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Revenues - Narrative (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2020 | Sep. 30, 2019 | Sep. 30, 2020 | Sep. 30, 2019 | Dec. 31, 2019
Revenue Recognition [Abstract] |  |  |  |  |
Fees to GPOs | $ 2,300 | $ 2,800 | $ 6,900 | $ 7,600 |
Short-term deferred revenues, net | 101,641 |  | 101,641 |  | $ 90,894
Deferred cost of sales | 24,200 |  | 24,200 |  | 13,100
Deferred revenues recognized | 13,200 |  | 77,500 |  |
Short-term deferred revenues, gross |  |  |  |  | 104,000
Long-term deferred revenues | $ 5,163 |  | $ 5,163 |  | $ 7,083

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