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Geographic and Segment Information (Tables) | 9 Months Ended
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Sep. 30, 2017
Segment Reporting [Abstract] |
Schedule of Segment Reporting Information, by Segment | Net sales and income from operations by segment (in thousands):
|  | Three Months Ended September 30, |  | Nine Months Ended September 30,
Net Sales: |  | 2017 |  | 2016 |  | 2017 |  | 2016
Cardiac Surgery |  | $ | 159,822 |  |  | $ | 148,518 |  |  | $ | 457,612 |  |  | $ | 453,012 |
Neuromodulation |  | 91,016 |  |  | 89,504 |  |  | 275,190 |  |  | 260,901 |
Cardiac Rhythm Management |  | 58,411 |  |  | 56,768 |  |  | 182,235 |  |  | 188,057 |
Other |  | 415 |  |  | 478 |  |  | 1,119 |  |  | 1,314 |
|  | $ | 309,664 |  |  | $ | 295,268 |  |  | $ | 916,156 |  |  | $ | 903,284 |
|  | Three Months Ended September 30, |  | Nine Months Ended September 30,
Income from Operations: |  | 2017 |  | 2016 |  | 2017 |  | 2016
Cardiac Surgery |  | $ | 23,807 |  |  | $ | 17,791 |  |  | $ | 63,490 |  |  | $ | 29,197 |
Neuromodulation |  | 45,932 |  |  | 47,049 |  |  | 139,357 |  |  | 134,871 |
Cardiac Rhythm Management |  | 5,427 |  |  | (4,598 | ) |  | 13,536 |  |  | (14,432 | )
Other |  | (27,947 | ) |  | (13,525 | ) |  | (79,378 | ) |  | (49,090 | )
Total Reportable Segments’ Income from Operations |  | 47,219 |  |  | 46,717 |  |  | 137,005 |  |  | 100,546 |
Merger and integration expenses |  | 2,013 |  |  | 7,576 |  |  | 7,743 |  |  | 20,537 |
Restructuring expenses |  | 792 |  |  | 4,381 |  |  | 12,060 |  |  | 37,219 |
Amortization of intangibles |  | 12,350 |  |  | 11,775 |  |  | 35,445 |  |  | 33,959 |
Income from operations |  | $ | 32,064 |  |  | $ | 22,985 |  |  | $ | 81,757 |  |  | $ | 8,831 |
The following tables present our assets and capital expenditures by segment (in thousands):
Assets: |  | September 30, 2017 |  | December 31, 2016
Cardiac Surgery |  | $ | 1,414,260 |  |  | $ | 1,277,799 |
Neuromodulation |  | 564,785 |  |  | 611,085 |
Cardiac Rhythm Management |  | 351,390 |  |  | 341,998 |
Other |  | 272,695 |  |  | 111,749 |
|  | $ | 2,603,130 |  |  | $ | 2,342,631 |
|  | Three Months Ended September 30, |  | Nine Months Ended September 30,
Capital expenditures: |  | 2017 |  | 2016 |  | 2017 |  | 2016
Cardiac Surgery |  | $ | 5,541 |  |  | $ | 6,465 |  |  | $ | 13,292 |  |  | $ | 16,774 |
Neuromodulation |  | 370 |  |  | 1,781 |  |  | 2,348 |  |  | 5,602 |
Cardiac Rhythm Management |  | 1,537 |  |  | 1,591 |  |  | 4,343 |  |  | 2,786 |
Other |  | 1,633 |  |  | 2,435 |  |  | 4,021 |  |  | 3,766 |
|  | $ | 9,081 |  |  | $ | 12,272 |  |  | $ | 24,004 |  |  | $ | 28,928 |
Schedule of Goodwill | The changes in the carrying amount of goodwill by reportable segment for the nine months ended September 30, 2017 were as follows (in thousands):
|  | Neuromodulation |  | Cardiac Surgery |  | Cardiac Rhythm Management |  | Other |  | Total
December 31, 2016 |  | $ | 315,943 |  |  | $ | 375,769 |  |  | $ | — |  |  | $ | — |  |  | $ | 691,712 |
Goodwill as a result of acquisitions (1) |  | — |  |  | — |  |  | — |  |  | 42,418 |  |  | 42,418 |
Foreign currency adjustments |  | — |  |  | 46,940 |  |  | — |  |  | — |  |  | 46,940 |
September 30, 2017 |  | $ | 315,943 |  |  | $ | 422,709 |  |  | $ | — |  |  | $ | 42,418 |  |  | $ | 781,070 |
(1) | Goodwill recognized as a result of the Caisson acquisition. Refer to “Note 2. Acquisitions.”
Revenue from External Customers by Geographic Areas | We operate under three geographic regions: United States, Europe, and Rest of world. Net sales to external customers by geography are determined based on the country the products are shipped to and are as follows (in thousands):
|  | Three Months Ended September 30, |  | Nine Months Ended September 30,
Net Sales |  | 2017 |  | 2016 |  | 2017 |  | 2016
United States |  | $ | 122,208 |  |  | $ | 123,810 |  |  | $ | 366,115 |  |  | $ | 362,358 |
Europe (1) (2) |  | 92,953 |  |  | 91,245 |  |  | 294,338 |  |  | 301,727 |
Rest of world |  | 94,503 |  |  | 80,213 |  |  | 255,703 |  |  | 239,199 |
Total (3) |  | $ | 309,664 |  |  | $ | 295,268 |  |  | $ | 916,156 |  |  | $ | 903,284 |
(1) | Net sales to external customers in the UK include $9.6 million and $26.8 million for the three and nine months ended September 30, 2017, respectively and $8.8 million and $27.9 million for the three and nine months ended September 30, 2016, respectively.
(2) | Includes those countries in Europe where we have a direct sales presence. Countries where sales are made through distributors are included in ‘Rest of world’.
(3) | No single customer represented over 10% of our consolidated net sales. Except for the U.S. and France, no country’s net sales exceeded 10% of our consolidated net sales. French sales were $29.6 million and $96.6 million for the three and nine months ended September 30, 2017, respectively, and $28.9 million and $95.9 million for the three and nine months ended September 30, 2016, respectively.
Long-lived Assets by Geographic Areas | Property, plant and equipment, net by geography are as follows (in thousands):
PP&E |  | September 30, 2017 |  | December 31, 2016
United States |  | $ | 62,630 |  |  | $ | 61,279 |
Europe |  | 137,682 |  |  | 130,777 |
Rest of world |  | 13,457 |  |  | 31,786 |
Total |  | $ | 213,769 |  |  | $ | 223,842 |

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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://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -URI http://asc.fasb.org/extlink&oid=68060357&loc=d3e8906-108599 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -URI http://asc.fasb.org/extlink&oid=68060357&loc=d3e8813-108599 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=68060357&loc=d3e8721-108599 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=35741047&loc=d3e13816-109267 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI http://asc.fasb.org/extlink&oid=68060357&loc=d3e8736-108599 + Details
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