0001628280-21-008749 | 10-Q | XBRL Viewer

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Cover Page - shares	3 Months Ended
Cover Page - shares	Mar. 31, 2021	Apr. 27, 2021
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2021
Document Transition Report	false
Entity File Number	001-36569
Entity Registrant Name	LANTHEUS HOLDINGS, INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	35-2318913
Entity Address, Address Line One	331 Treble Cove Road
Entity Address, Postal Zip Code	01862
Entity Address, City or Town	North Billerica,
Entity Address, State or Province	MA
City Area Code	(978)
Local Phone Number	671-8001
Title of 12(b) Security	Common stock, par value $0.01 per share
Trading Symbol	LNTH
Security Exchange Name	NASDAQ
Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		67,486,935
Amendment Flag	false
Document Fiscal Year Focus	2021
Document Fiscal Period Focus	Q1
Entity Central Index Key	0001521036
Current Fiscal Year End Date	--12-31

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Mar. 31, 2021	Dec. 31, 2020
Current assets
Cash and cash equivalents	$ 68,861	$ 79,612
Accounts receivable, net	58,991	54,002
Inventory	30,357	35,744
Other current assets	10,145	9,625
Total current assets	0	5,242
Total current assets	168,354	184,225
Property, plant and equipment, net	118,381	120,171
Intangibles, net	371,331	376,012
Goodwill	61,189	58,632
Deferred tax assets, net	62,832	70,147
Other long-term assets	61,361	60,634
Total assets	843,448	869,821
Current liabilities
Current portion of long-term debt and other borrowings	10,251	20,701
Accounts payable	19,099	16,284
Accrued expenses and other liabilities	35,240	41,726
Liabilities held for sale	0	1,793
Total current liabilities	64,590	80,504
Asset retirement obligations	14,408	14,020
Long-term debt, net and other borrowings	171,474	197,699
Other long-term liabilities	64,857	63,393
Total liabilities	315,329	355,616
Commitments and contingencies (See Note 18)
Stockholders’ equity
Preferred stock ($0.01 par value, 25,000 shares authorized; no shares issued and outstanding)	0	0
Common stock ($0.01 par value, 250,000 shares authorized; 67,434 and 66,875 shares issued and outstanding, respectively)	674	669
Additional paid-in capital	669,623	665,530
Accumulated deficit	(140,938)	(149,946)
Accumulated other comprehensive loss	(1,240)	(2,048)
Total stockholders’ equity	528,119	514,205
Total liabilities and stockholders’ equity	$ 843,448	$ 869,821

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Mar. 31, 2021	Dec. 31, 2020
Statement of Financial Position [Abstract]
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized (in shares)	25,000,000	25,000,000
Preferred stock, shares issued (in shares)	0	0
Preferred stock, shares outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	250,000,000	250,000,000
Common stock, shares issued (in shares)	67,434,000	66,875,000
Common stock, shares outstanding (in shares)	67,434,000	66,875,000
Goodwill	$ 61,189	$ 58,632

Condensed Consolidated Statements of Operations - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Income Statement [Abstract]
Revenues	$ 92,509	$ 90,704
Cost of goods sold	51,479	52,702
Gross profit	41,030	38,002
Operating expenses
Sales and marketing	14,173	10,130
General and administrative	16,138	16,699
Research and development	10,360	4,048
Total operating expenses	40,671	30,877
Gain on sale of assets	15,263	0
Operating income	15,622	7,125
Interest expense	2,718	1,946
Gain on extinguishment of debt	(889)	0
Other income	(549)	(350)
Income before income taxes	14,342	5,529
Income tax expense	5,334	2,192
Net income	$ 9,008	$ 3,337
Net income per common share:
Basic (in dollars per share)	$ 0.13	$ 0.08
Diluted (in dollars per share)	$ 0.13	$ 0.08
Weighted-average common shares outstanding:
Basic (in shares)	67,094	39,433
Diluted (in shares)	67,714	40,102

Condensed Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Statement of Comprehensive Income [Abstract]
Net income	$ 9,008	$ 3,337
Other comprehensive income (loss):
Foreign currency translation	102	(446)
Unrealized gain (loss) on cash flow hedges, net of tax	706	(988)
Total other comprehensive income (loss)	808	(1,434)
Comprehensive income	$ 9,816	$ 1,903

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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+ Details

Condensed Consolidated Statements of Changes in Stockholders' Equity - USD ($) shares in Thousands, $ in Thousands	Total	Common Stock	Additional Paid-In Capital	Accumulated Deficit	Accumulated Other Comprehensive Loss
Beginning balance (in shares) at Dec. 31, 2019		39,251
Beginning balance at Dec. 31, 2019	$ 114,601	$ 393	$ 251,641	$ (136,473)	$ (960)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	3,337			3,337
Other comprehensive income (loss)	(1,434)				(1,434)
Stock option exercises and employee stock plan purchases (in shares)		33
Stock option exercises and employee stock plan purchases	366		366
Vesting of restricted stock awards and units (in shares)		563
Vesting of restricted stock awards and units	0	$ 6	(6)
Shares withheld to cover taxes (in shares)		(97)
Shares withheld to cover taxes	(1,547)	$ (1)	(1,546)
Stock-based compensation	3,075		3,075
Ending balance (in shares) at Mar. 31, 2020		39,750
Ending balance at Mar. 31, 2020	118,398	$ 398	253,530	(133,136)	(2,394)
Beginning balance (in shares) at Dec. 31, 2020		66,875
Beginning balance at Dec. 31, 2020	514,205	$ 669	665,530	(149,946)	(2,048)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	9,008			9,008
Other comprehensive income (loss)	808				808
Stock option exercises and employee stock plan purchases (in shares)		155
Stock option exercises and employee stock plan purchases	2,380	$ 1	2,379
Vesting of restricted stock awards and units (in shares)		489
Vesting of restricted stock awards and units	0	$ 5	(5)
Shares withheld to cover taxes (in shares)		(85)
Shares withheld to cover taxes	(1,599)	$ (1)	(1,598)
Stock-based compensation	3,317		3,317
Ending balance (in shares) at Mar. 31, 2021		67,434
Ending balance at Mar. 31, 2021	$ 528,119	$ 674	$ 669,623	$ (140,938)	$ (1,240)

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Operating activities
Net income	$ 9,008	$ 3,337
Adjustments to reconcile net income to net cash flows from operating activities:
Depreciation, amortization and accretion	8,123	3,732
Impairment of long-lived assets	0	7,275
Amortization of debt related costs	(61)	169
Changes in fair value of contingent assets and liabilities	300	0
Gain on extinguishment of debt	(889)	0
Provision for excess and obsolete inventory	1,395	449
Stock-based compensation	3,317	3,075
Gain on sale of assets	(15,263)	0
Deferred taxes	4,581	1,467
Long-term income tax receivable	(573)	(554)
Long-term income tax payable and other long-term liabilities	728	705
Other	655	654
Increases (decreases) in cash from operating assets and liabilities:
Accounts receivable	(2,346)	(1,750)
Inventory	3,889	(2,098)
Other current assets	(536)	1,149
Accounts payable	4,110	(913)
Accrued expenses and other liabilities	(6,620)	(7,289)
Net cash provided by operating activities	9,818	9,408
Investing activities
Capital expenditures	(2,520)	(2,698)
Proceeds from Sale of Productive Assets	15,823	0
Net cash provided by provided by (used in) investing activities	13,303	(2,698)
Financing activities
Payments on long-term debt and other borrowings	(35,572)	(2,551)
Proceeds from stock option exercises	2,043	0
Proceeds from issuance of common stock	337	366
Payments for minimum statutory tax withholding related to net share settlement of equity awards	(1,599)	(1,547)
Net cash used in financing activities	(34,791)	(3,732)
Effect of foreign exchange rates on cash, cash equivalents and restricted cash	(21)	(184)
Net (decrease) increase in cash, cash equivalents and restricted cash	(11,691)	2,794
Cash, cash equivalents and restricted cash, beginning of period	82,694	92,919
Cash, cash equivalents and restricted cash, end of period	71,003	95,713
Reconciliation to amounts within the condensed consolidated balance sheets
Cash, cash equivalents and restricted cash at end of period	$ 71,003	$ 95,713

Basis of Presentation	3 Months Ended
Basis of Presentation	Mar. 31, 2021
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation The accompanying unaudited condensed consolidated financial statements include the accounts of Holdings and its direct and indirect wholly-owned subsidiaries, including Progenics (as of the closing date, June 19, 2020), and have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, these condensed consolidated financial statements do not include all of the information and notes required by generally accepted accounting principles in the United States of America (“U.S. GAAP”) for complete financial statements. In the opinion of management, all adjustments (consisting of normal and recurring adjustments) considered necessary for a fair statement have been included. The results of operations for the three months ended March 31, 2021 are not necessarily indicative of the results that may be expected for the year ended December 31, 2021 or any future period. In the first quarter of fiscal year 2021, the Company completed the evaluation of its operating and reporting structure, which resulted in a change in operating segments. Please refer to Note 19, “Segment Information”, for further details. The condensed consolidated balance sheet at December 31, 2020 has been derived from the audited consolidated financial statements at that date but does not include all of the information and notes required by U.S. GAAP for complete financial statements. These condensed consolidated financial statements and accompanying notes should be read in conjunction with the consolidated financial statements and notes thereto included in Item 8 of the Company’s most recent Annual Report on Form 10-K for the year ended December 31, 2020 filed with the Securities Exchange Commission (“SEC”) on February 25, 2021. Progenics Acquisition On June 19, 2020 (the “Closing Date”), pursuant to the Amended and Restated Agreement and Plan of Merger, dated as of February 20, 2020 (the “Merger Agreement”), by and among Holdings, Plato Merger Sub, Inc., a wholly-owned subsidiary of Holdings (“Merger Sub”), and Progenics, Holdings completed the previously announced acquisition of Progenics, by means of a merger of Merger Sub with and into Progenics, with Progenics surviving such merger as a wholly-owned subsidiary of Holdings (the “Progenics Acquisition”). In accordance with the Merger Agreement, at the effective time of the Progenics Acquisition (the “Effective Time”), each share of Progenics common stock, par value $0.0013 per share, issued and outstanding immediately prior to the Effective Time (other than shares of Progenics common stock owned by Holdings, Progenics or any of their wholly-owned subsidiaries) was automatically cancelled and converted into the right to receive (i) 0.31 (the “Exchange Ratio”) of a share of Holdings common stock, par value $0.01 per share, and (ii) one contingent value right (a “CVR”) tied to the financial performance of PyL (18F-DCFPyL), Progenics’ prostate-specific membrane antigen (“PSMA”) targeted imaging agent designed to visualize prostate cancer, currently a late stage clinical candidate (“PyL”). Each CVR will entitle its holder to receive a pro rata share of aggregate cash payments equal to 40% of U.S. net sales generated by PyL in 2022 and 2023 in excess of $100.0 million and $150.0 million, respectively. In no event will the Company’s aggregate payments in respect of the CVRs, together with any other non-stock consideration treated as paid in connection with the Progenics Acquisition, exceed 19.9% (which the Company estimates could be approximately $100.0 million) of the total consideration the Company pays in the Progenics Acquisition. No fractional shares of Holdings common stock were issued in the Progenics Acquisition, and Progenics’ former stockholders have received cash in lieu of any fractional shares of Holdings common stock. As a result of the acquisition, Holdings issued 26,844,877 shares of Holdings common stock and 86,630,633 CVRs to former Progenics stockholders. Please refer to Note 8, “Business Combinations”, for further details on the acquisition. COVID-19 The Company experienced operational and financial impacts from the COVID-19 pandemic beginning late in the first quarter of 2020 and through the date of this filing, including the impact of stay-at-home mandates and advisories, and a decline in the volume of certain procedures and treatments using the Company’s products. As a result of the COVID-19 pandemic, the Company undertook a thorough analysis of all of its discretionary expenses. In the first quarter of 2020, the Company implemented certain cost reduction initiatives. For most of the second quarter, the Company reduced the Company’s work week from five days to four days and reduced the pay for employees by varying amounts depending on level of seniority. During the second quarter of 2020, Progenics also implemented certain cost reduction initiatives and paused new enrollment in the Phase 2 trial of 1095 in metastatic castrate-resistant prostate cancer (“mCRPC”) patients to minimize the risk to subjects and healthcare providers during the pandemic. New enrollment in that study restarted in October 2020. GE Healthcare Limited (“GE Healthcare”), the Company’s development and commercialization partner for flurpiridaz F 18, also delayed enrollment in the second Phase 3 clinical trial of flurpiridaz F 18 because of the pandemic and resumed enrollment in the third quarter of 2020. The on-going impact of the COVID-19 pandemic on the Company's business will depend on a number of factors, including, but not limited to, the duration and severity of the pandemic, and the extent and severity of the impact on the Company's customers and suppliers, all of which remain uncertain and cannot be predicted. While the impact of COVID-19 on the Company’s results of operations and cash flows has been, and is expected to continue to be, material, given the continually evolving nature of the pandemic, the Company remains unable to accurately predict the impact of COVID-19 on its overall 2021 operations and financial results or cash flows and whether the on-going impact of COVID-19 could lead to potential future impairments.

Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2021

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

Reclassifications

Certain immaterial reclassifications in the prior period consolidated statement of cash flows have been reclassified to conform to the current year period financial statement presentation. Reclassifications include $0.2 million from provision for bad debt to other at March 31, 2020. The Company had a reclassification in presentation related to rebates and allowances within product revenue. Please refer to Note 3, “Revenue from Contracts with Customers” for further details.

Recent Accounting Pronouncements


Standard	Description	Effective Date for Company	Effect on the Condensed Consolidated Financial Statements


Accounting Standards Adopted During the Three Months Ended March 31, 2021
ASU 2020-06, “Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging - Contracts in Entity’s Own Equity (Subtopic 815-40)”	This ASU provides guidance to simplify the complexity associated with accounting for convertible instruments and derivatives. For convertible instruments, the number of major separation models required were reduced. Consequently, more convertible debt instruments will be reported as a single liability instrument with no separate accounting for embedded conversion features. This ASU further amends the guidance for the derivatives scope exception for contracts in an entity’s own equity to reduce form-over-substance-based accounting conclusions. The ASU simplifies the diluted net income per share calculation in certain areas as well.	January 1, 2021	The adoption of this standard did not have a material impact on the Company’s condensed consolidated financial statements.

Revenue from Contracts with Customers

3 Months Ended

Mar. 31, 2021

Revenue from Contract with Customer [Abstract]

Revenue from Contracts with Customers

The following table summarizes revenue by revenue source as follows:


	Three Months Ended March 31,
Major Products/Service Lines (in thousands)	2021		2020
Product revenue, net(1)	$	87,319	$	90,213
License and royalty revenues	5,190		491
Total revenues	$	92,509	$	90,704

________________________________

(1)The Company’s principal products include DEFINITY and TechneLite and are categorized within product revenue, net. The Company applies the

same revenue recognition policies and judgments for all of its principal products.

The Company classifies its revenues into three product categories: precision diagnostics, radiopharmaceutical oncology, and strategic partnerships and other. Precision diagnostics includes DEFINITY, TechneLite and other imaging diagnostic products. Radiopharmaceutical oncology consists of AZEDRA and other oncologic therapeutics. Strategic partnerships and other includes partnerships related to other products, such as RELISTOR, that improve patient outcomes and care.

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


	Three Months Ended March 31,
(in thousands)	2021		2020(1)
DEFINITY	$	55,971	$	52,505
TechneLite	22,800		22,779
Other precision diagnostics	6,984		13,057
Total precision diagnostics	85,755		88,341
Radiopharmaceutical oncology	1,500		1,968
Strategic partnerships and other	5,254		395
Total revenues	$	92,509	$	90,704

________________________________

(1)The Company reclassified rebates and allowances of $4.7 million for the three months ended March 31, 2020 within each product category, which included $4.3 million for DEFINITY, $0.3 million for TechneLite and $0.1 million for other precision diagnostics.

The Company’s performance obligations are typically part of contracts that have an original expected duration of one year or less. As such, the Company is not disclosing the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied (or partially satisfied) as of the end of the reporting period.

- 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.

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-Paragraph 12
-Subparagraph (e)
-URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130554-203045

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 12
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130554-203045

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 12
-Subparagraph (d)
-URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130554-203045

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 15
-URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130558-203045

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 12
-Subparagraph (c)
-URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130554-203045

+ Details

Fair Value of Financial Instruments

3 Months Ended

Mar. 31, 2021

Fair Value Disclosures [Abstract]

Fair Value of Financial Instruments

Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. In order to increase consistency and comparability of fair value measurements, financial instruments are categorized based on a hierarchy that prioritizes observable and unobservable inputs used to measure fair value into three broad levels, which are described below:

•Level 1 — Inputs are unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access at the measurement date.

•Level 2 — Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates, yield curves, etc.) and inputs that are derived principally from or corroborated by observable market data by correlation or other means (market corroborated inputs).

•Level 3 — Unobservable inputs that reflect a Company’s estimates about the assumptions that market participants would use in pricing the asset or liability. The Company develops these inputs based on the best information available, including its own data.

The Company’s financial assets and liabilities measured at fair value on a recurring basis consist of money market funds, interest rate swaps, a contingent receivable and contingent consideration liabilities. The Company invests excess cash from its operating cash accounts in overnight investments and reflects these amounts in cash and cash equivalents in the condensed consolidated balance sheets at fair value using quoted prices in active markets for identical assets. The fair value of the interest rate swaps are determined based on observable market-based inputs, including interest rate curves and reflects the contractual terms of these instruments, including the period to maturity. Please refer to Note 13, “Derivative Instruments”, for further details on the interest rate swaps. The Company recorded a contingent receivable and the contingent consideration liabilities resulting from the Progenics Acquisition at fair value based on inputs that are not observable in the market. Please refer to Note 8, “Business Combinations”, for further details on the acquisition.

The tables below present information about the Company’s assets and liabilities measured at fair value on a recurring basis:


	March 31, 2021
(in thousands)	Total Fair Value		Level 1		Level 2		Level 3
Assets:
Money market	$	39,416	$	39,416	$	—	$	—
Contingent receivable	12,200		—		—		12,200
Total assets	$	51,616	$	39,416	$	—	$	12,200
Liabilities:
Interest rate swaps	$	960	$	—	$	960	$	—
Contingent consideration liabilities	17,000		—		—		17,000
Total liabilities	$	17,960	$	—	$	960	$	17,000


	December 31, 2020
(in thousands)	Total Fair Value		Level 1		Level 2		Level 3
Assets:
Money market	$	35,457	$	35,457	$	—	$	—
Contingent receivable	11,300		—		—		11,300
Total assets	$	46,757	$	35,457	$	—	$	11,300
Liabilities:
Interest rate swaps	$	1,908	$	—	$	1,908	$	—
Contingent consideration liabilities	15,800		—		—		15,800
Total liabilities	$	17,708	$	—	$	1,908	$	15,800

During the three months ended March 31, 2021, there were no transfers into or out of Level 3.

As part of the Progenics Acquisition, the Company acquired the right to receive certain future milestone and royalty payments due to Progenics from CytoDyn Inc. related to a prior sale of certain intellectual property. The Company has the right to receive $5.0 million upon regulatory approval and a 5% royalty on net sales of approved products. The Company considers the contingent receivable a Level 3 instrument (one with significant unobservable inputs) in the fair value hierarchy. The estimated fair value was determined based on probability adjusted discounted cash flows that included significant estimates and assumptions pertaining to regulatory events and sales targets. The most significant unobservable inputs are the probabilities of achieving regulatory approval of the development projects and subsequent commercial success.

As part of the Progenics Acquisition, the Company issued CVRs and recorded the fair value as part of consideration transferred. Refer to Note 1, “Basis of Presentation” for further details on the CVRs. Additionally, the Company assumed contingent consideration liabilities related to a previous acquisition completed by Progenics in 2013 (“2013 Acquisition”). These contingent consideration liabilities include potential payments of up to $70.0 million if the Company attains certain net sales targets primarily for AZEDRA and 1095 and a $5.0 million 1095 commercialization milestone. Additionally, there is a potential payment of up to $10.0 million related to a 1404 commercialization milestone. The Company’s total potential payments related to the 2013 Acquisition are approximately $85.0 million. The Company considers the contingent consideration liabilities a Level 3 instrument (one with significant unobservable inputs) in the fair value hierarchy. The estimated fair value was determined based on probability adjusted discounted cash flows and Monte Carlo simulation models that included significant estimates and assumptions pertaining to commercialization events and sales targets. The most significant unobservable inputs are the probabilities of achieving regulatory approval of the development projects and subsequent commercial success.

Significant changes in any of the probabilities of success or the probabilities as to the periods in which milestones will be achieved would result in a significantly higher or lower fair value measurement. The Company records the contingent consideration liability at fair value with changes in estimated fair values recorded in general and administrative expenses in the condensed consolidated statements of operations.

The following tables summarize quantitative information and assumptions pertaining to the fair value measurement of assets and liabilities using Level 3 inputs at March 31, 2021.


	Fair Value at						Assumptions
(in thousands)	March 31, 2021		December 31, 2020		Valuation Technique	Unobservable Input	March 31, 2021		December 31, 2020
Contingent receivable:
Regulatory milestone	$	3,200	$	3,200	Probability adjusted discounted cash flow model	Period of expected milestone achievement	2021		2021
						Probability of success	90	%	90	%
						Discount rate	23	%	24	%
Royalties	9,000		8,100		Probability adjusted discounted cash flow model
						Probability of success	13% - 77%		13% - 77%
						Discount rate	23	%	24	%
Total	$	12,200	$	11,300


	Fair Value at						Assumptions
(in thousands)	March 31, 2021		December 31, 2020		Valuation Technique	Unobservable Input	March 31, 2021		December 31, 2020
Contingent consideration liability:
Net sales targets - PyL (CVRs)	$	4,600	$	4,200	Monte-Carlo simulation	Period of expected milestone achievement	2022 - 2023		2022 - 2023

						Discount rate	23	%	24	%
1095 commercialization milestone	2,100		2,200		Probability adjusted discounted cash flow model
						Period of expected milestone achievement	2026		2026
						Probability of success	45	%	45	%
						Discount rate	1.0	%	0.5	%



Net sales targets - AZEDRA and 1095	10,300		9,400		Monte-Carlo simulation
						Probability of success	40% - 100%		40% - 100%
						Discount rate	22% - 23%		23% - 24%
Total	$	17,000	$	15,800

For those financial instruments with significant Level 3 inputs, the following table summarizes the activities for the periods indicated:


	Financial Assets		Financial Liabilities
(in thousands)	Three Months Ended March 31, 2021		Three Months Ended March 31, 2021
Fair value, beginning of period	$	11,300	$	15,800
Changes in fair value included in net income	900		1,200

Fair value, end of period	$	12,200	$	17,000

The change in fair value of the contingent financial asset and contingent financial liabilities resulted in a loss of $0.3 million for the three months ended March 31, 2021 and was primarily due to changes in market conditions and the passage of time.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References + Details

Income Taxes

3 Months Ended

Mar. 31, 2021

Income Tax Disclosure [Abstract]

Income Taxes

The Company provides for income taxes at the end of each interim period based on the estimated effective tax rate for the full year, adjusted for any discrete events which are recorded in the period they occur. Cumulative adjustments to the tax provision are recorded in the interim period in which a change in the estimated annual effective tax rate is determined. The Company’s income tax expense is presented below:


	Three Months Ended March 31,
(in thousands)	2021		2020
Income tax expense	$	5,334	$	2,192

The Company regularly assesses its ability to realize its deferred tax assets. Assessing the realizability of deferred tax assets requires significant management judgment. In determining whether its deferred tax assets are more-likely-than-not realizable, the Company evaluated all available positive and negative evidence, and weighed the objective evidence and expected impact. The Company assessed the need for a valuation allowance against certain deferred state tax credits added through the Progenics Acquisition. The Company continues to record other valuation allowances of $1.2 million against the net deferred tax assets of its U.K. subsidiary, and $2.3 million against the net deferred tax assets of its Sweden subsidiary.

In connection with the Company’s acquisition of the medical imaging business from Bristol-Myers Squibb (“BMS”) in 2008, the Company recorded a liability for uncertain tax positions related to the acquired business and simultaneously entered into a tax indemnification agreement with BMS under which BMS agreed to indemnify the Company for any payments made to settle those uncertain tax positions with the taxing authorities. Accordingly, a long-term receivable is recorded to account for the expected value to the Company of future indemnification payments, net of actual tax benefits received, to be paid on behalf of the Company by BMS. The tax indemnification receivable is recorded within other long-term assets.

In accordance with the Company’s accounting policy, the change in the tax liability, penalties and interest associated with these obligations (net of any offsetting federal or state benefit) is recognized within income tax expense. As these reserves change, adjustments are included in income tax expense while the offsetting adjustment is included in other income. Assuming that the receivable from BMS continues to be considered recoverable by the Company, there will be no effect on net income and no net cash outflows related to these liabilities.

On June 19, 2020, the Company completed the Progenics Acquisition in a transaction that is expected to qualify as a tax-deferred reorganization under Section 368 of the Internal Revenue Code. The transaction resulted in an ownership change of Progenics under Section 382 of the Internal Revenue Code and a limitation on the utilization of Progenics’ precombination tax attributes. All of Progenics’ precombination research credits and Orphan drug credits have been removed from the balance sheet, and the gross carrying value of the tax loss carryforwards reduced to their realizable value on the opening balance sheet, in accordance with the Section 382 limitation. Deferred tax liabilities arising from the purchase accounting basis step-up in identified intangibles were recorded at acquisition, resulting in a net overall deferred tax liability for Progenics after the application of acquisition accounting.

During the current period, the Company finalized the acquisition accounting for income taxes resulting in a reduction of deferred tax assets, primarily related to state research credits and an increase to goodwill of $2.6 million.

- Definition

The entire disclosure for income taxes. Disclosures may include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information.

+ References + Details

Inventory

3 Months Ended

Mar. 31, 2021

Inventory Disclosure [Abstract]

Inventory

Inventory consisted of the following:


(in thousands)	March 31, 2021		December 31, 2020
Raw materials	$	15,297	$	16,000
Work in process	8,606		11,212
Finished goods	6,454		8,532
Total inventory	$	30,357	$	35,744

Property, Plant and Equipment, Net

3 Months Ended

Mar. 31, 2021

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment, Net

Property, plant and equipment, net, consisted of the following:


(in thousands)	March 31, 2021		December 31, 2020
Land	$	13,450	$	13,450
Buildings	71,622		70,381
Machinery, equipment and fixtures	79,460		77,854
Computer software	23,751		23,644
Construction in progress	9,638		11,254
	197,921		196,583
Less: accumulated depreciation and amortization	(79,540)		(76,412)
Total property, plant and equipment, net	$	118,381	$	120,171

Depreciation and amortization expense related to property, plant and equipment, net, was $3.0 million for the three months ended March 31, 2021 and 2020.

The Company tests long-lived assets for recoverability whenever events or changes in circumstances suggest that the carrying value of an asset or group of assets may not be recoverable. During the three months ended March 31, 2020, as a result of a decline in expected future cash flows and the effect of COVID-19 related to certain other nuclear legacy manufacturing assets, the Company determined certain impairment triggers had occurred. Accordingly, the Company performed an undiscounted cash flow analysis as of March 31, 2020. Based on the undiscounted cash flow analysis, the Company determined that the manufacturing assets had net carrying values that exceeded their estimated undiscounted future cash flows. The Company then estimated the fair values of the asset group based on their discounted cash flows. The carrying value exceeded the fair value and as a result, the Company recorded a non-cash impairment of $7.3 million for the three months ended March 31, 2020 in cost of goods sold in the condensed consolidated statement of operations.

Business Combinations

3 Months Ended

Mar. 31, 2021

Business Combinations [Abstract]

Business Combinations

On June 19, 2020, the Company completed the Progenics Acquisition. Progenics is an oncology company developing innovative medicines and artificial intelligence to Find, Fight and Follow cancer. The acquisition combined the commercialization, supply chain and manufacturing expertise of the Company with the currently commercialized products and research and development (“R&D”) pipeline of Progenics. Progenics brings to the Company several commercial products and a pipeline of product candidates that will further diversify the Company’s commercial and clinical development portfolios.

Under the terms of the Merger Agreement, the Company acquired all of the issued and outstanding shares of Progenics common stock for a purchase price of $419.0 million by means of an all-stock transaction, which includes options to purchase Holdings common stock (“Replacement Stock Options”) for precombination services as well as CVRs.

The CVRs were accounted for as contingent consideration, the fair value of which was determined using a Monte-Carlo simulation. Additionally, the fair value of Replacement Stock Options related to precombination services was recorded as a component of consideration transferred. Finally, as a result of the acquisition, Lantheus effectively settled an existing bridge loan with Progenics at the recorded amount (principal and accrued interest) of $10.1 million, representing the effective settlement of a preexisting relationship. This effective settlement of the bridge loan was treated as a component of consideration transferred. The Company determined that the bridge loan was at market terms and no gain or loss was recorded upon settlement.

The acquisition date fair value of the consideration transferred in the acquisition consisted of the following:


(in thousands)	Amount
Issuance of common stock	$	398,110
Fair value of replacement options	7,125
Fair value of bridge loan settled at close	10,074
Fair value of contingent considerations (CVRs)	3,700
Total consideration transferred(1)	$	419,009

(1)Non-cash investing and financing activities in the condensed consolidated statements of cash flows

The transaction was accounted for as a business combination which requires that assets acquired and liabilities assumed be recognized at their fair value as of the acquisition date. While the Company uses its best estimates and assumptions as part of the purchase price allocation process to value the assets acquired and liabilities assumed on the acquisition date, its estimates and assumptions are subject to refinement. Fair value estimates are based on a complex series of judgments about future events and uncertainties and rely heavily on estimates and assumptions. The judgments used to determine the estimated fair value assigned to each class of assets acquired and liabilities assumed, as well as asset lives, can materially impact the Company’s results of operations. The Company recorded a measurement period adjustment of $2.6 million related to deferred taxes for the three months ended March 31, 2021, which finalized all measurement period adjustments related to the Progenics Acquisition.

The following table summarizes the provisional amounts recognized for assets acquired and liabilities assumed as of the acquisition date, as well as measurement period adjustments made to the amounts initially recorded in June 2020. The measurement period adjustments primarily resulted from finalizing the fair values of certain intangible assets and liabilities, deferred taxes and other changes to certain tangible assets and liability accounts. Measurement period adjustments were recognized in the reporting period in which the adjustments were determined and calculated as if the accounting had been completed at the acquisition date. The related impact to net loss that would have been recognized in previous periods if the adjustments were recognized as of the acquisition date is immaterial to the consolidated financial statements.



(in thousands)	Amounts Recognized as of Acquisition Date (as previously reported)		Measurement Period Adjustments		Amounts Recognized as of Acquisition Date (as adjusted)
Cash and cash equivalents	$	15,421	$	—	$	15,421
Accounts receivable	5,787		—		5,787
Inventory	915		160		1,075
Other current assets	3,250		434		3,684
Property, plant and equipment	14,972		—		14,972
Identifiable intangible assets (weighted average useful life):
Currently marketed product (15 years)	142,100		800		142,900
Licenses (11.5 years)	87,500		(1,700)		85,800
Developed technology (9 years)	3,000		(600)		2,400
IPR&D	150,900		200		151,100

Other long-term assets	37,631		—		37,631
Accounts payable	(1,616)		—		(1,616)
Accrued expenses and other liabilities	(8,207)		(80)		(8,287)
Other long-term liabilities	(30,778)		(380)		(31,158)
Long-term debt and other borrowings	(40,200)		—		(40,200)
Deferred tax liabilities	(3,717)		(2,258)		(5,975)
Goodwill	42,051		3,424		45,475
Total consideration transferred	$	419,009	$	—	$	419,009

Intangible assets acquired consist of currently marketed products, licenses, developed technology and in-process research and development (“IPR&D”). The fair value of the acquired intangible assets was determined based on estimated future revenues, royalty rates and discount rates, among other variables and estimates. The acquired intangible assets subject to amortization were assigned useful lives based on the expected use of the assets and the regulatory and economic environment within which they are being used and are being amortized on a straight-line basis over the respective estimated useful lives. The estimated fair values of the IPR&D assets were determined based on the present values of the expected cash flows to be generated by the respective underlying assets. The Company used a discount rate of 23.0% and cash flows that have been probability adjusted to reflect the risks of product commercialization, which the Company believes are appropriate and representative of market participant assumptions.

As part of the Progenics Acquisition, the Company acquired the right to receive certain future milestone and royalty payments due to Progenics, related to a prior sale of certain intellectual property. The estimated fair value of the acquired contingent receivable of $10.1 million was determined by applying a probability adjusted discounted cash flow model based on estimated future expected payments and recorded in other long-term assets.

The goodwill recognized is attributable to future technologies that are not separately identifiable that could potentially add to the currently developed and pipeline products and Progenics’ assembled workforce. Future technologies did not meet the criteria for recognition separately from goodwill because they are part of the future development and growth of the business. Goodwill of $45.5 million recognized in connection with the acquisition is not deductible for tax purposes

Sale of Puerto Rico Subsidiary

3 Months Ended

Mar. 31, 2021

Discontinued Operations and Disposal Groups [Abstract]

Sale of Puerto Rico Subsidiary

During the fourth quarter of 2020, the Company entered into a stock purchase agreement (the “SPA”) with one of its existing radiopharmacy customers to sell all of the stock of its Puerto Rico radiopharmacy subsidiary. The assets were classified as held for sale and the Company determined that the fair value of the net assets being sold significantly exceeded the carrying value as of December 31, 2020. The transaction was consummated on January 29, 2021.

The purchase price for the stock sale was $18.0 million in cash, which includes a holdback amount of $1.8 million to be due to the Company in January 2022, and will also include a working capital adjustment once settled. The SPA contains customary representations, warranties and covenants by each of the parties. Subject to certain limitations, the buyer will be indemnified for damages resulting from breaches or inaccuracies of the Company’s representations, warranties and covenants in the SPA.

As part of the transaction, the Company and the buyer also entered into a customary transition services agreement and a long-term supply contract under which the Company will supply the buyer with certain of the Company’s products on commercial terms and under which the buyer has agreed to certain product minimum purchase commitments.

The Company does not believe this sale of certain net assets, reported as held for sale in the international segment prior to the change in segments in Q1 2021, constituted a strategic shift that would have a major effect on its operations or financial results. As a result, this transaction is not classified as discontinued operations in the Company’s accompanying consolidated financial statements.

The following table summarizes the major classes of assets and liabilities sold as of January 29, 2021 (date of sale) and held for sale as of December 31, 2020:



(in thousands)	January 29, 2021		December 31, 2020
Current Assets:
Cash and cash equivalents	$	540	$	941
Accounts receivable, net	1,959		2,191
Inventory	530		420
Other current assets	65		43
Total current assets	3,094		3,595
Non-Current Assets:
Property, plant & equipment, net	780		761
Intangibles, net	96		96
Other long-term assets	774		790
Total assets held for sale	$	4,744	$	5,242

Current Liabilities:
Accounts payable	$	185	$	224
Accrued expense and other liabilities	369		661
Total current liabilities	554		885
Non-Current Liabilities:
Asset retirement obligations	306		302
Other long-term liabilities	588		606
Total liabilities held for sale	$	1,448	$	1,793

The sale resulted in a pre-tax book gain of $15.3 million, which was recorded within operating income in the condensed consolidated statement of operations for the three months ended March 31, 2021.

Asset Retirement Obligations

3 Months Ended

Mar. 31, 2021

Asset Retirement Obligation Disclosure [Abstract]

Asset Retirement Obligations

The Company considers its legal obligation to remediate its facilities upon a decommissioning of its radioactive-related operations as an asset retirement obligation. The Company has production facilities which manufacture and process radioactive materials at its North Billerica, Massachusetts site. As of March 31, 2021, the liability is measured at the present value of the obligation expected to be incurred, of approximately $26.4 million.

The Company previously operated a production facility which manufactured and processed radioactive materials at its San Juan, Puerto Rico site. As of December 31, 2020, the liability for the San Juan, Puerto Rico site was recorded in liabilities held for sale and the sale was consummated on January 29, 2021.

The following table provides a summary of the changes in the Company’s asset retirement obligations:


(in thousands)	Amount
Balance at January 1, 2021	$	14,020

Accretion expense	388
Balance at March 31, 2021	$	14,408

The Company is required to provide the U.S. Nuclear Regulatory Commission and Massachusetts Department of Public Health financial assurance demonstrating the Company’s ability to fund the decommissioning of its North Billerica, Massachusetts production facility upon closure, although the Company does not intend to close the facility. The Company has provided this financial assurance in the form of a $28.2 million surety bond.

Intangibles, Net

3 Months Ended

Mar. 31, 2021

Goodwill and Intangible Assets Disclosure [Abstract]

Intangibles, Net

Intangibles, net, consisted of the following:


	March 31, 2021
(in thousands)	Amortization Method	Cost		Accumulated Amortization		Net
Trademarks	Straight-Line	$	13,540	$	(11,096)	$	2,444
Customer relationships	Accelerated	96,941		(94,055)		2,886
Currently marketed product	Straight-Line	142,900		(7,434)		135,466
Licenses	Straight-Line	85,800		(5,895)		79,905
Developed technology	Straight-Line	2,400		(210)		2,190
IPR&D	N/A	148,440		—		148,440
Total		$	490,021	$	(118,690)	$	371,331


	December 31, 2020
(in thousands)	Amortization Method	Cost		Accumulated Amortization		Net
Trademarks	Straight-Line	$	13,540	$	(10,958)	$	2,582
Customer relationships	Accelerated	96,865		(93,770)		3,095
Currently marketed product	Straight-Line	142,900		(5,053)		137,847
Licenses	Straight-Line	85,800		(4,008)		81,792
Developed technology	Straight-Line	2,400		(144)		2,256
IPR&D	N/A	148,440		—		148,440
Total		$	489,945	$	(113,933)	$	376,012

The Company recorded amortization expense for its intangible assets of $4.7 million and $0.4 million for the three months ended March 31, 2021 and 2020, respectively.

The below table summarizes the estimated aggregate amortization expense expected to be recognized on the above intangible assets:


(in thousands)	Amount
Remainder of 2021	$	14,051
2022	18,477
2023	17,878
2024	17,808
2025	17,753
2026 and thereafter	136,924
Total	$	222,891

Long-Term Debt, Net, and Other Borrowings

3 Months Ended

Mar. 31, 2021

Debt Disclosure [Abstract]

Long-Term Debt, Net, and Other Borrowings

As of March 31, 2021, the Company’s maturities of principal obligations under its long-term debt and other borrowings are as follows:


(in thousands)	Amount
Remainder of 2021	$	7,500
2022	11,250
2023	15,000
2024	148,750


Total principal outstanding	182,500
Unamortized debt discount	(647)
Unamortized debt issuance costs	(559)

Finance lease liabilities	431

Total	181,725
Less: current portion	(10,251)
Total long-term debt, net and other borrowings	$	171,474

At March 31, 2021, the Company’s interest rate under the five-year secured term loan facility, which matures on June 30, 2024 (the “2019 Term Facility”) was 3.4%.

On March 31, 2021, the Company voluntarily repaid in full the entire outstanding principal on the original $50.0 million loan agreement (the “Royalty-Backed Loan”) with a fund managed by HealthCare Royalty Partners III, L.P. in the amount of $30.9 million, which included a prepayment amount of $0.5 million, and terminated the agreement governing the Royalty-Backed Loan. The Company recorded a gain on extinguishment of debt of $0.9 million related to the write-off of an unamortized debt premium offset by the prepayment amount.

Derivative Instruments

3 Months Ended

Mar. 31, 2021

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Derivative Instruments

The Company uses interest rate swaps to reduce the variability in cash flows associated with a portion of the Company’s forecasted interest payments on its variable rate debt. In March 2020, the Company entered into interest rate swap contracts to fix the LIBOR rate on a notional amount of $100.0 million through May 31, 2024. The average fixed LIBOR rate on the interest rate swaps is approximately 0.82%. This agreement involves the receipt of floating rate amounts in exchange for fixed rate interest payments over the life of the agreement without an exchange of the underlying principal amount. The interest rate swaps were designated as cash flow hedges. In accordance with hedge accounting, the interest rate swaps are recorded on the Company’s condensed consolidated balance sheets at fair value, and changes in the fair value of the swap agreements are recorded to other comprehensive loss and reclassified to interest expense in the period during which the hedged transaction affected earnings or it will become probable that the forecasted transaction would not occur. At March 31, 2021, accumulated other comprehensive loss included $0.6 million of pre-tax deferred losses that are expected to be reclassified to earnings during the next 12 months.

The following table presents the location and fair value amounts of derivative instruments reported in the condensed consolidated balance sheet:

(in thousands)

March 31, 2021

December 31, 2020

Derivatives type

Classification

Liabilities:

Interest rate swap

Accrued expenses and other liabilities

960

1,908

Accumulated Other Comprehensive Loss

3 Months Ended

Mar. 31, 2021

Equity [Abstract]

Accumulated Other Comprehensive Loss

The components of accumulated other comprehensive loss, net of tax of $0.2 million and $0.3 million for the three months ended March 31, 2021 and 2020, respectively, consisted of the following:


(in thousands)	Foreign currency translation		Unrealized loss on cash flow hedges		Accumulated other comprehensive loss
Balance at January 1, 2021	$	(630)	$	(1,418)	$	(2,048)
Other comprehensive income before reclassifications	102		533		635
Amounts reclassified to earnings	—		173		173
Balance at March 31, 2021	$	(528)	$	(712)	$	(1,240)

Balance at January 1, 2020	$	(960)	$	—	$	(960)
Other comprehensive loss before reclassifications	(446)		(988)		(1,434)
Amounts reclassified to earnings	—		—		—
Balance at March 31, 2020	$	(1,406)	$	(988)	$	(2,394)

Stock-Based Compensation

3 Months Ended

Mar. 31, 2021

Share-based Payment Arrangement [Abstract]

Stock-Based Compensation

The following table presents stock-based compensation expense recognized in the Company’s accompanying condensed consolidated statements of operations:


	Three Months Ended March 31,
(in thousands)	2021		2020
Cost of goods sold	$	622	$	618
Sales and marketing	350		253
General and administrative	1,920		1,815
Research and development	425		389
Total stock-based compensation expense	$	3,317	$	3,075

Net Income Per Common Share

3 Months Ended

Mar. 31, 2021

Earnings Per Share [Abstract]

Net Income Per Common Share

A summary of net income per common share is presented below:


	Three Months Ended March 31,
(in thousands, except per share amounts)	2021		2020
Net income	$	9,008	$	3,337

Basic weighted-average common shares outstanding	67,094		39,433
Effect of dilutive stock options	82		28
Effect of dilutive restricted stock	538		641

Diluted weighted-average common shares outstanding	67,714		40,102

Basic income per common share	$	0.13	$	0.08
Diluted income per common share	$	0.13	$	0.08

Antidilutive securities excluded from diluted net income per common share	1,349		604

Other Income

3 Months Ended

Mar. 31, 2021

Other Income and Expenses [Abstract]

Other Income

Other income consisted of the following:


	Three Months Ended March 31,
(in thousands)	2021		2020
Foreign currency losses	$	42	$	314
Tax indemnification income, net	(573)		(555)
Interest income	(17)		(109)
Other	(1)		—
Total other income	$	(549)	$	(350)

Commitments and Contingencies	3 Months Ended
Commitments and Contingencies	Mar. 31, 2021
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	Commitments and Contingencies Legal Proceedings From time to time, the Company is a party to various legal proceedings arising in the ordinary course of business. In addition, the Company has in the past been, and may in the future be, subject to investigations by governmental and regulatory authorities, which expose it to greater risks associated with litigation, regulatory or other proceedings, as a result of which the Company could be required to pay significant fines or penalties. The costs and outcome of litigation, regulatory or other proceedings cannot be predicted with certainty, and some lawsuits, claims, actions or proceedings may be disposed of unfavorably to the Company and could have a material adverse effect on the Company’s results of operations or financial condition. In addition, intellectual property disputes often have a risk of injunctive relief which, if imposed against the Company, could materially and adversely affect its financial condition or results of operations. If a matter is both probable to result in material liability and the amount of loss can be reasonably estimated, the Company estimates and discloses the possible material loss or range of loss. If such loss is not probable or cannot be reasonably estimated, a liability is not recorded in its condensed consolidated financial statements. As of March 31, 2021, the Company had the following material ongoing litigation in which the Company was a party: RELISTOR European Opposition Proceedings In October 2015, Progenics received notices of opposition to three European patents relating to methylnaltrexone: EP1615646, EP2368553 and EP2368554. Notices of opposition were filed separately by each of Actavis Group PTC ehf and Fresenius Kabi Deutschland GmbH. Between May 11, 2017 and July 4, 2017, the opposition division provided notice that the three European patents would be revoked. Each of these matters were appealed to with the European Patent Office. On November 13, 2020, Progenics withdrew the appeal for EP2368553 and EP2368554. Notices of termination of the proceedings with revocation of the patent were issued on November 23, 2020 for both patents. Oral proceedings for the third patent, EP1615646 were held on September 22, 2020. The decision under appeal was set aside and the case was remitted to the opposition division for further prosecution. The deadline for written submissions prior to an oral hearing is July 27, 2021. The oral hearing is set for September 27, 2021. Because the outcome of litigation is uncertain, the Company cannot predict how or when this matter will ultimately be resolved. German PSMA-617 Litigation On November 8, 2018, Molecular Insight Pharmaceuticals, Inc., a subsidiary of Progenics (“MIP”), filed a complaint against the University of Heidelberg (the “University”) in the District Court in Mannheim, Germany (the “German District Court”). In this Complaint, MIP claimed that the discovery and development of PSMA-617 was related to work performed under a research collaboration sponsored by MIP. MIP alleged that the University breached certain contracts with MIP and that MIP is the co-owner of inventions embodied in certain worldwide patent filings related to PSMA-617 that were filed by the University. On February 27, 2019, Endocyte, Inc., a wholly owned subsidiary of Novartis AG, filed a motion to intervene in the German litigation. Endocyte is the exclusive licensee of the patent rights that are the subject of the German proceedings. On November 27, 2018, MIP requested that the European Patent Office (“EPO”) stay the examination of a certain European Patent (EP) and related Divisional Applications, pending a decision from the German District Court on MIP’s Complaint. On December 10, 2018, the EPO granted MIP’s request and stayed the examination of the patent and patent applications effective November 27, 2018. MIP filed a Confirmation of Ownership with the United States Patent and Trademark Office (“USPTO”) in corresponding U.S. patent applications (U.S. Serial Nos. 15/131,118; 15/805,900; 16/038,729, 16/114,988, 16/510,495, 16/551,198, and 17/110,558). MIP’s filing with the USPTO takes the position that, in light of the collaboration and contracts between MIP and the University, MIP is the co-owner of these pending U.S. patent applications (U.S. Serial Nos. 16/510,495, 16/551,198). On March 6, 2020, MIP filed with the USPTO a notice stating that the Power of Attorney in certain pending U.S. patent applications was signed by less than all applicants or owners of the applications. On February 27, 2019, the German District Court set €0.4 million as the amount MIP must deposit with the German District Court as security in the event of an unfavorable final decision on the merits of the dispute. The German District Court held the first oral hearing in the case on August 6, 2019. The German District Court considered procedural matters and granted the parties the right to make further submissions. A further oral hearing occurred July 23, 2020, during which the German District Court heard live testimony from several witnesses, testifying on behalf of the defendants. On August 24, 2020, the German District Court issued its decision dismissing MIP’s claims, stating that MIP failed to discharge its burden of proof in the matter. MIP filed a Notice of Appeal of the German District Court’s decision on September 24, 2020 and filed its appeal brief on November 26, 2020. The University and Endocyte each filed oppositions to MIP’s Notice of Appeal on March 12, 2021. MIP is also considering its legal and procedural alternatives against the defendants in other jurisdictions and proceedings. If MIP is not successful in its appeal, it will be responsible for the German court fees and fees and disbursements of defendant’s and intervenor’s counsel, both at first instance and on appeal. Most of such fees and disbursements at first instance are covered by the aforementioned cash security deposited with the German District Court. Because the outcome of litigation is uncertain, the Company cannot predict how or when this matter will ultimately be resolved. Petition for Post-Grant Review On February 4, 2021, Advanced Accelerator Applications USA, Inc. (“AAA”) filed a petition for post-grant review of U.S. Patent No. 10,640,461 (the “’461 patent”) with the Patent Trial and Appeal Board (“PTAB”) of the United States Patent and Trademark Office. The ’461 patent is owned by MIP. In the petition, AAA challenges the patentability of claims 1, 45, and 47 of the ’461 patent under 35 U.S.C. §§ 112 and 102(a)(1). On February 9, 2021, the PTAB mailed a Notice of Filing Date Accorded to Petition and Time for Filing Patent Owner Preliminary Response. The PTAB set a three (3) month deadline for MIP to file a preliminary response. The filing of a preliminary response to the petition is optional for the patent owner (MIP). Should the PTAB decide to institute post-grant review, a schedule will be set and MIP will be afforded three months from the date of institution to formally respond to the petition. Because the outcome of litigation is uncertain, the Company cannot predict how or when this matter will be ultimately resolved.

Segment Information	3 Months Ended
Segment Information	Mar. 31, 2021
Segment Reporting [Abstract]
Segment Information	Segment InformationIn the first quarter of fiscal year 2021, the Company completed the evaluation of its operating and reporting structure, including the impact on the Company’s business of the acquisition of Progenics described in Note 8, and the sale of the Puerto Rico subsidiary in the current quarter, which resulted in a change in operating and reportable segments. As of the first quarter of fiscal year 2021, the Company operates as one business segment: the development, manufacture and sale of innovative diagnostic and therapeutic agents and products that assist clinicians in the diagnosis and treatment of heart disease, cancer and other diseases. This conclusion reflects the Company’s focus on the performance of the business on a consolidated worldwide basis. The results of this operating segment are regularly reviewed by the Company’s chief operating decision maker, the President and Chief Executive Officer. The Company’s chief operating decision maker does not manage any part of the Company separately, and the allocation of resources and assessment of performance are based on the Company’s consolidated operating results.

- Definition

The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 31
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Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
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-Paragraph 21
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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Reference 5: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
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Reference 6: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
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-Subparagraph (e)
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Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
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Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
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Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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Reference 12: http://www.xbrl.org/2003/role/disclosureRef
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Reference 13: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
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Reference 14: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

Summary of Significant Accounting Policies (Policies)

3 Months Ended

Mar. 31, 2021

Accounting Policies [Abstract]

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements include the accounts of Holdings and its direct and indirect wholly-owned subsidiaries, including Progenics (as of the closing date, June 19, 2020), and have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, these condensed consolidated financial statements do not include all of the information and notes required by generally accepted accounting principles in the United States of America (“U.S. GAAP”) for complete financial statements. In the opinion of management, all adjustments (consisting of normal and recurring adjustments) considered necessary for a fair statement have been included. The results of operations for the three months ended March 31, 2021 are not necessarily indicative of the results that may be expected for the year ended December 31, 2021 or any future period.

In the first quarter of fiscal year 2021, the Company completed the evaluation of its operating and reporting structure, which resulted in a change in operating segments. Please refer to Note 19, “Segment Information”, for further details.

The condensed consolidated balance sheet at December 31, 2020 has been derived from the audited consolidated financial statements at that date but does not include all of the information and notes required by U.S. GAAP for complete financial statements. These condensed consolidated financial statements and accompanying notes should be read in conjunction with the consolidated financial statements and notes thereto included in Item 8 of the Company’s most recent Annual Report on Form 10-K for the year ended December 31, 2020 filed with the Securities Exchange Commission (“SEC”) on February 25, 2021.

Reclassifications

Recent Accounting Pronouncements


Standard	Description	Effective Date for Company	Effect on the Condensed Consolidated Financial Statements


Accounting Standards Adopted During the Three Months Ended March 31, 2021
ASU 2020-06, “Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging - Contracts in Entity’s Own Equity (Subtopic 815-40)”	This ASU provides guidance to simplify the complexity associated with accounting for convertible instruments and derivatives. For convertible instruments, the number of major separation models required were reduced. Consequently, more convertible debt instruments will be reported as a single liability instrument with no separate accounting for embedded conversion features. This ASU further amends the guidance for the derivatives scope exception for contracts in an entity’s own equity to reduce form-over-substance-based accounting conclusions. The ASU simplifies the diluted net income per share calculation in certain areas as well.	January 1, 2021	The adoption of this standard did not have a material impact on the Company’s condensed consolidated financial statements.

Summary of Significant Accounting Policies (Tables)

3 Months Ended

Mar. 31, 2021

Accounting Policies [Abstract]

Recent Accounting Pronouncements


Standard	Description	Effective Date for Company	Effect on the Condensed Consolidated Financial Statements


Accounting Standards Adopted During the Three Months Ended March 31, 2021
ASU 2020-06, “Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging - Contracts in Entity’s Own Equity (Subtopic 815-40)”	This ASU provides guidance to simplify the complexity associated with accounting for convertible instruments and derivatives. For convertible instruments, the number of major separation models required were reduced. Consequently, more convertible debt instruments will be reported as a single liability instrument with no separate accounting for embedded conversion features. This ASU further amends the guidance for the derivatives scope exception for contracts in an entity’s own equity to reduce form-over-substance-based accounting conclusions. The ASU simplifies the diluted net income per share calculation in certain areas as well.	January 1, 2021	The adoption of this standard did not have a material impact on the Company’s condensed consolidated financial statements.

Revenue from Contracts with Customers (Tables)

3 Months Ended

Mar. 31, 2021

Revenue from Contract with Customer [Abstract]

Schedule of disaggregation of revenue

The following table summarizes revenue by revenue source as follows:


	Three Months Ended March 31,
Major Products/Service Lines (in thousands)	2021		2020
Product revenue, net(1)	$	87,319	$	90,213
License and royalty revenues	5,190		491
Total revenues	$	92,509	$	90,704

________________________________

(1)The Company’s principal products include DEFINITY and TechneLite and are categorized within product revenue, net. The Company applies the

same revenue recognition policies and judgments for all of its principal products.

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


	Three Months Ended March 31,
(in thousands)	2021		2020(1)
DEFINITY	$	55,971	$	52,505
TechneLite	22,800		22,779
Other precision diagnostics	6,984		13,057
Total precision diagnostics	85,755		88,341
Radiopharmaceutical oncology	1,500		1,968
Strategic partnerships and other	5,254		395
Total revenues	$	92,509	$	90,704

________________________________

Fair Value of Financial Instruments (Tables)

3 Months Ended

Mar. 31, 2021

Fair Value Disclosures [Abstract]

Schedule of assets and liabilities measured at fair value on a recurring basis

The tables below present information about the Company’s assets and liabilities measured at fair value on a recurring basis:


	March 31, 2021
(in thousands)	Total Fair Value		Level 1		Level 2		Level 3
Assets:
Money market	$	39,416	$	39,416	$	—	$	—
Contingent receivable	12,200		—		—		12,200
Total assets	$	51,616	$	39,416	$	—	$	12,200
Liabilities:
Interest rate swaps	$	960	$	—	$	960	$	—
Contingent consideration liabilities	17,000		—		—		17,000
Total liabilities	$	17,960	$	—	$	960	$	17,000


	December 31, 2020
(in thousands)	Total Fair Value		Level 1		Level 2		Level 3
Assets:
Money market	$	35,457	$	35,457	$	—	$	—
Contingent receivable	11,300		—		—		11,300
Total assets	$	46,757	$	35,457	$	—	$	11,300
Liabilities:
Interest rate swaps	$	1,908	$	—	$	1,908	$	—
Contingent consideration liabilities	15,800		—		—		15,800
Total liabilities	$	17,708	$	—	$	1,908	$	15,800

Fair Value Measurement Inputs and Valuation Techniques

The following tables summarize quantitative information and assumptions pertaining to the fair value measurement of assets and liabilities using Level 3 inputs at March 31, 2021.


	Fair Value at						Assumptions
(in thousands)	March 31, 2021		December 31, 2020		Valuation Technique	Unobservable Input	March 31, 2021		December 31, 2020
Contingent receivable:
Regulatory milestone	$	3,200	$	3,200	Probability adjusted discounted cash flow model	Period of expected milestone achievement	2021		2021
						Probability of success	90	%	90	%
						Discount rate	23	%	24	%
Royalties	9,000		8,100		Probability adjusted discounted cash flow model
						Probability of success	13% - 77%		13% - 77%
						Discount rate	23	%	24	%
Total	$	12,200	$	11,300


	Fair Value at						Assumptions
(in thousands)	March 31, 2021		December 31, 2020		Valuation Technique	Unobservable Input	March 31, 2021		December 31, 2020
Contingent consideration liability:
Net sales targets - PyL (CVRs)	$	4,600	$	4,200	Monte-Carlo simulation	Period of expected milestone achievement	2022 - 2023		2022 - 2023

						Discount rate	23	%	24	%
1095 commercialization milestone	2,100		2,200		Probability adjusted discounted cash flow model
						Period of expected milestone achievement	2026		2026
						Probability of success	45	%	45	%
						Discount rate	1.0	%	0.5	%



Net sales targets - AZEDRA and 1095	10,300		9,400		Monte-Carlo simulation
						Probability of success	40% - 100%		40% - 100%
						Discount rate	22% - 23%		23% - 24%
Total	$	17,000	$	15,800

Schedule of financial instruments with significant Level 3 inputs

For those financial instruments with significant Level 3 inputs, the following table summarizes the activities for the periods indicated:


	Financial Assets		Financial Liabilities
(in thousands)	Three Months Ended March 31, 2021		Three Months Ended March 31, 2021
Fair value, beginning of period	$	11,300	$	15,800
Changes in fair value included in net income	900		1,200

Fair value, end of period	$	12,200	$	17,000

Income Taxes (Tables)

3 Months Ended

Mar. 31, 2021

Income Tax Disclosure [Abstract]

Schedule of income tax expense

The Company’s income tax expense is presented below:


	Three Months Ended March 31,
(in thousands)	2021		2020
Income tax expense	$	5,334	$	2,192

Inventory (Tables)

3 Months Ended

Mar. 31, 2021

Inventory Disclosure [Abstract]

Schedule of inventory

Inventory consisted of the following:


(in thousands)	March 31, 2021		December 31, 2020
Raw materials	$	15,297	$	16,000
Work in process	8,606		11,212
Finished goods	6,454		8,532
Total inventory	$	30,357	$	35,744

Property, Plant and Equipment, Net (Tables)

3 Months Ended

Mar. 31, 2021

Property, Plant and Equipment [Abstract]

Schedule of property, plant, and equipment, net

Property, plant and equipment, net, consisted of the following:


(in thousands)	March 31, 2021		December 31, 2020
Land	$	13,450	$	13,450
Buildings	71,622		70,381
Machinery, equipment and fixtures	79,460		77,854
Computer software	23,751		23,644
Construction in progress	9,638		11,254
	197,921		196,583
Less: accumulated depreciation and amortization	(79,540)		(76,412)
Total property, plant and equipment, net	$	118,381	$	120,171

Business Combinations (Tables)

3 Months Ended

Mar. 31, 2021

Business Combinations [Abstract]

Schedule of business acquisition

The acquisition date fair value of the consideration transferred in the acquisition consisted of the following:


(in thousands)	Amount
Issuance of common stock	$	398,110
Fair value of replacement options	7,125
Fair value of bridge loan settled at close	10,074
Fair value of contingent considerations (CVRs)	3,700
Total consideration transferred(1)	$	419,009

(1)Non-cash investing and financing activities in the condensed consolidated statements of cash flows

Schedule of fair value disclosure of asset and liability



(in thousands)	Amounts Recognized as of Acquisition Date (as previously reported)		Measurement Period Adjustments		Amounts Recognized as of Acquisition Date (as adjusted)
Cash and cash equivalents	$	15,421	$	—	$	15,421
Accounts receivable	5,787		—		5,787
Inventory	915		160		1,075
Other current assets	3,250		434		3,684
Property, plant and equipment	14,972		—		14,972
Identifiable intangible assets (weighted average useful life):
Currently marketed product (15 years)	142,100		800		142,900
Licenses (11.5 years)	87,500		(1,700)		85,800
Developed technology (9 years)	3,000		(600)		2,400
IPR&D	150,900		200		151,100

Other long-term assets	37,631		—		37,631
Accounts payable	(1,616)		—		(1,616)
Accrued expenses and other liabilities	(8,207)		(80)		(8,287)
Other long-term liabilities	(30,778)		(380)		(31,158)
Long-term debt and other borrowings	(40,200)		—		(40,200)
Deferred tax liabilities	(3,717)		(2,258)		(5,975)
Goodwill	42,051		3,424		45,475
Total consideration transferred	$	419,009	$	—	$	419,009

Sale of Puerto Rico Subsidiary (Tables)

3 Months Ended

Mar. 31, 2021

Discontinued Operations and Disposal Groups [Abstract]

Disposal groups including discontinued operations

The following table summarizes the major classes of assets and liabilities sold as of January 29, 2021 (date of sale) and held for sale as of December 31, 2020:



(in thousands)	January 29, 2021		December 31, 2020
Current Assets:
Cash and cash equivalents	$	540	$	941
Accounts receivable, net	1,959		2,191
Inventory	530		420
Other current assets	65		43
Total current assets	3,094		3,595
Non-Current Assets:
Property, plant & equipment, net	780		761
Intangibles, net	96		96
Other long-term assets	774		790
Total assets held for sale	$	4,744	$	5,242

Current Liabilities:
Accounts payable	$	185	$	224
Accrued expense and other liabilities	369		661
Total current liabilities	554		885
Non-Current Liabilities:
Asset retirement obligations	306		302
Other long-term liabilities	588		606
Total liabilities held for sale	$	1,448	$	1,793

- Definition

Tabular disclosure of information related to a disposal group. Includes, but is not limited to, a discontinued operation, disposal classified as held-for-sale or disposed of by means other than sale or disposal of an individually significant component.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
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Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
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Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
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Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
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+ Details

Asset Retirement Obligations (Tables)

3 Months Ended

Mar. 31, 2021

Asset Retirement Obligation Disclosure [Abstract]

Summary of changes in asset retirement obligations

The following table provides a summary of the changes in the Company’s asset retirement obligations:


(in thousands)	Amount
Balance at January 1, 2021	$	14,020

Accretion expense	388
Balance at March 31, 2021	$	14,408

Intangibles, Net (Tables)

3 Months Ended

Mar. 31, 2021

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of intangibles

Intangibles, net, consisted of the following:


	March 31, 2021
(in thousands)	Amortization Method	Cost		Accumulated Amortization		Net
Trademarks	Straight-Line	$	13,540	$	(11,096)	$	2,444
Customer relationships	Accelerated	96,941		(94,055)		2,886
Currently marketed product	Straight-Line	142,900		(7,434)		135,466
Licenses	Straight-Line	85,800		(5,895)		79,905
Developed technology	Straight-Line	2,400		(210)		2,190
IPR&D	N/A	148,440		—		148,440
Total		$	490,021	$	(118,690)	$	371,331


	December 31, 2020
(in thousands)	Amortization Method	Cost		Accumulated Amortization		Net
Trademarks	Straight-Line	$	13,540	$	(10,958)	$	2,582
Customer relationships	Accelerated	96,865		(93,770)		3,095
Currently marketed product	Straight-Line	142,900		(5,053)		137,847
Licenses	Straight-Line	85,800		(4,008)		81,792
Developed technology	Straight-Line	2,400		(144)		2,256
IPR&D	N/A	148,440		—		148,440
Total		$	489,945	$	(113,933)	$	376,012

Schedule of intangibles

Intangibles, net, consisted of the following:


	March 31, 2021
(in thousands)	Amortization Method	Cost		Accumulated Amortization		Net
Trademarks	Straight-Line	$	13,540	$	(11,096)	$	2,444
Customer relationships	Accelerated	96,941		(94,055)		2,886
Currently marketed product	Straight-Line	142,900		(7,434)		135,466
Licenses	Straight-Line	85,800		(5,895)		79,905
Developed technology	Straight-Line	2,400		(210)		2,190
IPR&D	N/A	148,440		—		148,440
Total		$	490,021	$	(118,690)	$	371,331


	December 31, 2020
(in thousands)	Amortization Method	Cost		Accumulated Amortization		Net
Trademarks	Straight-Line	$	13,540	$	(10,958)	$	2,582
Customer relationships	Accelerated	96,865		(93,770)		3,095
Currently marketed product	Straight-Line	142,900		(5,053)		137,847
Licenses	Straight-Line	85,800		(4,008)		81,792
Developed technology	Straight-Line	2,400		(144)		2,256
IPR&D	N/A	148,440		—		148,440
Total		$	489,945	$	(113,933)	$	376,012

Schedule of expected future amortization expense

The below table summarizes the estimated aggregate amortization expense expected to be recognized on the above intangible assets:


(in thousands)	Amount
Remainder of 2021	$	14,051
2022	18,477
2023	17,878
2024	17,808
2025	17,753
2026 and thereafter	136,924
Total	$	222,891

Long-Term Debt, Net, and Other Borrowings (Tables)

3 Months Ended

Mar. 31, 2021

Debt Disclosure [Abstract]

Schedule of maturities of principal obligations

As of March 31, 2021, the Company’s maturities of principal obligations under its long-term debt and other borrowings are as follows:


(in thousands)	Amount
Remainder of 2021	$	7,500
2022	11,250
2023	15,000
2024	148,750


Total principal outstanding	182,500
Unamortized debt discount	(647)
Unamortized debt issuance costs	(559)

Finance lease liabilities	431

Total	181,725
Less: current portion	(10,251)
Total long-term debt, net and other borrowings	$	171,474

Derivative Instruments (Tables)

3 Months Ended

Mar. 31, 2021

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Schedule of derivative instruments

The following table presents the location and fair value amounts of derivative instruments reported in the condensed consolidated balance sheet:

(in thousands)

March 31, 2021

December 31, 2020

Derivatives type

Classification

Liabilities:

Interest rate swap

Accrued expenses and other liabilities

960

1,908

Accumulated Other Comprehensive Loss (Tables)

3 Months Ended

Mar. 31, 2021

Equity [Abstract]

Schedule of accumulated other comprehensive income

The components of accumulated other comprehensive loss, net of tax of $0.2 million and $0.3 million for the three months ended March 31, 2021 and 2020, respectively, consisted of the following:


(in thousands)	Foreign currency translation		Unrealized loss on cash flow hedges		Accumulated other comprehensive loss
Balance at January 1, 2021	$	(630)	$	(1,418)	$	(2,048)
Other comprehensive income before reclassifications	102		533		635
Amounts reclassified to earnings	—		173		173
Balance at March 31, 2021	$	(528)	$	(712)	$	(1,240)

Balance at January 1, 2020	$	(960)	$	—	$	(960)
Other comprehensive loss before reclassifications	(446)		(988)		(1,434)
Amounts reclassified to earnings	—		—		—
Balance at March 31, 2020	$	(1,406)	$	(988)	$	(2,394)

Stock-Based Compensation (Tables)

3 Months Ended

Mar. 31, 2021

Share-based Payment Arrangement [Abstract]

Schedule of stock-based compensation expense recognized

The following table presents stock-based compensation expense recognized in the Company’s accompanying condensed consolidated statements of operations:


	Three Months Ended March 31,
(in thousands)	2021		2020
Cost of goods sold	$	622	$	618
Sales and marketing	350		253
General and administrative	1,920		1,815
Research and development	425		389
Total stock-based compensation expense	$	3,317	$	3,075

Net Income Per Common Share (Tables)

3 Months Ended

Mar. 31, 2021

Earnings Per Share [Abstract]

Summary of net (loss) income per common share

A summary of net income per common share is presented below:


	Three Months Ended March 31,
(in thousands, except per share amounts)	2021		2020
Net income	$	9,008	$	3,337

Basic weighted-average common shares outstanding	67,094		39,433
Effect of dilutive stock options	82		28
Effect of dilutive restricted stock	538		641

Diluted weighted-average common shares outstanding	67,714		40,102

Basic income per common share	$	0.13	$	0.08
Diluted income per common share	$	0.13	$	0.08

Antidilutive securities excluded from diluted net income per common share	1,349		604

Other Income (Tables)

3 Months Ended

Mar. 31, 2021

Other Income and Expenses [Abstract]

Schedule of other income

Other income consisted of the following:


	Three Months Ended March 31,
(in thousands)	2021		2020
Foreign currency losses	$	42	$	314
Tax indemnification income, net	(573)		(555)
Interest income	(17)		(109)
Other	(1)		—
Total other income	$	(549)	$	(350)

Basis of Presentation (Details) $ / shares in Units, $ in Thousands		3 Months Ended
	Feb. 20, 2020 USD ($) contingent_value_right $ / shares shares	Mar. 31, 2021 USD ($) day $ / shares shares	Dec. 31, 2020 USD ($) $ / shares	Jun. 19, 2020 USD ($)
Business Acquisition [Line Items]
Common stock, par value (in dollars per share) \| $ / shares		$ 0.01	$ 0.01
Contingent consideration liabilities		$ 17,000	$ 15,800
Business combination, consideration transferred, equity interests issued (in shares) \| shares		26,844,877
Business combination common stock under contingent value right (in shares) \| shares		86,630,633
Maximum
Business Acquisition [Line Items]
No of working days \| day		5
Minimum
Business Acquisition [Line Items]
No of working days \| day		4
Progenics
Business Acquisition [Line Items]
Common stock, par value (in dollars per share) \| $ / shares	$ 0.0013
Progenics
Business Acquisition [Line Items]
Common stock, par value (in dollars per share) \| $ / shares	$ 0.01
Shares to be received from acquisition conversion (in shares) \| shares	0.31
Percentage of net sales, contingent consideration	40.00%
Contingent consideration liabilities				$ 3,700
Percentage of total contingent consideration under CVRs	19.90%
Business combination contingent value right of total consideration	$ 100,000
Number of CVRs \| contingent_value_right	1
Progenics \| Cash Payments 2022
Business Acquisition [Line Items]
Contingent consideration liabilities	$ 100,000
Progenics \| Cash Payments 2023
Business Acquisition [Line Items]
Contingent consideration liabilities	$ 150,000

Summary of Significant Accounting Policies - Narrative (Details) $ in Millions	3 Months Ended
	Mar. 31, 2020 USD ($)
Revision of Prior Period, Reclassification, Adjustment
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Provision for bad debt	$ (0.2)

Revenue from Contracts with Customers (Detail) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Disaggregation of Revenue [Line Items]
Revenues	$ 92,509	$ 90,704
Reclassification of rebates and allowances		4,700
Product revenue, net
Disaggregation of Revenue [Line Items]
Revenues	87,319	90,213
License and royalty revenues
Disaggregation of Revenue [Line Items]
Revenues	5,190	491
Total precision diagnostics
Disaggregation of Revenue [Line Items]
Revenues	85,755	88,341
DEFINITY
Disaggregation of Revenue [Line Items]
Revenues	55,971	52,505
Reclassification of rebates and allowances		4,300
TechneLite
Disaggregation of Revenue [Line Items]
Revenues	22,800	22,779
Reclassification of rebates and allowances		300
Other precision diagnostics
Disaggregation of Revenue [Line Items]
Revenues	6,984	13,057
Reclassification of rebates and allowances		100
Radiopharmaceutical oncology
Disaggregation of Revenue [Line Items]
Revenues	1,500	1,968
Strategic partnerships and other
Disaggregation of Revenue [Line Items]
Revenues	$ 5,254	$ 395

Fair Value of Financial Instruments - Assets and Liabilities Measured at Fair Value on A Recurring Basis (Details) - USD ($) $ in Thousands	Mar. 31, 2021	Dec. 31, 2020
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent receivable	$ 12,200	$ 11,300
Total assets	51,616	46,757
Contingent consideration liabilities	17,000	15,800
Total liabilities	17,960	17,708
Level 1
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent receivable	0	0
Total assets	39,416	35,457
Contingent consideration liabilities	0	0
Total liabilities	0	0
Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent receivable	0	0
Total assets	0	0
Contingent consideration liabilities	0	0
Total liabilities	960	1,908
Level 3
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent receivable	12,200	11,300
Total assets	12,200	11,300
Contingent consideration liabilities	17,000	15,800
Total liabilities	17,000	15,800
Interest Rate Swaps
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Interest rate swaps	960	1,908
Interest Rate Swaps \| Level 1
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Interest rate swaps	0	0
Interest Rate Swaps \| Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Interest rate swaps	960	1,908
Interest Rate Swaps \| Level 3
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Interest rate swaps	0	0
Money market
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Money market	39,416	35,457
Money market \| Level 1
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Money market	39,416	35,457
Money market \| Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Money market	0	0
Money market \| Level 3
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Money market	$ 0	$ 0

Fair Value of Financial Instruments - Narrative (Details)	3 Months Ended
	Mar. 31, 2021 USD ($)	Mar. 31, 2020 USD ($)
Fair Value, Option, Quantitative Disclosures [Line Items]
Company acquired right to receive certain future milestone	$ 92,509,000	$ 90,704,000
Progenics Pharmaceuticals Inc
Fair Value, Option, Quantitative Disclosures [Line Items]
Royalty percentage	0.05
Potential payments, high	$ 85,000,000.0
Progenics Pharmaceuticals Inc \| Net Sales Targets For Azedra
Fair Value, Option, Quantitative Disclosures [Line Items]
Potential payments, high	70,000,000.0
Progenics Pharmaceuticals Inc \| 1095 commercialization milestone
Fair Value, Option, Quantitative Disclosures [Line Items]
Potential payments, high	5,000,000.0
Progenics Pharmaceuticals Inc \| 1404 Commercialization Milestone
Fair Value, Option, Quantitative Disclosures [Line Items]
Business Combination, Contingent Consideration Arrangements, Range Of Outcomes Not Reasonably Possible, Value	10,000,000.0
Royalty \| Progenics Pharmaceuticals Inc
Fair Value, Option, Quantitative Disclosures [Line Items]
Company acquired right to receive certain future milestone	$ 5,000,000.0

Fair Value of Financial Instruments - Quantitative Information and Assumptions Pertaining To The Fair Value Measurement of The Level 3 Inputs (Details) $ in Thousands	Mar. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
Fair Value, Option, Quantitative Disclosures [Line Items]
Business Combination, Contingent Consideration, Asset	$ 12,200	$ 11,300
Contingent consideration liabilities	17,000	15,800
Level 3
Fair Value, Option, Quantitative Disclosures [Line Items]
Business Combination, Contingent Consideration, Asset	12,200	11,300
Contingent consideration liabilities	17,000	15,800
Level 3 \| Regulatory milestone
Fair Value, Option, Quantitative Disclosures [Line Items]
Business Combination, Contingent Consideration, Asset	3,200	3,200
Level 3 \| Royalties
Fair Value, Option, Quantitative Disclosures [Line Items]
Business Combination, Contingent Consideration, Asset	9,000	8,100
Level 3 \| CVRs
Fair Value, Option, Quantitative Disclosures [Line Items]
Contingent consideration liabilities	4,600	4,200
Level 3 \| 1095 commercialization milestone
Fair Value, Option, Quantitative Disclosures [Line Items]
Contingent consideration liabilities	2,100	2,200
Level 3 \| Net sales targets - AZEDRA and 1095
Fair Value, Option, Quantitative Disclosures [Line Items]
Contingent consideration liabilities	$ 10,300	$ 9,400
Level 3 \| Monte-Carlo simulation \| Probability of success \| Net sales targets - AZEDRA and 1095 \| Minimum
Fair Value, Option, Quantitative Disclosures [Line Items]
Liability measurement input	0.40	0.40
Level 3 \| Monte-Carlo simulation \| Probability of success \| Net sales targets - AZEDRA and 1095 \| Maximum
Fair Value, Option, Quantitative Disclosures [Line Items]
Liability measurement input	1	1
Level 3 \| Monte-Carlo simulation \| Discount rate \| CVRs
Fair Value, Option, Quantitative Disclosures [Line Items]
Liability measurement input	0.23	0.24
Level 3 \| Monte-Carlo simulation \| Discount rate \| Net sales targets - AZEDRA and 1095 \| Minimum
Fair Value, Option, Quantitative Disclosures [Line Items]
Liability measurement input	0.22	0.23
Level 3 \| Monte-Carlo simulation \| Discount rate \| Net sales targets - AZEDRA and 1095 \| Maximum
Fair Value, Option, Quantitative Disclosures [Line Items]
Liability measurement input	0.23	0.24
Level 3 \| Probability adjusted discounted cash flow model \| Probability of success \| Regulatory milestone
Fair Value, Option, Quantitative Disclosures [Line Items]
Asset measurement input	0.90	0.90
Level 3 \| Probability adjusted discounted cash flow model \| Probability of success \| Royalties \| Minimum
Fair Value, Option, Quantitative Disclosures [Line Items]
Asset measurement input	0.13	0.13
Level 3 \| Probability adjusted discounted cash flow model \| Probability of success \| Royalties \| Maximum
Fair Value, Option, Quantitative Disclosures [Line Items]
Asset measurement input	0.77	0.77
Level 3 \| Probability adjusted discounted cash flow model \| Probability of success \| 1095 commercialization milestone
Fair Value, Option, Quantitative Disclosures [Line Items]
Liability measurement input	0.45	0.45
Level 3 \| Probability adjusted discounted cash flow model \| Discount rate \| Regulatory milestone
Fair Value, Option, Quantitative Disclosures [Line Items]
Asset measurement input	0.23	0.24
Level 3 \| Probability adjusted discounted cash flow model \| Discount rate \| Royalties
Fair Value, Option, Quantitative Disclosures [Line Items]
Asset measurement input	0.23	0.24
Level 3 \| Probability adjusted discounted cash flow model \| Discount rate \| 1095 commercialization milestone
Fair Value, Option, Quantitative Disclosures [Line Items]
Liability measurement input	0.010	0.005

Fair Value Measures and Disclosures - Financial Instruments With Significant Level 3 Inputs (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2021 USD ($)
Financial Assets
Fair value, beginning of period	$ 11,300
Changes in fair value included in net income	900
Fair value, end of period	12,200
Financial Liabilities
Fair value, beginning of period	15,800
Changes in fair value included in net income	1,200
Fair value, end of period	17,000
Change in fair value of the contingent financial asset and contingent financial liabilities	$ 300

Income Taxes (Detail) - USD ($) $ in Thousands	3 Months Ended
Income Taxes (Detail) - USD ($) $ in Thousands	Mar. 31, 2021	Mar. 31, 2020
Valuation Allowance [Line Items]
Income tax expense	$ 5,334	$ 2,192
Goodwill acquired	2,600
UNITED KINGDOM
Valuation Allowance [Line Items]
Deferred tax asset, valuation allowance	1,200
SWEDEN
Valuation Allowance [Line Items]
Deferred tax asset, valuation allowance	$ 2,300

- Definition

Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

+ References + Details

Inventory (Detail) - USD ($) $ in Thousands	Mar. 31, 2021	Dec. 31, 2020
Inventory Disclosure [Abstract]
Raw materials	$ 15,297	$ 16,000
Work in process	8,606	11,212
Finished goods	6,454	8,532
Inventory	$ 30,357	$ 35,744

Property, Plant and Equipment, Net (Detail) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020	Dec. 31, 2020
Property, Plant & Equipment [Line Items]
Property, plant & equipment, gross	$ 197,921		$ 196,583
Less: accumulated depreciation and amortization	(79,540)		(76,412)
Total property, plant and equipment, net	118,381		120,171
Depreciation and amortization expense	3,000
Impairment of long-lived assets	0	$ 7,275
Land
Property, Plant & Equipment [Line Items]
Property, plant & equipment, gross	13,450		13,450
Buildings
Property, Plant & Equipment [Line Items]
Property, plant & equipment, gross	71,622		70,381
Machinery, equipment and fixtures
Property, Plant & Equipment [Line Items]
Property, plant & equipment, gross	79,460		77,854
Computer software
Property, Plant & Equipment [Line Items]
Property, plant & equipment, gross	23,751		23,644
Construction in progress
Property, Plant & Equipment [Line Items]
Property, plant & equipment, gross	$ 9,638		$ 11,254

Business Combinations - Narrative (Details) $ in Thousands		3 Months Ended
Business Combinations - Narrative (Details) $ in Thousands	Jun. 19, 2020 USD ($)	Mar. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
Business Acquisition [Line Items]
Goodwill		$ 61,189	$ 58,632
Progenics
Business Acquisition [Line Items]
Purchase price	$ 419,009
Fair value of bridge loan settled at close	10,074
Measurement period adjustment		$ 2,600
Acquired contingent receivable	10,100
Goodwill	$ 45,475
Progenics \| Discount rate
Business Acquisition [Line Items]
Measurement input		0.230

Business Combinations - Fair Value of the Consideration Transferred in the Acquisition (Details) - USD ($) $ in Thousands	Jun. 19, 2020	Mar. 31, 2021	Dec. 31, 2020
Business Acquisition [Line Items]
Fair value of contingent considerations (CVRs)		$ 17,000	$ 15,800
Progenics
Business Acquisition [Line Items]
Issuance of common stock	$ 398,110
Fair value of replacement options	7,125
Fair value of bridge loan settled at close	10,074
Fair value of contingent considerations (CVRs)	3,700
Total consideration transferred	$ 419,009

Business Combinations - Assets and Liabilities (Details) - USD ($) $ in Thousands	Jun. 19, 2020	Mar. 31, 2021	Dec. 31, 2020
Business Combination Segment Allocation [Line Items]
Goodwill		$ 61,189	$ 58,632
Progenics
Business Combination Segment Allocation [Line Items]
Cash and cash equivalents	$ 15,421
Accounts receivable	5,787
Inventory	1,075
Other current assets	3,684
Property, plant and equipment	14,972
Identifiable intangible assets IPR&D	151,100
Other long-term assets	37,631
Accounts payable	(1,616)
Accrued expenses and other liabilities	(8,287)
Other long-term liabilities	(31,158)
Long-term debt and other borrowings	(40,200)
Deferred tax liabilities	(5,975)
Goodwill	45,475
Total consideration transferred	419,009
Progenics \| Previously Reported
Business Combination Segment Allocation [Line Items]
Cash and cash equivalents	15,421
Accounts receivable	5,787
Inventory	915
Other current assets	3,250
Property, plant and equipment	14,972
Identifiable intangible assets IPR&D	150,900
Other long-term assets	37,631
Accounts payable	(1,616)
Accrued expenses and other liabilities	(8,207)
Other long-term liabilities	(30,778)
Long-term debt and other borrowings	(40,200)
Deferred tax liabilities	(3,717)
Goodwill	42,051
Total consideration transferred	419,009
Progenics \| Revision of Prior Period, Adjustment
Business Combination Segment Allocation [Line Items]
Inventory	160
Other current assets	434
Identifiable intangible assets IPR&D	200
Accrued expenses and other liabilities	(80)
Other long-term liabilities	(380)
Deferred tax liabilities	(2,258)
Goodwill	3,424
Total consideration transferred	0
Currently marketed products \| Progenics
Business Combination Segment Allocation [Line Items]
Identifiable intangible assets	$ 142,900
Identifiable intangible assets useful lives	15 years
Currently marketed products \| Progenics \| Previously Reported
Business Combination Segment Allocation [Line Items]
Identifiable intangible assets	$ 142,100
Currently marketed products \| Progenics \| Revision of Prior Period, Adjustment
Business Combination Segment Allocation [Line Items]
Identifiable intangible assets	800
Licenses \| Progenics
Business Combination Segment Allocation [Line Items]
Identifiable intangible assets	$ 85,800
Identifiable intangible assets useful lives	11 years 6 months
Licenses \| Progenics \| Previously Reported
Business Combination Segment Allocation [Line Items]
Identifiable intangible assets	$ 87,500
Licenses \| Progenics \| Revision of Prior Period, Adjustment
Business Combination Segment Allocation [Line Items]
Identifiable intangible assets	(1,700)
Developed technology \| Progenics
Business Combination Segment Allocation [Line Items]
Identifiable intangible assets	$ 2,400
Identifiable intangible assets useful lives	9 years
Developed technology \| Progenics \| Previously Reported
Business Combination Segment Allocation [Line Items]
Identifiable intangible assets	$ 3,000
Developed technology \| Progenics \| Revision of Prior Period, Adjustment
Business Combination Segment Allocation [Line Items]
Identifiable intangible assets	$ (600)

Sale of Puerto Rico Subsidiary (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Jan. 29, 2021	Dec. 31, 2020
Current assets
Total current assets	$ 0		$ 5,242
Current liabilities
Total current liabilities	0		1,793
Puerto Rican Radiopharmacy Servicing Subsidiary
Non-Current Liabilities:
Pre-tax book gain on disposal	$ 15,300
Disposed of by Sale \| Puerto Rican Radiopharmacy Servicing Subsidiary
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Disposal group consideration		$ 18,000
Disposal group holdback amount		1,800
Current assets
Cash and cash equivalents		540	941
Accounts receivable, net		1,959	2,191
Inventory		530	420
Other current assets		65	43
Total current assets		3,094	3,595
Non-Current Assets:
Property, plant & equipment, net		780	761
Intangibles, net		96	96
Other long-term assets		774	790
Total assets held for sale		4,744	5,242
Current liabilities
Accounts payable		185	224
Accrued expense and other liabilities		369	661
Total current liabilities		554	885
Non-Current Liabilities:
Asset retirement obligations		306	302
Other long-term liabilities		588	606
Total liabilities held for sale		$ 1,448	$ 1,793

Asset Retirement Obligations (Detail) $ in Thousands	3 Months Ended
Asset Retirement Obligations (Detail) $ in Thousands	Mar. 31, 2021 USD ($)
Asset Retirement Obligation Disclosure [Abstract]
Asset retirement obligation liabilities expected, present value	$ 26,400
Asset Retirement Obligation, Roll Forward Analysis [Roll Forward]
Asset retirement obligations, beginning balance	14,020
Accretion expense	388
Asset retirement obligations, ending balance	14,408
Financial assurance in form of surety bond	$ 28,200

Intangibles, Net - Schedule of Intangibles, Net (Details) - USD ($) $ in Thousands	Mar. 31, 2021	Dec. 31, 2020
Finite-Lived Intangible Assets [Line Items]
Indefinite lived, Cost	$ 148,440	$ 148,440
Total, Cost	490,021	489,945
Accumulated Amortization	(118,690)	(113,933)
Total	222,891
Total, Net	371,331	376,012
Trademarks
Finite-Lived Intangible Assets [Line Items]
Cost	13,540	13,540
Accumulated Amortization	(11,096)	(10,958)
Total	2,444	2,582
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Cost	96,941	96,865
Accumulated Amortization	(94,055)	(93,770)
Total	2,886	3,095
Currently marketed products
Finite-Lived Intangible Assets [Line Items]
Cost	142,900	142,900
Accumulated Amortization	(7,434)	(5,053)
Total	135,466	137,847
Licenses
Finite-Lived Intangible Assets [Line Items]
Cost	85,800	85,800
Accumulated Amortization	(5,895)	(4,008)
Total	79,905	81,792
Developed technology
Finite-Lived Intangible Assets [Line Items]
Cost	2,400	2,400
Accumulated Amortization	(210)	(144)
Total	$ 2,190	$ 2,256

Intangibles, Net - Additional Information (Details) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Goodwill and Intangible Assets Disclosure [Abstract]
Amortization expense	$ 4.7	$ 0.4

Intangibles, Net - Schedule of Expected Future Amortization Expense Related to Intangible Assets (Details) $ in Thousands	Mar. 31, 2021 USD ($)
Goodwill and Intangible Assets Disclosure [Abstract]
Remainder of 2021	$ 14,051
2022	18,477
2023	17,878
2024	17,808
2025	17,753
2026 and thereafter	136,924
Total	$ 222,891

Long-Term Debt, Net, and Other Borrowings (Details) - USD ($)		3 Months Ended
	Mar. 31, 2021	Mar. 31, 2021	Mar. 31, 2020	Dec. 31, 2020
Debt Instrument [Line Items]
Remainder of 2021	$ 7,500,000	$ 7,500,000
2022	11,250,000	11,250,000
2023	15,000,000	15,000,000
2024	148,750,000	148,750,000
Total principal outstanding	182,500,000	182,500,000
Unamortized debt discount	(647,000)	(647,000)
Unamortized debt issuance costs	(559,000)	(559,000)
Finance lease liabilities	431,000	431,000
Total	181,725,000	181,725,000
Less: current portion	(10,251,000)	(10,251,000)		$ (20,701,000)
Total long-term debt, net and other borrowings	$ 171,474,000	171,474,000		$ 197,699,000
Gain on extinguishment of debt		$ 889,000	$ 0
2019 Term Loan Facility
Debt Instrument [Line Items]
Debt instrument term		5 years
Interest rate	3.40%	3.40%
Royalty-Backed Loan
Debt Instrument [Line Items]
Debt instrument face amount	$ 50,000,000.0	$ 50,000,000.0
Extinguishment of debt	30,900,000
Prepayment of debt	500,000
Gain on extinguishment of debt	$ 900,000

Derivative Instruments (Detail) - USD ($)	Mar. 31, 2021	Dec. 31, 2020	Mar. 31, 2020
Derivative [Line Items]
Pre-tax deferred losses expected to be reclassified to earnings during the next 12 months	$ 600,000
Cash Flow Hedge \| Interest Rate Swaps
Derivative [Line Items]
Notional amount			$ 100,000,000.0
Average fixed interest rate	0.82%
Cash Flow Hedge \| Interest Rate Swaps \| Accrued expenses and other liabilities
Derivative [Line Items]
Liabilities	$ 960,000	$ 1,908,000

Accumulated Other Comprehensive Loss (Detail) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated other comprehensive loss, tax	$ 200	$ 300
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning balance	514,205	114,601
Other comprehensive income before reclassifications	635	(1,434)
Amounts reclassified to earnings	173	0
Ending balance	528,119	118,398
Foreign currency translation
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning balance	(630)	(960)
Other comprehensive income before reclassifications	102	(446)
Amounts reclassified to earnings	0	0
Ending balance	(528)	(1,406)
Unrealized loss on cash flow hedges
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning balance	(1,418)	0
Other comprehensive income before reclassifications	533	(988)
Amounts reclassified to earnings	173	0
Ending balance	(712)	(988)
Accumulated other comprehensive loss
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning balance	(2,048)	(960)
Ending balance	$ (1,240)	$ (2,394)

- Definition

Total of all stockholders' equity (deficit) items, net of receivables from officers, directors, owners, and affiliates of the entity which are attributable to the parent. The amount of the economic entity's stockholders' equity attributable to the parent excludes the amount of stockholders' equity which is allocable to that ownership interest in subsidiary equity which is not attributable to the parent (noncontrolling interest, minority interest). This excludes temporary equity and is sometimes called permanent equity.

+ References + Details

Stock-Based Compensation (Detail) - USD ($) $ in Thousands	3 Months Ended
Stock-Based Compensation (Detail) - USD ($) $ in Thousands	Mar. 31, 2021	Mar. 31, 2020
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total stock-based compensation expense	$ 3,317	$ 3,075
Cost of goods sold
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total stock-based compensation expense	622	618
Sales and marketing
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total stock-based compensation expense	350	253
General and administrative
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total stock-based compensation expense	1,920	1,815
Research and development
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total stock-based compensation expense	$ 425	$ 389

Net Income Per Common Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Earnings Per Share [Abstract]
Net income	$ 9,008	$ 3,337
Basic weighted-average common shares outstanding (in shares)	67,094	39,433
Effect of dilutive stock options (in shares)	82	28
Effect of dilutive restricted stock (in shares)	538	641
Diluted weighted-average common shares outstanding (in shares)	67,714	40,102
Basic income per common share (in dollars per share)	$ 0.13	$ 0.08
Diluted income per common share (in dollars per share)	$ 0.13	$ 0.08
Antidilutive securities excluded from diluted net income per common share (in shares)	1,349	604

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

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- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

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- Definition

Amount, after deduction of tax, noncontrolling interests, dividends on preferred stock and participating securities; of income (loss) available to common shareholders.

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Other Income (Details) - USD ($) $ in Thousands	3 Months Ended
Other Income (Details) - USD ($) $ in Thousands	Mar. 31, 2021	Mar. 31, 2020
Other Income and Expenses [Abstract]
Foreign currency losses	$ 42	$ 314
Tax indemnification income, net	(573)	(555)
Interest income	(17)	(109)
Other	(1)	0
Total other income	$ (549)	$ (350)

Commitments and Contingencies (Details)	Feb. 27, 2019 EUR (€)
MIP
Loss Contingencies [Line Items]
Court deposit	€ 400,000

Segment Information (Details)	3 Months Ended
Segment Information (Details)	Mar. 31, 2021 segment
Segment Reporting [Abstract]
Operating segments	1

Label	Element	Value
Restricted Cash and Cash Equivalents	us-gaap_RestrictedCashAndCashEquivalents	$ 2,142,000
Restricted Cash and Cash Equivalents	us-gaap_RestrictedCashAndCashEquivalents	$ 0