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Business Segment and Geographic Areas (Tables)

12 Months Ended

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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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.

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