v3.20.2
BUSINESS COMBINATION - ApiFix (Details)
3 Months Ended 6 Months Ended 12 Months Ended
Apr. 01, 2020
USD ($)
facility
$ / shares
shares
Mar. 09, 2020
USD ($)
Jun. 04, 2019
$ / shares
Jun. 30, 2020
USD ($)
$ / shares
Jun. 30, 2019
USD ($)
Jun. 30, 2020
USD ($)
$ / shares
Jun. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
$ / shares
Dec. 31, 2018
USD ($)
Business Acquisition [Line Items]                  
Common stock, par value (in dollars per share) | $ / shares       $ 0.00025   $ 0.00025   $ 0.00025  
Common stock (in dollars per share) | $ / shares     $ 40.76            
Fair value of estimated total acquisition consideration $ 87,379,000                
Acquisition related costs           $ 737,000      
Liabilities                  
Goodwill       $ 68,420,000   68,420,000   $ 13,773,000 $ 0
Fair value adjustment of contingent consideration       910,000 $ 0 910,000 $ 0    
ApiFix future consideration, net of current portion       28,100,000   $ 28,100,000   $ 0  
Patents                  
Liabilities                  
Remaining Economic Useful Life (in years)           15 years 3 months 18 days   17 years 4 months 24 days  
ApiFix Ltd                  
Business Acquisition [Line Items]                  
Purchase of shares and membership interests in cash 2,000,000                
Cash acquired $ 343,000                
Purchase of shares and membership interests in common stock (in shares) | shares 934,783                
Common stock, par value (in dollars per share) | $ / shares $ 0.00025                
Common stock value $ 35,176,000                
Common stock (in dollars per share) | $ / shares $ 37.63                
Anniversary payments $ 30,000,000                
System sales payment 41,741,000                
Fair value of estimated total acquisition consideration 87,379,000                
Acquisition related costs 310,000                
Assets                  
Cash 344,000                
Accounts receivable-trade 245,000                
Inventories 685,000                
Prepaid expenses and other current assets 77,000                
Property and equipment 153,000                
Intangible assets 24,330,000                
Other intangible assets 8,620,000                
Operating lease right-of-use asset 104,000                
Total assets 34,558,000                
Liabilities                  
Accounts payable and accrued liabilities 226,000                
Operating lease liabilities 106,000                
Other long-term liabilities 270,000                
Total liabilities 602,000                
Less: Net assets 33,956,000                
Goodwill $ 53,423,000                
Fair value of identifiable intangible assets   $ 32,950,000              
Revenue multiplier 2.25                
Fair value adjustment of contingent consideration           $ 910,000      
ApiFix future consideration, net of current portion $ 38,830,000     40,121,000   40,121,000      
System sales payment $ 27,190,000     $ 28,100,000   28,100,000      
Interest expense           $ 886,000      
Number of clinical procedures | facility 150                
ApiFix Ltd | Second Anniversary                  
Liabilities                  
Subsequent payments $ 13,000,000                
ApiFix Ltd | Third Anniversary                  
Liabilities                  
Subsequent payments 8,000,000                
ApiFix Ltd | Fourth Anniversary                  
Liabilities                  
Subsequent payments $ 9,000,000                
ApiFix Ltd | Trademarks and Trade Names                  
Liabilities                  
Indefinite-lived intangible assets acquired   8,620,000              
ApiFix Ltd | Patents                  
Liabilities                  
Finite-lived intangible assets acquired   23,790,000              
Remaining Economic Useful Life (in years)     15 years            
ApiFix Ltd | Customer Relationships                  
Liabilities                  
Finite-lived intangible assets acquired   340,000              
Remaining Economic Useful Life (in years)     10 years            
ApiFix Ltd | Noncompete Agreements                  
Liabilities                  
Finite-lived intangible assets acquired   $ 200,000              
Remaining Economic Useful Life (in years)     4 years