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Revenue (Tables)
 9 Months Ended
Sep. 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
September 30,		Nine months ended
September 30,
Product line2025202420252024
Consumables$285,089 $264,875 $824,448 $770,730 
Infusion Systems173,909 159,769 507,905 480,745 
Vital Care77,992 164,487 358,205 500,766 
Total Revenues$536,990 $589,131 $1,690,558 $1,752,241 

The following table represents our revenues disaggregated by geography (in thousands):
Three months ended
September 30,		Nine months ended
September 30,
Geography2025202420252024
United States$307,131 $369,515 $1,030,808 $1,118,810 
Europe, the Middle East and Africa115,092 101,710 309,839 295,409 
APAC57,477 60,288 175,292 173,365 
Other Foreign57,290 57,618 174,619 164,657 
Total Revenues$536,990 $589,131 $1,690,558 $1,752,241 
Contract with Customer, Asset and Liability [Table Text Block] The following table presents the changes in our contract balances for the nine months ended September 30, 2025 and 2024 (in thousands), which are 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(46,677)
Equipment revenue deferred due to implementation51,563 
Software revenue recognized(8,758)
Software revenue deferred due to implementation4,293 
Government grant income recognized(1)
(1,545)
Other deferred revenue recognized(1,712)
Other deferred revenue 646 
Ending balance, September 30, 2025
$37,213 
Beginning balance, January 1, 2024$42,177 
Equipment revenue recognized(41,392)
Equipment revenue deferred due to implementation38,825 
Software revenue recognized(23,591)
Software revenue deferred due to implementation24,559 
Government grant income recognized(1)
(1,551)
Other deferred revenue recognized(2,562)
Other deferred revenue503 
Ending balance, September 30, 2024
$36,968 
Deferred Revenue, by Arrangement, Disclosure
As of September 30, 2025, revenue from remaining performance obligations is as follows:

Recognition Timing
(in thousands)< 12 Months> 12 Months
Equipment deferred revenue$20,341 $403 
Software deferred revenue5,884 2,072 
Government grant deferred income(1)
2,064 5,798 
Other deferred revenue(2)
611 40 
Total $28,900 $8,313 
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(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.