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Commitments and contingencies - Narrative (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Jul. 15, 2024
USD ($)
Jan. 31, 2024
USD ($)
Mar. 08, 2023
USD ($)
Nov. 10, 2021
USD ($)
Dec. 22, 2020
Aug. 23, 2019
Feb. 09, 2016
Sep. 28, 2024
USD ($)
letter_of_credit
Sep. 30, 2023
USD ($)
Apr. 01, 2023
USD ($)
Sep. 28, 2024
USD ($)
letter_of_credit
Sep. 30, 2023
USD ($)
May 01, 2024
lawsuit
Dec. 31, 2023
USD ($)
letter_of_credit
Loss Contingencies [Line Items]                            
Line of credit facility, number of LOCs outstanding | letter_of_credit               3     3     3
Letters of credit outstanding, amount               $ 2,200     $ 2,200     $ 2,200
Stop loss insurance, threshold per member per year                     250      
Bioventus Shareholder Litigation                            
Loss Contingencies [Line Items]                            
Litigation settlement, amount awarded to other party $ 15,250                          
Shareholder litigation costs               50     13,720      
Insurance settlement receivable               6,500     6,500      
Number of derivative shareholder lawsuits | lawsuit                         2  
Three Injection OA Product                            
Loss Contingencies [Line Items]                            
Supply commitment, term             10 years              
Supply commitment, renewal term             5 years              
Harbor                            
Loss Contingencies [Line Items]                            
Collaborative agreement, royalty percentage           3.00%                
Supply commitment, term         8 years                  
Supplier of Single Injection OA Product                            
Loss Contingencies [Line Items]                            
Royalty expense               $ 4,354 $ 3,546   $ 12,527 $ 9,986    
HA Product                            
Loss Contingencies [Line Items]                            
Collaborative arrangement, upfront payments       $ 853                    
Collaborative arrangement, amount payable upon transfer of customer data                   $ 853        
Collaborative arrangement, amount payable upon obtaining product certification       $ 1,707                    
Collaborative arrangement, royalty percentage, threshold one       5.00%                    
Collaborative arrangement, sales threshold for royalties       $ 569                    
Collaborative arrangement, royalty percentage, threshold two       2.50%                    
Collaborative arrangement, adjusted amount payable upon obtaining product certification     $ 1,418                      
Milestone payment paid   $ 709                        
Finite-lived intangible asset recognized   $ 709                        
Minimum                            
Loss Contingencies [Line Items]                            
Lessee, operating lease, remaining lease term               1 month     1 month      
Maximum                            
Loss Contingencies [Line Items]                            
Lessee, operating lease, remaining lease term               8 years 7 months 6 days     8 years 7 months 6 days