Revenues - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023	Dec. 31, 2023
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Fees to GPOs	$ 2,000	$ 3,100
Short-term deferred revenues	164,586		$ 121,734
Deferred cost of sales	15,300		12,400
Deferred revenues recognized	50,200
Short-term deferred revenues, gross			134,100
Long-term deferred revenues	$ 65,195		$ 58,622
Deferred revenue, period	10 years
Remaining performance obligation	$ 359,000
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2024-04-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Remaining performance obligation, period	10 years