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Revenues - Narrative (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2021 | Sep. 30, 2020 | Sep. 30, 2021 | Sep. 30, 2020 | Dec. 31, 2020
Revenue Recognition [Abstract] |  |  |  |  |
Fees to GPOs | $ 4,400 | $ 2,300 | $ 12,000 | $ 6,900 |
Short-term deferred revenues, net | 114,726 |  | 114,726 |  | $ 100,053
Deferred cost of sales | 24,100 |  | 24,100 |  | 21,000
Deferred revenues recognized | 18,900 |  | 90,000 |  |
Short-term deferred revenues, gross |  |  |  |  | 121,100
Long-term deferred revenues | $ 14,141 |  | $ 14,141 |  | $ 5,673
Remaining performance obligation, recognition period | 10 years |  | 10 years |  |

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