v3.22.4

GOODWILL AND INTANGIBLE ASSETS - Narrative (Details) |  |  |  |  |  |  |  |  |  | 12 Months Ended
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Jul. 01, 2022 USD ($) | Apr. 01, 2022 USD ($) | Oct. 20, 2021 USD ($) $ / shares shares | Sep. 03, 2021 USD ($) | Jul. 20, 2021 USD ($) | Mar. 19, 2021 USD ($) | Jun. 10, 2020 USD ($) | Apr. 01, 2020 USD ($) | Mar. 09, 2020 USD ($) | Dec. 31, 2022 USD ($) reportingUnit | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($)
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Number of reporting units | reportingUnit |  |  |  |  |  |  |  |  |  | 2 |  |
Amortization of expense |  |  |  |  |  |  |  |  |  | $ 5,977,000 | $ 4,531,000 | $ 3,246,000
Payments for asset acquisition |  |  |  |  |  |  |  |  |  | 0 | 650,000 | 0
Share price | $ / shares |  |  | $ 64.83 |  |  |  |  |  |  |  |  |
Net Intangible Assets |  |  |  |  |  |  |  |  |  | 14,921,000 | 14,268,000 |
Impairment of indefinitely-lived assets |  |  |  |  |  |  |  |  |  | 3,609,000 | 0 | $ 0
License agreements |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Payments to acquire intangible assets |  |  |  |  |  | $ 2,858,000 |  |  |  |  |  |
Intellectual Property |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Finite-lived intangible assets acquired |  |  |  |  |  |  | $ 3,394,000 |  |  |  |  |
Devise Ortho |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Payments to acquire inventory |  |  | $ 108,000 |  |  |  |  |  |  |  |  |
Consideration to acquire assets |  |  | 948,000 |  |  |  |  |  |  |  |  |
Payments for asset acquisition |  |  | $ 650,000 |  |  |  |  |  |  |  |  |
Shares issued as compensation (shares) | shares |  |  | 4,599 |  |  |  |  |  |  |  |  |
Shares issued as compensation |  |  | $ 298,000 |  |  |  |  |  |  |  |  |
Devise Ortho | Patents |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Payments to acquire intangible assets |  |  | $ 840,000 |  |  |  |  |  |  |  |  |
Intangible asset, useful life (in years) |  |  | 16 years |  |  |  |  |  |  |  |  |
7D Surgical FLASH | License agreements |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Payments to acquire intangible assets |  |  |  | $ 750,000 |  |  |  |  |  |  |  |
Intangible asset, useful life (in years) |  |  |  | 3 years |  |  |  |  |  |  |  |
License agreement term (years) |  |  |  | 5 years |  |  |  |  |  |  |  |
FIREFLY Technology | License agreements |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Payments to acquire intangible assets |  |  |  |  | $ 4,300,000 |  |  |  |  |  |  |
Finite lived intangible asset useful life extension period |  |  |  |  | 5 years |  |  |  |  |  |  |
ApiFix |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Impairment of indefinitely-lived assets |  |  |  |  |  |  |  |  |  | 3,609,000 |  |
ApiFix | Patents |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Finite-lived intangible assets acquired |  |  |  |  |  |  |  | $ 31,720,000 |  |  |  |
MD Orthopaedics | Patents |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Finite-lived intangible assets acquired |  | $ 2,660,000 |  |  |  |  |  |  |  |  |  |
Pega Medical | Patents |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Finite-lived intangible assets acquired | $ 3,141,000 |  |  |  |  |  |  |  |  |  |  |
Trademarks Assets |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Net Intangible Assets |  |  |  |  |  |  |  |  |  | 14,921,000 | $ 14,268,000 |
Impairment of indefinitely-lived assets |  |  |  |  |  |  |  |  |  | 3,609,000 |  |
Trademarks and Trade Names | Telos |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived intangible assets acquired |  |  |  |  |  |  |  |  | $ 210,000 |  |  |
Trademarks and Trade Names | ApiFix |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived intangible assets acquired |  |  |  |  |  |  |  | $ 8,640,000 |  |  |  |
Trademarks and Trade Names | MD Orthopaedics |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived intangible assets acquired |  | $ 2,410,000 |  |  |  |  |  |  |  | 2,410,000 |  |
Trademarks and Trade Names | Pega Medical |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets |  |  |  |  |  |  |  |  |  |  |  |
Indefinite-lived intangible assets acquired | $ 3,040,000 |  |  |  |  |  |  |  |  | $ 3,040,000 |  |

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