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Revenue recognition and accounts receivable (Tables)

9 Months Ended

Sep. 30, 2025

Revenue Recognition And Accounts Receivable [Abstract]

Schedule of Net Sales by Product Category by Reporting Segment

The tables below present net sales by product category by reporting segment:

		Three Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)		2025				2024				Change
Bone Growth Therapies		$	61,211			$	57,925				5.7	%
Spinal Implants, Biologics, and Enabling Technologies			110,852				108,179				2.5	%
Global Spine			172,063				166,104				3.6	%
Global Orthopedics			33,571				30,502				10.1	%
Net sales		$	205,634			$	196,606				4.6	%

		Nine Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)		2025				2024				Change
Bone Growth Therapies		$	178,834			$	169,537				5.5	%
Spinal Implants, Biologics, and Enabling Technologies			326,889				325,894				0.3	%
Global Spine			505,723				495,431				2.1	%
Global Orthopedics			96,678				88,403				9.4	%
Net sales		$	602,401			$	583,834				3.2	%

Schedule of Components Net Sales

The table below presents product sales and marketing service fees, which are both components of net sales:

		Three Months Ended September 30,								Nine Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)		2025				2024				2025				2024
Product sales		$	193,813			$	184,040			$	566,841			$	545,288
Marketing service fees			11,821				12,566				35,560				38,546
Net sales		$	205,634			$	196,606			$	602,401			$	583,834

Allowances for Expected Credit Losses

The following table provides a detail of changes in the Company's allowance for expected credit losses for the three and nine months ended September 30, 2025 and 2024:

		Three Months Ended September 30,								Nine Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)		2025				2024				2025				2024
Allowance for expected credit losses beginning balance		$	8,909			$	8,368			$	7,418			$	7,130
Current period provision for expected credit losses			629				486				2,466				2,059
Write-offs charged against the allowance and other			(112	)			(1,118	)			(870	)			(1,321	)
Effect of changes in foreign exchange rates			(13	)			142				399				10
Allowance for expected credit losses ending balance		$	9,413			$	7,878			$	9,413			$	7,878

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- Definition

Revenue recognition and accounts receivable.

+ References

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Schedule of net sales.

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Tabular disclosure of allowance for credit loss on accounts receivable.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 326
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 13
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479319/326-20-50-13

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Tabular disclosure of the extent of the entity's reliance on its major customers, if revenues from transactions with a single external customer amount to 10 percent or more of entity revenues, including the disclosure of that fact, the total amount of revenues from each such customer, and the identity of the reportable segment or segments reporting the revenues. The entity need not disclose the identity of a major customer or the amount of revenues that each segment reports from that customer. For these purposes, a group of companies known to the entity to be under common control is considered a single customer, and the federal government, a state government, a local government such as a county or municipality, or a foreign government is each considered a single customer.

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