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Consolidated Statements of Operations and Comprehensive Income (Loss) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Income Statement [Abstract]      
Net sales $ 460,713 $ 464,479 $ 406,562
Cost of sales 123,544 114,914 101,889
Gross profit 337,169 349,565 304,673
Sales and marketing 228,810 221,318 204,434
General and administrative 79,966 69,353 67,948
Research and development 49,065 49,621 39,056
Acquisition-related amortization and remeasurement (7,404) 17,588 (499)
Operating (loss) (13,268) (8,315) (6,266)
Interest expense, net (1,288) (1,837) (2,483)
Other income (expense), net (3,150) (3,343) 8,381
Income (loss) before income taxes (17,706) (13,495) (368)
Income tax benefit (expense) (2,043) (24,884) 2,885
Net income (loss) $ (19,749) $ (38,379) $ 2,517
Net income (loss) per common share:      
Basic $ (0.98) $ (1.95) $ 0.13
Diluted $ (0.98) $ (1.95) $ 0.13
Weighted average number of common shares:      
Basic 20,053,548 19,690,593 19,267,920
Diluted 20,053,548 19,690,593 19,391,718
Other comprehensive income (loss), before tax      
Unrealized gain (loss) on debt securities $ 395 $ (942) $ 1,881
Currency translation adjustment (1,771) (2,544) 4,872
Other comprehensive income (loss), before tax (1,376) (3,486) 6,753
Income tax benefit (expense) related to items of other comprehensive income (loss)   234 (462)
Other comprehensive income (loss), net of tax (1,376) (3,252) 6,291
Comprehensive income (loss) $ (21,125) $ (41,631) $ 8,808