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Geographic Information and Significant Customers Geographic Information and Significant Customers (Notes)
12 Months Ended
Dec. 31, 2023
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 2023, we had net sales to Medline of 16% of consolidated worldwide 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,
 20232022
Costa Rica$143,380 $128,179 
Mexico110,124 99,849 
Other LATAM47,564 39,270 
Canada5,694 5,374 
Italy28,201 24,323 
Spain21,921 18,948 
Czech Republic12,256 10,732 
Other Europe11,440 11,375 
APAC22,966 20,930 
Total Foreign $403,546 $358,980 
United States833,251 803,577 
Worldwide Total$1,236,797 $1,162,557