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Revenue (Tables)
 6 Months Ended
Jun. 30, 2024
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 line2024202320242023
Consumables$261,816 236,976 505,855 473,098 
Infusion Systems163,638 153,142 320,976 314,855 
Vital Care171,001 159,192 336,279 330,006 
Total Revenues$596,455 $549,310 $1,163,110 $1,117,959 

For the three and six months ended June 30, 2024 and 2023, net sales to Medline made up approximately 17% and 15% of total revenues, respectively.

The following table represents our revenues disaggregated by geography (in thousands):
Three months ended
June 30,		Six months ended
June 30,
Geography2024202320242023
United States$383,140 $347,866 $749,295 $707,053 
Europe, the Middle East and Africa95,310 89,994 193,699 188,980 
APAC61,224 60,031 113,077 118,655 
Other Foreign56,781 51,419 107,039 103,271 
Total Revenues$596,455 $549,310 $1,163,110 $1,117,959 
Contract with Customer, Asset and Liability [Table Text Block] The following table presents the changes in our contract balances for the six months ended June 30, 2024 and 2023 (in thousands):
Contract Liabilities
Beginning balance, January 1, 2024$(42,177)
Equipment revenue recognized16,951 
Equipment revenue deferred due to implementation(20,593)
Software revenue recognized10,232 
Software revenue deferred due to implementation(10,427)
Government grant income recognized(1)
1,029 
Government grant income deferred— 
Other deferred revenue(423)
Other deferred revenue recognized1,602 
Ending balance, June 30, 2024
$(43,806)
Beginning balance, January 1, 2023$(45,866)
Equipment revenue recognized16,793 
Equipment revenue deferred due to implementation(16,625)
Software revenue recognized9,041 
Software revenue deferred due to implementation(8,875)
Government grant income deferred(944)
Government grant income recognized(1)
647 
Other deferred revenue(688)
Other deferred revenue recognized3,514 
Ending balance, June 30, 2023
$(43,003)
Deferred Revenue, by Arrangement, Disclosure
As of June 30, 2024, revenue from remaining performance obligations is as follows:

Recognition Timing
(in thousands)< 12 Months> 12 Months
Equipment deferred revenue$(21,226)$(937)
Software deferred revenue(9,783)(489)
Government grant deferred income(1)
(2,065)(8,384)
Other deferred revenue(2)
(717)(205)
Total $(33,791)$(10,015)
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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.