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Geographic Information and Significant Customers Geographic Information and Significant Customers (Notes)
12 Months Ended
Dec. 31, 2019
Geographic Areas, Long-Lived Assets [Abstract]  
Information by Geographic Area and Customer Concentration [Text Block] GEOGRAPHIC INFORMATION AND SIGNIFICANT CUSTOMERS

Significant Customers
 
We sell products worldwide, on credit terms on an unsecured basis, as an OEM supplier, to independent medical supply distributors and directly to the end customer. The manufacturers and distributors, in turn, sell our products to healthcare providers. We do not currently derive a significant portion of our revenues from any one customer.

Geographic Information

The table below presents our gross long-lived assets, consisting of property, plant and equipment, by country or region (in thousands):
 
 
As of December 31,
 
 
2019
 
2018
Costa Rica
 
$
96,442

 
$
81,920

Mexico
 
69,141

 
64,242

Other LATAM
 
31,905

 
22,828

Canada
 
4,769

 
4,545

Italy
 
7,921

 
7,819

Spain
 
6,411

 
6,516

Other Europe
 
3,135

 
2,427

APAC
 
17,200

 
15,152

Total Foreign
 
$
236,924

 
$
205,449

United States
 
539,316

 
489,415

Worldwide Total
 
$
776,240

 
$
694,864