Balance Sheet Details (Tables)

12 Months Ended

Dec. 31, 2024

Balance Sheet Related Disclosures [Abstract]

Inventories

Inventories consist of the following (in thousands):

	December 31,
	2024		2023
Raw materials	$	19,378	$	23,394
Work-in-process		—		950
Finished goods		155,886		112,498
Inventories	$	175,264	$	136,842

Property and Equipment, Net

Property and equipment, net consist of the following (in thousands, except as indicated):

	Useful Life	December 31,
	(in years)	2024			2023
Surgical instruments	4	$	283,597		$	224,357
Machinery and equipment	7		12,710			11,633
Computer equipment	3		32,082			5,778
Office furniture and equipment	5		6,759			6,225
Leasehold improvements	various		4,321			3,986
Construction in progress	n/a		541			24,732
			340,010			276,711
Less: accumulated depreciation			(183,616	)		(126,876	)
Property and equipment, net		$	156,394		$	149,835

Schedule of Goodwill

The change in the carrying amount of goodwill during the year ended December 31, 2024 included the following (in thousands):

December 31, 2023	$	73,003
Foreign currency fluctuation		(2,027	)
December 31, 2024	$	70,976

Intangible Assets, Net

Intangible assets, net consist of the following (in thousands, except as indicated):

	Remaining Weighted Avg. Useful Life	Gross		Accumulated			Intangible
December 31, 2024:	(in years)	Amount		Amortization			Assets, net
Developed product technology	5	$	102,412	$	(38,055	)	$	64,357
Internally developed software	3		4,283		(1,515	)		2,768
Trademarks and trade names	7		5,267		(1,991	)		3,276
Customer relationships	2		13,996		(10,094	)		3,902
Distribution network	–		2,413		(2,410	)		3
Total amortized intangible assets			128,371		(54,065	)		74,306
Software in development	n/a		12,927		—			12,927
In-process research and development	n/a		6,285		—			6,285
Total intangible assets		$	147,583	$	(54,065	)	$	93,518
		.
	Remaining Weighted Avg. Useful Life	Gross		Accumulated			Intangible
December 31, 2023:	(in years)	Amount		Amortization			Assets, net
Developed product technology	6	$	106,782	$	(26,560	)	$	80,222
Trademarks and trade names	7		5,588		(1,561	)		4,027
Customer relationships	3		14,504		(8,692	)		5,812
Distribution network	1		2,413		(2,242	)		171
Total amortized intangible assets			129,287		(39,055	)		90,232
Software in development	n/a		7,934		—			7,934
In-process research and development	n/a		4,285		—			4,285
Total intangible assets		$	141,506	$	(39,055	)	$	102,451

Schedule of Intangible Assets, Future Expected Amortization Expense

Future amortization expense related to intangible assets as of December 31, 2024 is as follows (in thousands):

Year Ending December 31,
2025	$	15,561
2026		15,573
2027		13,351
2028		11,166
2029		9,640
Thereafter		9,015
Total	$	74,306

Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consist of the following (in thousands):

	December 31,
	2024		2023
Payroll and payroll related	$	29,103	$	29,207
Commissions and sales milestones		25,778		21,414
Royalties		6,703		7,968
Accrued legal expenses		5,587		10,994
Taxes and fees		2,505		1,985
Inventory in-transit		2,418		2,251
Admin fees and rebates		2,300		2,732
Interest		1,402		1,753
Professional fees		1,353		1,384
Other		4,317		8,024
Total accrued expenses	$	81,466	$	87,712

Schedule of Other Long-Term Liabilities

Other long-term liabilities consist of the following (in thousands):

	December 31,
	2024		2023
Income tax-related liabilities	$	5,077	$	5,838
Contract liabilities		3,131		2,561
Royalties		1,532		1,065
Other		1,684		1,739
Other long-term liabilities	$	11,423	$	11,203