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SEGMENT AND GEOGRAPHIC INFORMATION
9 Months Ended
Sep. 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 nine months ended September 30, 2014 and 2013 are as follows:
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
 
2014
 
2013
 
2014
 
2013
 
 
(In thousands)
 
 
 
 
(As adjusted)*
 
 
 
(As adjusted)*
Segment Net Sales
 
 
 
 
 
 
 
 
U.S. Neurosurgery
 
$
62,323

 
$
45,114

 
$
177,265

 
$
125,877

U.S. Instruments
 
39,853

 
43,004

 
116,078

 
121,900

U.S. Extremities
 
36,746

 
31,831

 
103,083

 
93,802

U.S. Spine and Other
 
42,015

 
47,408

 
128,168

 
134,889

International
 
48,782

 
45,889

 
151,535

 
138,977

Total revenues
 
$
229,719

 
$
213,246

 
$
676,129

 
$
615,445

Segment Profit
 
 
 
 
 
 
 
 
U.S. Neurosurgery
 
$
35,889

 
$
23,080

 
$
94,247

 
$
59,770

U.S. Instruments
 
12,416

 
13,713

 
34,728

 
35,963

U.S. Extremities
 
14,983

 
13,117

 
40,907

 
34,613

U.S. Spine and Other
 
13,108

 
(31,043
)
 
39,801

 
(4,844
)
International
 
15,170

 
14,693

 
49,549

 
41,697

Segment profit
 
91,566

 
33,560

 
259,232

 
167,199

Amortization
 
(2,995
)
 
(3,036)

 
(9,013)

 
(9,660)

Corporate and other
 
(70,844
)
 
(61,665
)
 
(211,362
)
 
(185,314
)
Operating income (loss)
 
$
17,727

 
$
(31,141
)
 
$
38,857

 
$
(27,775
)

* 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 September 30,
 
Nine Months Ended September 30,
 
2014
 
2013
 
2014
 
2013
 
(In thousands)
Orthopedics
$
91,650

 
$
92,125

 
$
271,958

 
$
271,862

Neurosurgery
92,089

 
72,639

 
269,717

 
204,283

Instruments
45,980

 
48,482

 
134,454

 
139,300

Total Revenues
$
229,719

 
$
213,246

 
$
676,129

 
$
615,445



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 September 30,
 
Nine Months Ended September 30,
 
2014
 
2013
 
2014
 
2013
 
(In thousands)
United States
$
180,101

 
$
166,555

 
$
522,288

 
$
473,740

Europe
23,850

 
21,543

 
75,026

 
68,936

Rest of World
25,768

 
25,148

 
78,815

 
72,769

Total Revenues
$
229,719

 
$
213,246

 
$
676,129

 
$
615,445