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Revenue (Notes)
6 Months Ended
Jun. 30, 2020
Revenue from Contract with Customer [Abstract]  
Revenue from Contract with Customer [Text Block] Revenue
        Our primary product lines are Infusion Consumables, Infusion Systems, IV Solutions 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 June 30,
For the six months
ended June 30,
Geography2020201920202019
Europe, the Middle East and Africa$28,583  $32,978  $66,511  $65,356  
Other Foreign66,572  51,594  127,093  102,955  
Total Foreign95,155  84,572  193,604  168,311  
United States208,224  227,710  438,382  474,903  
Total Revenues$303,379  $312,282  $631,986  $643,214  
        
        
        The following table represents our revenues disaggregated by product (in thousands):
For the three months ended
June 30,
For the six months ended
June 30,
Product line2020201920202019
Infusion Consumables$110,993  $117,669  $234,500  $238,249  
Infusion Systems91,088  81,309  179,468  165,591  
IV Solutions89,178  102,635  193,469  215,817  
Critical Care12,120  10,669  24,549  23,557  
Total Revenues$303,379  $312,282  $631,986  $643,214  

Contract balances

        The following table presents our changes in the contract balances for the six months ended June 30, 2020 and 2019 (in thousands):
Contract Liabilities
Beginning balance, January 1, 2020$(4,855) 
Equipment revenue recognized3,263  
Equipment revenue deferred due to implementation(10,347) 
Software revenue recognized3,340  
Software revenue deferred due to implementation(3,643) 
Ending balance, June 30, 2020$(12,242) 
Beginning balance, January 1, 2019$(4,282) 
Equipment revenue recognized2,669  
Equipment revenue deferred due to implementation(3,860) 
Software revenue recognized1,947  
Software revenue deferred due to implementation(2,366) 
Ending balance, June 30, 2019$(5,892) 
        
        As of June 30, 2020, revenue from remaining performance obligations related to implementation of software and equipment is $10.7 million. We expect to recognize substantially all of this revenue within the next three to six months dependent on implementation restrictions due to COVID-19. Revenue from remaining performance obligations related to annual software licenses is $1.5 million. We expect to recognize substantially all of this revenue over the next twelve months.