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Segment Reporting and Foreign Operations (Tables) | 12 Months Ended
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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 |

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- Definition Tabular disclosure of all significant reconciling items in the reconciliation of total assets from reportable segments to the entity's consolidated assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8906-108599 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8924-108599 + Details
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- Definition Tabular disclosure of information concerning material long-lived assets (excluding financial instruments, customer relationships with financial institutions, mortgage and other servicing rights, deferred policy acquisition costs, and deferred taxes assets) located in identified geographic areas and/or the amount of revenue from external customers attributed to that country from which revenue is material. An entity may also provide subtotals of geographic information about groups of countries. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e9038-108599 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=115205541&loc=SL114868664-224227 + Details
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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8736-108599 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8813-108599 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13816-109267 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8721-108599 Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8906-108599 + Details
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