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Note 13 - Revenue and Geographic Information | 12 Months Ended
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Dec. 31, 2025
Notes to Financial Statements |
Revenue from Contract with Customer [Text Block] | 13. Revenue and Geographic Information The Company has two classifications of revenue: Original Equipment Manufacturer (“OEM”) Channel and the Commercial Channel. In the OEM Channel, the Company is responsible for development and manufacturing of products sold to the Company’s OEM partners governed by long-term agreements, but the Company does not control sales, marketing, or pricing with end users. Revenue from the Company’s U.S. OA Pain Management business and the Non-Orthopedic businesses is included in the OEM Channel. In the Commercial Channel, the Company has full responsibility for sales, marketing, and pricing of products through its commercial leaders, direct sales representatives, and independent distributors. Revenue from the Company’s Regenerative Solutions and international OA Pain Management businesses is included in the Commercial Channel. Product revenue by product family is as follows:
|  | Years Ended December 31, |
|  | 2025 |  |  | 2024 |  |  | 2023 |
|  | Revenue |  |  | Percentage of Product Revenue |  |  | Revenue |  |  | Percentage of Product Revenue |  |  | Revenue |  |  | Percentage of Product Revenue |
OEM Channel |  | $ | 64,406 |  |  |  | 57 | % |  | $ | 77,770 |  |  |  | 65 | % |  | $ | 84,645 |  |  |  | 70 | %
Commercial Channel |  |  | 48,413 |  |  |  | 43 | % |  |  | 42,137 |  |  |  | 35 | % |  |  | 36,147 |  |  |  | 30 | %
Total |  | $ | 112,819 |  |  |  | 100 | % |  | $ | 119,907 |  |  |  | 100 | % |  | $ | 120,792 |  |  |  | 100 | %
Product revenue from the Company’s sole significant customer, J&J MedTech, as a percentage of the Company’s total product revenue was 50%, 57%, and 62% for the years ended December 31, 2025, 2024, and 2023, respectively. Total revenue by geographic location based on the location of the customer in total and as a percentage of total revenue are as follows:
|  | Years Ended December 31, |
|  | 2025 |  |  | 2024 |  |  | 2023 |
|  | Total |  |  | Percentage of |  |  | Total |  |  | Percentage of |  |  | Total |  |  | Percentage of |
|  | Revenue |  |  | Revenue |  |  | Revenue |  |  | Revenue |  |  | Revenue |  |  | Revenue |
Geographic Location: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
United States |  | $ | 70,058 |  |  |  | 62 | % |  | $ | 82,446 |  |  |  | 69 | % |  | $ | 86,911 |  |  |  | 72 | %
Europe |  |  | 22,214 |  |  |  | 20 | % |  |  | 19,403 |  |  |  | 16 | % |  |  | 17,313 |  |  |  | 14 | %
Other |  |  | 20,547 |  |  |  | 18 | % |  |  | 18,058 |  |  |  | 15 | % |  |  | 16,568 |  |  |  | 14 | %
Total |  | $ | 112,819 |  |  |  | 100 | % |  | $ | 119,907 |  |  |  | 100 | % |  | $ | 120,792 |  |  |  | 100 | %
Net long-lived assets, consisting primarily of net property and equipment, are subject to geographic risks because they are generally difficult to move and to effectively utilize in another geographic area in a reasonable time period and because they are relatively illiquid. Net tangible long-lived assets by principal geographic areas are as follows:
|  | As of December 31, |
|  | 2025 |  |  | 2024 |
United States |  | $ | 39,469 |  |  | $ | 37,964 |
Italy |  |  | 853 |  |  |  | 1,001 |
United Kingdom |  |  | 2 |  |  |  | 29 |
Total |  | $ | 40,324 |  |  | $ | 38,994 |

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