Interim Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Operating Activities
Net income	$ 32,120	$ 33,349
Adjustment to reconcile net income to net cash provided by operating activities:
Provision for doubtful accounts	79	313
Depreciation - Property, plant and equipment	6,580	5,521
Depreciation - Rental equipment	2,355	2,105
Amortization of intangibles	4,059	3,815
Amortization of debt issuance	176	176
Stock-based compensation expense	2,125	1,699
Provision for deferred income tax	148	436
Loss (Gain) on sale of property, plant and equipment	151	(1,716)
Changes in operating assets and liabilities:
Accounts receivable	(33,154)	(44,825)
Inventories	(9,185)	(8,703)
Rental equipment	(6,206)	(4,502)
Prepaid expenses and other assets	(4,974)	380
Trade accounts payable and accrued liabilities	180	4,564
Income taxes payable	5,160	8,783
Other assets and long-term liabilities, net	1,510	(189)
Net cash provided by operating activities	1,124	1,206
Investing Activities
Purchase of property, plant and equipment	(6,653)	(8,999)
Proceeds from sale of property, plant and equipment	749	2,533
Net cash used in investing activities	(5,904)	(6,466)
Financing Activities
Borrowings on bank revolving credit facility	134,000	91,000
Repayments on bank revolving credit facility	(44,000)	(18,000)
Principal payments on long-term debt and finance leases	(3,813)	(3,753)
Contingent consideration payment from acquisition	(4,402)	0
Dividends paid	(3,103)	(2,615)
Proceeds from exercise of stock options	728	877
Common stock repurchased	(1,618)	(736)
Net cash provided by financing activities	77,792	66,773
Effect of exchange rate changes on cash and cash equivalents	(3,129)	791
Net change in cash and cash equivalents	69,883	62,304
Cash and cash equivalents at beginning of the year	51,919	47,016
Cash and cash equivalents at end of the period	121,802	109,320
Cash paid during the period for:
Interest	5,830	5,065
Income taxes	$ 5,306	$ 3,042