Related Party Transactions	12 Months Ended
Dec. 31, 2021
Related Party Transactions [Abstract]
Related Party Transactions	NOTE 15. RELATED PARTY TRANSACTIONS The Company has a license agreement dated July 1, 2017 for certain intellectual property with an entity that is affiliated with one of the directors of the Company, under which the Company pays a royalty of four percent (4%) of net revenue related to the licensed intellectual property for the 15 years following the date of first sale, including a minimum annual payment of $250. The term of the agreement is 20 years, and automatically renews for five-year periods thereafter. Payments to the entity under this license agreement totaled $87, $111 and $126 for the years ended December 31, 2021, 2020 and 2019, respectively. Amounts payable to this entity as of December 31, 2021 and 2020 were $163 and $175, respectively. The Company purchased property and equipment of $1,876, $1,703 and $997 for the years ended December 31, 2021, 2020 and 2019, respectively, from a related party tray manufacturing company. Amounts payable as of December 31, 2021 and 2020 to this related party were $209 and $102, respectively. The Company paid professional services fees to a related party totaling $542, $520 and $446 for the years ended December 31, 2021, 2020 and 2019, respectively, and are included in Selling, general, and administrative expense in the Consolidated Statements of Operations and Comprehensive (Loss) Income. Amounts payable as of December 31, 2021 and 2020 to this related party were $66 and $125, respectively. On August 27, 2017, the Company entered into a standard supplier quality agreement with a related party, owned by a non-officer employee of the Company, for purchases of screws and surgical instrumentation. Payments to the related party under the agreement totaled $874, $715 and $472 for the years ended December 31, 2021, 2020 and 2019, respectively, and are included in Costs of goods sold in the Consolidated Statements of Operations and Comprehensive (Loss) Income. Amounts payable to the related party as of December 31, 2021 and 2020 were $226 and $119, respectively.

Related Party Transactions

12 Months Ended

Dec. 31, 2021

NOTE 15. RELATED PARTY TRANSACTIONS

The Company has a license agreement dated July 1, 2017 for certain intellectual property with an entity that is affiliated with one of the directors of the Company, under which the Company pays a royalty of four percent (4%) of net revenue related to the licensed intellectual property for the 15 years following the date of first sale, including a minimum annual payment of $250. The term of the agreement is 20 years, and automatically renews for five-year periods thereafter. Payments to the entity under this license agreement totaled $87, $111 and $126 for the years ended December 31, 2021, 2020 and 2019, respectively. Amounts payable to this entity as of December 31, 2021 and 2020 were $163 and $175, respectively.

The Company purchased property and equipment of $1,876, $1,703 and $997 for the years ended December 31, 2021, 2020 and 2019, respectively, from a related party tray manufacturing company. Amounts payable as of December 31, 2021 and 2020 to this related party were $209 and $102, respectively.

The Company paid professional services fees to a related party totaling $542, $520 and $446 for the years ended December 31, 2021, 2020 and 2019, respectively, and are included in Selling, general, and administrative expense in the Consolidated Statements of Operations and Comprehensive (Loss) Income. Amounts payable as of December 31, 2021 and 2020 to this related party were $66 and $125, respectively.

On August 27, 2017, the Company entered into a standard supplier quality agreement with a related party, owned by a non-officer employee of the Company, for purchases of screws and surgical instrumentation. Payments to the related party under the agreement totaled $874, $715 and $472 for the years ended December 31, 2021, 2020 and 2019, respectively, and are included in Costs of goods sold in the Consolidated Statements of Operations and Comprehensive (Loss) Income. Amounts payable to the related party as of December 31, 2021 and 2020 were $226 and $119, respectively.