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Geographic Information and Significant Customers Geographic Information and Significant Customers (Notes)
 12 Months Ended
Dec. 31, 2022
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. In 2022, we had worldwide net sales to Medline of 15% of consolidated net sales.

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,
 20222021
Costa Rica$128,179 $115,187 
Mexico99,849 79,567 
Other LATAM39,270 36,907 
Canada5,374 4,716 
Italy24,323 12,435 
Spain18,948 13,295 
Czech Republic10,732 — 
Other Europe11,375 4,171 
APAC20,930 20,452 
Total Foreign $358,980 $286,730 
United States803,577 618,374 
Worldwide Total$1,162,557 $905,104