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