7Baggers

Integra LifeSciences Holdings Corporation
(NASDAQ:IART) 

IART stock logo

Integra LifeSciences Holdings Corporation develops, manufactures, and markets surgical implants and medical instruments for use in neurosurgery, extremity reconstruction, orthopedics, and general surgery. It operates in two segments, Codman Specialty Surgical, and Orthopedics and Tissue Technologies...

Full Time Employees: 4,000
Sector: Healthcare
Industry: Medical Devices

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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 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 2001-09-30 2001-03-31 
                                                                                    
      total revenue
    391,918,000 434,925,000 402,062,000 415,605,000 382,653,000 442,646,000 380,834,000 418,175,000 368,872,000 397,039,000 382,421,000 381,267,000 380,846,000 398,022,000 385,191,000 397,815,000 376,638,000 405,524,000 386,861,000 389,992,000 360,071,000 388,647,000 370,232,000 258,665,000 354,324,000 395,127,000 379,095,000 383,645,000 359,690,000 383,315,000 365,854,000 366,190,000 357,082,000 204,908,500 278,834,000 282,164,000 258,636,000 255,664,000 250,332,000 249,309,000 236,770,000 241,160,000 226,367,000 244,078,000 233,665,000 169,032,250 229,719,000 231,351,000 215,059,000 153,861,250 213,246,000 205,547,000 196,652,000 154,109,750 210,084,000 210,170,000 196,185,000 203,523,000 202,185,000 193,329,000 181,041,000 194,134,000 186,641,000 178,595,000 172,698,000 183,526,000 172,286,000 165,725,000 160,950,000 174,370,000 167,028,000 157,000 156,008,000 157,645,000 135,015,000 134,767,000 123,032,000   21,684,000 
      yoy
    2.42% -1.74% 5.57% -0.61% 3.74% 11.49% -0.41% 9.68% -3.14% -0.25% -0.72% -4.16% 1.12% -1.85% -0.43% 2.01% 4.60% 4.34% 4.49% 50.77% 1.62% -1.64% -2.34% -32.58% -1.49% 3.08% 3.62% 4.77% 0.73% 87.07% 31.21% 29.78% 38.06% -19.85% 11.39% 13.18% 9.24% 6.01% 10.59% 2.14% 1.33% 42.67% -1.46% 5.50% 8.65% 9.86% 7.72% 12.55% 9.36% -0.16% 1.51% -2.20% 0.24% -24.28% 3.91% 8.71% 8.36% 4.84% 8.33% 8.25% 4.83% 5.78% 8.33% 7.77% 7.30% 5.25% 3.15% 105457.32% 3.17% 10.61% 23.71% -99.88% 26.80%   521.50%     
      qoq
    -9.89% 8.17% -3.26% 8.61% -13.55% 16.23% -8.93% 13.37% -7.09% 3.82% 0.30% 0.11% -4.32% 3.33% -3.17% 5.62% -7.12% 4.82% -0.80% 8.31% -7.35% 4.97% 43.13% -27.00% -10.33% 4.23% -1.19% 6.66% -6.16% 4.77% -0.09% 2.55% 74.26% -26.51% -1.18% 9.10% 1.16% 2.13% 0.41% 5.30% -1.82% 6.53% -7.26% 4.46% 38.24% -26.42% -0.71% 7.58% 39.77% -27.85% 3.75% 4.52% 27.61% -26.64% -0.04% 7.13% -3.61% 0.66% 4.58% 6.79% -6.74% 4.01% 4.51% 3.41% -5.90% 6.52% 3.96% 2.97% -7.70% 4.40% 106287.26% -99.90% -1.04% 16.76% 0.18% 9.54%     
      costs and expenses:
                                                                                    
      cost of goods sold
    174,936,000 214,060,000 195,071,000 206,273,000 188,221,000 193,574,000 180,596,000 192,258,000 162,038,000 170,546,000 164,076,000 174,241,000 147,975,000 147,937,000 148,445,000 148,404,000 142,569,000 156,250,000 144,468,000 151,267,000 145,823,000 147,069,000 134,811,000 105,478,000 133,476,000 149,462,000 142,636,000 143,671,000 128,912,000 146,464,000 143,245,000 137,565,000 144,222,000 71,835,000 101,757,000 98,998,000 86,585,000 85,422,000 89,329,000 89,565,000 84,773,000 90,001,000 86,069,000 86,539,000 86,722,000 63,833,250 85,974,000 86,976,000 82,383,000 61,859,250 84,101,000 83,068,000 80,268,000 58,124,250 79,548,000 78,274,000 74,675,000                        
      research and development
    23,501,000 24,790,000 22,456,000 26,997,000 24,728,000 31,210,000 27,435,000 29,767,000 26,965,000 24,284,000 26,596,000 26,588,000 26,724,000 26,783,000 24,736,000 25,589,000 24,085,000 24,725,000 25,831,000 20,121,000 22,374,000 22,179,000 19,460,000 14,926,000 20,816,000 26,293,000 19,003,000 17,633,000 18,321,000 20,299,000 20,309,000 19,108,000 18,325,000 11,568,750 15,034,000 15,747,000 15,494,000 13,901,000 15,124,000 14,679,000 14,451,000 13,866,000 13,938,000 13,891,000 12,556,000 9,859,750 13,127,000 13,745,000 12,567,000 9,394,250 13,052,000 11,809,000 12,716,000 9,537,000 13,105,000 13,131,000 11,912,000 13,402,000 13,187,000 12,709,000 12,153,000 13,331,000 11,721,000 11,761,000 11,301,000 11,810,000 11,525,000 10,302,000 10,643,000 10,186,000 34,718,000 7,793,000 7,798,000 11,813,000 6,546,000 6,239,000 6,060,000 19,650,000 2,172,000 2,073,000 
      selling, general and administrative
    178,235,000 169,267,000 169,046,000 179,890,000 181,497,000 178,520,000 177,193,000 195,472,000 165,798,000 163,128,000 161,948,000 164,908,000 166,657,000 151,919,000 143,820,000 160,651,000 159,926,000 162,250,000 156,010,000 162,552,000 156,633,000 162,390,000 150,076,000 116,108,000 165,952,000 174,254,000 173,098,000 165,378,000 174,870,000 177,228,000 173,355,000 176,597,000 163,566,000 108,364,250 145,945,000 145,015,000 142,497,000 112,119,000 112,317,000 119,217,000 111,956,000 109,750,000 113,424,000 126,590,000 114,064,000 83,371,750 109,896,000 115,253,000 108,338,000 73,928,250 95,933,000 99,619,000 100,161,000 69,146,250 93,077,000 96,097,000 87,411,000 94,808,000 87,508,000 95,732,000 80,084,000 82,590,000 75,738,000 74,216,000 72,511,000 76,484,000 69,915,000 68,252,000 66,451,000 67,373,000 87,660,000 63,475,000 62,489,000 64,861,000 56,241,000 54,980,000 49,105,000    
      intangible asset amortization
    3,776,000 3,768,000 3,728,000 3,754,000 3,704,000 3,715,000 3,760,000 3,707,000 10,107,000 3,034,000 3,208,000 3,026,000 3,108,000 3,543,000 3,141,000 3,304,000 3,894,000 4,076,000 4,113,000 4,198,000 4,527,000 4,364,000 8,343,000 8,073,000 6,977,000 5,688,000 5,056,000 11,004,000 5,279,000 5,216,000 5,268,000 5,286,000 5,390,000 3,744,000 5,456,000 5,419,000 4,101,000 3,452,000 3,467,000 3,471,000 3,471,000 3,535,000 2,942,000 3,104,000 3,535,000 2,253,250 2,995,000 2,985,000 3,033,000 2,415,000 3,036,000 3,073,000 3,551,000 3,496,250 4,618,000 4,647,000 4,720,000 4,824,000 4,548,000 4,050,000 3,011,000 2,744,000 2,679,000 3,575,000 3,019,000 3,441,000 4,005,000 3,461,000 3,456,000 3,705,000 3,224,000 2,973,000 2,973,000 2,991,000 3,029,000 3,845,000 2,787,000    
      total costs and expenses
    380,448,000 411,885,000 390,301,000 928,279,000 398,150,000 407,019,000 388,984,000 421,204,000 364,908,000 360,992,000 355,828,000 368,763,000 344,464,000 330,182,000 320,142,000 337,948,000 330,474,000 347,301,000 330,422,000 338,138,000 329,357,000 336,002,000 312,690,000 244,585,000 327,221,000 359,047,000 399,682,000 337,686,000 327,382,000 349,207,000 342,177,000 338,556,000 331,503,000 195,512,000 268,192,000 265,179,000 248,677,000 214,894,000 220,237,000 226,932,000 214,651,000 217,152,000 216,373,000 230,124,000 216,877,000 159,318,000 211,992,000 218,959,000 206,321,000 159,281,250 242,860,000 197,569,000 196,696,000 140,303,750 190,348,000 192,149,000 178,718,000 195,774,000 183,894,000 185,329,000 160,169,000 169,971,000 159,332,000 154,016,000 150,055,000 155,679,000 148,466,000 141,820,000 138,698,000 149,402,000 189,919,000 132,400,000 135,472,000 142,091,000 116,679,000 117,872,000 106,529,000 301,773,000 20,014,000 19,302,000 
      operating income
    11,470,000 23,040,000 11,761,000 -512,674,000 -15,497,000 35,627,000 -8,150,000 -3,029,000 3,964,000 36,047,000 26,593,000 12,504,000 36,382,000 67,840,000 65,049,000 59,867,000 46,164,000 58,223,000 56,439,000 51,854,000 30,714,000 52,645,000 57,542,000 14,080,000 27,103,000 36,080,000 -20,587,000 45,959,000 32,308,000 34,108,000 23,677,000 27,634,000 25,579,000 77,754,000 10,642,000 16,985,000 9,959,000 40,770,000 30,095,000 22,377,000 22,119,000 24,008,000 9,994,000 13,954,000 16,788,000 26,684,000 17,727,000 12,392,000 8,738,000 18,036,000 -29,614,000 7,978,000 -44,000 18,558,000 19,736,000 18,021,000 17,467,000 7,749,000 18,291,000 8,000,000 20,872,000 24,163,000 27,309,000 24,579,000 22,643,000 27,847,000 23,820,000 23,905,000 22,252,000 24,968,000 -22,891,000 24,798,000 20,536,000 15,554,000 18,336,000 16,895,000 16,503,000 49,170,000 3,736,000 2,382,000 
      yoy
    -174.01% -35.33% -244.31% 16825.52% -490.94% -1.17% -130.65% -124.22% -89.10% -46.86% -59.12% -79.11% -21.19% 16.52% 15.26% 15.45% 50.30% 10.60% -1.92% 268.28% 13.32% 45.91% -379.51% -69.36% -16.11% 5.78% -186.95% 66.31% 26.31% -56.13% 122.49% 62.70% 156.84% 90.71% -64.64% -24.10% -54.98% 69.82% 201.13% 60.36% 31.75% -10.03% -43.62% 12.60% 92.13% 47.95% -159.86% 55.33% -19959.09% -2.81% -250.05% -55.73% -100.25% 139.49% 7.90% 125.26% -16.31% -67.93% -33.02% -67.45% -7.82% -13.23% 14.65% 2.82% 1.76% 11.53% -204.06% -3.60% 8.36% 60.52% -224.84% 46.78% 24.44% -68.37% 390.79% 609.28%     
      qoq
    -50.22% 95.90% -102.29% 3208.21% -143.50% -537.14% 169.07% -176.41% -89.00% 35.55% 112.68% -65.63% -46.37% 4.29% 8.66% 29.68% -20.71% 3.16% 8.84% 68.83% -41.66% -8.51% 308.68% -48.05% -24.88% -275.26% -144.79% 42.25% -5.28% 44.06% -14.32% 8.03% -67.10% 630.63% -37.34% 70.55% -75.57% 35.47% 34.49% 1.17% -7.87% 140.22% -28.38% -16.88% -37.09% 50.53% 43.05% 41.82% -51.55% -160.90% -471.20% -18231.82% -100.24% -5.97% 9.52% 3.17% 125.41% -57.63% 128.64% -61.67% -13.62% -11.52% 11.11% 8.55% -18.69% 16.91% -0.36% 7.43% -10.88% -209.07% -192.31% 20.75% 32.03% -15.17% 8.53% 2.38% -66.44% 1216.11% 56.84%  
      operating margin %
    2.93% 5.30% 2.93% -123.36% -4.05% 8.05% -2.14% -0.72% 1.07% 9.08% 6.95% 3.28% 9.55% 17.04% 16.89% 15.05% 12.26% 14.36% 14.59% 13.30% 8.53% 13.55% 15.54% 5.44% 7.65% 9.13% -5.43% 11.98% 8.98% 8.90% 6.47% 7.55% 7.16% 37.95% 3.82% 6.02% 3.85% 15.95% 12.02% 8.98% 9.34% 9.96% 4.41% 5.72% 7.18% 15.79% 7.72% 5.36% 4.06% 11.72% -13.89% 3.88% -0.02% 12.04% 9.39% 8.57% 8.90% 3.81% 9.05% 4.14% 11.53% 12.45% 14.63% 13.76% 13.11% 15.17% 13.83% 14.42% 13.83% 14.32% -13.70% 15794.90% 13.16% 9.87% 13.58% 12.54% 13.41% Infinity% Infinity% 10.99% 
      interest income
    4,106,000 4,362,000 4,982,000 4,710,000 4,420,000 4,893,000 5,049,000 5,058,000 5,040,000 4,549,000 4,607,000 3,939,000 4,107,000 5,311,000 3,264,000 1,965,000 1,377,000 1,439,000 1,786,000 1,764,000 1,748,000 2,173,000 2,273,000 2,281,000 2,570,000 2,728,000 2,913,000 2,710,000 2,428,000 2,475,000 75,000 174,000 76,000 40,000 89,000 64,000 7,000 10,000 2,000 6,000 6,000 12,000 5,000 8,000 5,000 -21,944,000 25,000 58,000 62,000 -19,735,000 38,000 289,000 63,000 -21,925,000 100,000 415,000 378,000 111,000 154,000 127,000 73,000 53,000 59,000 52,000 61,000 53,000 197,000 134,000 247,000 584,000 399,000 444,000 687,000 1,174,000 1,518,000 636,000 223,000 1,830,000 556,000  
      interest expense
    -22,465,000 -23,673,000 -22,725,000 -21,042,000 -18,815,000 -18,984,000 -19,373,000 -18,651,000 -13,624,000 -13,751,000 -13,062,000 -12,464,000 -12,100,000 -12,894,000 -12,809,000 -12,236,000 -11,655,000 -12,125,000 -12,192,000 -13,149,000 -12,929,000 -17,351,000 -20,796,000 -15,682,000 -17,752,000 -13,462,000 -13,962,000 -13,384,000 -13,149,000 -13,933,000 -14,478,000 -17,504,000 -18,768,000 -4,518,250 -6,761,000 -6,181,000 -5,131,000 -6,548,000 -6,295,000 -6,588,000 -6,373,000 -6,113,000 -6,464,000 -5,471,000 -5,492,000 -4,110,000 -5,916,000 -5,382,000 -5,142,000 -3,770,250 -5,316,000 -4,965,000 -4,800,000 -5,145,250 -5,549,000 -7,103,000 -7,929,000 -7,862,000 -7,587,000 -6,722,000 -5,469,000 -5,125,000 -4,390,000 -4,300,000 -4,541,000 -4,876,000 -5,493,000 -6,174,000 -6,684,000 -4,889,000 -4,249,000 -4,261,000 -4,215,000 -3,853,000 -3,863,000 -3,273,000 -2,759,000    
      other income
    4,480,000 581,000 -842,000 -1,946,000  1,005,000 2,112,000 1,437,000 -610,000 2,013,000 471,000 -155,000 1,389,000 3,951,000 2,648,000 1,979,000 3,429,000 4,419,000 4,985,000 5,034,000 4,869,000 1,449,000 2,492,000 972,000 -479,000 1,061,000 4,127,000 1,098,000 3,236,000 1,866,000 1,750,000 2,427,000 2,245,000 4,536,000 -735,000   1,243,000 1,192,000 -852,000 -738,000 1,604,000 1,827,000 -919,000 1,316,000 -905,000 -293,000 118,000 317,000 -257,000 -263,000 -307,000 -974,000 -603,000 -31,000 236,000 -323,000 378,000 429,000 593,000 -643,000 349,000 -707,000 763,000 1,146,000 -347,000 -380,000 -481,000 -868,000 -1,552,000 -409,000 -451,000 1,507,000 3,200,000 -325,000 303,000 -208,000  96,000 -140,000 
      income before income taxes
    -2,409,000 4,310,000 -6,824,000 -530,952,000 -30,036,000 22,541,000 -20,362,000 -15,185,000 -5,230,000 28,858,000 18,609,000 3,824,000 29,778,000 64,208,000 58,796,000 51,575,000 39,315,000 51,787,000 50,788,000 44,824,000 67,278,000 38,916,000 41,511,000 1,651,000 11,442,000 26,407,000 -27,509,000 36,383,000 24,823,000 24,516,000 11,024,000 12,731,000 9,132,000 3,995,500 3,235,000 8,002,000 4,745,000       7,572,000 12,617,000 20,275,000 11,543,000 7,186,000 3,975,000 13,125,000 -35,155,000 2,995,000 -5,755,000 16,611,000 14,256,000 11,569,000 9,593,000 376,000 11,287,000 1,998,000 14,833,000 19,440,000 22,271,000 21,094,000 19,309,000 22,677,000 18,144,000 17,384,000 14,947,000 19,111,000 -27,150,000 20,530,000 18,515,000 16,075,000 15,666,000 14,561,000 13,759,000 38,487,000 4,388,000  
      provision for income taxes
    2,208,000     3,106,000 -9,667,000 -2,783,000 -1,949,000 1,076,000 -888,000 -360,000 5,552,000 11,262,000 8,881,000 6,787,000 6,414,000 6,403,000 7,559,000 9,756,000 21,884,000 -53,828,000 9,174,000 2,020,000 2,262,000 11,088,000 101,000                              2,900,000    3,346,000    4,087,000               246,000 
      net income
    -4,617,000 -1,704,000 -5,404,000 -484,073,000 -25,293,000 19,435,000 -10,695,000 -12,402,000 -3,281,000 19,834,000 19,497,000 4,184,000 24,226,000 52,946,000 49,915,000 44,788,000 32,901,000 45,384,000 43,229,000 35,068,000 45,394,000 92,744,000 32,337,000 -369,000 9,180,000 8,720,500 -27,610,000 29,736,000 32,756,000 25,138,000 13,295,000 11,376,000 10,992,000 44,355,000 3,159,000 10,835,000 6,394,000 28,248,000 20,144,000 12,755,000 11,648,000 14,980,000 -31,881,000 4,998,000 8,384,000 17,166,000 9,807,000 4,825,000 2,206,000 12,183,000 -28,550,000 3,440,000 -4,050,000 12,786,000 13,211,000 8,514,000 6,693,000 4,560,000 11,243,000 699,000 11,487,000 18,807,000 16,483,000 15,157,000 15,222,000 15,731,000 14,432,000 11,225,000 9,567,000 24,845,000 -15,291,000 13,814,000 11,565,000 5,382,000 9,673,000 9,341,000 9,074,000 20,869,000 3,780,000 1,996,000 
      yoy
    -81.75% -108.77% -49.47% 3803.18% 670.89% -2.01% -154.85% -396.41% -113.54% -62.54% -60.94% -90.66% -26.37% 16.66% 15.47% 27.72% -27.52% -51.07% 33.68% -9603.52% 394.49% 963.52% -217.12% -101.24% -71.97% -65.31% -307.67% 161.39% 198.00% -43.33% 320.86% 4.99% 71.91% 57.02% -84.32% -15.05% -45.11% 88.57% -163.18% 155.20% 38.93% -12.73% -425.08% 3.59% 280.05% 40.90% -134.35% 40.26% -154.47% -4.72% -316.11% -59.60% -160.51% 180.39% 17.50% 1118.03% -41.73% -75.75% -31.79% -95.39% -24.54% 19.55% 14.21% 35.03% 59.11% -36.68% -194.38% -18.74% -17.28% 361.63% -258.08% 47.89% 27.45% -74.21% 155.90% 367.99%     
      qoq
    170.95% -68.47% -98.88% 1813.86% -230.14% -281.72% -13.76% 277.99% -116.54% 1.73% 365.99% -82.73% -54.24% 6.07% 11.45% 36.13% -27.51% 4.99% 23.27% -22.75% -51.05% 186.80% -8863.41% -104.02% 5.27% -131.58% -192.85% -9.22% 30.30% 89.08% 16.87% 3.49% -75.22% 1304.08% -70.84% 69.46% -77.36% 40.23% 57.93% 9.50% -22.24% -146.99% -737.88% -40.39% -51.16% 75.04% 103.25% 118.72% -81.89% -142.67% -929.94% -184.94% -131.68% -3.22% 55.17% 27.21% 46.78% -59.44% 1508.44% -93.91% -38.92% 14.10% 8.75% -0.43% -3.24% 9.00% 28.57% 17.33% -61.49% -262.48% -210.69% 19.45% 114.88% -44.36% 3.55% 2.94% -56.52% 452.09% 89.38%  
      net income margin %
    -1.18% -0.39% -1.34% -116.47% -6.61% 4.39% -2.81% -2.97% -0.89% 5.00% 5.10% 1.10% 6.36% 13.30% 12.96% 11.26% 8.74% 11.19% 11.17% 8.99% 12.61% 23.86% 8.73% -0.14% 2.59% 2.21% -7.28% 7.75% 9.11% 6.56% 3.63% 3.11% 3.08% 21.65% 1.13% 3.84% 2.47% 11.05% 8.05% 5.12% 4.92% 6.21% -14.08% 2.05% 3.59% 10.16% 4.27% 2.09% 1.03% 7.92% -13.39% 1.67% -2.06% 8.30% 6.29% 4.05% 3.41% 2.24% 5.56% 0.36% 6.34% 9.69% 8.83% 8.49% 8.81% 8.57% 8.38% 6.77% 5.94% 14.25% -9.15% 8798.73% 7.41% 3.41% 7.16% 6.93% 7.38% Infinity% Infinity% 9.20% 
      net income per share
                                         -0.25 0.54 0.34 0.32 0.45 -0.9                                      
      basic and diluted
    -0.06 -1.68 -0.07 -6.31 -0.33                                                                            
      weighted-average common shares outstanding
                                                                                    
      basic and diluted
    76,951  76,753 76,695 76,463                                                                            
      comprehensive loss
    -5,480 -129,793.5 -6,472 -490,874                                                                             
      goodwill impairment charge
       511,365,000                                              11,684,500 46,738,000                              
      benefit for income taxes
     -13,260,500 -1,420,000 -46,879,000 -4,743,000                                                                            
      other expense
        -144,000                               -2,866,000 -90,000                                            
      comprehensive income
        -21,828 -9,031.5 -16,823 -20,482 1,179 9,846.75 16,412 1,947 21,028 41,330 55,691 52,598 57,031 37,743.75 46,417 28,731 75,826 6,409.25 43,548 1,095 -19,007 -1,822 -46,521 17,714 21,520 8,432.75 12,330 -12,269 32,604 13,439.75 13,534 28,131 12,095 13,477 23,410 5,844 22,885 -6,591 -33,315 12,325,000 -15,744,000 398,250 -6,364,000 4,752,000 3,206,000 -6,269,000 -19,860,000 5,317,000 -10,534,000 7,004,000 17,106,000 -2,730,000 13,639                        
      net income per share
                                         -0.25 0.54 0.34 0.32 0.45 -0.9                                      
      basic
         0.25 -0.14 -0.16 -0.04 0.26 0.24 0.05 0.3 0.64 0.6 0.54 0.39 0.54 0.51 0.41 0.54 1.09 0.38  0.11 0.18 -0.32 0.35 0.38 0.108 0.16 0.14 0.14 0.068 0.04 0.14 0.09                                            
      diluted
         0.25 -0.14 -0.16 -0.04 0.25 0.24 0.05 0.29 0.63 0.6 0.54 0.39 0.53 0.51 0.41 0.53 1.09 0.38  0.11 0.18 -0.32 0.34 0.38 0.108 0.15 0.14 0.14 0.065 0.04 0.14 0.08                                            
      weighted-average common shares outstanding
                                                                                    
      basic
     76,672    77,010 76,448 77,409 77,735 80,089 79,690 80,966 81,871 82,997 83,042 83,168 83,632 84,698 84,754 84,687 84,500 84,650 84,325 84,706 85,188 85,637 85,688 85,577 85,343 82,857,000 85,193 82,423 78,552  78,186 76,213 74,765 74,386 37,267 37,196 36,967 34,495 35,279 33,032,000 32,736,000  32,450,000 32,398,000 32,275,000  27,896,000 27,873,000 27,796,000  28,446,000 28,419,000 28,345 28,952,000 28,583,000 29,556,000 29,562 29,548,000 29,572,000 29,855,000 29,488 29,038,000 29,049 29,004,000 28,943 27,781 28,121 27,662 26,889 27,712 27,202 28,156 28,371 29,300 25,585  
      diluted
     76,672    77,010 76,448 77,409 77,735 80,337 79,811 81,151 82,323 83,516 83,399 83,622 84,276 85,485 85,447 85,340 85,258 85,228 84,752 84,706 85,892 86,494 85,688 86,257 86,258 83,999,000 86,299 83,513 79,834  79,455 78,963 78,394 79,194 40,516 39,355 38,141 35,677 35,279 33,939,000 33,342,000  32,906,000 32,804,000 32,768,000  27,896,000 28,118,000 27,796,000  28,777,000 28,609,000 28,488 29,495,000 29,029,000 30,178,000 30,185 30,149,000 30,072,000 30,399,000 29,982 29,292,000 29,400 29,202,000 29,252 28,703 28,121 28,580 28,468 29,578 29,314 30,169 29,965 32,747 28,472  
      gain from the sale of business
                     10,491,750 -230,000 -679,000 42,876,000                                                            
      gain from the sale of businesses
                 161,000 644,000                                                                  
      in-process research and development
                             3,350,000 59,889,000                                                      
      income tax expense
                               6,647,000  -694,000 -2,271,000 1,355,000  -1,101,500 76,000 -2,833,000 -1,649,000 2,153,750 4,850,000 2,188,000 3,366,000 12,322,250 37,243,000 2,574,000 4,233,000 1,466,500 1,736,000 2,361,000 1,769,000 -2,188,750 -6,605,000 -445,000 -1,705,000 1,750,000 1,045,000 3,055,000  1,172,250 44,000 1,299,000  3,953,000 5,788,000 5,937,000  3,812,750 3,712,000 6,159,000 5,380,000 451,750 -11,859,000 6,716,000 6,950,000 3,974,500 5,993,000 5,220,000 4,685,000 260,000 365,000  
      income tax benefit
                                -7,933,000    -1,860,000                                                
      income from continuing operations before income taxes
                                         35,475,000 24,994,000 14,943,000 15,014,000 19,511,000 5,362,000                                      
      income from continuing operations
                                         -46,315,999 20,144,000 12,755,000 11,648,000 8,129,000.2 -31,881,000                                      
      loss from discontinued operations
                                                                                    
      net income per share
                                         -0.25 0.54 0.34 0.32 0.45 -0.9                                      
      income from discontinued operations
                                             -2,592,500                                       
      basic net income per common share
                                               150 260 130 300 150 70 -262.5 -1,020 120 -150 250 460 300  170 390 20  640 560 510    380             
      diluted net income per common share
                                               150 250 127.5 300 150 70 -262.5 -1,020 120 -150 247.5 460 300  160 390 20  630 550 500    380             
      basic net income per share
                                                            0.24    0.39    0.51 0.303 0.49  0.33 0.89 -0.54 0.5 0.43 0.2 0.36 0.33 0.32 0.65 0.14 0.08 
      diluted net income per share
                                                            0.23    0.38    0.5 0.3 0.49  0.32 0.87 -0.54 0.48 0.41 0.19 0.33 0.31 0.3 0.66 0.13 0.07 
      cost of product revenues
                                                             82,740,000 78,651,000 72,838,000 64,921,000 71,306,000 69,194,000 64,464,000 63,224,000 63,944,000 63,021,000 59,805,000 58,148,000 68,138,000 64,317,000 58,159,000 62,212,000 62,426,000 50,863,000 52,808,000 48,577,000    
      weighted-average common shares outstanding:
                                                                                    
      basic
     76,672    77,010 76,448 77,409 77,735 80,089 79,690 80,966 81,871 82,997 83,042 83,168 83,632 84,698 84,754 84,687 84,500 84,650 84,325 84,706 85,188 85,637 85,688 85,577 85,343 82,857,000 85,193 82,423 78,552  78,186 76,213 74,765 74,386 37,267 37,196 36,967 34,495 35,279 33,032,000 32,736,000  32,450,000 32,398,000 32,275,000  27,896,000 27,873,000 27,796,000  28,446,000 28,419,000 28,345 28,952,000 28,583,000 29,556,000 29,562 29,548,000 29,572,000 29,855,000 29,488 29,038,000 29,049 29,004,000 28,943 27,781 28,121 27,662 26,889 27,712 27,202 28,156 28,371 29,300 25,585  
      diluted
     76,672    77,010 76,448 77,409 77,735 80,337 79,811 81,151 82,323 83,516 83,399 83,622 84,276 85,485 85,447 85,340 85,258 85,228 84,752 84,706 85,892 86,494 85,688 86,257 86,258 83,999,000 86,299 83,513 79,834  79,455 78,963 78,394 79,194 40,516 39,355 38,141 35,677 35,279 33,939,000 33,342,000  32,906,000 32,804,000 32,768,000  27,896,000 28,118,000 27,796,000  28,777,000 28,609,000 28,488 29,495,000 29,029,000 30,178,000 30,185 30,149,000 30,072,000 30,399,000 29,982 29,292,000 29,400 29,202,000 29,252 28,703 28,121 28,580 28,468 29,578 29,314 30,169 29,965 32,747 28,472  
      costs and expenses
                                                                                    
      revenues
                                                                                    
      product sales
                                                                                 15,997,000 22,319,000 20,284,000 
      other revenue
                                                                                 1,091,500 1,431,000 1,400,000 
      total revenues
                                                                                 17,088,500 23,750,000  
      cost of product sales
                                                                                 6,514,250 9,153,000 8,594,000 
      selling and marketing
                                                                                 3,792,000 5,148,000 4,751,000 
      general and administrative
                                                                                 2,320,000 2,757,000 3,204,000 
      amortization
                                                                                 548,250 784,000 680,000 
      gain on disposition of product line
                                                                                    
      income before extraordinary item and cumulative effect of accounting change
                                                                                 2,195,250 4,023,000  
      extraordinary loss, net of income tax benefit
                                                                                    
      cumulative effect of accounting change
                                                                                    
      earnings per share:
                                                                                    
      basic net income per share before extraordinary item and cumulative effect of accounting change
                                                                                 0.09 0.15  
      diluted net income per share before extraordinary item and cumulative effect of accounting change
                                                                                 0.08 0.14  
      net income before income taxes
                                                                                   2,242,000 
      net income before accounting change
                                                                                   1,996,000 
      basic net income per share:
                                                                                    
      before accounting change
                                                                                   0.08 
      diluted net income per share:
                                                                                    
      weighted average common shares outstanding
                                                                                    
      basic
                                                                                   19,618 
      diluted
                                                                                   21,849 
    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 2016-06-22 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 2001-09-30 2001-03-31 
                                                                                      
        assets
                                                                                      
        current assets:
                                                                                      
        cash and cash equivalents
      235,048,000 232,186,000 217,914,000 239,104,000 246,375,000 215,157,000 215,236,000 591,906,000 276,402,000 273,732,000 309,192,000 307,367,000 456,661,000 511,937,000 447,152,000 407,092,000 513,448,000 470,231,000 397,414,000 408,976,000 470,166,000 396,279,000 360,981,000 357,712,000 198,911,000 207,981,000 176,084,000 157,025,000 138,838,000 205,991,000 183,771,000 189,396,000 174,935,000 481,943,000 154,600,000 124,113,000 102,055,000 107,598,000 86,803,000  77,086,000 48,132,000 79,311,000 131,296,000 79,871,000 71,994,000 140,231,000 137,160,000 129,038,000 120,614,000 118,868,000 98,636,000 89,691,000 96,938,000 125,718,000 75,470,000 58,642,000 100,808,000 110,991,000 137,279,000 104,354,000 128,763,000 82,832,000 93,618,000 81,674,000 71,891,000 106,747,000 138,717,000 185,630,000 183,546,000 109,339,000 77,338,000 199,013,000 57,339,000 129,498,000 120,838,000 29,329,000 22,697,000 59,333,000 15,392,000 
        short-term investments
      28,693,000 35,693,000 35,694,000 34,191,000 27,192,000 62,441,000 81,691,000 71,194,000 32,694,000                           11,286,000                    39,315,000 53,780,000                      4,074,000 3,982,000 
        trade accounts receivable, net of allowances of 7,230 and 6,917
      278,849,000                                                                                
        inventories
      492,735,000 489,106,000 465,127,000 445,418,000 429,090,000 436,930,000 421,775,000 403,422,000 389,608,000 366,251,000 354,293,000 351,275,000 324,583,000 311,060,000 320,208,000 328,005,000 317,386,000 327,167,000 323,618,000 328,049,000 310,117,000 307,839,000 358,756,000 338,082,000 316,054,000 302,622,000 296,505,000 286,962,000 280,347,000 290,846,000 290,517,000 290,474,000 296,332,000 232,340,000 234,680,000 239,809,000 217,263,000 219,671,000 220,442,000  221,978,000 211,429,000 213,878,000 241,835,000 233,043,000 237,114,000 230,455,000 223,632,000 215,232,000 213,431,000 207,389,000 195,457,000 179,558,000 171,806,000 169,376,000 172,541,000 172,469,000 171,261,000 181,430,000 174,460,000 154,601,000 146,928,000 147,973,000 143,253,000 142,113,000 140,240,000 140,541,000 139,319,000 141,582,000 146,103,000 155,615,000 149,345,000 144,037,000 144,535,000 126,371,000 114,089,000 95,591,000 94,387,000 24,113,000 18,509,000 
        prepaid expenses
      96,089,000 94,111,000 103,465,000 103,874,000 77,001,000 86,326,000 93,639,000 72,667,000 67,362,000                                                                        
        other current assets
      28,130,000 30,326,000 36,121,000 32,214,000 29,653,000 50,370,000 28,790,000 35,369,000 32,643,000                                                                        
        total current assets
      1,159,544,000 1,143,582,000 1,142,828,000 1,107,247,000 1,081,681,000 1,099,522,000 1,112,286,000 1,415,650,000 1,058,036,000 1,027,229,000 1,051,260,000 1,029,482,000 1,161,498,000 1,196,453,000 1,137,414,000 1,066,053,000 1,153,716,000 1,103,785,000 1,032,382,000 1,039,075,000 1,237,202,000 1,152,096,000 966,222,000 1,008,672,000 858,168,000 883,813,000 868,672,000 822,686,000 775,082,000 827,983,000 821,322,000 848,650,000 822,146,000 944,943,000 616,166,000 568,919,000 495,170,000 511,877,000 493,986,000  494,565,000 438,495,000 504,912,000 608,247,000 521,950,000 529,321,000 562,589,000 564,161,000 539,746,000 525,242,000 510,583,000 477,736,000 447,059,000 453,051,000 493,562,000 477,323,000 459,743,000 452,257,000 476,328,000 495,784,000 425,185,000 444,849,000 386,295,000 387,631,000 372,844,000 365,363,000 395,795,000 423,249,000 477,567,000 497,392,000 436,282,000 379,561,000 489,323,000 339,931,000 380,359,000 352,983,000 229,800,000 221,761,000 104,491,000 52,467,000 
        property, plant and equipment
      444,335,000 437,367,000 434,816,000 422,913,000 405,723,000 390,906,000 373,570,000 345,356,000 340,199,000 318,718,000 317,571,000 315,175,000 311,302,000 300,729,000 302,423,000 309,209,000 311,703,000 293,921,000 295,759,000 296,193,000 287,529,000 294,439,000 334,334,000 335,903,000 337,404,000 319,384,000 316,445,000 306,350,000 300,112,000 287,000,000 277,025,000 274,029,000 269,251,000 232,241,000 232,074,000 229,110,000 222,369,000 212,195,000 208,648,000  210,330,000 205,181,000 197,200,000 215,460,000 210,111,000 209,986,000 203,882,000 206,668,000 205,667,000 200,310,000 192,724,000 184,537,000 179,352,000 177,898,000 161,189,000 146,928,000   122,435,000 115,667,000   87,293,000 84,644,000   70,834,000 70,777,000 69,783,000  69,999,000 63,437,000     43,702,000    
        right of use asset - operating leases
      140,568,000 138,187,000 136,572,000 138,463,000 144,042,000 146,342,000 147,472,000 151,834,000 156,184,000 156,760,000 148,651,000 146,514,000 148,284,000 148,270,000 145,135,000 81,644,000 84,543,000 87,600,000 89,174,000 91,174,000 83,635,000 84,916,000 93,380,000 95,890,000 94,530,000 97,738,000 97,783,000                                                      
        intangible assets
      1,134,663,000 1,160,145,000 1,188,080,000 1,187,535,000 1,207,588,000 1,209,548,000 1,219,942,000 1,022,609,000 1,067,833,000 1,067,023,000 1,093,596,000 1,108,759,000 1,126,609,000 1,054,035,000 1,082,275,000 1,121,971,000 1,145,573,000 1,155,795,000 1,178,884,000 1,193,681,000 989,436,000 973,685,000 998,686,000 1,014,227,000 1,031,591,000 1,040,350,000 1,041,620,000 1,058,630,000 1,079,496,000 1,097,259,000 1,121,845,000 1,147,954,000 1,159,627,000 634,052,000 648,744,000 654,408,000 561,175,000 573,687,000 583,569,000  594,856,000 603,740,000 606,420,000 440,583,000 447,424,000 459,459,000 413,906,000 422,009,000 429,446,000 197,163,000 202,410,000 206,884,000 212,274,000 212,267,000 218,345,000 224,308,000 230,920,000 237,122,000 243,934,000 230,935,000 191,210,000 194,904,000 198,711,000 201,174,000 206,344,000 211,117,000 214,432,000 217,447,000 220,225,000 225,998,000 209,337,000 188,130,000 192,086,000 195,766,000   177,467,000 179,716,000   
        goodwill
      615,157,000 615,199,000 616,427,000 1,105,386,000 1,096,952,000 1,116,535,000 1,104,640,000 1,040,235,000 1,055,462,000 1,036,146,000 1,043,273,000 1,041,606,000 1,038,881,000 977,860,000 990,406,000 1,008,928,000 1,013,458,000 1,012,081,000 1,015,638,000 1,010,072,000 932,367,000 919,556,000 956,207,000 951,554,000 954,280,000 945,282,000 926,732,000 922,508,000 926,475,000 926,369,000 927,148,000 944,495,000 937,905,000 587,943,000 585,410,000 578,229,000 510,571,000 515,636,000 514,023,000  516,103,000 512,389,000 505,727,000 357,022,000 354,202,000 363,888,000 349,574,000 354,977,000 367,649,000 249,764,000 248,824,000 292,881,000 292,278,000 294,067,000 292,426,000 292,085,000 295,232,000 292,980,000 294,529,000 285,376,000 267,426,000 261,928,000 262,433,000 252,143,000 257,789,000 261,941,000 264,605,000 211,767,000 207,705,000 212,094,000 210,503,000 214,478,000 214,423,000 207,438,000 179,260,000 174,507,000 163,719,000 162,414,000   
        deferred tax assets
      69,854,000 109,728,000 102,943,000 38,008,000 34,923,000 48,936,000 45,763,000 34,175,000 46,080,000 55,587,000 56,050,000 44,680,000 45,994,000 51,768,000 46,982,000 54,679,000 56,950,000 91,797,000 80,086,000 74,626,000 73,690,000 8,150,000 7,529,000 2,330,000 12,623,000 27,005,000 22,438,000 16,404,000 6,805,000 7,234,000 7,677,000 6,464,000 6,250,000 6,351,000 6,214,000 4,757,000 6,935,000 7,376,000 7,062,000  7,128,000  46,897,000 58,173,000 58,293,000 58,663,000 44,276,000 48,349,000 48,459,000 46,300,000 40,049,000 38,120,000 38,470,000 39,100,000 64,575,000 62,264,000 36,285,000 36,155,000 37,800,000 35,072,000 35,306,000 35,284,000 29,839,000 29,526,000 29,444,000 29,972,000 20,939,000 21,115,000 21,325,000 24,135,000 21,234,000 21,214,000 25,075,000 22,254,000 13,562,000 13,011,000 9,555,000 10,010,000   
        other assets
      37,880,000 42,244,000 46,239,000 53,199,000 66,515,000 54,014,000 70,822,000 68,365,000 58,194,000 77,908,000 67,200,000 56,183,000 57,190,000 77,898,000 48,227,000 29,513,000 16,440,000 29,486,000 20,864,000 36,733,000 11,277,000 20,679,000 35,401,000 38,989,000 14,644,000 33,008,000 16,720,000 79,133,000 19,917,000 32,797,000 30,756,000 26,101,000 16,078,000 12,657,000 12,523,000 13,592,000 11,734,000 6,653,000 6,874,000  7,280,000 7,967,000 8,406,000 10,893,000 11,436,000 10,368,000 9,524,000 8,786,000 7,770,000 8,338,000 9,986,000 10,475,000 9,785,000 10,359,000 11,956,000 12,516,000 12,580,000 13,128,000 12,674,000 13,630,000 10,302,000 8,277,000 8,826,000 1,975,000 2,086,000 2,314,000 27,570,000 23,132,000 20,137,000 28,565,000 34,624,000 16,848,000 13,480,000 13,147,000 14,002,000 14,593,000 8,386,000 7,168,000 2,394,000 3,061,000 
        total assets
      3,602,001,000 3,646,452,000 3,667,905,000 4,052,751,000 4,037,424,000 4,065,803,000 4,074,495,000 4,078,224,000 3,781,988,000 3,739,371,000 3,777,601,000 3,742,399,000 3,889,758,000 3,807,013,000 3,752,862,000 3,671,997,000 3,782,383,000 3,774,465,000 3,712,787,000 3,741,554,000 3,615,136,000 3,453,521,000 3,391,759,000 3,447,565,000 3,303,240,000 3,346,580,000 3,290,410,000 3,205,711,000 3,107,887,000 3,178,642,000 3,185,773,000 3,247,693,000 3,211,257,000 2,418,187,000 2,101,131,000 2,049,015,000 1,807,954,000 1,827,424,000 1,814,162,000  1,830,262,000 1,774,704,000 1,827,620,000 1,637,894,000 1,550,807,000 1,578,625,000 1,545,734,000 1,563,023,000 1,555,923,000 1,196,229,000 1,184,072,000 1,187,501,000 1,156,491,000 1,163,599,000 1,185,506,000 1,161,817,000 1,158,370,000 1,144,109,000 1,174,666,000 1,153,856,000 1,007,028,000 1,017,308,000 959,276,000 941,795,000 937,997,000 940,102,000 973,236,000 946,372,000 995,417,000 1,034,431,000 960,745,000 862,454,000 972,656,000 818,012,000 810,077,000 776,490,000 623,074,000 613,618,000 206,556,000 91,079,000 
        liabilities and stockholders’ equity
                                                                                      
        current liabilities:
                                                                                      
        current portion of borrowings under senior credit facility
      38,750,000 38,750,000 38,750,000 38,750,000 33,906,000 29,063,000 24,219,000 19,375,000 14,531,000 9,687,000 4,844,000  38,125,000 56,250,000 50,625,000 45,000,000 45,000,000 45,000,000 45,000,000 45,000,000 33,750,000 22,500,000 11,250,000  45,000,000 45,000,000 45,000,000                                                      
        short-term borrowings under securitization facility
      87,800,000                                                                                
        current portion of lease liability - operating leases
      14,019,000 13,826,000 14,176,000 14,171,000 14,540,000 15,039,000 14,613,000 16,303,000 15,284,000 14,461,000 14,618,000 14,792,000 14,624,000 13,488,000 12,743,000 14,300,000 14,775,000 13,526,000 13,987,000 13,900,000 12,818,000 12,518,000 13,153,000 12,964,000 12,253,000 11,835,000 13,448,000                                                      
        convertible securities
        574,628,000 573,899,000 573,170,000 572,442,000                                      2,903,000                     77,470,000 76,760,000 94,233,000 110,443,000     119,380,000 119,962,000 119,962,000 119,964,000 120,000,000 119,542,000   
        accounts payable, trade
      95,726,000 92,305,000 92,835,000 91,296,000 82,502,000 77,666,000 107,492,000 94,397,000 92,326,000 93,550,000 99,766,000 112,785,000 102,100,000 80,732,000 69,498,000 88,371,000 61,837,000 59,600,000 65,512,000 61,500,000 54,608,000 50,254,000 58,291,000 97,061,000 113,090,000 94,158,000 107,191,000 100,553,000 76,050,000 86,380,000 84,037,000 86,995,000 93,967,000 40,740,000 42,193,000 45,594,000 29,057,000 38,932,000 43,954,000  53,993,000 34,772,000 38,587,000 58,197,000 42,630,000 34,060,000 45,935,000 47,004,000 46,428,000 50,752,000 54,466,000 44,767,000 43,875,000 36,742,000 43,239,000 43,190,000 35,580,000 27,656,000 35,475,000 47,894,000 35,311,000 27,783,000 34,719,000 32,906,000 25,403,000 24,598,000 20,345,000 19,899,000 22,834,000 22,964,000 26,083,000 26,029,000 26,365,000 23,232,000 26,928,000 25,827,000 19,255,000 20,329,000 3,698,000 3,651,000 
        contract liabilities
      11,463,000 11,326,000 11,103,000 10,539,000 10,483,000 9,990,000 9,905,000 7,841,000 8,540,000 8,139,000 8,275,000 7,743,000 7,253,000 6,364,000 5,425,000 5,343,000 5,295,000 5,388,000 5,890,000 5,400,000 5,275,000 4,875,000 4,717,000 4,860,000 4,772,000 3,984,000 3,507,000                                                      
        income tax payable
      3,651,000                                                                                
        accrued compensation
      74,079,000 74,987,000 66,931,000 52,381,000 85,617,000 76,424,000 69,600,000 52,582,000 75,455,000 63,869,000 64,645,000 53,611,000 78,771,000 68,626,000 69,599,000 57,477,000 92,656,000 79,229,000 72,047,000 65,442,000 76,117,000 71,712,000 51,630,000 55,630,000 79,385,000 74,415,000 64,272,000 57,561,000 75,693,000 71,393,000 63,211,000 56,991,000 73,392,000 59,621,000 47,380,000 44,751,000 52,762,000 47,809,000 38,435,000  32,763,000 45,154,000 41,206,000 40,019,000 33,209,000 40,943,000 36,957,000 36,595,000 28,487,000 28,079,000 28,520,000 27,822,000 23,484,000 34,914,000 28,099,000 28,664,000 23,194,000 28,010,000 26,491,000 25,063,000 20,425,000 27,562,000 23,831,000 21,522,000 25,253,000 23,227,000 19,379,000 17,082,000 17,176,000 16,030,000    16,877,000    12,454,000   
        accrued expenses and other current liabilities
      130,493,000 132,860,000 131,383,000 137,416,000 121,908,000 131,939,000 102,487,000 111,896,000 100,844,000 90,306,000 94,548,000 93,362,000 80,033,000 78,992,000 85,403,000 105,342,000 120,458,000 105,335,000 99,208,000 96,459,000 94,194,000 80,938,000 73,374,000 75,970,000 76,809,000 73,249,000 81,693,000 92,492,000 84,545,000 84,317,000 81,194,000 107,819,000 87,708,000 83,455,000 67,380,000 46,354,000 34,970,000 38,909,000 38,037,000  44,839,000 39,160,000 44,285,000 42,831,000 41,038,000 42,096,000 40,173,000 38,892,000 37,696,000 36,354,000 34,818,000 33,002,000 34,553,000 31,768,000 37,591,000 36,132,000 41,785,000 41,659,000 38,838,000 41,684,000 34,369,000 31,805,000 32,327,000 27,210,000 27,117,000 28,068,000 77,280,000 26,085,000 27,488,000 32,704,000 51,030,000 40,551,000 42,679,000 28,699,000 38,509,000 32,371,000 27,778,000 17,373,000 6,619,000 5,349,000 
        total current liabilities
      455,981,000 364,054,000 929,806,000 918,452,000 922,126,000 912,563,000 328,316,000 302,394,000 306,980,000 355,712,000 377,496,000 282,293,000 320,906,000 304,452,000 295,596,000 315,833,000 340,021,000 332,858,000 318,756,000 412,301,000 401,013,000 255,146,000 212,415,000 246,485,000 331,309,000 302,641,000 315,111,000 288,106,000 262,552,000 258,340,000 233,342,000 336,020,000 348,911,000 210,234,000 177,877,000 188,083,000 123,601,000 161,397,000 149,827,000  156,630,000 139,127,000 139,947,000 155,753,000 126,805,000 126,025,000 130,123,000 126,902,000 116,831,000 119,382,000 122,278,000 109,339,000 105,780,000 106,929,000 112,574,000 112,247,000 104,586,000 101,868,000 104,433,000 118,008,000 163,316,000 200,032,000 102,704,000 85,639,000 159,180,000 156,730,000 215,320,000 216,834,000 170,671,000 174,751,000 280,602,000 189,235,000 317,113,000 191,671,000 188,185,000 181,025,000 273,744,000 274,017,000 17,036,000 24,475,000 
        long-term borrowings under senior credit facility
      1,729,556,000 1,708,851,000 1,118,142,000 1,128,541,000 1,087,917,000 1,132,292,000 1,151,665,000 1,171,036,000 825,563,000 850,089,000 764,616,000 769,143,000 733,149,000 814,530,000 819,654,000 824,772,000 824,257,000 823,736,000 823,208,000 922,672,000 933,387,000 944,102,000 1,007,317,000 1,018,032,000 1,198,561,000 1,274,049,000 1,204,537,000 1,205,025,000 1,210,513,000 1,421,001,000 1,476,488,000 1,772,027,000 1,781,142,000 1,152,633,000 867,500,000 848,750,000 665,000,000 433,750,000 461,250,000  491,563,000 481,875,000 502,188,000 429,375,000 396,250,000 413,125,000 410,000,000 421,875,000 421,875,000 186,875,000 341,875,000 341,875,000 321,875,000 321,875,000 321,875,000 321,875,000 166,875,000 179,688,000 192,500,000 144,375,000 136,875,000 139,688,000 212,500,000 220,000,000 145,000,000 160,000,000 160,000,000 160,000,000 160,000,000 160,000,000           
        long-term borrowings under securitization facility
       83,500,000 108,800,000 102,100,000 108,100,000 72,800,000 77,700,000 94,600,000 89,200,000   102,500,000 104,700,000 106,000,000 112,500,000 112,000,000 112,500,000 111,700,000 112,500,000   92,300,000 68,700,000 98,500,000 104,500,000 110,000,000 102,400,000 126,000,000 121,200,000                                                    
        lease liability - operating leases
      163,059,000 160,933,000 159,273,000 161,476,000 166,930,000 167,808,000 169,561,000 170,082,000 166,849,000 168,017,000 159,538,000 156,910,000 157,420,000 157,533,000 154,029,000 87,806,000 90,329,000 94,840,000 95,196,000 95,549,000 88,118,000 88,778,000 98,831,000 100,328,000 97,504,000 96,820,000 94,197,000                                                      
        deferred tax liabilities
      5,664,000 58,285,000 60,064,000 57,581,000 60,833,000 68,945,000 86,525,000 31,431,000 35,317,000 74,453,000 70,653,000 61,693,000 63,338,000 69,743,000 61,287,000 56,633,000 45,788,000 70,325,000 63,447,000 65,282,000 16,190,000 27,780,000 21,260,000 24,221,000 36,553,000 59,730,000 53,086,000 57,660,000 57,778,000 72,997,000 73,311,000 72,879,000 65,130,000 128,628,000 131,255,000 130,836,000 148,941,000 153,372,000 156,337,000  156,449,000 154,891,000 209,507,000 94,701,000 92,431,000 91,623,000 76,782,000 81,540,000 94,612,000 2,083,000 5,154,000 5,396,000 5,397,000 5,393,000 14,893,000 9,324,000 5,498,000 5,726,000 8,614,000 10,317,000 10,819,000 10,645,000 7,273,000 7,655,000 8,452,000 9,319,000     10,238,000  16,608,000 16,052,000 26,828,000 27,410,000 29,306,000 31,356,000   
        other liabilities
      204,278,000 233,255,000 253,159,000 160,462,000 146,238,000 189,808,000 154,820,000 139,745,000 199,940,000 142,352,000 153,340,000 126,853,000 138,501,000 63,729,000 82,996,000 94,601,000 120,258,000 145,622,000 161,731,000 154,179,000 186,727,000 177,530,000 169,134,000 158,037,000 118,077,000 118,366,000 100,128,000 131,890,000 80,048,000 61,223,000 60,727,000 68,327,000 53,768,000 13,576,000 29,944,000 28,855,000 30,745,000 30,230,000 28,920,000  28,607,000 28,648,000 29,274,000 31,984,000 32,045,000 30,409,000 31,756,000 34,380,000 36,280,000 12,527,000 12,023,000 12,927,000 14,039,000 13,955,000 13,603,000 17,087,000 16,857,000 11,613,000 18,494,000 16,652,000 11,608,000 11,826,000 12,485,000 16,225,000 17,132,000 20,414,000 20,274,000 21,051,000 19,170,000 19,474,000 18,311,000 19,131,000 20,057,000 19,860,000 6,015,000 5,981,000 6,138,000 11,575,000 375,000 349,000 
        total liabilities
      2,558,538,000 2,608,878,000 2,629,244,000 2,528,612,000 2,492,144,000 2,544,216,000 2,540,300,000 2,480,272,000 2,194,104,000 2,160,150,000 2,094,441,000 2,067,461,000 2,085,355,000 2,082,599,000 2,091,945,000 2,056,800,000 2,097,579,000 2,142,778,000 2,137,806,000 2,212,223,000 2,100,269,000 2,055,534,000 2,042,663,000 2,105,762,000 1,886,504,000 1,961,606,000 1,869,459,000 1,808,681,000 1,732,091,000 1,813,561,000 1,843,868,000 2,249,253,000 2,248,951,000 1,505,071,000 1,206,576,000 1,196,524,000 968,287,000 1,003,997,000 1,019,375,000  1,053,875,000 1,023,261,000 1,097,520,000 926,171,000 862,708,000 874,303,000 859,756,000 873,793,000 876,723,000 526,049,000 684,595,000 670,912,000 646,602,000 645,824,000 658,805,000 654,605,000 649,919,000 651,471,000 673,145,000 635,039,000 479,442,000 517,345,000 488,476,000 481,419,000 480,077,000 495,217,000 542,814,000 543,597,000 621,148,000 684,225,000 639,151,000 538,366,000 683,778,000 557,583,000 559,680,000 552,976,000 317,528,000 317,456,000 23,991,000 34,205,000 
        stockholders’ equity:
                                                                                      
        preferred stock; no par value; 15,000 authorized shares; none outstanding
                                                                                      
        common stock; 0.01 par value...
      923,000 923,000 923,000 921,000 916,000 916,000 916,000 915,000 909,000 909,000 909,000 908,000 905,000 903,000 903,000 900,000 896,000 896,000 895,000 894,000 893,000 892,000 892,000 889,000 887,000 886,000 883,000 882,000 880,000 880,000 877,000 817,000 813,000 813,000 804,000 782,000 777,000 463,000 462,000  460,000 459,000 458,000 420,000 418,000 416,000 415,000 415,000 415,000 410,000 370,000 370,000 370,000 369,000 359,000 359,000 358,000  359,000 360,000 359,000      348,000        322,000 320,000 318,000  256,000 177,000 
        additional paid-in capital
      1,338,386,000 1,333,506,000 1,328,130,000 1,323,081,000 1,323,431,000 1,316,854,000 1,301,582,000 1,310,527,000 1,302,484,000 1,262,319,000 1,283,675,000 1,245,297,000 1,276,977,000 1,267,641,000 1,259,852,000 1,266,739,000 1,264,943,000 1,258,830,000 1,248,555,000 1,231,637,000 1,290,909,000 1,284,711,000 1,279,370,000 1,240,455,000 1,213,620,000 1,208,549,000 1,198,010,000 1,191,807,000 1,192,601,000 1,187,963,000 1,177,125,000 822,520,000 821,758,000 817,071,000 812,250,000 799,376,000 798,652,000 1,038,200,000 1,032,970,000  1,022,150,000 1,020,128,000 1,010,448,000 790,371,000 779,074,000 779,555,000 769,208,000 766,096,000 760,817,000 750,918,000 594,078,000 591,331,000 589,948,000 587,301,000 613,721,000 611,337,000 609,849,000 607,676,000 600,852,000 598,249,000 558,527,000 552,227,000 538,651,000 533,863,000 529,848,000 520,849,000 512,385,000 506,882,000 503,130,000 464,668,000 450,261,000 422,178,000 402,006,000 395,266,000 368,544,000 359,727,000 378,772,000 367,277,000 279,862,000 161,564,000 
        treasury stock
      -689,210,000 -690,025,000 -690,034,000 -690,379,000 -691,411,000 -691,810,000 -680,753,000 -646,422,000 -647,262,000 -612,777,000 -513,782,000 -481,678,000 -362,862,000 -362,863,000 -362,880,000 -362,886,000 -234,448,000 -234,449,000 -234,461,000 -234,461,000 -235,141,000 -235,224,000 -235,226,000 -202,506,000 -119,943,000 -120,101,000 -120,107,000 -120,109,000 -120,615,000 -120,727,000 -120,732,000 -120,734,000 -121,644,000 -121,816,000 -122,014,000 -123,051,000 -123,051,000 -367,121,000 -367,121,000  -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -367,121,000 -352,669,000 -340,667,000 -287,978,000 -283,658,000 -283,658,000 -252,380,000 -252,380,000 -252,380,000 -252,380,000 -252,380,000 -252,380,000 -252,380,000 -252,380,000 -252,380,000 -252,380,000 -252,380,000 -231,914,000 -231,914,000 -156,921,000 -145,846,000  -180,000 
        accumulated other comprehensive
      -30,077,000    -27,571,000                                              -713,000 -9,404,000 -11,281,000  -9,495,000 -13,389,000                         
        retained earnings
      423,441,000 425,145,000 430,549,000 914,622,000 939,915,000 920,481,000 931,176,000 943,578,000 946,859,000 927,025,000 907,528,000 903,344,000 879,118,000 826,172,000 776,257,000 731,469,000 698,568,000 653,184,000 609,955,000 574,888,000 532,265,000 439,521,000 407,184,000 407,553,000 398,574,000 383,255,000 410,865,000 381,129,000 348,373,000 323,236,000 309,941,000 297,500,000 285,186,000 240,831,000 237,673,000 226,837,000 220,443,000 192,195,000 172,052,000  157,563,000 145,879,000 128,038,000 328,341,000 323,344,000 314,960,000 297,794,000 287,987,000 283,162,000 285,046,000 272,863,000 301,413,000 297,973,000 302,023,000 289,237,000 276,026,000 267,512,000 260,819,000 256,259,000 245,018,000 244,317,000 232,830,000 214,024,000 197,540,000 182,383,000 167,161,000 151,430,000 136,998,000 125,773,000 132,219,000 107,374,000 122,666,000 109,740,000 98,175,000 92,768,000 83,094,000 73,752,000 66,336,000   
        total stockholders’ equity
      1,043,463,000 1,037,574,000 1,038,661,000 1,524,139,000 1,545,280,000 1,521,587,000 1,534,195,000 1,597,952,000 1,587,884,000 1,579,221,000 1,683,160,000 1,674,938,000 1,804,403,000 1,724,414,000 1,660,917,000 1,615,197,000 1,684,804,000 1,631,687,000 1,574,981,000 1,529,331,000 1,514,867,000 1,397,987,000 1,349,096,000 1,341,803,000 1,416,736,000 1,384,974,000 1,420,951,000 1,397,030,000 1,375,796,000 1,365,081,000 1,341,905,000 998,440,000 962,306,000 913,116,000 894,555,000 852,491,000 839,667,000 823,427,000 794,787,000  776,387,000 751,443,000 730,100,000 711,723,000 688,099,000 704,322,000 685,978,000 689,230,000 679,200,000 670,180,000 499,477,000 516,589,000 509,889,000 517,775,000 526,701,000 507,212,000 508,451,000 492,638,000 501,521,000 518,817,000 527,586,000 499,963,000 470,800,000 460,376,000 457,920,000 444,885,000 430,422,000 402,775,000 374,269,000 350,206,000 321,594,000 324,088,000 288,878,000 260,429,000 250,397,000 223,514,000 305,546,000 296,162,000   
        total liabilities and stockholders’ equity
      3,602,001,000 3,646,452,000 3,667,905,000 4,052,751,000 4,037,424,000 4,065,803,000 4,074,495,000 4,078,224,000 3,781,988,000 3,739,371,000 3,777,601,000 3,742,399,000 3,889,758,000 3,807,013,000 3,752,862,000 3,671,997,000 3,782,383,000 3,774,465,000 3,712,787,000 3,741,554,000 3,615,136,000 3,453,521,000 3,391,759,000 3,447,565,000 3,303,240,000 3,346,580,000 3,290,410,000 3,205,711,000 3,107,887,000 3,178,642,000 3,185,773,000 3,247,693,000 3,211,257,000 2,418,187,000 2,101,131,000 2,049,015,000 1,807,954,000 1,827,424,000 1,814,162,000  1,830,262,000 1,774,704,000 1,827,620,000 1,637,894,000 1,550,807,000 1,578,625,000 1,545,734,000 1,563,023,000 1,555,923,000 1,196,229,000 1,184,072,000 1,187,501,000 1,156,491,000 1,163,599,000 1,185,506,000 1,161,817,000 1,158,370,000 1,144,109,000 1,174,666,000 1,153,856,000 1,007,028,000 1,017,308,000 959,276,000 941,795,000 937,997,000 940,102,000 973,236,000 946,372,000 995,417,000 1,034,431,000 960,745,000 862,454,000 972,656,000 818,012,000 810,077,000 776,490,000 623,074,000 613,618,000   
        trade accounts receivable, net of allowances of 5,637 and 6,917
       262,160,000                                                                               
        accumulated other comprehensive loss
       -31,975,000 -30,907,000 -24,106,000  -24,854,000 -18,726,000 -10,646,000    7,067,000  -7,439,000 -13,215,000 -21,025,000 -45,155,000 -46,774,000 -49,963,000 -43,627,000 -74,059,000 -91,913,000 -103,124,000 -104,588,000 -76,402,000 -87,615,000 -68,700,000 -56,679,000 -45,443,000 -26,271,000 -25,306,000 -1,663,000 -23,807,000 -23,783,000 -34,158,000 -51,453,000 -57,154,000 -40,310,000 -43,576,000  -36,665,000 -47,902,000 -41,723,000 -40,288,000 -47,616,000                                   -898,000 
        trade accounts receivable, net of allowances of 6,852 and 6,917
        284,507,000                                                                              
        trade accounts receivable, net of allowances of 6,482 and 6,917
         252,446,000                                                                             
        trade accounts receivable, net of allowances of 6,917 and 4,879
          272,370,000                                                                            
        long-term convertible securities
            571,713,000 570,984,000 570,255,000 569,527,000 568,798,000 568,069,000 567,341,000 566,612,000 565,883,000 565,155,000 564,426,000 563,697,000 562,968,000 562,240,000 474,834,000 469,898,000 465,006,000 460,159,000              225,248,000 223,041,000  220,626,000 218,720,000 216,604,000 214,358,000 215,177,000 213,121,000 211,095,000 209,096,000 207,125,000 205,182,000 203,265,000 201,375,000 199,511,000 197,672,000 195,860,000 194,072,000 356,103,000 352,576,000 349,104,000 345,687,000 156,824,000 155,154,000 153,514,000 151,900,000 150,313,000 148,754,000 147,220,000 145,712,000 271,307,000 330,000,000 330,000,000 330,000,000 330,000,000 330,000,000 330,000,000 330,000,000  508,000   
        trade accounts receivable, net of allowances of 7,423 and 4,879
           248,298,000                                                                           
        trade accounts receivable, net of allowances of 10,992 and 4,879
            271,155,000                                                                          
        trade accounts receivable, net of allowances of 5,050 and 4,879
             241,092,000                                                                         
        trade accounts receivable, net of allowances of 4,879 and 4,304
              259,327,000                                                                        
        accumulated other comprehensive income
              -15,106,000 1,745,000 4,830,000  10,265,000                                 -23,488,000 -14,318,000 1,853,000 1,927,000 927,000                               
        trade accounts receivable, net of allowances of 5,630 and 4,304
               256,270,000                                                                       
        prepaid expenses and other current assets
               130,976,000 129,112,000 116,845,000 116,789,000 123,357,000 102,168,000 96,946,000 91,051,000 84,155,000 81,527,000 78,508,000 69,282,000 69,817,000 67,342,000 67,332,000 67,907,000 92,091,000 99,576,000 99,627,000 90,160,000 82,408,000 88,654,000 96,520,000 99,080,000 59,534,000 55,563,000 35,477,000 27,666,000 43,858,000 41,170,000  43,894,000 42,620,000 39,361,000 42,397,000 23,958,000 29,632,000 26,886,000 36,758,000 34,496,000 26,752,000 30,739,000 30,774,000 27,396,000 30,291,000 14,366,000 12,162,000 24,571,000 25,904,000 28,330,000 32,794,000 24,807,000 27,869,000 18,501,000 23,455,000 21,081,000 20,032,000 26,189,000 22,636,000 27,420,000 31,191,000 39,013,000 23,538,000 14,318,000 12,264,000 18,615,000 9,778,000 9,441,000 9,649,000 2,517,000 1,937,000 
        current portion of borrowings under securitization facility
               75,700,000 90,800,000         110,900,000 112,500,000                                                            
        trade accounts receivable, net of allowances of 4,692 and 4,304
                258,663,000                                                                      
        trade accounts receivable, net of allowances of 3,544 and 4,304
                 253,995,000                                                                     
        trade accounts receivable, net of allowances of 4,304 and 4,735
                  263,465,000                                                                    
        trade accounts receivable, net of allowances of 3,958 and 4,735
                   248,268,000                                                                   
        assets held for sale
                   1,831,000 30,525,000      162,105,000 159,977,000                                                           
        trade accounts receivable, net of allowances of 3,995 and 4,735
                    237,361,000                                                                  
        liabilities held for sale
                    2,303,000      11,751,000 12,349,000                                                           
        trade accounts receivable, net of allowances of 3,895 and 4,735
                     234,010,000                                                                 
        trade accounts receivable, net of allowances of 4,735 and 6,439
                      231,831,000                                                                
        trade accounts receivable, net of allowances of 6,251 and 6,439
                       222,232,000                                                               
        income taxes payable
                       24,780,000 17,112,000 13,700,000                                                     5,484,000    3,310,000  1,621,000 1,233,000 
        trade accounts receivable, net of allowances of 6,687 and 6,439
                        229,823,000                                                              
        trade accounts receivable, net of allowances of 6,886 and 6,439
                         223,542,000                                                             
        trade accounts receivable, net of allowances of 6,439 and 4,303
                          225,532,000                                                            
        trade accounts receivable, net of allowances of 6,727 and 4,303
                           218,184,000                                                           
        trade accounts receivable, net of allowances of 6,815 and 4,303
                            179,143,000                                                          
        trade accounts receivable, net of allowances of 6,652 and 4,303
                             245,546,000                                                         
        commitments and contingencies
                                                                                      
        trade accounts receivable, net of allowances of 4,303 and 3,719
                              275,296,000                                                        
        trade accounts receivable, net of allowances of 4,006 and 3,719
                               281,119,000                                                       
        trade accounts receivable, net of allowances of 4,394 and 3,719
                                296,507,000                                                      
        trade accounts receivable, net of allowances of 4,099 and 3,719
                                 279,072,000                                                     
        short-term portion of borrowings under senior credit facility
                                 33,750,000  11,250,000  60,000,000  18,750,000 12,500,000 6,250,000                                             
        deferred revenue
                                 3,750,000 3,764,000    11,051,000 7,668,000 8,424,000 8,088,000 6,812,000 6,997,000 8,151,000  7,222,000 5,666,000 4,931,000 4,303,000 4,303,000 5,176,000 5,183,000 4,411,000 4,220,000 4,197,000 4,474,000 3,748,000 3,868,000 3,505,000 3,645,000 4,261,000 4,027,000 4,543,000 3,629,000 3,367,000 3,836,000 4,444,000 4,327,000 4,001,000 3,937,000 4,077,000 4,083,000 3,325,000 3,173,000 3,053,000 3,489,000 2,655,000 3,205,000 2,901,000 2,786,000 2,863,000 3,401,000 4,319,000 1,018,000 1,879,000 
        trade accounts receivable, net of allowances of 3,719 and 8,882
                                  265,737,000                                                    
        borrowings under senior credit facility
                                  22,500,000    60,000,000     28,750,000 21,250,000  17,813,000 14,375,000 10,938,000 7,500,000 5,625,000 3,750,000 1,875,000              69,375,000 108,438,000      40,000,000 100,000,000 100,000,000 200,000,000 120,000,000 120,000,000    100,000,000 100,000,000   
        short-term portion of contingent consideration
                                   5,000,000 4,900,000 24,215,000 22,793,000                                                
        trade accounts receivable, net of allowances of 3,897 and 8,882
                                   248,738,000                                                   
        trade accounts receivable, net of allowances of 3,464 and 8,882
                                    258,380,000                                                  
        trade accounts receivable, net of allowances of 4,596 and 8,882
                                     272,260,000                                                 
        trade accounts receivable, net of allowances of 8,882 and 6,319
                                      251,799,000                                                
        trade accounts receivable, net of allowances of 6,969 and 6,319
                                       171,126,000                                               
        trade accounts receivable, net of allowances of 7,530 and 6,319
                                        171,323,000                                              
        trade accounts receivable, net of allowances of 7,529 and 6,319
                                         158,234,000                                             
        short-term portion of contingent considerations
                                         37,046,000                                             
        restricted cash and cash equivalents
                                               4,073,000                                       
        trade accounts receivable, net of allowances of 6,319 and 5,572
                                          148,186,000                                            
        trade accounts receivable, net of allowances of 6,173 and 5,572
                                           140,750,000                                           
        trade accounts receivable, net of allowances of 6,023 and 5,572
                                            145,571,000                                          
        3-month usd libor loan
                                                                                      
        1-month usd libor loan
                                                                                      
        total interested rate derivatives designated as cash flow hedge
                                                                                      
        item 8.
                                                                                      
        trade accounts receivable, net of allowances of 6,015 and 5,572
                                              151,607,000                                        
        trade accounts receivable, net of allowances of 5,572 and 5,659
                                               132,241,000                                       
        current assets of discontinued operations
                                                                                      
        non-current assets of discontinued operations
                                                                                      
        current liabilities of discontinued operations
                                                                                      
        long-term liabilities of discontinued operations
                                                                                      
        trade accounts receivable, net of allowances of 5,876 and 5,659
                                                125,465,000                                      
        trade accounts receivable, net of allowances of 6,447 and 6,184
                                                 134,546,000                                     
        trade accounts receivable, net of allowances of 6,515 and 6,184
                                                  126,785,000                                    
        trade accounts receivable, net of allowances of 6,184 and 6,194
                                                   131,918,000                                   
        trade accounts receivable, net of allowances of 5,161 and 6,194
                                                    120,741,000                                  
        trade accounts receivable, net of allowances of 5,223 and 6,194
                                                     118,262,000                                 
        trade accounts receivable, net of allowances of 6,287 and 6,194
                                                      112,521,000                                
        trade accounts receivable, net of allowances of 6,194 and 7,221
                                                       118,145,000                               
        trade accounts receivable, net of allowances of 8,159 and 7,221
                                                        113,538,000                              
        trade accounts receivable, net of allowances of 9,637 and 7,221
                                                         114,749,000                             
        trade accounts receivable, net of allowances of 10,528 and 7,221
                                                          111,944,000                            
        trade accounts receivable, net of allowances of 7,221 and 6,978
                                                           114,916,000                           
        accumulated other comprehensive income:
                                                                                      
        foreign currency translation adjustment
                                                           -1,270,000   351,000 -6,494,000 -183,000 17,530,000 12,596,000 -870,000 3,792,000 -18,187,000 -1,483,000 9,746,000 19,700,000 12,039,000 -1,653,000 6,314,000 16,664,000 32,006,000 29,898,000 19,768,000 22,724,000 14,293,000 11,593,000 10,045,000   
        pension liability adjustment, net of tax
                                                           -1,154,000   -135,000 -131,000 -571,000 -586,000 -509,000 -771,000 -857,000 -821,000 -814,000 -860,000 -1,061,000 -1,111,000 -946,000 -959,000 -665,000 -719,000 -714,000 -723,000   -1,968,000 -1,965,000   
        unrealized gain on derivatives, net of tax
                                                           -2,373,000    -2,468,000   274,000 -154,000 -1,506,000 8,000 13,000 19,000               
        trade accounts receivable, net of allowances of 6,695 and 6,978
                                                            119,527,000                          
        trade accounts receivable, net of allowances of 7,013 and 6,978
                                                             115,571,000                         
        trade accounts receivable, net of allowances of 6,691 and 6,978
                                                              113,996,000                        
        property, plant, and equipment
                                                              136,770,000 131,383,000   102,478,000 99,456,000   83,418,000 83,526,000    70,382,000    61,730,000 55,262,000 50,632,000  42,559,000 11,567,000 11,173,000 
        unrealized loss on derivatives, net of tax
                                                              -2,363,000  -2,526,000 -1,087,000                     
        trade accounts receivable, net of allowances of 6,978 and 7,322
                                                               118,129,000                       
        common stock; .01 par value...
                                                               357,000    359,000 354,000 353,000 353,000 350,000  347,000  344,000 340,000 337,000  323,000    315,000   
        trade accounts receivable, net of allowances of 7,063 and 7,322
                                                                117,777,000                      
        trade accounts receivable, net of allowances of 6,825 and 7,322
                                                                 116,179,000                     
        trade accounts receivable, net of allowances of 6,678 and 7,322
                                                                  106,117,000                    
        trade accounts receivable, net of allowances of 7,322 and 11,216
                                                                   106,005,000                   
        trade accounts receivable, net of allowances of 8,270 and 11,216
                                                                    107,150,000                  
        short-term borrowings under senior credit facility
                                                                    7,500,000                  
        trade accounts receivable, net of allowances of 9,578 and 11,216
                                                                     97,779,000                 
        trade accounts receivable, net of allowances of 10,429 and 11,216
                                                                      98,532,000                
        trade accounts receivable, net of allowances of 11,216 and 10,052
                                                                       103,228,000               
        trade accounts receivable, net of allowances of 13,027 and 10,052
                                                                        101,379,000              
        trade accounts receivable, net of allowances of 10,752 and 10,052
                                                                         101,462,000             
        trade accounts receivable, net of allowances of 9,432 and 10,052
                                                                          101,610,000            
        common stock: 0.01 par value...
                                                                          345,000    328,000        
        trade accounts receivable, net of allowances of 10,052 and 7,816
                                                                           112,417,000           
        trade accounts receivable, net of allowances of 9,469 and 7,816
                                                                            111,081,000          
        preferred stock, no par value, 15,000 authorized shares; none outstanding
                                                                                      
        trade accounts receivable, net of allowances of 7,947 and 7,816
                                                                             108,126,000         
        trade accounts receivable, net of allowances of 7,387 and 7,816
                                                                              106,880,000        
        property, plan and equipment
                                                                              63,344,000        
        trade accounts receivable, net of allowances of 7,816 and 4,114
                                                                               103,539,000       
        accounts receivable
                                                                                92,313,000 95,267,000   14,454,000 12,647,000 
        identifiable intangible assets
                                                                                181,194,000 183,775,000     
        long-term income taxes payable
                                                                                8,652,000 8,560,000 8,340,000    
        minimum pension liability adjustment, net of tax
                                                                                -2,047,000 -2,006,000     
        trade accounts receivable, net of allowances of 3,968 and 4,114
                                                                                  85,884,000    
        investments in marketable securities
                                                                                      
        trade accounts receivable, net of allowances of 4,114 and 3,508
                                                                                   85,018,000   
        investments in marketable securities, non-current
                                                                                      
        preferred stock; no par value; 15,000,000 authorized shares; none outstanding
                                                                                      
        unrealized gain on available-for-sale securities, net of tax
                                                                                      
        noncurrent investments
                                                                                    58,913,000  
        goodwill and other intangible assets
                                                                                    29,191,000 24,378,000 
        liabilities and stockholders' equity
                                                                                      
        short-term debt
                                                                                     9,150,000 
        customer advances and deposits
                                                                                    4,080,000 3,213,000 
        long-term debt
                                                                                     3,121,000 
        deferred income taxes
                                                                                    2,407,000 1,717,000 
        stockholders' equity:
                                                                                      
        preferred stock; 0.01 par value...
                                                                                    1,000 2,000 
        other
                                                                                     -58,000 
        accumulated deficit
                                                                                     -103,733,000 
        total stockholders' equity
                                                                                    182,565,000 56,874,000 
        total liabilities and stockholders' equity
                                                                                    206,556,000 91,079,000 
                                                                                      
      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 2001-03-31 
                                                                                      
          operating activities:
                                                                                      
          net income
            19,435,000 -10,696,000 -12,402,000 -3,281,000 19,834,000 19,497,000 4,184,000 24,226,000 52,946,000 49,915,000 44,788,000 32,901,000 45,384,000 43,229,000 35,068,000 45,394,000 92,744,000 32,337,000 -369,000 9,180,000 15,319,000 -27,610,000 29,736,000 32,756,000 25,138,000 13,295,000 11,376,000 10,992,000 44,355,000 3,158,000 10,836,000 6,394,000 28,248,000 20,143,000 14,525,000 11,648,000 14,980,000 -31,881,000 4,998,000 8,384,000 17,166,000 9,807,000 4,825,000 2,206,000 12,183,000 -28,550,000 3,440,000 -4,050,000 12,786,000 13,211,000 8,514,000 6,693,000 4,560,000 11,243,000 699,000 11,487,000 18,807,000 16,483,000 15,157,000 15,222,000 15,731,000 14,432,000 11,225,000 9,567,000 24,845,000 -15,291,000 13,814,000 11,565,000 5,382,000 9,673,000 9,342,000 9,074,000 20,869,000 1,996,000 
          adjustments to reconcile net income to net cash from operating activities:
                                                                                      
          depreciation and amortization
        38,430,000 38,522,000 37,692,000 37,188,000 37,589,000 35,961,000 36,777,000 30,566,000 30,985,000 30,558,000 30,826,000 31,143,000 29,496,000 29,467,000 29,612,000 29,724,000 30,746,000 30,122,000 29,754,000 29,214,000 26,178,000 31,027,000 29,675,000 29,151,000 27,878,000 27,599,000 26,892,000 27,093,000 27,677,000 29,051,000 26,906,000 27,096,000 26,664,000 20,969,000 21,595,000 19,717,000 18,312,000 18,086,000 18,014,000 18,253,000 18,267,000 9,437,000 15,745,000 15,414,000 16,023,000 15,941,000 15,203,000 13,961,000 11,315,000 11,670,000 12,636,000 11,389,000 13,489,000 13,314,000 13,232,000 12,576,000 12,869,000 12,852,000 14,493,000 9,958,000 10,504,000 9,714,000 9,523,000 9,431,000 12,572,000 9,973,000 8,467,000 8,676,000 8,773,000 7,900,000 6,971,000 7,073,000 6,418,000 6,013,000 7,532,000 5,664,000 14,459,000 1,431,000 
          non-cash impairment charges
          36,000 29,000 5,080,000 7,064,000         2,754,000                   409,000 190,000 600,000 340,000                              
          deferred income tax benefit
        -10,948,000 -8,653,000 -44,831,000 -1,832,000                                                      759,000 -3,228,000 -1,981,000  -1,289,000 -6,000 -369,000      -8,716,000         
          share-based compensation
        5,838,000 5,580,000 5,295,000 1,870,000 7,152,000 4,382,000 7,244,000 5,599,000 5,793,000 5,459,000 5,271,000 3,620,000 5,731,000 8,967,000 6,736,000 6,291,000 6,432,000 7,745,000 15,699,000 6,334,000 5,257,000 5,411,000 5,172,000 3,750,000 5,511,000 5,885,000 5,776,000 4,083,000 4,993,000 5,572,000 5,483,000 4,731,000 5,191,000 5,309,000 5,687,000 5,363,000 4,537,000 4,876,000 4,651,000 3,246,000 3,662,000 6,172,000 3,239,000 2,377,000 3,417,000 3,386,000 5,831,000 2,471,000 2,799,000 2,830,000 2,692,000 2,072,000 2,419,000 2,277,000 2,285,000 2,070,000 7,908,000 3,034,000 11,829,000 4,034,000 5,756,000 3,933,000 3,677,000 3,843,000 4,059,000 3,790,000 3,971,000 3,760,000 3,910,000 21,647,000 3,600,000 3,478,000 4,432,000 3,780,000 3,826,000 3,356,000   
          amortization of debt issuance costs and expenses associated with debt refinancing
        1,015,000 1,315,000 1,890,000 1,385,000 1,400,000 1,335,000 1,460,000 1,398,000 1,433,000 1,417,000 1,424,000 1,890,000 1,703,000 1,750,000 1,668,000 1,724,000 1,722,000 1,739,000 1,848,000 1,721,000 1,577,000 4,948,000 1,305,000 4,246,000                                                       
          non-cash lease expense
        -81,000 -307,000 -345,000 -254,000 964,000 -825,000 547,000 149,000 69,000 369,000 491,000 1,260,000 -224,000 1,647,000 1,410,000 -17,000 735,000 571,000 1,006,000 1,522,000 783,000 412,000                                                         
          lease incentive
                                                                                      
          loss on disposal of property and equipment and construction in-progress
                                                                                      
          change in fair value of contingent consideration and others
        -6,685,000 -14,441,000 -41,000 -162,000 -5,472,000 -2,123,000 1,348,000 456,000 4,610,000 2,197,000 1,382,000 4,699,000 -823,000 -13,682,000 -5,034,000 -765,000 -1,618,000 -159,000 -666,000 281,000 996,000 663,000 343,000 -1,051,000                                                       
          changes in assets and liabilities:
                                                                                      
          accounts receivable
        -16,452,000 22,507,000 -27,991,000 21,451,000 -31,463,000 28,750,000 -6,716,000 16,827,000 -457,000 224,000 -5,215,000 10,041,000 -10,035,000 -14,238,000 -6,516,000 -3,116,000 -10,172,000 6,635,000 -5,954,000 16,756,000 -5,758,000 -37,430,000 66,992,000 28,301,000 8,091,000 12,837,000 -16,651,000 -13,705,000 -18,201,000 9,600,000 9,980,000 -18,400,000 -79,837,000 1,442,000 -10,714,000 -589,000 -9,418,000 5,425,000 4,915,000 -18,440,000 -7,025,000 -4,726,000 -6,580,000 2,100,000 -12,298,000 -3,953,000 -5,565,000 5,671,000 -4,332,000 2,185,000 -2,854,000 2,109,000 5,116,000 -3,585,000 -2,548,000 4,800,000 -1,101,000 -76,000 -1,797,000 1,096,000 474,000 -6,944,000 -591,000 3,278,000 -1,856,000 1,758,000 765,000 9,141,000 -2,097,000 649,000 -646,000 -2,616,000 -3,015,000 4,243,000 -3,529,000 -540,000  393,000 
          inventories
        -3,341,000 -23,345,000 -6,378,000 -13,696,000 -570,000 -10,301,000 1,743,000 -19,021,000 -16,423,000 -15,795,000 -2,132,000 -25,423,000 -4,681,000 -6,867,000 -6,015,000 -11,561,000 8,972,000 -6,491,000 5,225,000 -2,332,000 -2,817,000 1,510,000 -20,805,000 -26,236,000 -12,755,000 -8,995,000 -9,510,000 -12,048,000 11,741,000 155,000 -4,893,000 1,297,000 961,000 4,602,000 -257,000 -5,207,000 -515,000 -1,699,000 742,000 -8,104,000 4,246,000 1,870,000 -7,086,000 -2,789,000 -358,000 -9,281,000 -8,851,000 -8,516,000 -7,162,000 -10,889,000 -15,081,000 -8,885,000 -1,791,000 3,235,000 -1,302,000 -853,000 8,490,000 2,762,000 -4,780,000 -4,770,000 1,029,000 -649,000 -5,555,000 -2,199,000 2,650,000 518,000 3,544,000 2,693,000 11,502,000 4,758,000 -5,616,000 179,000 -1,270,000 -7,489,000 -9,662,000 -170,000  -2,212,000 
          prepaid expenses and other current assets
        2,192,000 16,222,000 -3,665,000 -17,551,000 26,214,000 -17,628,000 -14,097,000 -2,676,000 24,352,000 -11,188,000 -8,348,000 -2,164,000 6,983,000 5,749,000 926,000 -5,046,000 -9,447,000 -3,635,000 -4,487,000 -3,574,000 2,497,000 -3,056,000 -2,492,000 4,683,000 21,233,000 6,644,000 -1,857,000 -12,949,000 501,000 5,391,000 -14,122,000 12,163,000 -19,117,000 -5,455,000 -7,248,000 -1,988,000 13,861,000 -3,311,000 2,346,000 2,016,000 -7,656,000 14,737,000 -13,317,000 6,003,000 1,442,000 9,460,000 -1,250,000 -1,582,000 5,211,000 342,000 -3,496,000 2,872,000 -11,215,000 484,000 6,045,000 1,619,000 151,000 -1,738,000 -1,679,000 2,871,000 -10,556,000 7,981,000 -3,056,000 -821,000 -9,602,000 -3,199,000 1,240,000 7,247,000 34,791,000 -17,430,000 -11,488,000 -1,899,000 -5,110,000 3,800,000 -679,000 2,605,000  -99,000 
          other non-current assets
        8,000 1,001,000 824,000 1,510,000 -1,097,000 -11,266,000 9,182,000 339,000 239,000 -590,000 -2,175,000 -6,009,000 -11,757,000 2,837,000 4,455,000 2,283,000 1,975,000 1,833,000 -6,352,000 10,419,000 2,867,000 4,719,000 3,149,000 3,000,000 6,506,000 3,804,000 3,474,000 -628,000 2,449,000 -961,000 -775,000 339,000 1,063,000 -166,000 -1,490,000 -321,000 77,000 19,000 30,000 -601,000 -614,000 3,030,000 -76,000 -1,730,000 -1,307,000 1,409,000 -1,719,000 -127,000 956,000 -147,000 -253,000 -115,000 -61,000 -1,000 -724,000 -152,000 436,000 64,000 -210,000 85,000 30,000 -411,000 6,000 196,000 -2,327,000 -2,686,000 4,514,000 910,000 -408,000 1,491,000 -650,000 -535,000 -340,000 -3,494,000 -2,211,000 6,409,000   
          accounts payable, accrued expenses and other current liabilities
        23,020,000 5,782,000 15,922,000 -18,000,000 -5,360,000 6,826,000 15,070,000 -19,210,000 1,912,000 -6,242,000 -10,915,000 -4,984,000 18,146,000 13,753,000 -4,802,000 -9,754,000 -984,000 6,581,000 12,828,000 14,449,000 9,666,000 21,493,000 -48,436,000 -40,235,000 14,300,000 -16,044,000 11,023,000 5,387,000 -5,830,000 12,823,000 -6,379,000 2,974,000 71,300,000 3,734,000 11,349,000 8,938,000 -6,245,000 3,594,000 -5,769,000 8,006,000 -7,719,000 -10,265,000 21,498,000 -1,885,000 -6,367,000 3,946,000 9,286,000 -4,438,000 -4,240,000 11,292,000 3,408,000 -515,000 -27,599,000 -850,000 5,257,000 2,121,000 -7,657,000 -8,609,000 7,221,000 -2,797,000 -5,613,000 6,308,000 2,845,000 3,196,000 9,718,000 3,763,000 -3,511,000 -5,420,000 -18,346,000 5,140,000 -1,881,000 -2,171,000       
          contract liabilities
        685,000 371,000 2,100,000 244,000 1,718,000 -347,000 3,667,000 -1,498,000 -13,000 -583,000   1,750,000 1,750,000      -83,000 511,000 89,000 -975,000 338,000 788,000 576,000                                                     
          other non-current liabilities
        -21,460,000 1,760,000 1,156,000 1,388,000 -1,429,000 7,359,000 -7,911,000 1,888,000 483,000 110,000 13,070,000 -14,073,000 9,850,000 -6,170,000 -5,542,000 -2,576,000 -15,619,000 1,027,000 10,144,000 -9,662,000 2,528,000 -2,006,000 -1,127,000 -2,284,000 -2,656,000 -489,000 -3,522,000 4,608,000 -155,000 -4,246,000 4,861,000 -69,000 21,361,000 9,227,000 -1,100,000 -5,685,000 838,000 829,000 -690,000 -386,000 1,017,000 -687,000 -932,000 1,547,000 -738,000 -2,358,000 -643,000 -2,309,000 -3,702,000 -726,000 -174,000 -364,000 324,000 -1,695,000 33,000 399,000  -1,001,000 -79,000 -198,000  -7,312,000 2,280,000 -2,836,000  184,000 -280,000 402,000    1,051,000    -4,477,000   
          net cash from operating activities
        11,816,000 40,906,000 8,919,000 -11,257,000 50,740,000 22,485,000 40,401,000 15,756,000 58,750,000 26,770,000 28,279,000 26,156,000 85,334,000 68,313,000 66,478,000 44,344,000 69,277,000 82,779,000 91,290,000 69,081,000 80,262,000 69,639,000 33,117,000 20,814,000 89,184,000 64,241,000 48,524,000 29,484,000 42,688,000 79,251,000 36,213,000 41,531,000 11,549,000 45,242,000 28,871,000 28,882,000 6,529,000 46,767,000 43,938,000 19,171,000 25,392,000 19,349,000 18,123,000 31,619,000 20,757,000 31,075,000 16,377,000 11,254,000 11,696,000 30,808,000 2,918,000 7,846,000 -3,788,000 27,909,000 2,276,000 32,318,000 34,695,000 23,795,000 24,583,000 21,255,000 28,430,000 29,646,000 19,358,000 28,137,000 47,044,000 28,366,000 30,638,000 37,187,000 27,091,000 27,128,000 -1,975,000 20,346,000 14,593,000 10,672,000 6,479,000 15,282,000 62,675,000 4,550,000 
          capital expenditures
        -17,214,000 -15,156,000 -20,146,000 -28,920,000 -29,600,000 -29,646,000 -29,707,000 -15,465,000 -24,535,000 -13,078,000 -15,548,000 -13,704,000 -14,456,000 -9,155,000 -9,407,000 -9,325,000 -27,427,000 -7,286,000 -6,634,000 -6,675,000 -8,427,000 -6,727,000 -7,217,000 -16,519,000 -22,194,000 -13,593,000 -17,664,000 -16,086,000 -25,685,000 -16,669,000 -20,000,000 -15,387,000 -13,697,000 -7,796,000 -12,819,000 -9,191,000 -21,192,000 -6,974,000 -8,267,000 -10,895,000 -13,099,000 1,699,000 -13,112,000 -8,901,000 -12,455,000 -8,775,000 -9,356,000 -11,335,000 -10,129,000 -13,247,000 -13,622,000 -10,853,000 -24,672,000 -19,717,000 -14,230,000 -10,412,000 -13,044,000 -12,243,000 -7,216,000 -5,922,000 -18,241,000 -7,206,000 -5,747,000 -5,944,000 -11,287,000 -5,682,000 -5,223,000 -3,046,000 -4,108,000 -3,190,000 -3,259,000 -2,844,000 -5,327,000 -6,179,000 -7,217,000 -3,849,000 -396,000 
          free cash flows
        -5,398,000 25,750,000 -11,227,000 -40,177,000 21,140,000 -7,161,000 10,694,000 291,000 34,215,000 13,692,000 12,731,000 12,452,000 70,878,000 59,158,000 57,071,000 35,019,000 41,850,000 75,493,000 84,656,000 62,406,000 71,835,000 62,912,000 25,900,000 4,295,000 66,990,000 50,648,000 30,860,000 13,398,000 17,003,000 62,582,000 16,213,000 26,144,000 -2,148,000 37,446,000 16,052,000 19,691,000 -14,663,000 39,793,000 35,671,000 8,276,000 12,293,000 21,048,000 5,011,000 22,718,000 8,302,000 22,300,000 7,021,000 -81,000 1,567,000 17,561,000 -10,704,000 -3,007,000 -28,460,000 8,192,000 -11,954,000 21,906,000 21,651,000 11,552,000 17,367,000 15,333,000 10,189,000 22,440,000 13,611,000 22,193,000 35,757,000 22,684,000 25,415,000 34,141,000 22,983,000 23,938,000 -5,234,000 17,502,000 9,266,000 4,493,000 -738,000 11,433,000 62,675,000 4,154,000 
          investing activities:
                                                                                      
          purchases of property and equipment
        -17,214,000 -15,156,000 -20,146,000 -28,920,000 -29,600,000 -29,646,000 -29,707,000 -15,465,000 -24,535,000 -13,078,000 -15,548,000 -13,704,000 -14,456,000 -9,155,000 -9,407,000 -9,325,000 -27,427,000 -7,286,000 -6,634,000 -6,675,000 -8,427,000 -6,727,000 -7,217,000 -16,519,000 -22,194,000 -13,593,000 -17,664,000 -16,086,000 -25,685,000 -16,669,000 -20,000,000 -15,387,000 -13,697,000 -7,796,000 -12,819,000 -9,191,000 -21,192,000 -6,974,000 -8,267,000 -10,895,000 -13,099,000 1,699,000 -13,112,000 -8,901,000 -12,455,000 -8,775,000 -9,356,000 -11,335,000 -10,129,000 -13,247,000 -13,622,000 -10,853,000 -24,672,000 -19,717,000 -14,230,000 -10,412,000 -13,044,000 -12,243,000 -7,216,000 -5,922,000 -18,241,000 -7,206,000 -5,747,000 -5,944,000 -11,287,000 -5,682,000 -5,223,000 -3,046,000 -4,108,000 -3,190,000 -3,259,000 -2,844,000 -5,327,000 -6,179,000 -7,217,000 -3,849,000  -396,000 
          purchases of intangible assets
                                                                                      
          purchases of short-term investments
                                                           -14,659,000 -53,248,000                       
          proceeds from maturities of short-term investments
                                                                                      
          cash paid for business acquisitions, net of cash acquired
                                                                                     
          net (payment) proceeds on swaps designated as net investment hedges
                                                                                      
          net cash from investing activities
        -34,907,000 -15,588,000 -21,648,000 -35,920,000 -4,249,000 -10,396,000 -322,198,000 -53,965,000 -57,229,000 -7,697,000 -15,548,000 -13,704,000 -54,820,000 14,805,000 -4,498,000 -14,067,000 -27,485,000 -8,475,000 -7,917,000 -117,566,000 -35,921,000 -6,718,000 -3,949,000 -21,485,000 -20,609,000 -108,839,000 -17,414,000 -15,806,000 -25,330,000 -16,343,000 1,266,000 -9,298,000 -983,568,000 -7,107,000 -37,517,000 -193,143,000 -21,142,000 -6,707,000 -8,043,000 -6,730,000 -37,818,000 -315,448,000 -13,112,000 -5,632,000 -98,851,000 -8,775,000 -9,356,000 -246,335,000 -10,127,000 -13,394,000 -13,688,000 -13,087,000 -29,773,000 19,855,000 -5,523,000 -63,835,000 -15,575,000 -80,864,000   -19,248,000 -8,956,000 -8,168,000 -5,944,000 -67,284,000 -8,658,000 -5,361,000 -7,049,000 -13,138,000 -81,001,000 -3,286,000 -2,850,000 -69,706,000 -6,515,000 -40,577,000 -6,173,000  -3,287,000 
          financing activities:
                                                                                      
          proceeds from borrowings of long-term indebtedness
        49,700,000 603,700,000 12,900,000 54,400,000 35,400,000 21,800,000 58,800,000 370,500,000 18,200,000 131,700,000 5,000,000 10,200,000 6,500,000 11,250,000 11,750,000 11,250,000 12,050,000 11,250,000 1,600,000 600,000 20,200,000 23,600,000 14,500,000 113,200,000 21,100,000 114,600,000 34,000,000 67,200,000                                                   
          payments on debt
        -25,087,000 -38,688,000 -15,887,000 -15,244,000 -39,943,000 -41,544,000 -90,544,000 -15,100,000 -24,700,000 -56,800,000 -16,700,000 -12,400,000 -107,800,000 -17,750,000 -11,250,000 -11,750,000 -11,250,000 -12,050,000 -100,000,000 -2,200,000 -52,500,000 -44,300,000 -344,200,000 -102,850,000 -38,250,000 -47,600,000 -57,400,000                                                   
          repayments of convertible debt
                                                                                     
          payment of debt issuance costs
        -134,000 -75,000       -301,000 -7,578,000       -4,083,000 -20,264,000      -167,000                    -40,000                             
          purchase of treasury stock
                                                                                      
          payments for contingent considerations
        -13,851,000 -2,600,000                                                                           
          proceeds from exercise of stock options and employee stock purchase plan
                                                                                      
          cash taxes paid in net equity settlement
        -137,000 -199,000 -225,000 -2,136,000 -136,000 -171,000 -81,000 -3,122,000 -314,000 -214,000 -104,000 -5,231,000 -272,000 -1,142,000 -14,000,000 -9,204,000 -515,000 -442,000 -207,000 -3,637,000 -389,000 -289,000 -49,000 -4,348,000 -242,000 -60,000 -55,000 -6,157,000 -406,000 -175,000 -464,000 -6,776,000 -360,000 -265,000 -370,000 -6,128,000 -284,000 -298,000                                         
          net cash from financing activities
        24,342,000 -10,245,000 -21,139,000 35,377,000 -7,150,000 -19,915,000 -93,748,000 358,676,000 -6,890,000 -49,659,000 -10,693,000 -162,683,000 -97,699,000 -7,642,000 -13,147,000 -133,465,000     21,222,000 -33,049,000 -28,553,000 162,005,000 -81,992,000 81,025,000 -13,192,000 5,393,000 -84,055,000 -39,839,000 -36,092,000 -20,886,000 664,214,000 286,370,000 33,324,000 185,039,000 13,763,000 -19,797,000 -24,893,000 15,811,000 -17,512,000 245,575,000 44,276,000 -13,826,000 11,740,000 -13,192,000 1,062,000 243,174,000 -488,000 184,000 19,066,000 257,000 3,202,000 460,000 21,033,000 -12,560,000 -27,107,000 36,377,000 95,322,000 -44,455,000 38,674,000 -37,004,000 6,220,000 -9,464,000 -13,109,000 -54,013,000 -76,263,000 -27,957,000 62,539,000 86,268,000 -116,272,000 121,001,000 -17,794,000 4,444,000 125,199,000 -3,364,000 -60,274,000 39,000 
          effect of exchange rate changes on cash and cash equivalents
        1,611,000 -801,000 12,678,000 4,529,000 -8,123,000 7,747,000 -1,125,000 -4,963,000 8,039,000 -4,874,000 -213,000 937,000 11,909,000 -10,691,000 -8,773,000 -3,168,000 904,000 -3,230,000 2,540,000 -9,690,000 8,324,000 5,426,000 2,654,000 -2,533,000 4,347,000 -4,530,000 1,141,000 -884,000 -456,000 -849,000 -7,012,000 3,114,000 797,000 2,838,000 5,809,000 1,280,000 -4,693,000 532,000 -1,285,000 702,000 -1,501,000 -1,201,000 2,138,000 -4,284,000 -1,883,000 -6,037,000 39,000 331,000 665,000 2,634,000 649,000 -2,263,000 1,579,000 2,024,000 -958,000 1,911,000 -2,196,000 -5,596,000 1,035,000 4,713,000 -1,925,000 5,528,000 -5,466,000 -2,946,000 -1,507,000 2,335,000 4,073,000 -97,000 -2,285,000 -394,000 -142,000 3,177,000 748,000 59,000 408,000 887,000 1,133,000  
          net decrease in cash and cash equivalents
        2,862,000    31,218,000     -35,460,000 1,825,000 -149,294,000  64,785,000 40,060,000 -106,356,000                                        -42,166,000                       
          cash and cash equivalents at beginning of period
        246,375,000 276,402,000 456,661,000 513,448,000 470,166,000 198,911,000 138,838,000 174,935,000 102,055,000 48,132,000 260,000 -260,000 71,994,000 120,614,000 96,938,000 100,808,000 128,763,000 71,891,000 183,546,000 57,339,000 22,697,000 32,803,000 14,086,000 
          cash and cash equivalents at end of period
        2,862,000 14,272,000 -21,190,000 239,104,000 31,218,000 -79,000 -376,670,000 591,906,000 2,670,000 -35,460,000 1,825,000 307,367,000 -55,276,000 64,785,000 40,060,000 407,092,000 43,217,000 72,817,000 -11,562,000 408,976,000 73,887,000 35,298,000 3,269,000 357,712,000 -9,070,000 31,897,000 19,059,000 157,025,000 -67,153,000 22,220,000 -5,625,000 189,396,000 -307,008,000 327,343,000 30,487,000 124,113,000 -5,543,000 20,795,000 9,717,000 77,086,000 -31,179,000 -51,985,000 51,425,000 79,871,000 -68,237,000 3,071,000 8,122,000 129,038,000 1,746,000 20,232,000 8,945,000 89,691,000 -28,780,000 50,248,000 16,828,000 58,642,000 -10,183,000 -26,288,000 32,925,000 104,354,000 45,931,000 -10,786,000 11,944,000 81,674,000 -34,856,000 -31,970,000 -46,913,000 185,630,000 74,207,000 32,001,000 -121,675,000 199,013,000 -72,159,000 8,660,000 91,509,000 29,329,000 -36,636,000 15,392,000 
          net loss
         -5,404,000 -484,073,000 -25,293,000                                                                           
          adjustments to reconcile net loss to net cash from operating activities:
                                                                                      
          loss on disposal of property and equipment
         -4,000 -1,000 495,000  72,000 1,253,000 12,000  100,000 -81,000 -23,000  182,000 20,000 712,000  1,943,000 88,000 -2,000  42,000 143,000 374,000 977,000 233,000 244,000 367,000 416,000 842,000 -19,000 146,000 6,546,000 -9,000 104,000 348,000 719,000 -138,000 1,123,000 61,000 357,000 86,000   696,000 127,000   149,000 -15,000 -34,000 1,865,000 505,000 376,000        -284,000 293,000 154,000               
          net payments from swaps designated as net investment hedges
                                                                                      
          purchases of treasury stock
               -125,000,000 -150,000,000  -125,000,000      -100,000,000                                 -14,452,000 -12,002,000 -52,689,000 -4,320,000            -20,465,000 -74,994,000 -11,075,000   
          proceeds from exercised stock options
         957,000 6,398,000 225,000 655,000 1,111,000 2,326,000 3,873,000 353,000 1,239,000 236,000 2,985,000 1,381,000 2,222,000 1,411,000 223,000 1,295,000 2,303,000 4,735,000 463,000 1,750,000 153,000 5,512,000 65,000 3,662,000 8,607,000 1,167,000 556,000 665,000 8,222,000 1,038,000 7,114,000 231,000 6,898,000 562,000 7,755,000 1,924,000 186,000 234,000 446,000   153,000 247,000   10,444,000 1,069,000    2,038,000 569,000 23,000  5,565,000 2,515,000 1,113,000  4,778,000 4,366,000 7,471,000   
          purchases of short term investments
          -1,502,000 -7,000,000                                                                          
          net decrease increase in cash and cash equivalents
                                                                                      
          net increase in cash and cash equivalents
           -7,271,000    315,504,000         43,217,000 72,817,000 -11,562,000 -61,190,000 73,887,000 35,298,000 3,269,000 158,801,000 -9,070,000 31,897,000 19,059,000 18,187,000 -67,153,000 22,220,000 -5,625,000 14,461,000 -307,008,000 327,343,000 30,487,000 22,058,000 -5,543,000 20,795,000 9,717,000 28,954,000 -31,439,000                           2,084,000    141,674,000    6,632,000 -69,439,000 1,306,000 
          gain from the sale of businesses
                                                                                     
          proceeds from sale of business
                                                                                      
          acquired in-process research and development and intangibles
                                                                                      
          proceeds from sales of property and equipment
                                                                                      
          net proceeds on swaps designated as net investment hedges
                                                                                     
          deferred income tax provision
             -9,043,000 -1,844,000 -2,856,000  1,237,000 -227,000 1,953,000 -6,024,000 -6,103,000 3,998,000 3,544,000 10,743,000 -8,591,000 -3,673,000 -1,234,000                           -2,066,000 1,563,000 -3,591,000 -6,838,000 655,000 -1,055,000 4,721,000 -630,000 -1,571,000 -983,000                -1,852,000 -7,478,000 -2,242,000 -1,976,000 -1,024,000   
          cash (paid) for business acquisitions, net of cash acquired
                                                                                     
          proceeds from maturities of short term investments
                                                                                      
          net proceeds from swaps designated as net investment hedges
                                                                                     
          payments for contingent consideration
                                                                                     
          purchases of investments
              -10,497,000 -38,500,000                                                                       
          net (decrease) in cash and cash equivalents
                                                                                      
          gain on disposal of property and equipment and construction in-progress
                                                                                      
          gain from the sale of business
                        169,000 230,000 679,000 -42,876,000                                                           
          acquired in-process research and development milestone
                     -4,742,000                                                              
          non-cash in-process research and development expense
                                5,027,000                                                      
          accretion of bond issuance discount
                            4,340,000 4,295,000 4,251,000 2,529,000                                                       
          purchase of option hedge on convertible notes
                            -104,248,000                                                     
          proceeds from convertible notes issuance
                            575,000,000                                                       
          proceeds from sale of stock purchase warrants
                            1,000 44,562,000                                                     
          proceeds from sale of property and equipment
                             9,000 3,268,000 34,000  1,000 35,000  93,000 57,000 148,000  14,000                                             
          proceeds from sale of businesses
                                                                                      
          proceeds from sale of extremity orthopedics business
                        -1,268,000 191,736,000                                                           
          proceeds from note receivable
                                257,000 250,000 245,000 231,000 233,000 225,000 221,000                                              
          acquired in-process research and development
                               -5,000,000                                                      
          net cash (used) provided by financing activities
                         1,743,000 -97,475,000 -3,015,000                                                           
          cash (paid) provided for business acquisitions, net of cash acquired
                          -1,283,000 -302,627,000                                                           
          income tax expense
                            -68,922,000                                                          
          cash from business acquisitions, net of cash acquired
                                                                    -1,007,000                  
          net cash paid for contingent consideration
                                                                                     
          proceeds from the issuance of common stock, net of issuance costs
                                    -9,000           -219,000                                      
          deferred income tax benefit/provision
                               5,068,000                                                       
          amortization of debt issuance costs
                                1,306,000 1,371,000 1,356,000 1,357,000 1,317,000 1,296,000 2,138,000 1,519,000 1,544,000 394,000 391,000 393,000 906,000 387,000 620,000 616,000 619,000 585,000 530,000 530,000 511,000 817,000 635,000 608,000 591,000 613,000 549,000 545,000 622,000 623,000 720,000 760,000 757,000 792,000   425,000                  
          realized loss on sale of short-term investments
                                                                                      
          gain on divestiture of business
                                                                                      
          proceeds from sale of short-term investments
                                        6,975,000 9,976,000                                           
          proceeds from divestiture of business
                                                                                      
          debt issuance costs
                                                                -59,000                    
          deferred income tax
                                 -1,459,000 -2,234,000 -6,843,000  1,212,000 1,213,000 -1,636,000  203,000 -1,145,000 7,000  -2,277,000 -1,584,000 942,000  30,930,000 464,000 1,184,000                       -1,431,000 -419,000           
          change in fair value of contingent consideration and other
                                 -184,000 194,000  300,000 535,000 379,000  -778,000 -2,256,000 261,000                                           
          changes in assets and liabilities, net of business acquisitions:
                                                                                      
          net cash paid for financing liabilities from business acquisitions
                                                                                     
          cash from business acquisitions
                                                                                     
          deferred revenue
                                   -188,000 1,615,000 -20,000   2,469,000 -678,000 832,000 1,251,000 -130,000 -1,129,000 983,000 1,527,000 321,000 620,000 -36,000 -769,000 49,000 881,000 167,000 21,000 -289,000 708,000 -113,000 391,000 -138,000 -624,000 245,000 -534,000 920,000 292,000 -480,000 -628,000 110,000 148,000 -259,000 -456,000 -309,000 364,000 -153,000 -191,000 -799,000 562,000 -891,000 756,000 -2,125,000 596,000 -609,000 -933,000  19,000 
          non-cash interest expense
                                            1,774,000 2,132,000 2,104,000 2,064,000 2,037,000 2,130,000 1,885,000 1,859,000 1,848,000 1,823,000 1,767,000 1,666,000 1,598,000 1,633,000 1,622,000 1,610,000 236,000 1,788,000 2,968,000 3,528,000 3,472,000 3,487,000 1,998,000 1,634,000 1,606,000 1,578,000 1,888,000 2,053,000 2,038,000 2,334,000 2,765,000 2,762,000           
          payment of accreted interest
                                                                   -1,396,000 -1,273,000 -1,178,000 -1,544,000           
          change in restricted cash
                                            4,165,000                                       
          payment of liability component of convertible notes
                                                                                     
          payment of capital lease obligation
                                                                                      
          realized loss on sale of short-term investment
                                                                                     
          borrowings under senior credit facility
                                     25,000,000 25,000,000 735,617,000 326,383,000 35,000,000 210,000,000 665,000,000 15,000,000 510,000,000   40,000,000 150,000,000 235,000,000 10,000,000     10,000,000 50,000,000   30,000,000       60,000,000 80,000,000 120,000,000 36,000,000 39,000,000   
          repayments under senior credit facility
                                     -45,000,000 -380,000,000 -35,000,000 -52,000,000 -35,000,000 -10,000,000 -20,000,000 -462,500,000 -20,000,000 -26,875,000 -1,875,000 -16,875,000 -433,750,000 -15,000,000 -35,000,000    -155,000,000    1,000 -12,813,000 -22,812,000 -1,875,000 -146,875,000 -41,875,000 -1,875,000 -15,000,000 -40,000,000             
          cash from business acquisition
                                       5,720,000                      690,000 -2,692,000 -175,000                       
          net cash paid for financing liability from business acquisition
                                       -7,772,000                                               
          loss from discontinued operations, net of tax
                                                                                     
          non-cash valuation allowance
                                                                                      
          realized loss on sale of sale of short-term investment
                                                                                      
          gain on bargain purchase
                                                                                      
          net cash from operating activities of continuing operations
                                            6,529,000 46,767,000 43,938,000 19,171,000 25,392,000                                      
          net cash from operating activities of discontinued operations
                                                                                     
          net cash from investing activities of continuing operations
                                            -21,142,000 -6,707,000 -8,043,000 -6,730,000 -37,818,000                                      
          net cash from investing activities of discontinued operations
                                                                                     
          distribution to seaspine
                                                                                     
          cash from business acquisition, net of cash acquired
                                         192,000 -31,816,000 -193,928,000          -235,000,000  -150,000 -64,000 -2,766,000      -68,621,000        -645,000 -138,000 -4,003,000  -77,811,000 -27,000 -6,000  -368,000 -33,731,000 -2,324,000   
          cash received from business acquisition purchase price adjustment
                                             1,000                                         
          principal payments under capital lease obligations
                                             -164,000 -163,000 -160,000  -157,000 -218,000 -178,000  -125,000 -123,000 -122,000                               
          net cash received for contingent consideration
                                                                                      
          sales of property and equipment
                                                        2,000 3,000 -2,000 532,000                           
          other changes in intangible assets
                                                                                      
          change in fair value of contingent consideration
                                             -170,000 120,000 131,000 -536,000 120,000 114,000 125,000                                   
          sale of property and equipment
                                                 1,438,000                                   
          repayment of 2016 convertible notes
                                                                                      
          excess tax benefits from stock-based compensation arrangements
                                               -1,808,000 -114,000 -177,000 -2,380,000 -1,121,000 -177,000 -43,000 -623,000 -541,000 -130,000 -38,000 -79,000 -23,000 -3,202,000 -14,000 -415,000 -3,000 -4,000 -66,000 -725,000 -53,000 -105,000 -1,000 -562,000 -2,912,000 -6,000 -7,000 1,000 -8,000 -228,000 -703,000 -593,000 -66,000 -430,000 -405,000 -135,000 -254,000   
          proceeds from working capital purchase price adjustment
                                                  1,831,000                                   
          net change in cash and cash equivalents
                                                  51,425,000 7,877,000  3,071,000 8,122,000 8,424,000  20,232,000 8,945,000 -7,247,000  50,248,000    -26,288,000 32,925,000 -24,409,000  -10,786,000 11,944,000 9,783,000  -31,970,000    32,001,000    8,660,000     
          gain on disposal of property and equipment
                                                   -19,000                                   
          maturities of short-term investments
                                                                                     
          (gain) from change in fair value of contingent consideration
                                                     120,000                                 
          other
                                                               277,000             18,000 238,000 325,000    -11,000 
          proceeds from liability component of convertible notes
                                                                                     
          proceeds from equity component of convertible notes
                                                                                     
          sales of short-term investments
                                                                                      
          proceeds from liability component of convertible notes issuance
                                                                                      
          proceeds from equity component of convertible notes issuance
                                                                                      
          repurchase of liability component of convertible notes
                                                                      -17,128,000 -16,058,000 -16,831,000 -27,988,000           
          proceeds from exercise of stock options
                                                               250,000    1,687,000    2,624,000               
          in-process research and development
                                                                                    
          gain on convertible note repurchases
                                                                                      
          other liabilities
                                                                                      
          proceeds from the sale of stock purchase warrants
                                                                                     
          amortization of bond issuance costs
                                                                   517,000   317,000 357,000 447,000 519,000 610,000 824,000 605,000 608,000 608,000 610,000 590,000 585,000 146,000 91,000   
          refundable income taxes
                                                                                      
          gain on bond repurchases
                                                                         207,000             
          purchase of intangible assets
                                                                                      
          gain on sale of assets/investments
                                                                                      
          income taxes payable
                                                                               4,755,000 11,068,000 -8,955,000 -2,750,000 1,872,000   
          proceeds from issuance of convertible notes
                                                                                    
          purchase option hedge on convertible notes
                                                                                    
          convertible note issuance and other financing costs
                                                                                -2,000      
          proceeds from exercised stock options and warrants
                                                                                     1,434,000 
          cash paid during the year for interest
                                                                                      
          cash paid during the year for income taxes
                                                                                      
          supplemental non-cash disclosure:
                                                                                      
          acquisition fees included in liabilities
                                                                                      
          property and equipment purchases included in liabilities
                                                                                      
          repayment of loans
                                                                               -178,000    -39,014,000   
          gain on bond repurchase
                                                                           -1,213,000           
          loss on sale of assets/investments
                                                                                52,000      
          amortization of discount/premium on investments
                                                                                      
          proceeds from the sales of investments
                                                                                      
          purchases of available for sale investments
                                                                                      
          cash from acquisitions, net of cash acquired
                                                                                      
          repayment of convertible notes and credit facility
                                                                                      
          gain on sale of assets
                                                                                      
          proceeds from sale of assets
                                                                                 32,000     
          repayment of loans and credit facility
                                                                               77,000 -69,000     
          convertible note issuance costs
                                                                                      
          derivative loss
                                                                                   168,000   
          accounts payable
                                                                                      
          other accrued expenses and current liabilities
                                                                                      
          deferred tax liabilities
                                                                                      
          proceeds from sales/maturities of investments
                                                                                      
          purchases of available-for-sale investments
                                                                                     -2,891,000 
          loss on sale of assets
                                                                                      
          impairment of fixed assets
                                                                                      
          accounts payable accrued expenses and other liabilities
                                                                                   -6,559,000   
          proceeds from sales/maturities of available-for-sale investments
                                                                                      
          accounts payable, accrued expenses and other liabilities
                                                                                    12,290,000 342,000 
          fees paid in connection with bank line of credit
                                                                                      
          repayment of bank loans
                                                                                      
          adjustments to reconcile net income to net cash from (used in) operating activities:
                                                                                      
          loss on sale of product line and investments
                                                                                      
          loss on early extinguishment of debt
                                                                                      
          other, net.
                                                                                      
          non-current assets
                                                                                     301,000 
          customer advances and deposits
                                                                                     2,390,000 
          proceeds from sale of product line and other assets
                                                                                      
          proceeds from sale/maturity of investments
                                                                                      
          net proceeds from revolving credit facility
                                                                                     770,000 
          repayments of term loan
                                                                                      
          repayment of note payable
                                                                                     -1,540,000 
          proceeds from sale of preferred stock
                                                                                      
          proceeds from issuance of common stock
                                                                                      
          proceeds from stock option and warrant exercises
                                                                                      
          treasury stock reissued
                                                                                      
          collection of related party note receivable
                                                                                      
          preferred dividends paid
                                                                                      
          non-cash investing and financing activities:
                                                                                      
          common stock issued in settlement of obligation
                                                                                      
          business acquisition costs accrued in liabilities
                                                                                      
          note issued in a business acquisition
                                                                                      
          adjustments to reconcile net income (loss) to net cash from (used in) operating activities:
                                                                                      
          gain on sale of product line and investments
                                                                                      
          cash used in business acquisition, net of cash acquired
                                                                                      
          repayment of term loan
                                                                                     -625,000 
          effect of exchange rate changes on cash
                                                                                     4,000 
          non-cash investing activities: