CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands	3 Months Ended				9 Months Ended		12 Months Ended
	Sep. 30, 2022	Mar. 31, 2022	Sep. 30, 2021	Mar. 31, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021
OPERATING ACTIVITIES:
Net income	$ 49,915	$ 32,901	$ 43,229	$ 45,394	$ 127,604	$ 123,691
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization					88,803	89,090
Non-cash impairment charges					0	2,754
Deferred income tax provision (benefit)					1,439	(13,498)
Share-based compensation					21,994	29,778
Amortization of debt issuance costs and expenses associated with debt refinancing					5,142	5,308
Non-cash lease expense					3,040	3,099
Loss on disposal of property and equipment					914	2,029
Gain from the sale of businesses	(644)		230		(644)	(41,967)
Change in fair value of contingent consideration and others					(19,481)	(544)
Changes in assets and liabilities:
Accounts receivable					(23,870)	17,437
Inventories					(24,443)	(3,598)
Prepaid expenses and other current assets					1,629	(11,696)
Other non-current assets					9,575	5,900
Accounts payable, accrued expenses and other current liabilities					(803)	33,858
Contract liabilities					2,524	0
Other non-current liabilities					(14,288)	1,509
Net cash provided by operating activities					179,135	243,150
INVESTING ACTIVITIES:
Purchases of property and equipment					(27,887)	(20,595)
Proceeds from sale of property and equipment					0	3
Proceeds from sale of businesses					23,960	190,468
Acquired in-process research and development milestone					(4,742)	0
Net proceeds from swaps designated as net investment hedges					4,909	76
Cash paid for business acquisitions, net of cash acquired					0	(303,910)
Net cash used in investing activities					(3,760)	(133,958)
FINANCING ACTIVITIES:
Proceeds from borrowings of long-term indebtedness					34,250	13,450
Payments on debt					(40,750)	(114,250)
Payment of debt issuance costs					0	(249)
Purchases of treasury stock					(125,000)	0
Proceeds from exercised stock options					1,592	6,588
Cash taxes paid in net equity settlement					(24,346)	(4,286)
Net cash used in financing activities					(154,254)	(98,747)
Effect of exchange rate changes on cash and cash equivalents					(22,632)	(10,380)
Net decrease in cash and cash equivalents					(1,511)	65
Cash and cash equivalents at beginning of period		$ 513,448		$ 470,166	513,448	470,166	$ 470,166
Cash and cash equivalents at end of period	$ 511,937		$ 470,231		$ 511,937	$ 470,231	$ 513,448