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CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
shares in Thousands
 12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Income Statement [Abstract]      
Total revenue, net $ 1,517,557,000 $ 1,472,441,000 $ 1,188,236,000
Costs and expenses:      
Cost of goods sold 564,681,000 571,496,000 435,511,000
Research and development 79,573,000 78,041,000 63,455,000
In-process research and development 64,916,000 0 0
Selling, general and administrative 687,599,000 690,746,000 624,096,000
Intangible asset amortization 27,028,000 21,160,000 20,370,000
Total costs and expenses 1,423,797,000 1,361,443,000 1,143,432,000
Operating income 93,760,000 110,998,000 44,804,000
Interest income 10,779,000 2,800,000 255,000
Interest expense (53,957,000) (64,683,000) (35,019,000)
Other income, net 9,522,000 8,288,000 1,345,000
Income before income taxes 60,104,000 57,403,000 11,385,000
Provision (benefit) for income taxes 9,903,000 (3,398,000) (53,358,000)
Net income per share $ 50,201,000 $ 60,801,000 $ 64,743,000
Basic (in dollars per share) $ 0.59 $ 0.73 $ 0.84
Diluted (in dollars per share) $ 0.58 $ 0.72 $ 0.82
Weighted average common shares outstanding (See Note 13):      
Basic (in shares) 85,637 82,857 76,897
Diluted (in shares) 86,494 83,999 79,121