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Business segments and other information
 12 Months Ended
Dec. 31, 2023
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, 2023, 2022 and 2021:
 Year Ended December 31,
 202320222021
Americas$1,715,331 $1,653,724 $1,659,309 
EMEA586,245 558,373 606,807 
Asia346,905 306,320 297,766 
OEM326,008 272,624 245,681 
Net revenues$2,974,489 $2,791,041 $2,809,563 
Year Ended December 31,
202320222021
Americas$453,062 $452,030 $424,225 
EMEA52,190 42,465 94,865 
Asia90,095 82,786 84,648 
OEM86,206 65,379 56,210 
Total segment operating profit (1)
681,553 642,660 659,948 
Unallocated expenses (2)
(175,240)(142,935)(31,853)
Income from continuing operations before interest, loss on extinguishment of debt and taxes
$506,313 $499,725 $628,095 
(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. Commencing on January 1, 2022, all corporate expenses are allocated amongst the segments in proportion to the respective amounts of net revenues. The change in the measure of segment operating profit does not impact period over period comparability because the change was immaterial. For the year ended December 31, 2021, 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.
(2) Unallocated expenses primarily include manufacturing variances other than fixed manufacturing cost absorption variances, restructuring and impairment charges, gain on sale of business and settlement charges related to our plan to terminate the TRIP, as described in Note 16.
 Year Ended December 31,
 202320222021
Americas$169,059 $162,898 $164,102 
EMEA43,669 39,957 45,022 
Asia11,328 10,107 11,140 
OEM18,062 17,628 17,098 
Consolidated depreciation and amortization$242,118 $230,590 $237,362 
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, 2023, 2022 and 2021 and as of December 31, 2023 and 2022, respectively.
Year Ended December 31,
202320222021
Net revenues (based on selling location):
U.S.$1,879,898 $1,786,467 $1,769,488 
Europe665,185 622,343 665,000 
Asia Pacific307,513 270,749 263,022 
All other121,893 111,482 112,053 
$2,974,489 $2,791,041 $2,809,563 
As of December 31,
Net property, plant and equipment:20232022
U.S.$200,969 $193,618 
Malaysia71,947 73,441 
Mexico112,339 82,334 
All other94,658 97,812 
$479,913 $447,205