Business Segment, Product and Geographical Information (Tables)

9 Months Ended

Sep. 30, 2016

Segment Reporting [Abstract]

Revenue from External Customers by Products and Services

	Three Months Ended September 30,				Nine Months Ended September 30,
(in thousands)	2016		2015		2016		2015
Spinal Hardware	$	162,831	$	138,948	$	486,030	$	410,225
Surgical Support		76,818		61,590		204,933		185,606
Total Revenue	$	239,649	$	200,538	$	690,963	$	595,831

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 September 30,				Nine Months Ended September 30,				September 30,		December 31,
(in thousands)	2016		2015		2016		2015		2016		2015
United States	$	208,281	$	176,371	$	597,230	$	524,320	$	145,359	$	113,037
International (excludes Puerto Rico)		31,368		24,167		93,733		71,511		34,554		28,404
Total	$	239,649	$	200,538	$	690,963	$	595,831	$	179,913	$	141,441