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Revenues - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021	Dec. 31, 2021
Revenue Recognition [Abstract]
Fees to GPOs	$ 4,500	$ 3,400
Short-term deferred revenues, net	127,998		$ 112,196
Deferred cost of sales	20,300		22,400
Deferred revenues recognized	66,600
Short-term deferred revenues, gross			134,600
Long-term deferred revenues	$ 24,037		$ 20,194
Remaining performance obligation, recognition period	10 years

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