Business Segment, Product, and Geographic Information

12 Months Ended

Dec. 31, 2021

Segment Reporting [Abstract]

Business Segment, Product and Geographic Information

11.    Business Segment, Product and Geographic Information

The Company operates in one segment based upon the Company’s organizational structure, the way in which the operations and investments are managed and evaluated by the chief operating decision maker, or the CODM, as well as the lack of availability of discrete financial information at a lower level. The Company’s CODM reviews net sales at the product line offering level, and manufacturing, operating income and expenses, and net income at the Company wide level to allocate resources and assess the Company’s overall performance. The Company shares common, centralized support functions, including finance, human resources, legal, information technology, and corporate marketing, all of which report directly to the CODM. Accordingly, decision-making regarding the Company’s overall operating performance and allocation of Company resources is assessed on a consolidated basis. The Company has disclosed the net sales for each of its product line offerings to provide the reader of the financial statements transparency into the operations of the Company.

The Company reports under two distinct product lines; spinal hardware and surgical support. The Company’s spinal hardware product line offerings include implants and fixation products. The Company’s surgical support product offerings include IONM services, disposables and biologics, and capital equipment, all of which are used to aid spinal surgery.

Net sales by product line was as follows:

	Year Ended December 31,
(in thousands)	2021		2020		2019
Spinal hardware	$	856,556	$	783,510	$	851,440
Surgical support		282,432		267,072		316,630
Total net sales	$	1,138,988	$	1,050,582	$	1,168,070

Net sales and property and equipment, net, by geographic area were as follows:

	Net Sales						Property and Equipment, Net
	Year Ended December 31,						December 31,
(in thousands)	2021		2020		2019		2021		2020
United States	$	876,614	$	821,824	$	941,086	$	256,688	$	239,802
International (excludes Puerto Rico)		262,374		228,758		226,984		46,976		46,567
Total	$	1,138,988	$	1,050,582	$	1,168,070	$	303,664	$	286,369