7Baggers

CONMED Corporation
(NYSE:CNMD) 

CNMD stock logo

CONMED Corporation, a medical technology company, develops, manufactures, and sells surgical devices and related equipment for minimally invasive procedures worldwide. It offers orthopedic surgery products, including sports medicine products comprising powered resection instruments, arthroscopes, re...

Founded: 1970
Full Time Employees: 3,300
Sector: Healthcare
Industry: Medical Devices

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Quarterly
Annual
    Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-09-30 
                                                                                         
      net sales
    373,198,000 337,926,000 342,345,000 321,256,000 345,944,000 316,701,000 332,097,000 312,273,000 327,045,000 304,578,000 317,652,000 295,468,000 250,867,000 275,088,000 277,190,000 242,327,000 273,970,000 248,827,000 255,161,000 232,677,000 252,828,000 237,835,000 157,785,000 214,010,000 264,865,000 233,590,000 238,263,000 218,378,000 242,443,000 202,307,000 212,820,000 202,064,000 222,555,000 190,117,000 197,154,000 186,567,000 204,094,000 184,792,000 193,433,000 181,201,000 191,017,000 169,184,000 181,027,000 177,940,000 195,003,000 174,961,000 188,150,000 181,941,000 203,442,000 179,255,000 192,993,000 187,014,000 201,244,000 181,885,000 189,695,000 194,316,000 185,577,000 172,814,000 183,236,000 183,450,000 184,077,000 172,195,000 181,086,000 176,365,000 126,026,500 175,475,000 164,569,000 164,062,000 179,246,000 179,409,000 192,755,000 190,773,000 189,568,000 164,448,000 169,258,000 171,014,000 169,892,000 154,981,000 163,473,000 158,466,000 116,026,250 149,970,000    
      yoy
    7.88% 6.70% 3.09% 2.88% 5.78% 3.98% 4.55% 5.69% 30.37% 10.72% 14.60% 21.93% -8.43% 10.55% 8.63% 4.15% 8.36% 4.62% 61.71% 8.72% -4.54% 1.82% -33.78% -2.00% 9.25% 15.46% 11.96% 8.07% 8.94% 6.41% 7.95% 8.31% 9.05% 2.88% 1.92% 2.96% 6.85% 9.23% 6.85% 1.83% -2.04% -3.30% -3.79% -2.20% -4.15% -2.40% -2.51% -2.71% 1.09% -1.45% 1.74% -3.76% 8.44% 5.25% 3.52% 5.92% 0.81% 0.36% 1.19% 4.02% 46.06% -1.87% 10.04% 7.50% -29.69% -2.19% -14.62% -14.00% -5.45% 9.10% 13.88% 11.55% 11.58% 6.11% 3.54% 7.92% 46.43% 3.34%        
      qoq
    10.44% -1.29% 6.56% -7.14% 9.23% -4.64% 6.35% -4.52% 7.38% -4.12% 7.51% 17.78% -8.80% -0.76% 14.39% -11.55% 10.10% -2.48% 9.66% -7.97% 6.30% 50.73% -26.27% -19.20% 13.39% -1.96% 9.11% -9.93% 19.84% -4.94% 5.32% -9.21% 17.06% -3.57% 5.67% -8.59% 10.45% -4.47% 6.75% -5.14% 12.90% -6.54% 1.73% -8.75% 11.46% -7.01% 3.41% -10.57% 13.49% -7.12% 3.20% -7.07% 10.64% -4.12% -2.38% 4.71% 7.39% -5.69% -0.12% -0.34% 6.90% -4.91% 2.68% 39.94% -28.18% 6.63% 0.31% -8.47% -0.09% -6.92% 1.04% 0.64% 15.28% -2.84% -1.03% 0.66% 9.62% -5.19% 3.16% 36.58% -22.63%     
      cost of sales
    154,913,000 171,807,000 154,025,000 143,504,000 147,600,000 137,706,000 148,368,000 140,308,000 144,870,000 136,519,000 146,962,000 140,147,000 119,005,000 123,473,000 125,413,000 106,336,000 118,114,000 106,521,000 113,737,000 104,228,000 117,314,000 104,137,000 85,856,000 94,851,000 122,890,000 103,479,000 107,073,000 96,940,000 109,788,000 91,680,000 96,549,000 92,507,000 98,598,000 87,570,000 92,502,000 86,682,000 97,135,000 83,583,000 91,011,000 83,461,000 88,641,000 75,638,000 87,529,000 85,658,000 90,970,000 78,547,000 87,122,000 79,359,000 92,047,000 83,831,000 90,077,000 84,332,000 93,957,000 83,972,000 89,963,000 93,405,000 89,125,000 81,503,000 91,781,000 87,734,000 93,154,000 83,212,000 87,403,000 84,570,000 94,601,000 87,839,000 87,257,000 87,710,000 90,207,000 84,721,000 91,865,000 93,009,000 93,886,000 82,090,000 83,398,000 85,789,000 87,451,000 80,250,000 85,699,000 80,566,000 56,388,000 74,016,000    
      gross profit
    218,285,000 166,119,000 188,320,000 177,752,000 198,344,000 178,995,000 183,729,000 171,965,000 182,175,000 168,059,000 170,690,000 155,321,000 131,862,000 151,615,000 151,777,000 135,991,000 155,856,000 142,306,000 141,424,000 128,449,000 135,514,000 133,698,000 71,929,000 119,159,000 141,975,000 130,111,000 131,190,000 121,438,000 132,655,000 110,627,000 116,271,000 109,557,000 123,957,000 102,547,000 104,652,000 99,885,000 106,959,000 101,209,000 102,422,000 97,740,000 102,376,000 93,546,000 93,498,000 92,282,000 104,033,000 96,414,000 101,028,000 102,582,000 111,395,000 95,424,000 102,916,000 102,682,000 107,287,000 97,913,000 99,732,000 100,911,000 96,452,000 91,311,000 91,455,000 95,716,000 90,923,000 88,983,000 93,683,000 91,795,000 96,032,000 87,636,000 77,312,000 76,352,000 89,039,000 94,688,000 100,890,000 97,764,000 95,682,000 82,358,000 85,860,000 85,225,000 82,441,000 74,731,000 77,774,000 77,900,000 59,638,250 75,954,000    
      yoy
    10.05% -7.19% 2.50% 3.37% 8.88% 6.51% 7.64% 10.72% 38.16% 10.85% 12.46% 14.21% -15.39% 6.54% 7.32% 5.87% 15.01% 6.44% 96.62% 7.80% -4.55% 2.76% -45.17% -1.88% 7.03% 17.61% 12.83% 10.84% 7.02% 7.88% 11.10% 9.68% 15.89% 1.32% 2.18% 2.19% 4.48% 8.19% 9.54% 5.91% -1.59% -2.97% -7.45% -10.04% -6.61% 1.04% -1.83% -0.10% 3.83% -2.54% 3.19% 1.76% 11.23% 7.23% 9.05% 5.43% 6.08% 2.62% -2.38% 4.27% -5.32% 1.54% 21.18% 20.23% 7.85% -7.45% -23.37% -21.90% -6.94% 14.97% 17.51% 14.71% 16.06% 10.21% 10.40% 9.40% 38.24% -1.61%        
      qoq
    31.40% -11.79% 5.95% -10.38% 10.81% -2.58% 6.84% -5.60% 8.40% -1.54% 9.89% 17.79% -13.03% -0.11% 11.61% -12.75% 9.52% 0.62% 10.10% -5.21% 1.36% 85.87% -39.64% -16.07% 9.12% -0.82% 8.03% -8.46% 19.91% -4.85% 6.13% -11.62% 20.88% -2.01% 4.77% -6.61% 5.68% -1.18% 4.79% -4.53% 9.44% 0.05% 1.32% -11.30% 7.90% -4.57% -1.51% -7.91% 16.74% -7.28% 0.23% -4.29% 9.57% -1.82% -1.17% 4.62% 5.63% -0.16% -4.45% 5.27% 2.18% -5.02% 2.06% -4.41% 9.58% 13.35% 1.26% -14.25% -5.97% -6.15% 3.20% 2.18% 16.18% -4.08% 0.75% 3.38% 10.32% -3.91% -0.16% 30.62% -21.48%     
      gross margin %
    58.49% 49.16% 55.01% 55.33% 57.33% 56.52% 55.32% 55.07% 55.70% 55.18% 53.73% 52.57% 52.56% 55.12% 54.76% 56.12% 56.89% 57.19% 55.43% 55.20% 53.60% 56.21% 45.59% 55.68% 53.60% 55.70% 55.06% 55.61% 54.72% 54.68% 54.63% 54.22% 55.70% 53.94% 53.08% 53.54% 52.41% 54.77% 52.95% 53.94% 53.60% 55.29% 51.65% 51.86% 53.35% 55.11% 53.70% 56.38% 54.76% 53.23% 53.33% 54.91% 53.31% 53.83% 52.57% 51.93% 51.97% 52.84% 49.91% 52.18% 49.39% 51.68% 51.73% 52.05% 76.20% 49.94% 46.98% 46.54% 49.67% 52.78% 52.34% 51.25% 50.47% 50.08% 50.73% 49.84% 48.53% 48.22% 47.58% 49.16% 51.40% 50.65% NaN% NaN% NaN% 
      selling and administrative expense
    166,762,000 140,339,000 136,021,000 148,847,000 132,669,000 99,730,000 122,524,000 123,358,000 117,960,000 125,295,000 129,700,000 130,083,000 120,737,000 114,600,000 115,826,000 102,875,000 107,278,000 104,736,000 104,399,000 98,340,000 99,096,000 94,380,000 84,475,000 95,867,000 102,001,000 98,187,000 100,726,000 99,226,000 96,461,000 84,983,000 89,604,000 84,568,000 92,403,000 80,807,000 83,828,000 94,761,000 86,719,000 79,009,000 86,729,000 85,943,000 82,668,000 72,056,000 73,581,000 74,786,000 74,861,000 71,237,000 74,026,000 73,818,000 57,093,750 73,476,000 77,174,000 77,725,000 55,644,250 74,064,000 73,707,000 74,806,000 51,572,500 68,350,000 67,862,000 70,078,000 52,034,250 66,091,000 71,494,000 70,552,000 48,370,000 67,480,000 64,147,000 61,853,000 51,490,750 67,768,000 69,549,000 68,646,000 43,879,500 57,506,000 58,207,000 59,805,000   58,123,000 58,374,000 39,685,000 52,649,000    
      research and development expense
    14,899,000 13,901,000 14,138,000 12,947,000 13,176,000 13,558,000 14,098,000 13,594,000 14,028,000 12,464,000 13,572,000 12,539,000 12,220,000 12,767,000 11,493,000 10,672,000 11,362,000 10,859,000 11,318,000 10,027,000 11,717,000 9,936,000 8,700,000 10,120,000 12,094,000 10,985,000 11,806,000 10,575,000 10,371,000 14,122,000 9,985,000 7,711,000 8,378,000 8,270,000 8,041,000 7,618,000 7,634,000 8,353,000 8,009,000 8,258,000 6,741,000 6,652,000 7,501,000 6,542,000 7,105,000 6,910,000 6,854,000 6,910,000 4,848,250 7,108,000 6,591,000 5,694,000 5,341,000 7,077,000 7,192,000 7,095,000 5,374,750 7,021,000 6,797,000 7,681,000 5,380,500 7,399,000 6,441,000 7,682,000 5,897,500 7,705,000 7,396,000 8,489,000 6,358,750 8,668,000 8,689,000 8,078,000 5,745,750 7,936,000 7,453,000 7,594,000 5,646,250 7,262,000 7,498,000 7,825,000 4,658,250 6,409,000    
      operating expenses
    181,661,000 154,240,000 150,159,000 161,794,000 145,845,000 113,288,000 136,622,000 136,952,000 131,988,000 137,759,000 143,272,000 142,622,000 132,957,000 127,367,000 127,319,000 113,547,000 118,640,000 115,595,000 115,717,000 108,367,000 110,813,000 104,316,000 93,175,000 105,987,000 114,095,000 109,172,000 112,532,000 109,801,000 106,832,000 99,105,000 99,589,000 92,279,000 100,781,000 89,077,000 91,869,000 102,379,000 69,075,250 87,362,000 94,738,000 94,201,000 60,279,500 78,708,000 81,082,000 81,328,000                                          
      income from operations
    36,624,000 11,879,000 38,161,000 15,958,000 52,499,000 65,707,000 47,107,000 35,013,000 50,187,000 30,300,000 27,418,000 12,699,000 -1,095,000 24,248,000 24,458,000 22,444,000 37,216,000 26,711,000 25,707,000 20,082,000 24,701,000 29,382,000 -21,246,000 13,172,000 27,880,000 20,939,000 18,658,000 11,637,000 25,823,000 11,522,000 16,682,000 17,278,000 23,176,000 13,470,000 12,783,000 -2,494,000 12,606,000 13,847,000 7,684,000 3,539,000 12,967,000 14,838,000 12,416,000 10,954,000 17,089,000 2,449,000 15,940,000 17,308,000 16,181,000 8,805,000 15,652,000 15,870,000 17,016,000 14,114,000 17,058,000 17,022,000 -41,627,000 15,940,000 16,698,000 17,263,000 13,552,000 15,202,000 14,778,000 13,561,000 4,345,750 5,002,000 5,035,000 7,346,000 15,308,750 17,543,000 22,652,000 21,040,000 14,761,000 16,916,000 18,888,000 23,240,000 7,721,000 9,184,000 10,569,000 11,131,000 13,981,250 16,117,000    
      yoy
    -30.24% -81.92% -18.99% -54.42% 4.61% 116.85% 71.81% 175.71% -4683.29% 24.96% 12.10% -43.42% -102.94% -9.22% -4.86% 11.76% 50.67% -9.09% -221.00% 52.46% -11.40% 40.32% -213.87% 13.19% 7.97% 81.73% 11.85% -32.65% 11.42% -14.46% 30.50% -792.78% 83.85% -2.72% 66.36% -170.47% -2.78% -6.68% -38.11% -67.69% -24.12% 505.88% -22.11% -36.71% 5.61% -72.19% 1.84% 9.06% -4.91% -37.62% -8.24% -6.77% -140.88% -11.46% 2.16% -1.40% -407.16% 4.85% 12.99% 27.30% 211.84% 203.92% 193.51% 84.60% -71.61% -71.49% -77.77% -65.09% 3.71% 3.71% 19.93% -9.47% 91.18% 84.19% 78.71% 108.79% -44.78% -43.02%        
      qoq
    208.31% -68.87% 139.13% -69.60% -20.10% 39.48% 34.54% -30.23% 65.63% 10.51% 115.91% -1259.73% -104.52% -0.86% 8.97% -39.69% 39.33% 3.91% 28.01% -18.70% -15.93% -238.29% -261.30% -52.75% 33.15% 12.23% 60.33% -54.94% 124.12% -30.93% -3.45% -25.45% 72.06% 5.37% -612.55% -119.78% -8.96% 80.21% 117.12% -72.71% -12.61% 19.51% 13.35% -35.90% 597.80% -84.64% -7.90% 6.96% 83.77% -43.75% -1.37% -6.73% 20.56% -17.26% 0.21% -140.89% -361.15% -4.54% -3.27% 27.38% -10.85% 2.87% 8.97% 212.05% -13.12% -0.66% -31.46% -52.01% -12.74% -22.55% 7.66% 42.54% -12.74% -10.44% -18.73% 201.00% -15.93% -13.10% -5.05% -20.39% -13.25%     
      operating margin %
    9.81% 3.52% 11.15% 4.97% 15.18% 20.75% 14.18% 11.21% 15.35% 9.95% 8.63% 4.30% -0.44% 8.81% 8.82% 9.26% 13.58% 10.73% 10.07% 8.63% 9.77% 12.35% -13.47% 6.15% 10.53% 8.96% 7.83% 5.33% 10.65% 5.70% 7.84% 8.55% 10.41% 7.09% 6.48% -1.34% 6.18% 7.49% 3.97% 1.95% 6.79% 8.77% 6.86% 6.16% 8.76% 1.40% 8.47% 9.51% 7.95% 4.91% 8.11% 8.49% 8.46% 7.76% 8.99% 8.76% -22.43% 9.22% 9.11% 9.41% 7.36% 8.83% 8.16% 7.69% 3.45% 2.85% 3.06% 4.48% 8.54% 9.78% 11.75% 11.03% 7.79% 10.29% 11.16% 13.59% 4.54% 5.93% 6.47% 7.02% 12.05% 10.75% NaN% NaN% NaN% 
      interest expense
    7,371,000 7,606,000 7,824,000 8,286,000 8,857,000 9,252,000 9,593,000 9,594,000 9,504,000 10,019,000 9,997,000 10,255,000 9,443,000 8,536,000 5,928,000 4,998,000 7,568,000 8,145,000 9,420,000 10,351,000 11,114,000 11,943,000 11,401,000 9,592,000 10,319,000 11,174,000 11,839,000 9,369,000 5,529,000 5,214,000 5,091,000 4,818,000 4,880,000 4,806,000 4,398,000 4,119,000 3,911,000 3,861,000 3,757,000 3,830,000 1,578,000 1,504,000 1,489,000 1,460,000 1,539,000 1,540,000 1,571,000 1,461,000 1,482,000 1,382,000 1,383,000 1,366,000 1,397,000 1,345,000 1,551,000 1,437,000 1,494,000 1,670,000 1,707,000 1,805,000 1,844,000 1,749,000 1,771,000 1,749,000 1,789,000 2,042,000 1,767,000 1,488,000 2,315,000 2,444,000 2,439,000 3,174,000 3,528,000 3,861,000 4,329,000 4,516,000 4,617,000 4,962,000 4,675,000 4,866,000 2,841,000 4,034,000    
      other expense
      418,000            112,011,000   1,127,000   89,000 89,000 89,000 89,000 321,000 321,000 321,000 4,225,000            2,942,000     3,442,000 14,484,000 2,839,000 3,197,000 4,885,000 4,608,000 2,093,000 1,813,000 3,529,000 2,658,000 1,775,000 1,988,000 300,000  98,000 694,000 915,000 291,000 970,000  4,069,000 7,449,000 734,000 -1,336,000 868,000 709,000   1,295,000  1,312,000 -5,414,000 993,000 2,066,000 1,584,000 570,000 1,313,750 779,000    
      income before income taxes
    29,253,000 4,273,000 29,919,000 7,672,000 43,642,000 56,455,000 37,514,000 25,419,000 40,683,000 20,281,000 17,421,000 2,444,000 -10,538,000 15,712,000 -93,481,000 17,446,000 29,648,000 17,439,000 16,287,000 9,731,000 13,498,000 17,350,000 -32,736,000 3,491,000 17,240,000 9,444,000 6,498,000 -1,957,000 20,294,000 6,308,000 11,591,000 12,460,000 18,296,000 8,664,000 8,385,000 -6,613,000 8,695,000 9,986,000 3,927,000 -3,233,000 11,389,000 13,334,000 10,927,000 9,494,000 15,550,000 909,000 14,369,000 15,847,000 14,699,000 7,423,000 14,269,000 14,241,000 15,619,000 12,769,000 15,507,000 15,585,000 -43,686,000 13,139,000 13,878,000 14,364,000 10,631,000 12,394,000 11,872,000 10,760,000 2,523,250 1,942,000 2,255,000 5,896,000 13,294,500 15,099,000 20,213,000 17,866,000 11,584,500 13,055,000 14,559,000 18,724,000 3,925,750 4,222,000 5,216,000 6,265,000 11,140,250 12,083,000    
      provision for income taxes
    12,514,000 1,414,000 8,498,000 1,636,000 9,887,000 7,471,000 7,538,000 5,710,000 7,612,000 4,444,000 3,689,000 625,000 -37,122,000 -30,438,000 74,810,000 2,471,000 5,204,000 2,491,000 2,997,000  -10,642,000 10,500,000 -5,336,000  2,306,000 2,474,000 803,000 -2,978,000 4,641,000 483,000 2,872,000 1,803,000 -28,400,000 1,467,000 2,246,000  1,987,000 2,649,000 1,043,000 -968,000 3,537,000 4,461,000 3,466,000 3,182,000 4,211,000 -1,063,000 4,114,000 7,221,000 4,472,000 1,736,000 4,736,000 3,749,000 4,722,000 3,449,000 5,211,000 5,617,000 -18,552,000 4,928,000 5,198,000 5,369,000 3,668,000 3,636,000 4,566,000 3,441,000 727,750 654,000 846,000 1,411,000 4,798,500 4,580,000 7,758,000 6,856,000 4,179,000 4,700,000 5,214,000 6,802,000 1,154,250 890,000 1,802,000 1,925,000 3,843,500 4,169,000    
      net income
    16,739,000 2,859,000 21,421,000 6,036,000 33,755,000 48,984,000 29,976,000 19,709,000 33,071,000 15,837,000 13,732,000 1,819,000 26,584,000 46,150,000 -168,291,000 14,975,000 24,444,000 14,948,000 13,290,000 9,860,000 24,140,000 6,850,000 -27,400,000 5,927,000 14,934,000 6,970,000 5,695,000 1,021,000 15,653,000 5,825,000 8,719,000 10,657,000 46,696,000 7,197,000 6,139,000 -4,545,000 6,708,000 7,337,000 2,884,000 -2,265,000 7,852,000 8,873,000 7,461,000 6,312,000 11,339,000 1,972,000 10,255,000 8,626,000 10,227,000 5,687,000 9,533,000 10,492,000 10,897,000 9,320,000 10,296,000 9,968,000 -25,134,000 8,211,000 8,680,000 8,995,000 6,963,000 8,758,000 7,306,000 7,319,000 4,955,000 1,288,000 1,409,000 4,485,000 10,577,000 10,519,000 12,455,000 11,010,000 11,834,000 8,355,000 9,345,000 11,922,000 -23,593,000 3,332,000 3,414,000 4,340,000 -29,154,918 7,914,000    
      yoy
    -50.41% -94.16% -28.54% -69.37% 2.07% 209.30% 118.29% 983.51% 24.40% -65.68% -108.16% -87.85% 8.75% 208.74% -1366.30% 51.88% 1.26% 118.22% -148.50% 66.36% 61.64% -1.72% -581.12% 480.51% -4.59% 19.66% -34.68% -90.42% -66.48% -19.06% 42.03% -334.48% 596.12% -1.91% 112.86% 100.66% -14.57% -17.31% -61.35% -135.88% -30.75% 349.95% -27.25% -26.83% 10.87% -65.32% 7.57% -17.78% -6.15% -38.98% -7.41% 5.26% -143.36% 13.51% 18.62% 10.82% -460.97% -6.25% 18.81% 22.90% 40.52% 579.97% 418.52% 63.19% -53.15% -87.76% -88.69% -59.26% -10.62% 25.90% 33.28% -7.65% -150.16% 150.75% 173.73% 174.70% -19.08% -57.90%        
      qoq
    485.48% -86.65% 254.89% -82.12% -31.09% 63.41% 52.09% -40.40% 108.82% 15.33% 654.92% -93.16% -42.40% -127.42% -1223.81% -38.74% 63.53% 12.48% 34.79% -59.15% 252.41% -125.00% -562.29% -60.31% 114.26% 22.39% 457.79% -93.48% 168.72% -33.19% -18.19% -77.18% 548.83% 17.23% -235.07% -167.75% -8.57% 154.40% -227.33% -128.85% -11.51% 18.93% 18.20% -44.33% 475.00% -80.77% 18.88% -15.65% 79.83% -40.34% -9.14% -3.72% 16.92% -9.48% 3.29% -139.66% -406.10% -5.40% -3.50% 29.18% -20.50% 19.87% -0.18% 47.71% 284.70% -8.59% -68.58% -57.60% 0.55% -15.54% 13.12% -6.96% 41.64% -10.59% -21.62% -150.53% -808.07% -2.40% -21.34% -114.89% -468.40%     
      net income margin %
    4.49% 0.85% 6.26% 1.88% 9.76% 15.47% 9.03% 6.31% 10.11% 5.20% 4.32% 0.62% 10.60% 16.78% -60.71% 6.18% 8.92% 6.01% 5.21% 4.24% 9.55% 2.88% -17.37% 2.77% 5.64% 2.98% 2.39% 0.47% 6.46% 2.88% 4.10% 5.27% 20.98% 3.79% 3.11% -2.44% 3.29% 3.97% 1.49% -1.25% 4.11% 5.24% 4.12% 3.55% 5.81% 1.13% 5.45% 4.74% 5.03% 3.17% 4.94% 5.61% 5.41% 5.12% 5.43% 5.13% -13.54% 4.75% 4.74% 4.90% 3.78% 5.09% 4.03% 4.15% 3.93% 0.73% 0.86% 2.73% 5.90% 5.86% 6.46% 5.77% 6.24% 5.08% 5.52% 6.97% -13.89% 2.15% 2.09% 2.74% -25.13% 5.28% NaN% NaN% NaN% 
      comprehensive income
    -39,881,383 6,605,000 25,835,000 7,501,000 -93,997,264 48,701,000 25,343,000 20,078,000 -35,214,853 14,825,000 15,767,000 4,695,000 113,011,763 43,125,000 -172,636,000 16,415,000 -42,169,980 13,756,000 17,743,000 10,743,000 16,863,113 8,976,000 -24,713,000 -1,121,000 -11,482,920 4,661,000 5,751,000 1,096,000 -27,804,856 7,136,000 7,307,000 13,402,000 -19,601,065 10,446,000 10,144,000 -924,000 2,508,250 7,901,000 1,345,000 787,000 2,164,000 3,741,000 8,630,000 -3,715,000 4,250,250 -4,173,000 11,597,000 9,577,000 6,584,250 7,583,000 7,380,000 11,374,000 7,232,250 10,197,000 7,687,000 11,045,000                              
      per share data:
                                                                                         
      basic
    0.245 0.09 0.69 0.19 0.8 1.59 0.97 0.64 0.255 0.52 0.45 0.06 -0.898 1.51 -5.65 0.51 0.328 0.51 0.46 0.34 -0.128 0.24 -0.96 0.21 0.12 0.25 0.2 0.04 0.225 0.21 0.31 0.38 0.078 0.26 0.22 -0.16 0.073 0.26 0.1 -0.08 0.205 0.32 0.27 0.23 0.19 0.07 0.38 0.32 0.233 0.21 0.35 0.37 0.263 0.33 0.36 0.36 0.228 0.29 0.31 0.32 0.203 0.31 0.25 0.25 0.063 0.04 0.05 0.15 0.295 0.36 0.43 0.38 0.265 0.29 0.33 0.43 0.1 0.12 0.12 0.15 0.248 0.27    
      diluted
    0.243 0.09 0.69 0.19 0.793 1.57 0.96 0.63 0.248 0.5 0.43 0.06 -0.898 1.48 -5.65 0.47 0.298 0.47 0.41 0.31 -0.128 0.23 -0.96 0.2 0.118 0.23 0.19 0.04 0.218 0.2 0.3 0.37 0.078 0.26 0.22 -0.16 0.07 0.26 0.1 -0.08 0.203 0.32 0.27 0.23 0.188 0.07 0.37 0.31 0.228 0.2 0.34 0.37 0.258 0.32 0.36 0.35 0.225 0.29 0.3 0.31 0.2 0.31 0.25 0.25 0.063 0.04 0.05 0.15 0.29 0.36 0.43 0.38 0.26 0.29 0.32 0.42 0.098 0.12 0.12 0.15 0.245 0.26    
      weighted-average common shares
                                                                                         
      basic
     30,955 30,949 30,973  30,856 30,813 30,780  30,741 30,662 30,511  30,473 29,775 29,428  29,179 29,125 28,972  28,583 28,542 28,478  28,353 28,276 28,173  28,124 28,075 28,008  27,924 27,891 27,867  27,818 27,776 27,721  27,701 27,620 27,573  27,454 27,257 27,349  27,518 27,591 28,127  28,438 28,327 28,029  28,348 28,448 28,261  28,425    29,093 29,056               29,470    
      diluted
     31,050 31,054 31,151  31,112 31,106 31,272  31,689 31,795 31,204  31,103 29,775 35,155  32,143 32,464 31,378  29,426 28,542 29,707  29,792 29,337 29,034  29,088 28,846 28,573  28,183 28,139 27,867  27,951 27,941 27,721  27,898 27,857 27,820  27,688 27,753 27,854  27,834 27,983 28,500  28,721 28,672 28,484  28,546 28,883 28,701  28,521    29,183 29,082               29,951    
      benefit from income taxes
                       -129,000    -2,436,000            -2,068,000                                                  
      dividends per share of common stock
                                0.15 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.15 0.15 0.15 0.15 0.15 0.15 0.15                              
      medical device excise tax
                                                1,536,000 1,334,000 1,369,000 1,349,000 1,536,000 1,427,000 1,406,000 1,580,000                                  
      loss on early extinguishment of debt
                                                       263,000                                  
      amortization of debt discount
                                                            565,000 1,131,000 1,113,000 1,094,000 1,077,000 1,059,000 1,056,000 1,052,000 1,035,000 1,018,000 1,013,000 1,045,000                  
      loss on early extinguishment
                                                                                         
      of debt
                                                                -19,750                  678,000       
      gain on early extinguishment
                                                                                         
      gain (loss) on early extinguishment of debt
                                                                  -79,000                       
      weighted average common shares
                                                                                         
      basic
                                                                  29,100 29,165    29,030  28,864 28,662 28,625  28,572 28,180 27,987  27,888 28,061 28,082      
      diluted
                                                                  29,295 29,409    29,061  29,415 29,063 29,006  29,101 28,831 28,559  28,134 28,266 28,358      
      gain on early extinguishment of debt
                                                                    270,750   1,083,000                  
      selling and administrative expense.
                                                                                43,179,000 56,219,000        
      loss on early extinguishment of
                                                                                         
      debt
                                                                                169,500         
      write-off of purchased in-process
                                                                                         
      research and development assets
                                                                                         
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-09-30 
                                                                                       
        assets
                                                                                       
        current assets:
                                                                                       
        cash and cash equivalents
      40,817,000 38,929,000 33,935,000 35,485,000 24,459,000 38,467,000 28,869,000 33,855,000 24,296,000 30,502,000 27,848,000 26,494,000 28,942,000 33,354,000 53,152,000 24,864,000 20,847,000 31,511,000 46,388,000 36,769,000 27,356,000 35,598,000 34,983,000 24,309,000 25,856,000 30,068,000 22,549,000 23,407,000 17,511,000 29,691,000 23,401,000 21,131,000 32,622,000 44,034,000 40,141,000 34,660,000 27,428,000 26,948,000 23,295,000 19,894,000 72,504,000 65,326,000 62,216,000 65,729,000 66,332,000 64,614,000 60,414,000 56,318,000 54,443,000 49,831,000 38,123,000 32,359,000 23,720,000 19,819,000 16,246,000 19,454,000 26,048,000 39,883,000 24,331,000 17,939,000 12,417,000 16,524,000 8,490,000 9,970,000 10,098,000 14,217,000 10,679,000 12,178,000 11,811,000 31,898,000 17,850,000 13,408,000 11,695,000 5,411,000 3,879,000 4,537,000 3,831,000 13,492,000 5,080,000 4,653,000 1,918,000 
        accounts receivables
                                                                              80,642,000         
        accounts of 6,300 in 2025 and 5,739 in 2024
      247,830,000                                                                                 
        inventories
      355,544,000 364,355,000 362,252,000 354,682,000 346,719,000 342,550,000 322,357,000 322,298,000 318,324,000 325,824,000 327,309,000 335,370,000 332,320,000 304,813,000 289,714,000 253,729,000 231,644,000 228,572,000 211,323,000 205,797,000 194,868,000 182,668,000 175,715,000 174,538,000 164,616,000 173,920,000 172,802,000 171,087,000 154,599,000 153,618,000 143,405,000 145,787,000 141,436,000 149,537,000 136,474,000 140,083,000 135,869,000 188,528,000 179,913,000 185,108,000 166,894,000 161,555,000 149,180,000 144,199,000 148,149,000 162,099,000 157,006,000 152,173,000 143,211,000 150,995,000 148,717,000 156,873,000 156,228,000 165,326,000 159,151,000 163,390,000 168,438,000 174,795,000 169,254,000 171,211,000 172,796,000 183,303,000 170,816,000 168,619,000 164,275,000 164,929,000 161,994,000 159,837,000 159,976,000 161,401,000 161,057,000 164,613,000 164,969,000 166,712,000 161,819,000 153,841,000 151,687,000 154,701,000 153,661,000 157,735,000 152,297,000 
        prepaid expenses and other current assets
      28,669,000 33,931,000 27,445,000 27,695,000 31,096,000 28,753,000 33,385,000 38,110,000 30,750,000 39,127,000 31,109,000 35,042,000 28,619,000 38,789,000 32,203,000 26,459,000 23,750,000 17,889,000 16,503,000 17,849,000 17,278,000 19,369,000 24,603,000 27,816,000 17,794,000 21,753,000 22,887,000 24,020,000 20,691,000 19,153,000 18,907,000 17,649,000 15,688,000 16,377,000 18,307,000 18,905,000 18,971,000 20,710,000 28,172,000 28,520,000 15,102,000 19,148,000 20,073,000 22,376,000 22,451,000 19,677,000 14,807,000 14,296,000 17,045,000 16,989,000 17,848,000 16,466,000 14,993,000 13,606,000 15,037,000 15,132,000 16,314,000 15,833,000 13,078,000 12,730,000 11,153,000 10,698,000 13,125,000 11,221,000 10,293,000 12,015,000 11,618,000 11,120,000 11,218,000 10,499,000 9,971,000 10,666,000 8,594,000 3,284,000 3,129,000 3,037,000 3,286,000 3,782,000 3,902,000 3,784,000 3,116,000 
        total current assets
      672,860,000 662,158,000 657,780,000 639,000,000 640,007,000 640,999,000 623,833,000 635,724,000 615,649,000 625,649,000 615,522,000 610,088,000 581,226,000 574,243,000 577,188,000 488,300,000 460,123,000 443,405,000 443,180,000 424,369,000 416,654,000 404,228,000 378,713,000 393,167,000 397,363,000 399,023,000 397,277,000 390,709,000 374,351,000 363,462,000 347,400,000 342,378,000 356,783,000 356,684,000 340,313,000 333,503,000 330,512,000 369,376,000 371,000,000 367,934,000 407,487,000 383,694,000 374,266,000 374,066,000 381,150,000 385,374,000 385,326,000 367,801,000 372,132,000 363,916,000 358,606,000 353,998,000 346,187,000 344,677,000 337,435,000 351,278,000 356,724,000 370,111,000 368,182,000 358,017,000 350,192,000 367,159,000 348,996,000 353,129,000 325,610,000 316,117,000 292,905,000 288,540,000 294,262,000 315,920,000 306,859,000 299,628,000 279,022,000 275,523,000 263,808,000 264,346,000 249,883,000 266,179,000 255,904,000 259,674,000 252,179,000 
        property, plant and equipment
      113,331,000 112,036,000 116,863,000 116,059,000 115,793,000 117,415,000 117,089,000 117,951,000 120,722,000 120,436,000 116,788,000 115,356,000 115,611,000 113,720,000 111,592,000 108,526,000 108,863,000 109,181,000 107,722,000 109,379,000 111,407,000 112,253,000 113,164,000 114,234,000 118,883,000 116,743,000 117,329,000 116,976,000 113,245,000 113,701,000 114,964,000 115,691,000 116,229,000 117,041,000 118,190,000 119,742,000 122,029,000 123,446,000 125,381,000 126,827,000 125,452,000 130,717,000 131,625,000 132,958,000 133,429,000 135,825,000 137,758,000 138,632,000 138,985,000 138,505,000 137,612,000 138,411,000 139,041,000 139,775,000 140,844,000 141,032,000 139,187,000 139,585,000 140,792,000 141,121,000 140,895,000 141,827,000 142,070,000 142,615,000 143,502,000 146,397,000 147,750,000 147,297,000 143,737,000 139,158,000 134,805,000 127,269,000 123,679,000 121,653,000 118,959,000 117,146,000 116,480,000 112,441,000 109,058,000 106,364,000 103,443,000 
        deferred income taxes
      13,309,000 74,857,000 69,818,000 69,952,000 11,069,000 65,820,000 64,944,000 64,002,000 11,211,000 66,913,000 66,081,000 65,546,000 9,650,000 112,578,000 105,938,000 63,226,000 9,657,000 58,940,000 57,622,000 56,593,000 6,842,000 72,906,000 64,935,000 72,327,000 5,659,000 76,289,000 74,800,000 76,604,000 5,162,000 79,250,000 80,090,000 78,301,000 4,721,000 112,410,000 113,678,000 114,358,000 3,712,000 119,018,000 118,861,000 119,433,000 14,150,000 12,968,000 13,137,000 12,812,000 14,348,000 10,831,000 13,101,000 12,661,000 13,202,000 12,124,000 10,548,000 10,703,000 11,931,000 11,759,000 10,906,000 10,951,000 10,283,000 8,719,000 8,824,000 8,874,000 8,476,000 15,324,000 13,764,000 14,741,000 14,782,000 15,362,000 14,499,000 14,375,000 14,742,000 11,632,000 11,664,000 12,004,000 11,697,000 15,432,000 15,205,000 15,225,000 15,212,000 11,197,000 12,341,000 12,342,000 13,090,000 
        goodwill
      807,011,000 806,916,000 806,926,000 805,697,000 805,358,000 806,871,000 806,201,000 806,276,000 806,844,000 815,143,000 815,634,000 815,499,000 815,429,000 814,260,000 756,753,000 617,534,000 617,528,000 617,651,000 618,280,000 618,104,000 618,440,000 617,393,000 616,685,000 615,682,000 618,042,000 615,768,000 616,427,000 615,152,000 400,440,000 400,977,000 401,104,000 401,858,000 401,954,000 401,792,000 401,129,000 398,154,000 397,664,000 398,376,000 398,154,000 398,387,000 260,651,000 260,755,000 261,004,000 255,748,000 256,232,000 256,217,000 248,427,000 248,423,000 248,428,000 248,502,000 249,160,000 249,160,000 256,821,000 256,825,000 234,839,000 234,794,000 234,815,000 295,009,000 294,874,000 294,924,000 295,068,000 294,935,000 295,111,000 294,823,000 290,505,000 290,379,000 290,403,000 290,473,000 290,245,000 290,173,000 289,767,000 289,435,000 289,508,000 294,659,000 291,178,000 290,878,000 290,512,000 336,162,000 336,150,000 335,632,000 335,585,000 
        other intangible assets
      582,051,000 593,107,000 601,817,000 609,833,000 617,663,000 625,569,000 633,244,000 641,310,000 649,484,000 657,353,000 665,584,000 673,538,000 681,799,000 689,453,000 519,320,000 463,421,000 471,049,000 478,861,000 486,623,000 493,905,000 501,537,000 509,684,000 517,187,000 525,022,000 532,800,000 535,793,000 538,210,000 547,025,000 413,193,000 415,191,000 429,896,000 419,657,000 414,940,000 418,957,000 410,944,000 414,766,000 419,549,000 424,216,000 428,960,000 434,196,000 308,171,000 308,059,000 311,128,000 313,798,000 316,440,000 319,176,000 312,894,000 316,122,000 319,440,000 322,698,000 186,823,000 188,809,000 190,809,000 192,721,000 191,741,000 193,643,000 195,531,000 185,353,000 186,868,000 188,432,000 190,091,000 191,619,000 192,971,000 194,385,000 190,849,000 192,101,000 193,258,000 194,575,000 195,939,000 196,752,000 198,021,000 199,255,000 191,807,000 189,470,000 188,397,000 189,631,000 191,135,000 190,982,000 191,256,000 190,250,000 192,721,000 
        other assets
      137,187,000 148,271,000 145,072,000 127,094,000 116,357,000 124,890,000 105,249,000 107,994,000 96,111,000 107,094,000 109,194,000 105,639,000 93,877,000 100,368,000 107,408,000 107,943,000 98,797,000 104,994,000 106,169,000 100,855,000 96,793,000 99,571,000 98,159,000 102,867,000 102,348,000 91,091,000 90,160,000 90,975,000 62,747,000 69,649,000 70,368,000 70,450,000 63,334,000 66,713,000 64,759,000 61,860,000 55,517,000 15,310,000 15,339,000 15,439,000 9,851,000 9,688,000 10,157,000 9,983,000 9,545,000 11,854,000 11,772,000 11,074,000 10,340,000 9,121,000 149,653,000 151,419,000 150,547,000 152,077,000 153,929,000 153,391,000 6,948,000 6,874,000 7,095,000 7,576,000 7,518,000 5,243,000 5,595,000 5,676,000 5,994,000 6,488,000 6,730,000 6,925,000 7,478,000 7,723,000 8,595,000 9,263,000 9,935,000 10,767,000 12,768,000 13,285,000 13,561,000 14,036,000 15,210,000 15,145,000 17,982,000 
        total assets
      2,325,749,000 2,322,488,000 2,328,458,000 2,297,683,000 2,306,247,000 2,315,744,000 2,285,616,000 2,309,255,000 2,300,021,000 2,325,675,000 2,322,722,000 2,320,120,000 2,297,592,000 2,292,044,000 2,072,261,000 1,785,724,000 1,766,017,000 1,754,092,000 1,761,974,000 1,746,612,000 1,751,673,000 1,743,129,000 1,723,908,000 1,750,972,000 1,775,095,000 1,758,418,000 1,759,403,000 1,760,837,000 1,369,138,000 1,362,980,000 1,363,732,000 1,350,034,000 1,357,961,000 1,361,187,000 1,335,335,000 1,328,025,000 1,328,983,000 1,330,724,000 1,338,834,000 1,342,783,000 1,112,944,000 1,094,047,000 1,089,386,000 1,087,746,000 1,098,194,000 1,109,515,000 1,097,324,000 1,083,198,000 1,090,508,000 1,083,925,000 1,083,020,000 1,082,985,000 1,084,462,000 1,088,788,000 1,061,231,000 1,076,560,000 935,594,000 999,192,000 1,000,165,000 992,403,000 985,773,000 1,002,864,000 986,745,000 992,366,000 958,413,000 951,482,000 931,046,000 927,810,000 931,661,000 949,726,000 938,047,000 924,850,000 893,951,000 892,072,000 875,110,000 875,286,000 861,571,000 919,800,000 907,578,000 907,065,000 901,910,000 
        liabilities and shareholders' equity
                                                                                       
        current liabilities:
                                                                                       
        current portion of long-term debt
      712,000 746,000 714,000 714,000 715,000 717,000 716,000 692,000 708,000 70,625,000 69,632,000 69,693,000 69,746,000 237,000 272,000 12,231,000 12,249,000 12,251,000 21,868,000 20,076,000 18,415,000 16,805,000 15,193,000 13,571,000 13,596,000 13,482,000 13,515,000 14,385,000 18,336,000 18,045,000 16,951,000 15,793,000 14,699,000 13,542,000 12,449,000 11,296,000 10,202,000 10,145,000 10,145,000 10,089,000 1,339,000 1,285,000 1,285,000 1,234,000 1,234,000 1,187,000 1,187,000 1,140,000 1,140,000 1,093,000 1,093,000 1,050,000 1,050,000 1,009,000 22,534,000 54,219,000 54,557,000 166,383,000 144,065,000 111,528,000 110,433,000 43,208,000 33,208,000 35,174,000 2,174,000 2,142,000 2,142,000 3,185,000 3,185,000 3,830,000 3,830,000 3,349,000 3,349,000 3,247,000 3,247,000 3,148,000 3,148,000 3,053,000 3,053,000 2,963,000 4,121,000 
        accounts payable
      93,648,000 107,087,000 101,054,000 95,731,000 102,248,000 104,571,000 101,286,000 101,635,000 88,224,000 81,871,000 78,577,000 76,680,000 73,393,000 74,228,000 73,972,000 67,458,000 58,197,000 46,596,000 55,665,000 55,780,000 53,310,000 57,197,000 39,831,000 57,379,000 55,968,000 45,852,000 51,139,000 54,491,000 53,498,000 48,227,000 52,116,000 49,973,000 42,044,000 50,258,000 46,462,000 46,857,000 41,647,000 36,704,000 32,033,000 29,030,000 34,720,000 31,588,000 27,364,000 27,834,000 23,752,000 31,058,000 26,760,000 26,714,000 27,448,000 27,236,000 27,223,000 25,045,000 23,622,000 31,938,000 29,058,000 27,088,000 21,162,000 20,761,000 20,981,000 24,144,000 21,692,000 28,431,000 30,501,000 27,582,000 26,210,000 31,043,000 27,019,000 28,457,000 35,887,000 37,587,000 36,111,000 40,054,000 38,987,000 34,769,000 39,008,000 41,534,000 41,823,000 34,545,000 31,853,000 33,671,000 35,420,000 
        accrued compensation and benefits
      82,139,000 76,125,000 67,949,000 57,701,000 65,368,000 61,417,000 55,269,000 49,931,000 70,069,000 60,334,000 55,052,000 49,378,000 54,733,000 54,095,000 50,359,000 45,423,000 60,488,000 54,632,000 49,192,000 40,908,000 50,171,000 44,869,000 36,822,000 34,827,000 53,690,000 45,123,000 36,755,000 29,998,000 42,924,000 34,422,000 31,665,000 27,347,000 34,258,000 28,636,000 26,373,000 24,622,000 32,036,000 31,304,000 30,173,000 27,580,000 31,823,000 28,822,000 29,932,000 31,375,000 36,446,000 30,679,000 28,199,000 24,278,000 33,426,000 26,149,000 25,885,000 24,538,000 33,511,000 27,121,000 24,370,000 20,863,000 31,142,000 25,922,000 23,060,000 21,215,000 28,411,000 26,516,000 25,595,000 22,291,000 25,955,000 23,222,000 17,211,000 19,964,000 20,129,000 22,957,000 19,144,000 18,342,000 19,724,000 18,452,000 15,324,000 14,723,000 17,712,000 14,609,000 13,020,000 12,491,000 11,532,000 
        other current liabilities
      138,542,000 130,741,000 125,121,000 129,002,000 109,799,000 115,606,000 109,141,000 139,146,000 151,728,000 163,489,000 149,908,000 124,935,000 98,680,000 80,019,000 76,490,000 62,485,000 65,712,000 69,713,000 71,733,000 65,391,000 68,305,000 60,168,000 58,766,000 54,227,000 64,833,000 56,208,000 54,392,000 52,397,000 46,186,000 64,199,000 75,935,000 66,187,000 59,002,000 46,887,000 44,429,000 42,670,000 30,067,000 34,707,000 33,870,000 36,459,000 48,933,000 47,804,000 48,680,000 50,032,000 51,856,000 55,855,000 46,116,000 46,310,000 47,135,000 46,090,000 43,337,000 44,442,000 64,325,000 65,475,000 57,415,000 58,684,000 17,853,000 17,877,000 20,974,000 22,274,000 18,357,000 18,557,000 16,825,000 20,726,000 24,091,000 24,377,000 17,539,000 13,437,000 14,434,000 16,390,000 17,000,000 23,099,000 14,529,000 13,108,000 13,772,000 14,119,000 11,795,000 11,144,000 10,186,000 9,168,000 9,085,000 
        total current liabilities
      315,041,000 314,699,000 294,838,000 283,148,000 278,130,000 282,311,000 266,412,000 291,404,000 310,729,000 376,319,000 353,169,000 320,686,000 296,552,000 208,579,000 201,093,000 187,597,000 196,646,000 183,192,000 198,458,000 182,155,000 190,201,000 179,039,000 150,612,000 160,004,000 188,087,000 160,665,000 155,801,000 151,271,000 160,944,000 164,893,000 176,667,000 159,300,000 150,003,000 139,323,000 129,713,000 125,445,000 113,952,000 112,860,000 106,221,000 103,158,000 119,718,000 111,656,000 109,882,000 113,485,000 115,956,000 121,755,000 104,624,000 101,112,000 111,265,000 100,879,000 99,155,000 97,175,000 122,508,000 125,543,000 135,247,000 165,845,000 131,184,000 232,604,000 210,347,000 180,505,000 179,866,000 116,930,000 106,732,000 105,854,000 79,107,000 80,784,000 63,911,000 65,043,000 74,914,000 80,764,000 76,085,000 88,287,000 77,284,000 71,477,000 72,137,000 75,510,000 75,205,000 67,883,000 62,040,000 64,494,000 62,859,000 
        long-term debt
      834,230,000 853,007,000 881,111,000 891,443,000 905,066,000 940,094,000 965,174,000 990,110,000 973,140,000 942,166,000 971,475,000 995,276,000 985,076,000 1,036,438,000 982,427,000 703,542,000 672,407,000 703,335,000 707,808,000 725,320,000 735,221,000 760,451,000 790,425,000 772,630,000 755,211,000 780,689,000 796,148,000 803,555,000 438,564,000 442,900,000 432,236,000 442,408,000 471,744,000 494,789,000 484,032,000 487,045,000 488,288,000 490,176,000 508,639,000 511,598,000 269,471,000 260,545,000 258,545,000 257,201,000 240,201,000 246,830,000 244,830,000 241,435,000 214,435,000 224,017,000 233,017,000 224,802,000 160,802,000 168,437,000 145,437,000 138,952,000 88,952,000 9,119,000 30,644,000 71,844,000 85,182,000 171,088,000 170,366,000 173,910,000 182,195,000 182,917,000 184,237,000 186,787,000 196,190,000 217,676,000 224,791,000 219,360,000 219,485,000 239,647,000 237,780,000 256,885,000 264,676,000 296,753,000 296,902,000 297,423,000 266,950,000 
        other long-term liabilities
      63,851,000 71,662,000 79,821,000 75,504,000 86,294,000 94,623,000 107,254,000 109,075,000 121,028,000 144,072,000 151,803,000 186,159,000 203,694,000 218,112,000 109,835,000 41,813,000 42,992,000 52,942,000 53,587,000 56,974,000 59,338,000 47,592,000 43,038,000 44,376,000 46,842,000 39,853,000 35,645,000 36,350,000 26,299,000 23,281,000 26,547,000 27,397,000 27,114,000 24,999,000 25,557,000 25,655,000 27,024,000 24,495,000 25,380,000 26,305,000 24,059,000 29,023,000 30,145,000 30,311,000 48,516,000 32,692,000 28,385,000 28,650,000 45,290,000 59,610,000 60,551,000 61,229,000 86,636,000 86,045,000 87,747,000 89,247,000 49,602,000 27,170,000 27,794,000 28,359,000 28,116,000 23,541,000 24,164,000 24,934,000 22,680,000 18,300,000 20,443,000 23,479,000 45,325,000 17,052,000 18,623,000 20,450,000 20,992,000 25,817,000 27,210,000 28,595,000 30,332,000 26,486,000 25,982,000 25,381,000 25,901,000 
        total liabilities
      1,292,652,000 1,314,225,000 1,325,588,000 1,320,047,000 1,343,566,000 1,382,848,000 1,403,784,000 1,454,591,000 1,465,799,000 1,529,470,000 1,542,528,000 1,567,667,000 1,552,047,000 1,575,707,000 1,399,293,000 996,178,000 980,582,000 998,409,000 1,017,475,000 1,021,042,000 1,042,635,000 1,059,988,000 1,049,010,000 1,049,337,000 1,064,628,000 1,057,496,000 1,062,394,000 1,067,780,000 706,868,000 710,324,000 715,540,000 707,406,000 726,529,000 771,521,000 752,980,000 752,503,000 748,407,000 746,549,000 759,101,000 760,494,000 527,871,000 516,622,000 511,292,000 513,656,000 516,896,000 516,797,000 495,170,000 487,726,000 484,189,000 491,693,000 498,353,000 485,405,000 477,464,000 486,341,000 467,848,000 489,835,000 362,523,000 389,438,000 383,456,000 391,359,000 399,210,000 423,189,000 408,353,000 408,053,000 381,898,000 380,869,000 367,609,000 373,180,000 399,927,000 405,147,000 404,011,000 405,600,000 388,949,000 403,340,000 398,805,000 418,256,000 421,217,000 456,800,000 450,521,000 451,366,000 418,952,000 
        commitments and contingencies
                                                                                       
        shareholders' equity:
                                                                                       
        preferred stock, par value .01 per share; authorized
                                                                                       
        500,000 shares, none issued or outstanding
                                                                                       
        common stock
                             313,000  313,000 313,000                                    313,000   313,000       313,000         
        authorized; 31,299,194 issued in 2025 and 2024, respectively
      313,000                                                                                 
        paid-in capital
      503,200,000 498,672,000 494,037,000 489,098,000 476,575,000 470,880,000 464,795,000 458,024,000 446,535,000 439,731,000 432,780,000 419,517,000 413,235,000 407,095,000 401,182,000 365,555,000 396,771,000 394,810,000 393,663,000 388,959,000 382,628,000 381,119,000 377,025,000 374,620,000 379,324,000 379,137,000 376,519,000 374,555,000 341,738,000 339,033,000 336,560,000 334,754,000 333,795,000 332,656,000 330,433,000 329,691,000 329,276,000 327,595,000 325,608,000 325,886,000 324,915,000 319,710,000 318,694,000 320,993,000 319,752,000 319,588,000 324,366,000 327,420,000 326,436,000 324,403,000 322,792,000 325,801,000 324,322,000 322,767,000 321,259,000 323,486,000 321,994,000 320,395,000 319,259,000 320,563,000 319,406,000 318,276,000 317,409,000 318,130,000 317,366,000 316,289,000 314,756,000 314,679,000 292,251,000 289,996,000 289,219,000 288,849,000 287,926,000 287,180,000 286,280,000 285,710,000 284,858,000 282,853,000 281,103,000 279,866,000 277,802,000 
        retained earnings
      588,766,000 572,027,000 575,359,000 560,127,000 560,277,000 532,701,000 489,895,000 466,082,000 452,531,000 425,612,000 415,924,000 408,337,000 412,631,000 392,144,000 352,089,000 526,472,000 496,605,000 478,035,000 468,924,000 461,464,000 457,417,000 439,086,000 437,956,000 471,068,000 470,844,000 461,564,000 460,267,000 460,229,000 464,851,000 448,875,000 448,675,000 445,576,000 440,085,000 398,982,000 397,369,000 396,814,000 406,932,000 405,790,000 404,017,000 406,695,000 414,506,000 412,196,000 408,863,000 406,941,000 406,145,000 400,316,000 403,848,000 399,062,000 395,889,000 391,179,000 389,620,000 384,210,000 377,907,000 371,267,000 366,219,000 360,185,000 354,439,000 379,575,000 371,365,000 362,685,000 354,020,000 347,979,000 339,362,000 332,574,000 325,370,000 320,835,000 319,744,000 318,825,000 327,471,000 316,877,000 307,997,000 295,793,000 284,850,000 273,049,000 264,875,000 257,897,000 247,425,000 271,018,000 267,686,000 264,272,000 257,125,000 
        accumulated other comprehensive loss
      -46,295,000 -49,232,000 -52,978,000 -57,392,000 -58,857,000 -54,717,000 -54,434,000 -49,801,000 -50,170,000 -53,959,000 -52,947,000 -54,982,000 -57,858,000 -60,133,000 -57,108,000 -52,763,000 -54,203,000 -59,537,000 -58,345,000 -62,798,000 -63,681,000 -61,512,000 -63,638,000 -66,325,000 -59,277,000 -57,915,000 -55,606,000 -55,662,000 -55,737,000 -46,434,000 -47,745,000 -46,333,000 -49,078,000 -47,651,000 -50,900,000 -54,905,000 -58,526,000 -51,817,000 -52,381,000 -50,842,000 -53,894,000 -53,812,000 -48,680,000 -49,849,000 -39,822,000 -21,424,000 -15,279,000 -16,621,000 -17,572,000 -26,956,000 -28,852,000 -26,699,000 -27,581,000 -27,003,000 -27,880,000 -25,271,000 -26,348,000 -12,484,000 -10,710,000 -12,832,000 -15,861,000 -13,082,000 -17,881,000 -13,160,000  -11,383,000 -15,422,000 -22,079,000              
        less: treasury stock, at cost;
                                                                                       
        328,097 and 397,860 shares in
                                                                                       
        2025 and 2024, respectively
      -12,887,000                                                                                 
        total shareholders' equity
      1,033,097,000    962,681,000    834,222,000    745,545,000    785,435,000    709,038,000    710,467,000    662,270,000    631,432,000    580,576,000    585,073,000    581,298,000    606,319,000    606,998,000    573,071,000    586,563,000    576,515,000    531,734,000    505,002,000    440,354,000     
        total liabilities and shareholders' equity
      2,325,749,000    2,306,247,000    2,300,021,000    2,297,592,000    1,766,017,000    1,751,673,000    1,775,095,000    1,369,138,000    1,357,961,000    1,328,983,000    1,112,944,000    1,098,194,000    1,090,508,000    1,084,462,000    935,594,000    985,773,000    958,413,000    931,661,000    893,951,000    861,571,000     
        accounts receivable
       224,943,000 234,148,000 221,138,000  231,229,000 239,222,000 241,461,000  230,196,000 229,256,000 213,182,000  197,287,000 202,119,000 183,248,000  165,433,000 168,966,000 163,954,000  166,593,000 143,412,000 166,504,000  173,282,000 179,039,000 172,195,000  161,000,000 161,687,000 157,811,000  146,736,000 145,391,000 139,855,000  133,190,000 139,620,000 134,412,000  124,697,000 129,660,000 128,950,000  123,327,000 135,081,000 129,831,000  130,589,000 140,570,000 135,597,000  132,872,000 136,095,000 142,351,000  130,881,000 152,695,000 147,263,000  141,310,000 142,801,000 148,578,000  108,825,000 93,262,000 90,529,000  99,367,000 106,317,000 98,937,000  81,765,000 77,044,000 74,785,000  83,007,000 80,920,000 81,160,000 81,758,000 
        preferred stock, par value 0.01 per share...
                                                                                       
        authorized 500,000 shares; none outstanding
                                                                                       
        common stock, par value 0.01 per share...
       313,000 313,000 313,000  313,000 313,000 313,000  313,000 313,000 313,000  313,000 313,000 313,000  313,000 313,000 313,000  313,000 313,000                                                           
        less: 344,143 and 397,860 shares of common stock in treasury, at cost, in 2025 and 2024, respectively
       -13,517,000                                                                                
        total shareholders’ equity
       1,008,263,000 1,002,870,000 977,636,000  932,896,000 881,832,000 854,664,000  796,205,000 780,194,000 752,453,000  716,337,000 672,968,000 789,546,000  755,683,000 744,499,000 725,570,000  683,141,000 674,898,000 701,635,000  700,922,000 697,009,000 693,057,000  652,656,000 648,192,000 642,628,000  589,666,000 582,355,000 575,522,000  584,175,000 579,733,000 582,289,000  577,425,000 578,094,000 574,090,000  592,718,000 602,154,000 595,472,000  592,232,000 584,667,000 597,580,000  602,447,000 593,383,000 586,725,000  609,754,000 616,709,000 601,044,000  579,675,000 578,392,000 584,313,000  570,613,000 563,437,000 554,630,000  544,579,000 534,036,000 519,250,000  488,732,000 476,305,000 457,030,000  463,000,000 457,057,000 455,699,000 482,958,000 
        total liabilities and shareholders’ equity
       2,322,488,000 2,328,458,000 2,297,683,000  2,315,744,000 2,285,616,000 2,309,255,000  2,325,675,000 2,322,722,000 2,320,120,000  2,292,044,000 2,072,261,000 1,785,724,000  1,754,092,000 1,761,974,000 1,746,612,000  1,743,129,000 1,723,908,000 1,750,972,000  1,758,418,000 1,759,403,000 1,760,837,000  1,362,980,000 1,363,732,000 1,350,034,000  1,361,187,000 1,335,335,000 1,328,025,000  1,330,724,000 1,338,834,000 1,342,783,000  1,094,047,000 1,089,386,000 1,087,746,000  1,109,515,000 1,097,324,000 1,083,198,000  1,083,925,000 1,083,020,000 1,082,985,000  1,088,788,000 1,061,231,000 1,076,560,000  999,192,000 1,000,165,000 992,403,000  1,002,864,000 986,745,000 992,366,000  951,482,000 931,046,000 927,810,000  949,726,000 938,047,000 924,850,000  892,072,000 875,110,000 875,286,000  919,800,000 907,578,000 907,065,000 901,910,000 
        less: 352,904 and 397,860 shares of common stock in treasury, at cost, in 2025 and 2024, respectively
        -13,861,000                                                                               
        less: 369,427 and 397,860 shares of common stock in treasury, at cost, in 2025 and 2024, respectively
         -14,510,000                                                                              
        accounts of 5,739 in 2024 and 6,034 in 2023
          237,733,000                                                                             
        authorized; 31,299,194 issued in 2024 and 2023, respectively
          313,000                                                                             
        397,860 and 534,000 shares in
                                                                                       
        2024 and 2023, respectively
          -15,627,000                                                                             
        less: 414,508 and 534,000 shares of common stock in treasury, at cost, in 2024 and 2023, respectively
           -16,281,000                                                                            
        less: 477,030 and 534,000 shares of common stock in treasury, at cost, in 2024 and 2023, respectively
            -18,737,000                                                                           
        less: 508,028 and 534,000 shares of common stock in treasury, at cost, in 2024 and 2023, respectively
             -19,954,000                                                                          
        accounts of 6,034 in 2023 and 5,508 in 2022
              242,279,000                                                                         
        authorized; 31,299,194 issued in 2023 and 2022, respectively
              313,000                                                                         
        534,000 and 811,532 shares in
                                                                                       
        2023 and 2022, respectively
              -14,987,000                                                                         
        less: 552,016 and 811,532 shares of common stock in treasury, at cost, in 2023 and 2022, respectively
               -15,492,000                                                                        
        less: 565,685 and 811,532 shares of common stock in treasury, at cost, in 2023 and 2022, respectively
                -15,876,000                                                                       
        less: 738,718 and 811,532 shares of common stock in treasury, at cost, in 2023 and 2022, respectively
                 -20,732,000                                                                      
        accounts of 5,508 in 2022 and 4,528 in 2021
                  191,345,000                                                                     
        authorized; 31,299,194 issued in 2022 and 2021, respectively
                  313,000                                                                     
        811,532 and 1,925,893 shares in
                                                                                       
        2022 and 2021, respectively
                  -22,776,000                                                                     
        less: 822,438 and 1,925,893 shares of common stock in treasury, at cost, in 2022 and 2021, respectively
                   -23,082,000                                                                    
        less: 837,621 and 1,925,893 shares of common stock in treasury, at cost in 2022 and 2021, respectively
                    -23,508,000                                                                   
        less: 1,782,667 and 1,925,893 shares of common stock in treasury, at cost in 2022 and 2021, respectively
                     -50,031,000                                                                  
        accounts of 4,528 in 2021 and 3,876 in 2020
                      183,882,000                                                                 
        authorized; 31,299,194 issued in 2021 and 2020, respectively
                      313,000                                                                 
        1,925,893 and 2,410,045 shares in
                                                                                       
        2021 and 2020, respectively
                      -54,051,000                                                                 
        less: 2,064,390 and 2,410,045 shares of common stock in treasury, at cost in 2021 and 2020, respectively
                       -57,938,000                                                                
        less: 2,139,851 and 2,410,045 shares of common stock in treasury, at cost in 2021 and 2020, respectively
                        -60,056,000                                                               
        less: 2,222,233 and 2,410,045 shares of common stock in treasury, at cost in 2021 and 2020, respectively
                         -62,368,000                                                              
        accounts of 3,876 in 2020 and 2,786 in 2019
                          177,152,000                                                             
        authorized; 31,299,194 issued in 2020 and 2019, respectively
                          313,000                                                             
        2,410,045 and 2,876,729 shares in
                                                                                       
        2020 and 2019, respectively
                          -67,639,000                                                             
        less: 2,703,178 and 2,876,729 shares of common stock in treasury, at cost in 2020 and 2019, respectively
                           -75,865,000                                                            
        less: 2,734,967 and 2,876,729 shares of common stock in treasury, at cost in 2020 and 2019, respectively
                            -76,758,000                                                           
        preferred stock, par value .01 per share;
                                                                                       
        less: 2,780,667 and 2,876,729 shares of common stock in treasury, at cost in 2020 and 2019, respectively
                             -78,041,000                                                          
        accounts of 2,786 in 2019 and 2,660 in 2018
                              189,097,000                                                         
        authorized; 31,299,194 issued in 2019 and 2018, respectively
                              313,000                                                         
        2,876,729 and 3,167,422 shares in
                                                                                       
        2019 and 2018, respectively
                              -80,737,000                                                         
        less: 2,928,060 and 3,167,422 shares of common stock in treasury, at cost in 2019 and 2018, respectively
                               -82,177,000                                                        
        less: 3,010,251 and 3,167,422 shares of common stock in treasury, at cost in 2019 and 2018, respectively
                                -84,484,000                                                       
        100,000,000 shares authorized; 31,299,194 shares
                                                                                       
        issued in 2019 and 2018, respectively
                                 313,000                                                      
        less: 3,077,735 and 3,167,422 shares of common stock
                                                                                       
        in treasury, at cost in 2019 and 2018, respectively
                                 -86,378,000                                                      
        accounts of 2,660 in 2018 and 2,137 in 2017
                                  181,550,000                                                     
        authorized; 31,299,194 issued in 2018 and 2017, respectively
                                  313,000                                                     
        3,167,422 and 3,338,015 shares in
                                                                                       
        2018 and 2017, respectively
                                  -88,895,000                                                     
        issued in 2018 and 2017, respectively
                                   313,000 313,000 313,000                                                  
        less: 3,175,822 and 3,338,015 shares of common stock
                                                                                       
        in treasury, at cost in 2018 and 2017, respectively
                                   -89,131,000 -89,611,000 -91,682,000                                                  
        less: 3,192,917 and 3,338,015 shares of common stock
                                                                                       
        less: 3,266,734 and 3,338,015 shares of common stock
                                                                                       
        accounts of 2,137 in 2017 and 2,031 in 2016
                                      167,037,000                                                 
        authorized; 31,299,194 issued in 2017 and 2016, respectively
                                      313,000                                                 
        3,338,015 and 3,471,121 shares in
                                                                                       
        2017 and 2016, respectively
                                      -93,683,000                                                 
        issued in 2017 and 2016, respectively
                                       313,000 313,000 313,000                                              
        less: 3,371,915 and 3,471,121 shares of common stock
                                                                                       
        in treasury, at cost in 2017 and 2016, respectively
                                       -94,634,000 -94,860,000 -96,391,000                                              
        less: 3,379,950 and 3,471,121 shares of common stock
                                                                                       
        less: 3,434,513 and 3,471,121 shares of common stock
                                                                                       
        accounts of 2,031 in 2016 and 1,336 in 2015
                                          148,244,000                                             
        authorized; 31,299,194 issued in 2016 and 2015, respectively
                                          313,000                                             
        3,471,121 and 3,590,409 shares in
                                                                                       
        2016 and 2015, respectively
                                          -97,419,000                                             
        issued in 2016 and 2015, respectively
                                           313,000 313,000 313,000                                          
        less: 3,481,351 and 3,590,409 shares of common stock
                                                                                       
        in treasury, at cost in 2016 and 2015, respectively
                                           -97,706,000 -97,824,000 -99,763,000                                          
        less: 3,485,571 and 3,590,409 shares of common stock
                                                                                       
        less: 3,556,032 and 3,590,409 shares of common stock
                                                                                       
        accounts of 1,336 in 2015 and 1,239 in 2014
                                              133,863,000                                         
        income taxes receivable
                                              1,879,000    583,000 4,826,000 4,917,000 2,522,000 3,805,000 3,388,000 2,800,000 2,000,000 191,000 1,295,000            769,000 853,000 501,000  1,123,000   1,425,000 2,919,000 2,732,000 1,921,000 747,000     
        assets held for sale
                                              3,095,000                                         
        income taxes payable
                                              2,903,000 2,157,000 2,621,000 3,010,000 2,668,000 2,976,000 2,362,000 2,670,000 2,116,000 311,000 1,617,000 2,100,000   1,870,000 4,991,000 6,470,000 1,661,000 1,267,000 1,344,000 973,000 218,000 603,000 81,000 677,000    1,279,000   1,833,000      2,593,000 2,820,000 3,328,000 886,000 
        authorized; 31,299,194 issued in 2015 and 2014, respectively
                                              313,000                                         
        3,590,409 and 3,744,473 shares in
                                                                                       
        2015 and 2014, respectively
                                              -100,767,000                                         
        issued in 2015 and 2014, respectively
                                               313,000 313,000 313,000                                      
        less: 3,598,089 and 3,744,473 shares of common stock
                                                                                       
        in treasury, at cost in 2015 and 2014, respectively
                                               -100,982,000 -101,096,000 -104,308,000                                      
        less: 3,602,163 and 3,744,473 shares of common stock
                                                                                       
        less: 3,718,911 and 3,744,473 shares of common stock
                                                                                       
        accounts of 1,239 in 2014 and 1,384 in 2013
                                                  129,287,000                                     
        authorized; 31,299,194 issued in 2014 and 2013, respectively
                                                  313,000                                     
        3,744,473 and 3,718,332 shares in
                                                                                       
        2014 and 2013, respectively
                                                  -105,090,000                                     
        issued in 2013 and 2014, respectively
                                                   313,000 313,000 313,000                                  
        less: 3,718,332 and 3,779,567 shares of common stock
                                                                                       
        in treasury, at cost in 2013 and 2014, respectively
                                                   -106,075,000 -111,094,000 -114,702,000                                  
        less: 3,718,332 and 3,958,389 shares of common stock
                                                                                       
        less: 3,718,332 and 4,086,959 shares of common stock
                                                                                       
        accounts of 1,203 in 2012 and 1,384 in 2013
                                                      140,426,000                                 
        authorized; 31,299,194 issued in 2012 and 2013, respectively
                                                      313,000                                 
        2,925,801 and 3,718,332 shares in
                                                                                       
        2012 and 2013, respectively
                                                      -98,747,000                                 
        issued in 2012 and 2013, respectively
                                                       313,000 313,000 313,000                              
        less: 2,925,801 and 3,716,981 shares of common stock
                                                                                       
        in treasury, at cost in 2012 and 2013, respectively
                                                       -96,707,000 -99,206,000 -86,045,000                              
        less: 2,925,801 and 3,813,051 shares of common stock
                                                                                       
        less: 2,925,801 and 3,455,985 shares of common stock
                                                                                       
        accounts of 1,183 in 2011 and 1,203 in 2012
                                                          139,124,000                             
        authorized; 31,299,203 and 31,299,194 issued
                                                                                       
        in 2011 and 2012, respectively
                                                          313,000                             
        3,358,078 and 2,925,801 shares in
                                                                                       
        2011 and 2012, respectively
                                                          -67,963,000                             
        100,000,000 shares authorized; 31,299,203 and 31,299,194 shares
                                                                                       
        issued in 2011 and 2012, respectively
                                                           313,000 313,000 313,000                          
        less: 3,358,078 and 2,818,159 shares of common stock
                                                                                       
        in treasury, at cost in 2011 and 2012, respectively
                                                           -64,897,000 -66,528,000 -71,988,000                          
        100,000,000 shares authorized; 31,299,203 shares
                                                                                       
        less: 3,358,078 and 2,888,975 shares of common stock
                                                                                       
        less: 3,358,078 and 3,115,110 shares of common stock
                                                                                       
        accounts of 1,066 in 2010 and 1,183 in 2011
                                                              135,641,000                         
        authorized; 31,299,203 issued
                                                                                       
        in 2010 and 2011, respectively
                                                              313,000                         
        3,077,377 and 3,358,078 shares in
                                                                                       
        2010 and 2011, respectively
                                                              -77,327,000                         
        issued in 2010 and 2011, respectively
                                                               313,000 313,000 313,000                      
        less: 3,077,377 and 3,389,079 shares of common stock
                                                                                       
        in treasury, at cost in 2010 and 2011, respectively
                                                               -78,045,000 -63,518,000                       
        less: 3,077,377 and 2,741,168 shares of common stock
                                                                                       
        less: 3,077,377 and 3,006,068 shares of common stock
                                                                                       
        in treasury, at cost in december 31, 2010
                                                                                       
        and march 31, 2011, respectively
                                                                 -69,685,000                      
        accounts of 1,175 in 2009 and 1,066 in 2010
                                                                  145,350,000                     
        in 2009 and 2010, respectively
                                                                  313,000                     
        2,149,832 and 3,077,377 shares in
                                                                                       
        2009 and 2010, respectively
                                                                  -71,315,000                     
        100,000,000 shares authorized;
                                                                                       
        31,299,203 shares issued in 2009 and 2010,
                                                                                       
        respectively
                                                                   313,000        313,000 313,000   313,000 313,000   313,000 312,000   
        less: 2,149,832 and 3,181,790 shares of common stock in
                                                                                       
        treasury, at cost in 2009 and 2010, respectively
                                                                   -73,811,000                    
        preferred stock, par value .01 per share; authorized 500,000 shares; none outstanding
                                                                                       
        less: 2,149,832 and 2,513,751 shares of common stock in treasury, at cost in 2009 and 2010, respectively
                                                                    -60,811,000                   
        issued in 2009 and 2010, respectively
                                                                     313,000                  
        less: 2,149,832 and 2,126,596 shares of common stock
                                                                                       
        in treasury, at cost in 2009 and 2010, respectively
                                                                     -53,544,000                  
        accounts of 1,370 in 2008 and 1,175 in 2009
                                                                      126,162,000                 
        in 2008 and 2009, respectively
                                                                      313,000                 
        accumulated other comprehensive income
                                                                      -12,405,000    -31,032,000 -5,174,000 2,375,000 1,570,000 -505,000 -3,869,000 -6,382,000 -7,978,000 -8,612,000 -7,554,000 -8,414,000 -9,563,000 -9,122,000 
        2,274,822 and 2,149,832 shares in
                                                                                       
        2008 and 2009, respectively
                                                                      -54,129,000                 
        less: 2,274,822 and 2,201,974 shares of common stock in treasury, at cost in 2008 and 2009, respectively
                                                                       -55,441,000                
        issued in 2008 and 2009, respectively
                                                                        313,000 313,000              
        less: 2,274,822 and 2,222,331 shares of common stock
                                                                                       
        in treasury, at cost in 2008 and 2009, respectively
                                                                        -55,954,000 -57,108,000              
        less: 2,274,822 and 2,268,158 shares of common stock
                                                                                       
        accounts of 787 in 2007 and 1,370 in 2008
                                                                          96,515,000             
        500,000 shares, none outstanding
                                                                                       
        in 2007 and 2008, respectively
                                                                          313,000             
        2,684,163 and 2,274,822 shares in
                                                                                       
        2007 and 2008, respectively
                                                                          -57,269,000             
        31,299,203 shares issued in 2007 and 2008,
                                                                                       
        less: 2,684,163 and 2,285,090 shares of common stock in
                                                                                       
        treasury, at cost in 2007 and 2008, respectively
                                                                           -57,433,000 -65,868,000           
        100,000,000 shares authorized; 31,299,203 and
                                                                                       
        less 2,684,163 and 2,616,107 shares of common stock in
                                                                                       
        accrued interest
                                                                             1,610,000 695,000 1,901,000 786,000 1,986,000 727,000 1,939,000 1,108,000 2,873,000 1,815,000 
        authorized 500,000 shares; none outstanding.
                                                                                       
        issued in 2007 and 2008, respectively
                                                                             313,000          
        less: 2,684,163 and 2,671,995 shares of common stock
                                                                                       
        in treasury, at cost in 2007 and 2008, respectively
                                                                             -67,275,000          
        preferred stock, par value .01 per share; authorized 500,000 shares, none outstanding
                                                                                       
        less: treasury stock, at cost; 3,321,545 and 2,684,163 shares in 2006 and 2007, respectively
                                                                              -67,582,000         
        100,000,000 shares authorized; 31,304,203 and
                                                                                       
        31,299,203 shares issued in 2006 and 2007,
                                                                                       
        less: 3,321,545 and 2,698,421 shares of common stock in
                                                                                       
        treasury, at cost in 2006 and 2007, respectively
                                                                               -67,941,000 -68,781,000       
        less 3,321,545 and 2,731,749 shares of common stock in
                                                                                       
        settlement receivable
                                                                                 11,000,000      
        31,299,203 shares issued in
                                                                                       
        2006 and 2007, respectively
                                                                                 313,000      
        less 3,321,545 and 3,125,761 shares of common stock
                                                                                       
        in treasury, at cost in 2006 and 2007, respectively
                                                                                 -78,912,000      
        accounts of 1,522 in 2005 and 1,210 in 2006
                                                                                  75,120,000     
        authorized; 31,137,119 and 31,304,203, issued
                                                                                       
        in 2005 and 2006, respectively
                                                                                  313,000     
        2,944,905 and 3,321,545 shares in
                                                                                       
        2005 and 2006, respectively
                                                                                  -83,630,000   312,000  
        100,000,000 shares authorized; 31,137,119 and
                                                                                       
        31,255,620 shares issued in 2005 and 2006,
                                                                                       
        less 2,944,905 and 3,321,545 shares of common stock in
                                                                                       
        treasury, at cost in 2005 and 2006, respectively
                                                                                   -83,630,000 -83,630,000   
        31,198,958 shares issued in 2005 and 2006,
                                                                                       
        31,174,256 shares issued in
                                                                                       
        less 2,944,905 and 3,088,064 shares of common stock
                                                                                       
        in treasury, at cost in 2005 and 2006, respectively
                                                                                     -79,188,000  
        liabilities and shareholders’ equity
                                                                                       
        shareholders’ equity:
                                                                                       
        100,000,000 shares authorized; 30,135,835 and
                                                                                       
        31,110,331 shares issued in
                                                                                       
        2004 and 2005, respectively
                                                                                      311,000 
        less 1,156,500 and 1,579,761 shares of common stock in
                                                                                       
        treasury, at cost, in 2004 and 2005, respectively
                                                                                      -43,158,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 
                                                                                         
          cash flows from operating activities:
                                                                                         
          net income
        16,739,000 2,859,000 21,421,000 6,036,000 33,755,000 48,983,000 29,976,000 19,709,000 33,071,000 15,837,000 13,732,000 1,819,000 26,584,000 46,150,000 -168,291,000 14,975,000 24,444,000 14,948,000 13,290,000 9,860,000 24,140,000 6,850,000 -27,400,000 5,927,000 14,934,000 6,970,000 5,695,000 1,021,000 15,653,000 5,825,000 8,719,000 10,657,000 46,696,000 7,197,000   6,708,000 7,337,000 2,884,000 -2,265,000 7,852,000 8,873,000 7,461,000 6,312,000 11,339,000 1,972,000 10,255,000 8,626,000 10,227,000 5,687,000 9,533,000 10,492,000 10,897,000 9,320,000 10,296,000 9,968,000 -25,134,000 8,211,000 8,680,000 8,995,000 6,963,000 8,758,000 7,306,000 7,319,000 4,955,000 1,288,000 1,409,000 4,485,000 10,577,000 10,519,000 12,455,000 11,010,000 11,834,000 8,355,000 9,345,000 11,922,000 -23,593,000 3,332,000 3,414,000 4,340,000 2,807,000 
          adjustments to reconcile net income to net cash from operating activities:
                                                                                         
          depreciation
        4,066,000 4,376,000 4,466,000 4,235,000 4,199,000 4,195,000 4,165,000 4,046,000 4,052,000 3,926,000 4,165,000 4,057,000 4,027,000 3,938,000 4,058,000 4,032,000 3,975,000 3,778,000 3,984,000 4,757,000 4,427,000 4,383,000 4,588,000 4,646,000 4,463,000 5,258,000 4,525,000 4,442,000 4,649,000 4,875,000 4,504,000 4,502,000 5,086,000 5,235,000 4,892,000 4,866,000 5,237,000 5,301,000 4,955,000 4,986,000 4,785,000 4,723,000 4,563,000 4,633,000 5,090,000 5,229,000 4,905,000 4,568,000 4,952,000 4,533,000 4,549,000 4,619,000 4,617,000 4,744,000 4,586,000 4,688,000 4,819,000 4,717,000 4,567,000 4,416,000 4,529,000 4,414,000 4,302,000 4,147,000 5,340,000 5,030,000 4,270,000 4,011,000 4,051,000 3,969,000 3,316,000 3,305,000 3,603,000 3,364,000 3,075,000 3,059,000 3,147,000 3,069,000 2,799,000 2,723,000 3,163,000 
          amortization of deferred debt issuance costs
        1,539,000 1,276,000 1,388,000 1,443,000 1,444,000 1,443,000 1,406,000 1,407,000 1,500,000 1,546,000 1,506,000 1,506,000 1,506,000 1,488,000 1,036,000 880,000 780,000 830,000 1,058,000 1,058,000 1,026,000 1,011,000 867,000 819,000                                                          
          amortization
        14,784,000 14,231,000 14,105,000 14,018,000 13,807,000 13,779,000 13,674,000 13,992,000 13,950,000 13,947,000 13,900,000 13,877,000 13,710,000 13,689,000 13,266,000 12,799,000 13,502,000 13,431,000 13,797,000 13,519,000 13,608,000 13,581,000 13,616,000 13,776,000 12,263,000 14,296,000 14,171,000 12,905,000 10,944,000 10,837,000 10,743,000 10,749,000 10,400,000 9,627,000 9,384,000 9,058,000 8,862,000 8,618,000 9,078,000 8,272,000 6,786,000 6,504,000 6,348,000 5,537,000 6,624,000 6,487,000 6,531,000 6,300,000  7,192,000 7,538,000 7,110,000                 4,438,000 4,349,000 4,384,000 4,524,000 4,418,000 4,749,000 4,693,000 4,573,000 4,409,000 4,556,000 4,543,000 4,605,000 4,699,000 
          stock-based compensation
        4,971,000 4,586,000 4,903,000 13,863,000 6,222,000 6,122,000 6,974,000 6,240,000 5,923,000 6,186,000 6,422,000 5,726,000 5,757,000 5,754,000 5,755,000 4,463,000 4,332,000 4,327,000 4,289,000 3,387,000 2,992,000 3,532,000 3,555,000 3,032,000 2,960,000 3,008,000 3,108,000 2,703,000 2,572,000 2,512,000 2,650,000 2,303,000 2,132,000 2,119,000 2,266,000 1,955,000 1,870,000 1,922,000 2,094,000 2,489,000 1,938,000 1,782,000 1,923,000 1,856,000 1,639,000 5,173,000 1,333,000 1,185,000 1,491,000 1,606,000 1,344,000 1,152,000        1,026,000 959,000   940,000 1,105,000   974,000 963,000   942,000 839,000    1,110,000     
          deferred income taxes
        812,000 3,686,000 1,684,000 -2,659,000 6,576,000 2,520,000 1,241,000 1,865,000 1,591,000 -284,000 533,000 -1,140,000 -44,484,000 -31,960,000 70,225,000 177,000 4,316,000 470,000 907,000 -2,688,000 -13,448,000 8,704,000 -6,748,000 -2,742,000 -804,000 748,000 -1,555,000 -4,699,000 3,331,000 -1,386,000 854,000 -736,000 -34,892,000 -854,000 -9,000 -4,266,000 1,106,000 365,000 -1,400,000 -2,942,000 -1,908,000 1,983,000 923,000 1,253,000 837,000 -4,958,000 512,000 3,325,000 416,000 1,764,000 3,124,000 1,914,000 1,194,000 5,661,000 3,356,000 2,735,000 -25,059,000 2,980,000 4,356,000 4,625,000 2,522,000 3,397,000 3,641,000 3,598,000 1,436,000 -324,000 594,000 2,535,000 1,003,000 5,621,000 6,581,000 5,779,000 1,845,000 4,399,000 4,293,000 6,177,000 -16,959,000 1,020,000 1,529,000 2,121,000 -882,000 
          non-cash adjustments to fair value of contingent consideration liability
        19,447,000 1,341,000 -1,799,000 3,962,000 1,219,000 -27,048,000                                                                            
          loss on early extinguishment of debt
                           300,000         254,000         263,000                              
          increase in cash flows from changes in assets and liabilities:
                                                                                         
          accounts receivable
        -22,671,000 9,163,000 -7,837,000 18,984,000 -12,400,000 10,775,000 914,000 -908,000 -9,053,000 -2,831,000 -14,518,000 -20,666,000 10,889,000 1,687,000 -17,616,000 -163,000 -19,049,000 2,110,000 -4,177,000 11,957,000 -7,654,000 -22,158,000 24,675,000 19,057,000 -24,699,000 3,821,000 -6,798,000 13,733,000 -21,821,000 855,000 -6,639,000 10,145,000 -19,841,000 -88,000 -3,944,000 10,242,000 -17,715,000 6,406,000 -6,499,000 11,428,000 -9,953,000 3,881,000 234,000 -3,805,000 -8,444,000 8,115,000 -5,052,000 10,636,000 -9,609,000 11,500,000 -5,731,000 3,042,000 -5,223,000 7,937,000 4,591,000 -5,618,000 -6,281,000 19,286,000 -4,631,000 90,000 -4,258,000 4,882,000 3,340,000 5,378,000 -7,553,000 -13,325,000 2,527,000 5,472,000 -2,337,000 3,370,000 -1,286,000 -3,482,000 -3,877,000 1,500,000 -1,259,000 -2,665,000 -3,446,000 913,000 -2,760,000 5,167,000 1,431,000 
          inventories
        8,509,000 -2,216,000 -5,551,000 -7,475,000 -7,197,000 -18,641,000 -746,000 -5,049,000 8,785,000 818,000 7,484,000 -3,016,000 -26,438,000 -16,577,000 -13,692,000 -21,857,000 -3,127,000 -17,986,000 -5,055,000 -11,638,000 -11,001,000 -6,367,000 -716,000 -12,313,000 15,528,000 -1,836,000 -1,838,000 -11,971,000 -1,360,000 -10,663,000 1,601,000 -4,615,000 8,136,000 -12,634,000 3,946,000 -3,374,000 25,244,000 -11,655,000 234,000 -10,720,000 -9,407,000 -17,126,000 -6,848,000 -1,155,000 9,083,000 -10,860,000 -7,227,000 -11,936,000 3,764,000 -4,000,000 3,277,000 -4,858,000 6,246,000 -5,514,000 314,000 2,764,000 2,918,000 -10,846,000 -342,000 420,000 7,881,000 -12,031,000 -8,165,000 -8,002,000 -1,861,000 -3,274,000 -928,000 -3,391,000 -5,137,000 -6,001,000 1,702,000 1,326,000 -795,000 -6,676,000 -10,512,000 -4,638,000 595,000 -3,614,000 1,475,000 -7,836,000 -2,508,000 
          accounts payable
        -13,612,000 5,477,000 5,703,000 -7,317,000 -632,000 2,045,000 301,000 12,999,000 6,716,000 3,680,000 1,754,000 2,699,000 -1,173,000 751,000 4,519,000 9,205,000 11,113,000 -8,770,000 -257,000 2,804,000 -4,454,000 17,180,000 -17,408,000 1,705,000 10,142,000 -5,026,000 -3,302,000 -1,776,000 5,897,000 -3,769,000 1,975,000 8,006,000 -8,087,000 3,408,000 -809,000 5,202,000 5,514,000 4,213,000 3,476,000 -11,109,000 3,516,000 4,129,000 130,000 3,733,000 -5,261,000 3,165,000 -202,000 -1,151,000 2,204,000 4,226,000 -2,520,000 313,000 -1,434,000 348,000 -1,256,000 2,601,000 364,000 -24,000 527,000 1,782,000 -4,344,000 -6,401,000 2,264,000 3,836,000 -5,472,000 5,846,000 -3,131,000 -4,643,000 -983,000 -761,000 -5,463,000 164,000 2,870,000 -2,705,000 944,000 -3,523,000 2,951,000 2,692,000 -1,397,000 2,770,000 -3,672,000 
          income taxes
                                                                                         
          accrued compensation and benefits
        5,923,000 8,060,000 9,111,000 -8,181,000 5,229,000 5,907,000 5,859,000 -19,829,000 8,964,000 5,714,000 5,469,000 -5,722,000 -707,000 3,999,000 2,706,000 -14,966,000 6,037,000 5,799,000 8,186,000 -8,955,000 4,741,000 7,782,000 1,751,000 -18,397,000 8,229,000 8,707,000 6,716,000 -13,695,000 8,579,000 2,836,000 4,681,000 -7,052,000 5,487,000 2,082,000 1,432,000 -8,665,000 1,104,000 1,056,000 2,761,000 -7,519,000 3,076,000 -962,000 -1,593,000 -4,485,000 6,079,000 2,753,000 3,904,000 -9,164,000 7,281,000 41,000 1,437,000 -8,830,000 6,002,000 1,495,000 3,716,000 -10,446,000 4,180,000 3,177,000 1,758,000 -7,442,000 1,917,000 509,000 3,599,000 -3,509,000 2,765,000 5,861,000 -3,037,000 41,000 -3,430,000 4,035,000 730,000 -1,573,000 1,272,000 3,128,000 601,000 -2,989,000 3,103,000 1,589,000 529,000 30,000 929,000 
          other assets
        -225,000 -3,060,000 -4,452,000 -5,422,000 -3,617,000 -2,707,000 -805,000 -6,781,000 133,000 -10,071,000 -535,000 -11,372,000 -6,025,000 -322,000 -5,259,000 -6,129,000 -8,090,000 -3,626,000 -6,287,000 -6,002,000 -2,157,000 -2,379,000 3,626,000 -7,260,000 -9,061,000 737,000 -3,892,000 -10,047,000 -3,893,000 -4,017,000 -6,548,000 -9,758,000 -4,484,000 -2,912,000 -6,848,000 -8,157,000 -20,192,000 2,332,000 2,288,000 -7,662,000 1,519,000 -172,000 -314,000 2,917,000 -921,000 -459,000 -1,254,000 2,088,000 -2,586,000 1,078,000 -1,291,000 -2,423,000 1,513,000 -944,000 -673,000 -1,106,000 -1,346,000 -671,000 -309,000 -1,917,000 929,000 2,287,000 -2,019,000 -865,000 1,031,000 -398,000 -697,000 -133,000 -2,503,000 -885,000 638,000 -1,719,000 215,000 -917,000 -402,000 1,021,000 -499,000 -259,000 -253,000 -571,000 -1,033,000 
          other liabilities
        6,611,000 3,907,000 -14,371,000 10,047,000 -5,074,000 3,830,000 -10,979,000 7,975,000 -5,946,000 4,509,000 -12,602,000 3,949,000 -4,488,000 -2,704,000 10,024,000 -3,088,000 -5,379,000 2,572,000 2,016,000 1,782,000 7,116,000 578,000 2,587,000 -6,793,000 3,070,000 -2,659,000 2,483,000 1,654,000 2,345,000 -7,766,000 -1,915,000 821,000 5,891,000 248,000 -421,000 12,982,000 -3,675,000 757,000 -2,714,000 -2,492,000 2,469,000 -903,000 -801,000 -2,662,000 -4,540,000 -3,905,000 -2,978,000 722,000 54,000 -1,052,000 -2,163,000 -7,566,000 12,000 -157,000 -3,982,000 -5,032,000 86,000 1,450,000 -2,239,000 2,448,000 42,000 -2,875,000 -3,526,000 -2,289,000 1,773,000 4,942,000 -1,692,000 -969,000 3,005,000 -1,639,000 -1,121,000 -5,278,000 4,503,000 -1,599,000 -394,000 342,000 -1,432,000 1,462,000 1,619,000 2,523,000 -4,702,000 
          net cash from operating activities
        46,335,000 53,686,000 29,134,000 41,534,000 43,338,000 51,203,000 43,306,000 29,121,000 56,395,000 46,127,000 26,673,000 -3,847,000 -11,598,000 25,893,000 18,742,000 328,000 33,785,000 21,362,000 34,279,000 22,344,000 20,145,000 35,126,000 5,539,000 3,721,000 40,876,000 36,600,000 21,577,000 -3,920,000 24,703,000 4,351,000 20,625,000 25,022,000 20,812,000 13,428,000 16,028,000 15,298,000 13,583,000 24,762,000 17,157,000 -17,280,000 9,348,000 13,665,000 10,246,000 14,809,000 25,647,000 14,616,000 7,888,000 17,025,000 27,311,000 30,484,000 17,682,000 5,472,000 33,936,000 27,986,000 25,648,000 7,629,000 26,284,000 36,486,000 19,523,000 20,700,000 22,953,000 9,767,000   -751,000 11,792,000 7,271,000 6,716,000 5,318,000 20,745,000 14,332,000 20,754,000 30,431,000 9,665,000 14,582,000 11,216,000 23,775,000 13,332,000 13,454,000 14,011,000 3,642,000 
          capital expenditures
        -5,111,000 -5,187,000 -5,729,000 -3,779,000 -4,040,000 -3,419,000 -3,590,000 -2,035,000 -4,855,000 -5,394,000 -4,529,000 -4,254,000 -5,676,000 -6,711,000 -5,711,000 -3,687,000 -3,188,000 -5,575,000 -2,994,000 -3,109,000 -3,149,000 -3,287,000 -3,752,000 -2,825,000 -6,191,000 -4,869,000 -4,984,000 -4,022,000 -4,756,000 -4,460,000 -3,508,000 -3,783,000 -3,610,000 -3,707,000 -2,941,000 -2,584,000 -4,317,000 -2,769,000 -4,878,000 -2,789,000 -3,531,000 -3,695,000 -3,722,000 -4,061,000 -3,161,000 -3,609,000 -4,576,000 -4,065,000 -4,893,000 -5,351,000 -4,071,000 -4,130,000 -5,563,000 -4,373,000 -5,172,000 -6,424,000 -4,880,000 -4,096,000 -4,433,000 -4,143,000 -3,692,000   -5,058,000 -7,441,000 -6,640,000 -5,975,000 -6,408,000 -3,868,000 -6,491,000 -4,908,000 
          free cash flows
        41,224,000 48,499,000 23,405,000 37,755,000 39,298,000 47,784,000 39,716,000 27,086,000 51,540,000 40,733,000 22,144,000 -8,101,000 -17,274,000 19,182,000 13,031,000 -3,359,000 30,597,000 15,787,000 31,285,000 19,235,000 16,996,000 31,839,000 1,787,000 896,000 34,685,000 31,731,000 16,593,000 -7,942,000 19,947,000 -109,000 17,117,000 21,239,000 17,202,000 9,721,000 13,087,000 12,714,000 9,266,000 21,993,000 12,279,000 -20,069,000 5,817,000 9,970,000 6,524,000 10,748,000 22,486,000 11,007,000 3,312,000 12,960,000 22,418,000 25,133,000 13,611,000 1,342,000 28,373,000 23,613,000 20,476,000 1,205,000 21,404,000 32,390,000 15,090,000 16,557,000 22,953,000 6,075,000   -751,000 6,734,000 7,271,000 -725,000 5,318,000 14,105,000 14,332,000 14,779,000 30,431,000 3,257,000 14,582,000 7,348,000 23,775,000 6,841,000 13,454,000 9,103,000 3,642,000 
          cash flows from investing activities:
                                                                                         
          purchases of property, plant and equipment
        -5,111,000 -5,187,000 -5,729,000 -3,779,000 -4,040,000 -3,419,000 -3,590,000 -2,035,000 -4,855,000 -5,394,000 -4,529,000 -4,254,000 -5,676,000 -6,711,000 -5,711,000 -3,687,000 -3,188,000 -5,575,000 -2,994,000 -3,109,000 -3,149,000 -3,287,000 -3,752,000 -2,825,000 -6,191,000 -4,869,000 -4,984,000 -4,022,000 -4,756,000 -4,460,000 -3,508,000 -3,783,000 -3,610,000 -3,707,000 -2,941,000 -2,584,000 -4,317,000 -2,769,000 -4,878,000 -2,789,000 -3,531,000 -3,695,000 -3,722,000 -4,061,000 -3,161,000 -3,609,000 -4,576,000 -4,065,000 -4,893,000 -5,351,000 -4,071,000 -4,130,000 -5,563,000 -4,373,000 -5,172,000 -6,424,000 -4,880,000 -4,096,000 -4,433,000 -4,143,000    -3,333,000    -7,441,000    -5,975,000    -3,868,000    -4,908,000  
          other
        -2,000,000 850,000    67,000 -3,448,000 2,448,000 1,408,000 610,000 315,000 6,142,000 1,716,000 -1,445,000 2,686,000 8,216,000 6,563,000 1,360,000 42,000 -5,132,000 626,000 1,828,000 -173,000 1,655,000 1,070,000 359,000 107,000 577,000 515,000 331,000 -706,000 -512,000 191,000 191,000 99,000 110,000  -847,000 1,236,000 362,000  1,363,000 1,719,000 138,000 -3,799,000 -4,115,000 5,465,000 1,625,000 -7,109,000 608,000 4,116,000 809,000                          
          net cash from investing activities
        -7,111,000 -5,187,000 -5,729,000 -2,929,000 -4,040,000 -3,419,000 -3,590,000 -2,035,000 -4,855,000 -5,394,000 -5,529,000 -4,254,000 -6,318,000 -91,258,000 -148,266,000 -3,687,000 -3,188,000 -5,575,000 -2,994,000 -3,109,000 -3,149,000 -60,000 -3,752,000 -6,677,000 -8,859,000 -4,869,000 -4,984,000 -368,950,000 -4,756,000 -4,460,000 -3,508,000 -3,783,000 -4,628,000 -17,136,000 -4,706,000 -2,584,000 -4,317,000 2,409,000 -4,904,000 -259,213,000 -6,780,000 -3,695,000 -8,973,000 -4,914,000 -7,181,000 -4,854,000 -4,576,000 -4,065,000 -4,893,000 -5,351,000 -4,071,000 -4,130,000 -7,137,000 -23,100,000 -5,172,000 -70,540,000 -8,999,000 -4,096,000 -4,433,000 -4,215,000 -3,940,000 -3,761,000 -3,904,000 -8,416,000 -4,422,000 -5,132,000 -4,667,000 -7,553,000 -14,017,000 -6,835,000 -16,317,000 -20,733,000 -5,042,000 -10,967,000 -6,083,000 -4,751,000 -5,160,000 -6,496,000 -7,797,000 -3,703,000 -4,017,000 
          cash flows from financing activities:
                                                                                         
          payments on term loan
        -20,000,000 -25,000,000 -40,233,000 -14,588,000         -90,000,000 -2,981,000 -2,981,000 -55,392,000 -4,968,000 -3,313,000 -3,312,000 -3,313,000 -3,312,000 -3,313,000 -3,312,000 -3,312,000 -3,313,000 -144,375,000 -3,281,000 -3,281,000 -3,282,000 -3,281,000 -2,187,000 -2,188,000 -2,187,000 -2,188,000 -2,186,000                                             
          proceeds from term loan
                             265,000,000                                                     
          payments on revolving line of credit
        -187,000,000 -171,000,000 -171,432,000 -166,000,000 -186,000,000 -169,000,000 -230,000,000 -168,000,000 -200,000,000 -213,000,000 -183,000,000 -164,000,000 -126,000,000 -92,000,000 -213,000,000 -99,000,000 -121,000,000 -111,753,000 -89,000,000 -72,000,000 -70,000,000 -72,000,000 -29,000,000 -41,000,000 -49,000,000 -42,000,000 -51,000,000 -342,000,000 -49,000,000 -32,000,000 -38,000,000 -49,000,000 -59,000,000 -30,000,000 -32,000,000 -36,000,000                                              
          proceeds from revolving line of credit
        187,000,000 167,000,000 175,432,000 166,000,000 150,000,000 143,000,000 204,000,000 254,000,000 180,000,000 181,000,000 158,000,000 173,000,000 143,000,000 145,000,000 62,000,000 110,000,000 90,000,000 97,753,000 75,000,000 64,000,000 47,000,000 44,000,000 49,000,000 59,000,000 22,000,000 27,000,000 44,000,000 299,000,000 49,000,000 47,000,000 33,000,000 24,000,000 40,000,000 44,000,000 33,000,000 38,000,000 163,346,000                                             
          payments to redeem convertible notes
            -70,000,000                                                                        
          payments related to contingent consideration
        -11,183,000 -8,483,000 -6,928,000 -7,166,000 -8,795,000 -8,655,000 -12,501,000 -26,928,000        -798,000 -2,686,000    -600,000 -938,000 -1,133,000 -779,000 -1,282,000 -1,546,000 -2,859,000                                                     
          payments related to debt issuance costs
                  -643,000      -1,096,000   -16,210,000         -5,556,000 -75,000                                        
          dividends paid on common stock
        -6,191,000 -6,189,000 -6,186,000 -6,180,000 -6,177,000 -6,163,000 -6,158,000 -6,153,000 -6,149,000 -6,145,000 -6,110,000 -6,098,000 -6,095,000 -6,092,000 -5,899,000 -5,874,000 -5,838,000 -5,830,000 -5,813,000 -5,775,000 -5,719,000 -5,712,000 -5,704,000 -5,683,000 -5,673,000 -5,658,000 -5,643,000 -5,626,000 -5,624,000 -5,621,000 -5,606,000 -5,592,000 -5,585,000 -5,584,000 -5,572,000 -5,566,000 -5,564,000 -5,561,000 -5,546,000 -5,542,000 -5,540,000 -5,539,000 -5,516,000 -5,510,000 -5,504,000 -5,468,000 -5,442,000 -5,545,000 -4,128,000 -4,123,000 -4,189,000 -4,256,000 -4,272,000 -4,262,000                            
          net cash from financing activities
        -37,370,000 -43,525,000 -26,527,000 -28,398,000 -51,070,000 -38,831,000 -44,085,000 -17,014,000 -58,766,000 -37,229,000 -19,787,000 5,350,000 11,515,000 46,875,000 159,121,000 7,489,000 -40,789,000 -29,792,000 -22,095,000 -8,872,000 -27,164,000 -35,665,000 8,031,000 2,739,000 -36,974,000 -23,424,000 -17,675,000 378,954,000 -31,645,000 6,457,000 -13,781,000 -33,296,000 -27,709,000 6,559,000 -7,465,000 -6,266,000 -7,216,000 -23,919,000 -7,825,000 223,162,000 5,482,000 -4,190,000 -6,431,000 -4,634,000 -13,784,000 -1,342,000 -57,000 -11,207,000 -17,534,000 -14,577,000 -6,819,000 7,634,000        -11,713,000 -22,650,000 806,000 -15,161,000 21,399,000 1,062,000   1,033,000     -19,824,000 848,000 -10,212,000 -6,217,000  786,000 -6,069,000 -9,269,000  
          effect of exchange rate changes on cash and cash equivalents
        34,000 20,000 1,572,000 819,000 -2,236,000 645,000 -617,000 -513,000 1,020,000 -850,000 -3,000 303,000 1,989,000 -1,308,000 -1,309,000 -113,000 -472,000 -872,000 429,000 -950,000 1,926,000 1,214,000 856,000 -1,330,000 745,000 -788,000 224,000 -188,000 -482,000 -58,000 -1,066,000 566,000 113,000 1,042,000 1,624,000 784,000  401,000 -1,027,000 721,000  -2,670,000 1,645,000 -5,864,000                                      
          net increase in cash and cash equivalents
        1,888,000 4,994,000 -1,550,000 11,026,000 -14,008,000 9,598,000 -4,986,000 9,559,000 -6,206,000 2,654,000 1,354,000 -2,448,000 -4,412,000 -19,798,000 28,288,000 4,017,000 -10,664,000 -14,877,000 9,619,000 9,413,000 -8,242,000 615,000 10,674,000 -1,547,000 -4,212,000 7,519,000 -858,000 5,896,000 -12,180,000 6,290,000 2,270,000 -11,491,000 -11,412,000 3,893,000 5,481,000 7,232,000      3,110,000 -3,513,000 -603,000  4,200,000 4,096,000 1,875,000  11,708,000 5,764,000 8,639,000  3,573,000 -3,208,000 -6,594,000  15,552,000 6,392,000 5,522,000    -128,000  3,538,000 -1,499,000 367,000 -20,087,000 14,048,000 4,442,000 1,713,000 6,284,000 1,532,000 -658,000 706,000    1,199,000 1,536,000 
          cash and cash equivalents at beginning of year
                                                                                         
          cash and cash equivalents at end of year
                                                                                         
          non-cash investing and financing activities:
                                                                                         
          dividends payable
         2,000 3,000 6,186,000  15,000 5,000 6,158,000  4,000 32,000 6,113,000  3,000 193,000 5,899,000  7,000 17,000 5,813,000  8,000 9,000 5,703,000  16,000 14,000 5,643,000 1,000 5,000 14,000 5,606,000  1,000 11,000 5,573,000 5,000 15,000 5,546,000 2,000 1,000 23,000 5,516,000 6,000 36,000 26,000 5,442,000 1,417,000 5,000 -66,000 4,189,000 -16,000 10,000 -66,000 4,328,000                          
          supplemental disclosures of cash flow information:
                                                                                         
          cash paid during the year for:
                                                                                         
          interest
                                                                                         
          cash and cash equivalents at beginning of period
         24,459,000  24,296,000  28,942,000  20,847,000  27,356,000  25,856,000  17,511,000  32,622,000  27,428,000  72,504,000  66,332,000  54,443,000  23,720,000  26,048,000  12,417,000  10,098,000  11,811,000  11,695,000  3,831,000  3,454,000  
          cash and cash equivalents at end of period
         4,994,000 -1,550,000 35,485,000  9,598,000 -4,986,000 33,855,000  2,654,000 1,354,000 26,494,000  -19,798,000 28,288,000 24,864,000  -14,877,000 9,619,000 36,769,000  615,000 10,674,000 24,309,000  7,519,000 -858,000 23,407,000  6,290,000 2,270,000 21,131,000  3,893,000 5,481,000 34,660,000  3,653,000 3,401,000 19,894,000  3,110,000 -3,513,000 65,729,000  4,200,000 4,096,000 56,318,000  11,708,000 5,764,000 32,359,000  3,573,000 -3,208,000 19,454,000  15,552,000 6,392,000 17,939,000  8,034,000 -1,480,000 9,970,000  3,538,000 -1,499,000 12,178,000  14,048,000 4,442,000 13,408,000  1,532,000 -658,000 4,537,000  8,412,000 427,000 4,653,000  
          non-cash financing activities:
                                                                                         
          loss on convertible notes conversion premium
                                                                                       
          loss on convertible notes hedge transactions settlement
                                                                                       
          increase in cash flows from changes in assets and
                                                                                         
          liabilities, net of acquired assets:
                                                                                         
          payments related to business acquisitions, net of cash acquired
                                             -26,000 -256,424,000                                          
          proceeds from convertible notes
                                345,000,000                                                      
          purchases of convertible notes hedges
                                                                                         
          proceeds from issuance of warrants
                              30,567,000                                                      
          proceeds from settlement of convertible notes hedge transactions
                                                                                       
          payment for settlement of warrants
                                                                                       
          non-cash adjustment to fair value of contingent consideration liability
               -6,545,000 -9,370,000 3,150,000 -637,000 4,436,000                                                                      
          amortization of debt discount
                        2,606,000 2,580,000 2,528,000 2,503,000 2,453,000 2,429,000 2,546,000 2,264,000 2,264,000 2,264,000 2,264,000 1,510,000                             565,000 1,131,000 1,113,000 1,094,000 1,077,000 1,059,000 1,056,000 1,052,000 1,035,000 1,018,000 1,013,000 1,045,000              
          proceeds from issuance of convertible notes
                                                                                        
          purchases of convertible notes hedge transactions
                                                                                        
          contingent consideration
                     114,512,000                                                                    
          payments related to business acquisition, net of cash acquired
                     -84,547,000            -364,928,000                                                      
          payments related to business and asset acquisitions, net of cash acquired
                            -3,852,000         -1,018,000                                                 
          proceeds from sale of a facility
                                                                                       
          impairment charges
                                                                                       
          payments on mortgage notes
                                                -629,000       -535,000   -494,000   -456,000   -420,000   -388,000 -1,000       -724,000 205,000   -644,000 189,000   -573,000 
          purchases of convertible hedges
                                 -51,198,000                                                      
          contractual obligations from asset acquisition
                                   5,500,000 -17,489,000 15,849,000 10,000,000                                                  
          gain on sale of facility
                                                                                        
          payments related to distribution agreement
                                            -16,667,000 -16,667,000                                     
          non-cash investing activities:
                                                                                         
          income tax benefit of stock option exercises
                                                                                         
          excess tax benefit from stock option exercises
                                                                                         
          increase in cash flows from changes in assets and liabilities, net of acquired assets:
                                                                                         
          payments related to business acquisitions and asset acquisitions, net of cash acquired
                                                                                         
          net loss
                                           -4,545,000                                              
          adjustments to reconcile net loss to net cash from operating activities:
                                                                                         
          repurchase of common stock
                                                    -16,862,000 -5,827,000 -18,997,000 -25,732,000                         -4,442,000 -3,406,000 -32,624,000 
          effect of exchange rate changes
                                                                                         
          on cash and cash equivalents
                                                      841,000 122,000 -272,000 1,152,000 -1,028,000 -337,000 -1,957,000 -680,000 -795,000 501,000 -282,000 -1,743,000 355,000 750,000 -470,000   -179,000   -1,210,000 171,000 -316,000 800,000 141,000 1,596,000  1,986,000 1,055,000 458,000 1,271,000 790,000 839,000 160,000  
          contractual obligations for acquisition of a business
                                                                                         
          net decrease in cash and cash equivalents
                                             3,653,000 3,401,000 -52,610,000                                          
          adjustments to reconcile net income
                                                                                         
          to net cash from operating activities:
                                                                                         
          increase in cash flows
                                                                                         
          from changes in assets and liabilities, net of acquired assets:
                                                                                         
          payments on senior credit agreement
                                              -2,188,000 -2,188,000             -21,525,000 -31,725,000 -338,000 21,663,000 -338,000   -338,000 9,663,000   -338,000 -337,000       -19,336,000 1,662,000   -31,338,000 -338,000   -647,000 
          proceeds from senior credit agreement
                                              10,000 253,005,000  2,000,000 2,000,000 17,000,000  2,000,000 4,000,000 27,000,000  -9,000,000 9,000,000 64,000,000  23,000,000 7,000,000 50,000,000                          
          income tax benefit of stock
                                                                                         
          option exercises
                                                                                         
          excess tax benefit from stock
                                                                                         
          liabilities, net of effects from acquisitions:
                                                                                         
          payments related to business acquisitions and asset acquisitions,
                                                                                         
          net of cash acquired
                                                                                         
          net proceeds from common stock issued
                                                                                         
          under employee plans
                                                        4,237,000 2,661,000 2,733,000 7,633,000 751,000 1,546,000 2,523,000 5,345,000 358,000 264,000   1,500,000        299,000 6,453,000    515,000   628,000 865,000    
          proceeds of senior credit agreement
                                                                    5,000,000    -1,000,000 -2,000,000 -3,000,000 12,000,000           37,000,000 
          payments on senior subordinated notes
                                                                                     
          net increase in cash
                                                                                         
          and cash equivalents
                                                                                         
          from changes in assets and liabilities, net of acquisitions:
                                                                                         
          income taxes receivable
                                                 953,000 -1,780,000 675,000  1,904,000 -2,839,000 1,826,000  -2,091,000 -1,415,000 244,000                -2,141,000    1,841,000 5,022,000 -95,000 -707,000 -1,102,000      
          payments related to business acquisitions
                                                                -72,000  -69,000 -74,000 -5,083,000  -74,000 -76,000 -112,000  -195,000 -7,080,000 -14,758,000  -4,559,000 -395,000 -883,000  -5,000    
          net proceeds from common stock issued under employee plans
                                                 196,000 287,000 181,000  763,000 224,000 729,000            1,287,000                      
          payment related to contingent consideration
                                                                                        
          from changes in assets and liabilities:
                                                                                         
          payments related to a business acquisition
                                                   -853,000                                      
          payments related to business acquisitions and distribution agreements,
                                                                                         
          proceeds from sale of property
                                                                                         
          payments related to issuance of debt
                                                        -89,000 -1,636,000                              
          payments on mortgage note
                                                                                         
          payment related to distribution agreement
                                                      -16,667,000  -34,000,000                              
          amortization, all other
                                                            7,229,000 6,962,000 6,666,000 7,124,000 5,501,000 4,907,000 5,027,000 4,830,000 5,107,000 5,040,000 4,941,000 5,083,000 4,841,000 4,580,000 4,705,000 4,395,000              
          impairment of goodwill
                                                                                         
          payment related to senior subordinated notes
                                                                                        
          sale of accounts receivable to (collections
                                                                                         
          on behalf of) purchaser
                                                                                         
          stock-based compensation expense
                                                             1,541,000 1,391,000 1,183,000  1,482,000                        
          payments related to business acquisitions and distribution agreement, net of cash acquired
                                                                                         
          repurchase of treasury stock
                                                                    -13,506,000                    
          net cash from
                                                                                         
          (used in) financing activities
                                                             -633,000 -22,889,000 55,816,000  -15,095,000            -662,000            
          income taxes payable
                                                              -3,357,000 -1,232,000  686,000 -190,000 333,000  -454,000 495,000 -620,000  -565,000           35,000 -526,000 -1,453,000 -468,000 
          payments related to business acquisitions and distribution agreement
                                                              -64,116,000                          
          loss on extinguishment of debt
                                                                                    -273,000    
          increase in cash flows from
                                                                                         
          changes in assets and liabilities
                                                                                         
          of effects from acquisitions:
                                                                                         
          payments related to intangible assets and business acquisitions,
                                                                                         
          net change in cash overdrafts
                                                                -3,485,000 337,000 -2,352,000 4,486,000 463,000 -2,531,000 1,064,000 -673,000 1,585,000 -3,164,000     -1,534,000 1,458,000 -1,694,000 1,770,000 -421,000 -183,000 -664,000 
          sale of accounts receivable to
                                                                                         
          (collections on behalf of) purchaser
                                                                                         
          proceeds from secured borrowings
                                                                     -7,000,000 -2,000,000 33,000,000                  
          sale of accounts receivable to (collections on
                                                                                         
          behalf of) purchaser
                                                                       -29,000,000                  
          payments on long term debt
                                                                   -13,337,000    -9,337,000    -7,913,000    -125,000    -7,791,000    -6,465,000  
          payments related to business acquisitions,
                                                                                         
          adjustments to reconcile net income, to net cash from operating activities:
                                                                                         
          purchases of property, plant, and equipment
                                                                     -3,692,000    -5,058,000    -6,640,000    -6,408,000    -6,491,000    
          (gain) loss on early extinguishment of debt
                                                                                         
          increase (decrease) in cash flows from changes in assets and liabilities:
                                                                                         
          gain on early extinguishment of debt
                                                                         -1,083,000              
          increase (decrease) in cash flows
                                                                                         
          operating activities
                                                                       -12,932,000                  
          net proceeds from common stock issued under
                                                                                         
          employee plans
                                                                       267,000    110,000    221,000    3,268,000    772,000  
          proceeds of long term debt
                                                                                         
          gain on extinguishment of debt
                                                                                         
          increase (decrease) in cash flows from
                                                                                         
          sale of accounts receivable to (collections on behalf of) purchaser
                                                                                         
          purchaser
                                                                          -1,000,000 -2,000,000              
          pension gain
                                                                           -1,882,000              
          goodwill impairment
                                                                                         
          sale of accounts receivable
                                                                            2,000,000 -2,000,000 -6,000,000 3,000,000 5,000,000 -6,000,000 -1,000,000 3,000,000 7,000,000   -3,000,000 -3,000,000 
          contributions to pension plans less than
                                                                                         
          (in excess of) net pension cost
                                                                                         
          loss (gain) on extinguishment of debt
                                                                                         
          proceeds from sale of equity investment
                                                                                    1,205,000  
          adjustments to reconcile net income,
                                                                                         
          gain on legal settlement
                                                                                   -6,072,000      
          accrued interest
                                                                               915,000 -1,206,000 1,115,000 -1,200,000 1,259,000 -1,212,000 831,000 -1,765,000 1,778,000 -720,000 
          financing activities
                                                                               96,000          
          contributions to pension plans less than (in excess of) net pension cost
                                                                                         
          loss on sale of equity investment
                                                                                         
          increase (decrease) in cash flows from changes in assets and liabilities, net of effects from acquisitions:
                                                                                         
          excess tax benefits from stock-based compensation
                                                                                    37,000 70,000 19,000 13,000  
          payments related to issuance of long-term debt
                                                                                        
          stock option expense
                                                                                   852,000   771,000 814,000  
          excess tax benefits from stock-based
                                                                                         
          compensation
                                                                                    -37,000 -70,000 -19,000 -13,000  
          net pension cost
                                                                                         
          write-off of purchased in-process
                                                                                         
          research and development assets
                                                                                         
          proceeds from issuance of 2.50% convertible
                                                                                         
          senior subordinated notes
                                                                                         
          net cash from financing
                                                                                         
          activities
                                                                                         
          net increase in
                                                                                         
          cash and cash equivalents
                                                                                         
          cash and cash equivalents at beginning
                                                                                         
          of year
                                                                                         
          income tax benefit of
                                                                                         
          stock option exercises
                                                                                      19,000 13,000  
          net increase in cash and cash equivalent
                                                                                         
          write-off of purchased in-process research and development assets
                                                                                         
          write-off of deferred financing costs
                                                                                         
          increase in cash flows from changes in assets and liabilities, net of effects from acquisitions:
                                                                                         
          other investing activities
                                                                                         
          redemption of 9.0% senior subordinated notes
                                                                                         
          proceeds from issuance of 2.50% convertible senior subordinated notes
                                                                                         
          write-off of purchased in-process research and
                                                                                         
          development assets
                                                                                         
          net cash fromfinancing activities