CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
OPERATING ACTIVITIES:
Net income	$ 67,741	$ 180,550	$ 169,075
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	123,512	118,299	119,836
Non-cash impairment charges	0	0	2,754
Deferred income tax (benefit) provision	(11,885)	(4,585)	(2,755)
Share-based compensation	20,143	27,725	36,210
Amortization of debt issuance costs and expenses associated with debt refinancing	6,164	6,845	7,030
Non-cash lease expense	2,189	2,816	3,834
Loss (Gain) on disposal of property and equipment and construction in-progress	777	(6,813)	2,240
Gain from the sale of businesses	0	(644)	(41,798)
Change in fair value of contingent consideration and others	12,888	(20,304)	(2,162)
Changes in assets and liabilities:
Accounts receivable	4,593	(33,905)	7,265
Inventories	(59,773)	(29,124)	5,374
Prepaid expenses and other current assets	2,652	8,612	(21,143)
Other non-current assets	(8,535)	(2,182)	7,875
Accounts payable, accrued expenses and other current liabilities	(20,229)	17,343	32,874
Contract liabilities	128	4,274	28
Other non-current liabilities	(410)	(4,438)	(14,110)
Net cash provided by operating activities	139,955	264,469	312,427
INVESTING ACTIVITIES:
Purchases of property and equipment	(66,865)	(42,343)	(48,022)
Proceeds from sale of business	0	23,960	190,468
Acquired in-process research and development and intangibles	0	(4,742)	(58)
Purchases of Investments	(32,694)	0	0
Cash paid for business acquisitions, net of cash acquired	0	(51,509)	(303,910)
Proceeds from sales of property and equipment	0	11,145	3
Net proceeds on swaps designated as net investment hedges	5,381	4,909	76
Net cash used in investing activities	(94,178)	(58,580)	(161,443)
FINANCING ACTIVITIES:
Proceeds from borrowings of long-term indebtedness	165,100	40,750	25,500
Payments on debt	(110,600)	(148,550)	(125,500)
Payment of debt issuance costs	(7,879)	0	(249)
Purchase of treasury stock	(275,000)	(125,000)	0
Proceeds from exercised stock options	4,317	5,465	6,824
Cash taxes paid in net equity settlement	(5,863)	(24,618)	(4,801)
Net cash used in financing activities	(229,925)	(251,953)	(98,226)
Effect of exchange rate changes on cash and cash equivalents	3,889	(10,723)	(9,476)
Net increase (decrease) in cash and cash equivalents	(180,259)	(56,787)	43,282
Cash and cash equivalents at beginning of period	456,661	513,448	470,166
Cash and cash equivalents at end of period	$ 276,402	$ 456,661	$ 513,448