Business segment information (Tables)

6 Months Ended

Jun. 30, 2021

Segment Reporting [Abstract]

Summary of EBITDA by Reporting Segment

The table below presents EBITDA by reporting segment:

	Three Months Ended June 30,						Six Months Ended June 30,
(U.S. Dollars, in thousands)	2021			2020			2021			2020
Global Spine	$	19,032		$	(3,707	)	$	30,927		$	18,710
Global Orthopedics		1,775			(3,359	)		(454	)		(5,253	)
Corporate		(8,030	)		(1,923	)		(15,859	)		(10,063	)
Total EBITDA	$	12,777		$	(8,989	)	$	14,614		$	3,394
Depreciation and amortization		(7,559	)		(6,942	)		(15,002	)		(13,269	)
Interest expense, net		(550	)		(901	)		(967	)		(1,324	)
Income (loss) before income taxes	$	4,668		$	(16,832	)	$	(1,355	)	$	(11,199	)

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 June 30,				Six Months Ended June 30,
(U.S. Dollars, in thousands)	2021		2020		2021		2020
Global Spine
U.S.	$	89,077	$	55,236	$	166,832	$	132,342
International		5,573		2,862		10,158		8,074
Total Global Spine		94,650		58,098		176,990		140,416
Global Orthopedics
U.S.		6,156		4,040		11,747		10,083
International		20,588		10,997		38,250		27,459
Total Global Orthopedics		26,744		15,037		49,997		37,542
Consolidated
U.S.		95,233		59,276		178,579		142,425
International		26,161		13,859		48,408		35,533
Net sales	$	121,394	$	73,135	$	226,987	$	177,958