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Segment and Geographical Information (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2018 USD ($) segment	Mar. 31, 2017 USD ($)	Dec. 31, 2017 USD ($)
Segment Reporting [Abstract]
Number of operating segments | segment	2
Number of reportable segments | segment	2
Segment Reporting Information [Line Items]
Revenues	$ 182,619	$ 148,553
Cost of revenues	100,164	86,362
Gross profit	82,455	62,191
Operating expenses	81,822	78,743
Income (loss) from operations	633	(16,552)
Property and equipment, net	48,290		$ 42,595
United States
Segment Reporting Information [Line Items]
Revenues	158,202	130,279
Property and equipment, net	40,116		34,899
Rest of world
Segment Reporting Information [Line Items]
Revenues	24,417	18,274
Property and equipment, net	8,174		$ 7,696
Automation and analytics
Segment Reporting Information [Line Items]
Revenues		122,170
Gross profit		53,409
Medication adherence
Segment Reporting Information [Line Items]
Revenues		26,383
Gross profit		8,782
Operating segments
Segment Reporting Information [Line Items]
Revenues	182,619	148,553
Cost of revenues	100,164	86,362
Gross profit	82,455	62,191
Operating expenses	58,589	59,258
Income (loss) from operations	23,866	2,933
Operating segments | Automation and analytics
Segment Reporting Information [Line Items]
Revenues	151,406	122,170
Cost of revenues	78,242	68,761
Gross profit	73,164	53,409
Operating expenses	48,390	48,062
Income (loss) from operations	24,774	5,347
Operating segments | Medication adherence
Segment Reporting Information [Line Items]
Revenues	31,213	26,383
Cost of revenues	21,922	17,601
Gross profit	9,291	8,782
Operating expenses	10,199	11,196
Income (loss) from operations	(908)	(2,414)
Corporate
Segment Reporting Information [Line Items]
Operating expenses	$ 23,233	$ 19,485

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- Definition

The aggregate costs related to goods produced and sold and services rendered by an entity during the reporting period. This excludes costs incurred during the reporting period related to financial services rendered and other revenue generating activities.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 225
-SubTopic 10
-Section S99
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