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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Cash flows from operating activities    
Net loss $ (129,221) $ (12,687)
Adjustments to reconcile net loss to net cash from operating activities    
Depreciation and amortization 39,094 21,598
Inventory reserve expenses 24,013 9,856
Amortization of inventory fair value step up 29,006  
Amortization of operating lease assets, debt costs, and other assets 4,506 2,321
Provision for expected credit losses 905 1,713
Deferred income taxes 1,148 21
Share-based compensation expense 32,540 13,521
Change in valuation of investment securities (82) 254
Change in fair value of contingent consideration (2,100) (17,200)
Other 673 1,124
Changes in operating assets and liabilities, net of effects of acquisitions    
Accounts receivable 2,912 51
Inventories (48,164) (29,875)
Prepaid expenses and other current assets 925 16
Accounts payable 4,244 3,955
Other current liabilities (20) (4,571)
Contract liability   (4,791)
Other long-term assets and liabilities 562 808
Net cash provided by (used in) operating activities (39,059) (13,886)
Cash flows from investing activities    
Capital expenditures for property, plant, and equipment (45,695) (16,159)
Capital expenditures for intangible assets (1,302) (1,101)
Contingent consideration payments related to asset acquisitions   (1,500)
Cash acquired in the SeaSpine merger 29,419  
Other investing activities (500) 126
Net cash provided by (used in) investing activities (18,078) (18,634)
Cash flows from financing activities    
Proceeds from issuance of common shares 2,377 2,400
Payments related to tax withholdings for share-based compensation (3,334) (1,467)
Payments related to finance lease obligation (483) (2,441)
Borrowings under credit facility 70,000  
Payment of debt acquired from SeaSpine merger (26,899)  
Contingent consideration milestone payment (920)  
Other financing activities (699) (68)
Net cash provided by (used in) financing activities 40,042 (1,576)
Effect of exchange rate changes on cash 58 (2,091)
Net change in cash, cash equivalents, and restricted cash (17,037) (36,187)
Cash and cash equivalents at the beginning of period 50,700 87,847
Cash and cash equivalents at the end of period $ 33,663 51,660
Noncash investing activities - Purchase of intangible assets   $ 2,000