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Revenues - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020	Dec. 31, 2020
Revenue Recognition [Abstract]
Fees to GPOs	$ 4,200	$ 1,700	$ 7,600	$ 4,600
Short-term deferred revenues, net	121,305		121,305		$ 100,053
Deferred cost of sales	21,400		21,400		21,000
Deferred revenues recognized	23,800		71,100
Short-term deferred revenues, gross					121,100
Long-term deferred revenues	$ 11,875		$ 11,875		$ 5,673
Remaining performance obligation, recognition period	10 years		10 years

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