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Segments and Geographical Information (Tables)
9 Months Ended
Sep. 30, 2023
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
Summarized financial information by segment is as follows (in thousands):

 Three Months Ended
September 30,
Nine Months Ended
September 30,
2023202220232022
Net revenues
Clear Aligner$794,939 $732,837 $2,417,417 $2,340,931 
Systems and Services165,275 157,511 488,117 492,189 
Total net revenues$960,214 $890,348 $2,905,534 $2,833,120 
Gross profit
Clear Aligner$562,331 $519,387 $1,731,721 $1,710,328 
Systems and Services100,745 99,782 305,618 305,746 
Total gross profit$663,076 $619,169 $2,037,339 $2,016,074 
Income from operations
Clear Aligner$296,319 $259,434 $879,933 $879,362 
Systems and Services44,975 44,436 132,600 140,834 
Unallocated corporate expenses(174,948)(160,214)(540,740)(490,262)
Total income from operations$166,346 $143,656 $471,793 $529,934 
Stock-based compensation
Clear Aligner$5,772 $4,377 $14,917 $10,232 
Systems and Services366 240 950 690 
Unallocated corporate expenses33,464 28,301 99,330 87,757 
Total stock-based compensation$39,602 $32,918 $115,197 $98,679 
Depreciation and amortization
Clear Aligner
$17,737 $14,678 $50,725 $42,474 
Systems and Services
7,827 7,181 23,716 20,879 
Unallocated corporate expenses
11,466 10,330 34,228 28,743 
Total depreciation and amortization$37,030 $32,189 $108,669 $92,096 

The following table reconciles total segment income from operations in the table above to net income before provision for income taxes (in thousands):

 Three Months Ended
September 30,
Nine Months Ended
September 30,
2023202220232022
Total segment income from operations$341,294 $303,870 $1,012,533 $1,020,196 
Unallocated corporate expenses(174,948)(160,214)(540,740)(490,262)
Total income from operations166,346 143,656 471,793 529,934 
Interest income5,522 1,685 12,280 2,607 
Other income (expense), net(9,757)(22,700)(15,749)(48,805)
Net income before provision for income taxes$162,111 $122,641 $468,324 $483,736 
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,
 2023202220232022
Net revenues 1:
U.S. $421,272 $400,045 $1,262,008 $1,251,018 
Switzerland259,587 257,845 913,724 919,935 
Other International 279,355 232,458 729,802 662,167 
Total net revenues$960,214 $890,348 $2,905,534 $2,833,120 

1 Net revenues are attributed to countries based on the location of where revenues are recognized by our legal entities.

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,
2023
December 31, 2022
Long-lived assets 1:
Switzerland$567,230 $532,921 
U.S. 206,348 214,804 
Other International2
613,776 603,010 
Total long-lived assets$1,387,354 $1,350,735 
 
1 Long-lived assets are attributed to countries based on the location of our entity that owns or leases the assets.
2 Certain prior period immaterial amounts have been reclassified to conform to current presentation.