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Business segment information (Tables) | 12 Months Ended
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Dec. 31, 2020
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, |
|  | 2020 |  |  | 2019 |  |  | 2018 |
(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 |  | $ | 171,396 |  |  |  | 42.2 | % |  | $ | 197,181 |  |  |  | 42.9 | % |  | $ | 195,252 |  |  |  | 43.1 | %
Spinal Implants |  |  | 94,857 |  |  |  | 23.3 | % |  |  | 94,544 |  |  |  | 20.6 | % |  |  | 91,658 |  |  |  | 20.2 | %
Biologics |  |  | 55,482 |  |  |  | 13.6 | % |  |  | 65,496 |  |  |  | 14.2 | % |  |  | 59,684 |  |  |  | 13.2 | %
Global Spine |  |  | 321,735 |  |  |  | 79.1 | % |  |  | 357,221 |  |  |  | 77.7 | % |  |  | 346,594 |  |  |  | 76.5 | %
Global Extremities |  |  | 84,827 |  |  |  | 20.9 | % |  |  | 102,734 |  |  |  | 22.3 | % |  |  | 106,448 |  |  |  | 23.5 | %
Net sales |  | $ | 406,562 |  |  |  | 100.0 | % |  | $ | 459,955 |  |  |  | 100.0 | % |  | $ | 453,042 |  |  |  | 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) |  | 2020 |  |  | 2019 |  |  | 2018 |
Global Spine |  | $ | 63,036 |  |  | $ | 39,528 |  |  | $ | 76,545 |
Global Extremities |  |  | (4,993 | ) |  |  | 7,496 |  |  |  | 9,453 |
Corporate |  |  | (25,382 | ) |  |  | (49,252 | ) |  |  | (43,626 | )
Total EBITDA |  |  | 32,661 |  |  |  | (2,228 | ) |  |  | 42,372 |
Depreciation and amortization |  |  | (30,546 | ) |  |  | (24,699 | ) |  |  | (18,659 | )
Interest expense, net |  |  | (2,483 | ) |  |  | (122 | ) |  |  | (828 | )
Income (loss) before income taxes |  | $ | (368 | ) |  | $ | (27,049 | ) |  | $ | 22,885 |
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) |  | 2020 |  |  | 2019 |  |  | 2018 |
Global Spine |  | $ | 18,362 |  |  | $ | 14,329 |  |  | $ | 9,512 |
Global Extremities |  |  | 7,896 |  |  |  | 5,575 |  |  |  | 5,342 |
Corporate |  |  | 4,288 |  |  |  | 4,795 |  |  |  | 3,805 |
Total |  | $ | 30,546 |  |  | $ | 24,699 |  |  | $ | 18,659 |
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) |  | 2020 |  |  | 2019 |  |  | 2018 |
U.S. |  | $ | 327,280 |  |  | $ | 361,939 |  |  | $ | 355,353 |
Italy |  |  | 18,733 |  |  |  | 19,560 |  |  |  | 19,331 |
Germany |  |  | 11,940 |  |  |  | 12,688 |  |  |  | 11,606 |
United Kingdom |  |  | 7,147 |  |  |  | 10,090 |  |  |  | 8,731 |
Brazil |  |  | 2,347 |  |  |  | 7,685 |  |  |  | 7,120 |
Others |  |  | 39,115 |  |  |  | 47,993 |  |  |  | 50,901 |
Net sales |  | $ | 406,562 |  |  | $ | 459,955 |  |  | $ | 453,042 |
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) |  | 2020 |  |  | 2019 |  |  | 2018 |
Global Spine |  |  |  |  |  |  |  |  |  |  |  |
U.S. |  | $ | 304,595 |  |  | $ | 335,410 |  |  | $ | 326,994 |
International |  |  | 17,140 |  |  |  | 21,811 |  |  |  | 19,600 |
Total Global Spine |  |  | 321,735 |  |  |  | 357,221 |  |  |  | 346,594 |
Global Extremities |  |  |  |  |  |  |  |  |  |  |  |
U.S. |  | $ | 22,685 |  |  |  | 26,529 |  |  |  | 28,359 |
International |  |  | 62,142 |  |  |  | 76,205 |  |  |  | 78,089 |
Total Global Extremities |  |  | 84,827 |  |  |  | 102,734 |  |  |  | 106,448 |
Consolidated |  |  |  |  |  |  |  |  |  |  |  |
U.S. |  |  | 327,280 |  |  |  | 361,939 |  |  |  | 355,353 |
International |  |  | 79,282 |  |  |  | 98,016 |  |  |  | 97,689 |
Net sales |  | $ | 406,562 |  |  | $ | 459,955 |  |  | $ | 453,042 |
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) |  | 2020 |  |  | 2019 |
U.S. |  | $ | 47,646 |  |  | $ | 51,278 |
Italy |  |  | 10,503 |  |  |  | 7,937 |
Germany |  |  | 2,516 |  |  |  | 849 |
United Kingdom |  |  | 1,540 |  |  |  | 1,082 |
Brazil |  |  | 163 |  |  |  | 141 |
Others |  |  | 1,245 |  |  |  | 1,440 |
Total |  | $ | 63,613 |  |  | $ | 62,727 |

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