7Baggers
Quarterly
Annual
    Unit: USD2025-09-30 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 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 
      
                                                                          
      operating activities:
                                                                          
      net income
    -150,276,000 -869,058,000 -24,982,000 -296,116,000 -12,771,000 -31,913,000 -21,886,000 17,784,000 -6,426,000 -28,241,000 -24,418,000 -57,992,000 12,497,000 41,975,000 44,128,000 65,897,000 69,589,000 50,742,000 46,080,000 -55,627,000 -11,324,000 -39,023,000 1,224,000 -10,476,000 -14,096,000 -261,821,000 -565,000 -182,777,000 8,151,000 22,997,000 10,870,000 20,141,000 18,785,000 27,105,000 29,831,000 27,716,000 24,135,000 32,067,000 28,176,000 24,226,000 18,940,000 13,987,000 7,154,000 19,877,000 25,485,000 27,941,000 27,971,000 28,872,000 26,098,000 24,933,000 24,597,000 30,113,000 29,360,000 23,942,000 33,352,000 29,164,000 28,740,000 21,788,000 31,505,000 29,469,000 27,817,000 32,347,000 34,687,000 23,648,000 13,976,000 20,203,000 25,283,000 23,633,000 24,208,000 22,453,000 
      adjustments to reconcile net income to cash from operating activities:
                                                                          
      depreciation and amortization
    64,099,000 59,399,000 61,153,000 65,187,000 61,614,000 63,879,000 74,095,000 70,737,000 73,652,000 72,062,000 70,926,000 73,229,000 58,152,000 22,479,000 22,641,000 22,601,000 22,900,000 23,842,000 20,690,000 24,891,000 23,913,000 28,474,000 29,302,000 30,182,000 28,720,000 28,331,000 29,783,000 25,902,000 17,911,000 18,383,000 15,854,000 12,648,000 12,558,000 13,211,000 13,839,000 14,125,000 14,218,000 14,111,000 15,733,000 17,015,000 19,123,000 21,810,000 13,841,000 13,892,000 13,864,000 13,239,000 12,442,000 12,276,000 12,629,000 12,420,000 10,091,000 8,515,000 8,578,000 8,656,000 8,463,000 8,249,000 8,767,000 7,788,000 7,464,000 7,107,000 6,789,000 6,682,000 6,721,000 6,046,000 5,816,000 -1,415,000 7,774,000 7,791,000 7,805,000 7,900,000 
      goodwill impairment charge
                                                                         
      loss on classification to held for sale
    122,500,000                                                                      
      share-based compensation expense
    2,341,000 8,061,000 6,928,000 7,555,000 5,680,000 6,735,000 6,866,000 5,801,000 5,742,000 5,212,000 6,463,000 5,228,000 4,555,000 5,938,000 6,038,000 7,858,000 5,182,000 4,735,000 7,461,000 3,873,000 3,941,000 3,746,000 3,964,000 3,588,000 4,505,000 5,877,000 4,359,000 3,105,000 3,035,000 3,319,000 2,973,000 3,108,000 2,511,000 3,108,000 2,965,000 3,366,000 2,603,000 3,695,000 2,563,000 2,451,000 2,597,000 2,071,000 1,946,000 1,548,000 2,642,000 1,219,000 1,713,000 1,539,000 1,910,000 853,000 718,000 1,741,000 2,385,000 1,339,000 754,000 560,000 3,021,000 906,000 819,000 1,668,000 2,965,000 1,175,000 1,701,000 1,773,000 2,386,000 1,194,000 1,490,000 2,040,000 2,839,000 1,340,000 
      loss on extinguishment of debt
             279,000 564,000    40,433,000                                                      
      deferred income tax benefit
    -41,454,000 -6,068,000 -6,240,000 -10,996,000 -6,090,000 -5,370,000 -3,659,000 -7,333,000 -9,557,000 -6,167,000 -591,000           -5,413,000 2,608,000 -5,984,000 -8,613,000                    -822,000    -56,000   319,000 -1,465,000    -1,830,000              
      changes in operating lease right-of-use assets and lease liabilities
    -14,162,000 -41,000 14,452,000 3,088,000 3,390,000 2,627,000 1,139,000 1,470,000 1,560,000 -2,852,000 -225,000 -569,000 316,000 273,000 364,000 378,000 448,000 -348,000 -299,000 -315,000 -714,000 -1,319,000 -664,000                                                
      gain from sale and dispositions of patient service equipment and other fixed assets
    -7,063,000                                                                      
      changes in operating assets and liabilities:
                                                                          
      accounts receivable
    -30,375,000 30,262,000 111,613,000 -35,201,000 9,093,000 6,702,000 -75,144,000 89,384,000 -13,006,000 84,963,000 5,240,000 -6,316,000 -8,858,000 82,180,000 -27,125,000 -11,337,000 -45,919,000 -14,645,000 -57,327,000 45,096,000 -7,942,000 -10,460,000 97,332,000 -773,000 -22,573,000 62,709,000 -21,246,000 -11,838,000 -18,519,000 -20,896,000 -37,251,000 -43,417,000 1,554,000                                      
      inventories
    9,225,000                                                                      
      accounts payable
    -156,004,000 -12,344,000 157,668,000 -99,074,000 -39,110,000 150,445,000 52,926,000 -15,341,000 -5,821,000 29,077,000 23,082,000 -16,772,000 18,075,000 -117,273,000 -6,652,000 108,731,000 18,742,000 57,084,000 119,761,000 -82,348,000 98,743,000 -14,250,000 -149,677,000 48,776,000 -120,480,000 3,981,000 40,938,000 37,782,000 9,478,000 64,160,000 37,552,000 49,576,000 -7,341,000 -15,312,000 -3,968,000 15,959,000 46,751,000 30,577,000 -62,248,000 56,738,000 88,944,000 -106,782,000 -288,000 39,107,000 15,815,000 -46,576,000 -97,456,000 93,208,000 98,198,000 -51,161,000 48,542,000 22,204,000 -38,279,000 41,070,000 27,255,000 -103,909,000 79,642,000 -61,450,000 33,608,000 46,514,000 67,474,000 -67,240,000 -22,478,000 10,632,000 60,331,000 -57,010,000 -39,563,000 1,233,000 81,756,000 -43,080,000 
      net change in other assets and liabilities
    25,949,000 -48,236,000 -76,476,000 25,434,000 24,236,000 20,100,000 -39,617,000 -22,497,000 39,913,000 46,471,000 36,483,000 -46,121,000 -21,478,000 9,033,000 -4,978,000 -1,697,000 -1,666,000 74,395,000 7,172,000 889,000 -77,178,000 35,045,000 37,530,000 48,084,000 -15,858,000 -12,082,000 3,107,000 -43,533,000 28,904,000 7,371,000 25,369,000 -41,038,000 -24,965,000 7,344,000 11,696,000 -18,499,000 -38,100,000 4,287,000 23,119,000 -10,809,000 13,580,000 -28,959,000 35,896,000 -36,686,000 3,921,000 -11,052,000 48,177,000 -98,443,000 28,981,000 11,865,000 -17,039,000 -10,925,000 11,609,000 -6,189,000 4,856,000 -15,225,000 -8,096,000 15,019,000 3,773,000            
      other
    2,700,000 5,062,000 760,000 2,502,000 1,978,000 2,723,000 3,168,000 2,965,000 2,680,000 3,162,000 3,832,000 3,476,000 2,708,000 -5,451,000 16,408,000 1,566,000 2,510,000 12,001,000 5,937,000 -3,888,000 4,034,000 3,013,000 1,572,000 2,070,000 3,678,000 3,205,000 1,539,000 1,021,000 278,000 580,000 348,000 628,000 4,743,000 2,215,000 541,000 242,000 -97,000 705,000 330,000 -125,000 1,321,000 -2,045,000 2,400,000 214,000 -1,292,000 36,000 1,635,000 -2,329,000 -465,000 200,000 -369,000 -210,000 -194,000 909,000 221,000 -61,000 175,000 -4,170,000 8,696,000 146,000 -5,268,000 2,074,000 -7,675,000 4,507,000 8,000 978,000 -204,000 2,326,000 -831,000 16,573,000 
      cash from operating activities
    -172,520,000 37,610,000 -35,066,000 71,001,000 27,307,000 116,149,000 -52,962,000 111,765,000 157,435,000 313,112,000 158,398,000 86,961,000 68,521,000 50,341,000 61,430,000 -13,017,000 25,423,000 71,027,000 117,739,000 57,003,000 93,454,000 26,980,000 110,091,000 89,918,000 -60,904,000 -6,920,000 76,256,000 27,980,000 18,273,000 51,129,000 88,141,000 -56,136,000 -26,360,000 43,103,000 101,193,000 -2,257,000 44,895,000 63,559,000 -40,752,000 78,087,000 168,703,000 -84,905,000 7,672,000 -19,730,000 93,202,000  -18,013,000 24,568,000 154,611,000                  44,600,000 -29,479,000 108,442,000 17,797,000 
      capex
    25,388,000 -53,448,000 -58,849,000 -37,377,000 23,371,000 -33,983,000 -52,666,000 -46,600,000 18,508,000 -48,815,000 -47,039,000 -14,539,000 -11,816,000 -9,582,000 -5,048,000 -28,746,000 -12,945,000 -3,962,000 -4,771,000 -11,195,000 -10,204,000 -9,346,000 -11,674,000 -12,384,000 -12,673,000 -12,742,000 -7,074,000 -9,650,000 -8,530,000 -6,287,000 -10,146,000 -6,620,000 -4,825,000 -3,574,000 -5,283,000 -5,210,000 -3,312,000 -4,390,000 -7,619,000 -12,255,000 -10,512,000 -18,358,000 -7,299,000  -8,923,000 -8,708,000 -7,513,000                  -9,001,000 -1,738,000 -2,027,000 -6,549,000 
      free cash flows
    -172,520,000 37,610,000 -9,678,000 17,553,000 -31,542,000 78,772,000 -29,591,000 77,782,000 104,769,000 266,512,000 176,906,000 38,146,000 21,482,000 35,802,000 49,614,000 -22,599,000 20,375,000 42,281,000 104,794,000 53,041,000 88,683,000 15,785,000 99,887,000 80,572,000 -72,578,000 -19,304,000 63,583,000 15,238,000 11,199,000 41,479,000 79,611,000 -62,423,000 -36,506,000 36,483,000 96,368,000 -5,831,000 39,612,000 58,349,000 -44,064,000 73,697,000 161,084,000 -97,160,000 -2,840,000 -38,088,000 85,903,000  -26,936,000 15,860,000 147,098,000                  35,599,000 -31,217,000 106,415,000 11,248,000 
      investing activities:
                                                                          
      additions to patient service equipment and other fixed assets
    -54,247,000                                                                      
      proceeds from sale of patient service equipment and other fixed assets
    18,365,000                                                                      
      additions to computer software
    -3,582,000 -1,658,000 -8,977,000 -8,602,000 -3,866,000 -1,418,000 -3,411,000 -5,933,000 -2,860,000 -2,889,000 -5,340,000 -2,619,000 -2,410,000 -2,526,000 -2,128,000 -2,476,000 -1,575,000 -4,067,000 -1,293,000 -2,467,000 -942,000 -2,881,000 -2,417,000                                    -2,438,000 -2,714,000 -2,042,000 -3,232,000 -2,000,000 -4,594,000 -2,717,000 -1,842,000 -1,544,000 -3,133,000 -2,762,000 -3,525,000 
      cash from investing activities
    -39,464,000 -52,917,000 -48,200,000 -52,304,000 -27,189,000 -35,170,000 -1,870,000 -38,914,000 -32,672,000 -31,484,000 -34,184,000 -32,771,000 -26,406,000 -21,046,000 -13,925,000 -12,040,000 -6,619,000 -32,757,000 -14,129,000 132,639,000 -5,680,000 -13,965,000 -12,740,000 -11,184,000 -14,008,000 -16,948,000 -35,406,000 -749,315,000 -14,160,000 -13,065,000 -379,858,000 -9,267,000 -14,453,000 -8,480,000 -7,372,000 -6,433,000 -2,461,000 -4,395,000 -10,090,000 -10,472,000 -11,516,000 -265,182,000 -15,228,000 -24,654,000 -12,187,000  -12,506,000 -16,246,000 -14,733,000                  -10,545,000 -4,869,000 -4,783,000 -8,914,000 
      financing activities:
                                                                          
      borrowings under amended receivables financing agreement
       179,400,000 619,100,000 462,300,000 205,000,000 127,800,000 116,100,000 232,100,000                                                            
      repayments under amended receivables financing agreement
       -179,400,000 -619,100,000 -528,000,000 -139,300,000 -127,800,000 -116,100,000 -328,100,000                                                            
      borrowings under revolving credit facility
    812,300,000 853,200,000 776,984,000                                                                    
      repayments under revolving credit facility
    -676,600,000 -815,700,000 -679,484,000            -21,000,000 26,600,000 -96,500,000                                                      
      repayments of debt
       -32,750,000    -50,504,000 -191,888,000 -51,801,000 -26,500,000 -1,500,000 -1,500,000 -30,000,000 -523,140,000  -12,394,000 -91,207,000 -166,798,000  -15,912,000 -12,394,000 -12,394,000  -3,125,000 -3,125,000 -3,125,000                                          
      repurchase of common stock
    -5,153,000 -1,503,000                                                                    
      cash from financing activities
    181,097,000 31,699,000 92,778,000 -43,096,000 -199,587,000 -78,240,000 53,320,000 -51,215,000 -182,995,000 -55,631,000 -127,489,000 -63,480,000 -20,048,000 -12,256,000 -52,434,000 15,606,000 -80,394,000 -134,431,000 -73,893,000 -139,656,000 -31,406,000 -40,903,000 -73,241,000 -65,558,000 49,505,000 5,905,000 -31,683,000 748,652,000 -21,803,000 -32,917,000 332,455,000 -8,233,000 -18,499,000 -59,802,000 -23,919,000 -42,156,000 -16,066,000 -21,157,000 -26,944,000 -25,718,000 -50,414,000 -202,209,000 526,098,000 -44,537,000 -792,000  -23,373,000 -21,690,000 -17,440,000                  -21,512,000 36,639,000 -103,147,000 -10,454,000 
      effect of exchange rate changes on cash, cash equivalents and restricted cash
    -34,000 1,259,000 542,000 -1,309,000 1,090,000 -64,000 -618,000 1,128,000 -711,000 -88,000 284,000 2,267,000 -1,888,000                                                          
      net decrease in cash, cash equivalents and restricted cash
          -2,130,000                                                                
      cash, cash equivalents and restricted cash at beginning of period
    49,382,000 272,924,000 86,185,000   134,506,000  84,687,000                                                  
      cash, cash equivalents and restricted cash at end of period
    -30,921,000 17,651,000 59,436,000 -25,708,000 -198,379,000 2,675,000 270,794,000 22,764,000 -58,943,000 225,909,000 83,194,000  20,179,000  -5,665,000 -9,030,000 70,777,000  31,026,000 55,460,000 140,993,000                                                  
      supplemental disclosure of cash flow information:
                                                                          
      income taxes paid
    3,326,000 5,333,000 125,000    2,365,000                    5,920,000 19,453,000 1,197,000  1,948,000 22,144,000 2,825,000  8,429,000 29,539,000 20,028,000  11,167,000 23,033,000 4,509,000  24,460,000 25,519,000 15,161,000  11,203,000 38,824,000 1,540,000  12,001,000 36,912,000 1,201,000  10,369,000 37,548,000 5,439,000  8,901,000 31,048,000 1,153,000  15,059,000 27,336,000 598,000      
      interest paid
    30,293,000 38,358,000 27,487,000 37,269,000 33,459,000 52,608,000 18,211,000 52,168,000 22,454,000 46,089,000 32,536,000  29,472,000 6,682,000 14,267,000 7,513,000 10,255,000 28,690,000 17,431,000 22,409,000 21,431,000 18,943,000 23,287,000 28,679,000 24,504,000  20,465,000 15,187,000 9,661,000  6,923,000 6,845,000 6,183,000  6,510,000 7,287,000 6,226,000  6,935,000 7,336,000 5,924,000  1,015,000 6,863,000 539,000  235,000 6,993,000 698,000  177,000 6,831,000 541,000  -225,000 6,881,000 564,000  16,000 6,516,000 86,000  83,000 6,457,000 154,000      
      noncash investing activity:
                                                                          
      unpaid purchases of patient service equipment and other fixed assets at end of period
    -1,614,000                                                                      
      net increase in cash, cash equivalents and restricted cash
     17,651,000 10,054,000 -25,708,000 -198,379,000   22,764,000 -58,943,000 225,909,000 -2,991,000 -7,023,000 20,179,000 15,953,000 -5,665,000 -9,030,000 -63,729,000 -92,973,000 31,026,000 55,460,000 56,306,000                                                  
      gain from sale and dispositions of patient service equipment, property and equipment
      -5,353,000                                                                    
      merchandise inventories
      -274,589,000 106,205,000 -9,356,000 -87,665,000 -35,412,000 -22,719,000 81,406,000 119,819,000 45,832,000 173,382,000 17,615,000 20,749,000 14,106,000 -208,901,000 -89,393,000 -137,759,000 -54,478,000 67,743,000 39,340,000 -8,100,000 83,675,000 -27,848,000 80,194,000 -86,695,000 16,033,000 35,767,000 -30,556,000 -898,000 30,100,000 -53,457,000 -32,777,000 27,655,000 12,881,000 -33,125,000 15,178,000 -44,388,000 6,527,000 -27,978,000 -3,888,000 6,554,000 -15,308,000 -52,282,000 3,707,000 16,626,000 7,486,000 -52,960,000 21,784,000 14,462,000 -12,218,000 -24,641,000 76,937,000 -47,809,000 -9,379,000 -22,067,000 -20,695,000 10,525,000 -21,218,000 -42,245,000 11,623,000 -8,198,000 28,996,000 5,298,000 -39,624,000 -17,930,000 23,550,000 -24,997,000 -36,779,000 -1,130,000 
      additions to property and equipment
      -55,697,000 -62,834,000 -57,652,000 -44,382,000 -45,997,000 -50,392,000 -47,728,000 -46,600,000 -46,150,000 -48,815,000 -47,039,000 -14,539,000 -11,816,000 -9,582,000 -5,048,000 -28,746,000 -12,945,000 -3,962,000 -4,771,000 -11,195,000 -10,204,000 -9,346,000 -11,674,000 -12,384,000 -12,673,000 -12,742,000 -7,074,000 -9,650,000 -8,530,000 -6,287,000 -10,146,000 -6,620,000 -4,825,000 -3,574,000 -5,283,000 -5,210,000 -3,312,000 -4,390,000 -7,619,000 -12,255,000 -10,512,000 -18,358,000 -7,299,000 -2,975,000 -8,923,000 -8,708,000 -7,513,000 -1,942,000 -2,430,000 -924,000 -4,536,000 -8,135,000 -8,671,000 -4,047,000 -4,128,000 -11,337,000 -4,396,000 -9,640,000 -5,848,000 -5,623,000 -4,703,000 -4,004,000 -5,416,000 -4,903,000 -9,001,000 -1,738,000 -2,027,000 -6,549,000 
      proceeds from sale of property and equipment
      16,884,000   17,488,000 49,538,000 17,929,000 17,916,000 18,423,000 17,306,000 18,663,000 23,874,000  19,000 18,000 4,000 56,000 109,000 36,000 33,000 111,000 -119,000 68,000 271,000 1,432,000 246,000   -117,000 207,000 258,000 315,000 878,000 -68,000 -34,000 4,599,000 24,000 -718,000 787,000 50,000 5,000 106,000 -60,000 105,000 1,031,000 1,952,000 24,000 44,000 61,000 3,122,000 16,000 99,000 2,384,000 2,000 3,000 41,000 1,504,000 810,000 1,579,000 33,000 1,682,000         
      repayments of term loans
         -7,750,000 -4,625,000                                                                
      unpaid purchases of property and equipment and computer software at end of period
      81,085,000 9,386,000 -1,197,000 7,005,000 69,368,000 16,409,000 -4,938,000                                                              
      gain on extinguishment of debt
       790,000                                                                   
      gain from sales and dispositions of property and equipment
       -7,023,000                                                                   
      acquisition, net of cash acquired
                                                   -5,300,000                     
      proceeds from sales of property and equipment
       18,667,000                                                                   
      proceeds from issuance of debt
               574,900,000 5,100,000 150,000,000                                                
      borrowings under receivables financing agreement
                                                                          
      financing costs paid
               -1,123,000 -1,044,000 -1,168,000 -11,700,000 -4,582,000 -5,785,000 -4,313,000 -815,000                                         
      income taxes paid (received)
       -2,057,000 2,370,000                                                                  
      benefit for losses on accounts receivable
        -1,862,000 143,000 181,000 -927,000 413,000 -379,000 -521,000                                                            
      gain on sale and dispositions of property and equipment
         -12,257,000 -15,619,000 -8,420,000   -8,269,000 -9,258,000                                                           
      (gain) loss on extinguishment of debt
                                                                          
      changes in operating assets and liabilities, net of acquisitions:
                                                                          
      borrowings (repayments) under revolving credit facility, net and receivables financing agreement
                                                                          
      cash dividends paid
                 -183,000 -184,000 -183,000 -181,000 -181,000 -156,000 -156,000 -155,000 -154,000 -154,000 -154,000 -4,764,000 -16,049,000 133,000 -16,210,000 -16,074,000 -15,835,000 -15,840,000 -15,736,000 -15,740,000 -15,580,000 -15,799,000 -15,974,000 -16,029,000 -15,871,000 -15,913,000 -15,933,000 -15,934,000 -15,769,000 -15,771,000 -15,779,000 -15,785,000 -15,144,000 -15,176,000 -15,212,000 -15,199,000 -13,890,000 -13,835,000 -13,955,000 -14,001,000 -12,753,000 -12,660,000 -12,710,000 -12,786,000 -11,260,000 -11,196,000 -11,186,000 -11,138,000 -9,615,000 -9,625,000 -9,607,000 -9,523,000 -8,315,000 -8,272,000 -8,264,000 -8,197,000 -6,947,000 
      payment for termination of interest rate swaps
                 -15,434,000                                                      
      income taxes (received) paid
           515,000 3,708,000                                                              
      borrowings under revolving credit facility, net and receivables financing agreement
                                                                          
      (gain) loss on sale and dispositions of property and equipment
                                                                          
      borrowings under revolving credit facility, net and receivable financing agreement
                                                                          
      income taxes paid, net of refunds
              2,405,000  7,786,000   67,132,000 898,000       -1,541,000 -12,388,000                                              
      unpaid purchases of property and equipment and software at end of period
              64,658,000                                                            
      impairment charges
                        9,080,000                                                  
      loss on divestiture
                                                                        
      deferred income tax (benefit) expense
                 -11,450,000 -6,993,000 -5,428,000 -5,865,000         -28,264,000 -582,000   -45,403,000 800,000    -1,162,000   -9,744,000 651,000   4,002,000 -2,236,000                            
      benefit from losses on accounts receivable
               -1,974,000 777,000 1,888,000 3,493,000 7,315,000 8,462,000 1,709,000 1,994,000 2,376,000 5,213,000 3,155,000 3,225,000 2,915,000 3,619,000 3,673,000 2,890,000 1,794,000 1,073,000 1,516,000 1,526,000 235,000 -603,000                                      
      proceeds from divestiture
                                                                        
      proceeds from issuance of common stock
                                                                          
      borrowings (repayments) under revolving credit facility, net and accounts receivable securitization program
                                                                         
      borrowings under amended accounts receivable securitization program
               324,600,000 349,900,000                                                          
      repayments under amended accounts receivable securitization program
               -385,600,000 -367,900,000                                                          
      senior notes make-whole premium paid
                                                                          
      deferred income tax expense
                1,390,000     -9,453,000 20,748,000 -2,079,000 6,348,000        -1,482,000    -825,000    6,907,000    510,000     -4,711,000 2,647,000   -38,000    13,612,000                 
      loss on sale and dispositions of property and equipment
                                                                          
      borrowings under revolving credit facility, net and accounts receivable securitization program
                                                                          
      unpaid purchases of property and equipment at end of period
                                                                          
      loss on extinguishment and modification of debt
                                                                          
      repayments of revolving credit facility
                                                                          
      cash, cash equivalents and restricted cash at beginning of year
                                                                          
      cash, cash equivalents and restricted cash at end of year
                                                                          
      income taxes paid (received), net of refunds
                 15,794,000      3,280,000 2,695,000                                                  
      proceeds from cash surrender value of life insurance policies
                                                                        
      effect of exchange rate changes on cash and cash equivalents
                  -736,000 421,000 -2,139,000 3,188,000 1,309,000 5,474,000 -62,000 -428,000 -2,446,000 2,924,000 -2,721,000 -3,560,000 -2,465,000 3,239,000 800,000 960,000 611,000 3,535,000 991,000 -2,429,000 4,243,000 -526,000 2,935,000 -2,232,000 2,062,000 16,000 -4,489,000 -1,079,000 -422,000 -1,425,000 245,000 1,798,000 -145,000 2,631,000 -1,763,000 1,421,000                     
      repayment of debt
                                                                          
      income taxes received, net of payments
                     -15,563,000                                                     
      (repayments) borrowings under revolving credit facility
                       -41,700,000 -6,200,000                                                  
      acquisitions, net of cash acquired
                             -18,401,000                                            
      (repayments) borrowings from revolving credit facility
                                                                          
      income taxes (received) paid, net of refunds
                         5,887,000                                                 
      goodwill and intangible asset impairment charges
                             274,166,000                                            
      net increase in cash and cash equivalents
                             -21,523,000 6,702,000 30,556,000 -16,890,000 6,107,000   -58,321,000 -27,608,000 74,145,000 -51,372,000 29,303,000 35,775,000 -75,724,000 41,913,000 102,284,000 -553,375,000 518,120,000 -90,346,000 80,468,000 -51,884,000 -54,037,000 -10,737,000 120,675,000 18,221,000 -145,270,000 11,010,000 77,989,000 -60,914,000 37,658,000 -26,656,000 26,637,000 14,143,000 -12,568,000 11,281,000 50,221,000 53,205,000 28,208,000 4,203,000 2,634,000 -17,855,000 12,543,000 2,291,000 512,000  
      cash and cash equivalents at beginning of period
                           103,367,000  104,522,000  185,488,000  161,020,000  56,772,000  101,905,000  97,888,000  135,938,000  159,213,000  96,136,000  7,886,000  8,266,000 2,129,000  
      cash and cash equivalents at end of period
                           16,100,000 75,239,000  6,702,000 30,556,000 87,632,000  41,349,000 -70,101,000 127,167,000  74,145,000 -51,372,000 190,323,000  -75,724,000 41,913,000 159,056,000  518,120,000 -90,346,000 182,373,000  -54,037,000 -10,737,000 218,563,000  -145,270,000 11,010,000 213,927,000  37,658,000 -26,656,000 185,850,000  -12,568,000 11,281,000 146,357,000  28,208,000 4,203,000 10,520,000  20,809,000 2,291,000 2,641,000  
      additions to computer software and intangible assets
                            -2,605,000 -5,996,000 -4,578,000 -3,152,000 -7,086,000 -3,298,000 -4,966,000 -3,238,000 -4,622,000 -2,738,000 -2,479,000 -2,825,000 -1,777,000 791,000 -6,060,000 -6,869,000 -3,947,000 -4,396,000 -4,822,000 -6,236,000 -6,930,000 -11,649,000 -5,535,000 -7,562,000 -7,264,000 -9,197,000 -7,237,000 -8,857,000 -3,840,000 -3,299,000 -2,462,000 -2,563,000 -3,010,000              
      borrowings (repayments) under revolving credit facility
                            72,100,000    -300,000                                          
      net decrease in cash and cash equivalents
                            -28,128,000                                              
      proceeds from revolving credit facility
                             30,738,000 -26,238,000                                            
      repurchases of common stock
                                 -2,000   -22,374,000 -27,805,000 -15,219,000 -5,630,000 -4,179,000 -8,381,000   -486,000 -4,448,000 -5,000,000 -3,175,000 -7,404,000 -6,015,000 -2,282,000 -3,750,000 -3,750,000 -3,750,000 -3,750,000 -11,038,000                
      cash and cash equivalents at beginning of year
                                                                          
      cash and cash equivalents at end of year
                                                                          
      adjustments to reconcile net income to cash from operating activities :
                                                                          
      borrowing under revolving credit facility
                                 -12,600,000                                         
      change in bank overdraft
                                        8,359,000   351,000 1,179,000    20,578,000                          
      proceeds from debt issuance
                                                                          
      benefit from losses on accounts and notes receivable
                                     593,000 -189,000 -142,000 115,000 158,000 -223,000 -179,000 220,000 804,000 -690,000 280,000 54,000 608,000 -136,000 208,000 107,000 590,000 144,000 80,000 190,000 1,069,000 349,000 399,000 359,000 135,000 223,000 520,000 930,000 589,000 1,335,000 1,024,000 1,028,000 -12,133,000 5,580,000 5,009,000 5,818,000 8,139,000 
      loss on early retirement of debt
                                                                         
      accounts and notes receivable
                                     -30,267,000 34,759,000 -2,921,000 -26,815,000 32,091,000 -55,380,000 14,266,000 27,356,000 3,653,000 -49,933,000 -1,351,000 29,828,000 -17,942,000 -22,492,000 36,364,000 -34,575,000 35,047,000 -29,125,000 13,686,000 7,553,000 -675,000 -2,992,000 15,780,000 -49,386,000 29,474,000 -33,467,000 9,688,000 18,916,000 10,828,000 -10,628,000 10,647,000 8,408,000 -26,145,000 364,000 -21,912,000 -771,000 38,215,000 
      proceeds from investment sale
                                                                          
      proceeds from (repayment of) revolving credit facility
                                                                          
      proceeds from exercise of stock options
                                            125,000 243,000 937,000 531,000 626,000 2,403,000 1,792,000 872,000 353,000 390,000 3,371,000 1,242,000 543,000 3,800,000 3,594,000 1,498,000 134,000 2,621,000 2,981,000 1,365,000 3,058,000 1,430,000 740,000 828,000 914,000 5,401,000 1,825,000 2,242,000 
      excess tax benefits related to share-based compensation
                                     81,000 82,000 348,000 250,000 125,000 64,000 217,000 240,000 68,000 70,000 98,000 346,000 165,000 183,000 343,000 207,000 70,000 63,000 470,000 690,000 177,000 216,000 887,000 874,000 276,000 80,000 807,000 928,000  1,348,000 296,000 662,000  509,000 1,369,000 1,085,000  
      purchase of noncontrolling interest
                                                                        
      repayment of revolving credit facility
                                          -33,700,000                              
      proceeds from sale of investment
                                              1,937,000                          
      long-term debt borrowings
                                                                          
      debt issuance costs
                                                                          
      adjustments to reconcile net income to cash from operating activities of continuing operations:
                                                                          
      proceeds from revolver
                                                                          
      pension contributions
                                                         134,000 -543,000              
      cash from operating activities of continuing operations
                                                     48,142,000 27,585,000 40,882,000 101,897,000 38,493,000 64,461,000 -85,954,000 51,419,000 30,092,000 31,403,000 43,618,000 139,470,000 3,860,000 38,047,000 40,313,000 83,100,000      
      cash from investing activities of continuing operations
                                                     -16,378,000 -156,455,000 -9,765,000 -8,277,000 -9,050,000 -11,131,000 -6,607,000 -7,097,000 -12,712,000 -6,024,000 -10,830,000 -7,857,000 -7,173,000 -4,305,000 -8,598,000 -1,139,000      
      proceeds from termination of interest rate swaps
                                                                         
      cash from financing activities of continuing operations
                                                     -14,964,000 -17,713,000 -20,107,000 -15,631,000 -90,243,000 -15,647,000 65,943,000 -17,584,000 -3,055,000 -37,409,000 -21,027,000 -80,932,000 56,873,000 -4,062,000 -25,457,000 -156,466,000      
      discontinued operations:
                                                                          
      operating cash flows
                                                         -114,000 -25,000 -38,000 -101,000 -182,000 -538,000 -480,000 -460,000 -355,000 -1,472,000 -2,055,000 14,139,000      
      net cash from discontinued operations
                                                         -114,000 -25,000 -38,000 -101,000 -182,000 -538,000 -480,000 -460,000 -355,000 -1,472,000 -2,055,000 77,139,000      
      adjustments to reconcile net income to cash from operating activities
                                                                          
      benefit from lifo reserve
                                                     -1,029,000 5,223,000 2,435,000 11,265,000 2,655,000 163,000 8,270,000 -2,232,000 -11,500,000 16,440,000 2,704,000 10,468,000 924,000 
      pension expense
                                                                          
      proceeds from termination of interest rate swap
                                                                          
      income from discontinued operations, net of tax
                                                                          
      net cash received related to acquisitions of businesses
                                                                          
      payments on revolving credit facility
                                                                          
      borrowings on revolving credit facility
                                                                          
      investing cash flows
                                                                 63,000,000      
      increase in drafts payable
                                                          3,900,000       65,300,000 1,672,000   10,682,000 -3,066,000    
      proceeds from the termination of interest rate swap
                                                                          
      decrease in drafts payable
                                                            -6,900,000  -25,950,000 -10,050,000 -72,300,000    -1,349,000    -20,700,000  
      loss on interest rate swaps
                                                                         
      net cash received (paid) related to acquisitions of businesses
                                                                          
      acquisitions of intangible assets
                                                                         
      cash received related to acquisition of business
                                                                  6,994,000      
      net change in other current assets and current liabilities
                                                                -46,000          
      supplemental disclosure of cash flow information
                                                                          
      loss (income) from discontinued operations
                                                                          
      deferred income tax provision
                                                                          
      net (payments) borrowings on revolving credit facility
                                                                          
      excess tax benefits related to stock-based compensation
                                                                          
      income from discontinued operations
                                                                         
      net change in other current assets and liabilities
                                                                  16,888,000 -27,389,000 5,949,000  18,419,000 -23,455,000 14,142,000  
      net payments on revolving credit facility
                                                                  -4,100,000 -146,478,000  -14,708,000    
      proceeds from the termination of interest rate swaps
                                                                          
      (income) income from discontinued operations
                                                                    8,382,000      
      operating activities
                                                                          
      loss on early extinguishment of debt
                                                                          
      investing activities
                                                                          
      net cash (paid) received related to acquisitions of businesses
                                                                          
      financing activities
                                                                          
      net proceeds from issuance of 6.35% senior notes
                                                                          
      repayment of 8.5% senior subordinated notes
                                                                          
      net borrowings (payments) on revolving credit facility
                                                                          
      amortization of direct-response advertising
                                                                      1,924,000   2,122,000 
      deferred direct-response advertising costs
                                                                      -3,158,000 -2,903,000 -1,866,000 -1,570,000 
      acquisition of intangible assets
                                                                         -80,000 
      net cash paid for acquisitions of businesses
                                                                          
      amortization of direct-response advertising costs
                                                                        1,653,000  
      net proceeds from (payments on) revolving credit facility
                                                                        -76,500,000 48,200,000 
      net cash related to acquisitions of businesses
                                                                          
      net proceeds of issuance of long-term debt
                                                                          
      repayment of long-term debt
                                                                          
    The information provided in this report is taken from www.sec.gov and many other data providers. While we have conducted our best efforts to ensure that the parsed data is accurate, we cannot guarantee its accuracy. Please use caution and understand that any consequences of its use are your own responsibility.