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Segment and Geographical Information - Financial Performance of Reporting Segments (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Segment Reporting Information [Line Items] |  |  |
Total cost of revenues | $ 414,979 | $ 394,077 | $ 378,823
Gross profit | 372,330 | 318,637 | 317,085
Operating expenses | 327,938 | 307,492 | 295,680
Income from operations | 44,392 | 11,145 | 21,405
Automation and Analytics |  |  |
Segment Reporting Information [Line Items] |  |  |
Gross profit |  | 278,498 | 285,944
Medication Adherence |  |  |
Segment Reporting Information [Line Items] |  |  |
Gross profit |  | 40,139 | 31,141
Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 787,309 | 712,714 | 695,908
Total cost of revenues | 414,979 | 394,077 | 378,823
Gross profit | 372,330 | 318,637 | 317,085
Operating expenses | 229,733 | 226,592 | 211,715
Income from operations | 142,597 | 92,045 | 105,370
Operating Segments | Automation and Analytics |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 655,679 | 586,941 | 596,911
Total cost of revenues | 319,257 | 308,443 | 310,967
Gross profit | 336,422 | 278,498 | 285,944
Operating expenses | 188,303 | 184,857 | 186,872
Income from operations | 148,119 | 93,641 | 99,072
Operating Segments | Medication Adherence |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 131,630 | 125,773 | 98,997
Total cost of revenues | 95,722 | 85,634 | 67,856
Gross profit | 35,908 | 40,139 | 31,141
Operating expenses | 41,430 | 41,735 | 24,843
Income from operations | (5,522) | (1,596) | 6,298
Corporate, Non-Segment |  |  |
Segment Reporting Information [Line Items] |  |  |
Operating expenses | 98,205 | 80,900 | 83,965
Product revenues |  |  |
Segment Reporting Information [Line Items] |  |  |
Total cost of revenues | 312,360 | 304,842 | 302,437
Product revenues | Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 569,595 | 510,201 | 527,727
Total cost of revenues | 312,360 | 304,842 | 302,437
Product revenues | Operating Segments | Automation and Analytics |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 462,379 | 407,427 | 433,524
Total cost of revenues | 231,003 | 230,003 | 239,062
Product revenues | Operating Segments | Medication Adherence |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 107,216 | 102,774 | 94,203
Total cost of revenues | 81,357 | 74,839 | 63,375
Service |  |  |
Segment Reporting Information [Line Items] |  |  |
Total cost of revenues | 102,619 | 89,235 | 76,386
Service | Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 217,714 | 202,513 | 168,181
Total cost of revenues | 102,619 | 89,235 | 76,386
Service | Operating Segments | Automation and Analytics |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 193,300 | 179,514 | 163,387
Total cost of revenues | 88,254 | 78,440 | 71,905
Service | Operating Segments | Medication Adherence |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 24,414 | 22,999 | 4,794
Total cost of revenues | $ 14,365 | $ 10,795 | $ 4,481

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