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Business segment information (Tables) | 9 Months Ended
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Sep. 30, 2019
Segment Reporting [Abstract] |
Summary of EBITDA by Reporting Segment | As mentioned above, the primary metric used in managing the Company is EBITDA. The table below presents EBITDA by reporting segment:
|  | Three Months Ended September 30, |  |  | Nine Months Ended September 30, |
(U.S. Dollars, in thousands) |  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
Global Spine |  | $ | (6,033 | ) |  | $ | 15,637 |  |  | $ | 21,065 |  |  | $ | 53,492 |
Global Extremities |  |  | 1,229 |  |  |  | 3,357 |  |  |  | 3,806 |  |  |  | 7,173 |
Corporate |  |  | (15,949 | ) |  |  | (15,403 | ) |  |  | (38,356 | ) |  |  | (35,097 | )
Total EBITDA |  | $ | (20,753 | ) |  | $ | 3,591 |  |  | $ | (13,485 | ) |  | $ | 25,568 |
Depreciation and amortization |  |  | (6,275 | ) |  |  | (4,738 | ) |  |  | (18,180 | ) |  |  | (13,661 | )
Interest income (expense), net |  |  | 186 |  |  |  | (181 | ) |  |  | 386 |  |  |  | (615 | )
Income (loss) before income taxes |  | $ | (26,842 | ) |  | $ | (1,328 | ) |  | $ | (31,279 | ) |  | $ | 11,292 |
Summary of Net Sales by Geographic Destination for each Reporting Segment | Geographical information The table below presents net sales by geographic destination for each reporting unit and for the consolidated Company:
|  | Three Months Ended September 30, |  |  | Nine Months Ended September 30, |
(U.S. Dollars, in thousands) |  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
Global Spine |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
U.S. |  | $ | 82,816 |  |  | $ | 79,502 |  |  | $ | 246,943 |  |  | $ | 239,262 |
International |  |  | 5,275 |  |  |  | 5,295 |  |  |  | 17,145 |  |  | $ | 13,499 |
Total Global Spine |  |  | 88,091 |  |  |  | 84,797 |  |  |  | 264,088 |  |  |  | 252,761 |
Global Extremities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
U.S. |  |  | 6,636 |  |  |  | 7,254 |  |  |  | 20,078 |  |  |  | 21,193 |
International |  |  | 18,772 |  |  |  | 19,657 |  |  |  | 54,295 |  |  |  | 58,010 |
Total Global Extremities |  |  | 25,408 |  |  |  | 26,911 |  |  |  | 74,373 |  |  |  | 79,203 |
Consolidated |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
U.S. |  |  | 89,452 |  |  |  | 86,756 |  |  |  | 267,021 |  |  |  | 260,455 |
International |  |  | 24,047 |  |  |  | 24,952 |  |  |  | 71,440 |  |  |  | 71,509 |
Net sales |  | $ | 113,499 |  |  | $ | 111,708 |  |  | $ | 338,461 |  |  | $ | 331,964 |

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