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v3.25.1

Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Segment Reporting Information [Line Items] |  |
Segment Adjusted EBITDA | $ 19,489 | $ 18,398
Interest expense, net | 4,506 | 4,558
Depreciation and amortization | 34,431 | 14,862
Share-based compensation expense | 6,469 | 8,800
Foreign exchange impact | (1,044) | 1,588
SeaSpine merger-related costs | 1,130 | 4,479
Restructuring costs and impairments related to M6 product lines | 12,126 |
Strategic investments | 3,514 | 120
Acquisition-related fair value adjustments | (610) | 4,217
Interest and loss on investments |  | (260)
Litigation and investigation costs | 3,042 | 2,260
Succession charges |  | 2,210
Loss before income taxes | (52,133) | (35,169)
Global Spine [Member] |  |
Segment Reporting Information [Line Items] |  |
Segment Adjusted EBITDA | 19,516 | 19,889
Global Orthopedics [Member] |  |
Segment Reporting Information [Line Items] |  |
Segment Adjusted EBITDA | (27) | (1,491)
Operating Segments [Member] |  |
Segment Reporting Information [Line Items] |  |
Segment Adjusted EBITDA | 193,646 | 188,608
Non-GAAP cost of sales | 56,458 | 55,700
Non-GAAP Sales, general, and administrative | 110,458 | 109,959
Non-GAAP Research and development | 14,476 | 19,258
Other segment expenses (benefits) | 4,269 | (75)
Non-GAAP Depreciation, amortization, and share-based compensation expense | 11,504 | 14,632
Operating Segments [Member] | Global Spine [Member] |  |
Segment Reporting Information [Line Items] |  |
Segment Adjusted EBITDA | 163,836 | 161,293
Non-GAAP cost of sales | 44,587 | 44,854
Non-GAAP Sales, general, and administrative | 92,538 | 91,813
Non-GAAP Research and development | 11,623 | 15,946
Other segment expenses (benefits) | 4,444 | 32
Non-GAAP Depreciation, amortization, and share-based compensation expense | 8,872 | 11,241
Operating Segments [Member] | Global Orthopedics [Member] |  |
Segment Reporting Information [Line Items] |  |
Segment Adjusted EBITDA | 29,810 | 27,315
Non-GAAP cost of sales | 11,871 | 10,846
Non-GAAP Sales, general, and administrative | 17,920 | 18,146
Non-GAAP Research and development | 2,853 | 3,312
Other segment expenses (benefits) | (175) | (107)
Non-GAAP Depreciation, amortization, and share-based compensation expense | 2,632 | 3,391
Corporate, Non-Segment [Member] |  |
Segment Reporting Information [Line Items] |  |
Segment Adjusted EBITDA | $ 8,058 | $ 10,733

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