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Revenue (Notes)
9 Months Ended
Sep. 30, 2019
Revenue from Contract with Customer [Abstract]  
Revenue from Contract with Customer [Text Block] Revenue

Our primary product lines are Infusion Consumables, IV Solutions, Infusion Systems and Critical Care. The vast majority of our sales of these products are made on a stand-alone basis to hospitals and distributors. Revenue is typically recognized upon transfer of control of the products, which we deem to be at point of shipment.

Payment is typically due in full within 30 days of delivery or the start of the contract term. Revenue is recorded in an amount that reflects the consideration we expect to be entitled to in exchange for those goods or services. We offer certain volume-based rebates to our distribution customers, which we record as variable consideration when calculating the transaction price. Rebates are offered on both a fixed and tiered/variable basis. In both cases, we use information available at the time and our historical experience with each customer to estimate the most likely rebate amount. We also provide chargebacks to distributors that sell to end-customers at prices determined under a contract between us and the end-customer. We use information available at the time and our historical experience to estimate and record provisions for chargebacks.

We also warrant products against defects and have a policy permitting the return of defective products, for which we accrue and expense at the time of sale using information available at that time and our historical experience. We also provide
for extended service-type warranties, which we consider to be separate performance obligations. We allocate a portion of the transaction price to the extended service-type warranty based on its estimated relative selling price, and recognize revenue over the period the warranty service is provided.

Revenue disaggregated
    
The following table represents our revenues disaggregated by geography (in thousands):

 
For the three months
ended September 30,
 
For the nine months
ended September 30,
Geography
2019
 
2018
 
2019
 
2018
Europe, the Middle East and Africa
$
31,474

 
$
30,759

 
$
96,830

 
$
104,150

Other Foreign
53,398

 
51,569

 
156,353

 
154,278

Total Foreign
84,872

 
82,328

 
253,183

 
258,428

United States
222,599

 
244,841

 
697,502

 
801,234

Total Revenues
$
307,471

 
$
327,169

 
$
950,685

 
$
1,059,662

    
The following table represents our revenues disaggregated by product (in thousands):

 
For the three months ended
September 30,
 
For the nine months ended
September 30,
Product line
2019
 
2018
 
2019
 
2018
Infusion Consumables
$
119,745

 
$
117,797

 
$
357,994

 
$
361,490

IV Solutions
98,159

 
114,433

 
313,976

 
394,198

Infusion Systems
78,932

 
81,456

 
244,523

 
263,271

Critical Care
10,635

 
13,483

 
34,192

 
40,703

Total Revenues
$
307,471

 
$
327,169

 
$
950,685

 
$
1,059,662



Contract balances

The following table presents our changes in the contract balances for the nine months ended September 30, 2019 and 2018 (in thousands):
 
Contract Liabilities
Beginning balance, January 1, 2019
$
(4,282
)
Equipment revenue recognized
3,619

Equipment revenue deferred due to implementation
(6,869
)
Software revenue recognized
2,955

Software revenue deferred due to implementation
(3,115
)
Ending balance, September 30, 2019
$
(7,692
)
 
 
Beginning balance, January 1, 2018
$
(7,066
)
Equipment revenue recognized
3,136

Equipment revenue deferred due to implementation
(4,086
)
Software revenue recognized
5,649

Software revenue deferred due to implementation
(5,507
)
Ending balance, September 30, 2018
$
(7,874
)

    
As of September 30, 2019, revenue from remaining performance obligations related to implementation of software and equipment is $6.3 million. We expect to recognize substantially all of this revenue within the next three months. Revenue from
remaining performance obligations related to annual software licenses is $1.4 million. We expect to recognize substantially all of this revenue over the next twelve months.