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Geographic Information and Significant Customers Geographic Information and Significant Customers (Notes) | 12 Months Ended
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Dec. 31, 2019
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. We do not currently derive a significant portion of our revenues from any one customer. 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,
|  | 2019 |  | 2018
Costa Rica |  | $ | 96,442 |  |  | $ | 81,920 |
Mexico |  | 69,141 |  |  | 64,242 |
Other LATAM |  | 31,905 |  |  | 22,828 |
Canada |  | 4,769 |  |  | 4,545 |
Italy |  | 7,921 |  |  | 7,819 |
Spain |  | 6,411 |  |  | 6,516 |
Other Europe |  | 3,135 |  |  | 2,427 |
APAC |  | 17,200 |  |  | 15,152 |
Total Foreign |  | $ | 236,924 |  |  | $ | 205,449 |
United States |  | 539,316 |  |  | 489,415 |
Worldwide Total |  | $ | 776,240 |  |  | $ | 694,864 |

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