Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023
Operating activities
Net income (loss)	$ 18,593	$ 7,363
Adjustments to reconcile to net cash used in operating activities:
Depreciation and amortization	54,211	47,316
Amortization of debt issuance costs	2,093	1,662
Stock-based compensation	4,323	5,441
Compensation expense related to employee share purchases	0	427
Deferred income taxes	(2,814)	0
Change in fair value of earnout liabilities	861	(646)
(Gain) loss on sale of rental equipment	(1,586)	(1,929)
(Gain) loss on sale of property, plant and equipment	190	(86)
Charge for step-up of acquired inventory	1,760	2,866
Net realizable value adjustment and write-offs for obsolete and excess inventory	4,311	8,073
Bad debt expense	537	1,045
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	(30,423)	(8,329)
Inventories	(981)	1,566
Prepaid expenses and other current assets	(33,335)	(7,288)
Accounts payable	14,091	10,552
Accrued expenses and other current liabilities	(20,183)	5,587
Other changes in operating assets and liabilities	(912)	433
Net cash provided by (used in) operating activities	10,736	74,053
Investing activities
Purchases of property, plant and equipment	(9,091)	(11,180)
Business acquisitions, net of cash acquired	(194,393)	(252,007)
Purchases of rental equipment	(5,703)	(7,735)
Proceeds from sale of rental equipment	3,795	4,202
Net cash provided by (used in) investing activities	(205,392)	(266,720)
Financing activities
Proceeds from revolving lines of credit	166,777	174,587
Payments on revolving lines of credit	(166,496)	(295,816)
Proceeds from term loans	200,000	305,000
Payments on term loans	(22,688)	(11,250)
Deferred financing costs	(2,064)	(3,419)
Proceeds from rights offering, net of offering costs of $1,531	0	98,469
Repurchase of common stock	(2,580)	0
Shares repurchased held in treasury	(538)	(171)
Proceeds from employees for share purchases	0	3,253
Payment of financing lease principal	(462)	(358)
Payment of earnout	0	(1,000)
Net cash provided by (used in) financing activities	171,949	269,295
Effect of exchange rate changes on cash and cash equivalents	(1,151)	(209)
Increase (decrease) in cash, cash equivalents and restricted cash	(23,858)	76,419
Cash, cash equivalents and restricted cash at beginning of period	99,625	24,740
Cash, cash equivalents and restricted cash at end of period	75,767	101,159
Cash and cash equivalents	61,344	80,456
Restricted cash	14,423	20,703
Total cash, cash equivalents and restricted cash	75,767	101,159
Supplemental disclosure of cash flow information
Net cash paid for income taxes	13,065	9,370
Net cash paid for interest	38,337	26,187
Net cash paid for interest on supply chain financing	2,121	1,753
Non-cash activities:
Additions of property, plant and equipment included in accounts payable	235	521
Right of use assets obtained in exchange for finance lease liabilities	390	396
Right of use assets obtained in exchange for operating lease liabilities	$ 10,807	$ 19,879