Segment Reporting and Foreign Operations (Tables)

12 Months Ended

Dec. 31, 2023

Segment Reporting [Abstract]

Schedule of Long-lived Assets by Geographic Area

Our long-lived assets (which are comprised of our net property and equipment) by geographic area at December 31, 2023, 2022 and 2021, consisted of the following (in thousands):

	2023		2022		2021
United States	$	273,105	$	281,290	$	275,311
Ireland		42,333		40,749		39,863
Other foreign countries		68,085		60,937		56,484
Total	$	383,523	$	382,976	$	371,658

Schedule of Segment Reporting Information, by Segment

Financial information relating to our reportable operating segments and reconciliations to the consolidated totals for the years ended December 31, 2023, 2022 and 2021, are as follows (in thousands):

	2023		2022		2021
Net sales
Cardiovascular	$	1,220,560	$	1,118,224	$	1,043,227
Endoscopy		36,806		32,757		31,524
Total net sales		1,257,366		1,150,981		1,074,751
Income from operations
Cardiovascular		114,440		80,946		53,415
Endoscopy		9,504		6,617		7,501
Total income from operations		123,944		87,563		60,916
Total other expense — net		(11,855)		(4,934)		(6,999)
Income tax expense		17,678		8,113		5,463
Net income	$	94,411	$	74,516	$	48,454

Total depreciation and amortization by operating segment for the years ended December 31, 2023, 2022 and 2021, consisted of the following (in thousands):

	2023		2022		2021
Cardiovascular	$	88,960	$	80,777	$	83,000
Endoscopy		1,025		1,027		1,066
Total	$	89,985	$	81,804	$	84,066

Total capital expenditures for property and equipment by operating segment for the years ended December 31, 2023, 2022 and 2021, consisted of the following (in thousands):

	2023		2022		2021
Cardiovascular	$	33,985	$	44,925	$	27,557
Endoscopy		305		104		382
Total	$	34,290	$	45,029	$	27,939

Reconciliation of Assets from Segment to Consolidated

	2023		2022		2021
Net sales
Cardiovascular	$	1,220,560	$	1,118,224	$	1,043,227
Endoscopy		36,806		32,757		31,524
Total net sales		1,257,366		1,150,981		1,074,751
Income from operations
Cardiovascular		114,440		80,946		53,415
Endoscopy		9,504		6,617		7,501
Total income from operations		123,944		87,563		60,916
Total other expense — net		(11,855)		(4,934)		(6,999)
Income tax expense		17,678		8,113		5,463
Net income	$	94,411	$	74,516	$	48,454