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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
CASH FLOWS FROM OPERATING ACTIVITIES:      
Net income (loss) $ 48,102 $ 15,751 $ (29,617)
Reconciliation of net income (loss) to net cash provided by operating activities:      
Depreciation 9,585 9,946 10,396
Impairment and other charges 0 0 59,883
Amortization of intangible assets and deferred financing costs 20,757 18,755 14,162
Bad debt expense 659 67 1,194
Payment of contingent consideration liability in excess of acquisition-date fair value (781) (45) (136)
Fair value adjustment on contingent consideration 2,311 504 (395)
Loss on extinguishment and modification of debt 0 0 2,288
Gain on sale of property and equipment 0 (282) 0
Stock compensation expense 1,850 1,823 3,532
Deferred income taxes (7,541) 6,140 (14,732)
Loss on sale of interest in VIE 1,193 0 0
Changes in operating assets and liabilities, and other:      
Change in accounts receivable, net (93,940) (43,736) 44,884
Accounts payable and accrued expenses 35,965 27,004 (15,345)
Inventories 2,072 (5,290) 22,414
Other (14,338) 6,452 11,122
Net cash provided by operating activities 5,894 37,089 109,650
CASH FLOWS FROM INVESTING ACTIVITIES:      
Purchase of property and equipment (4,916) (5,999) (6,672)
Proceeds from the sale of property and equipment 0 1,669 123
Acquisition of businesses, net of cash acquired (48,506) (64,693) (115,247)
Net cash used in investing activities (53,422) (69,023) (121,796)
CASH FLOWS FROM FINANCING ACTIVITIES:      
Proceeds from revolving credit facilities 827,152 0 0
Payments on revolving credit facilities (827,152) 0 0
Proceeds from debt 105,000 0 330,000
Principal debt payments (3,567) (3,300) (244,375)
Debt issuance costs (8,398) 0 (7,268)
Issuance of Common Stock- shares sold in public market 0 0 1,142
Purchase of treasury stock (47,872) (33,511) 0
Payment for contingent consideration liability (469) (955) (1,864)
Preferred dividends paid (90) (90) (90)
Payment for employee taxes withheld from stock awards (292) (637) (139)
Net cash provided by (used in) financing activities 44,312 (38,493) 77,406
Effect of foreign currency on cash 253 88 (168)
Net Change In Cash (2,963) (70,339) 65,092
Cash and restricted cash at Beginning of Year 49,080 119,419 54,327
Cash and restricted cash at End of Year 46,117 49,080 119,419
SUPPLEMENTAL CASH FLOW INFORMATION:      
Cash paid for interest 25,321 19,531 13,321
Cash paid for income taxes 26,179 6,120 6,277
SUPPLEMENTAL SCHEDULE OF NON-CASH INVESTING AND FINANCING ACTIVITIES:      
Shares issued for acquisitions (Note 17) 5,757 13,524 29,366
Share repurchase agreement (Note 15) $ 0 $ 13,603 $ 0