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Revenue (Tables) | 12 Months Ended
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Dec. 31, 2021
Revenue from Contract with Customer [Abstract] |
Disaggregation of Revenue [Table Text Block] | The following table represents our revenues disaggregated by product line (in thousands) and our disaggregated product line revenue as a percentage of total revenue:
| Year ended December 31,
| 2021 |  | 2020 |  | 2019
Product line | Revenue |  | % of Revenue |  | Revenue |  | % of Revenue |  | Revenue |  | % of Revenue
Infusion Consumables | $ | 555,189 |  |  | 42 | % |  | $ | 473,740 |  |  | 37 | % |  | $ | 477,611 |  |  | 37 | %
Infusion Systems | 352,321 |  |  | 27 | % |  | 359,691 |  |  | 28 | % |  | 328,282 |  |  | 26 | %
IV Solutions | 359,477 |  |  | 27 | % |  | 388,971 |  |  | 31 | % |  | 414,971 |  |  | 33 | %
Critical Care | 49,321 |  |  | 4 | % |  | 48,602 |  |  | 4 | % |  | 45,344 |  |  | 4 | %
Total Revenues | $ | 1,316,308 |  |  | 100 | % |  | $ | 1,271,004 |  |  | 100 | % |  | $ | 1,266,208 |  |  | 100 | %
We report revenue on a "where sold" basis, which reflects the revenue within the country or region in which the ultimate sale is made to our external customer. The following table represents our revenues disaggregated by geography (in thousands):
| Year ended December 31,
Geography | 2021 |  | 2020 |  | 2019
Europe, the Middle East and Africa | $ | 147,488 |  |  | $ | 132,763 |  |  | $ | 130,530 |
Other Foreign | 227,011 |  |  | 227,614 |  |  | 212,336 |
Total Foreign | 374,499 |  |  | 360,377 |  |  | 342,866 |
United States | 941,809 |  |  | 910,627 |  |  | 923,342 |
Total Revenues | $ | 1,316,308 |  |  | $ | 1,271,004 |  |  | $ | 1,266,208 |
Domestic sales accounted for 72%, 72% and 73% of total revenue in 2021, 2020 and 2019, respectively. International sales accounted for 28%, 28% and 27% of total revenue in 2021, 2020 and 2019, respectively.
Contract with Customer, Asset and Liability [Table Text Block] | Our contract balances (deferred revenue) are recorded in accrued liabilities and other long-term liabilities in our consolidated balance sheet (see Note 10: Accrued Liabilities and Other Long-term Liabilities). The following table presents the changes in our contract balances for the years ended December 31, 2021 and 2020, (in thousands):
| Contract Liabilities
Beginning balance, January 1, 2020 | $ | (4,855) |
Equipment revenue recognized | 14,408 |
Equipment revenue deferred due to implementation | (14,341) |
Software revenue recognized | 5,721 |
Software revenue deferred due to implementation | (7,363) |
Ending balance, December 31, 2020 | $ | (6,430) |
Equipment revenue recognized | 10,048 |
Equipment revenue deferred due to implementation | (13,725) |
Software revenue recognized | 7,261 |
Software revenue deferred due to implementation | (4,615) |
Ending balance, December 31, 2021 | $ | (7,461) |

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- Definition Tabular disclosure of receivable, contract asset, and contract liability from contract with customer. Includes, but is not limited to, change in contract asset and contract liability. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 10 -URI http://asc.fasb.org/extlink&oid=123351226&loc=SL49130551-203045 + Details
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- Definition Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=123351226&loc=SL49130545-203045 + Details
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