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Segment Reporting and Foreign Operations (Tables)
12 Months Ended
Dec. 31, 2018
Segment Reporting [Abstract]  
Schedule of Revenue from External Customers and Long-Lived Assets, by Geographical Areas 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

Schedule of Segment Reporting Information, by Segment 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

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



Reconciliation of Assets from Segment to Consolidated 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