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Segment Information
 6 Months Ended
Jun. 30, 2019
Segment Reporting [Abstract]  
Segment Information
Segment Information
The Company reports two operating segments, U.S. and International, based on geographic customer base. The results of these operating segments are regularly reviewed by the Company’s chief operating decision maker, the President and Chief Executive Officer. The Company’s segments derive revenues through the manufacture, marketing, selling and distribution of medical imaging products, focused primarily on cardiovascular diagnostic imaging. All goodwill has been allocated to the U.S. operating segment. The Company does not identify or allocate assets to its segments.
Selected information regarding the Company’s segments is provided as follows:
 
Three Months Ended
June 30,
 
Six Months Ended
June 30,
(in thousands)
2019
 
2018
 
2019
 
2018
Revenues from external customers
 
 
 
 
 
 
 
U.S.
$
75,190

 
$
74,086

 
$
150,624

 
$
145,574

International
10,515

 
11,487

 
21,591

 
22,629

Total revenues from external customers
$
85,705

 
$
85,573

 
$
172,215

 
$
168,203

Operating income
 
 
 
 
 
 
 
U.S.
$
12,689

 
$
14,292

 
$
27,273

 
$
28,448

International
1,848

 
1,634

 
3,433

 
2,615

Total operating income
14,537

 
15,926

 
30,706

 
31,063

Interest expense
4,543

 
4,298

 
9,135

 
8,348

Loss on extinguishment of debt
3,196

 
—

 
3,196

 
—

Other income
(1,312
)
 
(336
)
 
(2,499
)
 
(1,256
)
Income before income taxes
$
8,110

 
$
11,964

 
$
20,874

 
$
23,971