Financial Performance - Total net sales for the three months ended September 30, 2024, were 103.2million,adecreaseof2.0105.3 million in the same period of 2023[84]. - For the nine months ended September 30, 2024, total net sales were 338.2million,down1.8344.4 million in 2023[85]. - The company experienced a price decline of 1.1% in net sales for the nine months ended September 30, 2024, primarily due to pricing pressures in North America and China[85][87]. - Foreign exchange fluctuations had a small positive effect on year-over-year sales for the three months ended September 30, 2024, mainly due to the strengthening of the Euro[88]. Expenses - Research and development expenses increased to 6.7% of net sales in the three months ended September 30, 2024, compared to 5.4% in the same period of 2023[92]. - Selling, general and administrative expenses rose to 55.5% of net sales in the three months ended September 30, 2024, up from 53.7% in the prior year[89]. - Cost of products sold as a percentage of net sales decreased to 34.7% in the three months ended September 30, 2024, from 35.0% in the same period of 2023[89]. - Restructuring and other cost reduction initiatives recognized expenses of 0.7millioninthethreemonthsendedSeptember30,2024,comparedto1.4 million in the same period of 2023[95]. Cash Flow and Liquidity - Cash and cash equivalents were 68.1millionasofSeptember30,2024,downfrom87.8 million at the end of 2023[103]. - Cash flows from operating activities were (7.3)millionfortheninemonthsendedSeptember30,2024,comparedto15.7 million in the same period of 2023[104]. - Cash flows from investing activities were 285.2millionfortheninemonthsendedSeptember30,2024,primarilyfromthesaleofthespinesegment[105].−Cashflowsusedinfinancingactivitieswere295.4 million for the nine months ended September 30, 2024, including a 275.0millionprepaymentontheTermLoan[106].−Thecompanybelievesavailablecashandcashequivalentswillbesufficienttomeetliquidityneedsforatleastthenext12months[108].DebtandInterest−AsofSeptember30,2024,thecompanyhad221.9 million of floating rate debt subject to SOFR, with a potential 2.2milliondecreaseinannualpre−taxresultsfroma100basispointsincreaseinSOFR[113].−Interestincomeincreasedduetothepromissorynotefromthesaleofthespinesegment[98].−Interestexpensedecreasedduetoareductioninoutstandingdebtandinterestrates[99].LegalMatters−Thecompanyissubjecttovariousclaimsandlegalproceedings,butdoesnotexpectamaterialadverseimpactonresultsofoperations,cashflows,orfinancialposition[119].−Theoutcomeoflegalmattersisunpredictableandcouldhaveamaterialadverseeffectonfinancialposition,resultsofoperations,orcashflows[119].OtherSignificantEvents−Thecompanyrecordedagainof11.3 million from the sale of its spine segment, which was completed on April 1, 2024, for a total purchase price of 377.2million[75].−ThecompanyinitiatedrestructuringactivitiesinJanuary2024tobettersupportitsdentalsegmentfollowingthesaleofthespinesegment[80].−OtherincomerelatedtoTSAincomewas3.2 million and $6.6 million for the three and nine months ended September 30, 2024 and 2023, respectively[97]. - The effective tax rate (ETR) on loss before income taxes was 18.4% for Q3 2024 compared to (3.3%) for Q3 2023[100]. - There were no changes in internal control over financial reporting during the three months ended September 30, 2024[117].