| Schedule of Total Segment Revenue, Significant Segments Expenses and Other Expenses |
| | | | | | | | | | | | Year Ended | | | December 31, | | | 2024 | | | 2023 | | | 2022 | | | | | | | | | | | Net Sales | | $ | 2,519,354 | | $ | 1,568,476 | | $ | 1,022,843 | | | | | | | | | | | Less: | | | | | | | | | | Cost of goods sold | | | (719,160) | | | (404,785) | | | (229,323) | Amortization of inventory fair value step-up (a) | | | (215,420) | | | (71,656) | | | (894) | Depreciation cost of goods sold | | | (100,899) | | | (71,733) | | | (33,508) | Research & development employee related cost | | | (119,166) | | | (95,208) | | | (57,124) | Research & development other (b) | | | (44,588) | | | (28,802) | | | (15,890) | Selling, general & administrative employee related cost | | | (763,188) | | | (514,810) | | | (360,003) | Selling, general & administrative other (c) | | | (173,107) | | | (103,858) | | | (59,754) | Provision for litigation | | | (314) | | | (434) | | | (2,341) | Acquisition related costs | | | (29,623) | | | (68,274) | | | (5,959) | Amortization | | | (119,373) | | | (51,032) | | | (17,735) | Other segment expenses (d) | | | (66,320) | | | (26,880) | | | (10,506) | | | | | | | | | | | Operating income | | | 168,196 | | | 131,004 | | | 229,806 | | | | | | | | | | | Interest income (expense) | | | (4,189) | | | 20,130 | | | 14,233 | FX transactional gain (loss) | | | (43,285) | | | 14,259 | | | (1,020) | | | | | | | | | | | Income before taxes | | $ | 120,722 | | $ | 165,393 | | $ | 243,019 |
(a) Amounts primarily related to inventory step-up associated with the NuVasive Merger (b) Amounts include IPR&D and other non-employee related costs (c) Amounts include non-employee related costs including taxes and fees (d) Amounts include restructuring expense and credit losses
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| Schedule of Total Net Sales and Total Property and Equipment by Geographical Area |
| | | | | | | | | | | | | | | | | | | | | | Net Sales | | | Year Ended | | | December 31, | (In thousands) | | | 2024 | | 2023 | | 2022 | United States | | $ | 2,000,067 | | $ | 1,279,765 | | $ | 871,939 | International | | | 519,288 | | | 288,711 | | | 150,904 | Total | | $ | 2,519,355 | | $ | 1,568,476 | | $ | 1,022,843 |
The following table represents total property and equipment, net by geographic area: | | | | | | | | | Property and Equipment, Net | | | As of | | | December 31, | (In thousands) | | | 2024 | | 2023 | United States | | $ | 523,002 | | $ | 527,332 | International | | | 44,716 | | | 59,600 | Total | | $ | 567,718 | | $ | 586,932 | | | | | | | |
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