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Acquisitions (Tables)
9 Months Ended
Sep. 30, 2022
Acquisitions.  
Schedule of proforma net revenue and operating income

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​

​

(in thousands) (unaudited)

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Three Months Ended September 30, 

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Nine Months Ended September 30, 

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2022

    

2021

    

2022

    

2021

Net revenue

​

$

756,495

​

$

722,406

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$

2,195,434

​

$

2,140,382

Operating income

​

$

52,949

​

$

83,788

​

$

163,630

​

$

195,945

Summary of results of business acquired

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(in thousands)

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Three Months Ended September 30, 

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Nine Months Ended September 30, 

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​

    

2022

    

2021

    

2022

    

2021

​

Net revenue

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$

5,062

​

$

289,604

​

$

10,764

​

$

680,460

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Operating income (loss)

​

$

(726)

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$

37,454

​

$

(333)

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$

95,143

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Significant Acquisitions In 2022  
Acquisitions.  
Summary of consideration

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​

​

Cash

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$

16,477

Deferred payments

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422

Total

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$

16,899

Summary of estimated fair values of the net assets acquired

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​

​

Cash

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$

155

Accounts receivable

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2,206

Inventory

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686

Prepaid and other current assets

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​

16

Equipment and other fixed assets

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4,502

Goodwill

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11,788

Identifiable intangible assets

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​

500

Accounts payable and accrued expenses

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(2,820)

Contract liabilities

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​

(134)

Net assets acquired

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$

16,899

Significant Acquisitions In 2021  
Acquisitions.  
Summary of consideration

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​

​

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​

​

​

​

AeroCare

    

Spiro

    

Healthy Living

    

Agilis

    

We Care

    

Other

    

Total

Cash

​

$

1,152,768

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$

66,101

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$

47,048

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$

30,842

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$

34,833

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$

121,710

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$

1,453,302

Equity

​

 

1,220,342

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7,109

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5,057

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​

14,668

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​

6,321

​

 

7,703

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​

1,261,200

Contingent consideration

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—

​

 

1,000

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—

​

​

1,000

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​

—

​

 

—

​

​

2,000

Deferred payments

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—

​

​

—

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​

—

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​

—

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​

—

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​

1,162

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​

1,162

Total

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$

2,373,110

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$

74,210

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$

52,105

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$

46,510

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$

41,154

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$

130,575

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$

2,717,664

Summary of estimated fair values of the net assets acquired

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AeroCare

    

Spiro

    

Healthy Living

    

Agilis

    

We Care

    

Other

    

Total

Cash

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$

27,686

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$

2,132

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$

580

 

$

1,170

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$

458

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$

2,673

 

$

34,699

Accounts receivable

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75,916

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8,526

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7,471

 

 

—

​

 

6,355

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20,900

 

 

119,168

Inventory

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27,612

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4,939

​

 

2,948

 

 

2,478

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1,488

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6,219

 

 

45,684

Prepaid and other current assets

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3,522

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152

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254

 

 

—

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—

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2,466

 

 

6,394

Equipment and other fixed assets

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190,755

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2,148

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1,201

 

 

—

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8,170

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13,076

 

 

215,350

Operating lease right-of-use assets

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55,132

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2,738

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1,366

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490

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970

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12,176

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​

72,872

Goodwill

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2,096,850

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62,640

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41,955

 

 

52,938

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29,080

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102,688

 

 

2,386,151

Identifiable intangible assets

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122,800

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​

1,000

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1,300

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500

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400

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2,400

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​

128,400

Other assets

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​

1,178

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16

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—

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—

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—

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—

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​

1,194

Deferred tax liabilities

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(64,916)

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—

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—

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​

—

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(3,358)

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​

425

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​

(67,849)

Accounts payable and accrued expenses

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(82,722)

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(5,148)

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(3,604)

 

 

(576)

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(1,439)

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(13,921)

 

 

(107,410)

Contract liabilities

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(14,495)

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—

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—

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​

—

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​

—

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​

(124)

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​

(14,619)

Other current liabilities

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(10,021)

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—

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​

—

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​

—

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—

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(1,555)

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​

(11,576)

Other long-term liabilities

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(1,055)

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—

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​

—

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​

—

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—

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​

—

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(1,055)

Operating lease obligations

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(55,132)

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(2,738)

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(1,366)

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​

(490)

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​

(970)

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​

(12,176)

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​

(72,872)

Capital lease obligations

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—

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(2,195)

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—

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—

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​

—

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(4,672)

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​

(6,867)

Net assets acquired

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$

2,373,110

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$

74,210

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$

52,105

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$

56,510

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$

41,154

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$

130,575

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$

2,727,664