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Segment Reporting and Foreign Operations
12 Months Ended
Dec. 31, 2018
Segment Reporting [Abstract]  
Segment Reporting and Foreign Operations SEGMENT REPORTING AND FOREIGN OPERATIONS

We report our operations in two operating segments: cardiovascular and endoscopy. Our cardiovascular segment consists of cardiology and radiology medical device products which assist in diagnosing and treating coronary artery disease, peripheral vascular disease and other non-vascular diseases and includes embolotherapeutic, cardiac rhythm management ("CRM"), electrophysiology ("EP"), critical care, Cianna Medical, interventional oncology and spine devices, and breast cancer localization and guidance. Our endoscopy segment consists of gastroenterology and pulmonology medical device products which assist in the palliative treatment of expanding esophageal, tracheobronchial and biliary strictures caused by malignant tumors. We evaluate the performance of our operating segments based on operating income (loss). See Note 2 for a detailed breakout of our sales by operating segment and product group, disaggregated between domestic and international sales.

During the years ended December 31, 2018, 2017 and 2016, we had international sales of approximately $386.3 million, $307.1 million and $233.5 million, respectively, or approximately 44%, 42% and 39%, respectively, of net sales, primarily in China, Japan, Germany, France, the United Kingdom and Russia. China represents our most significant international sales market with sales of approximately $92.7 million, $73.4 million, and $59.9 million for the years ended December 31, 2018, 2017 and 2016, respectively. International sales are attributed based on location of the customer receiving the product.

Our long-lived assets (which are comprised of our net property, plant and equipment) by geographic area at December 31, 2018, 2017 and 2016, consisted of the following (in thousands):
 
2018
 
2017
 
2016
United States
$
231,864

 
$
202,504

 
$
194,715

Ireland
45,283

 
45,671

 
47,337

Other foreign countries
54,305

 
44,645

 
34,521

Total
$
331,452

 
$
292,820

 
$
276,573



Financial information relating to our reportable operating segments and reconciliations to the consolidated totals for the years ended December 31, 2018, 2017 and 2016, are as follows (in thousands):
 
2018
 
2017
 
2016
Net Sales
 

 
 

 
 

Cardiovascular
$
849,477

 
$
700,613

 
$
580,151

Endoscopy
33,276

 
27,239

 
23,687

Total net sales
882,753

 
727,852

 
603,838

 
 
 
 
 
 
Operating expenses
 

 
 

 
 

Cardiovascular
321,461

 
281,095

 
218,659

Endoscopy
14,692

 
12,089

 
11,490

Total operating expenses
336,153

 
293,184

 
230,149

 
 
 
 
 
 
Operating income
 

 
 

 
 

Cardiovascular
49,289

 
24,819

 
30,053

Endoscopy
9,328

 
8,250

 
4,823

Total operating income
58,617

 
33,069

 
34,876

 
 
 
 
 
 
Total other income (expense) - net
(9,098
)
 
2,812

 
(9,490
)
Income tax expense
7,502

 
8,358

 
5,265

 
 
 
 
 
 
Net income
$
42,017

 
$
27,523

 
$
20,121



Total assets by business segment at December 31, 2018, 2017 and 2016, consisted of the following (in thousands):
 
2018
 
2017
 
2016
Cardiovascular
$
1,588,970

 
$
1,103,806

 
$
932,927

Endoscopy
31,042

 
8,005

 
9,876

Total
$
1,620,012

 
$
1,111,811

 
$
942,803



Total depreciation and amortization by business segment for the years ended December 31, 2018, 2017, and 2016 consisted of the following (in thousands):
 
2018
 
2017
 
2016
Cardiovascular
$
68,722

 
$
52,700

 
$
42,806

Endoscopy
824

 
882

 
949

Total
$
69,546

 
$
53,582

 
$
43,755



Total capital expenditures for property and equipment by business segment for the years ended December 31, 2018, 2017 and 2016 consisted of the following (in thousands):
 
2018
 
2017
 
2016
Cardiovascular
$
63,032

 
$
38,437

 
$
32,613

Endoscopy
292

 
186

 
224

Total
$
63,324

 
$
38,623

 
$
32,837