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Business segment information (Tables) | 12 Months Ended
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Dec. 31, 2021
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, |
|  | 2021 |  |  | 2020 |  |  | 2019 |
(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 |  | $ | 187,448 |  |  |  | 40.4 | % |  | $ | 171,396 |  |  |  | 42.2 | % |  | $ | 197,181 |  |  |  | 42.9 | %
Spinal Implants |  |  | 115,094 |  |  |  | 24.8 | % |  |  | 94,857 |  |  |  | 23.3 | % |  |  | 94,544 |  |  |  | 20.6 | %
Biologics |  |  | 56,421 |  |  |  | 12.1 | % |  |  | 55,482 |  |  |  | 13.6 | % |  |  | 65,496 |  |  |  | 14.2 | %
Global Spine |  |  | 358,963 |  |  |  | 77.3 | % |  |  | 321,735 |  |  |  | 79.1 | % |  |  | 357,221 |  |  |  | 77.7 | %
Global Orthopedics |  |  | 105,516 |  |  |  | 22.7 | % |  |  | 84,827 |  |  |  | 20.9 | % |  |  | 102,734 |  |  |  | 22.3 | %
Net sales |  | $ | 464,479 |  |  |  | 100.0 | % |  | $ | 406,562 |  |  |  | 100.0 | % |  | $ | 459,955 |  |  |  | 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) |  | 2021 |  |  | 2020 |  |  | 2019 |
Global Spine |  | $ | 58,014 |  |  | $ | 63,036 |  |  | $ | 39,528 |
Global Orthopedics |  |  | 3,374 |  |  |  | (4,993 | ) |  |  | 7,496 |
Corporate |  |  | (31,691 | ) |  |  | (25,382 | ) |  |  | (49,252 | )
Total EBITDA |  |  | 29,697 |  |  |  | 32,661 |  |  |  | (2,228 | )
Depreciation and amortization |  |  | (29,599 | ) |  |  | (30,546 | ) |  |  | (24,699 | )
Goodwill impairment |  |  | (11,756 | ) |  |  | — |  |  |  | — |
Interest expense, net |  |  | (1,837 | ) |  |  | (2,483 | ) |  |  | (122 | )
Loss before income taxes |  | $ | (13,495 | ) |  | $ | (368 | ) |  | $ | (27,049 | )
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) |  | 2021 |  |  | 2020 |  |  | 2019 |
Global Spine |  | $ | 17,548 |  |  | $ | 18,362 |  |  | $ | 14,329 |
Global Orthopedics |  |  | 8,233 |  |  |  | 7,896 |  |  |  | 5,575 |
Corporate |  |  | 3,818 |  |  |  | 4,288 |  |  |  | 4,795 |
Total |  | $ | 29,599 |  |  | $ | 30,546 |  |  | $ | 24,699 |
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) |  | 2021 |  |  | 2020 |  |  | 2019 |
U.S. |  | $ | 361,945 |  |  | $ | 327,280 |  |  | $ | 361,939 |
Italy |  |  | 20,187 |  |  |  | 18,733 |  |  |  | 19,560 |
Germany |  |  | 13,716 |  |  |  | 11,940 |  |  |  | 12,688 |
United Kingdom |  |  | 10,552 |  |  |  | 7,147 |  |  |  | 10,090 |
France |  |  | 10,475 |  |  |  | 8,354 |  |  |  | 8,747 |
Brazil |  |  | 5,108 |  |  |  | 2,347 |  |  |  | 7,685 |
Others |  |  | 42,496 |  |  |  | 30,761 |  |  |  | 39,246 |
Net sales |  | $ | 464,479 |  |  | $ | 406,562 |  |  | $ | 459,955 |
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) |  | 2021 |  |  | 2020 |  |  | 2019 |
Global Spine |  |  |  |  |  |  |  |  |  |  |  |
U.S. |  | $ | 337,455 |  |  | $ | 304,595 |  |  | $ | 335,410 |
International |  |  | 21,508 |  |  |  | 17,140 |  |  |  | 21,811 |
Total Global Spine |  |  | 358,963 |  |  |  | 321,735 |  |  |  | 357,221 |
Global Orthopedics |  |  |  |  |  |  |  |  |  |  |  |
U.S. |  | $ | 24,490 |  |  |  | 22,685 |  |  |  | 26,529 |
International |  |  | 81,026 |  |  |  | 62,142 |  |  |  | 76,205 |
Total Global Orthopedics |  |  | 105,516 |  |  |  | 84,827 |  |  |  | 102,734 |
Consolidated |  |  |  |  |  |  |  |  |  |  |  |
U.S. |  |  | 361,945 |  |  |  | 327,280 |  |  |  | 361,939 |
International |  |  | 102,534 |  |  |  | 79,282 |  |  |  | 98,016 |
Net sales |  | $ | 464,479 |  |  | $ | 406,562 |  |  | $ | 459,955 |
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) |  | 2021 |  |  | 2020 |
U.S. |  | $ | 45,090 |  |  | $ | 47,646 |
Italy |  |  | 9,412 |  |  |  | 10,503 |
Germany |  |  | 2,544 |  |  |  | 2,516 |
United Kingdom |  |  | 1,193 |  |  |  | 1,540 |
Brazil |  |  | 91 |  |  |  | 163 |
Others |  |  | 922 |  |  |  | 1,245 |
Total |  | $ | 59,252 |  |  | $ | 63,613 |

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