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Business Acquisitions and Divestitures Business Acquisitions and Divestitures Narrative (Details)
€ in Thousands, $ in Thousands
 3 Months Ended 6 Months Ended 12 Months Ended
Mar. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Jun. 30, 2017
USD ($)
Sep. 30, 2017
USD ($)
Mar. 31, 2019
USD ($)
Mar. 31, 2018
USD ($)
Mar. 31, 2017
USD ($)
Mar. 31, 2019
EUR (€)
Mar. 31, 2017
EUR (€)
Sep. 16, 2016
USD ($)
Aug. 31, 2016
USD ($)
Jul. 22, 2016
USD ($)
Business Acquisition [Line Items]                                
Business Combination, Contingent Consideration, Liability $ 5,950       $ 8,068       $ 5,950 $ 8,068 $ 4,451          
Amortization of Intangible Assets                 98,747 70,195 68,607          
Revenues 768,213 $ 696,238 $ 678,961 $ 638,758 715,973 $ 661,900 $ 607,964 $ 634,159 2,782,170 2,619,996 2,612,756          
Business Combination, Acquisition Related Costs [1]                 8,901 16,211 30,082          
Operating Income (Loss)                 411,465 399,883 226,206          
Proceeds from Divestiture of Businesses                 2,478 8,888 135,713          
Gain (Loss) on Disposition of Business                 1,370 (14,547) [2] $ (86,574) [2]          
Other Loan Receivable | €                         € 15,000      
Loan Receivable Interest Rate       4.00%                        
Other Receivables 8,494               8,494     € 7,550        
Investment Owned, at Cost       $ 4,955                        
Line of Credit Provided to Investee       $ 10,000                        
Loan Receivable Terms - Period                     P15Y          
Fiscal 2019 [Member] [Member] [Member]                                
Business Acquisition [Line Items]                                
Purchase price of acquired entity 13,313               13,313              
Fiscal 2018 [Member] [Member]                                
Business Acquisition [Line Items]                                
Business Combination, Contingent Consideration, Liability         5,018         5,018            
Purchase price of acquired entity         $ 52,527         52,527            
Netherlands Linen Management [Domain]                                
Business Acquisition [Line Items]                                
Revenues                     $ 75,000          
Gain (Loss) on Disposition of Business                     43,000          
US Linen Management Services [Member]                                
Business Acquisition [Line Items]                                
Revenues                     50,000          
Proceeds from Divestiture of Businesses                     4,500          
Gain (Loss) on Disposition of Business                     31,200          
Compass Medical [Member]                                
Business Acquisition [Line Items]                                
Purchase price of acquired entity                           $ 16,000    
Revenues                     6,000          
Phoenix and Endo-Tek [Member]                                
Business Acquisition [Line Items]                                
Purchase price of acquired entity                             $ 14,300  
Revenues                     8,000          
Business Acquisition, Percentage of Voting Interests Acquired                             100.00%  
Medisafe [Member]                                
Business Acquisition [Line Items]                                
Purchase price of acquired entity                               $ 34,500
Revenues                     18,000          
Business Acquisition, Percentage of Voting Interests Acquired                               100.00%
Synergy Health Labs [Member]                                
Business Acquisition [Line Items]                                
Revenues                     15,000          
Proceeds from Divestiture of Businesses                     26,300          
Gain (Loss) on Disposition of Business                     18,700          
Applied Infection Control [Member]                                
Business Acquisition [Line Items]                                
Revenues                     50,000          
Proceeds from Divestiture of Businesses                     41,800          
Gain (Loss) on Disposition of Business                     36,200          
UK Linen Management Services [Member]                                
Business Acquisition [Line Items]                                
Revenues                     50,000          
Proceeds from Divestiture of Businesses                     65,400          
Gain (Loss) on Disposition of Business                     $ 66,400          
HCS [Member]                                
Business Acquisition [Line Items]                                
Revenues                   40,000            
Proceeds from Divestiture of Businesses                   8,891            
Gain (Loss) on Disposition of Business                   $ (13,021)            
Equity Investee Loan [Domain]                                
Business Acquisition [Line Items]                                
Other Receivables $ 7,465               $ 7,465              
Loan Receivable Terms - Period                 P7Y              
Years 1-4, 4% Int Rate [Member]                                
Business Acquisition [Line Items]                                
Loan Receivable Interest Rate                     4.00%   4.00%      
Years 5-15, 12% Int Rate [Member]                                
Business Acquisition [Line Items]                                
Loan Receivable Interest Rate                     12.00%   12.00%      
[1] Acquisition and integration related charges include transaction costs and integration expenses associated with acquisitions
[2] For more information regarding our goodwill impairment loss see Note 3 titled, "Goodwill and Intangible Assets".