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Business Segment Information - Summary of Non-GAAP Net Margin by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2018 | Jun. 30, 2017 | Jun. 30, 2018 | Jun. 30, 2017
Segment Reporting Information [Line Items] |  |  |  |
Non-GAAP net margin | $ 37,183 | $ 35,294 | $ 71,477 | $ 66,919
General and administrative | 22,268 | 20,409 | 41,752 | 38,691
Research and development | 7,891 | 6,887 | 14,828 | 14,311
Operating income | 7,024 | 7,998 | 14,897 | 13,917
Interest income (expense), net | (251) | 76 | (434) | 121
Other income (expense), net | (4,752) | 585 | (1,840) | (3,763)
Income before income taxes | 2,021 | 8,659 | 12,623 | 10,275
Operating Segments [Member] | BioStim [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Non-GAAP net margin | 21,298 | 19,469 | 40,244 | 36,602
Operating Segments [Member] | Biologics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Non-GAAP net margin | 6,247 | 6,470 | 12,327 | 12,641
Operating Segments [Member] | Extremity Fixation [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Non-GAAP net margin | 7,002 | 6,766 | 15,160 | 13,178
Operating Segments [Member] | Spine Fixation [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Non-GAAP net margin | 2,887 | 2,696 | 4,148 | 4,703
Corporate, Non-Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Non-GAAP net margin | (251) | (107) | (402) | (205)
Material Reconciling Items [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
General and administrative | 22,268 | 20,409 | 41,752 | 38,691
Research and development | $ 7,891 | $ 6,887 | $ 14,828 | $ 14,311

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- Definition The aggregate total of expenses of managing and administering the affairs of an entity, including affiliates of the reporting entity, which are not directly or indirectly associated with the manufacture, sale or creation of a product or product line. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.4) -URI http://asc.fasb.org/extlink&oid=115205541&loc=SL114868664-224227 + Details
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- Definition Amount of income (loss) from continuing operations, including income (loss) from equity method investments, before deduction of income tax expense (benefit), and income (loss) attributable to noncontrolling interest. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 940 -SubTopic 20 -Section 25 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=68072869&loc=d3e41242-110953 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03(10)) -URI http://asc.fasb.org/extlink&oid=115205541&loc=SL114868664-224227 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 220 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04(8)) -URI http://asc.fasb.org/extlink&oid=114873790&loc=SL114874131-224263 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 250 -SubTopic 10 -Section 50 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=109234566&loc=d3e22694-107794 Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 220 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-04(15)) -URI http://asc.fasb.org/extlink&oid=114873765&loc=SL114874048-224260 + Details
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- Definition The aggregate costs incurred (1) in a planned search or critical investigation aimed at discovery of new knowledge with the hope that such knowledge will be useful in developing a new product or service, a new process or technique, or in bringing about a significant improvement to an existing product or process; or (2) to translate research findings or other knowledge into a plan or design for a new product or process or for a significant improvement to an existing product or process whether intended for sale or the entity's use, during the reporting period charged to research and development projects, including the costs of developing computer software up to the point in time of achieving technological feasibility, and costs allocated in accounting for a business combination to in-process projects deemed to have no alternative future use. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 985 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6501960&loc=d3e128462-111756 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 730 -SubTopic 10 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6420194&loc=d3e21568-108373 + Details
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