CONSOLIDATED STATEMENTS OF INCOME - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Income Statement [Abstract]
Net sales	$ 1,150,981	$ 1,074,751	$ 963,875
Cost of sales	631,882	589,418	562,698
Gross profit	519,099	485,333	401,177
Operating expenses:
Selling, general and administrative	342,525	335,690	297,724
Research and development	75,510	71,247	57,537
Legal settlement		10,036	18,684
Impairment charges	2,219	4,283	36,504
Contingent consideration expense (benefit)	4,611	3,161	(7,960)
Acquired in-process research and development	6,671		250
Total operating expenses	431,536	424,417	402,739
Income (loss) from operations	87,563	60,916	(1,562)
Other income (expense):
Interest income	439	769	604
Interest expense	(6,339)	(5,261)	(9,994)
Other income (expense) - net	966	(2,507)	(2,279)
Total other expense - net	(4,934)	(6,999)	(11,669)
Income (loss) before income taxes	82,629	53,917	(13,231)
Income tax expense (benefit)	8,113	5,463	(3,388)
Net income (loss)	$ 74,516	$ 48,454	$ (9,843)
Earnings (loss) per common share
Basic (in dollars per share)	$ 1.31	$ 0.86	$ (0.18)
Diluted (in dollars per share)	$ 1.29	$ 0.84	$ (0.18)
Weighted average shares outstanding
Basic (in shares)	56,806	56,145	55,434
Diluted (in shares)	57,671	57,359	55,434