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Revenue (Tables) | 6 Months Ended
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Jun. 30, 2025
Revenue from Contract with Customer [Abstract] |
Disaggregation of Revenue [Table Text Block] | The following table represents our revenues disaggregated by product line (in thousands):
| Three months ended June 30, |  | Six months ended June 30,
Product line | 2025 |  | 2024 |  | 2025 |  | 2024
Consumables | $ | 273,133 |  |  | $ | 261,816 |  |  | $ | 539,359 |  |  | $ | 505,855 |
Infusion Systems | 167,696 |  |  | 163,638 |  |  | 333,996 |  |  | 320,976 |
Vital Care | 108,037 |  |  | 171,001 |  |  | 280,213 |  |  | 336,279 |
Total Revenues | $ | 548,866 |  |  | $ | 596,455 |  |  | $ | 1,153,568 |  |  | $ | 1,163,110 |
The following table represents our revenues disaggregated by geography (in thousands):
| Three months ended June 30, |  | Six months ended June 30,
Geography | 2025 |  | 2024 |  | 2025 |  | 2024
United States | $ | 335,432 |  |  | $ | 383,140 |  |  | $ | 723,676 |  |  | $ | 749,295 |
Europe, the Middle East and Africa | 99,059 |  |  | 95,310 |  |  | 194,747 |  |  | 193,699 |
APAC | 58,404 |  |  | 61,224 |  |  | 117,816 |  |  | 113,077 |
Other Foreign | 55,971 |  |  | 56,781 |  |  | 117,329 |  |  | 107,039 |
Total Revenues | $ | 548,866 |  |  | $ | 596,455 |  |  | $ | 1,153,568 |  |  | $ | 1,163,110 |
Contract with Customer, Asset and Liability [Table Text Block] | The following table presents the changes in our contract balances for the six months ended June 30, 2025 and 2024 (in thousands), which is included in accrued liabilities and other long-term liabilities on the condensed consolidated balance sheets:
| Contract Liabilities
Beginning balance, January 1, 2025 | $ | 39,403 |
Equipment revenue recognized | (33,525) |
Equipment revenue deferred due to implementation | 30,365 |
Software revenue recognized | (6,348) |
Software revenue deferred due to implementation | 2,473 |
Government grant income recognized(1) | (1,024) |
Other deferred revenue recognized | (1,156) |
Other deferred revenue | 390 |
Ending balance, June 30, 2025 | $ | 30,578 |
Beginning balance, January 1, 2024 | $ | 42,177 |
Equipment revenue recognized | (16,951) |
Equipment revenue deferred due to implementation | 20,593 |
Software revenue recognized | (10,232) |
Software revenue deferred due to implementation | 10,427 |
Government grant income recognized(1) | (1,029) |
Other deferred revenue recognized | (1,602) |
Other deferred revenue | 423 |
Ending balance, June 30, 2024 | $ | 43,806 |
Deferred Revenue, by Arrangement, Disclosure | As of June 30, 2025, revenue from remaining performance obligations is as follows:
| Recognition Timing
(in thousands) | < 12 Months |  | > 12 Months
Equipment deferred revenue | $ | 12,295 |  |  | $ | 403 |
Software deferred revenue | 6,670 |  |  | 1,877 |
Government grant deferred income(1) | 2,064 |  |  | 6,318 |
Other deferred revenue(2) | 890 |  |  | 61 |
Total | $ | 21,919 |  |  | $ | 8,659 |
_________________________________ (1) The government grant deferred income is amortized over the life of the related depreciable asset as a reduction to depreciation expense. (2) Other deferred revenue includes pump development programs, purchased training and extended warranty.

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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 the type of arrangements and the corresponding amounts that comprise the current and noncurrent balance of deferred revenue as of the balance sheet date. + References No definition available. + 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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