one year. However, the Company’s performance obligations are typically part of contracts that have an original expected duration of one year or less. Therefore, since the Company elected the practical expedient under ASC 606-10-50-14, it does not disclose information regarding remaining performance obligations for contracts with an original expected duration of one year or less.