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Segment Information
 9 Months Ended
Sep. 30, 2021
Segment Reporting [Abstract]  
Segment Information Segment Information
 
We have four business segments (Asia, Europe, North America, and Latin America and Other) based primarily upon the geographic region where each segment operates, as well as the internal organization of our officers and their responsibilities. Each of the geographic segments operate under the Nature’s Sunshine Products and Synergy® WorldWide brands. The Latin America and Other segment includes our wholesale business in which we sell products to various locally-managed entities independent of the Company that we have granted distribution rights for the relevant market.

Net sales for each segment have been reduced by intercompany sales as they are not included in the measure of segment profit or loss reviewed by the chief executive officer. We evaluate performance based on contribution margin by segment before consideration of certain inter-segment transfers and expenses.
Reportable business segment information is as follows (dollar amounts in thousands):

 Three Months Ended
September 30,		Nine Months Ended
September 30,
 2021202020212020
Net sales:    
Asia$48,417 $38,099 $127,708 $101,814 
Europe21,813 18,006 65,468 54,098 
North America37,738 37,557 112,872 110,785 
Latin America and Other6,778 6,588 20,097 16,765 
Total net sales114,746 100,250 326,145 283,462 
Contribution margin (1):    
Asia21,421 17,981 55,203 48,560 
Europe6,959 5,954 20,343 17,987 
North America17,193 12,065 48,892 38,388 
Latin America and Other3,961 2,765 11,355 7,161 
Total contribution margin49,534 38,765 135,793 112,096 
Selling, general and administrative expenses (2)39,528 33,294 108,666 92,863 
Operating income10,006 5,471 27,127 19,233 
Other income (loss), net(886)671 (2,290)(230)
Income before provision for income taxes$9,120 $6,142 $24,837 $19,003 
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(1)    Contribution margin consists of net sales less cost of sales and volume incentives expense.

(2)    Service fees in China totaled $5.2 million and $11.7 million for the three and nine-month periods ended September 30, 2021, respectively, compared to $3.2 million and $8.0 million for the three and nine-month periods ended September 30, 2020. These service fees are included in selling, general and administrative expenses.

From an individual country perspective, the United States and South Korea comprise 10 percent or more of consolidated net sales for the three and nine-month periods ended September 30, 2021 and 2020, as follows (dollar amounts in thousands):
 
 Three Months Ended
September 30,		Nine Months Ended
September 30,
 2021202020212020
Net sales:    
United States$34,960 $35,062 $104,258 $103,048 
South Korea15,985 16,592 48,340 47,447 
Other63,801 48,596 173,547 132,967 
 $114,746 $100,250 $326,145 $283,462 
Net sales generated by each of our product lines is set forth below (dollar amounts in thousands):
 
 Three Months Ended
September 30,		Nine Months Ended
September 30,
 2021202020212020
Asia    
General health$13,150 $10,055 $37,140 $27,364 
Immune463 85 1,048 465 
Cardiovascular13,018 10,622 35,181 29,284 
Digestive10,427 9,935 25,045 24,482 
Personal care4,201 2,575 12,015 7,457 
Weight management7,158 4,827 17,279 12,762 
 48,417 38,099 127,708 101,814 
Europe    
General health$9,308 $7,725 $28,447 $22,501 
Immune2,285 1,510 6,119 5,324 
Cardiovascular2,774 2,581 8,602 7,693 
Digestive5,700 4,541 16,807 13,254 
Personal care1,167 1,023 3,592 3,492 
Weight management579 626 1,901 1,834 
 21,813 18,006 65,468 54,098 
North America    
General health$16,573 $15,839 $49,192 $46,190 
Immune5,056 5,790 14,031 18,637 
Cardiovascular4,171 4,138 12,406 11,984 
Digestive9,079 8,635 28,558 24,734 
Personal care1,978 1,963 5,631 5,867 
Weight management881 1,192 3,054 3,373 
 37,738 37,557 112,872 110,785 
Latin America and Other    
General health$1,959 $2,038 $5,807 $5,002 
Immune806 837 2,314 2,326 
Cardiovascular448 429 1,351 1,070 
Digestive2,941 2,682 8,813 7,008 
Personal care406 384 1,149 848 
Weight management218 218 663 511 
 6,778 6,588 20,097 16,765 
 $114,746 $100,250 $326,145 $283,462 

From an individual country perspective, only the United States comprised 10 percent or more of consolidated property, plant and equipment as follows (dollar amounts in thousands):
 September 30,
2021		December 31,
2020
Property, plant and equipment:  
United States$48,176 $50,025 
Other4,362 4,330 
Total property, plant and equipment, net$52,538 $54,355 
Total assets per segment is set forth below (dollar amounts in thousands):
September 30,
2021		December 31,
2020
Assets:  
Asia$96,522 $82,572 
Europe17,931 16,398 
North America117,215 142,324 
Latin America and Other8,084 8,204 
Total assets$239,752 $249,498