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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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