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Business segment information (Tables) | 12 Months Ended
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Dec. 31, 2013
Segment Reporting [Abstract] |
Schedule of External Net Sales by GBU Reporting Segment | External Net Sales by SBU: The table below presents external net sales for continuing operations by SBU reporting segment. Net sales include product sales and marketing service fees.
|  | External Net Sales by SBU Year ended December 31, |
(U.S. Dollars in thousands) |  | 2013 |  |  | 2012 |  |  | 2011 |
|  | Net Sales |  |  | Percent of Total Net Sales |  |  | Net Sales |  |  | Percent of Total Net Sales |  |  | Net Sales |  |  | Percent of Total Net Sales |
|  |  |  |  |  |  |  | (Restated) |  |  | (Restated) |  |  | (Restated) |  |  | (Restated) |
BioStim |  | $ | 147,910 |  |  |  | 37 | % |  | $ | 181,959 |  |  |  | 41 | % |  | $ | 188,136 |  |  |  | 43 | %
Biologics |  |  | 53,769 |  |  |  | 13 | % |  |  | 53,730 |  |  |  | 12 | % |  |  | 42,919 |  |  |  | 10 | %
Extremity Fixation |  |  | 103,385 |  |  |  | 26 | % |  |  | 112,009 |  |  |  | 25 | % |  |  | 119,521 |  |  |  | 27 | %
Spine Fixation |  |  | 95,470 |  |  |  | 24 | % |  |  | 99,883 |  |  |  | 22 | % |  |  | 91,395 |  |  |  | 20 | %
Total Net Sales |  | $ | 400,534 |  |  |  | 100 | % |  | $ | 447,581 |  |  |  | 100 | % |  | $ | 441,971 |  |  |  | 100 | %
Summary of Net Margin, Defined as Gross Profit Less Sales And Marketing Expenses from Continuing Operations by SBU Reporting Segment | The table below presents net margin, defined as gross profit less sales and marketing expenses from continuing operations by SBU reporting segment:
Net Margin by SBU (U.S. Dollars in thousands) |  | Year Ended December 31, |
| 2013 |  |  | 2012 |  |  | 2011 |
|  |  |  |  | (Restated) |  |  | (Restated) |
Net Margin |  |  |  |  |  |  |  |  |  |  |  |
BioStim |  | $ | 64,930 |  |  | $ | 86,654 |  |  | $ | 93,056 |
Biologics |  |  | 24,532 |  |  |  | 23,559 |  |  |  | 18,979 |
Extremity Fixation |  |  | 26,389 |  |  |  | 34,337 |  |  |  | 29,530 |
Spine Fixation |  |  | 7,245 |  |  |  | 19,142 |  |  |  | 13,068 |
Corporate |  |  | (1,443 | ) |  |  | (1,495 | ) |  |  | (1,700 | )
Total net margin |  | $ | 121,653 |  |  | $ | 162,197 |  |  | $ | 152,933 |
General & administrative |  |  | 65,147 |  |  |  | 53,391 |  |  |  | 64,481 |
Research and development |  |  | 26,768 |  |  |  | 28,577 |  |  |  | 22,861 |
Amortization of intangible assets |  |  | 2,687 |  |  |  | 2,298 |  |  |  | 2,550 |
Costs related to the accounting review and restatement |  |  | 12,945 |  |  |  | — |  |  |  | — |
Impairment of goodwill |  |  | 19,193 |  |  |  | — |  |  |  | — |
Charges related to U.S. Government resolutions |  |  | — |  |  |  | 1,295 |  |  |  | 57,141 |
Operating (loss) income |  | $ | (5,087 | ) |  | $ | 76,636 |  |  | $ | 5,900 |
Schedule of Depreciation and Amortization by GBU Reporting Segment | The following table presents depreciation and amortization for continuing operations by SBU reporting segment:
|  | Depreciation and amortization by SBU Year Ended December 31, |
(U.S. Dollars in thousands) |  | 2013 |  |  | 2012 |  |  | 2011 |
|  |  |  |  | (Restated) |  |  | (Restated) |
BioStim |  | $ | 1,946 |  |  | $ | 1,584 |  |  | $ | 2,033 |
Biologics |  |  | 628 |  |  |  | 543 |  |  |  | 415 |
Extremity Fixation |  |  | 7,195 |  |  |  | 5,196 |  |  |  | 5,148 |
Spine Fixation |  |  | 12,794 |  |  |  | 10,752 |  |  |  | 9,211 |
Corporate |  |  | 96 |  |  |  | 70 |  |  |  | 53 |
Total |  | $ | 22,659 |  |  | $ | 18,145 |  |  | $ | 16,860 |
Summary of Net Sales by Geographic Destination | The following geographic data includes net sales by geographic destination:
(U.S. Dollars in thousands) |  | 2013 |  |  | 2012 |  |  | 2011 |
|  |  |  |  | (Restated) |  |  | (Restated) |
U.S. |  | $ | 295,857 |  |  | $ | 334,624 |  |  | $ | 328,585 |
International: |  |  |  |  |  |  |  |  |  |  |  |
U.K. |  |  | 10,002 |  |  |  | 8,431 |  |  |  | 8,206 |
Italy |  |  | 16,755 |  |  |  | 18,742 |  |  |  | 17,447 |
Brazil |  |  | 26,786 |  |  |  | 31,166 |  |  |  | 34,424 |
Other |  |  | 51,134 |  |  |  | 54,618 |  |  |  | 53,309 |
Total international |  |  | 104,677 |  |  |  | 112,957 |  |  |  | 113,386 |
Total net sales |  | $ | 400,534 |  |  | $ | 447,581 |  |  | $ | 441,971 |
Analysis of Property, Plant and Equipment of Reporting Segments by Geographic Area | Analysis of property, plant and equipment by geographic area:
(U.S. Dollars in thousands) |  | 2013 |  |  | 2012 |
|  |  |  |  | (Restated) |
U.S. |  | $ | 39,858 |  |  | $ | 39,554 |
Italy |  |  | 7,813 |  |  |  | 7,617 |
U.K. |  |  | 1,871 |  |  |  | 1,402 |
Brazil |  |  | 3,210 |  |  |  | 3,421 |
Others |  |  | 1,854 |  |  |  | 1,841 |
Total |  | $ | 54,606 |  |  | $ | 53,835 |

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