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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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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.

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