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Business segment information (Tables) | 12 Months Ended
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Dec. 31, 2023
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, |
|  | 2023 |  |  | 2022 |  |  | 2021 |
(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 |  | $ | 212,530 |  |  |  | 28.5 | % |  | $ | 187,247 |  |  |  | 40.7 | % |  | $ | 187,448 |  |  |  | 40.4 | %
Spinal Implants, Biologics, and Enabling Technologies |  |  | 418,789 |  |  |  | 56.1 | % |  |  | 165,927 |  |  |  | 36.0 | % |  |  | 171,515 |  |  |  | 36.9 | %
Global Spine |  |  | 631,319 |  |  |  | 84.6 | % |  |  | 353,174 |  |  |  | 76.7 | % |  |  | 358,963 |  |  |  | 77.3 | %
Global Orthopedics |  |  | 115,322 |  |  |  | 15.4 | % |  |  | 107,539 |  |  |  | 23.3 | % |  |  | 105,516 |  |  |  | 22.7 | %
Net sales |  | $ | 746,641 |  |  |  | 100.0 | % |  | $ | 460,713 |  |  |  | 100.0 | % |  | $ | 464,479 |  |  |  | 100.0 | %
Summary of EBITDA by Reporting Segment | The following table presents adjusted EBITDA, the primary metric used in managing the Company, by reporting segment:
|  | Year Ended December 31, |
(U.S. Dollars, in thousands) |  | 2023 |  |  | 2022 |  |  | 2021 |
Adjusted EBITDA by reporting segment |  |  |  |  |  |  |  |  |
Global Spine |  | $ | 91,115 |  |  | $ | 62,692 |  |  | $ | 71,086 |
Global Orthopedics |  |  | 442 |  |  |  | 5,267 |  |  |  | 9,260 |
Corporate |  |  | (45,272 | ) |  |  | (19,406 | ) |  |  | (19,084 | )
Consolidated adjusted EBITDA |  | $ | 46,285 |  |  | $ | 48,553 |  |  | $ | 61,262 |
Reconciling items: |  |  |  |  |  |  |  |  |
Interest expense, net |  | $ | 8,631 |  |  | $ | 1,288 |  |  | $ | 1,837 |
Depreciation and amortization |  |  | 53,063 |  |  |  | 29,019 |  |  |  | 41,355 |
Share-based compensation expense |  |  | 35,707 |  |  |  | 18,443 |  |  |  | 15,432 |
Foreign exchange impact |  |  | (1,581 | ) |  |  | 3,291 |  |  |  | 3,981 |
SeaSpine merger-related costs |  |  | 36,623 |  |  |  | 12,010 |  |  |  | — |
Strategic investments |  |  | 2,272 |  |  |  | 4,018 |  |  |  | 5,700 |
Acquisition-related fair value adjustments |  |  | 33,393 |  |  |  | (15,595 | ) |  |  | (2,014 | )
(Gain) loss on investments |  |  | 1,781 |  |  |  | 187 |  |  |  | (644 | )
Litigation and investigation costs |  |  | 14,453 |  |  |  | 803 |  |  |  | 33 |
Medical device regulation |  |  | 9,446 |  |  |  | 10,261 |  |  |  | 8,018 |
Business interruption - COVID-19 |  |  | — |  |  |  | 2,387 |  |  |  | 320 |
Succession charges |  |  | 1,176 |  |  |  | 147 |  |  |  | 739 |
Loss before income taxes |  | $ | (148,679 | ) |  | $ | (17,706 | ) |  | $ | (13,495 | )
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) |  | 2023 |  |  | 2022 |  |  | 2021 |
Global Spine |  | $ | 41,213 |  |  | $ | 18,213 |  |  | $ | 17,548 |
Global Orthopedics |  |  | 7,158 |  |  |  | 6,696 |  |  |  | 8,233 |
Corporate |  |  | 4,692 |  |  |  | 4,110 |  |  |  | 3,818 |
Total |  | $ | 53,063 |  |  | $ | 29,019 |  |  | $ | 29,599 |
Summary of Net Sales by Geographic Destination | 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) |  | 2023 |  |  | 2022 |  |  | 2021 |
Global Spine |  |  |  |  |  |  |  |  |
U.S. |  | $ | 591,937 |  |  | $ | 332,846 |  |  | $ | 337,455 |
International |  |  | 39,382 |  |  |  | 20,328 |  |  |  | 21,508 |
Total Global Spine |  |  | 631,319 |  |  |  | 353,174 |  |  |  | 358,963 |
Global Orthopedics |  |  |  |  |  |  |  |  |
U.S. |  | $ | 28,892 |  |  |  | 25,997 |  |  |  | 24,490 |
International |  |  | 86,430 |  |  |  | 81,542 |  |  |  | 81,026 |
Total Global Orthopedics |  |  | 115,322 |  |  |  | 107,539 |  |  |  | 105,516 |
Consolidated |  |  |  |  |  |  |  |  |
U.S. |  |  | 620,829 |  |  |  | 358,843 |  |  |  | 361,945 |
International |  |  | 125,812 |  |  |  | 101,870 |  |  |  | 102,534 |
Net sales |  | $ | 746,641 |  |  | $ | 460,713 |  |  | $ | 464,479 |
The following data includes net sales by geographic destination:
|  | Year Ended December 31, |
(U.S. Dollars, in thousands) |  | 2023 |  |  | 2022 |  |  | 2021 |
U.S. |  | $ | 620,829 |  |  | $ | 358,843 |  |  | $ | 361,945 |
Italy |  |  | 20,060 |  |  |  | 19,098 |  |  |  | 20,187 |
Germany |  |  | 11,467 |  |  |  | 11,569 |  |  |  | 13,716 |
United Kingdom |  |  | 10,910 |  |  |  | 10,171 |  |  |  | 10,552 |
France |  |  | 11,096 |  |  |  | 10,377 |  |  |  | 10,475 |
Brazil |  |  | 6,452 |  |  |  | 5,668 |  |  |  | 5,108 |
Others |  |  | 65,827 |  |  |  | 44,987 |  |  |  | 42,496 |
Net sales |  | $ | 746,641 |  |  | $ | 460,713 |  |  | $ | 464,479 |
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) |  | 2023 |  |  | 2022 |
U.S. |  | $ | 142,727 |  |  | $ | 44,802 |
Italy |  |  | 10,187 |  |  |  | 8,535 |
Germany |  |  | 3,030 |  |  |  | 3,115 |
Others |  |  | 3,116 |  |  |  | 1,777 |
Total |  | $ | 159,060 |  |  | $ | 58,229 |

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