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SEGMENT AND GEOGRAPHIC INFORMATION
6 Months Ended
Jun. 30, 2014
Segment Reporting [Abstract]  
SEGMENT AND GEOGRAPHIC INFORMATION
SEGMENT AND GEOGRAPHIC INFORMATION

The Company internally manages and reports the results of its businesses to its chief operating decision maker through five reportable segments. The five reportable segments and a description of their activities are described below:

The U.S. Neurosurgery segment sells a full line of products specifically for neurosurgery and critical care such as tissue ablation equipment, dural repair products, cerebral spinal fluid management devices, intracranial monitoring equipment, and cranial stabilization equipment.
The U.S. Instruments business sells more than 60,000 instrument patterns and surgical and lighting products to hospitals, surgery centers, and dental, podiatry, and veterinary offices.
The U.S. Extremities segment includes the U.S. Extremity reconstruction business, which includes such offerings as skin and wound repair, bone and joint fixation, implants in the upper and lower extremities, bone grafts and nerve and tendon repair.
The U.S. Spine and Other segment includes (i) the U.S. Spine business, which focuses on spinal fusion, spinal implants, and deformity correction, together with bone graft substitutes and other related medical devices that are used to enhance the repair and regeneration of bone in various types of orthopedic surgical procedures, and (ii) the Private Label business, which sells the Company’s regenerative medicine and other products to strategic partners.
The International segment sells similar products to those discussed above, but are managed through the following geographies: (i) Europe, Middle East and Africa, and (ii) Central/South America, Asia-Pacific and Canada.

The Corporate and other category includes: (i) various legal, finance, information systems, executive, and human resource functions, (ii) brand management, (iii) share-based compensation costs, and (iv) costs related to procurement, manufacturing operations and logistics for the Company’s entire organization.

The operating results of the various reportable segments as presented are not comparable to one another because: (i) certain operating segments are more dependent than others on corporate functions for unallocated general and administrative and/or operational manufacturing functions, and (ii) the Company does not allocate certain manufacturing costs and general and administrative costs to the operating segment results. Net sales and profit by reportable segment for the three and six months ended June 30, 2014 and 2013 are as follows:
 
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
 
2014
 
2013
 
2014
 
2013
 
 
(In thousands)
 
 
 
 
(As adjusted)*
 
 
 
(As adjusted)*
Segment Net Sales
 
 
 
 
 
 
 
 
U.S. Neurosurgery
 
$
60,559

 
$
41,767

 
$
114,942

 
$
80,763

U.S. Instruments
 
39,505

 
41,048

 
76,225

 
78,896

U.S. Extremities
 
34,424

 
32,009

 
66,337

 
61,971

U.S. Spine and Other
 
45,087

 
43,434

 
86,153

 
87,481

International
 
51,776

 
47,289

 
102,753

 
93,088

Total revenues
 
$
231,351

 
$
205,547

 
$
446,410

 
$
402,199

Segment Profit
 
 
 
 
 
 
 
 
U.S. Neurosurgery
 
$
30,569

 
$
19,786

 
$
58,357

 
$
36,690

U.S. Instruments
 
11,832

 
12,136

 
22,313

 
22,250

U.S. Extremities
 
14,171

 
11,943

 
25,924

 
21,495

U.S. Spine and Other
 
14,716

 
12,636

 
26,693

 
26,199

International
 
17,167

 
14,350

 
34,379

 
27,004

Segment profit
 
88,455

 
70,851

 
167,666

 
133,638

Amortization
 
(2,985
)
 
(3,073)

 
(6,018)

 
(6,624)

Corporate and other
 
(73,078
)
 
(62,222
)
 
(140,518
)
 
(123,648
)
Operating income (loss)
 
$
12,392

 
$
5,556

 
$
21,130

 
$
3,366


* See Note 1 of these condensed consolidated financial statements for discussion of the impact of the change in accounting for the medical device excise tax.
Certain 2013 segment revenues and the related impact on segment profit above have been reclassified in order to conform with the current year's presentation.
Revenue by major product category consisted of the following: 
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2014
 
2013
 
2014
 
2013
 
(In thousands)
Orthopedics
$
93,069

 
$
90,377

 
$
180,308

 
$
179,737

Neurosurgery
93,258

 
68,459

 
177,628

 
131,644

Instruments
45,024

 
46,711

 
88,474

 
90,818

Total Revenues
$
231,351

 
$
205,547

 
$
446,410

 
$
402,199



The Company attributes revenues to geographic areas based on the location of the customer. There are certain revenues managed by the various U.S. segments that are generated from non-U.S. customers and therefore are included in Europe and the Rest of World revenues below. Total revenue by major geographic area consisted of the following:
 
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2014
 
2013
 
2014
 
2013
 
(In thousands)
United States
$
178,806

 
$
157,166

 
$
342,187

 
$
307,185

Europe
25,851

 
23,776

 
51,176

 
47,393

Rest of World
26,694

 
24,605

 
53,047

 
47,621

Total Revenues
$
231,351

 
$
205,547

 
$
446,410

 
$
402,199