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Revenues - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020	Dec. 31, 2020
Revenue Recognition [Abstract]
Fees to GPOs	$ 3,400	$ 2,900
Short-term deferred revenues, net	119,588		$ 100,053
Deferred cost of sales	20,800		21,000
Deferred revenues recognized	47,300
Short-term deferred revenues, gross			121,100
Long-term deferred revenues	$ 7,887		$ 5,673

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