Business Segment, Product and Geographic Information (Tables)

12 Months Ended

Dec. 31, 2021

Segment Reporting [Abstract]

Schedule of Net Sales by Product Line

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

Schedule of Net Sales and Net Property and Equipment by Geographical Area

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