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Segment Reporting and Foreign Operations (Tables)
12 Months Ended
Dec. 31, 2019
Segment Reporting [Abstract]  
Schedule of Long-lived Assets by Geographic Area

Our long-lived assets (which are comprised of our net property, plant and equipment) by geographic area at December 31, 2019, 2018 and 2017, consisted of the following (in thousands):

    

2019

    

2018

    

2017

United States

$

273,816

$

231,864

$

202,504

Ireland

 

44,912

 

45,283

 

45,671

Other foreign countries

 

60,057

 

54,305

 

44,645

Total

$

378,785

$

331,452

$

292,820

Schedule of Segment Reporting Information, by Segment

Financial information relating to our reportable operating segments and reconciliations to the consolidated totals for the years ended December 31, 2019, 2018 and 2017, are as follows (in thousands):

2019

    

2018

    

2017

Net Sales

  

 

  

 

  

Cardiovascular

$

960,981

$

849,477

$

700,613

Endoscopy

 

33,871

 

33,276

 

27,239

Total net sales

 

994,852

 

882,753

 

727,852

Operating Expenses

Cardiovascular

 

382,313

 

321,461

 

281,095

Endoscopy

 

34,619

 

14,692

 

12,089

Total operating expenses

 

416,932

 

336,153

 

293,184

Operating Income

 

  

 

  

 

  

Cardiovascular

 

25,780

 

49,289

 

24,819

Endoscopy

 

(10,346)

 

9,328

 

8,250

Total operating income

 

15,434

 

58,617

 

33,069

Total other income (expense) - net

 

(13,241)

 

(9,098)

 

2,812

Income tax expense (benefit)

 

(3,258)

 

7,502

 

8,358

Net income

$

5,451

$

42,017

$

27,523

Total assets by business segment at December 31, 2019, 2018 and 2017, consisted of the following (in thousands):

    

2019

    

2018

    

2017

Cardiovascular

$

1,745,057

$

1,588,970

$

1,103,806

Endoscopy

 

12,264

 

31,042

 

8,005

Total

$

1,757,321

$

1,620,012

$

1,111,811

Total depreciation and amortization by business segment for the years ended December 31, 2019, 2018 and 2017 consisted of the following (in thousands):

    

2019

    

2018

    

2017

Cardiovascular

$

91,151

$

68,722

$

52,700

Endoscopy

 

949

 

824

 

882

Total

$

92,100

$

69,546

$

53,582

Total capital expenditures for property and equipment by business segment for the years ended December 31, 2019, 2018 and 2017 consisted of the following (in thousands):

    

2019

    

2018

    

2017

Cardiovascular

$

77,631

$

63,032

$

38,437

Endoscopy

 

542

 

292

 

186

Total

$

78,173

$

63,324

$

38,623

Reconciliation of Assets from Segment to Consolidated

2019

    

2018

    

2017

Net Sales

  

 

  

 

  

Cardiovascular

$

960,981

$

849,477

$

700,613

Endoscopy

 

33,871

 

33,276

 

27,239

Total net sales

 

994,852

 

882,753

 

727,852

Operating Expenses

Cardiovascular

 

382,313

 

321,461

 

281,095

Endoscopy

 

34,619

 

14,692

 

12,089

Total operating expenses

 

416,932

 

336,153

 

293,184

Operating Income

 

  

 

  

 

  

Cardiovascular

 

25,780

 

49,289

 

24,819

Endoscopy

 

(10,346)

 

9,328

 

8,250

Total operating income

 

15,434

 

58,617

 

33,069

Total other income (expense) - net

 

(13,241)

 

(9,098)

 

2,812

Income tax expense (benefit)

 

(3,258)

 

7,502

 

8,358

Net income

$

5,451

$

42,017

$

27,523