Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Cash flows from operating activities
Net loss	$ (60,938)	$ (4,460)
Adjustments to reconcile net loss to net cash from operating activities
Depreciation and amortization	12,670	7,516
Inventory reserve expenses	7,412	2,332
Amortization of inventory fair value step up	11,636
Amortization of operating lease assets, debt costs, and other assets	1,696	798
Provision for expected credit losses	208	600
Deferred income taxes	379	(36)
Share-based compensation expense	13,020	4,332
Change in valuation of investment securities	(207)	(9)
Change in fair value of contingent consideration		(5,500)
Other	(383)	528
Changes in operating assets and liabilities, net of effects of acquisitions
Accounts receivable	4,792	5,392
Inventories	(16,781)	(8,543)
Prepaid expenses and other current assets	2,225	(1,891)
Accounts payable	(3,560)	1,387
Other current liabilities	(5,842)	(6,993)
Contract liability		(3,395)
Other long-term assets and liabilities	(347)	233
Net cash from operating activities	(34,020)	(7,709)
Cash flows from investing activities
Capital expenditures for property, plant and equipment	(11,472)	(5,329)
Capital expenditures for intangible assets	(363)	(338)
Cash acquired in the SeaSpine merger	29,419
Other investing activities	(500)
Net cash from investing activities	17,084	(5,667)
Cash flows from financing activities
Payments related to withholdings for share-based compensation	(1,958)	(69)
Payments related to finance lease obligation	(160)	(2,141)
Borrowings under credit facility	45,000
Payment of debt acquired from SeaSpine merger	(26,899)
Other financing activities		(23)
Net cash from financing activities	15,983	(2,233)
Effect of exchange rate changes on cash	221	(321)
Net change in cash, cash equivalents, and restricted cash	(732)	(15,930)
Cash and cash equivalents at the beginning of period	50,700	87,847
Cash and cash equivalents at the end of period	$ 49,968	71,917
Noncash investing activities - Purchase of intangible assets		$ 2,000