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Segments and Geographical Information (Tables)
9 Months Ended
Sep. 30, 2024
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,
2024202320242023
Net revenues
Clear Aligner$786,844 $794,939 $2,435,833 $2,417,417 
Systems and Services191,028 165,275 567,960 488,117 
Total net revenues$977,872 $960,214 $3,003,793 $2,905,534 
Gross profit
Clear Aligner$552,841 $562,331 $1,720,524 $1,731,721 
Systems and Services128,933 100,745 381,694 305,618 
Total gross profit$681,774 $663,076 $2,102,218 $2,037,339 
Income from operations
Clear Aligner$276,319 $296,319 $862,183 $879,933 
Systems and Services68,744 44,975 189,227 132,600 
Unallocated corporate expenses(182,765)(174,948)(587,931)(540,740)
Total income from operations$162,298 $166,346 $463,479 $471,793 
Stock-based compensation
Clear Aligner$7,648 $5,772 $20,031 $14,917 
Systems and Services427 366 1,207 950 
Unallocated corporate expenses40,964 33,464 113,617 99,330 
Total stock-based compensation$49,039 $39,602 $134,855 $115,197 
Depreciation and amortization
Clear Aligner
$17,971 $17,737 $49,027 $50,725 
Systems and Services
8,099 7,827 23,007 23,716 
Unallocated corporate expenses
11,723 11,466 34,871 34,228 
Total depreciation and amortization$37,793 $37,030 $106,905 $108,669 

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,
2024202320242023
Total segment income from operations$345,063 $341,294 $1,051,410 $1,012,533 
Unallocated corporate expenses(182,765)(174,948)(587,931)(540,740)
Total income from operations162,298 166,346 463,479 471,793 
Interest income4,003 5,522 11,696 12,280 
Other income (expense), net(371)(9,757)(6,993)(15,749)
Net income before provision for income taxes$165,930 $162,111 $468,182 $468,324 
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,
 2024202320242023
Net revenues 1:
U.S. $421,204 $421,272 $1,291,838 $1,262,008 
Switzerland216,638 259,587 739,342 913,724 
Other International 340,030 279,355 972,613 729,802 
Total net revenues$977,872 $960,214 $3,003,793 $2,905,534 
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,
2024
December 31,
2023
Long-lived assets 1:
Switzerland$580,428 $575,432 
U.S. 203,772 210,275 
Other International627,306 623,155 
Total long-lived assets$1,411,506 $1,408,862 
1 Long-lived assets are attributed to countries based on the location of our entity that owns or leases the assets.