SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables)

12 Months Ended

Dec. 31, 2021

Accounting Policies [Abstract]

Schedule of Inventories

Inventories consisted of the following:

	December 31,
Dollars in thousands	2021		2020
Finished goods	162,528		$	180,301
Work in process	65,323		53,336
Raw materials	89,535		76,480
Total inventories, net	$	317,386	$	310,117

Schedule of Property, Plant and Equipment Balances and Corresponding Lives

Property, plant and equipment balances and corresponding lives were as follows:

	December 31,
Dollars in thousands	2021		2020		Useful Lives
Land	$	1,512	$	1,541
Buildings and building improvements	19,032		17,345		5-40 years
Leasehold improvements	155,495		144,852		1-20 years
Machinery and production equipment	183,270		166,973		3-20 years
Surgical instrument kits	2,791		1,164		4-5 years
Information systems and hardware	148,706		143,770		1-7 years
Furniture, fixtures, and office equipment	20,921		20,843		1-15 years
Construction-in-progress	94,850		73,890
Total	626,577		570,378
Less: Accumulated depreciation	(314,874)		(282,849)
Property, plant and equipment, net	$	311,703	$	287,529

Schedule of Impact on Statement of Operations

The Company adopted this guidance on January 1, 2021 using the modified retrospective approach which resulted in a cumulative-effect adjustment that increased (decreased) the following consolidated balance sheet accounts:

ADJUSTMENT	CONSOLIDATED BALANCE SHEET CLASSIFICATION	AMOUNT  (in millions)
Deferred tax impact of cumulative-effect adjustment	Deferred tax liabilities	$	(20.6)
Debt discount reclassification	Long-term convertible securities	89.1
Equity issuance costs reclassification	Long-term convertible securities	(2.5)
Debt discount amortization and equity costs reclassification, net of tax	Retained Earnings	(2.8)
Net impact of cumulative-effect adjustment	Additional paid-in capital	(63.3)