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Segment and Geographical Information (Details) $ in Thousands | 3 Months Ended | 6 Months Ended |
--- | --- | --- | ---
Jun. 30, 2018 USD ($) | Jun. 30, 2017 USD ($) | Jun. 30, 2018 USD ($) segment | Jun. 30, 2017 USD ($) | 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 | $ 188,673 | $ 181,042 | $ 371,292 | $ 329,595 |
Cost of revenues | 99,890 | 102,910 | 200,054 | 189,272 |
Gross profit | 88,783 | 78,132 | 171,238 | 140,323 |
Operating expenses | 81,449 | 78,833 | 163,271 | 157,576 |
Income (loss) from operations | 7,334 | (701) | 7,967 | (17,253) |
Property and equipment, net | 50,884 |  | 50,884 |  | $ 42,595
United States |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 163,645 | 153,442 | 321,847 | 283,721 |
Property and equipment, net | 43,490 |  | 43,490 |  | 34,899
Rest of world |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 25,028 | 27,600 | 49,445 | 45,874 |
Property and equipment, net | 7,394 |  | 7,394 |  | $ 7,696
Automation and analytics |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues |  | 148,584 |  | 270,754 |
Gross profit |  | 67,868 |  | 121,277 |
Medication adherence |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues |  | 32,458 |  | 58,841 |
Gross profit |  | 10,264 |  | 19,046 |
Operating segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 188,673 | 181,042 | 371,292 | 329,595 |
Cost of revenues | 99,890 | 102,910 | 200,054 | 189,272 |
Gross profit | 88,783 | 78,132 | 171,238 | 140,323 |
Operating expenses | 58,463 | 57,607 | 117,053 | 116,865 |
Income (loss) from operations | 30,320 | 20,525 | 54,185 | 23,458 |
Operating segments | Automation and analytics |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 158,365 | 148,584 | 309,771 | 270,754 |
Cost of revenues | 78,686 | 80,716 | 156,928 | 149,477 |
Gross profit | 79,679 | 67,868 | 152,843 | 121,277 |
Operating expenses | 48,167 | 47,508 | 96,558 | 95,570 |
Income (loss) from operations | 31,512 | 20,360 | 56,285 | 25,707 |
Operating segments | Medication adherence |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 30,308 | 32,458 | 61,521 | 58,841 |
Cost of revenues | 21,204 | 22,194 | 43,126 | 39,795 |
Gross profit | 9,104 | 10,264 | 18,395 | 19,046 |
Operating expenses | 10,296 | 10,099 | 20,495 | 21,295 |
Income (loss) from operations | (1,192) | 165 | (2,100) | (2,249) |
Corporate |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Operating expenses | 22,986 | 21,226 | 46,218 | 40,711 |
Product revenues |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 134,636 | 130,205 | 265,295 | 228,996 |
Cost of revenues | 75,076 | 81,738 | 150,493 | 145,326 |
Product revenues | Operating segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 134,636 | 130,205 | 265,295 | 228,996 |
Cost of revenues | 75,076 | 81,738 | 150,493 | 145,326 |
Product revenues | Operating segments | Automation and analytics |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 110,262 | 103,557 | 215,193 | 182,095 |
Cost of revenues | 57,045 | 62,185 | 113,548 | 111,164 |
Product revenues | Operating segments | Medication adherence |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 24,374 | 26,648 | 50,102 | 46,901 |
Cost of revenues | 18,031 | 19,553 | 36,945 | 34,162 |
Services and other revenues |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 54,037 | 50,837 | 105,997 | 100,599 |
Cost of revenues | 24,814 | 21,172 | 49,561 | 43,946 |
Services and other revenues | Operating segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 54,037 | 50,837 | 105,997 | 100,599 |
Cost of revenues | 24,814 | 21,172 | 49,561 | 43,946 |
Services and other revenues | Operating segments | Automation and analytics |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 48,103 | 45,027 | 94,578 | 88,659 |
Cost of revenues | 21,641 | 18,531 | 43,380 | 38,313 |
Services and other revenues | Operating segments | Medication adherence |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 5,934 | 5,810 | 11,419 | 11,940 |
Cost of revenues | $ 3,173 | $ 2,641 | $ 6,181 | $ 5,633 |

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