CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
CASH FLOWS FROM OPERATING ACTIVITIES:
Net Income (Loss)	$ 120,357	$ 94,411	$ 74,516
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	102,709	89,985	81,804
(Gain) loss on disposition of business		(431)	1,417
Loss on sale or abandonment of property and equipment	1,490	5,838	380
Write-off of certain intangible assets and other long-term assets	456	506	2,281
Acquired in-process research and development		1,550	6,671
Amortization of right-of-use operating lease assets	12,023	11,307	10,394
Fair value adjustments related to contingent consideration liabilities	443	1,704	4,611
Amortization of deferred credits	(103)	(104)	(107)
Amortization and write-off of long-term debt issuance costs	6,769	1,717	604
Deferred income taxes	(14,873)	(12,643)	(14,924)
Stock-based compensation expense	28,473	21,333	18,042
Changes in operating assets and liabilities, net of acquisitions and divestitures:
Trade receivables	(13,686)	(11,916)	(15,116)
Other receivables	(6,482)	2,429	4,154
Inventories	(2,287)	(32,105)	(47,929)
Prepaid expenses and other current assets	(4,295)	1,281	(1,798)
Prepaid income taxes	709	(92)	(379)
Income tax refund receivables	(1,536)	(58)	1,952
Other assets	(6,066)	(5,976)	657
Trade payables	(2,314)	(7,297)	12,661
Accrued expenses	9,715	(2,484)	(16,379)
Income taxes payable	(1,785)	(1,685)	4,521
Liabilities related to unrecognized tax benefits	206		(45)
Deferred compensation payable	2,030	1,903	(2,848)
Operating lease liabilities	(12,183)	(11,492)	(11,127)
Other long-term obligations	1,029	(2,530)	278
Total adjustments	100,442	50,740	39,775
Net cash, cash equivalents, and restricted cash provided by operating activities	220,799	145,151	114,291
Capital expenditures for:
Property and equipment	(35,140)	(34,290)	(45,029)
Intangible assets	(2,903)	(2,411)	(3,175)
Proceeds from the sale of property and equipment	5	201	65
Proceeds (payments) from disposition of business		431	(971)
Cash paid for notes receivable and other investments	(10,433)	(4,755)	(1,412)
Cash paid in acquisitions, net of cash acquired	(320,182)	(134,523)	(6,875)
Net cash, cash equivalents, and restricted cash used in investing activities	(368,653)	(175,347)	(57,397)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock	40,908	15,584	20,070
Proceeds from issuance of long-term debt		1,199,203	215,205
Payments on long-term debt	(99,063)	(579,624)	(260,143)
Purchase of capped call option		(66,528)
Long-term debt issuance costs		(677)
Contingent payments related to acquisitions	(261)	(3,569)	(32,918)
Payment of taxes related to an exchange of common stock	(1,592)	(5,123)	(2,474)
Net cash, cash equivalents, and restricted cash (used in) provided by financing activities	(60,008)	559,266	(60,260)
Effect of exchange rates on cash, cash equivalents, and restricted cash	(2,515)	(484)	(3,826)
Net increase (decrease) in cash, cash equivalents and restricted cash	(210,377)	528,586	(7,192)
CASH, CASH EQUIVALENTS AND RESTRICTED CASH:
Beginning of period	589,144	60,558	67,750
End of period	378,767	589,144	60,558
RECONCILIATION OF CASH, CASH EQUIVALENTS AND RESTRICTED CASH TO THE CONSOLIDATED BALANCE SHEETS:
Cash and cash equivalents	376,715	587,036	58,408
Restricted cash reported in prepaid expenses and other current assets	$ 2,052	$ 2,108	2,150
Restricted Cash and Cash Equivalents, Current, Statement of Financial Position [Extensible Enumeration]	Prepaid Expense and Other Assets, Current	Prepaid Expense and Other Assets, Current
Total cash, cash equivalents and restricted cash	$ 378,767	$ 589,144	60,558
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Interest (net of capitalized interest of $1,005, $1,272 and $858, respectively)	23,244	14,051	6,258
Income taxes	45,047	31,534	17,092
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING ACTIVITIES
Property and equipment purchases in accounts payable	13,244	8,267	3,702
Acquisition purchases in accrued expenses and other long-term obligations	4,956	3,713	3,526
Merit common stock surrendered (0, 86, and 18 shares, respectively) in exchange for exercise of stock options		5,809	1,140
Right-of-use operating lease assets obtained in exchange for operating lease liabilities	$ 9,947	$ 8,891	$ 11,130