Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
Operating activities
Net income (loss)	$ 8,931	$ (7,252)
Adjustments to reconcile to net cash used in operating activities:
Depreciation and amortization	30,306	22,335
Amortization of debt issue costs	1,002	421
Extinguishment of debt	0	3,395
Stock-based compensation	4,392	4,013
Deferred income taxes	86	(420)
Change in fair value of earnout liabilities	21	5,693
Gain on sale of rental equipment	(1,377)	(1,821)
Loss on sale of property, plant and equipment	215	0
Charge for step-up of acquired inventory	716	0
Net realizable value and reserve adjustment for obsolete and excess inventory	0	1,377
Bad debt expense	933	244
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	(4,799)	(27,639)
Inventories	962	(28,983)
Prepaid expenses and other current assets	(6,405)	(13,777)
Accounts payable	(8,936)	(5,254)
Accrued expenses and other current liabilities	(624)	9,957
Other changes in operating assets and liabilities	2,041	(1,832)
Net cash provided by (used in) operating activities	27,464	(39,543)
Investing activities
Purchases of property, plant and equipment	(7,796)	(3,410)
Business acquisitions, net of cash acquired	(252,007)	(113,781)
Purchases of rental equipment	(5,990)	(4,878)
Proceeds from sale of rental equipment	2,969	6,783
Net cash provided by (used in) investing activities	(262,824)	(115,286)
Financing activities
Proceeds from revolving lines of credit	161,684	166,200
Payments on revolving lines of credit	(274,134)	(67,687)
Proceeds from term loans	305,000	377,552
Payments on term loans	(11,250)	(307,490)
Deferred financing costs	(3,419)	(11,415)
Proceeds from rights offering, net of offering costs of $1,531	98,469	0
Shares repurchased held in treasury	(171)	(78)
Payment of financing lease principal	(249)	(39)
Payment of earnout	(1,000)	0
Net cash provided by (used in) financing activities	274,930	157,043
Effect of exchange rate changes on cash and cash equivalents	541	1,181
Increase (decrease) in cash, cash equivalents and restricted cash	40,111	3,395
Cash, cash equivalents and restricted cash at beginning of period	24,740	14,671
Cash, cash equivalents and restricted cash at end of period	64,851	18,066
Cash and cash equivalents	44,244	17,872
Restricted cash	20,607	194
Total cash, cash equivalents and restricted cash	64,851	18,066
Supplemental disclosure of cash flow information
Net cash paid for income taxes	5,444	6,267
Net cash paid for interest	8,334	10,600
Fair value of common stock exchanged for reverse acquisition	0	351,491
Additions of property, plant and equipment included in accounts payable	1,566	135
Right of use assets obtained in exchange for finance lease liabilities	329	713
Right of use assets obtained in exchange for operating lease liabilities	$ 4,840	$ 10,291