Business segment information (Tables)

3 Months Ended

Mar. 31, 2021

Segment Reporting [Abstract]

Summary of EBITDA by Reporting Segment

The table below presents EBITDA by reporting segment:

	Three Months Ended March 31,
(U.S. Dollars, in thousands)	2021			2020
Global Spine	$	11,895		$	22,417
Global Orthopedics		(2,229	)		(1,894	)
Corporate		(7,829	)		(8,140	)
Total EBITDA	$	1,837		$	12,383
Depreciation and amortization		(7,443	)		(6,327	)
Interest expense, net		(417	)		(423	)
Income (loss) before income taxes	$	(6,023	)	$	5,633

Summary of Net Sales by Geographic Destination for each Reporting Segment

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

	Three Months Ended March 31,
(U.S. Dollars, in thousands)	2021		2020
Global Spine
U.S.	$	77,755	$	77,106
International		4,585		5,212
Total Global Spine		82,340		82,318
Global Orthopedics
U.S.		5,591		6,043
International		17,662		16,462
Total Global Orthopedics		23,253		22,505
Consolidated
U.S.		83,346		83,149
International		22,247		21,674
Net sales	$	105,593	$	104,823