Business Segment (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024
Segment Reporting [Abstract]
Net sales	$ 321,256	$ 312,273
Cost of sales	143,504	140,308
Salesforce and Commission Expense	57,432	55,277
Marketing Expense	15,874	15,521
Distribution Expense	12,033	11,967
General and Administrative Expense	32,655	31,840
Stock-based compensation	13,863	6,240
Non-cash adjustments to fair value of contingent consideration liability	3,962	(6,545)
Research and development expense	12,947	13,594
Interest expense	8,286	9,594
Provision for income taxes	1,636	5,710
Segment Reporting, Other Segment Item, Amount	5,856	1,906
Net income	6,036	19,709
Segment Reporting Information [Line Items]
Amortization expense	8,700	8,600
Amortization included in expense
Segment Reporting Information [Line Items]
Amortization expense	$ 7,172	$ 7,152