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Geographic Information and Significant Customers Geographic Information and Significant Customers (Notes) | 12 Months Ended
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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,
|  | 2023 |  | 2022
Costa Rica |  | $ | 143,380 |  |  | $ | 128,179 |
Mexico |  | 110,124 |  |  | 99,849 |
Other LATAM |  | 47,564 |  |  | 39,270 |
Canada |  | 5,694 |  |  | 5,374 |
Italy |  | 28,201 |  |  | 24,323 |
Spain |  | 21,921 |  |  | 18,948 |
Czech Republic |  | 12,256 |  |  | 10,732 |
Other Europe |  | 11,440 |  |  | 11,375 |
APAC |  | 22,966 |  |  | 20,930 |
Total Foreign |  | $ | 403,546 |  |  | $ | 358,980 |
United States |  | 833,251 |  |  | 803,577 |
Worldwide Total |  | $ | 1,236,797 |  |  | $ | 1,162,557 |

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