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Business segments and other information
 12 Months Ended
Dec. 31, 2021
Segment Reporting [Abstract]  
Business segments and other information Business segments and other information
An operating segment is a component (a) that engages in business activities from which it may earn revenues and incur expenses, (b) whose operating results are regularly reviewed by the chief operating decision maker to make decisions about resources to be allocated to the segment and to assess its performance, and (c) for which discrete financial information is available. We do not evaluate our operating segments using discrete asset information.
We have four reportable segments: Americas, EMEA (Europe, the Middle East and Africa), Asia (Asia Pacific) and OEM (Original Equipment Manufacturer and Development Services).
Our reportable segments, other than the OEM segment, design, manufacture and distribute medical devices primarily used in critical care and surgical applications and generally serve two end-markets: hospitals and healthcare providers, and home health. The products of these segments are most widely used in the acute care setting for a range of diagnostic and therapeutic procedures and in general and specialty surgical applications. The OEM segment designs, manufactures and supplies devices and instruments for other medical device manufacturers.
The following tables present our segment results for the years ended December 31, 2021, 2020 and 2019:
 Year Ended December 31,
 202120202019
Americas$1,659,309 $1,465,035 $1,492,274 
EMEA606,807 584,859 588,043 
Asia297,766 267,016 294,328 
OEM245,681 220,246 220,717 
Net revenues$2,809,563 $2,537,156 $2,595,362 

Year Ended December 31,
202120202019
Americas$424,225 $401,391 $319,933 
EMEA94,865 81,348 94,424 
Asia84,648 51,238 73,090 
OEM56,210 44,852 57,994 
Total segment operating profit (1)
659,948 578,829 545,441 
Unallocated expenses (2)
(31,853)(155,761)(118,187)
Income from continuing operations before interest, loss on extinguishment of debt and taxes
$628,095 $423,068 $427,254 
(1) Segment operating profit includes segment net revenues from external customers reduced by its standard cost of goods sold, adjusted for fixed manufacturing cost absorption variances, selling, general and administrative expenses, research and development expenses and an allocation of corporate expenses. For the years ended December 31, 2021, 2020 and 2019, corporate expenses were allocated among the segments in proportion to the respective amounts of one of several items (such as sales, numbers of employees, and amount of time spent), depending on the category of expense involved. Commencing on January 1, 2022, all corporate expenses are allocated amongst the segments in proportion to the respective amounts of net revenues. The revised methodology does not impact period over period comparability because the change was immaterial.
(2) Unallocated expenses primarily include manufacturing variances, except for fixed manufacturing cost absorption variances, restructuring and impairment charges and gain on sale of business and assets.
 Year Ended December 31,
 202120202019
Americas$164,102 $151,111 $153,419 
EMEA45,022 47,012 44,328 
Asia11,140 13,594 14,072 
OEM17,098 15,535 6,550 
Consolidated depreciation and amortization$237,362 $227,252 $218,369 
Geographic data
The following tables provide total net revenues and total net property, plant and equipment by geographic region for the years ended December 31, 2021, 2020 and 2019 and as of December 31, 2021 and 2020, respectively.
Year Ended December 31,
202120202019
Net revenues (based on selling location):
U.S.$1,769,488 $1,567,144 $1,606,248 
Europe665,000 646,577 652,069 
Asia Pacific263,022 230,267 241,278 
All other112,053 93,168 95,767 
$2,809,563 $2,537,156 $2,595,362 
As of December 31,
Net property, plant and equipment:20212020
U.S.$206,876 $234,186 
Malaysia72,541 71,760 
Mexico69,471 69,330 
All other94,870 98,636 
$443,758 $473,912