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Segment Information | 12 Months Ended
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Dec. 31, 2024
Segment Reporting [Abstract] |
Segment Information | (21) Segment Information Our chief operating decision maker ("CODM"), who is our President and Chief Executive Officer, is responsible for reviewing segment performance and making decisions regarding resource allocation. Our CODM regularly reviews the results of our business through two reportable segments: Healthcare Solutions and Industrial Solutions, which are based on the industry verticals they serve. For Healthcare S olutions, those industry verticals include dental, medical devices, personalized health services and regenerative medicine. For Industrial S olutions, those industry verticals include aerospace, defense, transportation and general manufacturing. During the quarter ended December 31, 2024, we changed our segment measure of profitability to gross profit. The CODM evaluates the operating results of each segment based upon gross profit, which is used during the annual budget and forecasting process, as well as on a quarterly basis when reviewing budget-to-actual and period-over-period variances. All internal segment reporting and discussions of results with our CODM are now based on segment gross profit. Prior year segment results have been revised to conform with current year presentation in connection with the changes referenced above. The CODM does not review disaggregated asset information on the basis of the Company's segments; therefore, such information is not presented. Revenue, cost of sales and gross profit for each of our reportable segments were as follows:
| Year Ended December 31,
(in thousands) | 2024 |  | 2023 |  | 2022
Revenue: |  |  |  |  |
Healthcare Solutions | $ | 189,736 |  |  | $ | 213,216 |  |  | $ | 260,988 |
Industrial Solutions | 250,385 |  |  | 274,853 |  |  | 277,043 |
Total revenue | 440,121 |  |  | 488,069 |  |  | 538,031 |
Cost of sales: |  |  |  |  |
Healthcare Solutions | 116,237 |  |  | 128,066 |  |  | 162,221 |
Industrial Solutions | 159,706 |  |  | 163,582 |  |  | 161,577 |
Total cost of sales | 275,943 |  |  | 291,648 |  |  | 323,798 |
Gross profit: |  |  |  |  |
Healthcare Solutions | 73,499 |  |  | 85,150 |  |  | 98,767 |
Industrial Solutions | 90,679 |  |  | 111,271 |  |  | 115,466 |
Total gross profit | 164,178 |  |  | 196,421 |  |  | 214,233 |
Selling, general and administrative | (210,132) |  |  | (210,172) |  |  | (244,181) |
Research and development | (86,479) |  |  | (89,466) |  |  | (87,071) |
Asset impairment charges | (144,967) |  |  | (302,787) |  |  | — |
Foreign exchange gain (loss), net | 2,452 |  |  | (4,825) |  |  | (4,424) |
Interest income | 7,302 |  | 19,511 |  |  | 9,352 |
Interest expense | (2,564) |  |  | (3,301) |  |  | (2,811) |
Other income (loss), net | 20,214 |  | 32,307 |  |  | (5,907) |
Loss before income taxes | $ | (249,996) |  |  | $ | (362,312) |  |  | $ | (120,809) |
Depreciation and amortization included in the measurement of gross profit by segment were as follows:
| Year Ended December 31,
(in thousands) | 2024 |  | 2023 |  | 2022
Depreciation and amortization: |  |
Healthcare Solutions | $ | 5,389 |  |  | $ | 4,593 |  |  | $ | 4,850 |
Industrial Solutions | $ | 2,947 |  |  | $ | 2,801 |  |  | $ | 2,461 |
The following table summarizes long-lived assets by geographic region as of December 31, 2024 and 2023:
|  |  | December 31,
(in thousands) |  | 2024 |  | 2023
United States |  |  | $ | 76,829 |  |  | $ | 94,734 |
Belgium |  | 19,598 |  |  | 21,524 |
Other foreign entities |  | 14,058 |  |  | 18,783 |
Total |  | $ | 110,485 |  |  | $ | 135,041 |

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 48 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-48 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards 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