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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash flows from operating activities:      
Net income (loss) $ (147,468)us-gaap_NetIncomeLoss $ (69,654)us-gaap_NetIncomeLoss $ 64,707us-gaap_NetIncomeLoss
Less: Income (loss) from discontinued operations, net of income taxes (4,086)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity (12,663)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity 76,982us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity
Loss from continuing operations, net of income taxes (143,382)us-gaap_IncomeLossFromContinuingOperations (56,991)us-gaap_IncomeLossFromContinuingOperations (12,275)us-gaap_IncomeLossFromContinuingOperations
Adjustments to reconcile net loss from continuing operations to net cash provided by (used in) operating activities:      
Depreciation 16,388us-gaap_Depreciation 13,381us-gaap_Depreciation 8,367us-gaap_Depreciation
Amortization of intangibles 6,555us-gaap_AmortizationOfIntangibleAssets 6,671us-gaap_AmortizationOfIntangibleAssets 3,957us-gaap_AmortizationOfIntangibleAssets
Amortization of deferred financing costs and debt discount 4,153us-gaap_AmortizationOfFinancingCostsAndDiscounts 2,259us-gaap_AmortizationOfFinancingCostsAndDiscounts 1,261us-gaap_AmortizationOfFinancingCostsAndDiscounts
Change in fair value of contingent consideration (7,364)bios_IncreaseDecreaseinFairValueofContingentConsideration (5,786)bios_IncreaseDecreaseinFairValueofContingentConsideration 0bios_IncreaseDecreaseinFairValueofContingentConsideration
Change in deferred income tax 12,318us-gaap_IncreaseDecreaseInDeferredIncomeTaxes 4,801us-gaap_IncreaseDecreaseInDeferredIncomeTaxes (32)us-gaap_IncreaseDecreaseInDeferredIncomeTaxes
Compensation under stock-based compensation plans 8,570us-gaap_ShareBasedCompensation 9,450us-gaap_ShareBasedCompensation 6,122us-gaap_ShareBasedCompensation
Loss on disposal of fixed assets 0us-gaap_GainLossOnDispositionOfAssets 0us-gaap_GainLossOnDispositionOfAssets 156us-gaap_GainLossOnDispositionOfAssets
Loss on extinguishment of debt 2,373us-gaap_GainsLossesOnExtinguishmentOfDebt 15,898us-gaap_GainsLossesOnExtinguishmentOfDebt 0us-gaap_GainsLossesOnExtinguishmentOfDebt
Equity in earnings of unconsolidated affiliate 0us-gaap_IncomeLossFromEquityMethodInvestments 675us-gaap_IncomeLossFromEquityMethodInvestments 0us-gaap_IncomeLossFromEquityMethodInvestments
Changes in assets and liabilities, net of acquired businesses:      
Receivables, net of bad debt expense 30,650us-gaap_IncreaseDecreaseInReceivables (33,511)us-gaap_IncreaseDecreaseInReceivables 103,937us-gaap_IncreaseDecreaseInReceivables
Inventory (2,952)us-gaap_IncreaseDecreaseInInventories 4,939us-gaap_IncreaseDecreaseInInventories (15,249)us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other assets 5,464us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets (456)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets 3,805us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Accounts payable 26,021us-gaap_IncreaseDecreaseInAccountsPayableTrade 22,260us-gaap_IncreaseDecreaseInAccountsPayableTrade (48,369)us-gaap_IncreaseDecreaseInAccountsPayableTrade
Claims payable 5,614us-gaap_IncreaseDecreaseInFuturePolicyBenefitReserves (4,864)us-gaap_IncreaseDecreaseInFuturePolicyBenefitReserves (4,354)us-gaap_IncreaseDecreaseInFuturePolicyBenefitReserves
Amounts due to plan sponsors 953bios_IncreaseDecreaseinAmountsduetoplansponsor (13,105)bios_IncreaseDecreaseinAmountsduetoplansponsor (7,025)bios_IncreaseDecreaseinAmountsduetoplansponsor
Accrued interest 4,681us-gaap_IncreaseDecreaseInInterestPayableNet (3,627)us-gaap_IncreaseDecreaseInInterestPayableNet (22)us-gaap_IncreaseDecreaseInInterestPayableNet
Accrued expenses and other liabilities 5,313us-gaap_IncreaseDecreaseInOtherAccountsPayableAndAccruedLiabilities (8,005)us-gaap_IncreaseDecreaseInOtherAccountsPayableAndAccruedLiabilities 9,062us-gaap_IncreaseDecreaseInOtherAccountsPayableAndAccruedLiabilities
Net cash provided by (used in) operating activities from continuing operations (24,645)us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations (46,011)us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations 49,341us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Net cash provided by (used in) operating activities from discontinued operations (6,771)us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations (8,542)us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations (22,457)us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
Net cash provided by (used in) operating activities (31,416)us-gaap_NetCashProvidedByUsedInOperatingActivities (54,553)us-gaap_NetCashProvidedByUsedInOperatingActivities 26,884us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:      
Purchases of property and equipment, net (13,829)us-gaap_PaymentsForProceedsFromProductiveAssets (25,525)us-gaap_PaymentsForProceedsFromProductiveAssets (10,658)us-gaap_PaymentsForProceedsFromProductiveAssets
Cash consideration paid for acquisitions, net of cash acquired (454)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (282,998)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (43,046)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Net cash proceeds from sale of unconsolidated affiliate 852us-gaap_ProceedsFromSaleOfEquityMethodInvestments 8,617us-gaap_ProceedsFromSaleOfEquityMethodInvestments 0us-gaap_ProceedsFromSaleOfEquityMethodInvestments
Cash advances to unconsolidated affiliate 0us-gaap_PaymentsForAdvanceToAffiliate (2,363)us-gaap_PaymentsForAdvanceToAffiliate 0us-gaap_PaymentsForAdvanceToAffiliate
Cash consideration paid to DS Pharmacy 0bios_CashConsiderationPaidToDsPharmacy 0bios_CashConsiderationPaidToDsPharmacy (2,935)bios_CashConsiderationPaidToDsPharmacy
Cash consideration paid for unconsolidated affiliate, net of cash acquired 0us-gaap_PaymentsToAcquireEquityMethodInvestments 0us-gaap_PaymentsToAcquireEquityMethodInvestments (10,652)us-gaap_PaymentsToAcquireEquityMethodInvestments
Net cash used in investing activities from continuing operations (13,431)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (302,269)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (67,291)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
Net cash provided by (used in) investing activities from discontinued operations 57,688us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations (101)us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations 161,171us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
Net cash provided by (used in) investing activities 44,257us-gaap_NetCashProvidedByUsedInInvestingActivities (302,370)us-gaap_NetCashProvidedByUsedInInvestingActivities 93,880us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:      
Proceeds from public stock offering 0us-gaap_ProceedsFromIssuanceOfCommonStock 118,382us-gaap_ProceedsFromIssuanceOfCommonStock 0us-gaap_ProceedsFromIssuanceOfCommonStock
Proceeds from senior notes due 2021, net of discount, lenders' fees and other expenses 194,539us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt 0us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt 0us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt
Proceeds from senior credit facilities, net of fees paid to issuers 0us-gaap_ProceedsFromLongTermLinesOfCredit 378,091us-gaap_ProceedsFromLongTermLinesOfCredit 0us-gaap_ProceedsFromLongTermLinesOfCredit
Repayment of 10 1/4% senior unsecured notes 0us-gaap_RepaymentsOfSeniorDebt (237,397)us-gaap_RepaymentsOfSeniorDebt 0us-gaap_RepaymentsOfSeniorDebt
Deferred and other financing costs (1,135)us-gaap_PaymentsOfFinancingCosts 0us-gaap_PaymentsOfFinancingCosts 0us-gaap_PaymentsOfFinancingCosts
Borrowings on revolving credit facility 244,700us-gaap_ProceedsFromLinesOfCredit 449,559us-gaap_ProceedsFromLinesOfCredit 1,244,050us-gaap_ProceedsFromLinesOfCredit
Repayments on revolving credit facility (279,703)us-gaap_RepaymentsOfLinesOfCredit (409,559)us-gaap_RepaymentsOfLinesOfCredit (1,307,872)us-gaap_RepaymentsOfLinesOfCredit
Principal payments of long-term debt (172,243)us-gaap_RepaymentsOfSecuredDebt (5,000)us-gaap_RepaymentsOfSecuredDebt 0us-gaap_RepaymentsOfSecuredDebt
Repayments of capital leases (360)us-gaap_RepaymentsOfLongTermCapitalLeaseObligations (802)us-gaap_RepaymentsOfLongTermCapitalLeaseObligations (3,278)us-gaap_RepaymentsOfLongTermCapitalLeaseObligations
Net proceeds from exercise of employee stock compensation plans 1,468us-gaap_ProceedsFromStockOptionsExercised 2,549us-gaap_ProceedsFromStockOptionsExercised 8,611us-gaap_ProceedsFromStockOptionsExercised
Surrender of stock to satisfy minimum tax withholding (368)bios_SurrenderOfStockToSatisfyMinimumTaxWithholding 0bios_SurrenderOfStockToSatisfyMinimumTaxWithholding (174)bios_SurrenderOfStockToSatisfyMinimumTaxWithholding
Net cash provided by (used in) financing activities (13,102)us-gaap_NetCashProvidedByUsedInFinancingActivities 295,823us-gaap_NetCashProvidedByUsedInFinancingActivities (58,663)us-gaap_NetCashProvidedByUsedInFinancingActivities
Net change in cash and cash equivalents (261)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (61,100)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 62,101us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents - beginning of period 1,001us-gaap_CashAndCashEquivalentsAtCarryingValue 62,101us-gaap_CashAndCashEquivalentsAtCarryingValue 0us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents - end of period 740us-gaap_CashAndCashEquivalentsAtCarryingValue 1,001us-gaap_CashAndCashEquivalentsAtCarryingValue 62,101us-gaap_CashAndCashEquivalentsAtCarryingValue
DISCLOSURE OF CASH FLOW INFORMATION:      
Cash paid during the period for interest 34,133us-gaap_InterestPaidNet 25,589us-gaap_InterestPaidNet 27,528us-gaap_InterestPaidNet
Cash paid during the period for income taxes, net of refunds 1,651us-gaap_IncomeTaxesPaidNet 3,137us-gaap_IncomeTaxesPaidNet 1,042us-gaap_IncomeTaxesPaidNet
DISCLOSURE OF NON-CASH TRANSACTIONS:      
Capital lease obligations incurred to acquire property and equipment $ 107us-gaap_CapitalLeaseObligationsIncurred $ 20us-gaap_CapitalLeaseObligationsIncurred $ 6,631us-gaap_CapitalLeaseObligationsIncurred