Commitments and Contingencies (Tables)

3 Months Ended

Mar. 31, 2026

Commitments and Contingencies Disclosure [Abstract]

Schedule of Lease Cost

As of March 31, 2026, the Company had the following building and facility leases capitalized on the balance sheet:


Location (leases)		Purpose		Expiration

Americas
Vaughan, Canada		Canada sales office and distribution		July 2026
Fox River Grove, IL (2)		RestoreFlow allografts business		December 2026
North Brunswick, NJ		Artegraft biologic business		October 2029
Burlington, MA (2)		Corporate headquarters and US distribution		December 2030
Billerica, MA		US distribution		December 2032
Burlington, MA (4)		Corporate headquarters and manufacturing		December 2034

Europe, Middle East and Africa
Milan, Italy		Italy sales office and distribution		September 2027
Madrid, Spain		Spain sales office and distribution		June 2029
Hereford, England		United Kingdom sales office and distribution		October 2029
Maisons-Alfort, France		France sales office and distribution		February 2030
Glattbrugg, Switzerland		Switzerland sales office and distribution		February 2030
Dublin, Ireland		Ireland sales office and distribution		September 2030
Sulzbach, Germany		European headquarters and distribution		June 2031

Asia Pacific
Bangkok, Thailand		Thailand sales office and distribution		August 2026
Seoul, Korea		Korea sales office and distribution		April 2027
Tokyo, Japan		Japan sales office and distribution		July 2027
Shanghai, China		China sales office and distribution		October 2027
Singapore		Asia Pacific headquarters and distribution		June 2028
Docklands, Australia		Australia sales office and distribution		April 2030
Ballarat, Australia		Supply facility		December 2030

Additional information with respect to the Company’s leases is as follows:


		Three months ended March 31,
		2026				2025
		(in thousands)
Lease cost
Operating lease cost		$	1,337			$	593
Short-term lease cost			30				27
Total lease cost		$	1,367			$	620

Weighted average remaining lease term - operating leases (in years)			6.1				6.8

Weighted average discount rate - operating leases			6.45	%			6.64	%

Schedule of Minimum Noncancelable Operating Lease Rental Commitments with Initial or Remaining Terms

As of March 31, 2026, the minimum noncancelable operating lease rental commitments with initial or remaining terms of more than one year are as follows:


Remainder of 2026		$	3,578
Year ending December 31,
2027			4,109
2028			3,785
2029			3,654
2030			3,170
2031			2,435
Thereafter			5,427
Adjustment to net present value as of March 31, 2026			(5,210	)

Minimum noncancelable lease liability		$	20,948