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Revenue (Tables) | 12 Months Ended
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Dec. 31, 2023
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,
| 2023 |  | 2022 |  | 2021
Product line | Revenue |  | % of Revenue |  | Revenue |  | % of Revenue |  | Revenue |  | % of Revenue
Consumables | $ | 969,129 |  |  | 43 | % |  | $ | 974,993 |  |  | 43 | % |  | $ | 555,189 |  |  | 42 | %
Infusion Systems | 629,043 |  |  | 28 | % |  | 617,435 |  |  | 27 | % |  | 352,321 |  |  | 27 | %
Vital Care | 660,954 |  |  | 29 | % |  | 687,569 |  |  | 30 | % |  | 408,798 |  |  | 31 | %
Total Revenues | $ | 2,259,126 |  |  | 100 | % |  | $ | 2,279,997 |  |  | 100 | % |  | $ | 1,316,308 |  |  | 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 | 2023 |  | 2022 |  | 2021
United States | $ | 1,440,017 |  |  | $ | 1,460,069 |  |  | $ | 941,809 |
Europe, the Middle East and Africa | 373,571 |  |  | 367,411 |  |  | 147,488 |
Asia-Pacific | 241,699 |  |  | 257,208 |  |  | 85,692 |
Other Foreign | 203,839 |  |  | 195,309 |  |  | 141,319 |
Total Revenues | $ | 2,259,126 |  |  | $ | 2,279,997 |  |  | $ | 1,316,308 |
Domestic sales accounted for 64%, 64% and 72% of total revenue in 2023, 2022 and 2021, respectively. International sales accounted for 36%, 36% and 28% of total revenue in 2023, 2022 and 2021, 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, 2023 and 2022, (in thousands):
| Contract Liabilities
Beginning balance, January 1, 2022 | $ | (7,461) |
Fair value of acquired deferred revenue | (51,245) |
Equipment revenue recognized | 32,252 |
Equipment revenue deferred due to implementation | (20,332) |
Software revenue recognized | 16,277 |
Software revenue deferred due to implementation | (17,557) |
Government grant deferred revenue | (3,729) |
Government grant recognized | 1,514 |
Other deferred revenue | (1,500) |
Other deferred revenue recognized | 5,915 |
Ending balance, December 31, 2022 | (45,866) |
Equipment revenue recognized | 34,121 |
Equipment revenue deferred due to implementation | (35,868) |
Software revenue recognized | 18,526 |
Software revenue deferred due to implementation | (19,947) |
Government grant deferred revenue | (944) |
Government grant recognized | 3,684 |
Other deferred revenue | (1,924) |
Other deferred revenue recognized | 6,041 |
Ending balance, December 31, 2023 | $ | (42,177) |
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction | As of December 31, 2023, revenue from remaining performance obligations is as follows (in thousands):
| Recognition Timing
| <12 Months |  | > 12 Months
Equipment revenue | $ | (17,749) |  |  | $ | (24) |
Software revenue | (10,062) |  |  | (763) |
Government grant revenue(1) | (2,064) |  |  | (9,415) |
Other deferred revenue(2) | (1,717) |  |  | (383) |
Total | $ | (31,592) |  |  | $ | (10,585) |

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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 -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 10 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479806/606-10-50-10 + 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 -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 5 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479806/606-10-50-5 + Details
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- Definition Tabular disclosure of expected timing for satisfying remaining performance obligation. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Name Accounting Standards Codification -Section 50 -Paragraph 13 -Subparagraph (b)(1) -SubTopic 10 -Topic 606 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479806/606-10-50-13 + Details
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