Business Segment, Product and Geographical Information (Tables)

3 Months Ended

Mar. 31, 2016

Segment Reporting [Abstract]

Revenue from External Customers by Products and Services

	Three Months Ended March 31,
(in thousands)	2016		2015
Spinal Hardware	$	151,957	$	131,222
Surgical Support		63,147		61,161
Total Revenue	$	215,104	$	192,383

Schedule of Revenue from Net Property and Equipment by Geographical Areas

Revenue and property and equipment, net, by geographic area were as follows: 

	Revenue				Property and Equipment, Net
	Three Months Ended March 31,				March 31,		December 31,
(in thousands)	2016		2015		2016		2015
United States	$	188,351	$	169,926	$	124,229	$	113,037
International (excludes Puerto Rico)		26,753		22,457		28,759		28,404
Total	$	215,104	$	192,383	$	152,988	$	141,441