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Organization and Summary of Significant Accounting Policies - Narrative (Details) | 1 Months Ended | 12 Months Ended
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Aug. 31, 2020 | Dec. 31, 2021 USD ($) reporting_unit segment | Dec. 31, 2020 USD ($) | Dec. 31, 2019 USD ($)
Accounting Policies [Line Items] |  |  |  |
Number of operating segments | segment |  | 1 |  |
Number of reporting segments | segment |  | 1 |  |
Deferred revenues, net of cost of goods sold |  | $ 132,390,000 | $ 105,726,000 |
Deferred revenues, net of cost of goods sold, expected to be completed within one year |  | $ 112,196,000 | 100,053,000 |
Recognition period |  | five years |  |
Fees to GPOs |  | $ 17,500,000 | 9,700,000 | $ 11,100,000
Amortization period for capitalized contract costs |  | 10 years |  |
Initial term and renewal service periods |  | 10 years |  |
Contract cost expense |  | $ 25,800,000 | 22,100,000 | 24,400,000
Impairment loss related to capitalized prepaid commissions |  | $ 0 |  |
Operating lease renewal terms |  | 1 year |  |
Non-recourse accounts receivable transferred |  | $ 46,700,000 | 58,800,000 | 48,300,000
Accounts receivable due from third-party leasing companies for transferred non-recourse accounts receivable |  | 5,600,000 | 7,800,000 |
Cash and cash equivalents |  | 349,051,000 | 485,928,000 | 127,210,000
Cash equivalents |  | 320,200,000 | 447,200,000 |
Minimum required purchase obligation |  | 170,100,000 |  |
Cost of revenues |  | 577,365,000 | 478,916,000 | 460,115,000
Amortization of capitalized software development costs |  | $ 26,400,000 | 23,100,000 | $ 17,500,000
Number of reporting units | reporting_unit |  | 1 |  |
Accumulated impairment loss on goodwill |  | $ 0 |  |
Accounting Standards Update [Extensible List] | Accounting Standards Update 2020-06 [Member] |  |  | Accounting Standards Update 2016-13 [Member]
Convertible senior notes, net |  | 0 | 467,201,000 |
Additional paid-in capital |  | 1,024,580,000 | 920,359,000 |
Long-term deferred tax liabilities |  | 51,705,000 | 39,633,000 |
Long-term deferred tax assets |  | 15,883,000 | 15,019,000 |
Retained earnings |  | 368,571,000 | 290,722,000 |
Cumulative Effect of a Change in Accounting Principle |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Convertible senior notes, net |  | 75,400,000 |  |
Additional paid-in capital |  | 72,700,000 |  |
Long-term deferred tax liabilities |  | 19,800,000 |  |
Long-term deferred tax assets |  | 500,000 |  |
Retained earnings |  | 16,700,000 |  |
Other Assets |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Software development costs capitalized |  | $ 29,400,000 | 32,000,000 |
Internal Use Software and Software Development Costs |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Useful life of property and equipment |  | 5 years |  |
Internal Use Software and Software Development Costs | Property and Equipment |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Software development costs capitalized |  | $ 12,700,000 | 6,800,000 |
Shipping Costs | Selling, general, and administrative |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Cost of revenues |  | 18,200,000 | 15,600,000 | $ 15,900,000
Primary Supplier |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Minimum required purchase obligation |  | $ 0 |  |
Period for notice of termination |  | 6 months |  |
Purchases from suppliers |  | $ 103,200,000 | $ 76,300,000 | $ 75,100,000
Minimum |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Original terms of contracts |  | 1 year |  |
Maximum |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Original terms of contracts |  | 5 years |  |
Estimated useful life of software-related products |  | 5 years |  |
Customer Concentration Risk | Revenues | Ten Largest GPOs |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Concentration risk percentage |  | 67.00% |  |
Customer Concentration Risk | Lease Receivable | U.S. Government Hospitals |  |  |  |
Accounting Policies [Line Items] |  |  |  |
Concentration risk percentage |  | 69.00% |  |

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