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PROPERTY AND EQUIPMENT
 3 Months Ended
Mar. 31, 2026
Property, Plant and Equipment [Abstract]  
PROPERTY AND EQUIPMENT PROPERTY AND EQUIPMENT
Property and equipment included the following as of March 31, 2026 and December 31, 2025, respectively:
(In thousands)Useful LifeMarch 31,December 31,
(in years)20262025
Land—$10,830 $10,849 
Buildings and improvements31.5127,833 127,573 
Equipment
5-15
258,963 258,475 
Instruments, modules, and cases5834,615 813,488 
Other property and equipment
3-5
72,480 59,067 
1,304,721 1,269,452 
Less: accumulated depreciation and amortization(747,582)(705,000)
Total$557,139 $564,452 
Instruments are hand-held devices used by surgeons to install implants during surgery. Modules and cases are used to store and transport the instruments and implants.
Depreciation expense related to property and equipment was as follows during the three months ended March 31, 2026 and 2025, respectively:
Three Months Ended
March 31,
(In thousands)20262025
Depreciation$40,595 $37,272