CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024
CASH FLOWS FROM OPERATING ACTIVITIES:
Net Income (Loss)	$ 90,483	$ 92,410
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	91,629	74,093
Gain on disposition of business	(249)
Loss on sale or abandonment of property and equipment	546	215
Write-off of certain intangible assets and other long-term assets	152	401
Amortization of right-of-use operating lease assets	8,693	9,043
Fair value adjustments related to contingent consideration liabilities	1,198	292
Amortization of deferred credits	(77)	(77)
Amortization and write-off of long-term debt issuance costs	4,242	4,431
Stock-based compensation expense	33,563	18,958
Changes in operating assets and liabilities, net of acquisitions:
Trade receivables	(13,656)	(9,540)
Other receivables	2,116	(4,670)
Inventories	(15,073)	(2,844)
Prepaid expenses and other current assets	(3,038)	(5,871)
Income tax refund receivables	(140)	(7,530)
Other assets	(1,829)	(3,860)
Trade payables	3,428	(6,489)
Accrued expenses	4,849	(614)
Income taxes payable	3,485	(2,246)
Deferred compensation payable	(2,114)	2,051
Operating lease liabilities	(8,578)	(9,056)
Other long-term obligations	(769)	2,958
Total adjustments	108,378	59,645
Net cash, cash equivalents, and restricted cash provided by operating activities	198,861	152,055
Capital expenditures for:
Property and equipment	(57,252)	(31,668)
Intangible assets	(2,327)	(2,138)
Proceeds from the sale of property and equipment	49	5
Proceeds from disposition of business	249
Cash paid for notes receivable and other investments	(14,936)	(10,223)
Cash paid in acquisitions, net of cash acquired	(122,834)	(110,182)
Net cash, cash equivalents, and restricted cash used in investing activities	(197,051)	(154,206)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock	22,179	15,424
Payments on long-term debt		(76,063)
Contingent payments related to acquisitions	(2,645)	(209)
Payment of taxes related to an exchange of common stock	(8,597)	(1,592)
Net cash, cash equivalents, and restricted cash provided by (used in) financing activities	10,937	(62,440)
Effect of exchange rates on cash, cash equivalents, and restricted cash	3,047	724
Net (decrease) increase in cash, cash equivalents and restricted cash	15,794	(63,867)
CASH, CASH EQUIVALENTS AND RESTRICTED CASH:
Beginning of period	378,767	589,144
End of period	394,561	525,277
RECONCILIATION OF CASH, CASH EQUIVALENTS AND RESTRICTED CASH TO THE CONSOLIDATED BALANCE SHEETS:
Cash and cash equivalents	392,457	523,128
Restricted cash reported in prepaid expenses and other current assets	$ 2,104	$ 2,149
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	$ 394,561	$ 525,277
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Interest (net of capitalized interest of $934 and $712, respectively)	25,890	20,977
Income taxes	23,323	33,054
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING ACTIVITIES
Property and equipment purchases in accounts payable	5,022	8,907
Acquisition purchases in accrued expenses and other long-term obligations	4,772	4,894
Merit common stock surrendered (118 and 0 shares, respectively) in exchange for exercise of stock options	10,863
Right-of-use operating lease assets obtained in exchange for operating lease liabilities	$ 30,757	$ 9,191