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Geographic Information and Significant Customers Geographic Information and Significant Customers (Notes)
12 Months Ended
Dec. 31, 2020
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,
 20202019
Costa Rica$104,015 $96,442 
Mexico76,004 69,141 
Other LATAM37,485 31,905 
Canada4,672 4,769 
Italy11,098 7,921 
Spain8,701 6,411 
Other Europe3,795 3,135 
APAC19,836 17,200 
Total Foreign $265,606 $236,924 
United States577,490 539,316 
Worldwide Total$843,096 $776,240