Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Cash flows from operating activities
Net loss	$ (125,997)	$ (151,395)	$ (19,749)
Adjustments to reconcile net loss to net cash from operating activities
Depreciation and amortization	60,061	53,063	29,019
Inventory reserve expenses	26,254	27,576	14,907
Amortization of inventory fair value step up	12,188	36,044
Amortization of operating lease assets, debt costs, and other assets	15,901	7,498	3,056
Provision for expected credit losses	1,999	820	2,095
Deferred income taxes	1,883	579	314
Share-based compensation expense	32,455	35,707	18,443
Loss on disposal of fixed assets	2,025	2,300	2,072
Interest and (gain) loss on the valuation of investment securities	7,528	596	(308)
Change in fair value of contingent consideration	6,900	(2,700)	(17,200)
Other	3,844	(1,877)	(45)
Changes in operating assets and liabilities, net of effects of acquisitions
Accounts receivable	(9,526)	(10,411)	(6,735)
Inventories	(5,546)	(58,051)	(33,040)
Prepaid expenses and other current assets	593	1,760	(874)
Accounts payable	(5,571)	8,642	2,282
Other current liabilities	9,527	4,069	627
Contract liability			(4,791)
Other long-term assets and liabilities	(8,728)	27	(1,611)
Net cash provided by (used in) operating activities	25,790	(45,753)	(11,538)
Cash flows from investing activities
Capital expenditures	(34,876)	(62,050)	(23,160)
Contingent consideration payments related to asset acquisitions			(1,500)
Cash acquired in SeaSpine merger		29,419
Sale of investment securities	7,396		126
Other investing activities	(100)	(500)
Net cash used in investing activities	(27,580)	(33,131)	(24,534)
Cash flows from financing activities
Proceeds from credit facilities	197,600	174,500
Repayment of borrowings from credit facilities	(142,500)	(79,000)
Payment of debt acquired from SeaSpine merger		(26,899)
Proceeds from issuance of common shares	6,257	5,127	4,337
Payments related to withholdings for share-based compensation	(5,312)	(4,397)	(1,729)
Payment of contingent consideration	(1,000)	(1,000)
Payments related to finance lease obligation	(706)	(652)	(2,594)
Payment of debt issuance costs and other financing activities	(3,630)	(2,357)	(92)
Net cash provided by (used in) financing activities	50,709	65,322	(78)
Effect of exchange rate changes on cash and restricted cash	(938)	619	(997)
Net change in cash, cash equivalents, and restricted cash	47,981	(12,943)	(37,147)
Cash, cash equivalents, and restricted cash at the beginning of the year	37,757	50,700	87,847
Cash, cash equivalents, and restricted cash at the end of the year	85,738	37,757	50,700
Components of cash, cash equivalents, and restricted cash at the end of the year
Cash and cash equivalents	83,238	33,107	50,700
Restricted cash	2,500	4,650
Cash, cash equivalents, and restricted cash at the end of the year	$ 85,738	$ 37,757	$ 50,700