7Baggers

Globus Medical, Inc
(NYSE:GMED) 

GMED stock logo

Globus Medical, Inc., a medical device company, develops and commercializes healthcare solutions for patients with musculoskeletal disorders. Its offers spine products, such as consists of traditional fusion implants, such as pedicle screw and rod systems, plating systems, intervertebral spacers, an...

Founded: 2003
Full Time Employees: 2,600 (Dec 2022)
Founder: Daniel Scavilla 
Sector: Healthcare
Industry: Medical Devices
Healthcare
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Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 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 
                                                            
      net sales
    		759,854,000 826,420,000 769,048,000 745,342,000 598,121,000 657,293,000 625,705,000 629,691,000 606,666,000 616,534,000 383,639,000 291,615,000 276,688,000 274,498,000 254,148,000 263,648,000 230,549,000 250,021,000 229,721,000 251,016,000 227,344,000 233,445,000 216,098,000                                  
      yoy
    		27.04% 25.73% 22.91% 18.37% -1.41% 6.61% 63.10% 115.93% 119.26% 124.60% 50.95% 10.61% 20.01% 9.79% 10.63% 5.03% 1.41% 7.10% 6.30%                                      
      qoq
    		-8.05% 7.46% 3.18% 24.61% -9.00% 5.05% -0.63% 3.80% -1.60% 60.71% 31.56% 5.39% 0.80% 8.01% -3.60% 14.36% -7.79% 8.84% -8.48% 10.41% -2.61% 8.03%                                   
      cost of sales and operating expenses:
    		                                                        
      cost of sales
    		234,066,000 261,107,000 252,533,000 248,765,000 195,397,000 263,437,000 270,515,000 260,040,000 241,487,000 265,486,000 135,390,000                                              
      research and development
    		36,510,000 36,163,000 38,067,000 39,954,000 33,062,000 33,408,000 35,380,000 37,698,000 57,268,000 52,252,000 29,329,000 21,347,000 21,082,000 19,507,000 18,701,000 17,395,000 17,412,000 51,022,000 15,853,000 15,547,000 14,924,000 15,241,000 14,421,000 39,455,000 15,402,000 15,496,000 14,508,000 15,746,000 14,324,000 13,758,000 15,527,000 13,523,000 12,689,000 11,413,000 10,887,000 10,713,000 10,666,000 13,643,000 10,265,000 11,251,000 10,199,000 9,836,000 9,409,000 9,081,000 8,656,000 8,404,000 8,146,000 7,694,000 7,443,000 6,418,000 6,568,000 7,037,000 6,847,000 7,228,000 7,022,000 6,940,000 
      selling, general and administrative
    		297,775,000 318,480,000 313,597,000 303,622,000 242,799,000 253,481,000 240,738,000 238,119,000 248,710,000 244,719,000 156,206,000 120,069,000 122,416,000 118,075,000 106,576,000 106,718,000 100,748,000 106,560,000 96,444,000 107,254,000 97,891,000 92,047,000 89,152,000 80,019,000 93,539,000 92,139,000 88,455,000 88,379,000 85,784,000 83,642,000 75,131,000 77,125,000 75,694,000 72,958,000 63,362,000 64,438,000 67,059,000 60,839,000 54,207,000 52,408,000 54,570,000 53,390,000 53,829,000 54,506,000 52,289,000 47,709,000 46,986,000 46,425,000 46,678,000 45,669,000 45,702,000 45,750,000 45,397,000 44,626,000 41,780,000 41,231,000 
      amortization of intangibles
    		29,526,000 29,360,000 29,843,000 30,189,000 28,802,000 29,912,000 30,076,000 29,709,000 29,676,000 28,123,000 13,761,000 4,547,000 4,601,000 4,506,000 4,324,000 4,393,000 4,512,000 4,556,000 4,573,000 4,623,000 4,774,000 4,788,000 4,152,000 4,115,000 3,776,000 3,397,000 3,620,000 3,449,000 3,343,000 3,063,000 2,160,000 2,178,000 2,187,000 2,238,000 2,080,000 1,809,000 1,782,000 1,805,000 884,000                  
      acquisition-related costs
    		6,377,000 10,826,000 -2,713,000 33,156,000 1,057,000 17,088,000 -3,617,000 13,734,000 2,418,000                                                
      restructuring costs
    		5,212,000 1,144,000 358,000 13,547,000  7,000 5,191,000 -566,000 19,141,000                                                
      operating income
    		150,388,000 169,340,000 137,363,000 76,109,000 97,004,000 60,274,000 48,098,000 49,622,000 7,997,000 10,123,000 404,000 66,212,000 56,403,000 54,028,000 59,702,000 67,776,000 46,445,000 18,200,000 53,329,000 45,876,000 54,548,000 58,535,000 50,013,000 -25,563,000 28,448,000 49,979,000 42,061,000 42,869,000 37,079,000 43,251,000 38,301,000 42,139,000 45,633,000 48,360,000 35,795,000 37,371,000 40,314,000 35,722,000 37,650,000 37,918,000 42,851,000 55,997,000 40,675,000 37,030,000 38,520,000 39,644,000 34,923,000 31,553,000 32,242,000 31,747,000 29,503,000 11,192,000 29,231,000 29,110,000 27,060,000 30,565,000 
      yoy
    		55.03% 180.95% 185.59% 53.38% 1113.00% 495.42% 11805.45% -25.06% -85.82% -81.26% -99.32% -2.31% 21.44% 196.86% 11.95% 47.74% -14.85% -68.91% 6.63% -279.46% 91.75% 17.12% 18.91% -159.63% -23.28% 15.56% 9.82% 1.73% -18.75% -10.56% 7.00% 12.76% 13.19% 35.38% -4.93% -1.44% -5.92% -36.21% -7.44% 2.40% 11.24% 41.25% 16.47% 17.36% 19.47% 24.87% 18.37% 181.92% 10.30% 9.06% 9.03% -63.38%     
      qoq
    		-11.19% 23.28% 80.48% -21.54% 60.94% 25.31% -3.07% 520.51% -21.00% 2405.69% -99.39% 17.39% 4.40% -9.50% -11.91% 45.93% 155.19% -65.87% 16.25% -15.90% -6.81% 17.04% -295.65% -189.86% -43.08% 18.83% -1.88% 15.62% -14.27% 12.92% -9.11% -7.66% -5.64% 35.10% -4.22% -7.30% 12.85% -5.12% -0.71% -11.51% -23.48% 37.67% 9.84% -3.87% -2.84% 13.52% 10.68% -2.14% 1.56% 7.61% 163.61% -61.71% 0.42% 7.58% -11.47%  
      operating margin %
    		19.79% 20.49% 17.86% 10.21% 16.22% 9.17% 7.69% 7.88% 1.32% 1.64% 0.11% 22.71% 20.39% 19.68% 23.49% 25.71% 20.15% 7.28% 23.21% 18.28% 23.99% 25.07% 23.14% -Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% 
      other income
    		2,247,000 391,000 1,537,000 772,000 713,000 1,068,000 -570,000 997,000 710,000 -2,456,000 -475,000 716,000 77,000 85,000 74,000 1,395,000 301,000 143,000 -84,000 307,000 214,000 198,000 202,000 199,000 194,000 66,000 169,000 17,000 224,000 164,000 470,000 4,850,000 158,000 150,000 139,000 148,000 134,000 156,000 126,000 125,000 156,000 120,000 116,000 150,000 52,000 -72,000 -124,000 325,000 245,000 73,000 197,000 -221,000 279,000    
      interest income
    		5,434,000 3,312,000 1,455,000 693,000 1,681,000 815,000 -775,000 -2,335,000 -1,894,000 -2,581,000 7,920,000 8,294,000 6,497,000 5,315,000 3,899,000 2,476,000 2,543,000 1,939,000 2,105,000 2,541,000 2,712,000 2,953,000 3,085,000 3,590,000 4,324,000 4,452,000 4,377,000 4,417,000 4,159,000 4,164,000 3,852,000 2,971,000 2,291,000 1,862,000 1,738,000 1,590,000 1,418,000 1,164,000 795,000 602,000 496,000 406,000 342,000 278,000 278,000            
      foreign currency transaction gain
    		-2,113,000 -7,153,000 -161,000 38,000 4,270,000 -37,490,000 10,279,000 -703,000 -15,371,000 19,908,000 -5,314,000 -548,000 212,000 2,688,000 -2,210,000 -1,107,000 -391,000 -454,000 -898,000 209,000 -280,000 527,000 -170,000 -168,000 -468,000 -48,000 145,000 -210,000 189,000 48,000 -26,000 344,000 -5,000 228,000 -315,000 448,000 548,000 20,750 284,000 -309,000 108,000   13,000             
      bargain purchase gain
    		1,118,000 3,343,000 3,800,000 110,561,000                                                     
      total other income
    		6,686,000 -107,000 6,631,000 112,064,000 6,664,000 -35,607,000 8,934,000 -2,041,000 -16,555,000 14,871,000 2,131,000 8,462,000 6,786,000 8,088,000 1,763,000 2,764,000 2,453,000 1,628,000 1,123,000 3,057,000 2,646,000 3,678,000 3,117,000 3,621,000 4,050,000 4,470,000 4,691,000 4,224,000 4,572,000 4,376,000 4,296,000 8,165,000 2,444,000 2,240,000 1,562,000 2,186,000 2,100,000 755,000 1,205,000 418,000 760,000 236,000 253,000 441,000 -347,000            
      income before income taxes
    		157,074,000 169,233,000 143,994,000 188,173,000 103,668,000 24,667,000 57,032,000 47,581,000 -8,558,000 24,994,000 2,535,000 74,674,000 63,189,000 62,116,000 61,465,000 70,540,000 48,898,000 19,828,000 54,452,000 48,933,000 57,194,000 62,213,000 53,130,000 -21,942,000 32,498,000 54,449,000 46,752,000 47,093,000 41,651,000 47,627,000 42,597,000 50,304,000 48,077,000 50,600,000 37,357,000 39,557,000 42,414,000 36,477,000 38,855,000 38,336,000 43,611,000 56,233,000 40,928,000 37,471,000 38,173,000 39,478,000 34,799,000 31,878,000 32,487,000 31,820,000 29,700,000 10,971,000 29,510,000 29,094,000 27,015,000 30,261,000 
      income tax provision
    		32,772,000 28,639,000 25,028,000 -14,673,000 28,206,000 -1,838,000 5,196,000 15,821,000 -1,441,000 9,960,000 1,537,000 16,962,000 14,060,000 12,051,000 14,034,000 15,950,000 10,814,000 4,722,000 7,241,000 7,388,000 11,865,000 9,256,000 8,914,000 -1,105,000 6,549,000 8,920,000 8,445,000 8,930,000 8,441,000 10,877,000 7,389,000 5,327,000 8,539,000 26,224,000 11,766,000 10,890,000 13,700,000 12,179,000 12,628,000 12,530,000 15,601,000 18,632,000 14,447,000 13,417,000 13,525,000 11,840,000 11,738,000 11,231,000 11,348,000 10,835,000 9,390,000 3,545,000 9,619,000 8,327,000 10,528,000 11,260,000 
      net income
    		124,302,000 140,594,000 118,966,000 202,846,000 75,462,000 26,505,000 51,836,000 31,760,000 -7,117,000 15,034,000 998,000 57,712,000 49,129,000 50,065,000 47,431,000 54,590,000 38,084,000 15,106,000 47,211,000 41,545,000 45,329,000 52,957,000 44,216,000 -20,837,000 25,949,000 45,529,000 38,307,000 38,163,000 33,210,000 36,750,000 35,208,000 44,977,000 39,538,000 24,376,000 25,591,000 28,667,000 28,714,000 24,298,000 26,227,000 25,806,000 28,010,000 37,601,000 26,481,000 24,054,000 24,648,000 27,638,000 23,061,000 20,647,000 21,139,000 20,985,000 20,310,000 7,426,000 19,891,000 20,767,000 16,487,000 19,001,000 
      yoy
    		64.72% 430.44% 129.50% 538.68% -1160.31% 76.30% 5093.99% -44.97% -114.49% -69.97% -97.90% 5.72% 29.00% 231.42% 0.47% 31.40% -15.98% -71.47% 6.77% -299.38% 74.68% 16.31% 15.43% -154.60% -21.86% 23.89% 8.80% -15.15% -16.00% 50.76% 37.58% 56.89% 37.70% 0.32% -2.42% 11.09% 2.51% -35.38% -0.96% 7.28% 13.64% 36.05% 14.83% 16.50% 16.60% 31.70% 13.55% 178.04% 6.27% 1.05% 23.19% -60.92%     
      qoq
    		-11.59% 18.18% -41.35% 168.81% 184.71% -48.87% 63.21% -546.26% -147.34% 1406.41% -98.27% 17.47% -1.87% 5.55% -13.11% 43.34% 152.11% -68.00% 13.64% -8.35% -14.40% 19.77% -312.20% -180.30% -43.01% 18.85% 0.38% 14.91% -9.63% 4.38% -21.72% 13.76% 62.20% -4.75% -10.73% -0.16% 18.17% -7.36% 1.63% -7.87% -25.51% 41.99% 10.09% -2.41% -10.82% 19.85% 11.69% -2.33% 0.73% 3.32% 173.50% -62.67% -4.22% 25.96% -13.23%  
      net income margin %
    		16.36% 17.01% 15.47% 27.22% 12.62% 4.03% 8.28% 5.04% -1.17% 2.44% 0.26% 19.79% 17.76% 18.24% 18.66% 20.71% 16.52% 6.04% 20.55% 16.55% 19.94% 22.69% 20.46% -Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% 
      other comprehensive income, net of tax:
    		                                                        
      unrealized gain on marketable securities
    		-1,160,000 101,000 30,000 2,000 315,000 -238,000 912,000 492,000 379,000 6,252,000 2,641,000 40,000 4,298,000 4,199,000 -4,380,000 -5,031,000 -8,828,000                                        
      foreign currency translation gain
    		218,000 4,318,000 658,000 12,404,000 4,379,000 340,000 3,976,000 -1,298,000 -1,232,000 2,292,000 -2,310,000 315,000 910,000 3,397,000 -2,478,000 -3,170,000 -1,567,000 -1,095,000 -491,000 1,026,000 -4,113,000                                    
      total other comprehensive income, net of tax
    		-942,000 4,419,000 688,000 12,406,000 4,694,000 102,000 4,888,000 -806,000 -853,000 8,544,000 331,000 355,000 5,208,000 7,596,000 -6,858,000 -8,201,000 -10,395,000                                        
      comprehensive income
    		123,360,000 145,013,000 119,654,000 215,252,000 80,156,000 26,607,000 56,724,000 30,954,000 -7,970,000 23,578,000 1,329,000 58,067,000 54,337,000 57,661,000 40,573,000 46,389,000 27,689,000 11,388,000 45,729,000 41,797,000 39,550,000                                    
      earnings per share:
    		                                                        
      basic
    		0.92 1.05 0.88 1.5 0.55 0.2 0.38 0.23 -0.05 0.06 0.01 0.57 0.49 0.5 0.48 0.54 0.37 0.15 0.47 0.41 0.45 0.54 0.45 -0.21 0.26 0.46 0.39 0.39 0.34 0.37 0.36 0.46 0.41 0.26 0.27 0.3 0.3 0.25 0.27 0.27 0.29 0.4 0.28 0.25 0.26 0.29 0.24 0.22 0.23 0.22 0.22 0.08 0.22 0.22 0.18 0.22 
      diluted
    		0.9 1.02 0.88 1.49 0.54 0.19 0.38 0.23 -0.05 0.09 0.01 0.57 0.48 0.49 0.47 0.53 0.37 0.14 0.45 0.4 0.44 0.52 0.44 -0.21 0.25 0.44 0.38 0.38 0.33 0.36 0.35 0.44 0.39 0.25 0.26 0.29 0.3 0.25 0.27 0.27 0.29 0.39 0.28 0.25 0.26 0.29 0.24 0.22 0.22 0.22 0.22 0.08 0.21 0.22 0.18 0.21 
      weighted-average shares outstanding:
    		                                                        
      basic
    		135,364 135,215 134,502 135,205 136,757 135,726 135,615 135,195 135,358 113,087 113,537 100,373 100,279 100,469 99,652 100,671 101,600 100,734 101,104 100,449 99,866 98,580 98,217 97,509 99,635 99,150 99,238 99,023 98,727 97,884 98,328 97,830 96,840 96,243 96,318 96,161 95,996 95,647 95,739 95,585 95,398 95,046 95,138 94,979 94,788 94,227 94,399 94,212 93,715 92,647 93,028 92,415 91,805 89,608 90,111 72,757 
      diluted
    		138,191 137,056 135,394 136,499 139,774 137,863 138,062 136,979 135,358 114,630 115,245 101,782 102,196 102,643 101,417 102,884 104,077 103,623 104,418 103,475 102,420 100,971                              93,970 93,573 92,208 92,697 75,657 
      other income, net:
    		                                                        
      provision for litigation
    		     -314,000 -676,000 1,335,000 -31,000 250,000 2,924,000 -2,740,000     2,341,000 5,410,000 605,000  -94,000 -188,000  197,000  565,000 1,625,000       -112,000 2,537,000 243,000  100,000  3,056,000  -11,701,000 27,000 374,000 32,000 974,750 46,000 1,318,000 2,535,000        
      gross profit
    		       369,651,000 365,179,000 351,048,000 248,249,000 215,142,000 205,863,000 203,907,000 188,651,000 195,178,000 171,382,000 188,225,000 171,167,000 187,170,000 172,317,000 172,586,000 159,001,000 98,279,000 141,713,000 162,906,000 150,828,000 150,549,000 141,109,000 149,984,000 131,387,000 135,747,000 136,441,000 135,178,000 114,946,000 115,191,000 120,209,000 112,588,000 104,198,000 104,633,000 107,620,000 107,522,000 103,940,000 100,991,000 99,497,000 97,525,000 90,101,000 86,990,000 88,898,000 88,471,000 81,872,000 82,248,000 81,525,000 80,979,000 75,892,000 77,598,000 
      yoy
    		       71.82% 77.39% 72.16% 31.59% 10.23% 20.12% 8.33% 10.21% 4.28% -0.54% 9.06% 7.65% 90.45% 21.60% 5.94% 5.42% -34.72% 0.43% 8.62% 14.80% 10.90% 3.42% 10.95% 14.30% 17.85% 13.50% 20.06% 10.31% 10.09% 11.70% 4.71% 0.25% 3.61% 8.16% 10.25% 15.36% 16.09% 11.92% 10.23% 10.05% 5.77% 9.04% 9.25% 7.88% 5.99%     
      qoq
    		       1.22% 4.03% 41.41% 15.39% 4.51% 0.96% 8.09% -3.34% 13.88% -8.95% 9.97% -8.55% 8.62% -0.16% 8.54% 61.79% -30.65% -13.01% 8.01% 0.19% 6.69% -5.92% 14.15% -3.21% -0.51% 0.93% 17.60% -0.21% -4.17% 6.77% 8.05% -0.42% -2.78% 0.09% 3.45% 2.92% 1.50% 2.02% 8.24% 3.58% -2.15% 0.48% 8.06% -0.46% 0.89% 0.67% 6.70% -2.20%  
      gross margin %
    		0% 0% 0% 0% 0% 0% 0% 58.70% 60.19% 56.94% 64.71% 73.78% 74.40% 74.28% 74.23% 74.03% 74.34% 75.28% 74.51% 74.56% 75.80% 73.93% 73.58% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% 
      operating expenses:
    		                                                        
      total operating expenses
    		       320,029,000 357,182,000 340,925,000 247,845,000 148,930,000 149,460,000 149,879,000 128,949,000 127,402,000 124,937,000 170,025,000 117,838,000 141,294,000 117,769,000 114,051,000 108,988,000 123,842,000 113,265,000 112,927,000 108,767,000 107,680,000 104,030,000 106,733,000 93,086,000 93,608,000 90,808,000 86,818,000 79,151,000 77,820,000 79,895,000 76,866,000 66,548,000 66,715,000 64,769,000 51,525,000 63,265,000 63,961,000 60,977,000 57,881,000 55,178,000 55,437,000 56,656,000 56,724,000 52,369,000 71,056,000 52,294,000 51,869,000 48,832,000 47,033,000 
      acquisition related costs
    		         13,173,250 45,625,000 5,707,000 1,361,000 7,791,000 -652,000 -1,104,000 -76,000 2,477,000 363,000 13,870,000 274,000 2,163,000 1,263,000 56,000 548,000 1,330,000 559,000 106,000 579,000 392,000 268,000 782,000 238,000 321,000 285,000 617,000 388,000 479,000 1,192,000                  
      cost of goods sold
    		           76,473,000 70,825,000 70,591,000 65,497,000 68,470,000 59,167,000 61,796,000 58,554,000 63,846,000 55,027,000 60,859,000 57,097,000 50,643,000 48,864,000 48,761,000 45,387,000 43,990,000 41,838,000 45,954,000 37,849,000 37,637,000 37,970,000 40,856,000 36,798,000 37,199,000 35,600,000 39,002,000 31,453,000 32,856,000 31,644,000 35,065,000 33,052,000 32,579,000 32,107,000 31,276,000 27,686,000 26,583,000 25,312,000 28,034,000 25,315,000 23,501,000 23,493,000 19,557,000 18,872,000 18,379,000 
      other comprehensive income:
    		                                                        
      unrealized gain on marketable securities, net of tax
    		                 -2,623,000 -991,000 -774,000 -1,666,000                                    
      total other comprehensive income
    		                 -3,718,000 -1,482,000 252,000 -5,779,000                                    
      weighted-average shares outstanding:
    		                                                        
      basic
    		135,364 135,215 134,502 135,205 136,757 135,726 135,615 135,195 135,358 113,087 113,537 100,373 100,279 100,469 99,652 100,671 101,600 100,734 101,104 100,449 99,866 98,580 98,217 97,509 99,635 99,150 99,238 99,023 98,727 97,884 98,328 97,830 96,840 96,243 96,318 96,161 95,996 95,647 95,739 95,585 95,398 95,046 95,138 94,979 94,788 94,227 94,399 94,212 93,715 92,647 93,028 92,415 91,805 89,608 90,111 72,757 
      dilutive stock options
    		                     592.5 2,268  2,511 161 2,862 2,559 2,640 -172 3,476 3,680 3,656 197 1,531 1,657 1,152 -44 753 841 895 -29 981 1,070 1,117 -37 1,076 1,268 1,457 -81 1,394      
      diluted
    		                     25,205.75 100,485 97,509 102,146 313 102,100 101,582 101,367 41 101,804 101,510 100,496 280 97,849 97,818 97,148 28 96,492 96,426 96,293 47 96,119 96,049 95,905 79 95,475 95,480 95,172 148 94,422      
      anti-dilutive stock options excluded from weighted-average calculation
    		                      5,101 11,680 6,637 4,494 5,108 5,021 4,687 2,451 1,950 1,809 1,917 2,873 2,611 2,017 5,758 5,481 5,457 5,469 5,208 3,348               
      sales
    		                       148,922,000 190,577,000 211,667,000 196,215,000 194,539,000 182,947,000 195,938,000 169,236,000 173,384,000 174,411,000 176,034,000 151,744,000 152,390,000 155,809,000 151,590,000 135,651,000 137,489,000 139,264,000 142,587,000 136,992,000 133,570,000 131,604,000 128,801,000 117,787,000 113,573,000 114,210,000 115,245,000 107,187,000 107,009,000 105,018,000 100,536,000 94,764,000 95,977,000 
      foreign currency transaction loss
    		                                         -290,000 -205,000  -677,000            
      anti-dilutive stock equivalents excluded from weighted-average calculation
    		                                          3,234 3,398 2,721 1,666 1,660 1,370 1,235 1,975       
      provision for litigation - cost of goods sold
    		                                                        
      provision for litigation loss
    		                                                 21,795,000  1,260,000     
      anti-dilutive stock equivalents excluded fromweighted-average calculation
    		                                                  1,622      
      provision for litigation settlements
    		                                                    50,000 15,000 30,000 -1,138,000 
      other expense
    		                                                     -31,000 -45,000 -304,000 
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 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 
                                                              
        assets
      		                                                        
        current assets:
      		                                                        
        cash and cash equivalents
      		560,950,000 526,156,000 371,769,000 229,446,000 461,266,000 784,438,000 622,766,000 410,424,000 354,062,000 467,292,000 279,620,000 306,452,000 217,685,000 150,466,000 134,223,000 150,772,000 229,789,000              145,295,000 119,944,000 119,836,000 118,817,000 154,855,000 149,669,000 182,435,000 132,639,000 90,192,000 95,342,000 81,275,000 60,152,000 50,501,000 41,559,000 75,006,000 82,265,000 169,449,000 136,500,000 104,602,000 89,962,000 101,907,000 92,314,000 131,543,000 212,400,000 195,156,000 165,577,000 
        short-term marketable securities
      		68,901,000 31,087,000 18,754,000   105,619,000 71,940,000 82,509,000 80,408,000 50,497,000 189,314,000 306,376,000 286,685,000 295,592,000 271,063,000 257,238,000 243,505,000 250,378,000 191,319,000 191,644,000 218,711,000 187,344,000 159,030,000 151,181,000 110,211,000 115,763,000 111,402,000 122,637,000 190,688,000 199,937,000 227,466,000 240,976,000 249,341,000 254,890,000 182,804,000 162,520,000 143,663,000 157,673,000 167,727,000 229,170,000 236,856,000 220,877,000 188,101,000 158,247,000 138,274,000 146,439,000 129,302,000 139,765,000 176,204,000 148,962,000 111,239,000 68,844,000 30,785,000    
        accounts receivable
      		686,433,000 678,938,000 619,116,000 611,565,000 535,090,000 557,697,000 588,047,000 611,784,000 534,333,000 503,235,000 494,112,000 240,184,000 222,783,000 213,247,000 206,307,000 192,814,000 166,222,000 164,436,000 159,576,000 165,852,000 160,939,000 141,676,000 143,268,000 132,092,000 138,602,000 154,326,000 141,545,000 144,681,000 139,616,000 137,067,000 118,847,000 118,561,000 122,581,000 116,676,000 94,484,000 95,489,000 94,232,000 91,983,000 86,708,000 74,713,000 75,527,000 77,681,000 77,596,000 73,045,000 73,174,000 75,430,000 62,598,000 65,054,000 63,224,000 62,414,000 55,274,000 57,531,000 59,425,000 53,496,000 51,863,000 49,475,000 
        inventories
      		772,602,000 759,277,000 771,538,000 772,131,000 663,603,000 659,233,000 717,703,000 770,463,000 816,196,000 848,135,000 904,977,000 335,556,000 321,033,000 298,981,000 282,408,000 266,043,000 253,886,000 237,001,000 234,368,000 231,208,000 232,007,000 229,153,000 231,858,000 224,457,000 208,451,000 196,314,000 187,060,000 173,040,000 143,380,000 131,254,000 124,372,000 114,758,000 107,580,000 108,409,000 111,462,000 111,108,000 113,037,000 112,692,000 115,606,000 104,417,000 105,147,000 105,260,000 105,705,000 101,046,000 98,947,000 90,945,000 77,430,000 76,362,000 72,507,000 70,350,000 71,199,000 71,356,000 66,867,000 62,310,000 57,038,000 53,122,000 
        prepaid expenses and other current assets
      		60,228,000 65,426,000 74,177,000 68,202,000 47,131,000 49,640,000 50,924,000 46,213,000 43,209,000 44,580,000 47,574,000 19,684,000 19,201,000 20,997,000 23,803,000 18,579,000 19,587,000 18,417,000 16,207,000 15,200,000 16,132,000 17,771,000 19,091,000 19,625,000 17,713,000 17,243,000 14,835,000 13,512,000 12,915,000 15,387,000 13,951,000 16,943,000 12,998,000 11,166,000 9,430,000 5,879,000 7,008,000 14,502,000 11,605,000 5,420,000 5,961,000 7,351,000 7,107,000 6,811,000 5,054,000 5,742,000 6,183,000 5,412,000 4,744,000 5,080,000 6,086,000 5,456,000 4,358,000 3,020,000 3,180,000 4,035,000 
        income taxes receivable
      		49,006,000 64,727,000 69,007,000 48,558,000 3,024,000 20,633,000 5,149,000 2,498,000 366,000 1,635,000 1,740,000 1,758,000 3,042,000 4,061,000 2,197,000 5,722,000 3,609,000 1,215,000 17,168,000 19,311,000 1,736,000 6,424,000 8,097,000 3,982,000 81,000 8,098,000 16,031,000 12,273,000 993,000 7,289,000 13,137,000 18,709,000 89,000 8,717,000 10,527,000 9,986,000 47,000 3,800,000 5,895,000 15,132,000 281,000 8,672,000 7,995,000 6,921,000 529,000 5,772,000 2,101,000 4,690,000 1,142,000 2,723,000 6,660,000 14,050,000 5,546,000 5,105,000 6,346,000 3,812,000 
        total current assets
      		2,198,120,000 2,125,611,000 1,924,361,000 1,729,902,000 1,710,114,000 2,177,260,000 2,056,529,000 1,923,891,000 1,828,574,000 1,915,374,000 1,917,337,000 1,210,010,000 1,070,429,000 983,344,000 920,001,000 891,168,000 916,598,000 864,516,000 980,514,000 891,998,000 814,373,000 821,765,000 811,951,000 696,891,000 641,800,000 687,468,000 637,063,000 583,933,000 617,568,000 630,681,000 646,401,000 633,224,000 614,925,000 620,342,000 563,562,000 535,129,000 540,899,000 513,766,000 478,210,000 535,429,000 515,498,000 544,799,000 506,308,000 454,756,000 455,695,000 470,025,000 484,813,000 467,100,000 460,901,000 416,808,000 384,764,000 337,882,000 323,435,000 360,110,000 333,432,000 293,768,000 
        property and equipment
      		557,139,000 564,452,000 577,791,000 587,505,000 556,496,000 561,909,000 567,822,000 571,776,000 578,887,000 586,932,000 606,911,000 248,048,000 245,098,000 243,729,000 236,342,000 238,882,000 227,541,000 221,076,000 215,665,000 210,749,000 216,186,000 216,879,000 215,274,000 211,902,000 212,605,000 199,841,000 197,098,000 194,133,000 184,288,000 171,873,000 161,768,000 154,342,000 149,193,000 143,167,000 134,214,000 130,123,000 124,840,000 124,229,000 127,084,000 119,077,000 115,105,000 114,743,000 106,180,000 99,913,000 87,916,000 69,475,000 66,062,000 65,572,000 65,643,000 64,150,000 63,614,000 63,934,000 62,533,000 61,089,000 56,892,000 55,772,000 
        operating lease right of use assets
      		61,507,000 63,786,000 59,411,000 61,587,000 48,367,000 49,647,000 52,824,000 53,881,000 56,347,000 59,931,000 94,831,000                                              
        long-term marketable securities
      		169,437,000 71,819,000 16,684,000   66,134,000 12,297,000 27,795,000 51,256,000 75,428,000 275,958,000 391,521,000 480,025,000 495,852,000 503,965,000 473,663,000 546,881,000 562,475,000 431,814,000 453,726,000 434,877,000 358,522,000 275,587,000 319,483,000 380,061,000 409,514,000 383,099,000 369,665,000 300,802,000 263,117,000 168,850,000 155,859,000 104,399,000 56,133,000 58,884,000 60,932,000 63,066,000 60,444,000 64,451,000 65,625,000 58,943,000 48,762,000 61,525,000 81,380,000 71,513,000 75,347,000 47,028,000 36,754,000 24,151,000 36,528,000 50,653,000 70,517,000 61,788,000    
        intangible assets
      		720,845,000 745,064,000 773,902,000 796,372,000 771,688,000 795,117,000 842,778,000 866,565,000 888,208,000 924,603,000 1,261,617,000 54,901,000 59,194,000 63,574,000 54,057,000 59,131,000 64,385,000 68,660,000 73,095,000 76,153,000 80,414,000 86,949,000 81,794,000 85,226,000 88,691,000 78,812,000 81,969,000 85,465,000 84,269,000 87,323,000 89,522,000 74,973,000 78,935,000 78,659,000 87,653,000 90,036,000 61,343,000 61,706,000 67,438,000 32,993,000 32,849,000 33,242,000 33,635,000 33,951,000 34,342,000 34,529,000 29,139,000 29,271,000 29,404,000 29,537,000 9,189,000 9,321,000 9,453,000 9,585,000 9,746,000 7,238,000 
        goodwill
      		1,438,733,000 1,435,033,000 1,434,291,000 1,434,983,000 1,432,964,000 1,432,387,000 1,431,666,000 1,454,117,000 1,451,106,000 1,434,540,000 1,122,428,000 198,932,000 198,710,000 197,471,000 181,774,000 182,702,000 179,045,000 179,708,000 166,578,000 155,777,000 155,373,000 156,716,000 129,662,000 129,184,000 128,952,000 128,775,000 129,004,000 129,901,000 123,680,000 123,734,000 124,015,000 123,750,000 124,780,000 123,890,000 119,273,000 112,769,000 106,215,000 105,926,000 110,250,000 91,964,000 91,964,000 91,964,000 91,964,000 93,561,000 93,573,000 53,196,000 18,372,000 18,372,000 18,372,000 18,372,000 15,372,000 15,372,000 15,372,000 15,372,000 15,342,000 9,808,000 
        other assets
      		78,964,000 78,781,000 76,838,000 74,843,000 74,856,000 75,096,000 76,643,000 77,569,000 78,216,000 78,590,000 69,478,000 47,215,000 44,985,000 43,311,000 35,654,000 34,007,000 34,307,000 36,334,000 33,574,000 33,147,000 28,693,000 32,039,000 22,851,000 21,070,000 20,568,000 21,741,000 15,212,000 15,671,000 12,962,000 10,364,000 6,726,000 7,202,000 7,454,000 7,947,000 8,280,000 1,051,000 954,000 928,000 1,015,000 302,000 306,000 590,000 1,049,000 1,102,000 1,090,000 975,000 1,025,000 931,000 951,000 909,000 1,080,000 1,049,000 1,039,000 977,000 630,000 718,000 
        deferred income taxes
      		214,810,000 218,215,000 232,362,000 275,897,000 116,663,000 94,200,000 45,485,000 18,199,000 11,018,000 10,685,000 7,315,000 61,838,000 51,179,000 48,845,000 44,719,000 35,159,000 29,937,000 24,494,000 9,338,000 8,663,000 7,974,000 6,615,000 4,620,000 2,046,000 6,688,000 5,926,000 8,737,000 11,978,000 12,350,000 13,578,000 15,391,000 17,816,000 20,474,000 20,031,000 36,127,000 34,974,000 33,104,000     38,687,000 43,918,000 42,445,000 41,341,000 40,062,000 37,750,000 39,317,000 38,478,000 37,317,000 32,399,000 28,331,000 24,911,000 23,779,000 19,849,000 17,747,000 
        total assets
      		5,439,555,000 5,302,761,000 5,095,640,000 4,961,089,000 4,711,148,000 5,251,750,000 5,086,044,000 4,993,793,000 4,943,612,000 5,086,083,000 5,355,875,000 2,212,465,000 2,149,620,000 2,076,126,000 1,976,512,000 1,914,712,000 1,998,694,000 1,957,263,000 1,910,578,000 1,830,213,000 1,737,890,000 1,679,485,000 1,541,739,000 1,465,802,000 1,479,365,000 1,532,077,000 1,452,182,000 1,390,746,000 1,335,919,000 1,300,670,000 1,238,506,000 1,193,833,000 1,127,660,000 1,078,502,000 1,037,160,000 995,014,000 960,421,000 927,637,000 901,743,000 869,476,000 839,988,000 834,100,000 800,661,000 764,663,000 744,129,000 703,547,000 646,439,000 618,000,000 599,422,000 566,304,000 524,672,000 498,075,000 473,620,000 447,133,000 416,042,000 367,304,000 
        liabilities and equity
      		                                                        
        current liabilities:
      		                                                        
        accounts payable
      		103,658,000 98,852,000 87,227,000 87,099,000 73,144,000 75,118,000 57,537,000 67,163,000 50,487,000 56,671,000 86,934,000 33,811,000 39,835,000 36,101,000 31,971,000 34,195,000 26,093,000 21,955,000 20,678,000 21,270,000 22,409,000 18,205,000 30,022,000 27,715,000 24,227,000 24,614,000 24,137,000 23,745,000 25,031,000 25,895,000 23,061,000 20,727,000 28,161,000 25,039,000 16,553,000 16,291,000 17,013,000 17,472,000 13,936,000 11,628,000 12,124,000 15,971,000 16,358,000 18,326,000 19,384,000 15,904,000 9,703,000 8,814,000 9,446,000 10,073,000 8,876,000 9,172,000 8,784,000 9,991,000 5,963,000 7,371,000 
        accrued expenses
      		313,431,000 333,586,000 325,924,000 281,747,000 237,566,000 260,591,000 255,260,000 215,885,000 210,011,000 240,460,000 221,670,000 89,606,000 83,998,000 94,705,000 88,361,000 82,543,000 75,531,000 91,168,000 81,480,000 78,453,000 69,908,000 78,334,000 61,803,000 69,243,000 60,052,000 63,283,000 60,695,000 50,607,000 48,605,000 59,878,000 47,764,000 47,978,000 43,975,000 52,594,000 46,609,000 41,707,000 37,409,000 46,401,000 43,287,000 47,887,000 42,190,000 53,769,000 64,169,000 60,507,000 57,817,000 61,499,000 55,606,000 51,366,000 49,152,000 51,125,000 44,411,000 40,436,000 19,290,000 25,003,000 20,510,000 19,207,000 
        operating lease liabilities
      		15,121,000 14,738,000 14,355,000 13,179,000 10,622,000 10,249,000 11,040,000 11,118,000 11,749,000 11,967,000 13,385,000                                              
        income taxes payable
      		3,032,000 4,155,000 1,285,000  12,739,000 10,725,000 4,174,000 11,429,000 43,058,000 3,845,000 34,402,000 1,758,000 16,389,000 990,000 1,308,000 3,471,000 16,525,000 1,046,000 1,971,000 3,427,000 8,434,000 1,101,000 979,000 1,990,000 898,000 1,057,000 357,000 431,000 1,068,000 917,000 2,322,000 2,979,000 2,178,000 3,274,000 2,023,000 1,400,000 11,708,000 1,911,000 3,696,000 664,000 6,390,000 763,000 550,000 601,000 9,557,000 569,000 2,062,000 212,000 8,654,000 2,358,000 255,000 246,000 11,816,000 523,000 1,389,000 764,000 
        business acquisition liabilities
      		20,874,000 19,513,000 18,900,000 18,619,000 33,458,000 33,739,000 32,110,000 38,221,000 29,649,000 61,035,000 54,339,000 13,595,000 13,784,000 13,308,000 11,329,000 12,623,000 11,535,000 11,770,000 8,729,000 8,182,000 6,048,000 5,777,000 997,000 665,000 6,333,000 6,727,000 5,603,000 6,016,000 2,000,000 6,830,000 6,693,000 6,507,000 6,659,000 11,411,000 9,742,000                      
        deferred revenue
      		26,347,000 27,655,000 18,267,000 24,020,000 17,172,000 22,140,000 20,802,000 19,845,000 17,077,000 18,369,000 17,992,000 14,945,000 13,541,000 14,100,000 12,286,000 13,185,000 11,807,000 12,025,000 9,667,000 9,005,000 8,653,000 8,125,000 6,179,000 6,513,000 6,452,000 5,402,000 4,129,000 3,385,000 2,788,000 2,598,000 1,878,000 2,089,000 1,579,000                        
        total current liabilities
      		482,463,000 498,499,000 465,958,000 424,664,000 384,701,000 855,913,000 818,065,000 794,146,000 786,324,000 392,347,000 428,722,000 155,220,000 167,547,000 159,204,000 145,255,000 146,017,000 141,491,000 140,164,000 122,525,000 130,042,000 123,677,000 120,792,000 99,980,000 106,126,000 97,962,000 111,403,000 94,921,000 84,184,000 79,492,000 96,118,000 81,718,000 80,280,000 82,552,000 93,073,000 74,927,000 69,061,000 75,369,000 79,892,000 65,807,000 70,280,000 72,337,000 82,691,000 94,419,000 91,733,000 93,311,000 89,412,000 72,759,000 65,970,000 72,491,000 67,942,000 58,480,000 56,635,000 45,274,000 39,508,000 34,074,000 29,025,000 
        business acquisition liabilities, net of current portion
      		79,444,000 81,995,000 78,247,000 86,353,000 84,597,000 89,496,000 81,748,000 83,111,000 81,661,000 78,323,000 75,627,000 52,455,000 52,486,000 54,950,000 52,965,000 55,691,000 56,501,000 58,755,000 49,113,000 39,813,000 29,973,000 31,493,000 3,551,000 3,551,000 3,156,000 2,822,000 3,288,000 3,288,000 3,289,000 3,288,000 3,378,000 3,815,000 4,195,000 4,508,000 10,778,000 10,676,000 6,087,000 5,972,000 15,020,000 17,950,000 17,056,000 21,126,000 20,732,000 20,625,000 25,802,000 20,195,000 15,348,000 15,449,000 15,621,000 15,528,000 9,055,000 9,312,000 9,564,000 9,909,000 10,126,000 8,333,000 
        deferred income taxes and other tax liabilities
      		24,658,000 23,756,000 22,538,000 24,402,000 46,605,000 23,889,000 7,475,000 27,264,000 39,952,000 84,421,000                                               
        other liabilities
      		20,576,000 21,343,000 25,084,000 22,062,000 25,486,000 21,531,000 22,983,000 25,205,000 23,505,000 24,596,000 22,400,000 14,426,000 13,398,000 13,820,000 12,603,000 11,400,000 11,519,000 12,642,000 15,879,000 15,611,000 15,321,000 14,701,000 16,876,000 14,164,000 9,021,000 9,377,000 8,155,000 7,651,000 7,986,000 7,634,000 2,670,000 2,561,000 2,541,000 2,474,000 1,786,000 1,802,000 1,819,000 1,819,000 1,784,000 1,715,000 1,710,000 1,699,000 3,400,000 3,393,000 3,332,000 3,320,000 2,790,000 4,124,000 4,115,000 4,089,000 3,570,000 3,531,000 3,516,000 3,500,000 3,185,000 2,758,000 
        total liabilities
      		707,243,000 729,511,000 696,815,000 665,406,000 623,080,000 1,074,417,000 1,016,647,000 1,017,428,000 1,021,251,000 1,088,124,000 1,168,590,000 227,400,000 234,800,000 229,753,000 212,401,000 215,619,000 213,322,000 215,875,000 192,309,000 190,940,000 174,896,000 173,188,000 124,535,000 128,887,000 115,999,000 129,625,000 113,387,000 103,220,000 98,705,000 115,154,000 97,389,000 96,647,000 100,792,000 110,724,000 101,896,000 89,714,000 91,536,000 95,559,000 91,624,000 89,945,000 91,103,000 118,776,000 126,744,000 121,538,000 129,965,000 118,093,000 92,631,000 89,690,000 97,357,000 93,944,000 76,296,000 75,942,000 65,320,000 60,631,000 51,780,000 45,616,000 
        commitments and contingencies
      		                                                        
        equity:
      		                                                        
        class a common stock
      		113,000 113,000 112,000 113,000 113,000 115,000 113,000 113,000 113,000 114,000 118,000 78,000 78,000 78,000 77,000 77,000 79,000 79,000 79,000 79,000 78,000 77,000 76,000 75,000 76,000 77,000 77,000 77,000 77,000 76,000 76,000 74,000 73,000 73,000 72,000 72,000 72,000 72,000 72,000 72,000 71,000 71,000 71,000 71,000 71,000 71,000           
        class b common stock
      		22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 22,000 23,000 24,000 24,000 24,000 24,000 24,000 24,000 24,000 24,000 24,000 24,000 24,000 24,000 24,000 24,000 24,000           
        additional paid-in capital
      		3,205,514,000 3,169,812,000 3,095,279,000 3,071,652,000 3,053,927,000 3,031,244,000 2,949,917,000 2,913,609,000 2,886,436,000 2,870,749,000 2,858,091,000 657,240,000 645,062,000 630,952,000 606,352,000 581,907,000 570,082,000 553,787,000 542,055,000 508,788,000 474,307,000 457,161,000 422,774,000 387,611,000 369,984,000 357,320,000 339,120,000 325,061,000 316,665,000 299,869,000 291,875,000 283,132,000 253,758,000 238,341,000 229,475,000 224,796,000 217,257,000 211,725,000 207,182,000 202,797,000 197,875,000 192,629,000 188,603,000 184,243,000 179,482,000 175,242,000 170,885,000 168,008,000 162,554,000 153,987,000 151,104,000 145,418,000 139,000,000 136,501,000 135,076,000 109,269,000 
        accumulated other comprehensive income
      		14,404,000 15,346,000 10,927,000 10,239,000 -2,167,000 -6,861,000 -6,963,000 -11,851,000 -11,045,000 -10,192,000 -18,736,000 -19,067,000 -19,422,000 -24,630,000 -32,226,000 -25,368,000 -17,167,000  -3,054,000 -1,572,000 -1,824,000  2,207,000 1,298,000                                 
        retained earnings
      		1,512,259,000 1,387,957,000 1,292,485,000 1,213,657,000 1,036,173,000 1,152,813,000 1,126,308,000 1,074,472,000 1,046,835,000 1,137,266,000 1,347,790,000 1,346,792,000 1,289,080,000 1,239,951,000 1,189,886,000 1,142,455,000 1,232,356,000 1,194,272,000 1,179,167,000 1,131,956,000 1,090,411,000 1,045,082,000 992,125,000 947,909,000 999,550,000 1,047,931,000 1,002,402,000 964,094,000 925,930,000 892,721,000 855,971,000 820,763,000 775,785,000 736,247,000 711,871,000 686,280,000 657,613,000 628,899,000 604,601,000 578,374,000 552,568,000 524,558,000 486,957,000 460,476,000 436,422,000 411,774,000 384,136,000 361,075,000 340,428,000 319,289,000 298,304,000 277,994,000 270,568,000 250,677,000 229,910,000 213,423,000 
        total equity
      		4,732,312,000 4,573,250,000 4,398,825,000 4,295,683,000 4,088,068,000 4,177,333,000 4,069,397,000 3,976,365,000 3,922,361,000 3,997,959,000 4,187,285,000 1,985,065,000 1,914,820,000 1,846,373,000 1,764,111,000 1,699,093,000 1,785,372,000 1,741,388,000 1,718,269,000 1,639,273,000 1,562,994,000 1,506,297,000 1,417,204,000 1,336,915,000 1,363,366,000 1,402,452,000 1,338,795,000 1,287,526,000 1,237,214,000 1,185,516,000 1,141,117,000 1,097,186,000 1,026,868,000 967,778,000 935,264,000 905,300,000 868,885,000 832,078,000 810,119,000 779,531,000 748,885,000 715,324,000 673,917,000 643,125,000 614,164,000 585,454,000 553,808,000 528,310,000 502,065,000 472,360,000 448,376,000 422,133,000 408,300,000 386,502,000 364,262,000 321,688,000 
        total liabilities and equity
      		5,439,555,000 5,302,761,000 5,095,640,000 4,961,089,000 4,711,148,000 5,251,750,000 5,086,044,000 4,993,793,000 4,943,612,000 5,086,083,000 5,355,875,000 2,212,465,000 2,149,620,000 2,076,126,000 1,976,512,000 1,914,712,000 1,998,694,000 1,957,263,000 1,910,578,000 1,830,213,000 1,737,890,000 1,679,485,000 1,541,739,000 1,465,802,000 1,479,365,000 1,532,077,000 1,452,182,000 1,390,746,000 1,335,919,000 1,300,670,000 1,238,506,000 1,193,833,000 1,127,660,000 1,078,502,000 1,037,160,000 995,014,000 960,421,000 927,637,000 901,743,000 869,476,000 839,988,000 834,100,000 800,661,000 764,663,000 744,129,000 703,547,000 646,439,000 618,000,000 599,422,000 566,304,000 524,672,000 498,075,000 473,620,000 447,133,000 416,042,000 367,304,000 
        senior convertible notes
      		     443,351,000 437,142,000 430,485,000 424,044,000 417,400,000 409,723,000                                              
        payable to broker
      		        249,000   1,505,000      2,200,000  9,705,000 8,225,000 9,250,000    10,320,000                               
        cash, cash equivalents, and restricted cash
      		                 193,069,000 361,876,000 268,783,000 184,848,000 239,397,000 250,607,000 165,554,000 166,742,000 195,724,000 166,190,000 117,790,000 129,976,000 139,747,000                           
        accumulated other comprehensive loss
      		                 -6,772,000    3,955,000   -6,266,000 -2,898,000 -2,826,000 -1,728,000 -5,480,000 -7,172,000 -6,828,000 -6,807,000 -2,772,000 -6,907,000 -6,178,000 -5,872,000 -6,081,000 -8,642,000 -1,760,000 -1,736,000 -1,653,000 -1,958,000 -1,738,000 -1,689,000 -1,835,000 -1,657,000 -1,307,000 -867,000 -1,011,000 -1,009,000 -1,125,000 -1,372,000 -1,360,000 -767,000 -815,000 -1,128,000 
        current portion of note receivable
      		                              3,333,000 3,333,000 2,500,000 1,667,000                       
        note receivable
      		                              25,833,000 26,667,000 27,500,000 28,333,000 29,167,000 30,000,000 30,000,000 30,000,000 25,000,000                  
        restricted cash
      		                                   478,000 477,000 477,000 477,000 11,235,000 10,451,000 26,119,000 25,385,000 24,682,000 23,370,000 23,370,000           
        other current liabilities
      		                                 755,000                       
        business acquisition liabilities, current
      		                                   9,663,000 9,239,000 14,108,000 4,888,000 10,101,000 11,633,000 12,188,000 13,342,000 12,299,000 6,553,000 6,081,000 1,443,000 1,419,000 1,399,000 1,730,000 1,652,000 1,580,000 1,506,000 1,435,000 1,375,000 1,200,000 
        accounts payable to related-party
      		                                             5,359,000 3,945,000 4,159,000 3,840,000 2,656,000       
        common stock; 0.001
      		                                              94,000 94,000 94,000 93,000 93,000 93,000 92,000 91,000 91,000 73,000 
        accounts payable to related party
      		                                                  3,286,000 5,201,000 3,878,000 2,556,000 4,837,000 483,000 
        convertible preferred stock; 0.001 par value. authorized 50,961 shares; issued and outstanding 0 and 50,961 shares at december 31, 2012 and 2011, respectively
      		                                                        
        convertible preferred stock; 0.001 par value. authorized 50,961 shares; issued and outstanding 0 and 50,961 shares at september 30, 2012 and december 31, 2011
      		                                                        
        convertible preferred stock; 0.001 par value. authorized, issued and outstanding 50,691 shares at june 30, 2012 and december 31, 2011
      		                                                       51,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 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 
                                                               
          cash flows from operating activities:
        		                                                       
          net income
        		124,302,000 140,594,000 118,966,000 202,846,000 75,462,000 26,505,000 51,836,000 31,760,000 -7,117,000 15,034,000 998,000 57,712,000 49,129,000 50,065,000 47,430,000 54,590,000 38,084,000 15,106,000 47,211,000 41,545,000 45,329,000 52,957,000 44,216,000 -20,837,000 25,949,000 45,529,000 38,307,000 38,164,000 33,210,000 36,750,000 35,208,000 44,978,000 39,538,000 24,376,000 25,591,000 28,667,000 28,714,000 24,298,000 26,227,000 25,806,000 28,010,000 37,601,000 26,481,000 24,054,000 24,648,000 27,638,000 23,061,000 20,647,000 21,139,000 20,985,000 20,310,000 7,426,000 19,891,000 20,767,000 16,487,000 
          adjustments to reconcile net income to net cash from operating activities:
        		                                                       
          bargain purchase gain
        		-1,118,000 -3,343,000 -3,800,000                                                     
          depreciation and amortization
        		69,856,000 69,011,000 71,126,000 70,631,000 66,074,000 68,228,000 66,947,000 63,588,000 55,261,000 71,162,000 37,388,000 18,075,000 18,108,000 16,910,000 17,578,000 16,927,000 16,837,000 16,829,000 16,751,000 19,130,000 17,157,000 16,904,000 16,301,000 15,101,000 14,568,000 14,046,000 13,575,000 12,859,000 12,254,000 11,936,000 10,461,000 9,757,000 9,476,000 8,294,000 10,838,000 10,695,000 12,240,000 17,235,000 7,838,000 7,022,000 6,676,000 6,415,000 6,090,000 5,905,000 5,674,000 5,697,000 5,373,000 5,387,000 5,297,000 5,186,000 4,859,000 4,742,000 4,610,000 4,608,000 4,612,000 
          provision for excess and obsolete inventory
        		4,960,000 6,131,000 5,055,000 4,973,000 5,960,000 7,165,000 5,696,000 6,584,000 3,914,000                                               
          amortization of acquisition accounting fair value step up
        		                                                       
          stock-based compensation expense
        		12,617,000 11,418,000 11,538,000 13,617,000 13,206,000 11,907,000 12,211,000 12,813,000 17,260,000 12,445,000 22,755,000 8,589,000 8,953,000 8,507,000 8,314,000 7,837,000 8,152,000 7,805,000 7,451,000 7,632,000 7,698,000 5,935,000 7,020,000 7,311,000 6,807,000 6,438,000 6,898,000 6,301,000 6,448,000 4,821,000 5,545,000 5,480,000 6,053,000 4,027,000 3,597,000 3,571,000 3,491,000 2,945,000 2,747,000 2,920,000 2,770,000 2,704,000              
          allowance for expected credit losses
        		5,277,000 4,912,000 757,000 1,348,000 3,206,000 1,319,000                                                  
          change in fair value of business acquisition liabilities
        		6,352,000 10,794,000 -2,721,000 5,222,000 167,000 17,913,000 -4,131,000 12,904,000 -165,000 13,003,000 1,151,000 3,726,000 -446,000 7,175,000 -653,000 -1,127,000 -263,000 2,471,000 208,000 13,870,000 258,000 1,647,000 564,000 -43,000 506,000 1,208,000 0 0 579,000 393,000 176,000 182,000 234,000                       
          change in deferred income taxes
        		7,962,000 18,100,000 41,761,000 -41,745,000 509,000 -33,179,000 -27,448,000 -20,184,000 -45,091,000 -11,799,000 -34,830,000 -7,181,000 -3,979,000 -5,209,000 -9,075,000 -4,945,000 -2,994,000 -14,484,000 -1,348,000 -975,000 -808,000 120,000 -3,331,000 1,768,000 -2,895,000 1,868,000 1,010,000 365,000 1,059,000 -635,000 177,000 1,553,000 -124,000 7,477,000 5,053,000 -1,839,000 -2,399,000 -2,454,000 -2,981,000 1,234,000 391,000 10,350,000 932,000 -2,830,000 -2,217,000 736,000 -884,000 -1,816,000 -2,415,000       
          loss on disposal of assets
        		2,449,000 4,087,000 2,307,000 3,518,000 2,613,000 2,865,000 2,223,000 430,000 34,000 75,000 1,337,000 48,000 81,000 58,000 41,000 85,000 115,000 81,000 192,000 88,000 103,000 95,000 89,000 418,000 207,000 348,000 223,000 201,000 94,000 137,000 253,000                         
          payment of business acquisition-related liabilities
        		-2,273,000 -593,000 -661,000 -13,752,000 -2,012,000 -679,000 -1,119,000 -850,000 -16,115,000                                               
          net loss from foreign currency adjustment
        		98,000 2,030,000 -3,279,000 -7,570,000 -3,772,000 27,566,000 -8,912,000 -4,633,000 11,191,000                                               
          decrease in:
        		                                                       
          accounts receivable
        		-13,399,000 -64,153,000 -8,424,000 -2,208,000 22,603,000 22,483,000 23,661,000 -87,813,000 -36,393,000 -12,961,000 -8,716,000 -18,376,000 -9,861,000 -4,643,000 -15,976,000 -28,610,000 -1,614,000 -5,967,000 5,659,000 -5,241,000 -20,346,000 2,284,000 -10,894,000 5,175,000 14,131,000 -12,939,000 1,165,000 -3,999,000 -2,533,000 -18,889,000 -643,000 2,823,000 -5,080,000 -22,755,000 972,000 -947,000 -2,225,000 -7,779,000 487,000 423,000 2,201,000 -725,000 -5,059,000 -297,000 1,888,000 -11,781,000 1,605,000 -1,679,000 -812,000 -7,469,000 2,267,000 1,787,000 -6,197,000 -1,609,000 -2,227,000 
          inventories
        		-16,651,000 -178,000 -5,698,000 -4,135,000 -7,587,000 -11,887,000 4,882,000 -13,869,000 -8,986,000 -11,350,000 -20,320,000 -16,188,000 -22,470,000 -13,095,000 -17,229,000 -13,482,000 -17,939,000 -2,810,000 -3,137,000 -2,027,000 -3,997,000 -2,840,000 -12,900,000 -22,263,000 -12,108,000 -9,149,000 -12,775,000 -14,250,000 -13,844,000 -8,340,000 -11,922,000 -9,914,000 -1,206,000 1,679,000 -2,304,000 -2,550,000 -2,102,000 -3,894,000 -2,797,000 -1,560,000 -2,252,000 -2,329,000 -5,347,000 -4,290,000 -7,361,000 -5,466,000 -3,041,000 -5,501,000 -3,993,000 -963,000 -2,760,000 -5,946,000 -7,009,000 -5,954,000 -5,258,000 
          prepaid expenses and other assets
        		6,942,000 17,821,000 -7,541,000 -3,682,000 4,534,000 4,167,000 -1,107,000 -3,779,000 1,778,000 2,428,000 820,000 -2,936,000 836,000 -3,426,000 -8,134,000 721,000 547,000 -5,384,000 -1,639,000 -3,671,000 4,516,000 -6,707,000 -1,506,000 -2,670,000 -205,000 -9,219,000 -111,000 -3,781,000 848,000 -7,415,000 3,222,000 -2,069,000 -1,234,000 -3,800,000 -9,480,000 -122,000 8,628,000 -2,764,000 6,218,000 -95,000 1,209,000 165,000 -471,000 -1,793,000 896,000 1,076,000 -941,000 -623,000 239,000 1,514,000 -365,000 -896,000 -850,000 209,000 958,000 
          increase in:
        		                                                       
          accounts payable
        		5,082,000 9,141,000 3,431,000 -3,186,000 -899,000 16,369,000 -10,267,000 17,314,000 -5,753,000 -6,271,000 -5,183,000 -6,685,000 3,916,000 4,011,000 -1,968,000 8,215,000 4,160,000 1,163,000 -216,000 -1,475,000 4,212,000 -11,753,000 2,427,000 3,257,000 -283,000 931,000 743,000 -3,728,000 2,827,000 1,850,000 893,000 -6,479,000 728,000 10,187,000 1,316,000 -1,488,000 -172,000 3,403,000 -1,719,000 -469,000 -1,238,000 -1,013,000 -2,746,000 -901,000 835,000 6,881,000 -1,432,000 275,000 -1,096,000 818,000 779,000 563,000 -320,000 3,014,000 -1,789,000 
          accrued expenses and other liabilities
        		-24,668,000 8,775,000 39,283,000 14,817,000 -28,658,000 4,634,000 29,340,000 4,930,000 -33,881,000 -3,452,000 21,467,000 9,081,000 -9,969,000 4,427,000 9,068,000 8,020,000 -15,428,000 10,396,000 3,941,000 8,342,000 -4,783,000 13,859,000 11,505,000 5,946,000 -13,702,000 5,818,000 9,969,000 1,240,000 -9,984,000 16,693,000 139,000 4,968,000 -7,072,000 7,313,000 -4,880,000 5,673,000 -10,170,000 12,014,000 -20,100,000 5,583,000 -15,661,000 -12,207,000 6,107,000 3,839,000 -3,904,000 163,000 3,470,000 2,400,000 -2,015,000 7,324,000 3,815,000 21,314,000 -5,490,000 4,819,000 1,441,000 
          income taxes payable/receivable
        		14,576,000 7,085,000 -19,310,000 -58,234,000 19,608,000 -8,501,000 -11,653,000 -33,740,000 40,517,000 -13,794,000 10,339,000 -13,393,000 16,440,000 -2,177,000 1,254,000 -14,944,000 12,980,000 15,037,000 694,000 -22,600,000 12,081,000 1,762,000 -5,135,000 -2,833,000 7,863,000 8,658,000 -3,840,000 -11,932,000 6,441,000 4,403,000 4,952,000 -17,773,000 7,497,000 2,937,000 116,000 -20,318,000 13,493,000 -9,000 12,439,000 -20,313,000 14,517,000 -382,000 -462,000 -14,036,000 14,223,000 -5,155,000 4,452,000 -11,993,000 7,875,000 6,035,000 7,425,000 -20,091,000 10,853,000 -4,910,000 3,481,000 
          net cash from operating activities
        		202,364,000 248,587,000 249,695,000 77,865,000 177,300,000 210,339,000 203,654,000 54,258,000 52,387,000 104,674,000 50,484,000 35,028,000 53,313,000 63,975,000 32,920,000 36,883,000 44,690,000 76,253,000 77,262,000 59,189,000 63,570,000 80,184,000 53,248,000 23,068,000 42,293,000 54,309,000 55,866,000 22,597,000 39,203,000 44,291,000 51,788,000 33,269,000 52,295,000 44,837,000 35,273,000 25,976,000 53,449,000 51,896,000 41,934,000 23,016,000 55,047,000 44,080,000 30,046,000 13,161,000 34,670,000 1,945,000 35,645,000 12,350,000 29,232,000 32,658,000 33,557,000 8,980,000 18,276,000 19,450,000 22,189,000 
          capital expenditures
        		-29,098,000 -46,197,000 -35,817,000 -43,122,000 -26,089,000 -12,632,000 -46,658,000 -23,716,000 -23,142,000 -21,752,000 -21,534,000 -18,995,000 -9,498,000 -16,258,000 -11,661,000 -22,839,000 -15,866,000 -15,985,000 -17,841,000 -7,469,000 -11,052,000 -13,784,000 -17,325,000 -9,956,000 -22,314,000 -15,793,000 -12,062,000 -14,740,000 -28,155,000 -17,159,000 -15,371,000 -14,793,000 -12,374,000 -13,425,000 -12,817,000 -13,528,000 -11,533,000 -14,208,000 -6,559,000 -10,776,000 -9,366,000 -14,154,000 -11,480,000 -17,898,000 -7,228,000 -9,095,000 -3,428,000 -6,067,000 -6,164,000 -5,205,000 -5,519,000 -6,184,000 -6,772,000 -7,652,000 -5,183,000 
          free cash flows
        		173,266,000 202,390,000 213,878,000 34,743,000 151,211,000 197,707,000 156,996,000 30,542,000 29,245,000 82,922,000 28,950,000 16,033,000 43,815,000 47,717,000 21,259,000 14,044,000 28,824,000 60,268,000 59,421,000 51,720,000 52,518,000 66,400,000 35,923,000 13,112,000 19,979,000 38,516,000 43,804,000 7,857,000 11,048,000 27,132,000 36,417,000 18,476,000 39,921,000 31,412,000 22,456,000 12,448,000 41,916,000 37,688,000 35,375,000 12,240,000 45,681,000 29,926,000 18,566,000 -4,737,000 27,442,000 -7,150,000 32,217,000 6,283,000 23,068,000 27,453,000 28,038,000 2,796,000 11,504,000 11,798,000 17,006,000 
          cash flows from investing activities:
        		                                                       
          purchases of marketable securities
        		-146,393,000 -70,422,000 -35,359,000 0 -1,750,000 -100,138,000 -1,192,000 -4,157,000 -8,017,000 0 -19,262,000 -12,240,000 -69,141,000 -97,434,000 -143,004,000 -36,951,000 -142,145,000 -275,302,000 -53,965,000 -107,982,000 -185,110,000 -166,122,000 0 0 -57,418,000 -69,080,000 -66,840,000 -82,695,000 -127,911,000 -155,595,000 -73,124,000 -190,820,000 -118,403,000 -189,286,000 -84,413,000 -67,981,000 -51,215,000 -63,640,000 -50,737,000 -68,678,000 -104,208,000 -90,300,000 -63,716,000 -70,817,000 -72,874,000 -90,273,000 -56,134,000 -29,672,000 -75,343,000 -54,144,000 -42,686,000 -50,875,000 -93,187,000   
          sales and maturities of marketable securities
        		8,243,000                                                       
          purchases of property and equipment
        		-39,615,000 -46,197,000 -35,817,000 -46,562,000 -36,103,000 -17,111,000 -41,952,000 -27,798,000 -28,568,000 -22,881,000 -21,534,000 -17,868,000 -15,991,000 -18,340,000 -11,983,000 -23,753,000 -19,971,000 -17,045,000 -17,795,000 -8,386,000 -13,672,000 -14,063,000 -17,325,000 -9,956,000 -22,314,000 -15,793,000 -12,062,000 -14,740,000 -28,155,000 -17,159,000 -15,371,000 -14,793,000 -12,374,000 -13,425,000 -12,817,000 -13,528,000 -11,533,000 -14,208,000 -6,559,000 -10,776,000 -9,366,000 -14,154,000 -11,480,000 -17,898,000 -7,228,000 -9,095,000 -3,428,000 -6,067,000 -6,164,000 -5,205,000 -5,519,000 -6,184,000 -6,772,000 -7,652,000 -5,183,000 
          acquisition of businesses, net of cash acquired and purchases of intangible and other assets
        		-4,909,000 0 0   0 -100,000 -4,886,000 -12,649,000 0 -293,366,000 0 -2,662,000 -30,260,000 0 -175,000 -1,000,000         336,000 0                             
          net cash from investing activities
        		-182,674,000 -111,449,000 -75,842,000 -299,108,000 131,385,000 -104,122,000 -14,967,000 -10,378,000 -46,584,000 320,615,000 -80,861,000 52,222,000 10,992,000 -60,484,000 -63,110,000 27,126,000 -13,894,000 -243,797,000 -6,885,000 -143,000 -125,114,000 -119,092,000 7,661,000 -3,299,000 -2,592,000 -36,035,000 -13,668,000 -36,739,000 -53,839,000 -52,617,000 -28,863,000 -55,433,000 -56,114,000 -16,308,000 -31,447,000 -62,559,000 -963,000 -6,408,000 -46,214,000 -10,811,000 -36,120,000 -35,406,000 -22,840,000 -48,525,000 -43,779,000 -91,427,000 -3,774,000 16,178,000 -20,977,000 -45,906,000 -28,126,000 -53,159,000 -99,959,000 -7,652,000 -11,214,000 
          cash flows from financing activities:
        		                                                       
          net proceeds from exercise of stock options
        		25,961,000 62,758,000 11,079,000 4,697,000 11,223,000 69,283,000 23,505,000 14,238,000 3,413,000                                               
          payments related to tax withholdings for share-based compensation
        		-3,440,000 -211,000 255,000 -660,000 -2,293,000 66,000 -840,000 -612,000 -5,343,000                                               
          repurchase of common stock
        		 -45,000,000 -40,000,000 -25,000,000 -190,451,000 -1,000,000 0 -1,471,000 -83,316,000     0 0       0 0 -30,805,000 -73,864,000                               
          repayment of senior convertible notes
        		 0 0 0 -449,985,000                                                   
          net cash from financing activities
        		18,197,000 13,215,000 -32,042,000 -24,937,000 -635,396,000 59,733,000 19,583,000 8,709,000 -115,721,000 -237,270,000 1,425,000 1,084,000 2,940,000 13,591,000 13,162,000 -142,762,000 6,047,000 -1,023,000       -68,667,000 11,185,000 6,619,000 1,730,000 4,905,000 2,838,000 2,551,000 23,314,000 3,867,000 -83,000 1,032,000 3,688,000 -3,011,000 -3,471,000 1,573,000 1,834,000 2,105,000 941,000 1,654,000 1,923,000 1,809,000 2,158,000 916,000 3,431,000 6,441,000 1,271,000 3,999,000 4,953,000 788,000 5,460,000 18,628,000 
          effect of foreign exchange rates on cash
        		-3,093,000 4,034,000 512,000 14,360,000 3,539,000 -4,278,000 4,072,000 3,773,000 -3,312,000 -347,000 2,120,000 433,000 -26,000 -839,000 479,000 -264,000 -123,000  38,000 -39,000 -569,000                                   
          net increase in cash and cash equivalents
        		34,794,000 154,387,000 142,323,000 -231,820,000 -323,172,000 161,672,000 212,342,000 56,362,000 -113,230,000 187,672,000 -26,832,000 88,767,000 67,219,000 16,243,000 -16,549,000 -79,017,000 36,720,000                 29,647,000 5,186,000 -32,766,000 49,796,000 42,447,000 -5,150,000 14,067,000 21,123,000  8,942,000 -33,447,000 -7,259,000 -87,184,000 32,949,000 31,898,000 14,640,000 -11,945,000 9,593,000 -39,229,000 -80,857,000 17,244,000 29,579,000 
          cash and cash equivalents at beginning of period
        		526,156,000 0 0 0 784,438,000 0 0 0 467,292,000 0 0 0 150,466,000 0 0 0 193,069,000                                       
          cash and cash equivalents at end of period
        		560,950,000 154,387,000 142,323,000 -231,820,000 461,266,000 161,672,000 212,342,000 56,362,000 354,062,000 187,672,000 -26,832,000 88,767,000 217,685,000 16,243,000 -16,549,000 -79,017,000 229,789,000                                       
          supplemental disclosures of cash flow information:
        		                                                       
          income taxes paid
        		5,991,000 3,820,000 1,870,000 86,027,000 7,199,000 41,034,000 45,888,000 69,619,000 1,967,000 35,422,000 26,192,000 37,255,000 1,724,000 19,522,000 21,605,000 36,124,000 572,000 5,577,000 7,853,000 31,027,000 570,000 6,109,000 17,181,000 356,000 1,791,000 83,000 10,081,000 22,525,000 1,450,000 5,658,000 2,227,000 21,470,000 1,197,000 10,103,000 13,533,000 32,819,000 2,656,000 13,078,000 4,795,000 31,440,000 774,000 11,145,000 14,075,000 31,371,000 509,000 14,734,000 9,240,000 23,954,000 3,168,000 7,763,000 5,065,000 25,473,000 418,000 8,558,000 12,895,000 
          non-cash investing and financing activities:
        		                                                       
          accrued purchases of property and equipment
        		10,517,000 0 0 3,440,000 10,014,000 4,479,000 -4,706,000 4,082,000 5,426,000 1,129,000                                              
          acquired in-process research and development
        		     0 0 0 12,613,000             0 0                                 
          amortization of acquisition accounting fair value step-up
        		                                                       
          maturities of marketable securities
        		 5,250,000 0 0 58,630,000 10,920,000 26,037,000 21,624,000 85,000 25,760,000 55,102,000 73,782,000 85,546,000 73,095,000 68,554,000 64,023,000 106,549,000 56,022,000 40,147,000 91,889,000 39,850,000 33,632,000 12,447,000 16,617,000 71,766,000 41,190,000 44,250,000 71,114,000 90,454,000 67,983,000 51,964,000 84,772,000 73,330,000 73,900,000 63,720,000 47,453,000 55,280,000 70,747,000 81,643,000 59,839,000 69,656,000 57,384,000 45,874,000 20,870,000 64,574,000 40,360,000 48,915,000 49,042,000 46,250,000 21,560,000 15,100,000     
          sales of marketable securities
        		 0 0 0 115,608,000 2,207,000 2,240,000 4,839,000 2,565,000 317,736,000 198,199,000 8,548,000 13,240,000 12,455,000 23,323,000 23,982,000 42,673,000 27,016,000 24,728,000 24,336,000 33,818,000 28,953,000 22,539,000 12,031,000 5,374,000 7,312,000 20,984,000 13,717,000 11,773,000 21,154,000 21,493,000 62,408,000 1,333,000 110,946,000 2,063,000 2,998,000 6,505,000 5,693,000 30,507,000 8,804,000 7,798,000 11,664,000 6,979,000 19,321,000 19,764,000 3,709,000 6,873,000 2,875,000 14,280,000 8,658,000      
          acquisition of intangible assets
        		 -80,000 -4,666,000 0 -5,000,000                                                   
          equity issued in conjunction with the nuvasive merger
        		         0                                              
          amortization of premiums on marketable securities
        		  -53,000 0 -421,000 -516,000 -105,000 -38,000 24,000                                               
          amortization of inventory fair value step-up
        		  6,958,000 5,966,000 49,000                                                   
          amortization of 2025 notes fair value step-up
        		  0 0 6,658,000                                                   
          proceeds from credit facility
        		  0                                                     
          repayment of borrowings from credit facility
        		  0                                                     
          amortization of inventory fair value step up
        		      60,756,000 53,671,000 53,670,000 52,591,000                                              
          amortization of 2025 note fair value step up
        		      6,658,000 6,657,000 6,658,000                                               
          allowance for doubtful accounts
        		       8,513,000 2,968,000 -626,000 2,421,000 1,053,000 810,000 395,000 132,000 200,000 -728,000 317,000 293,000 510,000 80,000 219,000 286,000 1,699,000 756,000 294,000 1,503,000 1,196,000 33,000 569,000 76,000 95,000 217,000 583,000 177,000 164,000 794,000 365,000 172,000 60,000 88,000 508,000 240,000 670,000 47,000 82,000 124,000 23,000 89,000 459,000 145,000 35,000 54,000 27,000 21,000 
          payment of business acquisition related liabilities
        		         -635,000 -880,000 -718,000 -772,000 -626,000 -922,000 -356,000 -743,000   -1,568,000 -1,537,000 0                                  
          amortization of premium (discount) on marketable securities
        		          -56,000 304,000 482,000 943,000 1,238,000 1,518,000 1,690,000 1,018,000 632,000 611,000 520,000 372,000 111,000 84,000 20,000 -81,000 -272,000 -340,000 -396,000                           
          write-down for excess and obsolete inventories
        		          2,728,000 1,917,000 2,055,000 510,000 1,822,000 2,234,000 1,834,000     5,330,000 5,195,000 6,537,000 679,000 559,000 -529,000 301,000 2,167,000 2,149,000 2,920,000 2,923,000 2,483,000 3,361,000 3,196,000 3,291,000 1,671,000 5,917,000 2,383,000 2,311,000 2,225,000 2,802,000 2,392,000             
          payment of business acquisition liabilities
        		          -1,874,000 -2,115,000 -1,919,000 -1,897,000 -1,735,000 -1,854,000 -1,699,000       -287,000 -566,000 -501,000 -463,000 -283,000 -5,350,000 -226,000 -563,000 -510,000 -5,440,000 -4,875,000 0 -233,000 -5,001,000 -5,004,000 0 -100,000 -300,000 -300,000 -300,000 -300,000 -300,000 -300,000 -300,000 -400,000 -200,000 -300,000 -300,000 -300,000 -400,000 -300,000 -200,000 
          proceeds from exercise of stock options
        		          3,299,000 3,199,000 4,859,000 15,488,000 14,897,000 3,585,000 7,746,000 3,563,000 24,336,000 26,496,000 9,101,000 28,201,000 28,157,000 10,201,000 5,763,000 11,686,000 7,082,000 2,013,000 10,255,000 3,064,000 3,114,000 23,824,000 9,307,000 4,792,000 1,032,000 3,921,000 1,990,000 1,446,000 853,000 1,680,000 1,895,000 1,164,000 1,298,000             
          purchases of property and equipment included in accounts payable and accrued expenses
        		           -1,127,000 6,493,000 2,082,000 322,000 914,000 4,105,000 1,060,000 -46,000 917,000 2,620,000 279,000                                  
          effect of foreign exchange rate on cash
        		                     486,000 461,000 -66,000 -16,000 75,000 -417,000 226,000 -40,000 -60,000 -125,000 -1,042,000 971,000 1,201,000 328,000 129,000 321,000 430,000 -2,443,000 28,000 91,000 36,000 82,000 -6,000 41,000 140,000 162,000 -61,000 -56,000 32,000 163,000 -3,000 38,000 -14,000 -24,000 
          net increase in cash, cash equivalents, and restricted cash
        		                 -168,807,000 93,093,000 83,935,000 -54,549,000 -11,210,000 85,053,000 -1,188,000 -28,982,000 29,534,000 48,400,000 -12,186,000 -9,771,000 -5,548,000 25,351,000 108,000 1,019,000                       
          cash, cash equivalents, and restricted cash at beginning of period
        		                 0 0 0 239,397,000 0 0 0 195,724,000 0 0 0 139,747,000 0 0 0 118,817,000                       
          cash, cash equivalents, and restricted cash at end of period
        		                 -168,807,000 93,093,000 83,935,000 184,848,000 -11,210,000 85,053,000 -1,188,000 166,742,000 29,534,000 48,400,000 -12,186,000 129,976,000 -5,548,000 25,351,000 108,000 119,836,000                       
          write-down of excess and obsolete inventories
        		                  570,000 3,450,000 1,550,000                                   
          acquisition of businesses, net of cash acquired, and purchases of intangible and other assets
        		                             0                          
          net cash from/used in financing activities
        		                   24,928,000 7,564,000                                   
          collections/(issuance) of note receivable
        		                                                       
          proceeds from sale of assets
        		                             1,000,000 1,000,000                         
          net cash from/provided by financing activities
        		                     27,212,000 23,683,000                                 
          interest paid
        		                       6,000 1,000 22,000 53,000 2,000 2,000     -31,000 13,000 13,000 8,000 12,000 21,000 1,000 1,000 0 0   0 7,000 12,000 13,000 54,000 12,000 13,000 17,000 24,000 13,000 
          impairment of intangible assets
        		                                                       
          amortization of premium on marketable securities
        		                             -131,000 331,000 692,000 785,000 413,000 403,000 847,000 1,008,000 1,001,000 982,000 1,132,000 953,000 1,002,000 982,000 730,000 640,000 607,000 507,000         
          non-cash settlement of accrued expenses
        		                                                       
          acquisition of businesses, net of cash acquired
        		                                 1,557,000 0   0    0 -497,000 -1,000 -48,015,000           
          change in fair value of contingent consideration
        		                                   333,000 478,000                 96,000 63,000 
          restricted cash
        		                                 0 478,000   -1,000 10,758,000 -784,000 15,668,000 -734,000 -703,000             
          accounts payable to related party
        		                                                 -630,000 -1,915,000 1,323,000 1,322,000 -2,281,000 4,354,000 
          issuance of note receivable
        		                                     -5,000,000                  
          cash and cash equivalents, beginning of period
        		                                 -65,685,000 0 0 132,639,000 0 0 0 60,152,000 0 0 0 82,265,000 0 0 0 89,962,000 0 0 0 212,400,000 0 0 
          cash and cash equivalents, end of period
        		                                 -36,038,000 5,186,000 -32,766,000 182,435,000 42,447,000 -5,150,000 14,067,000 81,275,000 9,651,000 8,942,000 -33,447,000 75,006,000 -87,184,000 32,949,000 31,898,000 104,602,000 -11,945,000 9,593,000 -39,229,000 131,543,000 17,244,000 29,579,000 
          excess tax benefit related to nonqualified stock options
        		                                     -87,000 -720,000 -254,000 -510,000 -77,000 -656,000 -2,001,000 684,000 364,000 203,000 1,055,000 2,786,000 237,000 2,332,000 1,884,000 303,000 5,305,000 -2,701,000 
          accounts payable to related-party
        		                                          0 0 -5,359,000  -214,000 319,000 1,184,000       
          net decrease in cash and cash equivalents
        		                                                       
          stock-based compensation
        		                                           2,538,000 2,131,000 1,900,000 1,661,000 1,623,000 1,927,000 1,312,000 1,387,000 1,166,000 1,312,000 953,000 1,545,000 
          provision for excess and obsolete inventories
        		                                            2,529,000 1,523,000 1,904,000 1,722,000 1,813,000 1,807,000 2,942,000 1,463,000 2,000,000 733,000 1,686,000 
          proceeds from issuance of common stock
        		                                            1,425,000  1,013,000 2,776,000 3,855,000       
          adjustments to reconcile net income to net cash from operating activities
        		                                                       
          acquisition of businesses
        		                                                     0  
          net proceeds from initial public offering
        		                                                     -3,000  
          net proceeds from issuance of common stock
        		                                                 1,334,000 1,967,000 3,369,000 885,000 458,000  
          repayments of long-term debt
        		                                                       
          purchase of common stock
        		                                                       
          deferred income taxes
        		                                                  -5,332,000 -3,906,000 -1,900,000  -3,185,000 
          acquisition of business
        		                                                       
          change in fair value of interest rate swap
        		                                                       
          sales of short-term investments
        		                                                       
          net proceeds from issuance of common and preferred stock