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Segment Information
12 Months Ended
Dec. 31, 2020
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. The Company does not identify or allocate assets to its segments other than goodwill. Management is in the process of evaluating the Company’s operating and reporting structure. The Company anticipates this evaluation, which it expects to complete during 2021, may result in a change to the Company’s existing operating segment reporting structure.
Selected information regarding the Company’s segments are provided as follows:
Year Ended
December 31,
(in thousands)202020192018
Revenue by product and geography from external customers
U.S.
DEFINITY$207,270 $211,777 $178,440 
TechneLite69,729 72,534 74,042 
Other nuclear36,864 36,231 48,935 
Rebates and allowances(19,067)(16,553)(12,837)
Total U.S. Revenues294,796 303,989 288,580 
International
DEFINITY6,046 5,731 4,633 
TechneLite16,512 14,058 24,816 
Other nuclear22,060 23,574 25,349 
Rebates and allowances(4)(15)(4)
Total International Revenues44,614 43,348 54,794 
Worldwide
DEFINITY213,316 217,508 183,073 
TechneLite86,241 86,592 98,858 
Other nuclear58,924 59,805 74,284 
Rebates and allowances(19,071)(16,568)(12,841)
Total Revenues$339,410 $347,337 $343,374 

Year Ended
December 31,
(in thousands)202020192018
Operating income
U.S.$(10,363)$44,275 $56,327 
International6,165 7,386 8,161 
Total operating (loss) income(4,198)51,661 64,488 
Interest expense9,479 13,617 17,405 
Loss on extinguishment of debt— 3,196 — 
Other (income) loss(2,198)6,221 (2,465)
(Loss) income before income taxes$(11,479)$28,627 $49,548 
Depreciation and amortization
U.S.$23,007 $11,673 $12,278 
International244 414 491 
Total depreciation and amortization$23,251 $12,087 $12,769 
 December 31,
(in thousands)20202019
Long-lived assets
U.S.$120,147 $115,560 
International(1)
24 937 
Total long-lived assets$120,171 $116,497 
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(1)2020 Amount excludes Puerto Rico as the Company has identified its Puerto Rico entity as held for sale.