Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
REVENUES:
TOTAL REVENUES	$ 589,131	$ 553,311	$ 1,752,241	$ 1,671,270
Cost of goods sold	384,279	369,391	1,154,717	1,102,982
Gross Profit	204,852	183,920	597,524	568,288
OPERATING EXPENSES:
Selling, general and administrative	162,707	148,609	479,913	452,076
Research and development	21,028	20,870	66,260	62,933
Restructuring, strategic transaction and integration	16,828	7,160	50,069	30,527
Change in fair value of contingent earn-out	(3,947)	(15,572)	(3,991)	(12,256)
TOTAL OPERATING EXPENSES	196,616	161,067	592,251	533,280
(LOSS) INCOME FROM OPERATIONS	8,236	22,853	5,273	35,008
Interest Expense,net	(24,683)	(24,175)	(72,296)	(70,811)
OTHER EXPENSE, net	(1,481)	(4,044)	(7,206)	(5,815)
Loss before income taxes	(17,928)	(5,366)	(74,229)	(41,618)
BENEFIT FOR INCOME TAXES	(15,055)	12,604	(19,631)	29,110
NET LOSS	$ (32,983)	$ 7,238	$ (93,860)	$ (12,508)
NET LOSS PER SHARE
Basic (in dollars per share)	$ (1.35)	$ 0.30	$ (3.85)	$ (0.52)
Diluted (in dollars per share)	$ (1.35)	$ 0.30	$ (3.85)	$ (0.52)
WEIGHTED AVERAGE NUMBER OF SHARES
Basic (in shares)	24,438	24,132	24,353	24,075
Diluted (in shares)	24,438	24,368	24,353	24,075