Business segment information (Tables)

9 Months Ended

Sep. 30, 2019

Segment Reporting [Abstract]

Summary of EBITDA by Reporting Segment

As mentioned above, the primary metric used in managing the Company is EBITDA. The table below presents EBITDA by reporting segment:

	Three Months Ended September 30,						Nine Months Ended September 30,
(U.S. Dollars, in thousands)	2019			2018			2019			2018
Global Spine	$	(6,033	)	$	15,637		$	21,065		$	53,492
Global Extremities		1,229			3,357			3,806			7,173
Corporate		(15,949	)		(15,403	)		(38,356	)		(35,097	)
Total EBITDA	$	(20,753	)	$	3,591		$	(13,485	)	$	25,568
Depreciation and amortization		(6,275	)		(4,738	)		(18,180	)		(13,661	)
Interest income (expense), net		186			(181	)		386			(615	)
Income (loss) before income taxes	$	(26,842	)	$	(1,328	)	$	(31,279	)	$	11,292

Summary of Net Sales by Geographic Destination for each Reporting Segment

Geographical information

The table below presents net sales by geographic destination for each reporting unit and for the consolidated Company:

	Three Months Ended September 30,				Nine Months Ended September 30,
(U.S. Dollars, in thousands)	2019		2018		2019		2018
Global Spine
U.S.	$	82,816	$	79,502	$	246,943	$	239,262
International		5,275		5,295		17,145	$	13,499
Total Global Spine		88,091		84,797		264,088		252,761
Global Extremities
U.S.		6,636		7,254		20,078		21,193
International		18,772		19,657		54,295		58,010
Total Global Extremities		25,408		26,911		74,373		79,203
Consolidated
U.S.		89,452		86,756		267,021		260,455
International		24,047		24,952		71,440		71,509
Net sales	$	113,499	$	111,708	$	338,461	$	331,964