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Quarterly Results of Operations (Unaudited) (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Quarterly Results of Operations (Unaudited)                      
Net sales $ 257,922 $ 243,049 $ 255,532 $ 238,349 $ 233,249 $ 221,659 $ 224,810 $ 203,035 $ 994,852 $ 882,753 $ 727,852
Gross profit 111,630 104,136 111,964 104,636 104,666 102,039 100,009 88,056 432,366 394,770 326,253
Income (loss) from operations (3,409) (2,881) 12,201 9,523 13,661 21,061 15,114 8,781 15,434 58,617 33,069
Income tax expense (benefit) (3,757) (2,292) 2,140 651 3,022 2,766 624 1,090 (3,258) 7,502 8,358
Net income (loss) $ (4,205) $ (3,398) $ 6,859 $ 6,195 $ 9,188 $ 16,619 $ 10,941 $ 5,269 $ 5,451 $ 42,017 $ 27,523
Basic (in dollars per share) $ (0.08) $ (0.06) $ 0.12 $ 0.11 $ 0.17 $ 0.31 $ 0.22 $ 0.10 $ 0.10 $ 0.80 $ 0.56
Diluted (in dollars per share) $ (0.08) $ (0.06) $ 0.12 $ 0.11 $ 0.16 $ 0.30 $ 0.21 $ 0.10 $ 0.10 $ 0.78 $ 0.55
Impairment and other charges                 $ 23,750 $ 657 $ 809
NinePoint Medical, Inc.                      
Quarterly Results of Operations (Unaudited)                      
Impairment and other charges $ 20,500               20,500    
Write off of accrued interest $ (1,600)               $ (1,600)