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Geographic Information and Significant Customers Geographic Information and Significant Customers (Notes)
12 Months Ended
Dec. 31, 2021
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,
 20212020
Costa Rica$115,187 $104,015 
Mexico79,567 76,004 
Other LATAM36,907 37,485 
Canada4,716 4,672 
Italy12,435 11,098 
Spain13,295 8,701 
Other Europe4,171 3,795 
APAC20,452 19,836 
Total Foreign $286,730 $265,606 
United States618,374 577,490 
Worldwide Total$905,104 $843,096