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Geographic and Segment Information (Tables) | 3 Months Ended
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Mar. 31, 2021
Segment Reporting [Abstract] |
Revenue from External Customers by Geographic Areas | The table below presents net sales by operating segment and geographic region (in thousands):
|  |  |  | Three Months Ended March 31,
|  |  |  |  |  | 2021 |  | 2020
Cardiopulmonary |  |  |  |  |  |  |  |
United States |  |  |  |  |  | $ | 35,759 |  |  | $ | 36,858 |
Europe |  |  |  |  |  | 30,626 |  |  | 34,234 |
Rest of World |  |  |  |  |  | 42,334 |  |  | 45,275 |
|  |  |  |  |  | 108,719 |  |  | 116,367 |
Heart Valves |  |  |  |  |  |  |  |
United States |  |  |  |  |  | 2,717 |  |  | 3,373 |
Europe |  |  |  |  |  | 8,284 |  |  | 9,529 |
Rest of World |  |  |  |  |  | 10,454 |  |  | 12,309 |
|  |  |  |  |  | 21,455 |  |  | 25,211 |
Advanced Circulatory Support |  |  |  |  |  |  |  |
United States |  |  |  |  |  | 12,560 |  |  | 10,076 |
Europe |  |  |  |  |  | 228 |  |  | 370 |
Rest of World |  |  |  |  |  | 204 |  |  | 45 |
|  |  |  |  |  | 12,992 |  |  | 10,491 |
Cardiovascular |  |  |  |  |  |  |  |
United States |  |  |  |  |  | 51,036 |  |  | 50,307 |
Europe |  |  |  |  |  | 39,138 |  |  | 44,133 |
Rest of World |  |  |  |  |  | 52,992 |  |  | 57,629 |
|  |  |  |  |  | 143,166 |  |  | 152,069 |
Neuromodulation |  |  |  |  |  |  |  |
United States |  |  |  |  |  | 82,300 |  |  | 73,276 |
Europe |  |  |  |  |  | 11,679 |  |  | 10,583 |
Rest of World |  |  |  |  |  | 9,720 |  |  | 5,798 |
|  |  |  |  |  | 103,699 |  |  | 89,657 |
Other |  |  |  |  |  | 738 |  |  | 671 |
Totals |  |  |  |  |  |  |  |
United States |  |  |  |  |  | 133,336 |  |  | 123,583 |
Europe (1) |  |  |  |  |  | 50,817 |  |  | 54,716 |
Rest of World |  |  |  |  |  | 63,450 |  |  | 64,098 |
Total (2) |  |  |  |  |  | $ | 247,603 |  |  | $ | 242,397 |
(1)Europe sales include those countries in which we have a direct sales presence, whereas European countries in which we sell through distributors are included in Rest of World. (2)No single customer represented over 10% of our consolidated net sales. No country’s net sales exceeded 10% of our consolidated sales except for the U.S.
Schedule of Segment Reporting Information, by Segment | The table below presents a reconciliation of segment income from continuing operations to consolidated income from continuing operations before tax (in thousands):
|  |  |  | Three Months Ended March 31,
|  |  |  |  |  | 2021 |  | 2020
Cardiovascular |  |  |  |  |  | $ | 5,628 |  |  | $ | 8,681 |
Neuromodulation |  |  |  |  |  | 34,039 |  |  | 33,858 |
Other |  |  |  |  |  | (30,669) |  |  | (26,610) |
Total reportable segment income from continuing operations |  |  |  |  |  | 8,998 |  |  | 15,929 |
Merger and integration expenses |  |  |  |  |  | 630 |  |  | 3,474 |
Restructuring expenses |  |  |  |  |  | 6,092 |  |  | 1,580 |
Amortization of intangibles |  |  |  |  |  | 6,699 |  |  | 10,267 |
Operating income from continuing operations |  |  |  |  |  | (4,423) |  |  | 608 |
Interest income |  |  |  |  |  | (74) |  |  | 148 |
Interest expense |  |  |  |  |  | (15,936) |  |  | (4,849) |
Foreign exchange and other losses |  |  |  |  |  | (6,369) |  |  | (1,914) |
Income from continuing operations before tax |  |  |  |  |  | $ | (26,802) |  |  | $ | (6,007) |
Assets by segment are as follows (in thousands):
|  | March 31, 2021 |  | December 31, 2020
Cardiovascular |  | $ | 1,319,493 |  |  | $ | 1,361,669 |
Neuromodulation |  | 642,123 |  |  | 673,586 |
Other |  | 407,553 |  |  | 376,096 |
Total assets |  | $ | 2,369,169 |  |  | $ | 2,411,351 |
Capital expenditures by segment are as follows (in thousands):
|  |  |  | Three Months Ended March 31,
|  |  |  |  |  | 2021 |  | 2020
Cardiovascular |  |  |  |  |  | $ | 4,149 |  |  | $ | 5,292 |
Neuromodulation |  |  |  |  |  | 40 |  |  | 5,239 |
Other |  |  |  |  |  | 925 |  |  | 1,843 |
Total |  |  |  |  |  | $ | 5,114 |  |  | $ | 12,374 |
Schedule of Goodwill | The changes in the carrying amount of goodwill by segment for the three months ended March 31, 2021 were as follows (in thousands):
|  | Cardiovascular |  | Neuromodulation |  | Total
December 31, 2020 |  | $ | 523,564 |  |  | $ | 398,754 |  |  | $ | 922,318 |
Foreign currency adjustments |  | (12,326) |  |  | — |  |  | (12,326) |
March 31, 2021 |  | $ | 511,238 |  |  | $ | 398,754 |  |  | $ | 909,992 |
Long-lived Assets by Geographic Areas | Property, plant and equipment, net by geography are as follows (in thousands):
|  | March 31, 2021 |  | December 31, 2020
United States |  | $ | 64,002 |  |  | $ | 64,553 |
Europe |  | 87,945 |  |  | 93,821 |
Rest of World |  | 5,945 |  |  | 5,431 |
Total |  | $ | 157,892 |  |  | $ | 163,805 |

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- Definition Tabular disclosure of long-lived assets, excluding financial instruments, long-term customer relationships of a financial institution, mortgage rights, deferred policy acquisition costs, and deferred tax assets, by geographic areas located in the entity's country of domicile and foreign countries in which the entity holds 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 41 -Subparagraph b -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e9038-108599 + 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=120311839&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=120311839&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=121556970&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 30 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8906-108599 + Details
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