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Business segment information (Tables)
12 Months Ended
Dec. 31, 2019
Segment Reporting [Abstract]  
Schedule of Net Sales by Major Product Category by Reporting Segment

The table below presents net sales by major product category by reporting segment: 

 

 

 

Year Ended December 31,

 

 

 

2019

 

 

2018

 

 

2017

 

(U.S. Dollars, in thousands)

 

Net Sales

 

 

Percent of

Total Net

Sales

 

 

Net Sales

 

 

Percent of

Total Net

Sales

 

 

Net Sales

 

 

Percent of

Total Net

Sales

 

Bone Growth Therapies

 

$

197,181

 

 

 

42.9

%

 

$

195,252

 

 

 

43.1

%

 

$

185,900

 

 

 

42.9

%

Spinal Implants

 

 

94,544

 

 

 

20.6

%

 

 

91,658

 

 

 

20.2

%

 

 

81,957

 

 

 

18.9

%

Biologics

 

 

65,496

 

 

 

14.2

%

 

 

59,684

 

 

 

13.2

%

 

 

62,724

 

 

 

14.4

%

Global Spine

 

 

357,221

 

 

 

77.7

%

 

 

346,594

 

 

 

76.5

%

 

 

330,581

 

 

 

76.2

%

Global Extremities

 

 

102,734

 

 

 

22.3

%

 

 

106,448

 

 

 

23.5

%

 

 

103,242

 

 

 

23.8

%

Net sales

 

$

459,955

 

 

 

100.0

%

 

$

453,042

 

 

 

100.0

%

 

$

433,823

 

 

 

100.0

%

Summary of EBITDA by Reporting Segment

 

The following table presents EBITDA, the primary metric used in managing the Company, by reporting segment:

 

 

 

Year Ended December 31,

 

(U.S. Dollars, in thousands)

 

2019

 

 

2018

 

 

2017

 

Global Spine

 

$

39,528

 

 

$

76,545

 

 

$

84,034

 

Global Extremities

 

 

7,496

 

 

 

9,453

 

 

 

7,143

 

Corporate

 

 

(49,252

)

 

 

(43,626

)

 

 

(34,246

)

Total EBITDA

 

 

(2,228

)

 

 

42,372

 

 

 

56,931

 

Depreciation and amortization

 

 

(24,699

)

 

 

(18,659

)

 

 

(20,124

)

Interest expense, net

 

 

(122

)

 

 

(828

)

 

 

(416

)

Income (loss) before income taxes

 

$

(27,049

)

 

$

22,885

 

 

$

36,391

 

Schedule of Depreciation and Amortization by Reporting Segment

 

The following table presents depreciation and amortization by reporting segment:

  

 

 

Year Ended December 31,

 

(U.S. Dollars, in thousands)

 

2019

 

 

2018

 

 

2017

 

Global Spine

 

$

14,329

 

 

$

9,512

 

 

$

9,834

 

Global Extremities

 

 

5,575

 

 

 

5,342

 

 

 

6,040

 

Corporate

 

 

4,795

 

 

 

3,805

 

 

 

4,250

 

Total

 

$

24,699

 

 

$

18,659

 

 

$

20,124

 

Summary of Net Sales by Geographic Destination

The following data includes net sales by geographic destination:

 

 

 

Year Ended December 31,

 

(U.S. Dollars, in thousands)

 

2019

 

 

2018

 

 

2017

 

U.S.

 

$

361,939

 

 

$

355,353

 

 

$

345,145

 

Italy

 

 

19,560

 

 

 

19,331

 

 

 

17,059

 

Germany

 

 

12,688

 

 

 

11,606

 

 

 

7,063

 

United Kingdom

 

 

10,090

 

 

 

8,731

 

 

 

8,725

 

Brazil

 

 

7,685

 

 

 

7,120

 

 

 

10,356

 

Others

 

 

47,993

 

 

 

50,901

 

 

 

45,475

 

Net sales

 

$

459,955

 

 

$

453,042

 

 

$

433,823

 

 

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

  

 

 

Year Ended December 31,

 

(U.S. Dollars, in thousands)

 

2019

 

 

2018

 

 

2017

 

Global Spine

 

 

 

 

 

 

 

 

 

 

 

 

U.S.

 

$

335,410

 

 

$

326,994

 

 

$

318,227

 

International

 

 

21,811

 

 

 

19,600

 

 

 

12,354

 

Total Global Spine

 

 

357,221

 

 

 

346,594

 

 

 

330,581

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Global Extremities

 

 

 

 

 

 

 

 

 

 

 

 

U.S.

 

 

26,529

 

 

 

28,359

 

 

 

26,918

 

International

 

 

76,205

 

 

 

78,089

 

 

 

76,324

 

Total Global Extremities

 

 

102,734

 

 

 

106,448

 

 

 

103,242

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

U.S.

 

 

361,939

 

 

 

355,353

 

 

 

345,145

 

International

 

 

98,016

 

 

 

97,689

 

 

 

88,678

 

Net sales

 

$

459,955

 

 

$

453,042

 

 

$

433,823

 

Summary of Property, Plant and Equipment of Reporting Segments by Geographic Area

The following data includes property, plant and equipment by geographic area:

 

(U.S. Dollars, in thousands)

 

2019

 

 

2018

 

U.S.

 

$

51,278

 

 

$

31,344

 

Italy

 

 

7,937

 

 

 

7,732

 

Germany

 

 

849

 

 

 

861

 

United Kingdom

 

 

1,082

 

 

 

896

 

Brazil

 

 

141

 

 

 

191

 

Others

 

 

1,440

 

 

 

1,811

 

Total

 

$

62,727

 

 

$

42,835