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Business segment information (Tables) | 12 Months Ended
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Dec. 31, 2017
Segment Reporting [Abstract] |
Schedule of Net Sales by Reporting Segment | The table below presents net sales by reporting segment:
|  | Year Ended December 31, |
|  | 2017 |  |  | 2016 |  |  | 2015 |
(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 |
BioStim |  | $ | 185,900 |  |  |  | 42.9 | % |  | $ | 176,561 |  |  |  | 43.1 | % |  | $ | 164,955 |  |  |  | 41.6 | %
Extremity Fixation |  |  | 103,242 |  |  |  | 23.8 | % |  |  | 102,683 |  |  |  | 25.1 | % |  |  | 96,034 |  |  |  | 24.2 | %
Spine Fixation |  |  | 81,957 |  |  |  | 18.9 | % |  |  | 72,632 |  |  |  | 17.7 | % |  |  | 75,668 |  |  |  | 19.1 | %
Biologics |  |  | 62,724 |  |  |  | 14.4 | % |  |  | 57,912 |  |  |  | 14.1 | % |  |  | 59,832 |  |  |  | 15.1 | %
Net sales |  | $ | 433,823 |  |  |  | 100.0 | % |  | $ | 409,788 |  |  |  | 100.0 | % |  | $ | 396,489 |  |  |  | 100.0 | %
Summary of Non-GAAP Net Margin by Reporting Segment | The following table presents Non-GAAP net margin, and internal metric that the Company defines as gross profit less sales and marketing expense, by reporting segment:
|  | Year Ended December 31, |
(U.S. Dollars, in thousands) |  | 2017 |  |  | 2016 |  |  | 2015 |
BioStim |  | $ | 77,369 |  |  | $ | 75,469 |  |  | $ | 67,878 |
Extremity Fixation |  |  | 31,071 |  |  |  | 30,526 |  |  |  | 29,493 |
Spine Fixation |  |  | 8,730 |  |  |  | 8,650 |  |  |  | 8,547 |
Biologics |  |  | 25,692 |  |  |  | 26,891 |  |  |  | 27,226 |
Corporate |  |  | (446 | ) |  |  | (888 | ) |  |  | (1,260 | )
Non-GAAP net margin |  | $ | 142,416 |  |  | $ | 140,648 |  |  | $ | 131,884 |
General and administrative |  |  | 74,388 |  |  |  | 74,404 |  |  |  | 87,157 |
Research and development |  |  | 29,700 |  |  |  | 28,803 |  |  |  | 26,389 |
SEC / FCPA matters and related costs |  |  | (2,483 | ) |  |  | 2,005 |  |  |  | 9,083 |
Charges related to U.S. Government resolutions |  |  | — |  |  |  | 14,369 |  |  |  | — |
Operating income |  | $ | 40,811 |  |  | $ | 21,067 |  |  | $ | 9,255 |
Interest income (expense), net |  |  | (416 | ) |  |  | 763 |  |  |  | (489 | )
Other expense, net |  |  | (4,004 | ) |  |  | (2,806 | ) |  |  | (259 | )
Income before income taxes |  | $ | 36,391 |  |  | $ | 19,024 |  |  | $ | 8,507 |
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) |  | 2017 |  |  | 2016 |  |  | 2015 |
BioStim |  | $ | 2,133 |  |  | $ | 2,754 |  |  | $ | 2,933 |
Extremity Fixation |  |  | 6,040 |  |  |  | 5,742 |  |  |  | 6,636 |
Spine Fixation |  |  | 6,949 |  |  |  | 8,118 |  |  |  | 10,050 |
Biologics |  |  | 752 |  |  |  | 1,011 |  |  |  | 1,157 |
Corporate |  |  | 4,250 |  |  |  | 3,216 |  |  |  | 147 |
Total |  | $ | 20,124 |  |  | $ | 20,841 |  |  | $ | 20,923 |
Summary of Net Sales by Geographic Destination | The following data includes net sales by geographic destination:
(U.S. Dollars, in thousands) |  | 2017 |  |  | 2016 |  |  | 2015 |
U.S. |  | $ | 345,145 |  |  | $ | 316,873 |  |  | $ | 305,505 |
Italy |  |  | 17,059 |  |  |  | 16,664 |  |  |  | 15,655 |
United Kingdom |  |  | 8,725 |  |  |  | 10,362 |  |  |  | 11,376 |
Brazil |  |  | 10,356 |  |  |  | 11,334 |  |  |  | 13,512 |
Others |  |  | 52,538 |  |  |  | 54,555 |  |  |  | 50,441 |
Net sales |  | $ | 433,823 |  |  | $ | 409,788 |  |  | $ | 396,489 |
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) |  | 2017 |  |  | 2016 |
U.S. |  | $ | 34,008 |  |  | $ | 38,398 |
Italy |  |  | 7,658 |  |  |  | 7,013 |
United Kingdom |  |  | 382 |  |  |  | 617 |
Brazil |  |  | 475 |  |  |  | 769 |
Others |  |  | 2,616 |  |  |  | 2,119 |
Total |  | $ | 45,139 |  |  | $ | 48,916 |

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