CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
CASH FLOWS FROM OPERATING ACTIVITIES:
Net Income (Loss)	$ 128,489	$ 120,357	$ 94,411
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	123,168	102,709	89,985
Gain on disposition of business	(249)		(431)
Loss on sale or abandonment of property and equipment	2,302	1,490	5,838
Write-off of certain intangible assets and other long-term assets	313	456	506
Acquired in-process research and development			1,550
Amortization of right-of-use operating lease assets	11,481	12,023	11,307
Fair value adjustments related to contingent consideration liabilities	984	443	1,704
Amortization of deferred credits	(103)	(103)	(104)
Amortization and write-off of long-term debt issuance costs	5,656	6,769	1,717
Deferred income taxes	5,214	(14,873)	(12,643)
Stock-based compensation expense	43,460	28,473	21,333
Changes in operating assets and liabilities, net of acquisitions:
Trade receivables	(7,341)	(13,686)	(11,916)
Other receivables	4,368	(6,482)	2,429
Inventories	(21,602)	(2,287)	(32,105)
Prepaid expenses and other current assets	(2,520)	(4,295)	1,281
Prepaid income taxes	(1,612)	709	(92)
Income tax refund receivables	246	(1,536)	(58)
Other assets	(1,697)	(6,066)	(5,976)
Trade payables	1,011	(2,314)	(7,297)
Accrued expenses	14,262	9,715	(2,484)
Income taxes payable	5,230	(1,785)	(1,685)
Liabilities related to unrecognized tax benefits	80	206
Deferred compensation payable	(1,655)	2,030	1,903
Operating lease liabilities	(11,167)	(12,183)	(11,492)
Other long-term obligations	(947)	1,029	(2,530)
Total adjustments	168,882	100,442	50,740
Net cash, cash equivalents, and restricted cash provided by operating activities	297,371	220,799	145,151
Capital expenditures for:
Property and equipment	(81,716)	(35,140)	(34,290)
Intangible assets	(3,120)	(2,903)	(2,411)
Proceeds from asset and business dispositions	303	5	632
Cash paid for notes receivable and other investments	(18,084)	(10,433)	(4,755)
Cash paid in acquisitions, net of cash acquired	(144,769)	(320,182)	(134,523)
Net cash, cash equivalents, and restricted cash used in investing activities	(247,386)	(368,653)	(175,347)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock	28,213	40,908	15,584
Proceeds from issuance of long-term debt			1,199,203
Payments on long-term debt		(99,063)	(579,624)
Purchase of capped call option			(66,528)
Long-term debt issuance costs			(677)
Contingent payments related to acquisitions	(2,685)	(261)	(3,569)
Payment of taxes related to an exchange of common stock	(9,529)	(1,592)	(5,123)
Net cash, cash equivalents, and restricted cash provided by (used in) financing activities	15,999	(60,008)	559,266
Effect of exchange rates on cash, cash equivalents, and restricted cash	3,798	(2,515)	(484)
Net increase (decrease) in cash, cash equivalents and restricted cash	69,782	(210,377)	528,586
CASH, CASH EQUIVALENTS AND RESTRICTED CASH:
Beginning of period	378,767	589,144	60,558
End of period	448,549	378,767	589,144
RECONCILIATION OF CASH, CASH EQUIVALENTS AND RESTRICTED CASH TO THE CONSOLIDATED BALANCE SHEETS:
Cash and cash equivalents	446,404	376,715	587,036
Restricted cash reported in prepaid expenses and other current assets	$ 2,145	$ 2,052	$ 2,108
Restricted Cash and Cash Equivalents, Current, Statement of Financial Position [Extensible Enumeration]	Prepaid Expense and Other Assets, Current	Prepaid Expense and Other Assets, Current	Prepaid Expense and Other Assets, Current
Total cash, cash equivalents and restricted cash	$ 448,549	$ 378,767	$ 589,144
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Interest (net of capitalized interest of $1,398, $1,005 and $1,272, respectively)	20,991	23,244	14,051
Income taxes	31,392	45,047	31,534
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING ACTIVITIES
Property and equipment purchases in accounts payable	3,136	13,244	8,267
Acquisition purchases in accrued expenses and other long-term obligations	3,886	4,956	3,713
Merit common stock surrendered (118, 0 and 86 shares, respectively) in exchange for exercise of stock options	10,863		5,809
Right-of-use operating lease assets obtained in exchange for operating lease liabilities	$ 32,684	$ 9,947	$ 8,891