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Revenue (Tables)
 3 Months Ended
Mar. 31, 2022
Revenue from Contract with Customer [Abstract]  
Disaggregation of Revenue [Table Text Block] The following table represents our revenues disaggregated by geography (in thousands):
Three months ended
March 31,
Geography20222021
Europe, the Middle East and Africa$86,204 $34,800 
Other Foreign109,127 55,895 
Total Foreign195,331 90,695 
United States347,791 227,351 
Total Revenues$543,122 $318,046 
Contract with Customer, Asset and Liability [Table Text Block] The following table presents the changes in our contract balances for the three months ended March 31, 2022 and 2021 (in thousands):
Contract Liabilities
Beginning balance, January 1, 2022$(7,461)
Fair value of acquired deferred revenue(51,245)
Equipment revenue recognized5,574 
Equipment revenue deferred due to implementation(3,447)
Software revenue recognized4,299 
Software revenue deferred due to implementation(4,777)
Government grant deferred revenue(2,266)
Government grant recognized171 
Other deferred revenue(767)
Other deferred revenue recognized1,683 
Ending balance, March 31, 2022$(58,236)
Beginning balance, January 1, 2021$(6,430)
Equipment revenue recognized461 
Equipment revenue deferred due to implementation(2,921)
Software revenue recognized1,796 
Software revenue deferred due to implementation(1,794)
Ending balance, March 31, 2021$(8,888)