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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Cash flows from operating activities    
Net loss $ (100,364) $ (1,971)
Adjustments to reconcile net loss to net cash from operating activities    
Depreciation and amortization 25,997 14,028
Inventory reserve expenses 17,057 6,625
Amortization of inventory fair value step up 21,085  
Amortization of operating lease assets, debt costs, and other assets 3,319 1,567
Provision for expected credit losses 490 1,139
Deferred income taxes 815 236
Share-based compensation expense 26,266 8,792
Change in valuation of investment securities (492) 188
Change in fair value of contingent consideration (1,300) (16,214)
Other (372) 1,149
Changes in operating assets and liabilities, net of effects of acquisitions    
Accounts receivable 5,615 (208)
Inventories (33,168) (22,214)
Prepaid expenses and other current assets 275 (1,769)
Accounts payable 1,800 7,176
Other current liabilities (6,425) (7,495)
Contract liability   (4,791)
Other long-term assets and liabilities (134) 1,140
Net cash provided by (used in) operating activities (39,536) (12,622)
Cash flows from investing activities    
Capital expenditures for property, plant and equipment (23,823) (11,032)
Capital expenditures for intangible assets (831) (671)
Contingent consideration payments related to asset acquisitions   (1,500)
Cash acquired in the SeaSpine merger 29,419  
Other investing activities (500) 42
Net cash provided by (used in) investing activities 4,265 (13,161)
Cash flows from financing activities    
Proceeds from issuance of common shares 2,377 2,400
Payments related to tax withholdings for share-based compensation (3,167) (1,388)
Payments related to finance lease obligation (320) (2,291)
Borrowings under credit facility 51,000  
Payment of debt acquired from SeaSpine merger (26,899)  
Contingent consideration milestone payment (920)  
Other financing activities (280) (45)
Net cash provided by (used in) financing activities 21,791 (1,324)
Effect of exchange rate changes on cash 387 (1,204)
Net change in cash, cash equivalents, and restricted cash (13,093) (28,311)
Cash and cash equivalents at the beginning of period 50,700 87,847
Cash and cash equivalents at the end of period $ 37,607 59,536
Noncash investing activities - Purchase of intangible assets   $ 2,000