Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
REVENUES:
TOTAL REVENUES	$ 596,455	$ 549,310	$ 1,163,110	$ 1,117,959
Cost of goods sold	389,027	356,983	770,438	733,591
Gross Profit	207,428	192,327	392,672	384,368
OPERATING EXPENSES:
Selling, general and administrative	159,549	150,895	317,206	303,467
Research and development	23,390	22,302	45,232	42,063
Restructuring, strategic transaction and integration	17,136	12,354	33,241	23,367
Change in fair value of contingent earn-out	(339)	4,016	(44)	3,316
TOTAL OPERATING EXPENSES	199,736	189,567	395,635	372,213
(LOSS) INCOME FROM OPERATIONS	7,692	2,760	(2,963)	12,155
Interest Expense,net	(23,841)	(24,121)	(47,613)	(46,636)
OTHER EXPENSE, net	(3,384)	(1,502)	(5,725)	(1,771)
Loss before income taxes	(19,533)	(22,863)	(56,301)	(36,252)
BENEFIT FOR INCOME TAXES	(1,873)	12,929	(4,576)	16,506
NET LOSS	$ (21,406)	$ (9,934)	$ (60,877)	$ (19,746)
NET LOSS PER SHARE
Basic (in dollars per share)	$ (0.88)	$ (0.41)	$ (2.51)	$ (0.82)
Diluted (in dollars per share)	$ (0.88)	$ (0.41)	$ (2.51)	$ (0.82)
WEIGHTED AVERAGE NUMBER OF SHARES
Basic (in shares)	24,393	24,075	24,295	24,045
Diluted (in shares)	24,393	24,075	24,295	24,045