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Revenues - Narrative (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021 | Dec. 31, 2021
Revenue Recognition [Abstract] |  |  |  |  |
Fees to GPOs | $ 4,800 | $ 4,400 | $ 13,300 | $ 12,000 |
Short-term deferred revenues, net | 113,925 |  | 113,925 |  | $ 112,196
Deferred cost of sales | 12,500 |  | 12,500 |  | 22,400
Deferred revenues recognized | 15,200 |  | 104,200 |  |
Short-term deferred revenues, gross |  |  |  |  | 134,600
Long-term deferred revenues | $ 34,519 |  | $ 34,519 |  | $ 20,194
Remaining performance obligation, recognition period | 10 years |  | 10 years |  |

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