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Business Segment and Geographic Areas (Tables) | 12 Months Ended
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Dec. 31, 2024
Segment Reporting [Abstract] |
Revenue from External Customers by Geographic Areas and Product Line | These product lines' net sales and primary geographic market where the products are sold, are as follows for the years ended December 31, 2024, 2023 and 2022:
| 2024
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 210,670 |  |  | $ | 537,554 |  |  | $ | 748,224 |
Europe, Middle East & Africa | 132,106 |  |  | 110,958 |  |  | 243,064 |
Asia Pacific | 119,766 |  |  | 74,918 |  |  | 194,684 |
Americas (excluding the United States) | 81,446 |  |  | 39,597 |  |  | 121,043 |
Total sales from contracts with customers | $ | 543,988 |  |  | $ | 763,027 |  |  | $ | 1,307,015 |
| 2023
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 199,568 |  |  | $ | 500,592 |  |  | $ | 700,160 |
Europe, Middle East & Africa | 127,637 |  |  | 98,616 |  |  | 226,253 |
Asia Pacific | 123,043 |  |  | 74,358 |  |  | 197,401 |
Americas (excluding the United States) | 82,910 |  |  | 38,020 |  |  | 120,930 |
Total sales from contracts with customers | $ | 533,158 |  |  | $ | 711,586 |  |  | $ | 1,244,744 |
| 2022
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 173,176 |  |  | $ | 405,777 |  |  | $ | 578,953 |
Europe, Middle East & Africa | 113,649 |  |  | 84,288 |  |  | 197,937 |
Asia Pacific | 103,353 |  |  | 59,124 |  |  | 162,477 |
Americas (excluding the United States) | 71,350 |  |  | 34,755 |  |  | 106,105 |
Total sales from contracts with customers | $ | 461,528 |  |  | $ | 583,944 |  |  | $ | 1,045,472 |
Schedule of Segment Reporting Information, by Segment | The following table includes significant segment expenses for the years ended December 31, 2024, 2023 and 2022:
| Years Ended
| December 31,
| 2024 |  | 2023 |  | 2022
Net sales | $ | 1,307,015 |  |  | $ | 1,244,744 |  |  | $ | 1,045,472 |
Cost of sales | 573,983 |  |  | 568,499 |  |  | 474,227 |
Salesforce and commission expense | 225,886 |  |  | 215,799 |  |  | 186,596 |
Marketing expense | 65,338 |  |  | 60,918 |  |  | 56,027 |
Distribution expense | 50,183 |  |  | 53,701 |  |  | 44,874 |
General and administrative expense | 117,463 |  |  | 111,235 |  |  | 96,108 |
Stock-based compensation expense | 25,558 |  |  | 24,257 |  |  | 21,729 |
Amortization expense | 28,629 |  |  | 29,068 |  |  | 27,791 |
Non-cash adjustments to fair value of contingent consideration liability | (41,048) |  |  | (2,421) |  |  | 2,518 |
Research and development expense | 54,426 |  |  | 52,602 |  |  | 47,152 |
Interest expense | 37,297 |  |  | 39,775 |  |  | 28,905 |
Loss on convertible notes and related hedge transactions(b) | — |  |  | — |  |  | 112,011 |
Provision for income taxes | 30,606 |  |  | 16,369 |  |  | 9,720 |
Other segment items(a) | 6,271 |  |  | 10,483 |  |  | 18,396 |
Net income (loss) | $ | 132,423 |  |  | $ | 64,459 |  |  | $ | (80,582) |

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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-25 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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