Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands, unless otherwise specified	9 Months Ended
Feb. 28, 2015	Feb. 28, 2014
OPERATING ACTIVITIES:
Net loss	$ (53,997)us-gaap_ProfitLoss	$ (15,902)us-gaap_ProfitLoss
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Depreciation and amortization	53,843	52,858
Noncash interest expense	7,557us-gaap_OtherNoncashExpense	6,510us-gaap_OtherNoncashExpense
Loss on disposition and retirement of fixed assets	237us-gaap_GainLossOnDispositionOfAssets	68us-gaap_GainLossOnDispositionOfAssets
Inventory fair value adjustment		2,779us-gaap_OtherNoncashIncomeExpense
Asset impairment		180us-gaap_AssetImpairmentCharges
Provision for doubtful accounts	372	(1,740)
Share-based compensation expense	1,800	1,175
Deferred income taxes	21,496us-gaap_DeferredIncomeTaxExpenseBenefit	(15,073)us-gaap_DeferredIncomeTaxExpenseBenefit
Change in fair value of contingent consideration	0	(4,638)
Changes in operating assets and liabilities, net of effects of acquisitions:
Accounts receivable, trade	(9,259)	5,330
Income taxes	526	861
Inventories	(6,017)us-gaap_IncreaseDecreaseInInventories	(14,651)us-gaap_IncreaseDecreaseInInventories
Other assets	1,101	(324)
Accounts payable	(3,284)	3,025
Deferred revenue	129	269
Accrued expenses and other liabilities	(11,712)	(10,186)
Cash provided by operating activities	2,792	10,541
INVESTING ACTIVITIES:
Purchases of property and equipment	(7,519)	(5,339)
Receipt from acquisition of business related to finalizing certain working capital adjustments		1,116us-gaap_PaymentsForPreviousAcquisition
Other investments	(5,300)
Acquisitions of businesses, net of cash acquired	(6,396)	(5,151)
Cash used in investing activities	(19,215)	(9,374)
FINANCING ACTIVITIES:
Repayments of long-term debt	(4,993)us-gaap_RepaymentsOfLongTermDebt	(5,008)us-gaap_RepaymentsOfLongTermDebt
Proceeds from Revolving Facility	49,500us-gaap_ProceedsFromLinesOfCredit
Repayments of Revolving Facility	(36,500)us-gaap_RepaymentsOfLinesOfCredit
Cash provided by (used in) financing activities	8,007	(5,008)
EFFECT OF EXCHANGE RATES ON CASH AND CASH EQUIVALENTS	(3,714)	481
DECREASE IN CASH AND CASH EQUIVALENTS	(12,130)	(3,360)
CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD	23,621	29,388
CASH AND CASH EQUIVALENTS AT END OF PERIOD	11,491	26,028
SUPPLEMENTAL INFORMATION:
Income taxes paid, net of refunds	2,621us-gaap_IncomeTaxesPaidNet	3,030us-gaap_IncomeTaxesPaidNet
Interest paid	70,657us-gaap_InterestPaid	71,179us-gaap_InterestPaid
NON-CASH INVESTING AND FINANCING ACTIVITIES:
Movement from inventory to property and equipment of instruments placed on rental agreements	$ 5,728	$ 7,788

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