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Segments and Geographical Information (Tables)
 9 Months Ended
Sep. 30, 2020
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
These reportable operating segments are based on how our CODM views and evaluates our operations as well as allocation of resources. The following information relates to these segments (in thousands):

 Three Months Ended
September 30, 		Nine Months Ended
September 30,
2020201920202019
Net revenues
Clear Aligner$620,764 $516,265 $1,400,716 $1,482,172 
Systems and Services113,380 91,076 236,705 274,837 
Total net revenues$734,144 $607,341 $1,637,421 $1,757,009 
Gross profit
Clear Aligner$463,747 $379,202 $1,007,605 $1,096,702 
Systems and Services70,341 58,352 145,167 175,237 
Total gross profit$534,088 $437,554 $1,152,772 $1,271,939 
Income from operations
Clear Aligner$261,774 $211,952 $467,078 $614,622 
Systems and Services34,912 32,760 52,194 100,286 
Unallocated corporate expenses(119,617)(117,560)(345,285)(323,565)
Total income from operations$177,069 $127,152 $173,987 $391,343 
Depreciation and amortization
Clear Aligner
$10,413 $9,306 $30,231 $27,851 
Systems and Services
5,092 1,987 11,882 5,349 
Unallocated corporate expenses
8,981 8,413 26,656 23,994 
Total depreciation and amortization$24,486 $19,706 $68,769 $57,194 
Impairments and other (gains) charges
Clear Aligner
$— $(6,792)$— $22,990 
Total impairments and other (gains) charges$— $(6,792)$— $22,990 
Litigation settlement gain
Clear Aligner
$— $— $— $(51,000)
Total litigation settlement gain$— $— $— $(51,000)

The following table reconciles total segment income from operations in the table above to net income before provision for (benefit from) income taxes and equity losses of investee (in thousands):

 Three Months Ended
September 30, 		Nine Months Ended
September 30,
2020201920202019
Total segment income from operations$296,686 $244,712 $519,272 $714,908 
Unallocated corporate expenses(119,617)(117,560)(345,285)(323,565)
Total income from operations177,069 127,152 173,987 391,343 
Interest income329 3,478 2,788 9,576 
Other income (expense), net7,147 (2,211)(12,368)5,935 
Net income before provision for (benefit from) income taxes and equity in losses of investee$184,545 $128,419 $164,407 $406,854 
Schedule of Revenue from External Customers and Long-Lived Assets, by Geographical Areas
Net revenues are presented below by geographic area (in thousands):
 Three Months Ended
September 30, 		Nine Months Ended
September 30,
 2020201920202019
Net revenues 1:
United States $332,414 $286,050 $744,978 $861,710 
Switzerland 2
219,910 — 512,681 — 
The Netherlands 2
— 173,926 — 540,858 
China76,825 63,636 142,927 151,075 
Other International 104,995 83,729 236,835 203,366 
Total net revenues$734,144 $607,341 $1,637,421 $1,757,009 

1 Net revenues are attributed to countries based on the location of where revenues are recognized by our legal entities.
2 During the first quarter of 2020, we implemented a new international corporate structure. This changed the structure of our international procurement and sales operations from the Netherlands to Switzerland.

Tangible long-lived assets, which includes Property, plant and equipment, net, and Operating lease right-of-use assets, net, are presented below by geographic area (in thousands):
 September 30,
2020		December 31, 2019
Long-lived assets 1:
Switzerland 2
$241,782 $7,755 
United States 178,767 164,451 
China107,042 73,174 
Costa Rica99,000 82,083 
The Netherlands 2
855 226,286 
Other International159,597 134,225 
Total long-lived assets$787,043 $687,974 
 
1 Long-lived assets are attributed to countries based on the location of our entity that owns or leases the assets.
2 As a result of the new international corporate structure changes, most of the long-lived assets were transferred from our Netherlands entity to our Switzerland entity during the first quarter of 2020