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Owens & Minor, Inc
(NYSE:OMI) 

OMI stock logo

Owens & Minor, Inc., together with its subsidiaries, operates as a healthcare solutions company in the United States and internationally. It operates through two segments, Global Solutions and Global Products. The Global Solutions segment offers a portfolio of products and services to healthcare pro...

Founded: 1882
Full Time Employees: 15,400
Sector: Healthcare
Industry: Medical Distribution

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Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 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 2022-06-30 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 2007-09-30 
                                                                              
      net revenue
    627,780,000 708,967,000 697,264,000 681,917,000 2,632,048,000 2,696,073,000 2,721,125,000 2,671,006,000 2,612,680,000 2,656,150,000 2,591,742,000 2,563,226,000 2,522,849,000 2,551,107,000 2,497,401,000 2,500,015,000 2,467,146,000 2,502,175,000 2,489,460,000 2,326,534,000 2,361,837,000 2,187,928,000 1,807,719,000 2,122,693,000 1,866,334,000 2,399,017,000 2,484,200,000 2,461,388,000 2,542,981,000 2,464,877,000 2,458,271,000 2,372,579,000 2,389,834,000 2,333,961,000 2,265,907,000 2,328,573,000 2,368,362,000 2,415,601,000 2,483,676,000 2,455,793,000 2,487,914,000 2,471,669,000 2,422,167,000 2,391,196,000 2,491,817,000 2,386,126,000 2,305,858,000 2,256,380,000 2,224,537,000 2,304,599,000 2,266,687,000 2,275,709,000 2,324,924,000 2,179,895,000 2,185,444,000 2,217,882,000 2,195,890,000 2,176,759,000 2,131,448,000 2,123,815,000               
      yoy
    -76.15% -73.70% -74.38% -74.47% 0.74% 1.50% 4.99% 4.20% 3.56% 4.12% 3.78% 2.53% 2.26% 1.96% 0.32% 7.46% 4.46% 14.36% 37.71% 9.60% 26.55% -8.80% -27.23% -13.76% -26.61% -2.67% 1.05% 3.74% 6.41% 5.61% 8.49% 1.89% 0.91% -3.38% -8.77% -5.18% -4.81% -2.27% 2.54% 2.70% -0.16% 3.59% 5.04% 5.97% 12.02% 3.54% 1.73% -0.85% -4.32% 5.72% 3.72% 2.61% 5.88% 0.14% 2.53% 4.43%                   
      qoq
    -11.45% 1.68% 2.25% -74.09% -2.37% -0.92% 1.88% 2.23% -1.64% 2.49% 1.11% 1.60% -1.11% 2.15% -0.10% 1.33% -1.40% 0.51% 7.00% -1.49% 7.95% 21.03% -14.84% 13.74% -22.20% -3.43% 0.93% -3.21% 3.17% 0.27% 3.61% -0.72% 2.39% 3.00% -2.69% -1.68% -1.96% -2.74% 1.14% -1.29% 0.66% 2.04% 1.30% -4.04% 4.43% 3.48% 2.19% 1.43% -3.47% 1.67% -0.40% -2.12% 6.65% -0.25% -1.46% 1.00% 0.88% 2.13% 0.36%                
      operating costs and expenses:
                                                                              
      cost of goods sold
    349,752,000 385,709,000 375,067,000 357,315,000 2,106,035,000 2,116,307,000 2,161,419,000 2,126,853,000 2,077,151,000 2,086,227,000 2,053,244,000 2,043,794,000 2,025,542,000 2,143,988,000 1,984,122,000 1,967,510,000 2,125,575,000 2,173,336,000 2,089,392,000 1,883,783,000 1,963,308,000 1,843,589,000 1,538,312,000 1,854,134,000 1,827,182,000 2,036,530,000 2,115,773,000 2,102,964,000 2,178,271,000 2,112,303,000 2,133,277,000 2,047,892,000 2,074,622,000 2,032,019,000 1,992,374,000 2,047,393,000 2,073,382,000 2,119,326,000 2,184,256,000 2,159,157,000 2,175,633,000 2,165,315,000 2,123,830,000 2,093,595,000 2,177,803,000 2,093,643,000 2,023,586,000 1,975,185,000 1,933,274,000 2,031,270,000 1,993,256,000 1,996,657,000 2,054,150,000 1,951,772,000 1,974,015,000 2,003,554,000 1,981,876,000 1,960,077,000 1,915,382,000 1,913,040,000               
      selling, general and administrative expenses
    255,226,000 271,499,000 265,838,000 267,853,000                                     174,292,500 231,847,000 231,498,000 233,825,000 170,706,250 231,377,000 225,838,000 225,610,000 160,403,250 211,344,000 212,548,000      115,029,750 152,825,000 156,321,000 151,631,000 101,029,750 135,337,000 133,619,000 135,163,000 140,089,000 142,162,000 143,972,000 139,397,000 101,764,000 140,983,000 141,546,000 137,108,000 137,668,000 131,365,000 
      acquisition-related charges and intangible amortization
    29,229,000 29,229,000 29,229,000 13,918,000 29,674,000 25,148,000 21,097,000 19,985,000 20,313,000 26,428,000 30,217,000 22,203,000 22,188,000                                                              
      exit and realignment (income) charges
    -23,552,000                                                                          
      total operating costs and expenses
    610,655,000 688,058,000 670,794,000 721,627,000                                                                       
      operating income
    17,125,000 20,909,000 26,470,000 -39,710,000 124,000 -261,967,000 24,204,000 20,299,000 9,696,000 60,021,000 23,841,000 10,839,000 9,807,000 -53,479,000 60,247,000 75,085,000 62,021,000 62,875,000 96,884,000 146,692,000 95,613,000 75,553,000 22,196,000 10,756,000 17,001,000 25,314,000 16,144,000 14,692,000 -265,698,000 21,357,000 -172,051,000 24,217,000                                           
      yoy
    13710.48% -107.98% 9.36% -295.63% -98.72% -536.46% 1.52% 87.28% -1.13% -212.23% -60.43% -85.56% -84.19% -185.06% -37.82% -48.81% -35.13% -16.78% 336.49% 1263.82% 462.40% 198.46% 37.49% -26.79% -106.40% 18.53% -109.38% -39.33%                                               
      qoq
    -18.10% -21.01% -166.66% -32124.19% -100.05% -1182.33% 19.24% 109.35% -83.85% 151.76% 119.96% 10.52% -118.34% -188.77% -19.76% 21.06% -1.36% -35.10% -33.95% 53.42% 26.55% 240.39% 106.36% -36.73% -32.84% 56.80% 9.88% -105.53% -1344.08% -112.41% -810.46%                                            
      operating margin %
    2.73% 2.95% 3.80% -5.82% 0.00% -9.72% 0.89% 0.76% 0.37% 2.26% 0.92% 0.42% 0.39% -2.10% 2.41% 3.00% 2.51% 2.51% 3.89% 6.31% 4.05% 3.45% 1.23% 0.51% 0.91% 1.06% 0.65% 0.60% -10.45% 0.87% -7.00% 1.02% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% 
      interest expense
    32,348,000 27,931,000 29,029,000 26,009,000 33,959,000 35,696,000 36,554,000 35,899,000 35,655,000 36,862,000 38,127,000 40,728,000 42,198,000 41,164,000 39,869,000 35,839,000 11,306,000 11,572,000 11,540,000 13,672,000 17,475,000 20,975,000 21,605,000 23,342,000 17,395,000 25,938,000 27,682,000 29,101,000 24,370,000 23,826,000 18,571,000 10,253,000 9,555,000 8,737,000 6,736,000 6,744,000 6,733,000 6,770,000 6,765,000 6,790,000 6,844,000 6,744,000 6,680,000 6,880,000 7,270,000 4,304,000 3,342,000 3,246,000 3,263,000 3,389,000 3,248,000 3,199,000 3,422,000 3,066,000 3,487,000 3,422,000 3,519,000 3,426,000 3,020,000 3,717,000 3,761,000 3,758,000 3,505,000 3,299,000 3,194,000 3,202,000 3,291,000 3,341,000 3,392,000 6,268,000 2,826,000 3,514,000 3,781,000 5,418,000 
      other expense
    1,023,000 949,000 1,076,000 942,000 1,239,000 887,000 1,438,000 1,205,000 1,153,000 5,680,000 -3,302,000 1,072,000 1,387,000 784,000 783,000 783,000 799,000 799,000 1,028,000 569,000 9,425,000 1,093,000 -4,552,000 4,846,000 1,939,000 -185,000                                                 
      loss from continuing operations before income taxes
    -16,246,000   -84,949,000                    -17,432,000                                                   
      income tax benefit
    -9,778,000   -1,127,000 -10,092,000    -5,226,000               -8,523,000 -3,097,000 -1,663,000 -1,062,000                                                
      loss from continuing operations, net of tax
    -6,468,000   -83,822,000                    -8,909,000                                                   
      loss from discontinued operations, net of tax
     -46,883,000 -144,669,000 -785,236,000                   -55,788,000 -2,415,000                                         -3,127,250  -4,127,000        
      net income
    -6,468,000 -56,326,000 -150,276,000 -869,058,000 -24,982,000 -296,116,000 -12,770,000 -31,913,000 -21,886,000 17,784,000 -6,426,000 -28,241,000 -24,418,000 -57,992,000 12,497,000 28,604,000 41,975,000 44,129,000 65,896,000 69,589,000 50,742,000 46,081,000 -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 10,871,000 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 7,155,000 19,876,000 25,485,000 27,941,000 27,970,000 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 25,284,000 23,632,000 24,208,000 22,453,000 21,176,000 
      yoy
    -74.11% -80.98% 1076.79% 2623.21% 14.15% -1765.07% 98.72% 13.00% -10.37% -130.67% -151.42% -198.73% -158.17% -231.41% -81.04% -58.90% -17.28% -4.24% -218.46% -714.53% -230.03% 3664.79% 430.99% -19.67% -85.10% -316.64% -94.27% -272.94% -1238.50% -105.20% -1007.49% -56.61% -15.16% -63.56% -27.33% -22.17% -15.47% 5.87% 14.41% 27.43% 129.26% 293.79% 21.89% -25.68% -49.94% -74.42% -31.16% -2.35% 12.06% 13.71% -4.12% -11.11% 4.14% -26.25% 3.25% 2.16% 9.89% 5.86% -1.03% 3.32% -32.64% -9.17% 24.62% 99.03% 60.11% 37.19% 0.07% -42.27% -10.02% 19.40%     
      qoq
    -88.52% -62.52% -82.71% 3378.74% -91.56% 2218.84% -59.98% 45.81% -223.07% -376.75% -77.25% 15.66% -57.89% -564.05% -56.31% -31.85% -4.88% -33.03% -5.31% 37.14% 10.11% -182.84% 391.23% -70.98% -3288.15% -111.68% -25.68% -94.62% 46240.00% -99.69% -2342.39% -64.56% 111.54% -46.03% 7.22% -30.70% -9.14% 7.63% 14.84% -24.74% 13.81% 16.30% 27.91% 35.41% 95.49% -64.00% -22.01% -8.79% -0.10% -3.12% 10.63% 4.67% 1.37% -18.32% 2.56% 22.63% -28.21% 14.36% 1.48% 31.91% -30.84% 6.91% 5.94% -14.00% -6.75% 46.68% 69.20% -30.82% -20.10% 6.99% -2.38% 7.82% 6.03%  
      net income margin %
    -1.03% -7.94% -21.55% -127.44% -0.95% -10.98% -0.47% -1.19% -0.84% 0.67% -0.25% -1.10% -0.97% -2.27% 0.50% 1.14% 1.70% 1.76% 2.65% 2.99% 2.15% 2.11% -3.08% -0.53% -2.09% 0.05% -0.42% -0.57% -10.30% -0.02% -7.44% 0.34% 0.96% 0.47% 0.89% 0.81% 1.14% 1.23% 1.12% 0.98% 1.29% 1.14% 1.00% 0.79% 0.56% 0.30% 0.86% 1.13% 1.26% 1.21% 1.27% 1.15% 1.07% 1.13% 1.38% 1.32% 1.09% 1.53% 1.37% 1.35% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% 
      basic loss per common share:
                                                                              
      diluted loss per common share:
                                                                              
      transaction breakage fee
       80,000,000                                                                       
      exit and realignment charges
     1,621,000 660,000 2,541,000 31,226,000 24,632,000 28,880,000 29,293,000 27,356,000 24,310,000 30,180,000 28,963,000 15,674,000                                                              
      transaction financing fees
       18,288,000                                                                       
      income from continuing operations before income taxes
     -7,971,000 -3,635,000              49,916,000 50,504,000 84,316,000 92,018,000 68,713,000 53,485,000 5,143,000                                      35,549,000 51,555,000 48,657,000 45,852,000           
      income tax provision
     1,472,000 1,972,000   -3,535,000 -1,018,000 15,108,000  3,213,000 -4,558,000 -2,720,000 -9,360,000 -37,435,000 7,098,000 9,859,000 7,941,000 6,375,000 18,420,000 22,429,000 17,971,000 7,404,000 4,982,000     -313,000 -28,247,000 -1,904,000 -7,845,000 5,813,000 -41,325,000 10,063,000 5,960,000 9,988,000 15,170,000 16,967,000 17,573,000 14,045,000 19,040,000 18,652,000 16,954,000 15,155,000 19,516,000 9,028,000 13,883,000 17,553,000 19,729,000 17,856,000 17,930,000 18,587,000 16,686,000 19,000,000 19,577,000 19,090,000 15,553,000 21,687,000 18,855,000 18,540,000 13,761,000 20,050,000 19,188,000 18,035,000 20,524,000 18,803,000 17,880,000 14,181,000 18,001,000 14,650,000 15,340,000 15,477,000 14,547,000 14,348,000 
      income from continuing operations, net of tax
     -9,443,000 -5,607,000              44,903,500 44,129,000 65,896,000 69,589,000 9,333,000 46,081,000 161,000                                                    
      loss from continuing operations
       -1,090                                                                       
      loss from discontinued operations
       -10,210                                                                       
      gross profit
        526,013,000 579,766,000 559,706,000 544,153,000 535,529,000                                                                  
      yoy
        -1.78%                                                                      
      qoq
        -9.27% 3.58% 2.86% 1.61%                                                                   
      gross margin %
    0% 0% 0% 0% 19.98% 21.50% 20.57% 20.37% 20.50% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% NaN% 
      distribution, selling and administrative expenses
        462,352,000 493,067,000 469,798,000 469,313,000 477,613,000 457,225,000 452,583,000 455,030,000 448,722,000 455,856,000 445,259,000 452,813,000 267,616,000 262,457,000 294,096,000 292,701,000 283,016,000 262,538,000 241,734,000 254,048,000 6,100,000 332,369,000 345,892,000 338,703,000    284,361,000    237,693,000    242,725,000                                   
      other operating expense
        2,637,000 -8,226,000 15,727,000 5,263,000 551,000 1,939,000 1,677,000 2,397,000 916,000   -2,995,000   464,000  648,000 -134,000 -577,000 -2,309,000 1,551,000 -101,000 736,000 39,000 -2,143,000 -1,522,000 -2,107,000 1,349,000 2,787,000 1,927,000 1,188,000                        457,000                
      income before income taxes
        -35,074,000 -299,651,000 -13,788,000 -16,805,000 -27,112,000 20,997,000 -10,984,000 -30,961,000 -33,778,000 26,579,500 19,595,000 38,463,000         -6,596,500 -439,000 -11,538,000 -14,409,000 -290,068,000 -2,469,000 -190,622,000 13,964,000 -18,328,000 20,934,000 26,101,000 28,773,000 42,275,000 46,798,000 45,289,000 38,180,000 51,107,000 46,828,000 41,180,000 34,095,000 33,503,000 16,183,000 33,759,000 43,038,000 47,670,000 45,826,000 46,802,000 44,685,000 41,619,000 43,597,000 49,690,000 48,450,000 37,584,500 55,039,000 48,019,000 47,280,000     33,921,000 53,490,000 45,655,000 36,539,000 46,134,000 39,934,000 38,972,000 39,685,000 37,000,000 35,524,000 
      net loss per common share
                                                                              
      basic
        -320 -217.5 -170 -420 -290                                                                  
      diluted
        -320 -217.5 -170 -420 -290                                                                  
      net loss per common share:
                                                                              
      basic
        -320 -217.5 -170 -420 -290                                                                  
      diluted
        -320 -217.5 -170 -420 -290                                                                  
      gross margin
             569,923,000 538,498,000 519,432,000 497,307,000 407,119,000 513,279,000 532,505,000 341,571,000 328,839,000 400,068,000 442,751,000 398,529,000 344,339,000 269,407,000 268,559,000 39,152,000 362,487,000 368,427,000 358,424,000 364,710,000 352,574,000 324,994,000 324,687,000 315,212,000 301,942,000 273,533,000 281,180,000 294,980,000 296,275,000 299,420,000 296,636,000 312,281,000 306,354,000 298,337,000 297,601,000 314,014,000 292,483,000 282,272,000 281,195,000 291,263,000 273,329,000 273,431,000 279,052,000 270,774,000 228,123,000 211,429,000 214,328,000 214,014,000 216,682,000 216,066,000 210,775,000 227,333,000 197,722,000 192,219,000 190,451,000 201,241,000 204,342,000 197,699,000 183,633,000 146,264,000 193,716,000 190,187,000 187,092,000 185,203,000 178,257,000 
      net income per common share:
                                                                              
      basic
             240 -80 -370 -320 270 170 380                   330 310 330 480 450 390 285 450 390 300 210 110 320 410 327.5 440 460  332.5 390 480                    
      diluted
             240 -80 -370 -320 262.5 160 370                   330 310 330 480 450 390 285 450 390 300 210 110 320 410 327.5 440 460  332.5 390 480                    
      acquisition-related and exit and realignment charges
                 4,974,000 8,898,000 7,602,000 13,109,000 6,380,000 8,624,000 5,963,000 19,252,000 6,382,000 6,054,000 6,064,000 14,500,000 4,905,000 5,655,000 4,990,000 14,784,000 7,727,000 24,930,000 14,760,000 39,573,000 9,299,000 2,893,000 8,942,000 4,701,000 2,739,000 6,752,000 10,483,000 6,647,000 6,134,000 5,707,000 9,916,000 17,988,000 13,957,000 7,593,000 3,262,000 7,049,000 2,747,000 638,000 2,010,000 1,716,000 7,831,000                     
      other operating income
                 -232,000 -1,125,000  -1,254,000 -2,873,000  -2,605,000                -972,000 -2,209,000 -1,337,000 -2,300,000 -1,542,000 -2,489,000 -311,000 -2,188,000 -2,984,000 -4,427,000 -2,069,000 -2,152,000 -7,825,000 -2,001,000 -2,418,000 -2,081,000 -1,192,000 181,000 -1,781,000   -902,000 -3,071,000  -620,000 -1,181,000 -392,000 -669,000 -652,000 -1,287,000 -1,233,000 -1,265,000 -1,460,000       
      loss on extinguishment of debt
                       40,433,000                                                       
      basic income per common share:
                                                                              
      income from continuing operations
                    221,586,530 600 900                                          21,788,000 31,505,000 29,469,000 27,817,000 32,039,000 34,687,000 27,775,000 22,358,000       
      diluted income per common share:
                                                                              
      income from continuing operations per common share: basic and diluted
                       980 780 760                                                     
      loss from discontinued operations per common share: basic and diluted
                        30  -910 -40                                                   
      net income per common share: basic and diluted
                       980 810 760   -97.5 20  -230 -4,360 -10 -3,070 130                                           
      net loss per common share: basic and diluted
                          -910 -190   -180                                                
      loss from continuing operations per common share: basic and diluted
                           -150                                                   
      goodwill and intangible asset impairment charges
                                274,166,000  165,447,000                                            
      distribution, selling, and administrative expenses
                                229,536,750 325,012,000 308,775,000  183,838,250 261,045,000 236,615,000  181,736,000 241,305,000 242,914,000                                    
      cash dividends per common share
                                80 260 260 260 257.5 257.5 257.5 257.5 255 255 255 255 252.5 252.5 252.5 252.5 250 250 250 250 240 240 240 240 220 220 220 220 -599.2 200 200 200 0.177 0.177 0.177 0.177 -689.08 230 230 230 -599.2 200 200 200 170 170 
      operating earnings
                                    -8,773,000 29,671,000 32,837,000 35,517,000 49,008,000 53,568,000 52,054,000 44,970,000 57,951,000 53,572,000 47,860,000 40,975,000 40,773,000 35,377,000 37,101,000 46,284,000 50,933,000 49,215,000 50,050,000 47,884,000 45,041,000 46,663,000 53,177,000 51,872,000 43,014,000 58,465,000 51,039,000 50,997,000 39,310,000 55,313,000 52,162,000 49,151,000 55,757,000 56,692,000 48,946,000 39,880,000 49,526,000 46,202,000 41,798,000 43,199,000 40,781,000 40,942,000 
      net income per common share:
                                                                              
      basic and diluted
                                    205 180                                         
      depreciation and amortization
                                            13,746,000 15,112,000 15,460,000 15,869,000 15,528,000 13,841,000 13,892,000 13,864,000 13,239,000 12,441,000 12,276,000 12,629,000 12,420,000 10,090,000 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 7,654,000 
      loss on early retirement of debt
                                                 14,890,000                             
      selling, general, and administrative expenses
                                                       217,721,000 211,416,000 165,320,000 150,288,000 155,572,000                   
      net income per common share—basic
                                                       410    460         435 830         
      net income per common share—diluted
                                                       410    460         432.5 830         
      other operating loss
                                                          -551,000 -1,694,000                   
      pension expense
                                                                              
      net income per common share – basic
                                                            360 530 460 450       570 340 447.5 620 580 600 312.5 530 
      net income per common share – diluted
                                                            360 530 460 450       570 340 440 610 570 590 307.5 520 
      revenue
                                                                1,513,360,500 2,063,879,000 2,019,893,000 1,969,670,000 2,040,424,000 2,034,792,000 2,013,780,000 1,948,628,000 1,885,137,000 1,810,468,000 1,794,915,000 1,752,717,000 1,748,479,000 1,686,744,000 
      cost of revenue
                                                                1,368,262,500 1,866,157,000 1,827,674,000 1,779,219,000 1,839,183,000 1,830,450,000 1,816,081,000 1,764,995,000 1,738,873,000 1,616,752,000 1,604,728,000 1,565,625,000 1,563,276,000 1,508,487,000 
      income per common share – basic:
                                                                              
      continuing operations
                                                                350 500 470 440 770 830 670 540       
      discontinued operations
                                                                    10  -100 -200       
      net income per share
                                                                0.35 0.5 0.47 0.44           
      income per common share – diluted:
                                                                              
      income per common share—basic:
                                                                              
      income per common share—diluted:
                                                                              
      income from discontinued operations, net of tax
                                                                       -8,382,000       
      other operating income and expense
                                                                        -3,611,000 -1,243,000 -948,000 -1,020,000 -1,146,000 -1,704,000 
      loss on early extinguishment of debt
                                                                              
    Balance Sheets:
    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 2022-06-30 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 2007-09-30 
                                                                              
        assets
                                                                              
        current assets
                                                                              
        cash and cash equivalents
      32,837,000 38,258,000 59,436,000 49,382,000 45,454,000 243,671,000 244,866,000 243,037,000 215,191,000 286,307,000 66,840,000 69,467,000 76,770,000 56,406,000 55,712,000 39,759,000 45,424,000 54,455,000 83,058,000 77,256,000 101,276,000 92,315,000 67,030,000 96,803,000 91,339,000 75,239,000 103,367,000 124,890,000 118,188,000 87,632,000 104,522,000 98,415,000 57,066,000 127,167,000 185,488,000 213,096,000 138,951,000 190,323,000 161,020,000 125,245,000 200,969,000 159,056,000 56,772,000 610,147,000 92,027,000 182,373,000 101,905,000 153,789,000 207,826,000 218,563,000 97,888,000 79,667,000 224,937,000 213,927,000 135,938,000 196,852,000 159,194,000 185,850,000 159,213,000 145,070,000 157,638,000 146,357,000 96,136,000 42,931,000 14,723,000 10,520,000 7,886,000 25,741,000 4,932,000 2,641,000 2,129,000 3,700,000 
        accounts receivable
      202,731,000 196,379,000 580,175,000 690,241,000 661,664,000 662,444,000 669,861,000 598,257,000 682,682,000 672,511,000 757,802,000 763,497,000 751,970,000 743,853,000 681,564,000 759,744,000 738,573,000 736,176,000 700,792,000 688,884,000 633,647,000 667,607,000 674,706,000 741,670,000 843,343,000 843,384,000 823,418,000 870,187,000 856,673,000 778,155,000 758,936,000 732,756,000 655,259,000 605,249,000                                       
        inventories
      63,847,000 69,227,000                                                                       
        other current assets
      68,129,000 104,011,000 158,048,000 149,515,000 166,967,000 189,542,000 177,020,000 150,890,000 148,046,000 135,409,000 155,397,000 128,636,000 104,734,000 108,612,000 88,564,000 84,335,000 87,709,000 93,208,000 118,264,000 235,983,000 175,244,000 151,635,000 79,372,000 259,708,000 302,234,000 336,065,000 321,690,000 293,993,000 320,206,000 300,275,000 328,254,000 311,499,000 306,452,000 261,232,000 254,156,000 283,753,000 268,645,000 269,698,000 284,970,000 265,758,000 275,481,000 233,318,000 315,285,000 295,441,000 287,844,000 275,179,000 279,510,000 246,242,000 248,219,000 205,342,000 213,748,000 211,967,000 72,346,000 66,647,000 76,763,000 64,560,000 70,600,000 57,150,000 52,799,000 49,412,000 54,117,000 48,540,000 57,962,000 60,911,000 71,500,000 57,759,000 71,329,000 49,746,000 54,416,000 41,146,000 43,697,000 54,475,000 
        current assets held for sale - discontinued operations
      1,764,129,000 1,890,638,000                                                                       
        total current assets
      2,131,673,000 2,298,513,000 2,206,198,000 2,021,017,000 2,116,538,000 2,327,070,000 2,236,344,000 2,102,790,000 2,130,269,000 2,262,454,000 2,268,327,000 2,295,185,000 2,441,917,000 2,434,202,000 2,321,812,000 2,398,225,000 2,402,073,000 2,206,736,000 2,135,865,000 2,097,533,000 1,951,028,000 2,519,811,000 2,407,283,000 2,251,260,000 2,474,629,000 2,465,246,000 2,538,578,000 2,492,908,000 2,515,182,000 2,187,773,000 2,181,905,000 2,131,921,000 2,022,853,000 1,942,994,000 1,962,039,000 2,020,777,000 1,974,780,000 2,001,485,000 1,974,700,000 1,928,378,000 1,960,690,000 1,864,347,000 1,870,706,000 2,330,204,000 1,745,932,000 1,768,914,000 1,725,932,000 1,759,292,000 1,800,707,000 1,748,273,000 1,628,894,000 1,651,526,000 1,531,379,000 1,503,795,000 1,525,825,000 1,529,556,000 1,485,916,000 1,493,234,000 1,403,789,000 1,429,048,000 1,391,859,000 1,343,127,000 1,342,067,000 1,292,798,000 1,283,382,000 1,282,407,000 1,311,794,000 1,153,118,000 1,166,473,000 1,109,013,000 1,089,857,000 1,148,283,000 
        patient service equipment and other fixed assets
      259,729,000 259,301,000                                                                       
        operating lease assets
      119,093,000 120,188,000 383,111,000 355,627,000 357,264,000 368,471,000 349,984,000 296,533,000 300,264,000 292,809,000 276,562,000 280,665,000 275,833,000 278,291,000 194,006,000 184,554,000 174,952,000 155,152,000 144,755,000 143,362,000 142,200,000 133,738,000 142,219,000 234,853,000 206,199,000 197,200,000                                               
        goodwill
      1,228,140,000 1,228,140,000 1,331,931,000 1,331,281,000 1,642,196,000 1,634,723,000 1,635,368,000 1,638,846,000 1,635,010,000 1,637,149,000 1,639,133,000 1,636,705,000 1,631,336,000 1,656,308,000 390,185,000 386,693,000 389,864,000 391,349,000 394,086,000 390,395,000 391,670,000 388,000,000 393,181,000 398,065,000 407,651,000 413,235,000 414,122,000 761,173,000 742,538,000 715,445,000 713,811,000 690,230,000 423,107,000 416,697,000 414,936,000 418,095,000 418,366,000 420,071,000 419,619,000 420,772,000 421,760,000 419,453,000 423,276,000 274,533,000 275,975,000 275,562,000 275,439,000 274,896,000 272,597,000 272,878,000 274,884,000 285,363,000 248,498,000 248,498,000 248,498,000 247,271,000 247,271,000 247,271,000 247,271,000 247,271,000 247,271,000 247,271,000 247,271,000 247,271,000 252,412,000 252,412,000 252,412,000 271,699,000 271,699,000 271,699,000 271,699,000 271,699,000 
        intangible assets
      165,694,000 194,924,000 285,086,000 298,726,000 313,284,000 326,173,000 342,593,000 361,835,000 381,557,000 403,020,000 424,530,000 445,042,000 464,077,000 462,444,000 209,745,000 209,789,000 221,223,000 232,009,000 243,351,000 251,615,000 262,539,000 271,513,000 285,018,000 299,874,000 311,027,000 311,254,000 321,764,000 332,172,000 342,542,000 178,880,000 184,468,000 231,886,000 80,051,000 80,736,000 82,511,000 86,982,000 89,599,000 93,347,000 95,250,000 98,084,000 100,904,000 102,122,000 108,593,000 36,457,000 38,679,000 39,437,000 40,406,000 40,519,000 40,050,000 39,645,000 42,313,000 44,540,000 21,018,000 21,547,000 22,142,000 22,802,000 23,575,000 24,411,000 24,825,000 25,585,000 26,345,000 27,050,000 27,809,000 28,571,000 26,456,000 27,130,000 27,802,000 25,473,000 27,625,000 30,047,000 32,517,000 35,055,000 
        other assets
      131,897,000 53,479,000 129,766,000 140,158,000 153,254,000 154,492,000 142,319,000 149,346,000 136,544,000 133,060,000 131,743,000 150,417,000 149,620,000 128,145,000 103,568,000 96,395,000 97,206,000 97,723,000 101,920,000 112,911,000 93,316,000 100,473,000 99,956,000 120,542,000 106,632,000 109,294,000 112,601,000 102,318,000 98,808,000 102,414,000 89,619,000 76,532,000 70,684,000 64,810,000 66,548,000 69,998,000 71,800,000 73,905,000 79,341,000 89,865,000 92,180,000 91,638,000 99,852,000 98,749,000 96,085,000 93,042,000 90,304,000 80,287,000 78,628,000 72,199,000 69,769,000 64,285,000 50,640,000 43,265,000 42,289,000 44,920,000 48,301,000 45,592,000 44,609,000 45,721,000 46,704,000 44,938,000 44,976,000 32,988,000 32,887,000 30,185,000 29,145,000 43,677,000 47,509,000 51,598,000 44,885,000 38,765,000 
        noncurrent assets held for sale - discontinued operations
                                                                              
        total assets
      4,036,226,000 4,154,545,000 4,856,424,000 4,656,156,000 5,081,282,000 5,304,004,000 5,207,993,000 5,093,322,000 5,124,063,000 5,288,000,000 5,310,203,000 5,386,283,000 5,538,582,000 5,555,278,000 3,536,551,000 3,584,119,000 3,591,829,000 3,390,821,000 3,335,639,000 3,297,115,000 3,137,786,000 3,714,870,000 3,643,084,000 3,688,419,000 3,896,071,000 3,882,364,000 3,773,788,000 4,032,281,000 4,043,131,000 3,391,554,000 3,376,293,000 3,334,156,000 2,795,137,000 2,700,549,000 2,717,752,000 2,794,632,000 2,756,064,000 2,796,841,000 2,777,840,000 2,751,660,000 2,794,906,000 2,699,510,000 2,735,406,000 2,943,898,000 2,363,811,000 2,369,200,000 2,324,042,000 2,347,666,000 2,379,494,000 2,320,922,000 2,207,701,000 2,221,749,000 1,955,424,000 1,924,810,000 1,946,815,000 1,949,614,000 1,905,870,000 1,911,180,000 1,822,039,000 1,841,339,000 1,804,744,000 1,749,350,000 1,747,088,000 1,697,025,000 1,688,770,000 1,687,026,000 1,776,190,000 1,572,031,000 1,586,181,000 1,536,857,000 1,515,080,000 1,568,258,000 
        liabilities and equity
                                                                              
        current liabilities
                                                                              
        accounts payable
      339,728,000 357,037,000 1,380,736,000 1,251,964,000 1,338,021,000 1,381,871,000 1,218,817,000 1,171,882,000 1,182,408,000 1,194,173,000 1,165,799,000 1,147,414,000 1,156,230,000 1,137,337,000 1,001,959,000 1,118,753,000 1,126,355,000 1,021,761,000 1,000,186,000 946,116,000 824,131,000 891,542,000 808,035,000 873,743,000 1,039,074,000 990,688,000 1,109,589,000 1,107,541,000 1,067,553,000 958,270,000 947,572,000 875,630,000 798,454,000 745,165,000 750,750,000 768,570,000 775,970,000 758,585,000 710,609,000 690,134,000 753,495,000 693,699,000 608,846,000 692,616,000 698,648,000 659,550,000 643,872,000 689,554,000 791,004,000 693,616,000 603,137,000 642,123,000 559,718,000 537,514,000 575,793,000        546,989,000 548,929,000 569,735,000 572,008,000 513,026,000 521,428,000 555,791,000 530,158,000 469,102,000 567,582,000 
        accrued payroll and related liabilities
      45,231,000 52,508,000 87,388,000 151,039,000 100,002,000 108,103,000 79,480,000 116,398,000 106,194,000 92,264,000 87,110,000 93,296,000 106,618,000 97,829,000 115,858,000 100,171,000 96,081,000 64,661,000 109,447,000 71,406,000 54,445,000 44,722,000 53,584,000 62,081,000 47,284,000 40,999,000 48,203,000 47,404,000 37,366,000 30,480,000 30,416,000 31,998,000 23,819,000 28,625,000 45,051,000 41,424,000 28,268,000 30,327,000 45,907,000 38,834,000 34,797,000 24,991,000 31,507,000 28,709,000 29,691,000 21,741,000 23,296,000 24,793,000 27,106,000 18,823,000 25,468,000 18,033,000 17,738,000 10,471,000 20,668,000 15,302,000 18,626,000 11,192,000 20,588,000 14,240,000 14,937,000 8,780,000 34,885,000 23,128,000 22,681,000 21,814,000 40,018,000 32,766,000 21,668,000 17,683,000 18,763,000 18,413,000 
        current portion of long-term debt
      280,000,000 383,000,000 49,947,000 45,549,000 42,626,000 210,913,000 207,658,000 206,904,000                                    202,401,000                             
        other current liabilities
      455,203,000 421,739,000 442,144,000 425,187,000 453,517,000 430,298,000 427,136,000 396,701,000 443,579,000 405,204,000 377,721,000 325,756,000 339,526,000 334,198,000 226,204,000 206,094,000 212,741,000 250,875,000 236,094,000 412,483,000 317,658,000 229,824,000 231,029,000 359,965,000 384,040,000 377,989,000 314,219,000 301,800,000 315,842,000 337,230,000 331,745,000 296,663,000 241,091,000 233,905,000 238,837,000 283,831,000 239,887,000 278,026,000 307,073,000    326,223,000    280,398,000    254,924,000 252,131,000                     
        current liabilities held for sale - discontinued operations
      1,345,805,000 1,460,239,000                                                                       
        total current liabilities
      2,465,967,000 2,674,523,000 1,960,215,000 1,873,739,000 1,934,166,000 2,131,185,000 1,933,091,000 1,891,885,000 1,732,181,000 1,691,641,000 1,630,630,000 1,566,466,000 1,602,374,000 1,569,364,000 1,344,021,000 1,425,018,000 1,435,177,000 1,337,297,000 1,345,727,000 1,430,005,000 1,196,234,000 1,549,674,000 1,416,159,000 1,295,789,000 1,470,398,000 1,409,676,000 1,472,011,000 1,456,745,000 1,420,761,000 1,325,980,000 1,309,733,000 1,204,291,000 1,063,364,000 1,007,695,000 1,034,638,000 1,093,825,000 1,044,125,000 1,066,938,000 1,063,589,000 1,067,629,000 1,118,102,000 1,029,614,000 1,004,555,000 1,278,713,000 1,018,305,000 1,025,510,000 989,179,000 1,040,904,000 1,090,184,000 1,036,868,000 924,287,000 949,269,000 707,797,000 692,278,000 732,365,000 759,899,000 733,033,000 760,836,000 694,481,000 740,764,000 720,079,000 683,609,000 700,116,000 685,923,000 702,588,000 716,299,000 667,511,000 636,078,000 655,748,000 640,537,000 568,464,000 696,257,000 
        long-term debt, excluding current portion
      1,835,261,000 1,594,745,000 1,897,515,000 1,808,047,000 1,842,348,000 1,871,800,000 1,946,005,000 1,890,598,000 2,113,602,000 2,309,853,000 2,362,453,000 2,482,968,000 2,547,059,000 2,565,613,000 947,540,000 959,485,000 1,007,968,000 981,342,000 986,018,000 1,099,645,000 1,269,854,000 1,484,340,000 1,508,415,000 1,553,991,000 1,624,692,000 1,685,135,000 1,650,582,000 1,640,455,000 1,669,478,000 897,071,000 900,744,000 917,256,000 579,117,000 564,145,000 564,583,000 566,474,000 566,955,000 567,711,000 572,559,000 574,033,000 574,623,000 574,606,000 608,551,000 563,882,000 219,098,000 214,826,000 213,815,000 214,416,000 214,682,000 214,243,000 215,383,000 214,795,000 212,032,000 212,285,000 212,681,000 213,111,000 212,137,000 209,007,000 209,096,000 208,576,000 207,902,000 208,152,000 208,418,000 207,999,000 208,326,000 212,596,000 359,237,000 208,832,000 221,081,000    
        operating lease liabilities, excluding current portion
      81,352,000 80,982,000 324,032,000 286,212,000 288,043,000 297,728,000 276,327,000 222,429,000   208,276,000 215,469,000 215,022,000 220,504,000 162,241,000 154,009,000 148,016,000 130,565,000 119,932,000 120,025,000 117,800,000 109,381,000 117,080,000 198,858,000 161,785,000 155,703,000                                               
        deferred income taxes
       345,000 16,307,000 22,456,000 25,650,000 28,900,000 34,437,000 41,652,000 45,616,000 55,354,000 61,099,000 60,833,000 83,473,000 107,181,000 35,310,000 37,093,000 45,327,000 51,476,000 50,641,000 75,009,000 41,430,000 42,962,000 40,550,000 50,553,000 49,507,000 42,144,000 50,852,000 66,445,000 66,466,000 73,180,000 74,247,000 137,539,000 89,812,000 90,115,000 90,383,000 83,553,000 84,500,000 93,275,000 86,326,000 41,763,000 41,378,000 37,820,000 37,979,000 39,406,000 38,951,000 41,975,000 41,613,000 49,860,000 46,646,000 41,455,000 40,758,000 36,982,000 37,879,000 39,437,000 42,296,000 31,852,000 34,810,000 37,224,000 39,082,000 38,373,000 29,776,000 25,471,000 25,784,000    34,407,000    70,000  
        other liabilities
      83,153,000 84,960,000 87,376,000 100,476,000 116,483,000 113,689,000 123,265,000 122,592,000 120,596,000 120,018,000 123,345,000 114,943,000 123,817,000 133,957,000 108,938,000 121,509,000 107,322,000 103,880,000 121,267,000 121,096,000 117,306,000 112,175,000 98,726,000 97,950,000 92,788,000 87,867,000 81,924,000 76,223,000 84,218,000 76,405,000 76,090,000 71,286,000 69,273,000 68,637,000 68,110,000 64,097,000 64,187,000 63,996,000 62,776,000 62,860,000 62,772,000 63,696,000 67,561,000 52,054,000 52,943,000 52,918,000 52,278,000 55,841,000 55,306,000 63,622,000 63,454,000 66,312,000 60,165,000 60,816,000 60,658,000 49,148,000 49,061,000 48,469,000 48,837,000 45,772,000 52,384,000 56,575,000 60,428,000 57,601,000 63,650,000 61,461,000 57,733,000 47,708,000 50,037,000 49,004,000 47,148,000 48,194,000 
        noncurrent liabilities held for sale - discontinued operations
                                                                              
        total liabilities
      4,465,733,000 4,435,555,000 4,285,445,000 4,090,930,000 4,206,690,000 4,443,302,000 4,313,125,000 4,169,156,000 4,237,203,000 4,391,771,000 4,385,803,000 4,440,679,000 4,571,745,000 4,596,619,000 2,598,050,000 2,697,114,000 2,743,810,000 2,604,560,000 2,623,585,000 2,845,780,000 2,742,624,000 3,298,532,000 3,180,930,000 3,197,141,000 3,399,170,000 3,380,525,000 3,255,369,000 3,239,868,000 3,240,923,000 2,372,636,000 2,360,814,000 2,330,372,000 1,801,566,000 1,730,592,000 1,757,714,000 1,807,949,000 1,759,767,000 1,791,920,000 1,785,250,000 1,765,559,000 1,817,779,000 1,731,237,000 1,744,568,000 1,936,374,000 1,332,426,000 1,336,033,000 1,298,999,000 1,341,346,000 1,389,673,000 1,343,372,000 1,234,045,000 1,261,687,000 1,005,461,000 988,884,000 1,027,598,000 1,042,635,000 1,010,091,000 1,030,494,000 964,521,000 1,004,252,000 989,216,000 956,848,000 977,909,000 951,523,000 974,564,000 990,356,000 1,087,139,000 892,618,000 926,866,000 901,503,000 900,721,000 975,593,000 
        commitments and contingencies
                                                                              
        equity
                                                                              
        common stock
      154,598,000 154,393,000 154,439,000 154,398,000 154,123,000 154,096,000 152,897,000 153,092,000 152,997,000 152,880,000 152,391,000 152,557,000 152,434,000 152,343,000 150,865,000 150,858,000 150,791,000 150,200,000 146,944,000 127,432,000 127,474,000 125,770,000 125,686,000 125,724,000 125,928,000 125,872,000 124,588,000 124,538,000 124,681,000 123,624,000 122,952,000 122,499,000 122,453,000 122,403,000 122,062,000 123,398,000 125,021,000 125,604,000 125,606,000 125,863,000 126,036,000 126,205,000 126,140,000 126,159,000 126,133,000 126,182,000 126,193,000 126,326,000 126,665,000 126,672,000 126,544,000 126,762,000 127,008,000 127,041,000 126,900,000 126,848,000 127,539,000 127,426,000 126,867,000 126,918,000 126,920,000 126,378,000 83,827,000 83,786,000 83,473,000 83,152,000 82,881,000 82,808,000 82,745,000 82,149,000 81,748,000 81,487,000 
        paid-in capital
      468,469,000 466,701,000 459,731,000 454,151,000 445,749,000 440,442,000 438,587,000 434,185,000 427,895,000 421,993,000 420,680,000 418,894,000 413,894,000 407,773,000 440,608,000 434,952,000 428,360,000 430,490,000 436,597,000 262,002,000 258,733,000 256,357,000 251,401,000 248,916,000 244,756,000 241,547,000 238,773,000 233,920,000 229,884,000 228,273,000 226,937,000 224,183,000 221,681,000 220,608,000 219,955,000 216,866,000 214,435,000 213,016,000 211,943,000 208,216,000 205,727,000 204,901,000 202,934,000 200,961,000 199,019,000 199,148,000 196,605,000   190,004,000 187,394,000 185,695,000  183,390,000 179,052,000 176,540,000 175,169,000 172,028,000 165,447,000 162,806,000 161,782,000 157,756,000 193,905,000 191,655,000 185,861,000 182,819,000 180,074,000 177,192,000 174,533,000 166,572,000 161,978,000 157,368,000 
        (accumulated deficit) retained earnings
      -1,022,161,000 -871,885,000                                                                       
        accumulated other comprehensive loss
      -30,413,000 -30,219,000 -44,211,000 -49,344,000 -27,418,000 -48,744,000 -43,437,000 -31,818,000 -44,955,000 -35,993,000 -34,261,000 -35,855,000 -67,490,000 -56,959,000 -40,591,000 -44,637,000 -33,018,000 -30,606,000 -38,509,000 -54,564,000 -61,585,000 -92,112,000 -52,707,000 -60,276,000 -49,648,000 -52,035,000 -45,612,000 -33,171,000 -36,203,000 -15,777,000 -25,084,000 -26,342,000 -38,926,000   -48,562,000 -50,263,000          9,568,000  -6,158,000 -8,038,000 -406,000 -4,963,000 -7,022,000 -7,156,000 -7,494,000 -4,753,000 -4,874,000 -5,042,000 -5,116,000 -12,338,000 -12,569,000 -12,791,000 -13,033,000 -11,674,000 -11,814,000 -11,946,000 -12,096,000 -6,892,000 -7,256,000 -7,292,000 -7,280,000 -8,597,000 
        total (deficit) equity
      -429,507,000 -281,010,000                                                                       
        total liabilities and equity
      4,036,226,000 4,154,545,000 4,856,424,000 4,656,156,000 5,081,282,000 5,304,004,000 5,207,993,000 5,093,322,000 5,124,063,000 5,288,000,000 5,310,203,000 5,386,283,000 5,538,582,000 5,555,278,000 3,536,551,000 3,584,119,000 3,591,829,000 3,390,821,000 3,335,639,000 3,297,115,000 3,137,786,000 3,714,870,000 3,643,084,000 3,688,419,000 3,896,071,000 3,882,364,000 3,773,788,000 4,032,281,000 4,043,131,000 3,391,554,000 3,376,293,000 3,334,156,000 2,795,137,000 2,700,549,000 2,717,752,000 2,794,632,000 2,756,064,000 2,796,841,000 2,777,840,000 2,751,660,000 2,794,906,000 2,699,510,000 2,735,406,000 2,943,898,000 2,363,811,000 2,369,200,000 2,324,042,000 2,347,666,000 2,379,494,000 2,320,922,000 2,207,701,000 2,221,749,000 1,955,424,000 1,924,810,000                   
        merchandise inventories
        1,408,539,000 1,131,879,000 1,242,453,000 1,231,413,000 1,144,597,000 1,110,606,000 1,084,350,000 1,168,227,000 1,288,288,000 1,333,585,000 1,508,443,000 1,525,331,000 1,495,972,000 1,514,387,000 1,530,367,000 1,322,897,000 1,233,751,000 1,095,410,000 1,040,861,000 1,108,844,000 1,146,192,000 1,153,079,000 1,237,713,000 1,210,558,000 1,290,103,000 1,203,838,000 1,220,115,000 1,021,711,000 990,193,000 989,251,000 1,004,076,000 949,346,000 916,311,000 944,897,000 957,972,000 925,714,000 940,775,000 896,722,000 903,501,000 874,738,000 872,457,000 834,476,000 820,882,000 768,148,000 771,663,000 787,803,000 794,020,000 743,247,000 763,756,000 776,898,000 748,847,000 724,206,000 806,366,000 760,992,000 751,613,000 729,546,000 720,116,000 733,296,000 712,078,000 669,996,000 689,889,000 679,459,000 696,955,000 702,253,000 679,069,000 609,327,000 632,877,000 607,881,000 581,569,000 581,362,000 
        property and equipment
        520,332,000 509,347,000 498,746,000 493,075,000 501,385,000 543,972,000 540,419,000 559,508,000 569,908,000 578,269,000 575,799,000 595,888,000 317,235,000 308,463,000 306,511,000 307,852,000 315,662,000 301,299,000 297,033,000 301,335,000 315,427,000 383,825,000 389,933,000 386,135,000 386,723,000 343,710,000 344,061,000 207,042,000 206,490,000 203,587,000 198,442,000 195,312,000 191,718,000 198,780,000 201,519,000 208,033,000 208,930,000 214,561,000 219,372,000 221,950,000 232,979,000 203,955,000 207,140,000 192,245,000 191,961,000 192,672,000 187,512,000 187,927,000 191,841,000 176,035,000 103,889,000 107,705,000 108,061,000 105,065,000 100,807,000 100,672,000 101,545,000 93,714,000 92,565,000 86,964,000 84,965,000 82,667,000 80,163,000 79,162,000 76,949,000 78,064,000 72,875,000 74,500,000 76,122,000 74,456,000 
        retained earnings
        1,020,000 6,021,000 302,138,000 314,908,000 346,821,000 368,707,000 350,923,000 357,349,000 385,590,000 410,008,000 467,999,000 455,502,000 387,619,000 345,832,000 301,886,000 236,177,000 167,022,000 116,465,000 70,540,000 126,323,000 137,774,000 176,914,000 175,865,000 186,455,000 200,670,000 467,126,000 483,846,000 682,798,000 690,674,000 683,444,000 688,363,000 688,591,000 685,504,000 694,981,000 707,104,000 709,707,000 706,866,000 694,577,000 690,152,000 688,813,000 685,765,000 687,511,000 696,543,000 696,574,000 691,547,000 681,711,000 675,858,000 667,782,000 658,994,000 651,438,000 644,220,000 631,521,000 619,629,000 608,344,000 597,945,000 586,274,000 570,320,000 559,701,000 539,395,000 521,159,000 504,480,000 481,735,000 456,686,000 442,645,000 438,192,000 426,305,000 409,293,000 393,925,000 377,913,000 362,407,000 
        total equity
        570,979,000 565,226,000 874,592,000 860,702,000 894,868,000 924,166,000 886,860,000 896,229,000 924,400,000 945,604,000 966,837,000 958,659,000 938,501,000 887,005,000 848,019,000 786,261,000 712,054,000 451,335,000 395,162,000 416,338,000 462,154,000 491,278,000 496,901,000 501,839,000 518,419,000 792,413,000 802,208,000 1,018,918,000 1,015,479,000 1,003,784,000 993,571,000 969,957,000 960,038,000 986,683,000 996,297,000 1,004,921,000 992,590,000 986,101,000 977,127,000 968,273,000 990,838,000 1,007,524,000 1,031,385,000 1,033,167,000 1,025,043,000 1,006,320,000 989,821,000 977,550,000 973,656,000 960,062,000 949,963,000 935,926,000                   
        operating lease liabilities, excluding current portion of 85,149 and 76,805
              225,208,000                                                                
        operating lease liabilities, excluding current portion of 86,437 and 76,805
               214,905,000                                                               
        current assets of discontinued operations
                           499,410,000 439,983,000                                            32,199,000      
        current liabilities of discontinued operations
                           383,586,000 323,511,000                                    279,000 461,000 1,000,000 1,479,000 1,939,000 2,603,000 4,074,000 2,002,000 11,038,000      
        other assets of discontinued operations
                                                                        62,358,000      
        other liabilities of discontinued operations
                                                                              
        accumulated other comprehensive income
                                       -61,645,000 -67,483,000   -43,406,000 -51,825,000 -42,555,000 -44,788,000 -51,646,000 -24,001,000 -7,107,000 9,690,000 10,133,000  2,391,000                         
        accounts and notes receivable
                                        606,084,000 579,031,000 609,212,000 615,750,000 587,935,000 640,653,000 580,739,000 597,235,000 626,192,000 590,140,000 545,179,000 543,214,000 572,854,000 571,458,000 550,642,000 581,121,000 553,502,000 582,994,000 485,249,000 499,015,000 506,758,000 507,152,000 504,509,000 520,688,000 471,661,000 501,270,000 468,026,000 478,234,000 498,080,000 509,497,000 500,204,000 511,875,000 521,311,000 468,304,000 474,248,000 457,345,000 462,392,000 508,746,000 
        other accrued liabilities
                                             296,898,000 288,432,000 273,104,000  315,581,000 251,015,000 302,244,000  276,697,000 225,428,000 282,974,000   92,462,000 104,856,000 93,608,000 99,822,000 97,829,000 107,943,000 102,797,000 101,405,000 95,739,000 105,716,000 90,519,000 111,263,000 106,098,000 120,475,000 69,022,000 81,884,000 78,289,000 92,696,000 63,508,000 110,262,000 
        owens & minor, inc. shareholders’ equity:
                                                                              
        owens & minor, inc. shareholders’ equity
                                                                              
        total owens & minor, inc. shareholders’ equity
                                                990,838,000 1,007,524,000 1,031,385,000 1,032,037,000 1,023,913,000 1,005,190,000 988,691,000 976,420,000 972,526,000 958,932,000 948,833,000 934,796,000 918,087,000                  
        noncontrolling interest
                                                   1,130,000 1,130,000 1,130,000 1,130,000 1,130,000 1,130,000 1,130,000 1,130,000 1,130,000 1,130,000                  
        preferred stock, par value 100 per share, authorized - 10,000 shares, series a participating cumulative preferred stock; none issued
                                                                              
        preferred stock, par value 100 per share, authorized—10,000 shares, series a participating cumulative preferred stock; none issued
                                                                              
        paid - in capital
                                                     194,762,000 192,326,000    184,627,000                    
        liabilities and shareholders’ equity
                                                                              
        shareholders’ equity
                                                                              
        total shareholders’ equity
                                                            919,217,000 906,979,000 895,779,000 880,686,000 857,518,000 837,087,000 815,528,000 792,502,000 769,179,000 745,502,000 714,206,000 696,670,000 689,051,000 679,413,000 659,315,000 635,354,000 614,359,000 592,665,000 
        total liabilities and shareholders’ equity
                                                            1,946,815,000 1,949,614,000 1,905,870,000 1,911,180,000 1,822,039,000 1,841,339,000 1,804,744,000 1,749,350,000 1,747,088,000 1,697,025,000 1,688,770,000 1,687,026,000 1,776,190,000 1,572,031,000 1,586,181,000 1,536,857,000 1,515,080,000 1,568,258,000 
        accounts and drafts payable
                                                             612,923,000 581,768,000 604,477,000 531,735,000 586,285,000 578,627,000 542,163,000           
        preferred stock, par value 100 per share; authorized – 10,000 shares; series a participating cumulative preferred stock; none issued
                                                                              
        preferred stock, par value 100 per share; authorized –10,000 shares; series a participating cumulative preferred stock; none issued
                                                                              
        preferred stock, par value 100 per share; authorized—10,000 shares; series a participating cumulative preferred stock; none issued
                                                                              
        property held for sale
                                                                     12,730,000 13,470,000 15,730,000 15,730,000      
        preferred stock, par value 100 per share; authorized – 10,000 shares series a; participating cumulative preferred stock; none issued
                                                                              
        preferred stock, par value 100 per share; authorized - 10,000 shares series a; participating cumulative preferred stock; none issued
                                                                              
        long-term debt
                                                                           211,962,000 283,845,000 231,142,000 
        preferred stock, par value 100 per share; authorized—10,000 shares series a; participating cumulative preferred stock; none issued
                                                                              
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 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 loss
        -6,468,000 -56,326,000 -150,276,000 -869,058,000 -24,982,000  -12,771,000 -31,913,000 -21,886,000            46,080,000 -55,627,000 -11,324,000 -39,023,000 1,224,000                                                
          loss from discontinued operations, net of tax
                                                                                
          adjustments to reconcile net loss to cash from operating activities:
                                                                                
          depreciation and amortization
        61,742,000 29,873,000 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 
          share-based compensation expense
        3,090,000 -4,457,000 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 
          deferred income tax expense
        2,571,000             -29,352,000 1,390,000 -11,450,000 -6,993,000 -5,428,000 -5,865,000 -9,453,000 20,748,000 -2,079,000 6,348,000     -28,264,000 -582,000 -4,690,000 -1,482,000 -45,403,000 800,000 -4,560,000 -825,000 7,451,000 -1,162,000 -8,978,000 6,907,000 -9,744,000 651,000 2,482,000 510,000 4,002,000 -2,236,000   -4,711,000 2,647,000   -38,000    13,612,000 1,582,000                
          changes in operating lease right-of-use assets and lease liabilities
        122,000 486,000 -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
        -55,509,000                                                                        
          changes in operating assets and liabilities:
                                                                                
          accounts receivable
        -7,796,000 10,863,000 -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
        9,150,000 139,497,000 9,225,000                                                                      
          accounts payable
        8,775,000 17,158,000 -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
        -69,174,000 41,984,000 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
        3,420,000 477,000 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 from discontinued operations
                                                                                
          cash from operating activities
        -50,077,000 68,186,000 -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 
          capital expenditures
        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 -44,121,000 -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
        -50,077,000 68,186,000 -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 42,840,000 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 (41,343 and 44,484) and other fixed assets
        -41,646,000                                                                        
          proceeds from sale of patient service equipment
        96,415,000                                                                        
          additions to computer software
        -844,000 3,848,000 -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 from discontinued operations
                                                                                
          cash from investing activities
        53,925,000 285,004,000 -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 revolving credit facility
        269,100,000 472,300,000 812,300,000 853,200,000 776,984,000                                                                    
          repayments under revolving credit facility
        -217,600,000 -539,500,000 -676,600,000 -815,700,000 -679,484,000            -21,000,000 26,600,000 -96,500,000                                                      
          repurchase of common stock
         -3,523,000 -5,153,000 -1,503,000                                                                    
          cash from financing activities from discontinued operations
                                                                                
          cash from financing activities
        51,084,000 -117,496,000 181,097,000 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 and cash equivalents
        -41,000                -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                     
          net increase in cash and cash equivalents
        54,891,000                           -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
        281,989,000                         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
        336,880,000                         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  
          supplemental disclosure of cash flow information:
                                                                                
          income taxes paid
        20,042,000 3,687,000 3,326,000 5,333,000 125,000 -2,057,000 2,370,000 2,875,000 2,365,000 515,000 3,708,000                  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
        29,446,000 38,572,000 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 45,133,000 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
        71,997,000 2,296,000 -1,614,000                                                                      
          goodwill impairment charge
                                                                               
          loss on extinguishment of debt
             790,000      279,000 564,000    40,433,000                                                      
          deferred income tax benefit
         35,875,000 -41,454,000 -6,068,000 -6,240,000 -10,996,000 -6,090,000 -5,370,000 -3,659,000    -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              
          proceeds from p&hs sale
                                                                                
          cash sold with p&hs sale
                                                                                
          additions to patient service equipment (189 million, 167 million and 167 million) and other fixed assets
                                                                                
          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                                                            
          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                                          
          effect of exchange rate changes on cash, cash equivalents and restricted cash
         129,000 -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 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                                                  
          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
         235,823,000 -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                                                  
          loss on classification to held for sale
          122,500,000                                                                      
          gain from sale and dispositions of patient service equipment and other fixed assets
          -7,063,000                                                                      
          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                                                                      
          net decrease in cash, cash equivalents and restricted cash
                -2,130,000                                                                
          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                                                              
          net income
                 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        -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:
                                                                                
          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                                         
          benefit for losses on accounts receivable
                                                                                
          provision for losses on accounts receivable
               143,000 181,000 -927,000 413,000 -379,000 -521,000 -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                                      
          gain on sale and dispositions of property and equipment
               -12,257,000 -15,619,000 -8,420,000   -8,269,000 -9,258,000                                                           
          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                                                      
          gain on extinguishment of debt
                                                                                
          deferred income tax provision
                  -9,557,000                                                              
          borrowings under revolving credit facility, net and receivables financing agreement
                                                                                
          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
                    2,405,000 405,000 7,786,000 15,794,000 15,576,000 67,132,000 898,000   3,280,000 2,695,000 5,887,000 1,844,000 -1,541,000 -12,388,000                                              
          unpaid purchases of property and equipment and software at end of period
                    64,658,000 4,694,000                                                           
          impairment charges
                              9,080,000                                                  
          loss on divestiture
                                                                              
          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
                                                                                
          cash, cash equivalents and restricted cash at beginning of year
                                                                                
          cash, cash equivalents and restricted cash at end of year
                                                                                
          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
                                                                                
          proceeds from cash surrender value of life insurance policies
                                                                              
          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
                                                                                
          goodwill and intangible asset impairment charges
                                   274,166,000                                            
          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
                                                                                
          provision for 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
                                                                                
          provision for 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
                                                                                
          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
                                                                               
          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 from discontinued operations
                                                                       -308,000 4,127,000 8,382,000      
          net (payments) borrowings on revolving credit facility
                                                                                
          excess tax benefits related to stock-based compensation
                                                                                
          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
                                                                                
          operating activities
                                                                                
          loss on early extinguishment of debt
                                                                                
          investing activities
                                                                                
          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