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INVENTORIES
6 Months Ended
Jun. 30, 2024
INVENTORIES [Abstract]  
Inventories NOTE 7. INVENTORIES

Inventories included the following:

June 30,

December 31,

(In thousands)

2024

2023

Raw materials

$

120,846

$

103,349

Work in process

35,743

37,321

Finished goods

613,874

707,465

Total inventories

$

770,463

$

848,135

As part of the NuVasive Merger, a step up in the value of inventory of $202.6 million was recorded, which was composed of $3.0 million for work in process and $199.6 million for finished goods. The amortization of the inventory step up recorded in product cost of sales was $53.7 million and $107.3 million for the three and six months ended June 30, 2024, respectively. As of June 30, 2024, the total remaining balance of inventory step up was $23.7 million.

During the three months ended June 30, 2024 and 2023, net adjustments to cost of sales related to excess and obsolete inventory were $6.6 million and $1.9 million, respectively. The net adjustments for the three months ended June 30, 2024 and 2023 reflect a combination of additional expense for excess and obsolete related provisions ($8.6 million and $3.4 million, respectively) offset by sales and disposals ($2.0 million and $1.5 million, respectively) of inventory for which an excess and obsolete provision was provided previously through expense recognized in prior periods.

During the six months ended June 30, 2024 and 2023, net adjustments to cost of sales related to excess and obsolete inventory were $10.5 million and $4.0 million, respectively. The net adjustments for the six months ended June 30, 2024 and 2023 reflect a combination of additional expense for excess and obsolete related provisions ($13.8 million and $6.9 million, respectively) offset by sales and disposals ($3.3 million and $2.9 million, respectively) of inventory for which an excess and obsolete provision was provided previously through expense recognized in prior periods.