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      "fundamental_units": {
        "operating_cash_flow": "USD"
      },
      "fundamentals": {
        "operating_cash_flow": 218038000.0
      },
      "period_end": "2009-12-31",
      "ratios": {}
    },
    {
      "accn": "0001193125-11-047429",
      "filed": "2011-02-25",
      "fiscal_year": 2008,
      "form": "10-K",
      "fundamental_units": {
        "operating_cash_flow": "USD"
      },
      "fundamentals": {
        "operating_cash_flow": 62878000.0
      },
      "period_end": "2008-12-31",
      "ratios": {}
    }
  ],
  "latest_filing": {
    "accn": "0001104659-26-018169",
    "filed": "2026-02-20",
    "form": "10-K"
  },
  "note": "Static grepcent export of verified SEC companyfacts-derived values. Monetary values are raw reported units from grepcent's resolved facts; no scaling and no FX conversion. Capex, dividends, and buybacks are reported as positive outflow magnitudes. ROE/ROA include both period-end basis (site-consistent) and average-of-two-years basis where the prior-year denominator exists.",
  "schema_version": "1",
  "sic": "5047",
  "sic_description": "Wholesale-Medical, Dental & Hospital Equipment & Supplies",
  "source_urls": {
    "sec_companyfacts": "https://data.sec.gov/api/xbrl/companyfacts/CIK0000075252.json",
    "sec_submissions": "https://data.sec.gov/submissions/CIK0000075252.json"
  },
  "ticker": "ACH"
}
