Owens & Minor Annual Report 2017

Plain-text annual report

BETTER TOGETHER 2017 Annual Report / Form 10-K COMPANY OVERVIEW Owens & Minor, Inc. (NYSE: OMI) is a global healthcare solutions company dedicated to Connecting the WorWW ld of Medical Products to the Point of CareSM by providing vital supply chain services to healthcare providers and manufacturers of healthcare products. Owens & Minor provides logistics solutions across the spectrum of medical products from disposable medical supplies to devices and implants. With logistics platforms strategically located in the United States and Europe, Owens & Minor serves markets where three quarters of global healthcare spending occurs. Owens & Minor’s customers span the healthcare market from independent hospitals to large integrated healthcare networks, as well as group purchasing organizations, healthcare products manufacturers, the federal government, third-party payors, and healthcare patients at home through its Byram Healthcare subsidiary. A FORTUNE 500 company, Owens & Minor is headquartered in Richmond, Virginia, and has annualized revenues exceeding $9 billion. For more information about Owens & Minor, visit owens-minor.com, follow @Owens_Minor on Twitter, and connect on LinkedIn at linkedin.com/company/owens-&-minor. BOARD OF DIRECTORS P. Cody Phipps (1*) President & Chief Executive Ofﬁcer and Chairman of the Board, Owens & Minor, Inc. Anne Marie Whittemore (1) Lead Director, Owens & Minor, Inc. Partner, McGuireWoods LLP Stuart M. Essig (4) Chairman of the Board, Integra LifeSciences Holding Company Retired CEO, Integra LifeSciences Holding Company John W. Gerdelman (2) Managing Partner, River2 Barbara B. Hill (3) Operating Partner, NexPhase Capital Lemuel E. Lewis (1, 2*, 4) Retired EVP & CFO, Landmark Communications, Inc. Former Chairman of the Board, Federal Reserve Bank of Richmond Martha H. Marsh (1, 3, 4*) Retired President & CEO, Stanford Hospital and Clinics CORPORATE OFFICERS Mark F. McGettrick EVP & CFO, Dominion Energy, Inc. Eddie N. Moore, Jr. (2, 4) Retired President & CEO, Norfolk State University President Emeritus, Virginia State University James E. Rogers (3, 4) ** Retired Chairman, BackOfﬁce Associates Retired President, SCI Investors Inc. David S. Simmons (3) ** Chairman & CEO, Pharmaceutical Product Development, LLC Robert C. Sledd (1, 2, 3*) Former Senior Economic Advisor to the Governor of Virginia Former Chairman & CEO, Performance Food Group Co. ** Effective immediately following the Annual Meeting, Messrs. Rogers and Simmons’ terms will expire, at which time they will retire from the Board. Board Committees: 1 Executive Committee 2 Audit Committee * Denotes Chairman 3 Compensation & Beneﬁts Committee 4 Governance & Nominating Committee P. Cody Phipps President & Chief Executive Ofﬁcer and Chairman of the Board Rony C. Kordahi Executive Vice President, North American Operations Richard A. Meier Executive Vice President, Chief Financial Ofﬁcer & President, International Christopher M. Lowery President, Global Products Stuart Morris-Hipkins President, Global Solutions Nicholas J. Pace Executive Vice President, General Counsel, Corporate Secretary & Communications Charles C. Colpo Senior Vice President, Strategic Supplier Management Erika T. Davis Senior Vice President, Chief Administrative Ofﬁcer Geoffrey T. Marlatt Senior Vice President, Manufacturer Services Stephen R. Olive Senior Vice President, Chief Information Ofﬁcer P. CODY PHIPPS Chairman, President & Chief Executive Ofﬁcer Dear Shareholders, Teammates, Customers, and Friends of Owens & Minor: 2017 was a year of strategic transformation for Owens & Minor, as we took steps to strengthen and diversify our business so that we are positioned for future success as a global healthcare solutions company. In the face of rapidly changing market dynamics and intensifying competitive pressures that characterize today’s healthcare market, we launched a comprehensive business transformation program designed to position the company for sustained proﬁtable growth. At that same time, we made progress on our four-part strategy, diversiﬁed our business mix, and improved our earnings proﬁle through two strategic acquisitions. While we made signiﬁcant progress in transforming our business last year, 2017 was very challenging. We felt the pressure of the healthcare industry’s push to lower costs and improve the delivery of care, especially in the domestic market. These forces combined to create unprecedented challenges for those of us who serve the industry, and we are taking signiﬁcant steps to transform our company for success in the future by becoming more efﬁcient, diversiﬁed and more clinically relevant. To counter these market trends, we aggressively accelerated the transformation of our business. We engaged in a large-scale transformation effort—a “Rapid Business Transformation”—that contributed positively to our 2017 results and exceeded our expectations. We also undertook the two largest acquisitions in our company’s 136-year history—completing the acquisition of Byram Healthcare and working toward closing the acquisition of Halyard Health’s Surgical & Infection Prevention (S&IP) business. These are both signiﬁcant transactions that will advance our strategic agenda by giving Owens & Minor new market opportunities around the world. In 2017, we made progress on our four-part strategic agenda: 1) Build the most intelligent route to market; 2) Expand across the continuum of care; 3) Become the preferred outsourcer for leading manufacturers; and 4) Transform through data, analytics and services. In support of the ﬁrst strategy, we created the Client Engagement Center (CEC), which we located in downtown Richmond, Virginia, not far from where Owens & Minor ﬁrst opened its doors for business in 1882. This facility will house various shared-services teams, such as customer service, ﬁnancial operations, and purchasing, where our teammates can share expertise, leverage technology, and standardize and improve service to our customers. The CEC will be fully staffed and operational in 2018. By housing these skill sets in one facility, we can leverage their knowledge and experience, as they serve customers who are national or regional in scope and who demand consistent service from one region to the next. The creation of the CEC furthers our strategy to build the most intelligent route to market. To support our strategy to expand across the continuum of care, we acquired Byram Healthcare, the second largest direct-to-patient services company in the U.S. Byram has already proven to be a great addition to the Owens & Minor portfolio and gives us access to the higher margin, home healthcare channel. We also see opportunity to align our home healthcare platform to enable our large healthcare providers to follow their patients from the hospital to the home. We are... BETTER TOGETHER “We also undertook the two largest acquisitions in our company’s 136-year history— completing the acquisition of Byram Healthcare and working toward closing the acquisition of Halyard Health’s Surgical & Infection Prevention (S&IP) business. These are both signiﬁcant transactions that will advance our strategic agenda by giving Owens & Minor new market opportunities around the world.” We also made a bold move last year to strengthen our own-brand product portfolio when we announced the acquisition of Halyard Health’s Surgical & Infection Prevention (S&IP) business. The transaction is expected to close early in the second quarter this year. This is a signiﬁcant step that adds meaningful depth to our product strategy and will strengthen and diversify our business model. The Halyard Health S&IP acquisition—which will be the largest in company history—is intended to achieve two goals. This acquisition will increase the signiﬁcance of our own-brand product sales, as a percentage of total revenues. In addition, it gives us access to a leading portfolio of surgical and infection prevention products that we can bundle with our solutions at the point of care. Furthermore, this transaction also enables global expansion with signiﬁcant opportunities for growth in new attractive markets, including: Canada, Japan, South Africa, and Australia. We remain committed to creating value for our shareholders. With this in mind, our board of directors approved an increase in our dividend. This increase will mark the twenty ﬁrst year in a row of dividend increases. Owens & Minor has paid dividends continuously since becoming a public company in 1971. Throughout the year, we encouraged our teammates to continue to be part of our purpose-driven culture. This is an important part of our identity. Our teammates are extremely generous with their time and talents, which they share with a wide range of community service organizations. From collecting food for community food banks, to raising money for various causes such as A Soldier’s Child and veterans groups, to running races for charities, our teammates bring a personal devotion to volunteerism. In fact, our teammates set the pace for volunteering. They always step forward when they see a chance to help others or to raise money for a worthy cause. Our teammates truly embody the purpose-driven culture at Owens & Minor. We remain excited about the opportunities we see to serve our industry in new geographic areas with new products and solutions. We are excited about our future and remain committed to creating value for our shareholders. Thank you to our friends, business partners, shareholders, and teammates. We wish you great success in the coming year. Sincerely, P. Cody Phipps Chairman, President & Chief Executive Ofﬁcer BUSINESS STRATEGY Our industry is going through a period of great change, driven in large part by the signiﬁcant cost pressures and enormous complexities in today’s healthcare system. Our business strategy centers on creating value for our manufacturer and provider customers, and ultimately, patients. Here are the four elements of our strategy: Build the most intelligent route to market We are investing in our supply chain to bring scale, efﬁciency, and enhanced connectivity to the ﬂow of medical products from the point of manufacture to the point of care. Become the preferred outsourcer for leading manufacturers With our efﬁcient network, broad channel access, and ability to deliver to the point of care, we are in a unique position to create value for manufacturers. Expand along the continuum of care We are focused on gaining important new capabilities and on building a new business platform to serve the expanding continuum of care, which will enhance how we serve our manufacturer and provider customers. Transform through data, analytics, and services Our business places us squarely in the middle of the ﬂow of goods, funds, and information from the point of manufacture to the point of care, and we intend to leverage this position. 5-YEAR FINANCIAL HIGHLIGHTS GAAP Basis in millions, except per share data) Revenue Operating earnings as a % of revenue Net income Diluted EPS Cash dividends per common share 2017 2016 2015 2014 2013 $9,318 $89 0.96% $73 $1.20 $1.03 $9,723 $200 2.05% $109 $1.76 $1.02 $9,773 $200 2.05% $103 $1.65 $1.01 $9,440 $9,072 $160 1.69% $67 $1.06 $1.00 $198 2.18% $111 $1.76 $0.96 Adjusted Basis (Non-GAAP) 2017 2016 2015 2014 2013 ($ in millions, except per share data) Revenue Operating earnings as a % of revenue Net income Diluted EPS Cash dividends per common share $9,318 $180 1.93% $98 $1.61 $1.03 $9,723 $234 2.41% $134 $2.17 $1.02 $9,773 $237 2.43% $133 $2.12 $1.01 $9,440 $208 2.20% $114 $1.82 $1.00 $9,072 $214 2.36% $122 $1.94 $0.96 Non-GAAP ﬁnancial measures. See Financial Highlights section in Item 7. M77 deﬁnitions and reconciling information. anagement’s Discussion and Analysiyy s of Financ FF ial Conditions and Results of Operations for [THIS PAGPP E INTENTIONALLY LEFT BLANK] UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-K Annual Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the year ended December 31, 2017 Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the transition period from to Commission File Number 1-9810 OWENS & MINOR, INC. (Exact name of registrant as specified in its charter) Virginia (State or other jurisdiction of incorporation or organization) 9120 Lockwood Boulevard, Mechanicsville, Virginia (Address of principal executive offices) 54-1701843 (I.R.S. Employer Identification No.) 23116 (Zip Code) Registrant’s telephone number, including area code (804) 723-7000 Securities registered pursuant to Section 12(b) of the Act: Title of each class Common Stock, $2 par value 3.875% Senior Notes due 2021 4.375% Senior Notes due 2024 Name of each exchange on which registered New York Stock Exchange Not Listed Not Listed Securities registered pursuant to Section 12(g) of the Act: None Indicate by check mark if the registrant is a well-known seasoned issuer (as defined in Rule 405 of the Securities Act). Yes Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange No No Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes No Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Website, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes No Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. Large accelerated filer Non-accelerated filer Accelerated filer Smaller reporting company Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes The aggregate market value of Common Stock held by non-affiliates (based upon the closing sales price) was approximately $1,970,878,173 No as of June 30, 2017. The number of shares of the Company’s common stock outstanding as of February 14, 2018 was 61,515,802 shares. Documents Incorporated by Reference The proxy statement for the annual meeting of shareholders to be held on May 8, 2018, is incorporated by reference for Item 5 of Part II and Part III. Form 10-K Table of Contents Item No. Part I 1 Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1A. Risk Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1B. Unresolved Staff Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Legal Proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part II 4 Mine Safety Disclosures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Selected Consolidated Financial Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Management’s Discussion and Analysis of Financial Condition and Results of Operations. . . . . . . . . . . . . . . . 7A. Quantitative and Qualitative Disclosures About Market Risk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Financial Statements and Supplementary Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Changes in and Disagreements with Accountants on Accounting and Financial Disclosure . . . . . . . . . . . . . . . 9A. Controls and Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9B. Other Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Management’s Report on Internal Control over Financial Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Report of Independent Registered Public Accounting Firm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part III 10 Directors and Executive Officers of the Registrant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Executive Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Security Ownership of Certain Beneficial Owners and Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Certain Relationships and Related Transactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Principal Accountant Fees and Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part IV Page 3 7 13 13 14 14 14 16 17 27 27 27 27 27 28 29 30 30 30 30 30 15 Exhibits and Financial Statement Schedules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Corporate Officers can be found at the end of this Form 10-K. Part I Item 1. Business General Owens & Minor, Inc. and subsidiaries (we, us or our), a Fortune 500 company headquartered in Richmond, Virginia, is a leading global healthcare solutions company that connects the world of medical products to the point of care. We provide vital supply chain assistance to the providers of healthcare services and the manufacturers of healthcare products, supplies and devices. With fully developed networks in the United States and Europe, we are equipped to serve a customer base ranging from hospitals, integrated healthcare systems, group purchasing organizations, and the U.S. federal government, to manufacturers of life-science and medical devices and supplies, including pharmaceuticals in certain markets. The description of our business should be read in conjunction with the consolidated financial statements and supplementary data included in this Form 10-K. Founded in 1882, Owens & Minor was incorporated in 1926 in Richmond, Virginia. We focus our operations on healthcare logistics services and provide our customers with a service portfolio that covers procurement, inventory management, delivery and sourcing of products for the healthcare market. Through organic growth and acquisitions over many years, we significantly expanded and strengthened our company, achieving national scale in the United States healthcare market. In 2012, through the acquisition of the Movianto Group (Movianto), we entered into third-party logistics services for the pharmaceutical, biotechnology and medical device industries in the European market, leveraging an existing platform that also expands our ability to serve our United States-based manufacturer customers on an international level. In 2014, we completed the acquisitions of Medical Action Industries Inc. (Medical Action), a leading producer of surgical kits and procedure trays for the healthcare market, and ArcRoyal, a privately held surgical kitting company based in Ireland. These acquisitions further expanded our capabilities to offer our provider and manufacturer customers a range of kitting options. In the third quarter of 2017, we completed the acquisition of Byram Healthcare (Byram), a leading domestic distributor of disposable medical supplies sold directly to patients and home health agencies. This acquisition expanded our capabilities beyond the hospital setting all the way to the patient's home with principal product lines of ostomy, wound care, diabetes, urology and incontinence supplies. We report Byram in our Domestic segment. On October 31, 2017, we entered into a Purchase Agreement to acquire the Surgical and Infection Prevention (S&IP) business of Halyard Health, Inc. (Halyard) for $710 million in cash, subject to certain adjustments as provided in the Purchase Agreement. Halyard’s S&IP business is a leading global provider of medical supplies and solutions for the prevention of healthcare-associated infections across the acute and alternate site channels. The transaction is expected to close early in the second quarter of 2018. We report our business under three distinct business units: Domestic, International and Proprietary Products (formerly Clinical and Procedural Solutions). Domestic is our U.S. distribution, logistics and value-added services business, while International is our European distribution, logistics and value-added services business. Proprietary Products provides product-related solutions, including surgical and procedural kitting and sourcing. Financial information by segment and geographic area appears in Note 19, “Segment Information,” of the Notes to Consolidated Financial Statements included in this annual report. The Domestic Segment Healthcare product volumes in the United States are dependent on the rates of utilization of medical/surgical procedures by consumers, which are subject to fluctuation according to the condition of the domestic economy and other factors such as changes in regulation affecting reimbursement. Aside from consumer-driven activity, the healthcare industry is also experiencing growing demand for advanced logistics and inventory management services as healthcare providers and manufacturers are focused on achieving more efficient and cost-effective supply-chain operations. In the United States, healthcare supply distributors contract with group purchasing organizations (GPOs) that negotiate distribution contracts on behalf of their healthcare provider members and also contract directly with healthcare providers and manufacturers for their services. Healthcare providers are increasingly consolidating into larger, more sophisticated networks that are actively seeking reductions in the total cost of delivering healthcare products. These healthcare providers face complex financial challenges, including managing the cost of purchasing, receiving, storing and tracking supplies. 3 Economic trends have also driven significant consolidation within the healthcare products distribution and logistics industry due to the competitive advantages enjoyed by larger organizations. Among these advantages are the ability to serve customers in widespread geographic locations, purchase inventory in large volume, develop more sophisticated technology platforms and decision-support systems and provide expertise to healthcare providers and manufacturers to help reduce supply chain costs. We offer a comprehensive portfolio of products and services to healthcare providers and manufacturers in the United States. Our portfolio of medical and surgical supplies includes branded products purchased in large volume from manufacturers and our own proprietary private-label products, which are internally sourced through our sourcing capabilities abroad or through a select group of manufacturers. We store our products at our distribution centers and provide delivery of these products, along with related services, to healthcare providers around the nation. Most supplies are delivered using a leased fleet and almost all of our delivery personnel are our teammates, ensuring a consistent level of performance and customer service. In situations where they are more cost-effective and timely, we use contract carriers and parcel delivery services. We customize product deliveries, whether the orders are “just-in-time,” “low- unit-of-measure,” pallets, or truckloads. We also customize delivery schedules according to customers’ needs to increase their efficiency in receiving and storing products. We have deployed low-unit-of-measure automated picking modules in our larger distribution centers to maximize efficiency, and our distribution center teammates use voice-pick technology to enhance speed and accuracy in performing certain warehousing processes. We also offer additional services to healthcare providers including supplier management, analytics, inventory management, outsourced resource management, clinical supply management and business process consulting. These value- add services help providers improve their process for contracting with vendors, purchasing supplies and streamlining inventory. These services include our operating room-focused inventory management program that helps healthcare providers manage suture and endo-mechanical inventory, as well as our customizable surgical supply service that includes the kitting and delivery of surgical supplies in procedure-based totes to coincide with the healthcare providers' surgical schedule. The majority of our distribution arrangements compensate us on a cost-plus percentage basis, under which a negotiated percentage mark-up is added to the contract cost of the product agreed to by the customer and the supplier. We price our services for certain other arrangements under activity-based pricing models. In these cases, pricing depends upon the type, level and/or complexity of services that we provide to customers, and in some cases we do not take title to the product (although we maintain certain custodial risks). As a result, this fee-for-service pricing model aligns the fees we charge with the cost of the services provided, which is a component of distribution, selling and administrative expenses, rather than with the cost of the product, which is a component of cost of goods sold. We offer a variety of programs and services dedicated to providing logistics and marketing solutions to our manufacturer customers as well. These programs and services are designed to help manufacturers drive sales growth, increase market share and achieve operational efficiencies. Manufacturer programs are generally negotiated on an annual basis and provide for enhanced levels of support that are aligned with the manufacturer’s annual objectives and growth goals. We have contractual arrangements with manufacturers participating in these programs that provide performance-based incentives to us, as well as cash discounts for prompt payment. Program incentives can be earned on a monthly, quarterly or annual basis. All of our distribution and logistics services utilize a common infrastructure of distribution centers, equipment, technology, and delivery methods (internal fleet, common carrier or parcel services). We operate a network of over 40 distribution centers located throughout the continental United States, which are strategically located to efficiently serve our provider and manufacturer customers. A significant investment in information technology supports our business including warehouse management systems, customer service and ordering functions, demand forecasting programs, electronic commerce, data warehousing, decision support and supply-chain management. Through our acquisition of Byram Healthcare, we have expanded our business along the continuum of care through delivery of disposable medical supplies sold directly to patients and home health agencies. Byram specializes in various patient care product lines including ostomy, wound care, diabetes, urology, incontinence and enteral. We receive payments for products sold through Byram from the federal government under the Medicare program, state governments under their respective Medicaid or similar programs, managed care plans, private insurers and directly from patients. Byram has a nationwide sales force, focusing on managed care and key referral sources, six centers of excellence aligned with specific product categories, and a nationwide network to optimize shipping distance and time. 4 The International Segment Our International segment includes our European distribution and logistics business. We provide contract logistics services to the pharmaceutical, biotechnology and medical device industries, offering a broad range of supply chain logistics services to manufacturers. Our business services include order-to-cash, re-labeling, customer service and returns management. Our warehousing and transportation offerings include storage, controlled-substance handling, cold-chain, emergency and export delivery, inventory management and pick & pack services. Client logistics contracts in our International segment are generally for three-year terms with rolling automatic one- year extension periods. The tendering or competitive bidding process typically takes 12 to 18 months from the initial client request for proposal until becoming operational. We offer significant flexibility to tailor contracts to specific client requirements, and benefit from the expansion of clients into additional European countries. Pricing may be activity-based, with fees determined by clients’ particular requirements for warehousing, handling and delivery services, or it may be based on buy- sell wholesaler arrangements for product distribution. Our International segment has a network of 19 logistics centers serving customers in 12 European countries, including Belgium, Czech Republic, Denmark, France, Germany, Italy, Netherlands, Poland, Slovakia, Spain, Switzerland and the United Kingdom. To serve our clients, we use a fleet of leased and owned trucks, including cold-chain delivery trucks. The majority of our drivers are our International teammates, although contract carriers and parcel services are used in situations where they are more cost-effective and timely. Proprietary Products Our Proprietary Products segment provides product-related solutions, helping manufacturers and healthcare providers source, assemble and deliver procedure kits efficiently and effectively to the point-of-care. Our facilities in the U.S. and Ireland offer the combining of instruments and supplies into kits and trays which are assembled and delivered based on the specifications of U.S. based provider customers, as well as manufacturers and providers across Europe. These custom procedure trays (CPT) serve a wide number of surgical specialties, including robotics, orthopedics, cardiology, cath labs, gastric, laproscopic and labor and delivery. We also offer minor procedure kits, which give complete cost-saving solutions for the delivery of procedure-specific components, with more than 1,800 possible configurations assembled to meet the industry's most stringent standards. We operate two kitting facilities in the U.S and one in Ireland. For sterilized kits and trays, we utilize one or more third-party sterilization contractors. Through our global sourcing services, based in Ireland with teams in Asia and the U.S., we work with a wide range of manufacturers around the world to offer an expanding portfolio of proprietary products and sourcing services for manufacturers and provider customers. Our full range of sourcing services include: manufacturing capacity management, container load optimization, customs compliance assurance and more. We offer our own proprietary brands of products across a wide spectrum of categories, including patient care, O.R. protection, and labor and delivery. By offering a single brand for thousands of regularly purchased items, we can increase efficiency and support product standardization initiatives. Our products are typically purchased pursuant to purchase orders or supply agreements in which the purchaser specifies whether such products are to be supplied through a distributor or directly. This segment may sell on an intercompany basis to our other segments when we are the designated distributor, to other third-party distributors or directly to healthcare providers and manufacturers. 5 Our Customers We currently provide distribution, kitting, outsourced resource management and/or consulting services to thousands of healthcare provider customers. These customers include multi-facility networks of healthcare providers offering a broad spectrum of healthcare services to a particular market or markets (IDNs) as well as smaller, independent hospitals in the United States. In addition to contracting with healthcare providers at the IDN level and through GPOs, we also contract with other types of healthcare providers including surgery centers, physicians’ practices and smaller networks of hospitals that have joined together to negotiate terms. We have contracts to provide distribution services to the members of a number of national GPOs, including Vizient, Premier, Inc. (Premier) and HealthTrust Purchasing Group (HPG). In 2017, we renewed the distribution agreement with one of these GPOs to continue our status as an authorized distributor for their member healthcare providers and allow us to compete with other authorized distributors for the business of individual members. Below is a summary of these agreements: GPO Year of Renewal Vizient Premier HPG 2016 2016 2017 Term 3 years 5 years 4 years Sales to Members as a % of Consolidated Net Revenue in 2017 43% 21% 14% We have our own independent relationships with most of our hospital customers through separate contractual commitments that may or may not be based upon the terms of our agreement with the GPO. As a result, the termination or expiration of an agreement with a particular GPO would not necessarily mean that we would lose the members of such GPO as our customers. Our supplier and manufacturer customers represent the largest and most influential healthcare manufacturers in the industry. We have long-term relationships with these important companies in the healthcare supply chain and have long provided traditional distribution services to them. We currently have relationships with approximately 1,100 supplier and manufacturer customers. In the Domestic segment, sales of products supplied by Medtronic, Johnson & Johnson and Becton Dickinson accounted for approximately 11%, 9% and 9%, respectively of our consolidated net revenue for 2017. In Europe, we serve a diverse customer base of approximately 600 manufacturer clients, including pharmaceutical, biotechnology and medical device manufacturers. Asset Management In the healthcare supply distribution industry, a significant investment in inventory and accounts receivable is required to meet the rapid delivery requirements of customers and provide high-quality service. As a result, efficient asset management is essential to our profitability. We continually work to refine our processes to optimize inventory and collect accounts receivable. Inventory We are focused in our efforts to optimize inventory and continually consolidate products and collaborate with supply-chain partners on inventory productivity initiatives. When we convert large-scale, multi-state IDN customers to our distribution network, an additional investment in inventory in advance of expected sales is generally required. We actively monitor inventory for obsolescence and use inventory turnover and other operational metrics to measure our performance in managing inventory. Accounts Receivable In the normal course of business, we provide credit to our U.S. and European customers and use credit management techniques to evaluate customers’ creditworthiness and facilitate collection. These techniques may include performing initial and ongoing credit evaluations of customers based primarily on financial information provided by them and from sources available to the general public. We also use third-party information from sources such as credit reporting agencies, banks and other credit references. We actively manage our accounts receivable to minimize credit risk, days sales outstanding (DSO) and accounts receivable carrying costs. Our ability to accurately invoice and ship product to customers enhances our collection results and affects our DSO performance. As we diversify our customer portfolio, the change in business mix also affects our DSO. We have arrangements with certain customers under which they make deposits on account, either because they do not meet our standards for creditworthiness or in order to obtain more favorable pricing. 6 Competition The industries in which we operate are highly competitive in the United States and Europe. The U.S. sector includes Owens & Minor, Inc., as well as two major nationwide manufacturers who also provide distribution services, Cardinal Health, Inc. and privately-held Medline, Inc. In addition, we compete with a number of regional and local distributors, companies that distribute products to patient's homes and customer self-distribution models. Major logistics competitors serving healthcare manufacturers in the United States and in Europe include United Parcel Service, FedEx Corporation, Deutsche Post DHL and Alloga, as well as local competitors in specific countries. Regulation The medical/surgical supply distribution, healthcare logistics and healthcare services industries in the United States are subject to regulation by federal, state and local government agencies. Each of our distribution centers is licensed to distribute medical and surgical supplies, as well as certain pharmaceutical and related products, and each of our Proprietary Products kitting facilities is licensed to perform kit assembly operations. We must comply with laws and regulations, including those governing operations, storage, transportation, manufacturing, sales, safety and security standards for each of our distribution centers and kitting facilities, of the Food and Drug Administration, the Centers for Medicare and Medicaid Services, the Drug Enforcement Agency, the Department of Transportation, the Environmental Protection Agency, the Department of Homeland Security, the Occupational Safety and Health Administration, and state boards of pharmacy, or similar state licensing boards and regulatory agencies. We are also subject to various federal and state laws intended to protect the privacy of health or other personal information and to prevent healthcare fraud and abuse. We believe we are in material compliance with all statutes and regulations applicable to our operations. Our operations outside the U.S. are subject to local, country and European-wide regulations, including those promulgated by the European Medicines Agency (EMA) and the Medical Devices Directive. In addition, quality requirements are imposed by healthcare industry manufacturers and pharmaceutical companies which audit our operations on a regular basis. Each of our logistics centers in Europe is licensed to distribute medicinal, medical and surgical supplies, as well as certain pharmaceutical and related products, according to the country-specific requirements. Our logistics centers in Europe are able to store ambient, cold-chain or deep frozen products, are licensed to distribute narcotic and other pharmaceutical products included in clinical trials and are licensed for secondary packaging activities for medicinal products. Movianto is also ISO 9001:2008 certified across the entire enterprise. Our Ireland-based Proprietary Products kitting facility is licensed to assemble kits and sell them in the markets we serve and operates in compliance with the requirements of ISO 9001:2008 and ISO/EU 13485:2012 standards. We believe we are in material compliance with all applicable statutes and regulations, as well as prevailing industry best practices, in the conduct of our European business operations. Employees At the end of 2017, we employed approximately 6,200 full- and part-time teammates in the U.S. and 2,400 outside of the U.S. Most of our teammates outside the U.S. are covered by collective bargaining agreements. We continue to have positive relationships with teammates and European works councils. Available Information We make our Forms 10-K, Forms 10-Q and Forms 8-K (and all amendments to these reports) available free of charge through the SEC Filings link in the Investor Relations content section on our website located at www.owens-minor.com as soon as reasonably practicable after they are filed with or furnished to the SEC. Information included on our website is not incorporated by reference into this Annual Report on Form 10-K. You may read and copy any materials we file with the SEC at the SEC’s Public Reference Room at 100 F Street, NE, Washington, DC 20549. You may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC also maintains an Internet site that contains reports, proxy and information statements, and other information regarding the company (http://www.sec.gov). Additionally, we have adopted a written Code of Honor that applies to all of our directors, officers and teammates, including our principal executive officer and senior financial officers. This Code of Honor (including any amendments to or waivers of a provision thereof) and our Corporate Governance Guidelines are available on our website at www.owens- minor.com. Item 1A. Risk Factors Set forth below are certain risk factors that we currently believe could materially and adversely affect our business, financial condition and results of operations. These risk factors are in addition to those mentioned in other parts of this report 7 and are not all of the risks that we face. We could also be affected by risks that we currently are not aware of or that we currently do not consider material to our business. Risks Related to Our Current Operations We face competition and accelerating pricing pressure. The medical/surgical supply distribution industry in the United States is highly competitive and characterized by pricing pressure which accelerated in 2017 and put further margin pressure on our business. We expect this margin pressure to continue through 2018. We compete with other national distributors and a number of regional and local distributors, as well as customer self-distribution models and, to a lesser extent, certain third-party logistics companies. Competitive factors within the medical/surgical supply distribution industry include market pricing, total delivered product cost, product availability, the ability to fill and invoice orders accurately, delivery time, range of services provided, efficient product sourcing, inventory management, information technology, electronic commerce capabilities, and the ability to meet customer-specific requirements. Our success is dependent on the ability to compete on the above factors, while managing internal costs and expenses. These competitive pressures could have a material adverse effect on our results of operations. In addition, in recent years, the healthcare industry in the United States has experienced and continues to experience significant consolidation in response to cost containment legislation and general market pressures to reduce costs. This consolidation of our customers and suppliers generally gives them greater bargaining power to reduce the pricing available to them, which may adversely impact our results of operations and financial condition. The healthcare third-party logistics business in both the United States and Europe also is characterized by intense competition from a number of international, regional and local companies, including large conventional logistics companies and internet based non-traditional competitors that are moving into the healthcare and pharmaceutical distribution business. This competitive market places continuous pricing pressure on us from customers and manufacturers that could adversely affect our results of operations and financial condition if we are unable to continue to increase our revenues and to offset margin reductions caused by pricing pressures through cost control measures. We have significant concentration in and dependence on Group Purchasing Organizations and certain healthcare provider customers. In 2017, our top ten customers in the United States represented approximately 23% of our consolidated net revenue. In addition, in 2017, approximately 78% of our consolidated net revenue was from sales to member hospitals under contract with our largest group purchasing organizations (GPO): Vizient, Premier and HPG. We could lose a significant healthcare provider customer or GPO relationship if an existing contract expires without being replaced or is terminated by the customer or GPO prior to its expiration. For example, in April 2016, we announced the loss of our largest IDN customer which had accounted for approximately $525 million of revenue in 2015. Although the termination of our relationship with a given GPO would not necessarily result in the loss of all of the member hospitals as customers, any such termination of a GPO relationship, or a significant individual healthcare provider customer relationship, could have a material adverse effect on our results of operations and financial condition. Our operating earnings are dependent on certain significant domestic suppliers. In the United States, we distribute products from nearly 1,100 suppliers and are dependent on these suppliers for the continuing supply of products. In 2017, sales of products of our ten largest domestic suppliers accounted for approximately 54% of consolidated net revenue. In the Domestic segment, sales of products supplied by Medtronic, Johnson & Johnson and Becton Dickinson accounted for approximately 11%, 9% and 9% of our consolidated net revenue for 2017, respectively. We rely on suppliers to provide agreeable purchasing and delivery terms and performance incentives. Our ability to sustain adequate operating earnings has been, and will continue to be, dependent upon our ability to obtain favorable terms and incentives from suppliers, as well as suppliers continuing use of third-party distributors to sell and deliver their products. A change in terms by a significant supplier, or the decision of such a supplier to distribute its products directly to healthcare providers rather than through third-party distributors, could have a material adverse effect on our results of operations and financial condition. 8 Our inability to adequately integrate acquisitions could have a material adverse effect on our operations. In connection with our growth strategy, we from time to time acquire other businesses that we believe will expand or complement our existing businesses and operations. The integration of acquisitions involves a number of significant risks, which may include but are not limited to, the following: • Expenses and difficulties in the transition and integration of operations and systems; • Retention of current customers and the ability to obtain new customers; • The assimilation and retention of personnel, including management personnel, in the acquired businesses; • Accounting, tax, regulatory and compliance issues that could arise; • Difficulties in implementing uniform controls, procedures and policies in our acquired companies, or in remediating control deficiencies in acquired companies not formerly subject to the Sarbanes-Oxley Act of 2002; • Unanticipated expenses incurred or charges to earnings based on unknown circumstances or liabilities; • • General economic conditions in the markets in which the acquired businesses operate; and • Difficulties encountered in conducting business in markets where we have limited experience and expertise. Failure to realize the synergies and other benefits we expect from the acquisition at the pace we anticipate; If we are unable to successfully complete and integrate our strategic acquisitions in a timely manner, our business, growth strategies and results of operations could be adversely affected. Our global operations increase the extent of our exposure to the economic, political, currency and other risks of international operations. Our global operations involve issues and risks, including but not limited to the following, any of which could have an adverse effect on our business and results of operations: • Lack of familiarity with and expertise in conducting business in foreign markets; • • Unexpected changes in foreign regulations or conditions relating to labor, economic or political environment, and Foreign currency fluctuations and exchange risk; social norms or requirements; • Adverse tax consequences and difficulties in repatriating cash generated or held abroad; • Local economic environments, such as in the European markets served by Movianto and ArcRoyal, including recession, inflation, indebtedness, currency volatility and competition; and • Changes in trade protection laws and other laws affecting trade and investment, including import/export regulations in both the United States and foreign countries. Our operations are also subject to risks of violation of laws that prohibit improper payments to and bribery of government officials and other individuals and organizations. These laws include the U.S. Foreign Corrupt Practices Act, the U.K. Bribery Act and other similar laws and regulations in foreign jurisdictions, any violation of which could result in substantial liability and a loss of reputation in the marketplace. Failure to comply with these laws also could subject us to civil and criminal penalties that could adversely affect our business and results of operations. Changing conditions in the United States healthcare industry may impact our results of operations. We, along with our customers and suppliers, are subject to extensive federal and state regulations relating to healthcare as well as the policies and practices of the private healthcare insurance industry. In recent years, there have been a number of government and private initiatives to reduce healthcare costs and government spending. These changes have included an increased reliance on managed care; reductions in Medicare and Medicaid reimbursement levels; consolidation of competitors, suppliers and customers; a shift in healthcare provider venues from acute care settings to clinics, physician offices and home care; and the development of larger, more sophisticated purchasing groups. All of these changes place additional financial pressure on healthcare provider customers, who in turn seek to reduce the costs and pricing of products and services provided by us. We expect the healthcare industry to continue to change significantly and these potential changes, which may include a reduction in government support of healthcare services, adverse changes in legislation or regulations, and further reductions in healthcare reimbursement practices, could have a material adverse effect on our business, results of operations and financial condition. We are subject to stringent regulatory and licensing requirements. We are required to comply with extensive and complex laws and regulations at the federal, state and local government levels in the United States and other countries where we operate. We also are required to hold permits and licenses and to 9 comply with the operational and security standards of various governmental bodies and agencies. Any failure to comply with these laws and regulations or any failure to maintain the necessary permits, licenses or approvals, or to comply with the required standards, could disrupt our operations and/or adversely affect our results of operations and financial condition. Among the healthcare related laws that we are subject to include the U.S. federal Anti-kickback Statute, the U.S. federal Stark Law, the False Claims Act and similar state laws relating to fraud, waste and abuse. The requirements of these laws are complex and subject to varying interpretations, and it is possible that regulatory authorities could challenge our policies and practices. If we fail to comply with these laws, we could be subject to federal or state government investigations or qui tam actions (false claims cases initiated by private parties purporting to act on behalf of federal or state governments), which could result in civil or criminal sanctions, including the loss of licenses or the ability to participate in Medicare, Medicaid and other federal and state healthcare programs. Such sanctions and damages could adversely affect our results of operations and financial condition. Our Byram business is a Medicare-certified supplier and participates in state Medicaid programs. Failure to comply with applicable standards and regulations could result in civil or criminal sanctions, including the loss of our ability to participate in Medicare, Medicaid and other federal and state healthcare programs. We collect, handle and maintain patient-identifiable health information and other sensitive personal and financial information, which are subject to federal, state and foreign laws that regulate the use and disclosure of such information. Regulations currently in place continue to evolve, and new laws in this area could further restrict our ability to collect, handle and maintain personal or patient information, or could require us to incur additional compliance costs, either of which could have an adverse impact on our results of operations. Violations of federal, state or foreign laws concerning privacy and data protection could subject us to civil or criminal penalties, breach of contract claims, costs for remediation and harm to our reputation. Compliance with the terms and conditions of Byram’s Corporate Integrity Agreement requires significant resources and, if we fail to comply, we could be subject to penalties or excluded from participation in government healthcare programs, which could seriously harm our results of operations, liquidity and financial condition. Prior to its acquisition by Owens & Minor, Byram entered into a five-year Corporate Integrity Agreement beginning April 2016 with the Office of Inspector General of the United States Department of Health and Human Services (“OIG”). The Corporate Integrity Agreement provides that Byram shall, among other things, establish and maintain a compliance program, including a corporate compliance officer and committee, a code of conduct, comprehensive compliance policies and procedures, training and monitoring, a review process for certain arrangements between Byram and referral sources, a compliance hotline, an open door policy and a disciplinary process for compliance violations. The Corporate Integrity Agreement further provides that Byram shall provide periodic reports to the OIG, complete certain regular certifications and engage an Independent Review Organization to perform reviews of certain arrangements between Byram and referral sources. Failing to meet the Corporate Integrity Agreement obligations could have material adverse consequences for Byram including monetary penalties for each instance of non-compliance. In addition, in the event of an uncured material breach or deliberate violation of the Corporate Integrity Agreement, we could be excluded from participation in federal healthcare programs, or other significant penalties, which could seriously harm our results of operations, liquidity and financial results. Risks Related to our Borrowings and Leverage We may not be able to generate sufficient cash to service our debt and other obligations. As of December 31, 2017, on a consolidated basis we had approximately $902 million of aggregate principal amount of unsecured indebtedness as well as approximately $283 million in obligations under our leasing arrangements and $490 million of undrawn availability under our senior credit facilities. Our ratio of total debt to total shareholders’ equity as of December 31, 2017 was approximately 90%. Our ability to make payments on our indebtedness and our other obligations will depend on our financial and operating performance, which is subject to prevailing economic and competitive conditions and to certain financial, business and other factors beyond our control. We may be unable to maintain a level of cash flows from operating activities sufficient to permit us to pay the principal, premium, if any, and interest on our indebtedness. If our cash flows and capital resources are insufficient to fund our debt service obligations, we may be forced to reduce or delay investments and capital expenditures, or to sell assets, seek additional capital or restructure or refinance our indebtedness. These alternative measures may not be successful and may not permit us to meet our scheduled debt service obligations. We cannot assure you that we would be able to implement any of these alternatives on satisfactory terms or at all. In the absence of such 10 operating results and resources, we could face substantial liquidity problems and might be required to dispose of material assets or operations to meet our debt service and other obligations. We may not be able to consummate those dispositions or to obtain the proceeds that we could realize from them, and these proceeds may not be adequate to meet any debt service obligations then due. If we are unable to service our debt obligations from cash flows, we may need to refinance all or a portion of our debt obligations prior to maturity. Our ability to refinance or restructure our debt will depend upon the condition of the capital markets and our financial condition at such time. Any refinancing of our debt could be at higher interest rates and may require us to comply with more onerous covenants, which could further restrict our business operations. We may not be able to refinance any of our indebtedness on commercially reasonable terms or at all. Despite current indebtedness levels, we will incur substantially more debt to complete the acquisition of the S&IP Business from Halyard Health, Inc. (S&IP Acquisition) which could further exacerbate the risks described herein. We and our subsidiaries may be able to incur substantial additional indebtedness in the future in order to complete the S&IP Acquisition, which could significantly increase our leverage. If new debt is added to our current debt levels, the related risks that we and our subsidiaries now face to service debt levels and the risks associated with failure to adequately service our debt could intensify. Risks Related to Our Pending S&IP Acquisition We cannot assure you that the proposed S&IP Acquisition will be completed. There are a number of risks and uncertainties relating to the S&IP Acquisition. For example, the S&IP acquisition may not be completed, or may not be completed in the timeframe, on the terms or in the manner currently anticipated, as a result of a number of factors, including, among other things, the failure of one or more of the conditions to closing in the Purchase Agreement. There can be no assurance that the conditions to closing of the S&IP Acquisition will be satisfied or waived or that other events will not intervene to delay or result in the failure to close the S&IP Acquisition. The Purchase Agreement may be terminated by the parties thereto under certain circumstances, including, without limitation, if the S&IP Acquisition has not been completed by July 31, 2018, which period may be extended until October 31, 2018, if all conditions to closing other than those relating to approval under the HSR Act or other applicable acquisition control or Competition Laws (as defined in the Purchase Agreement) have been satisfied. Subsequent to announcing the acquisition, we received notice of early termination of the Hart-Scott-Rodino waiting period on November 29, 2017, and on December 14, 2017 we received approval under the competition laws of Germany. Any delay in closing the S&IP Acquisition or a failure to close the S&IP Acquisition could have a negative impact on our business and the trading prices of our securities, including the notes. We may fail to realize the anticipated benefits of the S&IP Acquisition or those benefits may take longer to realize than expected. We may also encounter significant difficulties in integrating the S&IP business into our operations. Our ability to realize the anticipated benefits of the S&IP Acquisition will depend, to a large extent, on our ability to integrate the S&IP business into ours. We may devote significant management attention and resources preparing for and then integrating the business practices and operations of the S&IP business with ours. This integration process may be disruptive to our and the S&IP businesses, and, if implemented ineffectively, could restrict realization of the expected benefits. In addition, we may fail to realize some of the anticipated benefits of the S&IP Acquisition if the integration process takes longer than expected or is more costly than expected. Potential difficulties we may encounter in the integration process include: • The inability to successfully combine operations in a manner that would result in the anticipated benefits of the Integrating personnel; S&IP Acquisition in the time frame currently anticipated or at all; • Complexities associated with managing the expanded operations; • • Creation of uniform standards, internal controls, procedures, policies and information systems; • Unforeseen increased expenses, delays or regulatory issues associated with integrating the operations; and • Performance shortfalls as a result of the diversion of management attention caused by completing the integration of the operations. Even if we are able to integrate the S&IP business successfully, this integration may not result in the realization of the full benefits that we currently expect, nor can we give assurances that these benefits will be achieved when expected or at all. Moreover, the integration of the S&IP business may result in unanticipated problems, expenses, liabilities, regulatory risks and competitive responses that could have material adverse consequences. 11 We and the S&IP business will be subject to business uncertainties while the S&IP Acquisition is pending that could adversely affect our business and the S&IP business. Uncertainty about the effect of the S&IP Acquisition on employees, customers and suppliers may have an adverse effect on us and the S&IP business. Although we and Halyard intend to take actions to reduce any adverse effects, these uncertainties could cause customers, suppliers and others that deal with us and/or the S&IP business to seek to change existing business relationships. In addition, employee retention could be negatively impacted during the pendency of the S&IP Acquisition. If key employees depart because of concerns relating to the uncertainty and difficulty of the integration process, our business could be harmed. The pendency of the S&IP Acquisition could adversely affect our business, financial results, and operations. The announcement and pendency of the S&IP Acquisition could cause disruptions and create uncertainty surrounding our business and affect our relationships with our customers, suppliers and employees. In addition, we have diverted, and will continue to divert, significant management resources to complete the S&IP Acquisition, which could have a negative impact on our ability to manage existing operations or pursue alternative strategic transactions, which could adversely affect our business, financial condition and results of operations. Investor perceptions about the terms or benefits of the S&IP Acquisition could have a negative impact on our business and the trading prices of our securities, including the notes. Other Risks Related to Our Business Products we source, assemble and sell may be subject to recalls and product liability claims. Certain of the products that we sell and distribute are sourced and sold under one or more private labels or are assembled by us into custom trays and minor procedure kits. If these products do not function as designed, are inappropriately designed or are not properly produced, we may have to withdraw such products from the market and/or be subject to product liability claims. Although we maintain insurance against product liability and defense costs in amounts believed to be reasonable, there is no assurance that we can successfully defend any such claims or that the insurance we carry will be sufficient. A successful claim against us in excess of insurance coverage could have a material adverse impact on our business, financial condition and results of operations. General economic conditions may adversely affect demand for our products and services. Poor or deteriorating economic conditions in the United States and the other countries in which we conduct business could adversely affect the demand for healthcare services and consequently, the demand for our products and services. Poor economic conditions also could lead our suppliers to offer less favorable terms of purchase to distributors, which would negatively affect our profitability. These and other possible consequences of financial and economic decline could have a material adverse effect on our business, results of operations and financial condition. Our results of operations may suffer upon the bankruptcy, insolvency, or other credit failure of a customer that has a substantial amount owed to us. We provide credit in the normal course of business to customers. We perform initial and ongoing credit evaluations of customers and maintain reserves for credit losses. The bankruptcy, insolvency or other credit failure of one or more customers with substantial balances due to us could have a material adverse effect on our results of operations and financial condition. Our operations depend on the proper functioning of information systems, and our business could be adversely affected if we experience a cyber-attack or other systems breach. We rely on information systems to receive, process, analyze and manage data in distributing thousands of inventory items to customers from numerous distribution and logistics centers. These systems are also relied upon for billings to and collections from customers, as well as the purchase of and payment for inventory and related transactions from our suppliers. In addition, the success of our long-term growth strategy is dependent upon the ability to continually monitor and upgrade our information systems to provide better service to customers. Our business and results of operations may be materially adversely affected if systems are interrupted or damaged by unforeseen events (including cyber-attacks) or fail to operate for an extended period of time, or if we fail to appropriately enhance our systems to support growth and strategic initiatives. Our distribution and logistics services include acting as the primary billing, order-to-cash and collections function for many of our customers. These services rely on the performance and uptime of our information systems. If our information 12 systems are interrupted, damaged or fail to operate, our customers could be negatively impacted which could have a material adverse effect on our results of operations. We could be subject to adverse changes in the tax laws or challenges to our tax positions. We operate throughout the United States and other countries. As a result, we are subject to the tax laws and regulations of the United States federal, state and local governments and of various foreign jurisdictions. From time to time, legislative and regulatory initiatives are proposed, including but not limited to proposals to repeal LIFO (last-in, first-out) treatment of domestic inventory or changes in tax accounting methods for inventory, import tarriffs and taxes, or other tax items. In 2017, we recorded a provisional estimate of the impact of The Tax Cuts and Jobs Act (the "Act") based on the Company's initial analysis of the Act. Given the significant complexity of the Act, anticipated guidance from the U. S. Treasury about implementing the Act, and the potential for additional guidance from the Securities and Exchange Commission or the Financial Accounting Standards Board related to the Act, these estimates may be adjusted during 2018. These and other changes in tax laws and regulations could adversely affect our tax positions, tax rate or cash payments for taxes. Our business and operations depend on the proper functioning of critical facilities and distribution networks. Damage or disruption to our distribution capabilities due to weather, natural disaster, fire, terrorism, pandemic, strikes, the financial and/or operational instability of key suppliers, geo-political events or other reasons could impair our ability to distribute our products and conduct our business. To the extent that we are unable, or it is not financially feasible, to mitigate the likelihood or potential impact of such events, or to manage effectively such events if they occur, there could be a material adverse effect on our business, financial condition or results of operations. Our goodwill may become impaired, which would require us to record a significant charge to earnings in accordance with generally accepted accounting principles. U.S. GAAP requires us to test our goodwill for impairment on an annual basis, or more frequently if indicators for potential impairment exist. The testing required by GAAP involves estimates and judgments by management. Although we believe our assumptions and estimates are reasonable and appropriate, any changes in key assumptions, including a failure to meet business plans or other unanticipated events and circumstances such as a rise in interest rates, may affect the accuracy or validity of such estimates. We may be required to record a significant charge to earnings in our consolidated financial statements during the period in which any impairment of our goodwill is determined, which charge could adversely affect our results of operations. We operate within the European Union, including in the United Kingdom and therefore may be affected by United Kingdom's withdrawal from the European Union. We operate within the European Union (the “E.U.”), including the United Kingdom (the “U.K.”). On June 23, 2016, the U.K. held a referendum in which voters approved an exit from the E.U., commonly referred to as “Brexit”. As a result of the referendum, it is expected that the British government will begin negotiating the terms of the U.K.’s withdrawal from the E.U. A withdrawal could, among other outcomes, disrupt the free movement of goods, services and people between the U.K. and the E.U., and disrupt trade between the U.K. and the E.U. Given the lack of comparable precedent and recent occurrence of these events, we are monitoring the situation but it is unclear what financial, trade and legal implications the withdrawal of the U.K. from the E.U. would have and how such withdrawal may affect our operations or financial performance. Item 1B. Unresolved Staff Comments None. Item 2. Properties Our Domestic segment operated 48 distribution centers as well as office and warehouse space across the United States as of December 31, 2017. We leased all of the centers from unaffiliated third parties with the exception of one location which we own. We also leased customer service centers as well as small offices for sales and consulting personnel across the United States. In addition, we leased space on a temporary basis from time to time to meet our inventory storage needs. At December 31, 2017, our International segment properties spanned 11 European countries and included 19 logistics centers (17 leased and two owned) and seven transport depots, of which we leased six and owned one. We also leased office space in Ireland. 13 At December 31, 2017, our Proprietary Products segment operated two kitting facilities in the United States (one leased and one owned) and one in Europe. We also leased offices in China, Malaysia and Ireland. We own our corporate headquarters building, and adjacent acreage, in Mechanicsville, Virginia, a suburb of Richmond, Virginia. In addition, we lease our Client Engagement Center (CEC) designed to support standardization and enhanced service to customers in Richmond, Virginia. We regularly assess our business needs and make changes to the capacity and location of distribution and logistics centers. We believe that our facilities are adequate to carry on our business as currently conducted. A number of leases are scheduled to terminate within the next several years. We believe that, if necessary, we could find facilities to replace these leased premises without suffering a material adverse effect on our business. Item 3. Legal Proceedings We are subject to various legal actions that are ordinary and incidental to our business, including contract disputes, employment, workers’ compensation, product liability, regulatory and other matters. We establish reserves from time to time based upon periodic assessment of the potential outcomes of pending matters. In addition, we believe that any potential liability arising from employment, product liability, workers’ compensation and other personal injury litigation matters would be adequately covered by our insurance coverage, subject to policy limits, applicable deductibles and insurer solvency. While the outcome of legal actions cannot be predicted with certainty, we believe, based on current knowledge and the advice of counsel, that the outcome of these currently pending matters, individually or in the aggregate, will not have a material adverse effect on our financial condition or results of operations. Part II Item 4. Mine Safety Disclosures Not applicable. Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters, and Issuer Purchases of Equity Securities Owens & Minor, Inc.’s common stock trades on the New York Stock Exchange under the symbol OMI. As of February 14, 2018, there were approximately 3,129 common shareholders of record. We believe there are an estimated additional 35,499 beneficial holders of our common stock. See Selected Quarterly Financial Information in Item 15 of this report for high and low closing sales prices of our common stock and quarterly cash dividends per common share and Item 7, Management’s Discussion and Analysis of Financial Condition and Results of Operations, for a discussion of our dividend payments. 5-Year Total Shareholder Return The following performance graph compares the performance of our common stock to the Standard & Poor's Composite- 500 Index (S&P 500 Index) and the Standard & Poor's Composite-500 Healthcare Index (S&P 500 Healthcare Index), an independently prepared index that includes more than 50 companies in the healthcare industry. This graph assumes that the value of the investment in the common stock and each index was $100 on December 31, 2012, and that all dividends were reinvested. 14 Company Name / Index Owens & Minor, Inc. S&P 500 Index S&P 500 Healthcare Base Period 12/2012 12/2013 12/2014 12/2015 12/2016 12/2017 Years Ended $ 100.00 $ 131.9 $ 130.4 $ 137.6 $ 138.8 $ 100.00 100.00 132.4 141.5 150.5 177.3 152.6 189.5 170.8 184.4 77.1 208.1 225.1 Share Repurchase Program. In October 2016, our Board of Directors authorized a share repurchase program of up to $100 million of the company’s outstanding common stock to be executed at the discretion of management over a three-year period. The authorization took effect in December 2016 upon the completion of the previous authorization. The timing of repurchases and the exact number of shares of common stock to be purchased will depend upon market conditions and other factors and may be suspended or discontinued at any time. Purchases under the share repurchase program are made either pursuant to 10b5-1 plans entered into by the company from time to time and/or during the company’s scheduled quarterly trading windows for officers and directors. During the year ended December 31, 2017, we repurchased in open-market transactions and retired approximately 0.2 million shares at an average price per share of $32.27. We did not repurchase any shares during the fourth quarter of 2017. 15 Item 6. Selected Consolidated Financial Data (in thousands, except ratios and per share data) At or for the years ended December 31, 2017 (1) 2016 (2) 2015 (3) 2014 (4) 2013 (5) Summary of Operations: Net revenue . . . . . . . . . . . . . . . . . . . . . . . . $ 9,318,275 Net income. . . . . . . . . . . . . . . . . . . . . . . . . $ 72,793 $ 9,723,431 $ 9,772,946 $ 108,787 $ 103,409 Per Common Share: Net income per share—basic . . . . . . . $ Net income per share—diluted. . . . . . $ Cash dividends . . . . . . . . . . . . . . . . . . $ Stock price at year end . . . . . . . . . . . . . . . $ 1.20 1.20 1.03 18.88 $ $ $ $ 1.76 1.76 1.02 35.29 $ $ $ $ 1.65 1.65 1.01 35.98 Summary of Financial Position: Total assets. . . . . . . . . . . . . . . . . . . . . . . . . $ 3,376,293 Cash and cash equivalents . . . . . . . . . . . . . $ 104,522 Total debt . . . . . . . . . . . . . . . . . . . . . . . . . . $ Total Owens & Minor, Inc. shareholders’ equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,015,479 917,363 $ 2,717,752 $ 2,773,776 $ $ $ 185,488 569,387 960,038 $ $ $ 161,020 573,522 992,590 $ $ $ $ $ $ $ $ $ $ 9,440,182 $ 9,071,532 66,503 $ 110,882 1.06 1.06 1.00 35.11 $ $ $ $ 1.76 1.76 0.96 36.56 2,729,963 $ 2,322,134 56,772 609,173 $ $ 101,905 215,831 990,838 $ 1,023,913 Selected Ratios: Gross margin as a percent of revenue . . . . Distribution, selling and administrative expenses as a percent of revenue. . . . . . . . Operating earnings as a percent of revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . Days sales outstanding (DSO) (6). . . . . . . . Average annual inventory turnover (7) . . . . 12.58% 12.21% 12.43% 12.39% 12.31% 10.91% 9.98% 10.17% 10.42% 10.08% 0.96% 28.7 8.5 2.05% 23.1 9.2 2.05% 21.0 9.4 1.69% 22.1 10.1 2.18% 22.1 10.4 (1) We incurred charges of $60.7 million ($38.5 million after tax, or $0.65 per diluted common share) associated with acquisition-related and exit and realignment activities in 2017 and $13.4 million ($9.6 million after tax, or $0.16 per diluted common share) in software as a service implementation costs. We also recognized a $3.4 million tax benefit ($0.06 per diluted share) associated with the release of an income tax valuation allowance and a $34.6 million ($0.58 per diluted common share) tax benefit associated with the estimated benefits under the Tax Cuts and Jobs Act. See Notes 3, 9 and 13 of Notes to Consolidated Financial Statements. (2) We incurred charges of $24.7 million ($17.8 million after tax, or $0.29 per diluted common share) associated with acquisition-related and exit and realignment activities in 2016. See Notes 3 and 9 of Notes to Consolidated Financial Statements. (3) We incurred charges of $28.4 million ($23.4 million after tax, or $0.37 per diluted common share) associated with acquisition-related and exit and realignment activities in 2015. We also recognized a gain of $1.5 million ($1.5 million after tax, or $0.02 per diluted common share) associated with the partial recovery of a 2014 contract claim settlement. See Notes 3 and 9 of Notes to Consolidated Financial Statements. (4) We incurred charges of $42.8 million ($35.3 million after tax, or $0.56 per common share) associated with acquisition- related and exit and realignment activities in 2014, a loss on estimated contract claim settlement of $3.9 million ($3.9 million after tax, or $0.06 per common share), a net gain of $3.7 million ($4.7 million after tax, or $0.07 per common share) associated with fair value adjustments related to purchase accounting, and a loss on early retirement of debt of $14.9 million ($9.1 million after tax or $0.14 per common share). (5) We incurred charges of $12.4 million ($8.9 million after tax, or $0.14 per common share) associated with acquisition-related and exit and realignment activities in 2013. (6) Based on year end accounts receivable and net revenue for the fourth quarter of the year. (7) Based on average annual inventory and cost of goods sold for the respective year. 16 Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations Management’s discussion and analysis of financial condition and results of operations is intended to assist the reader in the understanding and assessment of significant changes and trends related to the results of operations of the Company together with its subsidiaries. The discussion and analysis presented below refers to, and should be read in conjunction with, the consolidated financial statements and accompanying notes included in Item 8 of Part II of this Annual Report on Form 10-K. Overview Owens & Minor, Inc., along with its subsidiaries, (we, us, or our) is a leading global healthcare solutions company. We report under three distinct business units: Domestic, International and Proprietary Products (formerly Clinical & Procedural Solutions). Domestic is our U.S. distribution, logistics and value-added services business. Byram, acquired on August 1, 2017, is included in the Domestic segment. International is our European distribution, logistics and value-added services business. Proprietary Products provides product-related solutions, including surgical and procedural kitting and sourcing. Segment financial information is provided in Note 19 of Notes to Consolidated Financial Statements included in this annual report. On October 31, 2017, we entered into a Purchase Agreement to acquire the Surgical and Infection Prevention (S&IP) business of Halyard Health, Inc. (Halyard) for $710 million in cash, subject to certain adjustments as provided in the Purchase Agreement. Halyard’s S&IP business is a leading global provider of medical supplies and solutions for the prevention of healthcare-associated infections across the acute and alternate site channels. The transaction is expected to close early in the second quarter of 2018. Financial Highlights. The following table provides a reconciliation of reported operating earnings, net income and diluted net income per common share to non-GAAP measures used by management: (Dollars in thousands, except per share data) Operating earnings, as reported (GAAP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Acquisition-related intangible amortization (1). . . . . . . . . . . . . . . . . . . . . . . . . . . Acquisition-related and exit and realignment charges (2) . . . . . . . . . . . . . . . . . . . Other (3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2017 89,251 16,402 60,707 13,432 2016 $ 199,599 2015 200,359 $ 10,002 24,675 — 9,768 28,404 (1,500) For the years ended December 31, Operating earnings, adjusted (non-GAAP) (Adjusted Operated Earnings) . . . . . $ 179,792 Operating Earnings as a percent of revenue (GAAP) . . . . . . . . . . . . . . . . . . . . . Adjusted Operating Earnings as a percent of revenue (non-GAAP) . . . . . . . . . . 0.96% 1.93% Net income as reported (GAAP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Acquisition-related intangible amortization (1). . . . . . . . . . . . . . . . . . . . . . . . . . . Income tax expense (benefit) (4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Acquisition-related and exit and realignment charges (2) . . . . . . . . . . . . . . . . . . . Income tax expense (benefit) (4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other (3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income tax expense (benefit) (4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax reform impact (5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net income, adjusted (non-GAAP) (Adjusted Net Income) . . . . . . . . . . . . . . . . $ Net income per diluted common share, as reported (GAAP) . . . . . . . . . . . . . . . $ Acquisition-related intangible amortization (1). . . . . . . . . . . . . . . . . . . . . . . . . . . Acquisition-related and exit and realignment charges (2) . . . . . . . . . . . . . . . . . . . Other (3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax reform impact (5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72,793 16,402 (5,214) 60,707 (22,200) 13,432 (3,792) (34,591) 97,537 1.20 0.18 0.65 0.16 (0.58) $ 234,276 $ 237,031 2.05% 2.41% 2.05% 2.43% $ 108,787 $ 103,409 10,002 (2,592) 24,675 (6,835) — — — $ 134,037 $ 1.76 0.12 0.29 — — $ $ 9,768 (2,422) 28,404 (5,003) (1,500) — — 132,656 1.65 0.12 0.37 (0.02) — 2.12 Net income per diluted common share, adjusted (non-GAAP) (Adjusted EPS) . $ 1.61 $ 2.17 $ 17 Net income per diluted share was $1.20 for the year ended December 31, 2017, a decline of $0.56 compared to 2016. Adjusted EPS (non-GAAP) was $1.61 for the year ended December 31, 2017, a decline of $0.56 over the prior year. Net income for the year benefited from $3.4 million or $0.06 per share from the release of an income tax valuation allowance in Europe during the second quarter and a $34.6 million income tax benefit associated with the 2017 Tax Cuts and Jobs Act. Domestic segment operating earnings were $134.1 million for 2017, compared to $165.5 million for 2016. Results for the year reflected provider margin compression, the exit of a large customer in 2016 and lower income from manufacturer product price changes compared to prior year. We expect gross margin pressure to continue into 2018. The International segment operating loss was $3.9 million, a decline of $9.5 million compared to prior year, largely as a result of increased costs to obtain and support new business. Proprietary Products operating earnings of $33.0 million in 2017 declined compared to prior year by $20.8 million as a result of lower revenues and increased production costs. Use of Non-GAAP Measures Adjusted operating earnings, adjusted net income and adjusted EPS are an alternative view of performance used by management, and we believe that investors' understanding of our performance is enhanced by disclosing these performance measures. In general, the measures exclude items and charges that (i) management does not believe reflect our core business and relate more to strategic, multi-year corporate activities; or (ii) relate to activities or actions that may have occurred over multiple or in prior periods without predictable trends. Management uses these non-GAAP financial measures internally to evaluate our performance, evaluate the balance sheet, engage in financial and operational planning and determine incentive compensation. Management provides these non-GAAP financial measures to investors as supplemental metrics to assist readers in assessing the effects of items and events on our financial and operating results and in comparing our performance to that of our competitors. However, the non-GAAP financial measures used by us may be calculated differently from, and therefore may not be comparable to, similarly titled measures used by other companies. The non-GAAP financial measures disclosed by us should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP, and the financial results calculated in accordance with GAAP and reconciliations to those financial statements set forth above should be carefully evaluated. The following items have been excluded in our non-GAAP financial measures: (1) Acquisition-related intangible amortization includes amortization of certain intangible assets established during purchase accounting for business combinations. These amounts are highly dependent on the size and frequency of acquisitions and are being excluded to allow for a more consistent comparison with forecasted, current and historical results and the results of our peers. We have begun to exclude these charges from our non-GAAP results in the second quarter of 2017 and thus prior year amounts have been recast on the same basis. (2)Acquisition-related charges, pre-tax, were $17.3 million in 2017, $1.2 million in 2016 and $9.8 million in 2015. Current year charges were primarily transaction and transition costs associated with the acquisition of Byram and the upcoming Halyard S&IP transaction. Charges in 2016 consisted of costs incurred to settle certain obligations and address other remaining matters associated with the acquisitions of ArcRoyal and Medical Action which were partially offset on a year-to- date basis by the first quarter gain on the sale of property acquired with Medical Action. Charges in 2015 consisted primarily of costs to continue the integration of Medical Action and ArcRoyal which were acquired in the fourth quarter of 2014 including certain severance and contractual payments to the former owner and costs to transition information technology and other administrative functions. Exit and realignment charges (income), pre-tax, were $43.4 million in 2017, $23.5 million in 2016 and $18.6 million in 2015. Current year charges were associated with severance from reduction in force and other employee costs associated with the establishment of our new client engagement centers, the writedown of information system assets which are no longer used and other IT restructuring charges. Charges in 2016 were associated with severance activities (including our voluntary employee separation program in the first quarter of 2016), and other costs associated with our strategic organizational realignment which include information technology asset write-offs, certain professional fees and costs to streamline administrative functions and processes in the United States and Europe. Similar charges in 2015 also included the consolidation of distribution and logistics centers and closure of offsite warehouses in the United States and Europe. Further information regarding these items is included in Note 9 of Notes to Consolidated Financial Statements. We expect to incur additional charges in 2018 as we continue to reposition the company. (3) The year ended December 31, 2017 includes software as a service (SaaS) implementation costs associated with the upgrading of our global IT platforms in connection with the redesign of our global information system strategy. SaaS implementation costs are recorded in other operating (income) expense, net. The fourth quarter of 2015 included an insurance 18 recovery of $1.5 million related to a contract settlement in the United Kingdom for which $3.9 million was expensed in 2014. The 2015 recovery was recorded in other operating (income) expense, net. (4) These pretax charges have been tax effected in the preceding table by determining the income tax rate depending on the amount of charges incurred in different tax jurisdictions and the deductibility of those charges for income tax purposes. (5) Includes a recognized income tax benefit of $34.6 million for the year ended December 31, 2017 associated with the estimated benefits under the Tax Cuts and Jobs Act. More information about these charges is provided in Notes 3, 9 and 13 of Notes to Consolidated Financial Statements included in this annual report. Results of Operations 2017 compared to 2016 Net revenue. For the years ended December 31, Change (Dollars in thousands) Domestic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,794,390 391,628 International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 504,026 Proprietary Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (371,769) Inter-segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,318,275 2017 2016 (cid:7)(cid:3) (cid:28)(cid:15)(cid:20)(cid:28)(cid:20)(cid:15)(cid:24)(cid:26)(cid:23) $ (cid:22)(cid:23)(cid:22)(cid:15)(cid:25)(cid:26)(cid:23) (cid:24)(cid:22)(cid:28)(cid:15)(cid:24)(cid:27)(cid:19) ((cid:22)(cid:24)(cid:20)(cid:15)(cid:22)(cid:28)(cid:26)(cid:12) $ 9,723,431 $ $ (397,184) 47,954 (35,554) (20,372) (405,156) % (4.3)% 14.0 % (6.6)% 5.8 % (4.2)% Consolidated net revenue for the year ended December 31, 2017,was negatively affected primarily by the exit of a large domestic customer in 2016 and lower growth with existing domestic customers. Byram contributed $209 million in revenue to the Domestic segment in 2017. The increase in the International segment was driven by growth with existing customers and new business offset by unfavorable foreign currency translation impact of $4.0 million for the year. A decrease in sales of our sourced products primarily contributed to the year over year change in the Proprietary Products segment. Cost of goods sold. For the years ended December 31, Change (Dollars in thousands) Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,146,409 2017 2016 $ % $ 8,536,121 $ (389,712) (4.6)% Cost of goods sold includes the cost of the product (net of supplier incentives and cash discounts) and all costs incurred for shipments of products from manufacturers to our distribution centers for all customer arrangements where we are the primary obligor, bear risk of general and physical inventory loss and carry all credit risk associated with sales. These are sometimes referred to as distribution or buy/sell arrangements. Cost of goods sold also includes direct and certain indirect labor, material and overhead costs associated with our Proprietary Products business. There is no cost of goods sold associated with our fee-for-service arrangements. As a result of the decrease in sales activity through our distribution business, partially offset by the impact from Byram, cost of goods sold decreased from prior year by $389.7 million for the year. Gross margin. For the years ended December 31, Change (Dollars in thousands) Gross margin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,171,866 2017 2016 $ 1,187,310 $ (15,444) $ % (1.3)% As a % of net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.58% 12.21% Gross margin for 2017 included positive contribution from Byram offset by the impact of overall lower revenues, a decline in provider margin and lower income from manufacturer product price changes compared to prior year. Excluding Byram, gross margin as a percentage of net revenue was 12.11% for 2017. With increasing customer cost pressures and competitive dynamics in healthcare, we believe the current trend of increased gross margin pressure will continue. 19 We value Domestic segment inventory under the LIFO method. Had inventory been valued under the first-in, first-out (FIFO) method, gross margin as a percentage of net revenue would have been 4 basis point higher in 2017 and 1 basis point lower in 2016. Operating expenses. For the years ended December 31, (Dollars in thousands) Distribution, selling & administrative expenses. . . . . . . . . . . $ 1,016,978 2017 2016 $ 970,424 As a % of net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other operating (income) expense, net. . . . . . . . . . . . . . . . . . $ 10.91% 4,930 $ 9.98% (7,388) Change $ 46,554 % 4.8 % 12,318 (166.7)% $ $ Distribution, selling and administrative (DS&A) expenses include labor and warehousing costs associated with our distribution and logistics services and all costs associated with our fee-for-service arrangements. Shipping and handling costs are included in DS&A expenses and include costs to store, move, and prepare products for shipment, as well as costs to deliver products to customers. The costs to convert new customers to our information systems are included in DS&A and are generally incurred prior to the recognition of revenues from the new customers. Excluding Byram, DS&A as a percentage of revenue was 10.53% for the year ended December 31, 2017. Overall expenses reflected decreased sales activity in 2017 and benefits of cost control and productivity initiatives. These were offset in part by increased costs to support new business. As a percentage of net revenue, the increase related to the large customer loss in 2016. The change in other operating (income) expense, net was attributed primarily to software as a service implementation expenses which were not incurred in 2016. A discussion of the acquisition-related and exit and realignment charges is included above in the Overview section. Interest expense, net. (Dollars in thousands) Interest expense, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ For the years ended December 31, 2017 2016 Change $ % 31,773 $ 27,057 $ 4,716 17.4% Effective interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.34% 4.93% The increase in interest expense and change in effective interest rate for the year were a result of the borrowings under our new Credit Agreement entered in July 2017. Income taxes. For the years ended December 31, Change (Dollars in thousands) Income tax (benefit) provision . . . . . . . . . . . . . . . . . . . . . . . . $ (15,315) 2017 2016 63,755 $ $ (79,070) $ % (124.0)% Effective tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (26.6)% 37.0% The change in the effective tax rate compared to 2016 resulted from the release of a $3.4 million income tax valuation allowance in Europe and an income tax benefit of approximately $35 million associated with the estimated benefits under the Tax Cuts and Jobs Act. This benefit reflects the revaluation of our net deferred tax liability based on a U.S. federal tax rate of 21 percent, partially offset by a one-time transition tax on our unremitted foreign earnings and profits. Excluding the effect of tax reform and the release of the valuation allowance, the effective tax rate was 39.5% for 2017. 20 2016 compared to 2015 Net revenue. For the years ended December 31, Change (Dollars in thousands) Domestic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,191,574 343,674 International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 539,580 Proprietary Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (351,397) Inter-segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,723,431 2016 2015 $(cid:3) (cid:28)(cid:15)(cid:20)(cid:26)(cid:25)(cid:15)(cid:27)(cid:24)(cid:24) (cid:22)(cid:26)(cid:21)(cid:15)(cid:25)(cid:22)(cid:27) (cid:24)(cid:25)(cid:20)(cid:15)(cid:27)(cid:20)(cid:21) ((cid:22)(cid:22)(cid:27)(cid:15)(cid:22)(cid:24)(cid:28)(cid:12) (cid:7)(cid:3) 9,772,946 $ 14,719 (28,964) (22,232) (13,038) (49,515) $ $ % 0.2 % (7.8)% (4.0)% 3.9 % (0.5)% Consolidated net revenue was negatively affected in 2016 by the previously announced exit of a large domestic customer and unfavorable foreign exchange impacts. Revenue in 2017 was negatively affected by this customer exit as well. In the Domestic segment, growth with our other large healthcare provider customers contributed to the year over year change. In the International segment, excluding the impact of a U.K.-based customer exit in 2015 and the negative impact of foreign exchange, revenues increased 0.8% compared to last year. The decline in Proprietary Products revenue was largely attributed to a short-term customer contract in late 2015 which did not recur in 2016 and production challenges in capacity and workforce availability which continued into 2017. Cost of goods sold. For the years ended December 31, Change (Dollars in thousands) Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,536,121 2016 2015 $ 8,558,373 $ $ (22,252) % (0.3)% Cost of goods sold includes the cost of the product (net of supplier incentives and cash discounts) and all costs incurred for shipments of products from manufacturers to our distribution centers for all customer arrangements where we are the primary obligor, bear risk of general and physical inventory loss and carry all credit risk associated with sales. These are sometimes referred to as distribution or buy/sell contracts. Cost of goods sold also includes direct and certain indirect labor, material and overhead costs associated with our Proprietary Products business. There is no cost of goods sold associated with our fee-for-service arrangements. As a result of the factors discussed above which affected sales activity, cost of goods sold decreased from prior year by $22.3 million. Gross margin. For the years ended December 31, Change (Dollars in thousands) Gross margin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,187,310 2016 2015 $ 1,214,573 $ $ (27,263) % (2.2)% As a % of net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.21% 12.43% The decrease in gross margin compared to the prior year was largely attributable to lower income from manufacturer product price changes, the previously announced exit of a large domestic customer in September 2016 and the unfavorable impact of foreign currency translation of $11.9 million. The exit of a U.K.-based customer in July 2015 also negatively affected the year-to-date comparison. With increasing customer cost pressures and competitive dynamics in healthcare, we believe the current trend of increased gross margin pressure will continue. We value Domestic segment inventory under the LIFO method. Had inventory been valued under the first-in, first-out (FIFO) method, gross margin as a percentage of net revenue would have been 1 basis point lower in 2016 and the same in 2015. Operating expenses. For the years ended December 31, (Dollars in thousands) Distribution, selling & administrative expenses. . . . . . . . . . . $ 2016 970,424 As a % of net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other operating income, net . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9.98% (7,388) 2015 993,783 10.17% (7,973) $ $ $ $ Change $ (23,359) % (2.4)% 585 (7.3)% 21 Distribution, selling and administrative (DS&A) expenses include labor and warehousing costs associated with our distribution and logistics services and all costs associated with our fee-for-service arrangements. Shipping and handling costs are included in DS&A expenses and include costs to store, move, and prepare products for shipment, as well as costs to deliver products to customers. The costs to convert new customers to our information systems are included in DS&A and are generally incurred prior to the recognition of revenues from the new customers. Depreciation and amortization, previously reported as a separate financial statement line item in the consolidated statements of income is now included in distribution, selling and administrative expenses for all periods presented. The decrease in DS&A expenses compared to prior year reflected the decreased sales activity in the year, benefits of cost control initiatives, lower fuel costs and improved operational efficiency as well as favorable foreign currency translation impacts of $12.3 million. The decrease in other operating income, net was attributed primarily to foreign currency transactional losses in 2016. A discussion of the acquisition-related and exit and realignment charges is included above in the Overview section. Interest expense, net. (Dollars in thousands) Interest expense, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ For the years ended December 31, 2016 2015 Change $ % 27,057 $ 27,149 $ (92) (0.3)% Effective interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.93% 4.78% Interest expense was consistent with prior year. Income taxes. (Dollars in thousands) Income tax provision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ For the years ended December 31, 2016 2015 63,755 $ 69,801 $ Change $ (6,046) % (8.7)% Effective tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.0% 40.3% The change in the effective tax rate compared to 2015 resulted from a higher percentage of the company's pretax income earned in lower tax rate jurisdictions compared to prior year and the non-deductibility of certain prior year acquisition- related charges for income tax purposes. 22 Financial Condition, Liquidity and Capital Resources Financial condition. We monitor operating working capital through days sales outstanding (DSO) and merchandise inventory turnover. We estimate a hypothetical increase (decrease) in DSO of one day would result in a decrease (increase) in our cash balances, an increase (decrease) in borrowings against our revolving credit facility, or a combination thereof of approximately $26 million. The majority of our cash and cash equivalents are held in cash depository accounts with major banks in the United States and Europe or invested in high-quality, short-term liquid investments. Changes in our working capital can vary in the normal course of business based upon the timing of inventory purchases, collection of accounts receivable, and payment to suppliers. Our working capital metrics, including DSO and inventory turnover, have also been affected by changes in business mix along with changes in contractual terms with certain customers and suppliers. December 31, Change (Dollars in thousands) Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 104,522 Accounts and notes receivable, net of allowances. . . . . . . . . . . . . . $ 758,936 28.7 Merchandise inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 990,193 8.5 Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 947,572 Inventory turnover (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Days sales outstanding (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2017 2016 $ 185,488 $ 606,084 23.1 $ 916,311 9.2 $ $ (80,966) $ 152,852 % (43.7)% 25.2 % $ 73,882 8.1 % $ 750,750 $ 196,822 26.2 % (1) Based on year end accounts receivable and net revenue for the fourth quarter (2) Based on average annual inventory and costs of goods sold for the years ended December 31, 2017 and 2016 Liquidity and capital expenditures. The following table summarizes our consolidated statements of cash flows: (Dollars in thousands) Net cash provided by (used for): For the years ended December 31, 2015 2016 2017 Operating activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Investing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Financing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 56,774 (416,643) 272,806 Effect of exchange rate changes on cash . . . . . . . . . . . . . . . . . . . . . . . . . . . Increase (decrease) in cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . $ 6,097 (80,966) $ $ 187,695 (24,746) (142,704) 4,223 24,468 $ 270,243 (36,473) (124,879) (4,643) 104,248 Cash provided by (used for) operating activities in 2017, 2016 and 2015 reflected fluctuations in net income along with changes in working capital. Cash used for investing activities in 2017, 2016 and 2015 included capital expenditures of $50.7 million, $30.1 million and $36.6 million for our strategic and operational efficiency initiatives, particularly initiatives relating to information technology enhancements and optimizing our distribution network. Cash used for investing activities in 2017 included cash paid for the acquisition of Byram Healthcare of approximately $367 million. Cash used for investing activities in 2016 was partially offset by $5.4 million in proceeds from the sale of property. Cash used in financing activities included dividend payments of $63.2 million, $63.4 million and $63.7 million and repurchases of common stock under our share repurchase programs for $5.0 million, $71.0 million and $20.0 million in the years ended December 31, 2017, 2016 and 2015. In 2017, cash provided by financing activities included proceeds from borrowings of $354.6 million under our new Credit Agreement. Financing activities in 2015 also included the repayment of $33.7 million in borrowings on our Amended Credit Agreement. 23 Capital resources. Our sources of liquidity include cash and cash equivalents and a revolving credit facility. On July 27, 2017, we entered into a new Credit Agreement replacing the Amended Credit Agreement with Wells Fargo Bank, N.A., JPMorgan Chase Bank, N.A., Bank of America, N.A. and a syndicate of financial institutions (the Credit Agreement). The Credit Agreement provides borrowing capacity of $600 million and a $250 million term loan. We make principal payments under the term loan on a quarterly basis with the remaining outstanding principal due in five years. The revolving credit facility has a five-year maturity. Under the Credit Agreement, we have the ability to request two one-year extensions and to request an increase in aggregate commitments by up to $200 million. The interest rate on the Credit Agreement, which is subject to adjustment quarterly, is based on the Eurocurrency Rate, the Federal Funds Rate or the Prime Rate, plus an adjustment based on the better of our debt ratings or leverage ratio (Credit Spread) as defined by the Credit Agreement. We are charged a commitment fee of between 12.5 and 25.0 basis points on the unused portion of the facility. The terms of the Credit Agreement limit the amount of indebtedness that we may incur and require us to maintain ratios for leverage and interest coverage, including on a pro forma basis in the event of an acquisition. We may utilize the revolving credit facility for long- term strategic growth, capital expenditures, working capital and general corporate purposes. If we were unable to access the revolving credit facility, it could impact our ability to fund these needs. Based on our Credit Spread, the interest rate under the credit facility at December 31, 2017 is Eurocurrency Rate plus 1.375%. At December 31, 2017, we had borrowings of $104.6 million and letters of credit of approximately $5.1 million outstanding under the Credit Agreement, leaving $490.3 million available for borrowing. We also have a $1.3 million and $1.1 million letter of credit outstanding as of December 31, 2017 and 2016 which supports our facilities leased in Europe. We have $275 million of 3.875% senior notes due 2021 (the “2021 Notes”) and $275 million of 4.375% senior notes due 2024 (the “2024 Notes”). The 2021 Notes were sold at 99.5% of the principal amount with an effective yield of 3.951%. The 2024 Notes were sold at 99.6% of the principal amount with an effective yield of 4.422%. Interest on the 2021 Notes and 2024 Notes is payable semiannually in arrears, which commenced on March 15, 2015 and December 15, 2014, respectively. We have the option to redeem the 2021 Notes and 2024 Notes in part or in whole prior to maturity at a redemption price equal to the greater of 100% of the principal amount or the present value of the remaining scheduled payments discounted at the Treasury Rate plus 30 basis points. We paid quarterly cash dividends on our outstanding common stock at the rate of $0.2575 per share during 2017, $0.255 per share during 2016 and $0.2525 per share during 2015. In January 2018, the Board of Directors approved the first quarter dividend of $0.26 per common share, an increase of 1.0% compared to 2017. We anticipate continuing to pay quarterly cash dividends in the future. However, the payment of future dividends remains within the discretion of the Board of Directors and will depend upon our results of operations, financial condition, capital requirements and other factors. In October 2016, the Board of Directors authorized a share repurchase program of up to $100 million of our outstanding common stock to be executed at the discretion of management over a three-year period, expiring in December 2019. The program is intended to offset shares issued in conjunction with our stock incentive plan and return capital to shareholders, and may be suspended or discontinued at any time. During 2017, we repurchased approximately 0.2 million shares for $5.0 million under this program. At December 31, 2017, the remaining amount authorized for repurchase under this program was $94.0 million. We believe available financing sources, including cash generated by operating activities and borrowings under the Amended Credit Agreement, will be sufficient to fund our working capital needs, capital expenditures, long-term strategic growth, payments under long-term debt and lease arrangements, payments of quarterly cash dividends, share repurchases and other cash requirements. While we believe that we will have the ability to meet our financing needs in the foreseeable future, changes in economic conditions may impact (i) the ability of financial institutions to meet their contractual commitments to us, (ii) the ability of our customers and suppliers to meet their obligations to us or (iii) our cost of borrowing. We earn a portion of our operating earnings in foreign jurisdictions outside the United States. Prior to the reporting period in which the Tax Cuts and Jobs Act (the Act) was enacted we considered foreign earnings to be indefinitely reinvested and provided no United States federal and state taxes or withholding taxes on those earnings. Our cash, cash equivalents, short-term investments, and marketable securities held by our foreign subsidiaries totaled $79.1 million and $82.1 million at December 31, 2017 and 2016. Upon enactment, the Act imposes a tax on our total post-1986 foreign earnings at various tax rates. The Company has recognized a provisional amount of this one-time transition tax. No additional income taxes have been provided for any remaining undistributed foreign earnings not subject to the transition tax, or any additional outside basis difference inherent in these entities, as these amounts continue to be indefinitely reinvested in foreign operations. Determining the amount of unrecognized deferred tax liability related to any remaining undistributed foreign earnings not subject to the transition tax and additional outside basis difference in these entities (i.e., basis difference in excess of that subject to the one- time transition tax) is not practicable. The Company will evaluate its foreign earnings repatriation policy in 2018. 24 Off-Balance Sheet Arrangements We do not have guarantees or other off-balance sheet financing arrangements, including variable interest entities, which we believe could have a material impact on financial condition or liquidity. Contractual Obligations The following is a summary of our significant contractual obligations as of December 31, 2017: (Dollars in thousands) Payments due by period Contractual obligations Long-term debt (1) . . . . . . . . . . . . . . . . . . $ Purchase obligations (2) . . . . . . . . . . . . . . Operating leases (2) . . . . . . . . . . . . . . . . . Capital lease obligations (1) . . . . . . . . . . . Unrecognized tax benefits, net (3) . . . . . . Other long-term liabilities (4) . . . . . . . . . . Total contractual obligations . . . . . . . . . . $ Total 1,068,933 120,618 262,222 29,711 13,585 77,779 Less than 1 year 1-3 years 4-5 years After 5 years $ 45,366 $ 91,187 $ 633,317 $ 299,063 34,985 63,873 5,961 — 3,537 60,235 94,758 6,755 — 6,885 25,398 51,013 4,358 — 6,885 — 52,578 12,637 — 60,472 1,572,848 $ 153,722 $ 259,820 $ 720,971 $ 424,750 (1) See Note 10 of Notes to Consolidated Financial Statements. Debt is assumed to be held to maturity with interest paid at the stated rate in effect at December 31, 2017. (2) See Note 17 of Notes to Consolidated Financial Statements. (3) We cannot reasonably estimate the timing of cash settlement for the liability associated with unrecognized tax benefits. (4) Other long-term liabilities include estimated minimum required payments for our unfunded retirement plan for certain officers. See Note 12 of Notes to Consolidated Financial Statements. Certain long-term liabilities, including deferred tax liabilities and post-retirement benefit obligations, are excluded as we cannot reasonably estimate the timing of payments for these items. Critical Accounting Policies Our consolidated financial statements and accompanying notes have been prepared in accordance with U.S. generally accepted accounting principles. The preparation of the financial statements requires us to make estimates and assumptions that affect the reported amounts and related disclosures. We continually evaluate the accounting policies and estimates used to prepare the financial statements. Critical accounting policies are defined as those policies that relate to estimates that require us to make assumptions about matters that are highly uncertain at the time the estimate is made and could have a material impact on our results due to changes in the estimate or the use of different assumptions that could reasonably have been used. Our estimates are generally based on historical experience and various other assumptions that are judged to be reasonable in light of the relevant facts and circumstances. Because of the uncertainty inherent in such estimates, actual results may differ. We believe our critical accounting policies and estimates include allowances for losses on accounts and notes receivable, inventory valuation, accounting for goodwill and long-lived assets, self-insurance liabilities, supplier incentives, and business combinations. Allowances for losses on accounts receivable. We maintain valuation allowances based upon the expected collectability of accounts and notes receivable. The allowances include specific amounts for accounts that are likely to be uncollectible, such as customer bankruptcies and disputed amounts, and general allowances for accounts that may become uncollectible. These allowances are estimated based on a number of factors, including industry trends, current economic conditions, creditworthiness of customers, age of the receivables, changes in customer payment patterns, and historical experience. At December 31, 2017, accounts receivable were $758.9 million, net of allowances of $16.2 million. An unexpected bankruptcy or other adverse change in the financial condition of a customer could result in increases in these allowances, which could have a material adverse effect on the results of operations. 25 Inventory valuation. Merchandise inventories are valued at the lower of cost or market, with cost determined using the last-in, first-out (LIFO) method for inventories in the U.S. and the first-in, first-out (FIFO) method for inventories outside of the U.S. An actual valuation of inventory under the LIFO method is made only at the end of the year based on the inventory levels and costs at that time. LIFO calculations are required for interim reporting purposes and are based on estimates of the expected mix of products in year-end inventory. In addition, inventory valuation includes estimates of allowances for obsolescence and variances between actual inventory on-hand and perpetual inventory records that can arise throughout the year. These estimates are based on factors such as the age of inventory and historical trends. At December 31, 2017, the carrying value of inventory was $990.2 million, which is $119.6 million lower than the value of inventory had it all been accounted for on a FIFO basis. Goodwill and long-lived assets. Goodwill represents the excess of consideration paid over the fair value of identifiable net assets acquired. Long-lived assets, which are a component of identifiable net assets, include intangible assets with finite useful lives, property and equipment, and computer software costs. Intangible assets with finite useful lives consist primarily of customer relationships and non-compete agreements acquired through business combinations. Certain assumptions and estimates are employed in determining the fair value of identifiable net assets acquired. We evaluate goodwill for impairment annually and whenever events occur or changes in circumstance indicate that the carrying amount of goodwill may not be recoverable. In performing the impairment test, we perform qualitative assessments based on macroeconomic conditions, structural changes in the industry, estimated financial performance, and other relevant information. If necessary, we perform a quantitative analysis to estimate the fair value of the reporting unit using valuation techniques, including comparable multiples of the reporting unit's earnings before interest, taxes, depreciation and amortization (EBITDA) and discounted cash flows. The EBITDA multiples are based on an analysis of current enterprise valuations and recent acquisition prices of similar companies, if available. Goodwill totaled $713.8 million at December 31, 2017. Long-lived assets, which exclude goodwill, are evaluated for impairment whenever events or changes in circumstances indicate that the carrying amount of long-lived assets may not be recoverable. We assess long-lived assets for potential impairment by comparing the carrying value of an asset, or group of related assets, to its estimated undiscounted future cash flows. At December 31, 2017, long-lived assets included property and equipment of $206.5 million, net of accumulated depreciation; intangible assets of $184.5 million, net of accumulated amortization; and computer software costs of $61.8 million, net of accumulated amortization. We did not record any material impairment losses related to goodwill or long-lived assets in 2017. However, the impairment review of goodwill and long-lived assets requires the extensive use of accounting judgment, estimates and assumptions. The application of alternative assumptions or inability to meet certain financial projections, could produce materially different results. Self-insurance liabilities. We are self-insured for most employee healthcare, workers’ compensation and automobile liability costs; however, we maintain insurance for individual losses exceeding certain limits. Liabilities are estimated for healthcare costs using current and historical claims data. Liabilities for workers’ compensation and automobile liability claims are estimated using historical claims data and loss development factors. If the underlying facts and circumstances of existing claims change or historical trends are not indicative of future trends, then we may be required to record additional expense that could have a material effect on the results of operations. Self-insurance liabilities recorded in our consolidated balance sheets for employee healthcare, workers’ compensation and automobile liability costs totaled $13.5 million at December 31, 2017 and $14.2 million at December 31, 2016. Supplier incentives. We have contractual arrangements with certain suppliers that provide incentives, including operational efficiency and performance-based incentives, on a monthly, quarterly or annual basis. These incentives are recognized as a reduction in cost of goods sold as targets become probable of achievement. Supplier incentives receivable are recorded for interim and annual reporting purposes and are based on our estimate of the amounts which are expected to be realized. If we do not achieve required targets under certain programs as estimated, it could have a material adverse effect on our results of operations. Business Combinations. We allocate the fair value of purchase consideration to the tangible assets acquired, liabilities assumed and intangible assets acquired based on their estimated fair values. The excess of the fair value of purchase consideration over the fair values of these identifiable assets and liabilities is recorded as goodwill. When determining the fair values of assets acquired and liabilities assumed, management makes significant estimates and assumptions, especially with respect to intangible assets. 26 Critical estimates in valuing certain intangible assets include but are not limited to future expected cash flows from customer relationships and discount rates. Our estimates of fair value are based upon assumptions believed to be reasonable, but which are inherently uncertain and unpredictable and, as a result, actual results may differ from estimates. Recent Accounting Pronouncements For a discussion of recent accounting pronouncements, see Note 1 of Notes to the Consolidated Financial Statements. Item 7A. Quantitative and Qualitative Disclosures About Market Risk We are exposed to market risk from changes in interest rates under our Credit Agreement. We had $246.9 million term loan, borrowings of $104.6 million under the revolver and $5.1 million in letters of credit under the Credit Agreement at December 31, 2017. A hypothetical increase in interest rates of 100 basis points would result in a potential reduction in future pre-tax earnings of approximately $0.1 million per year for every $10 million of outstanding borrowings under the revolving credit facility. Due to the nature and pricing of our Domestic segment distribution services, we are exposed to potential volatility in fuel prices. Our strategies for helping to mitigate our exposure to changing domestic fuel prices have included entering into leases for trucks with improved fuel efficiency. We benchmark our domestic diesel fuel purchase prices against the U.S. Weekly Retail On-Highway Diesel Prices (benchmark) as quoted by the U.S. Energy Information Administration. The benchmark averaged $2.66 per gallon in 2017, increased 15.0% from $2.31 per gallon in 2016. Based on our fuel consumption in 2017, we estimate that every 10 cents per gallon increase in the benchmark would reduce our Domestic segment operating earnings by approximately $0.3 million. In the normal course of business, we are exposed to foreign currency translation and transaction risks. Our business transactions outside of the United States are primarily denominated in the Euro and British Pound. We may use foreign currency forwards, swaps and options, where possible, to manage our risk related to certain foreign currency fluctuations. However, we believe that our foreign currency transaction risks are low since our revenues and expenses are typically denominated in the same currency. Item 8. Financial Statements and Supplementary Data See Item 15. Exhibits and Financial Statement Schedules. Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure None. Item 9A. Controls and Procedures We carried out an evaluation, with the participation of management, including our principal executive officer and principal financial officer, of the effectiveness of our disclosure controls and procedures (pursuant to Rule 13a-15(e) under the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this report. Based upon that evaluation, the principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective as of December 31, 2017. On August 1, 2017, we completed our acquisition of Byram Healthcare. As permitted by the Securities and Exchange Commission under the current year acquisition scope exception, we have excluded this acquisition, except for certain balances associated with purchase accounting, from our 2017 assessment of the effectiveness of our internal control over financial reporting since it was not practicable for management to conduct an assessment of internal control over financial reporting between the acquisition date and the date of management's assessment. Therefore, our evaluation of our disclosure controls and procedures also excluded this acquisition from our assessment. There has been no change in our internal control over financial reporting during our last fiscal quarter (our fourth quarter in the case of an annual report) ended December 31, 2017, that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting. Item 9B. Other Information None. 27 Management’s Report on Internal Control over Financial Reporting Management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Exchange Act Rules 13a-15(f), for Owens & Minor, Inc. (the "Company"). The Company has designed its internal control over financial reporting to provide reasonable assurance on the reliability of financial reporting and the preparation of the consolidated financial statements in accordance with U.S. generally accepted accounting principles. The Company’s internal control over financial reporting includes those policies and procedures that: (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the Company’s transactions and dispositions of the Company’s assets; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of the consolidated financial statements in accordance with U.S. generally accepted accounting principles; (3) provide reasonable assurance that receipts and expenditures of the Company are being made only in accordance with authorizations of the Company’s management and directors; and (4) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the Company’s assets that could have a material effect on the consolidated financial statements. Internal control over financial reporting includes the controls themselves, monitoring and internal auditing practices and actions taken to correct deficiencies as identified. Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. Under the supervision and with the participation of management, including the company’s principal executive officer and principal financial officer, we conducted an evaluation of the effectiveness of our internal control over financial reporting as of December 31, 2017, based on the framework in Internal Control—Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Based on our evaluation under the COSO framework, management concluded that the company’s internal control over financial reporting was effective as of December 31, 2017. In reliance on guidance set forth in Question 3 of a “Frequently Asked Questions” interpretative release issued by the Staff of the SEC’s Office of the Chief Accountant and the Division of Corporation Finance in September 2004, as revised on September 24, 2007, regarding Securities Exchange Act Release No. 34-47986, Management’s Report on Internal Control Over Financial Reporting and Certification of Disclosure in Exchange Act Periodic Reports, management determined that it would exclude the Byram Healthcare business, which was acquired on August 1, 2017, from the scope of the assessment of the effectiveness of our internal control over financial reporting. The reason for this exclusion is that we acquired Byram Healthcare in the third quarter of 2017 and it was not practical for management to conduct an assessment of internal control over financial reporting in the period between the date the acquisition was completed and the date of management’s assessment. Except for goodwill and intangible assets recorded by the Company in connection with the purchase of Byram Healthcare, management excluded Byram Healthcare from its assessment of internal control over financial reporting. Excluding $404 million of goodwill and intangible assets (see Note 3 of Notes to the Consolidated Financial Statements), this acquisition represented $78 million of assets and $209 million of revenues as of and for the year ended December 31, 2017, of our consolidated financial statements. Byram Healthcare will be included in management’s assessment of internal control over financial reporting for the year ending December 31, 2018. The effectiveness of the company’s internal control over financial reporting as of December 31, 2017, has been audited by KPMG LLP, an independent registered public accounting firm, as stated in their report which is included in this annual report. /s/ Paul C. Phipps Paul C. Phipps President, Chief Executive Officer and Chairman of the Board /s/ Richard A. Meier Richard A. Meier Executive Vice President, Chief Financial Officer and President, International 28 Report of Independent Registered Public Accounting Firm To the Board of Directors and Shareholders Owens & Minor, Inc.: Opinion on Internal Control Over Financial Reporting We have audited Owens & Minor, Inc. and subsidiaries’ (the Company) internal control over financial reporting as of December 31, 2017, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission. In our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2017, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission. We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated balance sheets of the Company as of December 31, 2017 and 2016, and the related consolidated statements of income, comprehensive income, changes in shareholders’ equity, and cash flows for each of the years in the three- year period ended December 31, 2017, and related notes, and our report dated February 23, 2018 expressed an unqualified opinion on those consolidated financial statements. The Company acquired Byram Healthcare (Byram) during 2017, and management excluded from its assessment of the effectiveness of the Company’s internal control over financial reporting as of December 31, 2017, Byram’s internal control over financial reporting associated with total assets of $78 million and total revenues of $209 million included in the consolidated financial statements of the Company as of and for the year ended December 31, 2017. Our audit of internal control over financial reporting of the Company also excluded an evaluation of the internal control over financial reporting of Byram Healthcare. Basis for Opinion The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting, included in the accompanying Management’s Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB. We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audit also included performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion. Definition and Limitations of Internal Control Over Financial Reporting A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements. Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. Richmond, Virginia February 23, 2018 /s/ KPMG LLP 29 Items 10-14. Part III Information required by Items 10-14 can be found under Corporate Officers at the end of the electronic filing of this Form 10-K and the registrant’s 2018 Proxy Statement pursuant to instructions (1) and G(3) of the General Instructions to Form 10-K. Because our common stock is listed on the New York Stock Exchange (NYSE), our Chief Executive Officer is required to make, and he has made, an annual certification to the NYSE stating that he was not aware of any violation by of the corporate governance listing standards of the NYSE. Our Chief Executive Officer made his annual certification to that effect to the NYSE as of June 1, 2017. In addition, we have filed, as exhibits to this Annual Report on Form 10-K, the certifications of our principal executive officer and principal financial officer required under Sections 906 and 302 of the Sarbanes-Oxley Act of 2002 to be filed with the Securities and Exchange Commission regarding the quality of our public disclosure. 30 Item 15. Exhibits and Financial Statement Schedules a) The following documents are filed as part of this report: Part IV Consolidated Statements of Income for the Years Ended December 31, 2017, 2016 and 2015 . . . . . . . . . . . . . . Consolidated Statements of Comprehensive Income for the Years Ended December 31, 2017, 2016, and 2015. Consolidated Balance Sheets as of December 31, 2017 and 2016. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Consolidated Statements of Cash Flows for the Years Ended December 31, 2017, 2016 and 2015 . . . . . . . . . . . Consolidated Statements of Changes in Shareholders' Equity for the Years Ended December 31, 2017, 2016 and 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Notes to Consolidated Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Report of Independent Registered Public Accounting Firm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Selected Quarterly Financial Information (unaudited). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 32 33 34 35 36 37 66 67 b) Exhibits: See Index to Exhibits on page 68. 31 OWENS & MINOR, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF INCOME (in thousands, except per share data) Year ended December 31, Net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Cost of goods sold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross margin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distribution, selling and administrative expenses. . . . . . . . . . . . . . . . . . . . . . Acquisition-related and exit and realignment charges . . . . . . . . . . . . . . . . . . Other operating (income) expense, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Operating earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest expense, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income tax (benefit) provision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2017 9,318,275 8,146,409 1,171,866 1,016,978 60,707 4,930 89,251 31,773 57,478 (15,315) 72,793 Net income per common share: basic and diluted . . . . . . . . . . . . . . . . . . . . . $ Cash dividends per common share . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1.20 1.03 See accompanying notes to consolidated financial statements. 2016 9,723,431 8,536,121 1,187,310 970,424 24,675 (7,388) 199,599 27,057 172,542 63,755 108,787 1.76 1.02 $ $ $ $ 2015 9,772,946 8,558,373 1,214,573 993,783 28,404 (7,973) 200,359 27,149 173,210 69,801 103,409 1.65 1.01 $ $ $ $ 32 OWENS & MINOR, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (in thousands) Year ended December 31, Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Other comprehensive income (loss), net of tax: Currency translation adjustments (net of income tax of $0 in 2017, 2016 and 2015) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Change in unrecognized net periodic pension costs (net of income tax of $6 in 2017, $343 in 2016, and $90 in 2015) . . . . . . . . . . . . . . . . . . . . Other (net of income tax of $0 in 2017, 2016, and 2015) . . . . . . . . . . . . Other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Comprehensive income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2017 2016 2015 72,793 $ 108,787 $ 103,409 43,060 (15,017) (27,581) (857) 196 42,399 115,192 $ (727) 86 (15,658) 93,129 $ (159) (84) (27,824) 75,585 See accompanying notes to consolidated financial statements. 33 OWENS & MINOR, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (in thousands, except per share data) December 31, Assets Current assets 2017 2016 Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Merchandise inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total current assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Goodwill, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intangible assets, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 104,522 $ 758,936 990,193 328,254 185,488 606,084 916,311 254,156 2,181,905 1,962,039 206,490 713,811 184,468 191,718 414,936 82,511 89,619 3,376,293 $ 66,548 2,717,752 Liabilities and equity Current liabilities Accounts payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Accrued payroll and related liabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total current liabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Long-term debt, excluding current portion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 947,572 $ 750,750 30,416 331,745 1,309,733 900,744 74,247 76,090 45,051 238,837 1,034,638 564,583 90,383 68,110 2,360,814 1,757,714 Commitments and contingencies Equity Common stock, par value $2 per share; authorized—200,000 shares; issued and outstanding—61,476 shares and 61,031 shares. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paid-in capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Retained earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accumulated other comprehensive loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 122,952 226,937 690,674 (25,084) 1,015,479 122,062 219,955 685,504 (67,483) 960,038 3,376,293 $ 2,717,752 See accompanying notes to consolidated financial statements. 34 OWENS & MINOR, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands) Year ended December 31, Operating activities: Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Adjustments to reconcile net income to cash provided by operating activities : 2017 2016 2015 72,793 $ 108,787 $ 103,409 Depreciation and amortization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Share-based compensation expense. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provision for losses on accounts receivable. . . . . . . . . . . . . . . . . . . . . . . Deferred income tax (benefit) expense . . . . . . . . . . . . . . . . . . . . . . . . . . Changes in operating assets and liabilities: Accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Merchandise inventories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net change in other assets and liabilities . . . . . . . . . . . . . . . . . . . . . Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash provided by operating activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investing activities: Acquisitions, net of cash acquired . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Additions to property and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Additions to computer software and intangible assets . . . . . . . . . . . . . . . . . . Proceeds from sale of property and equipment. . . . . . . . . . . . . . . . . . . . . . . . Cash used for investing activities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Financing activities: Proceeds from issuance of debt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Borrowing under revolving credit facility . . . . . . . . . . . . . . . . . . . . . . . . . . . Repayment of debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Financing costs paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash dividends paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repurchases of common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash provided by (used for) financing activities . . . . . . . . . . . . . . . . . . . . Effect of exchange rate changes on cash and cash equivalents. . . . . . . . . Net (decrease) increase in cash and cash equivalents . . . . . . . . . . . . . . . . Cash and cash equivalents at beginning of year. . . . . . . . . . . . . . . . . . . . . Cash and cash equivalents at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . $ 59,443 11,911 2,674 (49,988) (100,010) (57,032) 143,947 (33,263) 6,299 56,774 (366,569) (34,613) (16,124) 663 (416,643) 250,000 104,600 (3,125) (1,798) (63,151) (5,000) (8,720) 272,806 6,097 (80,966) 185,488 104,522 $ 55,393 12,042 377 4,218 (25,244) 22,589 43,430 (37,559) 3,662 187,695 — (20,302) (9,819) 5,375 (24,746) — — — — (63,382) (71,028) (8,294) (142,704) 4,223 24,468 161,020 185,488 $ 65,982 11,306 (24) (6,101) 18,333 (69,727) 114,011 30,177 2,877 270,243 — (20,531) (16,085) 143 (36,473) — (33,700) — — (63,651) (20,000) (7,528) (124,879) (4,643) 104,248 56,772 161,020 See accompanying notes to consolidated financial statements. 35 OWENS & MINOR, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY (in thousands, except per share data) Balance, December 31, 2014 . . . . . . . . . . . . Net income . . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive loss. . . . . . . . . . . . . . . Dividends declared ($1.01 per share) . . . . . . Shares repurchased and retired . . . . . . . . . . . Share-based compensation expense, exercises and other . . . . . . . . . . . . . . . . . . . . Balance, December 31, 2015 . . . . . . . . . . . . Net income . . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive loss. . . . . . . . . . . . . . . Dividends declared ($1.02 per share) . . . . . . Shares repurchased and retired . . . . . . . . . . . Share-based compensation expense, exercises and other . . . . . . . . . . . . . . . . . . . . Balance, December 31, 2016 . . . . . . . . . . . . Net income . . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income . . . . . . . . . . . . Dividends declared ($1.03 per share) Shares repurchased and retired . . . . . . . . . . . Share-based compensation expense, exercises and other . . . . . . . . . . . . . . . . . . . . Balance, December 31, 2017 . . . . . . . . . . . Common Shares Outstanding Common Stock ($2 par value) Paid-In Capital Retained Earnings 63,070 $ 126,140 $ 202,934 $ 685,765 (587) (1,175) 320 641 9,009 62,803 125,606 211,943 (2,045) (4,091) 273 547 8,012 61,031 122,062 219,955 (155) (310) 103,409 (63,483) (18,825) 706,866 108,787 (63,212) (66,937) 685,504 72,793 (62,933) (4,690) Total Equity Accumulated Other Comprehensive Income (Loss) $ (24,001) $ 990,838 103,409 (27,824) (63,483) (20,000) (27,824) (51,825) (15,658) (67,483) 42,399 9,650 992,590 108,787 (15,658) (63,212) (71,028) 8,559 960,038 72,793 42,399 (62,933) (5,000) 600 61,476 1,200 $ 122,952 6,982 $ 226,937 $ 690,674 8,182 $ (25,084) $ 1,015,479 See accompanying notes to consolidated financial statements. 36 OWENS & MINOR, INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements (in thousands, except per share data, unless otherwise indicated) Note 1—Summary of Significant Accounting Policies Owens & Minor, Inc. and subsidiaries (we, us or our), is a Fortune 500 company headquartered in Richmond, Virginia. We are a leading global healthcare solutions company that connects the world of medical products to the point of care by providing vital supply chain assistance to the providers of healthcare services and the manufacturers of healthcare products, supplies, and devices in the United States and Europe. We serve our customers with a service portfolio that covers procurement, inventory management, delivery and sourcing for the healthcare market. With fully developed networks in the United States and Europe, we are equipped to serve a customer base ranging from hospitals, integrated healthcare systems, group purchasing organizations, and the U.S. federal government, to manufacturers of life-science and medical devices and supplies, including pharmaceuticals in Europe. We report our business under three distinct business units: Domestic, International and Proprietary Products (formerly Clinical and Procedural Solutions). Domestic is our U.S. distribution, logistics and value-added services business, while International is our European distribution, logistics and value-added services business. Proprietary Products provides product-related solutions, including surgical and procedural kitting and sourcing. Basis of Presentation. The consolidated financial statements include the accounts of Owens & Minor, Inc. and the subsidiaries it controls, in conformity with U.S generally accepted accounting principles (GAAP). All significant intercompany accounts and transactions have been eliminated. Reclassifications. Certain prior year amounts have been reclassified to conform to current year presentation. Use of Estimates. The preparation of the consolidated financial statements in conformity with GAAP requires us to make assumptions and estimates that affect reported amounts and related disclosures. Estimates are used for, but are not limited to, the allowances for losses on accounts receivable, inventory valuation allowances, supplier incentives, depreciation and amortization, goodwill valuation, valuation of intangible assets and other long-lived assets, valuation of property held for sale, self-insurance liabilities, tax liabilities, defined benefit obligations, share-based compensation and other contingencies. Actual results may differ from these estimates. Cash and Cash Equivalents. Cash and cash equivalents includes cash and marketable securities with an original maturity or maturity at acquisition of three months or less. Cash and cash equivalents are stated at cost. Nearly all of our cash and cash equivalents are held in cash depository accounts in major banks in the United States and Europe. Book overdrafts represent the amount of outstanding checks issued in excess of related bank balances and are included in accounts payable in our consolidated balance sheets, as they are similar to trade payables and are not subject to finance charges or interest. Changes in book overdrafts are classified as operating activities in our consolidated statements of cash flows. Accounts Receivable, Net. In general, accounts receivable from customers are recorded at the invoiced amount. We assess finance charges on overdue accounts receivable that are recognized as other operating income based on their estimated ultimate collectability. We have arrangements with certain customers under which they make deposits on account. Customer deposits in excess of outstanding receivable balances are classified as other current liabilities. For our direct to patient business, accounts receivable are recorded net of a contractual allowance. We maintain valuation allowances based upon the expected collectability of accounts receivable. Our allowances include specific amounts for accounts that are likely to be uncollectible, such as customer bankruptcies and disputed amounts and general allowances for accounts that may become uncollectible. Allowances are estimated based on a number of factors, including industry trends, current economic conditions, creditworthiness of customers, age of the receivables, changes in customer payment patterns, and historical experience. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote. Financing Receivables and Payables. We have an order-to-cash program in our International segment under which we invoice manufacturers’ customers and remit collected amounts to the manufacturers. We retain credit risk for certain uncollected receivables under this program where contractually obligated. We continually monitor the expected collectability in this program and maintain valuation allowances when it is likely that an amount may be or may become uncollectible. Allowances are estimated based on a number of factors including creditworthiness of customers, age of the receivables and 37 historical experience. We write off uncollected receivables under this program when collection is no longer being pursued. At December 31, 2017 and 2016, the allowance for uncollectible accounts as part of this program was $0.1 million. Fees charged for this program are included in net revenue. Product pricing and related product risks are retained by the manufacturer. Balances receivable and related amounts payable under this program are classified in other current assets and other current liabilities in the consolidated balance sheets. Merchandise Inventories. Merchandise inventories are valued at the lower of cost or market, with cost determined by the last-in, first-out (LIFO) method for inventories in the U.S. Cost of inventories outside the U.S. is determined using the first-in, first out (FIFO) method. Property and Equipment. Property and equipment are stated at cost less accumulated depreciation or, if acquired under capital leases, at the lower of the present value of minimum lease payments or fair market value at the inception of the lease less accumulated amortization. Depreciation and amortization expense for financial reporting purposes is computed on a straight-line method over the estimated useful lives of the assets or, for capital leases and leasehold improvements, over the term of the lease, if shorter. In general, the estimated useful lives for computing depreciation and amortization are four to 15 years for warehouse equipment, five to 40 years for buildings and building improvements, and three to eight years for computers, furniture and fixtures, and office and other equipment. Straight-line and accelerated methods of depreciation are used for income tax purposes. Normal maintenance and repairs are expensed as incurred, and renovations and betterments are capitalized. Leases. We have entered into non-cancelable agreements to lease most of our office and warehouse facilities with remaining terms generally ranging from one to 30 years. We also lease most of our transportation and material handling equipment for terms generally ranging from three to ten years. Certain information technology assets embedded in an outsourcing agreement are accounted for as capital leases. Leases are classified as operating leases or capital leases at their inception. Rent expense for leases with rent holidays or pre-determined rent increases are recognized on a straight-line basis over the lease term. Incentives and allowances for leasehold improvements are deferred and recognized as a reduction of rent expense over the lease term. Goodwill. We evaluate goodwill for impairment annually, as of October 1, and whenever events occur or changes in circumstance indicate that the carrying amount of goodwill may not be recoverable. We review goodwill first by performing a qualitative assessment to determine if it is more likely than not that the fair value of a reporting unit exceeds its carrying value. If not, we then perform a quantitative assessment by first comparing the carrying amount to the fair value of the reporting unit. If the fair value of the reporting unit is determined to be less than its carrying value, a second step is performed to measure the goodwill impairment loss as the excess of the carrying value of the reporting unit’s goodwill over the estimated fair value of its goodwill. We estimate the fair value of the reporting unit using valuation techniques which can include comparable multiples of the unit’s earnings before interest, taxes, depreciation and amortization (EBITDA) and present value of expected cash flows. The EBITDA multiples are based on an analysis of current enterprise values and recent acquisition prices of similar companies, if available. Intangible Assets. Intangible assets acquired through purchases or business combinations are stated at fair value at the acquisition date and net of accumulated amortization in the consolidated balance sheets. Intangible assets, consisting primarily of customer relationships, customer contracts, non-competition agreements, trademarks, and tradenames are amortized over their estimated useful lives. In determining the useful life of an intangible asset, we consider our historical experience in renewing or extending similar arrangements. Customer relationships are generally amortized over three to 15 years and other intangible assets are amortized generally for periods between one and 15 years, based on their pattern of economic benefit or on a straight-line basis. Computer Software. We develop and purchase software for internal use. Software development costs incurred during the application development stage are capitalized. Once the software has been installed and tested, and is ready for use, additional costs incurred in connection with the software are expensed as incurred. Capitalized computer software costs are amortized over the estimated useful life of the software, usually between three and ten years. Capitalized computer software costs are included in other assets, net, in the consolidated balance sheets. Unamortized software at December 31, 2017 and 2016 was $61.8 million and $59.2 million. Depreciation and amortization expense includes $10.7 million, $12.9 million and $15.4 million of software amortization for the years ended December 31, 2017, 2016 and 2015. Additional amortization of $4.5 million in 2015 related to the accelerated amortization of an information system which was replaced in the International segment is included in acquisition-related and exit and realignment charges in the consolidated statements of income. Implementation costs incurred for a cloud computing arrangement that is considered a service contract (software as a service or SaaS) are expensed as incurred. 38 Long-Lived Assets. Long-lived assets, which include property and equipment, finite-lived intangible assets, and unamortized software costs, are evaluated for impairment whenever events or changes in circumstances indicate that the carrying amount of long-lived assets may not be recoverable. We assess long-lived assets for potential impairment by comparing the carrying value of an asset, or group of related assets, to their estimated undiscounted future cash flows. Self-Insurance Liabilities. We are self-insured for most employee healthcare, workers’ compensation and automobile liability costs; however, we maintain insurance for individual losses exceeding certain limits. Liabilities are estimated for healthcare costs using current and historical claims data. Liabilities for workers’ compensation and automobile liability claims are estimated using historical claims data and loss development factors. If the underlying facts and circumstances of existing claims change or historical trends are not indicative of future trends, then we may be required to record additional expense or reductions to expense. Self-insurance liabilities are included in other current liabilities on the consolidated balance sheets. Revenue Recognition. Revenue is recognized when persuasive evidence of an arrangement exists, delivery has occurred or services have been rendered, the price or fee is fixed or determinable, and collectability is reasonably assured. Under most of our distribution arrangements, we record revenue at the time shipment is completed as title passes to the customer when the product is received by the customer. For our direct to patient and home health agency sales, revenues are recorded based upon the estimated amounts due from patients and third-party payors. Third-party payors include federal and state agencies (under Medicare and Medicaid programs), managed care health plans and commercial insurance companies. Estimates of contractual allowances are based upon historical collection rates for the related payor agreements. The estimated reimbursement amounts are made on a payor-specific basis and are recorded based on the best information available regarding management’s interpretation of the applicable laws, regulations and reimbursement terms. Revenue for activity-based fees and other services is recognized as work is performed and as amounts are earned. Depending on the specific contractual provisions and nature of the deliverable, revenue from services may be recognized on a straight-line basis over the term of the service, on a proportional performance model, based on level of effort, or when final deliverables have been provided. Additionally, we generate fees from arrangements that include performance targets related to cost-saving initiatives for customers that result from our supply-chain management services. Achievement against performance targets, measured in accordance with contractual terms, may result in additional fees paid to us or, if performance targets are not achieved, we may be obligated to refund or reduce a portion of our fees or to provide credits toward future purchases by the customer. For these arrangements, all contingent revenue is deferred and recognized as the performance target is achieved and the applicable contingency is released. When we determine that a loss is probable under a contract, the estimated loss is accrued. We allocate revenue for arrangements with multiple deliverables meeting the criteria for a separate unit of accounting using the relative selling price method and recognize revenue for each deliverable in accordance with applicable revenue recognition criteria. In most cases, we record revenue gross, as we are the primary obligor in our sales arrangements, bear the risk of general and physical inventory loss and carry all credit risk associated with sales. When we act as an agent in a sales arrangement and do not bear a significant portion of these risks, primarily for our third-party logistics business, we record revenue net of product cost. Sales taxes collected from customers and remitted to governmental authorities are excluded from revenues. Cost of Goods Sold. Cost of goods sold includes the cost of the product (net of supplier incentives and cash discounts) and all costs incurred for shipments of products from manufacturers to our distribution centers for all customer arrangements where we are the primary obligor, bear the risk of general and physical inventory loss and carry all credit risk associated with sales. Cost of goods sold also includes direct and certain indirect labor, material and overhead costs associated with our Proprietary Products business. We have contractual arrangements with certain suppliers that provide incentives, including cash discounts for prompt payment, operational efficiency and performance-based incentives. These incentives are recognized as a reduction in cost of goods sold as targets become probable of achievement. In situations where we act as an agent in a sales arrangement and do not bear a significant portion of these risks, primarily for our third-party logistics business, there is no cost of goods sold and all costs to provide the service to the customer are recorded in selling, general and administrative expenses. As a result of different practices of categorizing costs and different business models throughout our industry, our gross margins may not necessarily be comparable to other distribution companies. 39 Distribution, Selling and Administrative (DS&A) Expenses. DS&A expenses include shipping and handling costs, labor, depreciation, amortization and other costs for selling and administrative functions associated with our distribution and logistics services and all costs associated with our fee-for-service arrangements. Shipping and Handling. Shipping and handling costs are included in DS&A expenses on the consolidated statements of income and include costs to store, to move, and to prepare products for shipment, as well as costs to deliver products to customers. Shipping and handling costs totaled $589.0 million, $558.9 million and $548.6 million for the years ended December 31, 2017, 2016 and 2015, respectively. Third-party shipping and handling costs billed to customers, which are included in net revenue, are immaterial for all periods presented. Share-Based Compensation. We account for share-based payments to employees at fair value and recognize the related expense in selling, general and administrative expenses over the service period for awards expected to vest. Derivative Financial Instruments. We are directly and indirectly affected by changes in certain market conditions, which may adversely impact our financial performance and are referred to as “market risks.” When deemed appropriate, we use derivatives as a risk management tool to mitigate the potential impact of certain market risks, primarily foreign currency exchange risk. We use forward contracts, which are agreements to buy or sell a quantity of a commodity at a predetermined future date, and at a predetermined rate or price. We do not enter into derivative financial instruments for trading purposes. All derivatives are carried at fair value in our consolidated balance sheets, which is determined by using observable market inputs (Level 2). The cash flow impact of the our derivative instruments is primarily included in our consolidated statements of cash flows in net cash provided by operating activities. We did not have any derivatives outstanding as of December 31, 2017 or 2016. Income Taxes. We account for income taxes under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Valuation allowances are provided if it is more likely than not that a deferred tax asset will not be realized. When we have claimed tax benefits that may be challenged by a tax authority, an estimate of the effect of these uncertain tax positions is recorded. It is our policy to provide for uncertain tax positions and the related interest and penalties based upon an assessment of whether a tax benefit is more likely than not to be sustained upon examination by tax authorities. To the extent that the tax outcome of these uncertain tax positions changes, based on our assessment, such changes in estimate may impact the income tax provision in the period in which such determination is made. The Tax Cuts and Jobs Act (the "Act") was enacted on December 22, 2017. To the extent the effects of the Act are reasonably estimable we have recognized provisional amounts. Given the significant complexity of the Act, anticipated guidance from the U.S. Treasury about implementing the Act, and the potential for additional guidance from the Securities and Exchange Commission or the Financial Accounting Standards Board related to the Act, these estimates may be adjusted during 2018. We earn a portion of our operating earnings in foreign jurisdictions outside the United States. Prior to the reporting period in which the Act was enacted we considered foreign earnings to be indefinitely reinvested and provided no United States federal and state taxes or withholding taxes on those earnings. Upon enactment, the Act imposes a tax on our total post-1986 foreign earnings at various tax rates. The Company has recognized a provisional amount of this one-time transition tax. No additional income taxes have been provided for any remaining undistributed foreign earnings not subject to the transition tax, or any additional outside basis difference inherent in these entities, as these amounts continue to be indefinitely reinvested in foreign operations. Determining the amount of unrecognized deferred tax liability related to any remaining undistributed foreign earnings not subject to the transition tax and additional outside basis difference in these entities (i.e., basis difference in excess of that subject to the one-time transition tax) is not practicable. The Company will evaluate its foreign earnings repatriation policy in 2018. Fair Value Measurements. Fair value is determined based on assumptions that a market participant would use in pricing an asset or liability. The assumptions used are in accordance with a three-tier hierarchy, defined by GAAP, that draws a distinction between market participant assumptions based on (i) observable inputs such as quoted prices in active markets (Level 1), (ii) inputs other than quoted prices in active markets that are observable either directly or indirectly (Level 2) and (iii) unobservable inputs that require the use of present value and other valuation techniques in the determination of fair value (Level 3). 40 The carrying amounts of cash and cash equivalents, accounts receivable and accounts payable reported in the consolidated balance sheets approximate fair value due to the short-term nature of these instruments. Property held for sale is reported at estimated fair value less selling costs with fair value determined based on recent sales prices for comparable properties in similar locations (Level 2). The fair value of long-term debt is estimated based on quoted market prices or dealer quotes for the identical liability when traded as an asset in an active market (Level 1) or, if quoted market prices or dealer quotes are not available, on the borrowing rates currently available for loans with similar terms, credit ratings, and average remaining maturities (Level 2). See Note 10 for the fair value of debt. Acquisition-Related and Exit and Realignment Charges. We present costs incurred in connection with acquisitions in acquisition-related and exit and realignment charges in our consolidated statements of income. Acquisition-related charges consist primarily of transaction costs incurred to perform due diligence and to analyze, negotiate and consummate an acquisition, costs to perform post-closing activities to establish the organizational structure, and costs to transition the acquired company’s information technology and other operations and administrative functions from the former owner. Exit and realignment charges consist of costs associated with optimizing our operations which include the closure and consolidation of certain distribution and logistics centers, administrative offices and warehouses in the United States and Europe. These charges also include costs related to our strategic organizational realignment which include management changes, certain professional fees, and costs to streamline administrative functions and processes. Costs associated with exit and realignment activities are recorded at their fair value when incurred. Liabilities are established at the cease-use date for remaining operating lease and other contractual obligations, net of estimated sub-lease income. The net lease termination cost is discounted using a credit-adjusted risk-free rate of interest. We evaluate these assumptions quarterly and adjust the liability accordingly. The current portion of accrued lease and other contractual termination costs is included in other current liabilities on the consolidated balance sheets, and the non-current portion is included in other liabilities. Severance benefits are recorded when payment is considered probable and reasonably estimable. Income Per Share. Basic and diluted income per share are calculated pursuant to the two-class method, under which unvested share-based payment awards containing nonforfeitable rights to dividends are participating securities. Foreign Currency Translation. Our foreign subsidiaries generally consider their local currency to be their functional currency. Assets and liabilities of these foreign subsidiaries are translated into U.S. dollars at period-end exchange rates and revenues and expenses are translated at average exchange rates during the period. Cumulative currency translation adjustments are included in accumulated other comprehensive income (loss) in shareholders’ equity. Gains and losses on intercompany foreign currency transactions that are long-term in nature and which we do not intend to settle in the foreseeable future are also recognized in other comprehensive income (loss) in shareholders’ equity. Realized gains and losses from foreign currency transactions are recorded in other operating income, net in the consolidated statements of income and were not material to our consolidated results of operations in 2017, 2016 and 2015. Business Combinations. We account for acquired businesses using the acquisition method of accounting, which requires that the assets acquired and liabilities assumed be recorded at the date of acquisition at their respective fair values. Any excess of the purchase price over the estimated fair values of the net assets acquired is recorded as goodwill. Recent Accounting Pronouncements. During 2017, we adopted Accounting Standard Updates (ASU’s) issued by the Financial Accounting Standards Board (FASB). In February 2016, the Financial Accounting Standards Board (FASB) issued ASU No. 2016-02, Leases which requires lessees to put most leases on their balance sheets but recognize the expenses on their income statements in a manner similar to current practice. The new standard states that a lessee will recognize a lease liability for the obligation to make lease payments and a right-of-use (ROU) asset for the right to use the underlying asset for the lease term. Expense related to leases determined to be operating leases will be recognized on a straight-line basis, while those determined to be financing leases will be recognized following a front-loaded expense profile in which interest and amortization are presented separately in the income statement. This guidance is effective for fiscal years beginning after December 15, 2018, including interim periods within that reporting period. Early adoption is permitted and should be applied using a modified retrospective approach. We expect this standard will have a material effect on our financial statements. While we are continuing to assess the effect of adoption, we currently believe the most significant changes relate to the recognition of new ROU assets and lease liabilities on our balance sheet for operating leases related to office and warehouse facilities. On January 1, 2017, we adopted ASU No. 2016-09, Improvements to Employee Share-Based Payment Accounting. The amendments in this updated guidance included changes to simplify the Codification for several aspects of the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. As a result of this adoption, we recognized $0.4 million in excess tax benefits in the income statement for the year ended December 31, 2017. In addition, we recorded these tax benefits related 41 to stock based compensation for the current year in operating activities in the statements of cash flows and reclassified $0.8 and $0.6 million from financing activities in 2016 and 2015, respectively, to conform to this presentation. In May 2014, the FASB issued an ASU, Revenue from Contracts with Customers. The amended guidance eliminates industry specific guidance and applies to all companies. Revenue will be recognized when an entity satisfies a performance obligation by transferring control of a promised good or service to a customer in an amount that reflects the consideration to which the entity expects to be entitled for that good or service. Revenue from a contract that contains multiple performance obligations is allocated to each performance obligation generally on a relative standalone selling price basis. Amended guidance was issued on: principal versus agent considerations, shipping and handling activities that occur after the customer has obtained control of a good as an activity to fulfill the promise to transfer the good, clarification on how an entity should evaluate the collectibility threshold and when an entity can recognize nonrefundable consideration received as revenue if an arrangement does not meet the standard’s contract criteria. The amended guidance also requires additional quantitative and qualitative disclosures. These amended standards are all effective for us beginning January 1, 2018 and allow for either full retrospective adoption or modified retrospective adoption (cumulative effect). We have completed our evaluation of the amended guidance, including identification of revenue streams and customer contract reviews. Our revenue is primarily distribution revenue, which we recognize at the time shipment is completed and title passes to the customer. Based on our analysis, the timing of recognition of distribution revenue will be substantially unchanged under the amended guidance. We intend to use the modified retrospective method of adoption. Note 2—Significant Risks and Uncertainties Many of our hospital customers in the U.S. are represented by group purchasing organizations (GPOs) that contract with us for services on behalf of the GPO members. GPOs representing a significant portion of our business are Vizient, Premier, Inc. (Premier) and Health Trust Purchasing Group (HPG). Members of these GPOs have incentives to purchase from their primary selected distributor; however, they operate independently and are free to negotiate directly with distributors and manufacturers. For 2017, 2016 and 2015, net revenue from hospitals under contract with these GPOs represented the following approximate percentages of our net revenue annually: Vizient—43% to 54%; Premier—20% to 21%; and HPG—11% to 14%. Net revenue from sales of product supplied by Medtronic represented approximately 11% of our net revenues for 2017 and 13% of our net revenues for 2016 and 2015. Net revenue from sales of product supplied by Johnson & Johnson represented approximately 9% of our net revenue annually for each of the previous three years. Net revenue from sales of product supplied by Becton Dickinson represented approximately 9% of our net revenue for 2017 and 2016. Note 3—Acquisitions On August 1, 2017, we completed the acquisition of Byram Healthcare, a leading domestic distributor of reimbursable medical supplies sold directly to patients and home health agencies. The consideration was $367 million, net of cash acquired, which is subject to final working capital adjustments with the seller. The purchase price was allocated on a preliminary basis to the underlying assets acquired and liabilities assumed based upon our current estimate of their fair values at the date of acquisition. The purchase price exceeded the preliminary estimated fair value of the net tangible and identifiable intangible assets by $289 million which was allocated to goodwill. The following table presents the preliminary estimated fair value of the assets acquired and liabilities assumed recognized as of the acquisition date. The fair value of intangibles from this acquisition was primarily determined by applying the income approach, using several significant unobservable inputs for projected cash flows and a discount rate. These inputs are considered Level 3 inputs. The allocation of purchase price to assets and liabilities acquired is not yet complete. 42 Preliminary Fair Value Originally Estimated as of Acquisition Date (1) Differences Between Prior and the Current Periods Preliminary Fair Value Estimate Preliminary Fair Value Currently Estimated as of Acquisition Date Assets acquired: Current assets . . . . . . . . . . . . . . . . . . . $ Goodwill. . . . . . . . . . . . . . . . . . . . . . . Intangible assets . . . . . . . . . . . . . . . . . Other noncurrent assets . . . . . . . . . . . Total assets . . . . . . . . . . . . . . . . . . . . . Liabilities assumed: Current liabilities . . . . . . . . . . . . . . . . Noncurrent liabilities . . . . . . . . . . . . . Total liabilities . . . . . . . . . . . . . . . . . . Fair value of net assets acquired, net of cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,902 $ (916) $ 263,155 156,000 3,615 485,672 72,397 46,706 119,103 25,536 (41,000) 1,454 (14,926) 565 (15,491) (14,926) 366,569 $ — $ 61,986 288,691 115,000 5,069 470,746 72,962 31,215 104,177 366,569 (1) As previously reported in our third quarter 2017 Form 10-Q. We are amortizing the preliminary fair value of acquired intangible assets, primarily chronic customer relationships and a trade name, over their weighted average useful lives of three to 10 years. Goodwill of $289 million, which we assigned to our Domestic segment, consists largely of expected opportunities to expand into the non-acute market with direct to patient distribution capabilities. None of the goodwill recognized is expected to be deductible for income tax purposes. Pro forma results of operations for Byram has not been presented because the effects on revenue and net income were not material to our historic consolidated financial statements. We recognized pre-tax acquisition-related expenses of $17.3 million, $1.2 million and $9.8 million for the years ended December 31, 2017, 2016 and 2015. The current year charges were related primarily to transaction and transition costs for Byram and the pending Halyard S&IP transaction. Expenses in 2016 related primarily to costs incurred to settle certain obligations and address other on-going matters associated with the acquisitions of ArcRoyal and Medical Action which were partially offset on a year-to-date basis by the first quarter gain on the sale of property acquired with Medical Action. Charges in 2015 consisted primarily of costs to continue the integration of Medical Action and ArcRoyal which were acquired in the fourth quarter of 2014 including certain severance and contractual payments to the former owner and costs to transition information technology and other administrative functions. Note 4—Accounts Receivable, Net Allowances for losses on accounts receivable of $16.2 million and $13.5 million have been applied as reductions of accounts receivable at December 31, 2017 and 2016. Write-offs of accounts receivable were $0.8 million, $0.9 million and $1.2 million for 2017, 2016 and 2015. Note 5—Merchandise Inventories At December 31, 2017 and 2016 we had inventory of $990.2 million and $916.3 million, of which $964.2 million and $902.2 million were valued under LIFO. If LIFO inventories had been valued on a current cost or FIFO basis, they would have been greater by $119.6 million and $115.4 million as of December 31, 2017 and 2016. At December 31, 2017 and 2016, included in our inventory was $22.1 million and $19.7 million in raw materials, $7.0 million and $10.8 million in work in process and the remainder was finished goods. Note 6—Financing Receivables and Payables At December 31, 2017 and 2016, we had financing receivables of $192.1 million and $156.5 million and related payables of $124.9 million and $110.0 million outstanding under our order-to-cash program, which were included in other current assets and other current liabilities, respectively, in the consolidated balance sheets. 43 Note 7—Property and Equipment Property and equipment consists of the following: December 31, Warehouse equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Computer equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building and improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Leasehold improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Land and improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Furniture and fixtures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Office equipment and other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2017 190,410 $ 2016 167,889 59,746 78,709 71,830 17,638 15,119 12,619 51,513 72,780 60,360 17,311 14,668 8,596 446,071 (239,581) 206,490 $ 393,117 (201,399) 191,718 The gross value of assets recorded under capital leases was $33.4 million and $36.4 million with associated accumulated depreciation of $18.1 million and $16.4 million as of December 31, 2017 and 2016, respectively. Depreciation expense for property and equipment and assets under capital leases was $32.3 million, $32.5 million and $36.3 million for the years ended December 31, 2017, 2016 and 2015. We had no property held for sale at December 31, 2017 or 2016. Note 8—Goodwill and Intangible Assets The following table summarizes the changes in the carrying amount of goodwill through December 31, 2017: Carrying amount of goodwill, December 31, 2016 $ Acquisition (See Note 3). . . . . . . . . . . . . . . . . . . . . Currency translation adjustments . . . . . . . . . . . . . . Carrying amount of goodwill, December 31, 2017. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Domestic International Proprietary Products Consolidated 180,006 288,691 $ — $ 19,391 — 7,772 $ 215,539 — 2,412 414,936 288,691 10,184 468,697 $ 27,163 $ 217,951 $ 713,811 Intangible assets at December 31, 2017 and 2016 were as follows: 2017 Gross intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . $ Accumulated amortization . . . . . . . . . . . . . . . . . . . . . . Net intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Weighted average useful life . . . . . . . . . . . . . . . . . . . . . Customer Relationships 199,265 (54,757) 144,508 11 years Other Intangibles $ $ 43,537 (3,577) 39,960 7 years 2016 Customer Relationships 118,223 $ (38,429) 79,794 14 years $ $ $ Other Intangibles 4,045 (1,328) 2,717 5 years At December 31, 2017, $117.7 million in net intangible assets were held in the Domestic segment, $9.7 million in the International segment, and $57.0 million in the Proprietary Products segment. Amortization expense for intangible assets was $16.4 million for 2017, $10.0 million for 2016 and $9.8 million for 2015. Based on the current carrying value of intangible assets subject to amortization, estimated amortization expense is $25.5 million for 2018, $25.6 million for 2019, $24.6 million for 2020, $22.9 million for 2021 and $22.1 million for 2022. 44 Note 9—Exit and Realignment Costs We periodically incur exit and realignment and other charges associated with optimizing our operations which include the closure and consolidation of certain distribution and logistics centers, administrative offices and warehouses in the United States and Europe. These charges also include costs associated with our strategic organizational realignment which include management changes, certain professional fees, and costs to streamline administrative functions and processes. Exit and realignment charges by segment for the years ended December 31, 2017, 2016 and 2015 were as follows: Year ended December 31, Domestic segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ International segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proprietary Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total exit and realignment charges . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2017 2016 2015 39,823 $ 14,304 $ 1,726 1,893 7,491 1,669 7,318 11,312 — 43,442 $ 23,464 $ 18,630 The following table summarizes the activity related to exit and realignment cost accruals through December 31, 2017: Lease Obligations Severance and Other Total Accrued exit and realignment charges, January 1, 2015. . . . . . . . . . . . . . . . . $ Provision for exit and realignment activities . . . . . . . . . . . . . . . . . . . . . . . . . Change in estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash payments, net of sublease income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued exit and realignment charges, December 31, 2015. . . . . . . . . . . . . . Provision for exit and realignment activities . . . . . . . . . . . . . . . . . . . . . . . . . Change in estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash payments, net of sublease income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued exit and realignment charges, December 31, 2016. . . . . . . . . . . . . . Provision for exit and realignment activities . . . . . . . . . . . . . . . . . . . . . . . . . Change in estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash payments, net of sublease income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued exit and realignment charges, December 31, 2017 . . . . . . . . . . . $ 3,575 $ 2,887 $ 1,118 (3,002) (1,205) 486 — — (486) — — — — — $ 3,965 (875) (4,137) 1,840 11,823 (261) (11,164) 2,238 17,691 (365) (7,592) 11,972 $ 6,462 5,083 (3,877) (5,342) 2,326 11,823 (261) (11,650) 2,238 17,691 (365) (7,592) 11,972 In addition to the exit and realignment accruals in the preceding table, we also incurred $26.1 million of costs that were expensed as incurred for the year ended December 31, 2017, including $15.2 million in consulting costs, $5.1 million in asset write-downs, $4.7 million in information system restructuring costs, and $1.1 million in other costs. We incurred $11.9 million of costs that were expensed as incurred for the year ended December 31, 2016, including $3.6 million in professional service fees, $3.0 million in asset write-downs, $2.9 million in information system costs, $0.9 million in labor costs, $0.7 million in other facility costs and $0.8 million in other costs. We incurred $17.4 million of costs that were expensed as incurred for the year ended December 31, 2015, including $4.6 million in facility costs, $4.5 million in accelerated amortization of an information system that was replaced, $3.8 million in professional service fees, $3.0 million in information systems costs, $1.4 million in labor costs and $0.1 million in other costs. We do not expect significant additional costs in 2018 for activities that were initiated through December 31, 2017; however, we anticipate new actions will be taken in 2018 that will incur costs similar to prior years. 45 Note 10—Debt Debt consists of the following: December 31, 3.875% Senior Notes, $275 million par value, maturing September 2021 . . . . . . . . . . . . . . . . . . . . . . . $ 4.375% Senior Notes, $275 million par value, maturing December 2024 . . . . . . . . . . . . . . . . . . . . . . . Term Loan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revolver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Capital leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less current maturities . . . . . . . . . . . . . . . . . . . . . . . . . Long-term debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2017 2016 Carrying Amount Estimated Fair Value Carrying Amount Estimated Fair Value 272,734 $ 278,080 $ 272,394 $ 274,450 272,959 246,182 104,600 20,888 917,363 (16,619) 900,744 $ 277,915 246,182 104,600 20,888 927,665 (16,619) 911,046 $ 272,444 269,995 — — 24,549 569,387 (4,804) 564,583 $ — — 24,549 568,994 (4,804) 564,190 We have $275 million of 3.875% senior notes due 2021 (the “2021 Notes”) and $275 million of 4.375% senior notes due 2024 (the “2024 Notes”), with interest payable semi-annually. The 2021 Notes were sold at 99.5% of the principal amount with an effective yield of 3.951%. The 2024 Notes were sold at 99.6% of the principal with an effective yield of 4.422%. We have the option to redeem the 2021 Notes and 2024 Notes in part or in whole prior to maturity at a redemption price equal to the greater of 100% of the principal amount or the present value of the remaining scheduled payments discounted at the Treasury Rate plus 30 basis points. On July 27, 2017, we entered into a new Credit Agreement replacing the Amended Credit Agreement. The new agreement provides borrowing capacity of $600 million and a $250 million term loan. We make principal payments under the term loan on a quarterly basis with the remaining outstanding principal due in five years. The revolving credit facility has a five-year maturity. The proceeds from the new borrowing were primarily used to fund the Byram acquisition which closed on August 1, 2017. Under the Credit Agreement, we have the ability to request two one-year extensions and to request an increase in aggregate commitments by up to $200 million. The interest rate on the Credit Agreement, which is subject to adjustment quarterly, is based on the Eurocurrency Rate, the Federal Funds Rate or the Prime Rate, plus an adjustment based on the better of our debt ratings or leverage ratio (Credit Spread) as defined by the Credit Agreement. We are charged a commitment fee of between 12.5 and 25.0 basis points on the unused portion of the facility. The terms of the Credit Agreement limit the amount of indebtedness that we may incur and require us to maintain ratios for leverage and interest coverage, including on a pro forma basis in the event of an acquisition. Based on our Credit Spread, the interest rate under the credit facility at December 31, 2017 is Eurocurrency Rate plus 1.375%. At December 31, 2017, we had borrowings of $104.6 million under the revolver and letters of credit of approximately $5.1 million outstanding under the Credit Agreement, leaving $490.3 million available for borrowing. We also had a letter of credit outstanding for $1.3 million as of December 31, 2017 and $1.1 million at December 31, 2016, which supports our facilities leased in Europe. The Credit Agreement and senior notes contain cross-default provisions which could result in the acceleration of payments due in the event of default of either agreement. We believe we were in compliance with our debt covenants at December 31, 2017. Scheduled future principal payments of debt are $12.5 million in 2018, $12.5 million in 2019, $14.1 million in 2020, $295.3 million in 2021, $292.1 million in 2022, and $275.0 million thereafter. Cash payments for interest during 2017, 2016 and 2015 were $30.6 million, $27.9 million and $27.7 million. We enter into long-term non-cancellable leases for certain warehouse equipment and vehicles which, for accounting purposes, are classified as capital leases. We also operate a kitting facility acquired with Medical Action which is subject to a long-term capital lease. As of December 31, 2017, we were obligated under capital leases for minimum annual rental payments as follows: 46 Year 2018. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2019. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2020. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2021. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2022. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total minimum lease payments. . . . . . . . . . . . . . . . . . . . . . Less: Amounts representing interest . . . . . . . . . . . . . . . . . . Present value of total minimum lease payments . . . . . . . . . Less: Current portion of capital lease obligations. . . . . . . . Long-term portion of capital lease obligations . . . . . . . . . . $ 5,961 3,964 2,791 2,262 2,096 12,637 29,711 (8,823) 20,888 (4,119) 16,769 Note 11—Share-Based Compensation We maintain a share-based compensation plan (the Plan) that is administered by the Compensation and Benefits Committee of the Board of Directors. The Plan allows us to award or grant to officers, directors and employees incentive, non- qualified and deferred compensation stock options, stock appreciation rights (SARs), performance shares, and restricted and unrestricted stock. We use authorized and unissued common shares for grants of restricted stock or for stock option exercises. At December 31, 2017 approximately 1.1 million common shares were available for issuance under the Plan. Restricted stock awarded under the Plan generally vests over one, three or five years. Certain restricted stock grants contain accelerated vesting provisions, based on the satisfaction of certain performance criteria related to the achievement of certain financial and operational results. Performance shares awarded under the Plan are issuable as restricted stock upon meeting performance goals and generally have a total performance and vesting period of three years. Stock options awarded under the Plan are generally subject to graded vesting over three years and expire seven to ten years from the date of grant. The options are granted at a price equal to fair market value at the date of grant. We did not grant any stock options in 2017, 2016, or 2015. We recognize the fair value of stock-based compensation awards, which is based upon the market price of the underlying common stock at the grant date, on a straight-line basis over the estimated requisite service period, which may be based on a service condition, a performance condition, or a combination of both. The fair value of performance shares as of the date of grant is estimated assuming that performance goals will be achieved at target levels. If such goals are not probable of being met, or are probable of being met at different levels, recognized compensation cost is adjusted to reflect the change in estimated fair value of restricted stock to be issued at the end of the performance period. Total share-based compensation expense for December 31, 2017, 2016 and 2015, was $11.9 million, $12.0 million and $11.3 million, with recognized tax benefits of $4.6 million, $4.5 million and $4.4 million. Unrecognized compensation cost related to nonvested restricted stock awards, net of estimated forfeitures, was $28.5 million at December 31, 2017. This amount is expected to be recognized over a weighted-average period of 2.7 years, based on the maximum remaining vesting period required under the awards, and the amount that would be recognized over a shorter period based on accelerated vesting provisions, is approximately $0.9 million. Unrecognized compensation cost related to nonvested performance share awards as of December 31, 2017 was $2.2 million and will be recognized primarily in 2018 if the related performance targets are met. 47 The following table summarizes the activity and value of nonvested restricted stock and performance share awards for the years ended December 31, 2017, 2016 and 2015: 2017 2016 2015 Weighted Average Grant-date Value Per Share Number of Shares Weighted Average Grant-date Value Per Share Weighted Average Grant-date Value Per Share Number of Shares Number of Shares Nonvested awards at beginning of year. . . . . . . . . Granted . . . . . . . . . . . . . . . . Vested . . . . . . . . . . . . . . . . . Forfeited . . . . . . . . . . . . . . . Nonvested awards at end of year . . . . . . . . . . . . . . . . . . . 1,091 $ 1,152 (351) (235) 1,657 44.15 30.55 33.97 34.49 42.60 1,104 $ 572 (337) (248) 1,091 40.02 34.75 32.65 34.06 44.15 814 $ 545 (195) (60) 1,104 33.29 34.25 29.90 33.27 40.02 The total value of restricted stock vesting during the years ended December 31, 2017, 2016 and 2015, was $11.9 million, $11.0 million and $5.8 million. The following table summarizes the activity and terms of outstanding options at December 31, 2017, and for each of the years in the three-year period then ended: Number of Options Weighted Average Exercise Price Per Share Weighted Average Remaining Contractual Life (years) Aggregate Intrinsic Value Options outstanding at December 31, 2014 . . . . . . . . . . . . Exercised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Forfeited . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Options outstanding at December 31, 2015 . . . . . . . . . . . . Exercised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Forfeited . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Options outstanding at December 31, 2016 . . . . . . . . . . . . Exercised . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Forfeited . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Options outstanding at December 31, 2017. . . . . . . . . . . $ 15 (15) — — — — — — — — $ 20.49 20.49 — — — — — — — — — $ — The total intrinsic value of stock options exercised during the years ended December 31, 2017, 2016 and 2015, was $0.0 million, $0.0 million and $0.2 million. No options were granted in 2017, 2016 or 2015. No options were outstanding as of December 31, 2017. Note 12—Retirement Plans Savings and Retirement Plans. We maintain a voluntary 401(k) savings and retirement plan covering substantially all full-time and certain part-time employees in the United States who have completed one month of service and have attained age 18. We match a certain percentage of each employee’s contribution. The plan also provides for a discretionary contribution by us to the plan for all eligible employees of 1% of their salary, subject to certain limits, and discretionary profit-sharing contributions. We may increase or decrease our contributions at our discretion, on a prospective basis. We incurred $9.1 million, $12.5 million, and $12.3 million of expense related to this plan in 2017, 2016 and 2015. We also maintain defined contribution plans in some of the European countries in which we operate. Expenses related to these plans were not material in 2017, 2016 and 2015. U.S. Retirement Plans. We have a noncontributory, unfunded retirement plan for certain officers and other key employees in the United States (U.S. Retirement Plan). In February 2012, our Board of Directors amended the U.S. Retirement Plan to freeze benefit levels and modify vesting provisions under the plan effective as of March 31, 2012. 48 The following table sets forth the U.S. Retirement Plan’s financial status and the amounts recognized in our consolidated balance sheets: December 31, Change in benefit obligation Benefit obligation, beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Interest cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Actuarial (gain) loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Benefits paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Benefit obligation, end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Change in plan assets Fair value of plan assets, beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Employer contribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Benefits paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fair value of plan assets, end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Funded status, end of year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Amounts recognized in the consolidated balance sheets Other current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accumulated other comprehensive loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net amount recognized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Accumulated benefit obligation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Weighted average assumptions used to determine benefit obligation Discount rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rate of increase in compensation levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2017 2016 52,051 $ 51,023 1,887 2,796 (3,460) 53,274 $ 1,980 2,616 (3,568) 52,051 — $ — 3,460 (3,460) — $ $ (53,274) (3,481) $ (49,791) 19,019 (34,253) 53,274 $ $ 3,568 (3,568) — (52,051) (3,405) (48,644) 18,071 (33,978) 52,051 3.25% N/A 3.75% N/A Plan benefit obligations of the U.S. Retirement Plan were measured as of December 31, 2017 and 2016. Plan benefit obligations are determined using assumptions developed at the measurement date. The weighted average discount rate, which is used to calculate the present value of plan liabilities, is an estimate of the interest rate at which the plan liabilities could be effectively settled at the measurement date. When estimating the discount rate, we review yields available on high-quality, fixed-income debt instruments and use a yield curve model from which the discount rate is derived by applying the projected benefit payments under the plan to points on a published yield curve. The components of net periodic benefit cost for the U.S. Retirement Plan, which is included in distribution, selling, and administrative expenses in the consolidated statements of income, were as follows: Year ended December 31, Interest cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Recognized net actuarial loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net periodic benefit cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Weighted average assumptions used to determine net periodic benefit cost Discount rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rate of increase in future compensation levels. . . . . . . . . . . . . . . . . . . . . . . . 2017 2016 2015 1,887 1,849 3,736 $ $ 1,980 1,646 3,626 $ $ 1,806 1,606 3,412 3.75% N/A 4.00% N/A 3.75% N/A Amounts recognized for the U.S. Retirement Plan as a component of accumulated other comprehensive loss as of the end of the year that have not been recognized as a component of the net periodic benefit cost are presented in the following table. We expect to recognize approximately $2.1 million of the net actuarial loss reported in the following table as of December 31, 2017, as a component of net periodic benefit cost during 2018. 49 Year ended December 31, Net actuarial loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Deferred tax benefit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included in accumulated other comprehensive income (loss), net of tax . . . . . . . . . . $ 2017 2016 (19,019) $ 6,939 (12,080) $ (18,071) 7,048 (11,023) As of December 31, 2017, the expected benefit payments required for each of the next five years and the five-year period thereafter for the U.S. Retirement Plan were as follows: Year 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2023-2027. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,452 3,214 3,185 3,056 2,940 12,893 International Retirement Plans. Certain of our foreign subsidiaries have defined benefit pension plans covering substantially all of their respective employees. As of December 31, 2017 and 2016, the accumulated benefit obligation under these plans was $2.4 million and $2.0 million. We recorded $0.1 million in net periodic benefit cost in distribution, selling and administrative expenses for the each of years ended December 31, 2017, 2016 and 2015. Note 13-Income Taxes On December 22, 2017, the President signed the Tax Cuts and Jobs Act (the Act). The Act, among other things, lowered the U.S. corporate income tax rate from 35% to 21% effective January 1, 2018. Consequently we recorded a corresponding net one-time tax benefit of approximately $35 million, substantially all of which was non-cash. This benefit reflects (i) the revaluation of our net deferred tax liability based on a U.S. federal tax rate of 21 percent, partially offset by (ii) a one-time transition tax on our unremitted foreign earnings and profits (E&P), which we will elect to pay over an eight-year period. Due to the complexities involved in accounting for the recently enacted Tax Act, the U.S. Securities and Exchange Commission’s Staff Accounting Bulletin (SAB) 118 requires that the company include in its financial statements the reasonable estimate of the impact of the Act on earnings to the extent such reasonable estimate has been determined. Accordingly, the U.S. provision for income tax for 2017 is based on the reasonable estimate guidance provided by SAB 118. While we have substantially completed our provisional analysis of the income tax effects of the Act and recorded a reasonable estimate of such effects, the net one-time impact related to the Act may differ, possibly materially, due to, further refinement of our calculations as we review all the data necessary to measure the underlying tax basis of certain temporary differences, further analyze the post-1986 E&P for foreign subsidiaries, complete our analysis of the 2017 Act, collect and prepare necessary data, and interpret any additional guidance issued by the U.S. Treasury Department, the IRS, or other standard-setting bodies. We will complete our analysis over a one-year measurement period ending December 22, 2018, and any adjustments during this measurement period will be included as an adjustment to income tax expense in the reporting period when such adjustments are determined. We have not completed our accounting for the income tax effects of certain elements of the Act, including the new GILTI and BEAT taxes. Due to the complexity of these new tax rules, we are continuing to evaluate these provisions of the Act and, for GILTI, whether such taxes are recorded as a current-period expense when incurred or whether such amounts should be factored into a company’s measurement of its deferred taxes. As a result, we have not included an estimate of the tax expense/ benefit related to these items for the period ended December 31, 2017. The components of income (loss) before income taxes consist of the following: Year ended December 31, Income (loss) before income taxes: 2017 2016 2015 U.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 49,903 7,575 57,478 $ $ 150,942 21,600 172,542 $167,444 5,766 $173,210 50 The income tax provision consists of the following: Year ended December 31, Current tax provision (benefit): 2017 2016 2015 Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total current tax provision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred tax provision (benefit): $ 27,043 5,455 2,175 34,673 Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total deferred tax provision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total income tax provision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (43,838) (1,068) (5,082) (49,988) $ (15,315) $ 46,846 8,512 4,179 59,537 5,303 885 (1,970) 4,218 $ 63,755 $ 60,757 11,431 3,714 75,902 (4,744) (376) (981) (6,101) $ 69,801 A reconciliation of the federal statutory rate to our effective income tax rate is shown below: Year ended December 31, Federal statutory rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Increases (decreases) in the rate resulting from: State income taxes, net of federal income tax impact . . . . . . . . . . . . . . . . . . . . . . . Foreign income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Valuation allowance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax Reform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Effective income tax rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2017 2016 2015 35.0 % 35.0 % 35.0 % 4.3 % (8.2)% (1.9)% (60.2)% 4.4 % (26.6)% 3.7 % (4.3)% 0.5 % — % 2.1 % 37.0 % 4.1 % (2.8)% 1.2 % — % 2.8 % 40.3 % The tax effects of temporary differences that give rise to significant portions of the deferred tax assets and deferred tax liabilities are presented below: December 31, Deferred tax assets: Employee benefit plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued liabilities not currently deductible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finance charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Capital leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Allowance for losses on accounts and notes receivable. . . . . . . . . . . . . . . . . . . . . . . . . . Net operating loss carryforwards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total deferred tax assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: valuation allowances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net deferred tax assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred tax liabilities: Merchandise inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Goodwill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Computer software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total deferred tax liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net deferred tax liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ $ 2017 2016 23,181 20,477 2,007 3,732 4,043 16,536 4,311 74,287 (12,726) 61,561 43,683 26,194 10,669 9,473 243 38,726 212 129,200 (67,639) $ $ 35,540 15,693 3,803 6,607 4,069 12,722 4,183 82,617 (12,332) 70,285 71,035 37,854 14,910 15,363 368 18,887 230 158,647 (88,362) 51 The valuation allowances relate to deferred tax assets in various state and non-U.S. jurisdictions. Based on management’s judgments using available evidence about historical and expected future taxable earnings, management believes it is more likely than not that we will realize the benefit of the existing deferred tax assets, net of valuation allowances, at December 31, 2017. The valuation allowances primarily relate to net operating loss carryforwards in non-U.S. jurisdictions which have various expiration dates ranging from five years to an unlimited carryforward period. As part of the Act described above, and as a result of the tax on the deemed repatriation of foreign earnings, substantially all of the Company’s foreign earnings have been subjected to tax in the U.S. However, the Company’s foreign subsidiaries are considered indefinitely reinvested, and no provision for deferred U.S. income taxes has been recorded on the basis differences attributable to those subsidiaries. Cash payments for income taxes, including interest, for 2017, 2016 and 2015 were $41.8 million, $74.1 million and $52.4 million. At December 31, 2017 and 2016, the liability for unrecognized tax benefits was $13.6 million and $10.7 million. A reconciliation of the changes in unrecognized tax benefits from the beginning to the end of the reporting period is as follows: Unrecognized tax benefits at January 1, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Increases for positions taken during current period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Increases for positions taken during prior periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Decreases for positions taken during prior periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lapse of statute of limitations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Settlements with taxing authorities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unrecognized tax benefits at December 31, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ $ 10,725 1,644 1,928 (712) — — 13,585 $ $ 7,657 2,322 1,135 (242) (21) (126) 10,725 2017 2016 Included in the liability for unrecognized tax benefits at December 31, 2017 and 2016, were $5.0 million and $4.7 million of tax positions for which the ultimate deductibility is highly certain but for which there is uncertainty about the timing of such deductibility. These tax positions are temporary differences which do not impact the annual effective tax rate under deferred tax accounting. Any change in the deductibility period of these tax positions would impact the timing of cash payments to taxing jurisdictions. Unrecognized tax benefits of $6.4 million and $5.5 million at December 31, 2017 and 2016, would impact our effective tax rate if recognized. We recognize accrued interest and penalties related to unrecognized tax benefits in income tax expense. Accrued interest at December 31, 2017 and 2016 was $0.6 million and $0.4 million. We recognized $0.2 million in interest expense in 2017, $0.2 million in 2016 and $0.1 million in 2015. There were no penalties accrued at December 31, 2017 and 2016 or recognized in 2017, 2016 and 2015. We file income tax returns in the U.S. federal and various state and foreign jurisdictions. Our U.S. federal income tax returns for the years 2014, 2015 and 2016 are subject to examination. Our income tax returns for U.S. state and local jurisdictions are generally open for the years 2014 through 2016; however, certain returns may be subject to examination for differing periods. The former owners are contractually obligated to indemnify us for all income tax liabilities incurred by the Movianto business prior to its acquisition on August 31, 2012 and for all income tax liabilities incurred by Byram entities prior to its acquisition on August 1, 2017. 52 Note 14—Net Income per Common Share The following table summarizes the calculation of net income per share attributable to common shareholders for the years ended December 31, 2017, 2016 and 2015: Year ended December 31, Numerator: 2017 2016 2015 Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Less: income allocated to unvested restricted shares . . . . . . . . . . . . Net income attributable to common shareholders—basic . . . . . . . . . . . . $ 72,793 (1,060) 71,733 $ 108,787 (1,147) 107,640 103,409 (925) 102,484 Add: undistributed income attributable to unvested restricted shares—basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: undistributed income attributable to unvested restricted shares—diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net income attributable to common shareholders—diluted . . . . . . . . . . $ 58 297 235 (58) 71,733 $ (297) 107,640 $ (235) 102,484 Denominator: Weighted average shares outstanding—basic. . . . . . . . . . . . . . . . . . Dilutive shares—stock options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Weighted average shares outstanding—diluted . . . . . . . . . . . . . . . . 60,001 — 60,001 61,093 — 61,093 62,116 1 62,117 Net income attributable to common shareholders: Basic and diluted. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1.20 $ 1.76 $ 1.65 Note 15—Shareholders’ Equity We had a shareholder rights agreement that expired on April 30, 2014 and was not renewed or replaced. All Rights attendant to outstanding shares of our common stock under the agreement also expired on April 30, 2014. In February 2014 our Board of Directors authorized a share repurchase program of up to $100 million of our outstanding common stock to be executed at the discretion of management over a three-year period, expiring in February 2017. The program was intended, in part, to offset shares issued in conjunction with our stock incentive plans and return capital to shareholders. The authorized repurchases under this program were completed in December 2016. In October 2016, our Board of Directors authorized a new share repurchase program of up to $100 million of the company’s outstanding common stock to be executed at the discretion of management over a three-year period. The new authorization took effect in December 2016 upon the completion of the previous authorization. The timing of repurchases and the exact number of shares of common stock to be purchased will depend upon market conditions and other factors and may be suspended or discontinued at any time. Purchases under the share repurchase program are made either pursuant to 10b5-1 plans entered into by the company from time to time and/or during the company’s scheduled quarterly trading windows for officers and directors. During the year ended December 31, 2017, we repurchased in open-market transactions and retired approximately 0.2 million shares of our common stock for an aggregate of $5.0 million, or an average price per share of $32.27. As of December 31, 2017, we have $94.0 million in remaining authorization available under the repurchase program. We have elected to allocate any excess of share repurchase price over par value to retained earnings. During the year ended December 31, 2016, we repurchased in open-market transactions and retired approximately 2.0 million shares of our common stock for an aggregate of $71.0 million, or an average price per share of $34.72. During the year ended December 31, 2015, we repurchased in open-market transactions and retired approximately 0.6 million shares of our common stock for an aggregate of $20.0 million, or an average price per share of $34.04. 53 Note 16 — Accumulated Other Comprehensive Income The following tables show the changes in accumulated other comprehensive income (loss) by component for the years ended December 31, 2017, 2016 and 2015: Retirement Plans Currency Translation Adjustments Other Total Accumulated other comprehensive income (loss), December 31, 2016. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Other comprehensive income (loss) before reclassifications . . . . . . . . Income tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income (loss) before reclassifications, net of tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts reclassified from accumulated other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts reclassified from accumulated other comprehensive income (loss), net of tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . Accumulated other comprehensive income (loss), December 31, 2017. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (11,209) (2,796) 727 $ (56,245) 43,060 $ (29) 196 $ (67,483) 40,460 — — 727 (2,069) 43,060 196 41,187 1,933 (721) 1,212 (857) — — — 43,060 — — — 196 1,933 (721) 1,212 42,399 (12,066) $ (13,185) $ 167 $ (25,084) Retirement Plans Currency Translation Adjustments Other Total Accumulated other comprehensive income (loss), December 31, 2015. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Other comprehensive income (loss) before reclassifications . . . . . . . . Income tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income (loss) before reclassifications, net of tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts reclassified from accumulated other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts reclassified from accumulated other comprehensive income (loss), net of tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . Accumulated other comprehensive income (loss), December 31, 2016. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (10,482) (2,716) 869 $ (41,228) (15,017) — (1,847) (15,017) 1,646 (526) 1,120 (727) — — — (15,017) $ (115) 86 — 86 — — — 86 $ (51,825) (17,647) 869 (16,778) 1,646 (526) 1,120 (15,658) (11,209) $ (56,245) $ (29) $ (67,483) 54 Retirement Plans Currency Translation Adjustments Other Total Accumulated other comprehensive income (loss), December 31, 2014. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Other comprehensive income (loss) before reclassifications . . . . . . . . Income tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income before reclassifications, net of tax. . . . . Amounts reclassified from accumulated other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts reclassified from accumulated other comprehensive income (loss), net of tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . Accumulated other comprehensive income (loss), December 31, 2015. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (10,323) (1,855) 670 $ (13,647) (27,581) — $ (31) (84) — $ (24,001) (29,520) 670 (1,185) (27,581) (84) (28,850) 1,606 (580) 1,026 (159) — — — (27,581) — — — (84) 1,606 (580) 1,026 (27,824) (10,482) $ (41,228) $ (115) $ (51,825) We include amounts reclassified out of accumulated other comprehensive income related to defined benefit pension plans as a component of net periodic pension cost recorded in selling, general and administrative expenses. For the years ended December 31, 2017, 2016 and 2015 we reclassified $1.8 million, $1.6 million and $1.6 million of actuarial net losses. Note 17—Commitments and Contingencies We have a contractual commitment to outsource information technology operations, including the management and operation of our information technology systems and distributed services processing, as well as application support, development and enhancement services. This agreement expires in November 2021, with an optional 180 day extension. The commitment is cancelable with 180 days notice and payment of a termination fee based upon the remaining period left under the agreement. We pay scheduled fees under the agreement, which can vary based on changes in the level of support required. Assuming no early termination of the contract, our estimated remaining annual obligations under this agreement are $35.0 million in 2018, $31.3 million in 2019, $28.9 million in 2020, and $25.4 million in 2021. We have entered into non-cancelable agreements to lease most of our office and warehouse facilities with remaining terms generally ranging from one to 20 years. Certain leases include renewal options, generally for five-year increments. We also lease most of our transportation and material handling equipment for terms generally ranging from three to ten years. At December 31, 2017, future minimum annual payments under non-cancelable lease agreements with original terms in excess of one year, and including payments required under operating leases for facilities we have vacated, are as follows: 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total minimum payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Total 63,873 53,744 41,014 30,808 20,205 52,578 262,222 Rent expense for all operating leases for the years ended December 31, 2017, 2016 and 2015, was $73.1 million, $70.0 million and $70.8 million. 55 On October 31, 2017, we entered into a Purchase Agreement to acquire the Surgical and Infection Prevention (“S&IP”) business of Halyard Health, Inc. ("Halyard") for $710 million in cash, subject to certain adjustments as provided in the Purchase Agreement. Halyard’s S&IP business is a leading global provider of medical supplies and solutions for the prevention of healthcare-associated infections across the acute and alternate site channels. In connection with the pending financing for this transaction, we have accrued $12.6 million in deferred financing costs which is a non-cash financing activity in 2017. The transaction is expected to close early in the second quarter of 2018. Note 18—Legal Proceedings We are subject to various legal actions that are ordinary and incidental to our business, including contract disputes, employment, workers’ compensation, product liability, regulatory and other matters. We have insurance coverage for employment, product liability, workers’ compensation and other personal injury litigation matters, subject to policy limits, applicable deductibles and insurer solvency. We establish reserves from time to time based upon periodic assessment of the potential outcomes of pending matters. Based on current knowledge and the advice of counsel, we believe that the accrual as of December 31, 2017 for currently pending matters considered probable of loss, which is not material, is sufficient. In addition, we believe that other currently pending matters are not reasonably likely to result in a material loss, as payment of the amounts claimed is remote, the claims are insignificant, individually and in the aggregate, or the claims are expected to be adequately covered by insurance. Note 19—Segment Information We periodically evaluate our application of accounting guidance for reportable segments and disclose information about reportable segments based on the way management organizes the enterprise for making operating decisions and assessing performance. We report our business under three segments: Domestic, International and Proprietary Products. The Domestic segment includes our United States distribution, logistics and value-added services business. Byram, acquired August 1, 2017 is included in the Domestic segment. The International segment consists of our European distribution, logistics and value-added services business. The Proprietary Products segment provides product-related solutions, including surgical and procedural kitting and sourcing. We evaluate the performance of our segments based on their operating earnings excluding acquisition-related and exit and realignment charges, certain purchase price fair value adjustments, and other substantive items that, either as a result of their nature or size, would not be expected to occur as part of our normal business operations on a regular basis. Segment assets exclude inter-segment account balances as we believe their inclusion would be misleading or not meaningful. We believe all inter-segment sales are at prices that approximate market. 56 The following tables present financial information by segment: Year ended December 31, Net revenue: 2017 2016 2015 Segment net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Domestic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ International. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proprietary Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,794,390 $ 9,191,574 $ 9,176,855 391,628 504,026 343,674 539,580 372,638 561,812 Total segment net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,690,044 10,074,828 10,111,305 Inter-segment net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proprietary Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total inter-segment net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . Consolidated net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (371,769) (371,769) 9,318,275 Operating earnings (loss): Domestic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proprietary Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inter-segment eliminations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Acquisition-related and exit and realignment charges (1). . . . . . . . . . . . . Other (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Consolidated operating earnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 134,059 (3,861) 32,950 243 (60,707) (13,433) 89,251 $ $ $ $ (351,397) (351,397) 9,723,431 165,495 5,596 53,799 (616) (24,675) — (338,359) (338,359) 9,772,946 162,944 3,198 61,932 (811) (28,404) 1,500 $ 199,599 $ 200,359 Depreciation and amortization: Domestic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proprietary Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,482 $ 29,469 $ 16,327 8,634 17,117 8,807 Consolidated depreciation and amortization . . . . . . . . . . . . . . . . . . $ 59,443 $ 55,393 $ Capital expenditures: Domestic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proprietary Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Consolidated capital expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . $ 32,858 $ 14,333 $ 14,074 3,805 50,737 $ 12,874 2,914 30,121 $ 34,425 18,903 8,180 61,508 17,310 18,158 1,148 36,616 (1) The year ended December 31, 2015 included $4.5 million of accelerated amortization related to an information system that was replaced. (2) 2017 included software as a service (SaaS) implementation costs associated with the upgrading of our global IT platforms in connection with the redesign of our global information system strategy. 2015 included a $1.5 million insurance recovery associated with a 2014 contract claim settlement with a customer in the U.K. 57 December 31, Total assets: 2017 2016 Domestic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proprietary Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Segment assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,437,485 $ 1,778,481 433,513 400,773 3,271,771 104,522 352,898 400,885 2,532,264 185,488 Consolidated total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,376,293 $ 2,717,752 The following tables present information by geographic area. Net revenues were attributed to geographic areas based on the locations from which we ship products or provide services. International operations consist primarily of Movianto’s operations in the United Kingdom, Ireland, Germany, France, and other European countries. Year ended December 31, Net revenue: 2017 2016 2015 United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ United Kingdom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,899,208 $ 9,338,543 $ 9,356,140 175,703 169,874 192,818 Ireland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . France. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Germany. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other European countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,937 39,279 49,227 97,921 41,214 38,761 47,514 87,525 44,168 44,592 46,848 88,380 Consolidated net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,318,275 $ 9,723,431 $ 9,772,946 December 31, Long-lived assets: United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Germany . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United Kingdom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ireland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . France . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other European countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2017 2016 327,442 $ 217,985 42,255 37,648 22,987 6,107 16,398 39,734 32,349 21,567 5,173 16,643 Consolidated long-lived assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 452,837 $ 333,451 Note 20—Condensed Consolidating Financial Information The following tables present condensed consolidating financial information for: Owens & Minor, Inc. (O&M); the guarantors of Owens & Minor, Inc.’s 2021 Notes and 2024 Notes, on a combined basis; and the non-guarantor subsidiaries of the 2021 Notes and 2024 Notes, on a combined basis. The guarantor subsidiaries are 100% owned by Owens & Minor, Inc. Separate financial statements of the guarantor subsidiaries are not presented because the guarantees by our guarantor subsidiaries are full and unconditional, as well as joint and several, and we believe the condensed consolidating financial information is more meaningful in understanding the financial position, results of operations and cash flows of the guarantor subsidiaries. 58 Condensed Consolidating Financial Information Year ended December 31, 2017 Statements of Income Net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . Gross margin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distribution, selling and administrative expenses . Acquisition-related and exit and realignment charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other operating (income) expense, net . . . . . . . . . Operating (loss) earnings. . . . . . . . . . . . . . . . . . . . Interest expense (income), net. . . . . . . . . . . . . . . . Income (loss) before income taxes . . . . . . . . . . . . Income tax (benefit) provision . . . . . . . . . . . . . . . Equity in earnings (loss) of subsidiaries . . . . . . . . Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income (loss), net of tax . . . Comprehensive income (loss) . . . . . . . . . . . . . . . $ Year ended December 31, 2016 Statements of Income Net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . Gross margin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distribution, selling and administrative expenses . Acquisition-related and exit and realignment charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other operating (income) expense, net . . . . . . . . . Operating (loss) earnings. . . . . . . . . . . . . . . . . . . . Interest expense (income), net. . . . . . . . . . . . . . . . Income (loss) before income taxes . . . . . . . . . . . . Income tax (benefit) provision . . . . . . . . . . . . . . . Equity in earnings (loss) of subsidiaries . . . . . . . . Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income (loss), net of tax . . . Comprehensive income (loss) . . . . . . . . . . . . . . . $ Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated — $ 8,582,868 $ 915,350 $ — — (395) — — 395 27,482 (27,087) — 99,880 72,793 42,399 115,192 7,802,499 780,369 643,073 524,035 391,315 374,300 52,986 3,887 80,423 546 79,877 (12,409) (3,527) 88,759 42,209 130,968 $ $ 7,721 1,043 8,251 3,745 4,506 (2,906) — 7,412 42,612 50,024 (179,943) $ (180,125) 182 — — — 182 — 182 — (96,353) (96,171) (84,821) (180,992) $ $ 9,318,275 8,146,409 1,171,866 1,016,978 60,707 4,930 89,251 31,773 57,478 (15,315) — 72,793 42,399 115,192 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated (164,788) $ (165,433) 645 — — — 645 — 645 — (138,426) (137,781) 30,497 (107,284) $ $ 9,723,431 8,536,121 1,187,310 970,424 24,675 (7,388) 199,599 27,057 172,542 63,755 — 108,787 (15,658) 93,129 — $ 9,190,660 $ 697,559 $ — — 1,127 8,330,960 859,700 670,800 — — (1,127) 28,901 (30,028) — 138,815 108,787 (15,658) 93,129 $ 15,611 (5,066) 178,355 (4,744) 183,099 61,545 (389) 121,165 (15,480) 105,685 $ 370,594 326,965 298,497 9,064 (2,322) 21,726 2,900 18,826 2,210 — 16,616 (15,017) 1,599 59 Year ended December 31, 2015 Statements of Income Net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . Gross margin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distribution, selling and administrative expenses . Acquisition-related and exit and realignment charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other operating (income) expense, net . . . . . . . . . Operating (loss) earnings. . . . . . . . . . . . . . . . . . . . Interest expense (income), net. . . . . . . . . . . . . . . . Income (loss) before income taxes . . . . . . . . . . . . Income tax (benefit) provision . . . . . . . . . . . . . . . Equity in earnings (loss) of subsidiaries . . . . . . . . Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . Other comprehensive income (loss), net of tax . . . Comprehensive income (loss) . . . . . . . . . . . . . . . $ Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated — $ 9,176,855 $ 751,442 $ — — 1,229 8,305,734 871,121 684,021 — — (1,229) 27,457 (28,686) (9,837) 122,258 103,409 (27,824) 75,585 $ 8,877 (2,621) 180,844 (3,371) 184,215 71,807 (10,348) 102,060 (27,829) 74,231 410,009 341,433 308,533 19,527 (5,352) 18,725 3,063 15,662 7,831 — 7,831 (27,581) (19,750) $ $ (155,351) $ (157,370) 2,019 — — — 2,019 — 2,019 — (111,910) (109,891) 55,410 (54,481) $ 9,772,946 8,558,373 1,214,573 993,783 28,404 (7,973) 200,359 27,149 173,210 69,801 — 103,409 (27,824) 75,585 60 December 31, 2017 Balance Sheets Assets Current assets Cash and cash equivalents . . . . . . . . . . . . . . . $ Accounts receivable, net . . . . . . . . . . . . . . . . Merchandise inventories . . . . . . . . . . . . . . . . Other current assets . . . . . . . . . . . . . . . . . . . . Total current assets. . . . . . . . . . . . . . . . . . . . Property and equipment, net . . . . . . . . . . . . . . . . . Goodwill, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intangible assets, net . . . . . . . . . . . . . . . . . . . . . . . Due from O&M and subsidiaries . . . . . . . . . . . . . Advances to and investments in consolidated subsidiaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets, net. . . . . . . . . . . . . . . . . . . . . . . . . . . Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . $ Liabilities and equity Current liabilities Accounts payable . . . . . . . . . . . . . . . . . . . . . . $ Accrued payroll and related liabilities . . . . . . Other current liabilities. . . . . . . . . . . . . . . . . . Total current liabilities. . . . . . . . . . . . . . . . . Long-term debt, excluding current portion . . . . . . Due to O&M and subsidiaries . . . . . . . . . . . . . . . . Intercompany debt . . . . . . . . . . . . . . . . . . . . . . . . . Deferred income taxes. . . . . . . . . . . . . . . . . . . . . . Other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities. . . . . . . . . . . . . . . . . . . . . . . . Equity Common stock . . . . . . . . . . . . . . . . . . . . . . . . Paid-in capital. . . . . . . . . . . . . . . . . . . . . . . . . Retained earnings (deficit) . . . . . . . . . . . . . . . Accumulated other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total equity . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and equity . . . . . . . . . . . . . . $ Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated 13,700 $ 865 $ 89,957 $ — $ — — 100 559,269 902,190 123,067 13,800 1,585,391 — — — — 107,010 180,006 9,582 439,654 2,114,853 — 2,128,653 $ 558,429 57,724 2,937,796 206,410 89,580 205,087 591,034 99,480 533,805 174,886 — — 31,895 1,431,100 $ (6,743) (1,577) — (8,320) — — — (439,654) (2,673,282) — $ (3,121,256) $ 104,522 758,936 990,193 328,254 2,181,905 206,490 713,811 184,468 — — 89,619 3,376,293 947,572 30,416 331,745 1,309,733 900,744 — — 74,247 76,090 2,360,814 122,952 226,937 690,674 (6,763) $ — — (6,763) — (1,068,703) (138,890) — — (1,214,356) — (758,483) (1,185,749) 37,332 (1,906,900) $ (3,121,256) $ (25,084) 1,015,479 3,376,293 — $ 824,307 $ 130,028 $ — 5,822 5,822 545,352 562,000 — — — 15,504 140,048 979,859 340,672 — 138,890 25,493 66,136 1,113,174 1,551,050 122,952 226,937 690,674 — 174,614 1,236,165 (25,084) 1,015,479 (24,033) 1,386,746 14,912 185,875 330,815 14,720 506,703 — 48,754 9,954 910,946 — 583,869 (50,416) (13,299) 520,154 2,128,653 $ 2,937,796 $ 1,431,100 61 Condensed Consolidating Financial Information Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated December 31, 2016 Balance Sheets Assets Current assets Cash and cash equivalents . . . . . . . . . . . . . . . $ Accounts receivable, net . . . . . . . . . . . . . . . . Merchandise inventories . . . . . . . . . . . . . . . . Other current assets . . . . . . . . . . . . . . . . . . . . Total current assets. . . . . . . . . . . . . . . . . . . . Property and equipment, net . . . . . . . . . . . . . . . . . Goodwill, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intangible assets, net . . . . . . . . . . . . . . . . . . . . . . . Due from O&M and subsidiaries . . . . . . . . . . . . . Advances to and investments in consolidated subsidiaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets, net. . . . . . . . . . . . . . . . . . . . . . . . . . . 38,015 $ 61,266 $ 86,207 $ — $ — — 106 526,170 856,566 86,907 38,121 1,530,909 — — — — 2,044,963 — 97,725 180,006 11,655 312,602 152,886 49,887 90,016 61,505 167,143 404,871 93,993 234,930 70,856 — — 16,661 (10,102) (1,760) — (11,862) — — — (312,602) (2,197,849) — 185,488 606,084 916,311 254,156 1,962,039 191,718 414,936 82,511 — — 66,548 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,083,084 $ 2,335,670 $ 821,311 $ (2,522,313) $ 2,717,752 Liabilities and equity Current liabilities Accounts payable . . . . . . . . . . . . . . . . . . . . . . $ Accrued payroll and related liabilities . . . . . . Other current liabilities. . . . . . . . . . . . . . . . . . Total current liabilities. . . . . . . . . . . . . . . . . Long-term debt, excluding current portion . . . . . . Due to O&M and subsidiaries . . . . . . . . . . . . . . . . Intercompany debt . . . . . . . . . . . . . . . . . . . . . . . . . Deferred income taxes. . . . . . . . . . . . . . . . . . . . . . Other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities. . . . . . . . . . . . . . . . . . . . . . . . Equity Common stock . . . . . . . . . . . . . . . . . . . . . . . . Paid-in capital. . . . . . . . . . . . . . . . . . . . . . . . . Retained earnings (deficit) . . . . . . . . . . . . . . . Accumulated other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total equity . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and equity . . . . . . . . . . . . . . $ (7,951) $ — — (7,951) — (619,146) (138,890) — — (765,987) — (758,486) (1,102,968) 750,750 45,051 238,837 1,034,638 564,583 — — 90,383 68,110 1,757,714 122,062 219,955 685,504 105,128 (1,756,326) $ (2,522,313) $ (67,483) 960,038 2,717,752 — $ 683,189 $ 75,512 $ — 7,106 7,106 544,838 571,102 — — — 32,814 93,327 809,330 3,219 — 138,890 70,280 60,578 1,123,046 1,082,297 122,062 219,955 685,504 — 174,614 1,145,000 (67,483) 960,038 (66,241) 1,253,373 12,237 138,404 226,153 16,526 48,044 — 20,103 7,532 318,358 — 583,872 (42,032) (38,887) 502,953 2,083,084 $ 2,335,670 $ 821,311 62 Condensed Consolidating Financial Information Year ended December 31, 2017 Statements of Cash Flows Operating activities: Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Adjustments to reconcile net income to cash (used for) provided by operating activities: Owens & Minor, Inc. Guarantor Subsidiaries Non- guarantor Subsidiaries Eliminations Consolidated 72,793 $ 88,759 $ 7,412 $ (96,171) $ 72,793 (51,271) (25,000) Equity in earnings of subsidiaries . . . . . . . . . . . . . (99,880) Intercompany dividend. . . . . . . . . . . . . . . . . . . . . . Depreciation and amortization . . . . . . . . . . . . . . . . Share-based compensation expense . . . . . . . . . . . . Provision for losses on accounts receivable . . . . . . Deferred income tax (benefit) expense . . . . . . . . . Changes in operating assets and liabilities: Accounts receivable . . . . . . . . . . . . . . . . . . . . Merchandise inventories. . . . . . . . . . . . . . . . . Accounts payable . . . . . . . . . . . . . . . . . . . . . . Net change in other assets and liabilities . . . . Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash provided by (used for) operating activities Investing activities:. . . . . . . . . . . . . . . . . . . . . . . . . . . . Acquisition, net of cash acquired . . . . . . . . . . . . . . . . . . Additions to computer software and intangible assets . . Additions to property and equipment. . . . . . . . . . . . . . . Proceeds from sale of property and equipment . . . . . . . Cash used for investing activities Financing activities: . . . . . . . . . . . . . . . . . . . . . . . . . . . — — — — — — — — (1,277) (1) (28,365) — — — — — 3,527 25,000 34,548 11,911 2,450 — — 24,895 — 224 (44,879) (5,109) (35,549) (45,624) 141,118 (26,456) 6,605 161,410 (366,569) (7,587) (25,270) 198 (61,103) (11,224) 1,775 (7,836) (305) — (8,537) (9,343) 465 (399,228) (17,415) Change in intercompany advances . . . . . . . . . . . . . . . . . 75,969 (170,358) Intercompany dividend. . . . . . . . . . . . . . . . . . . . . . . . . . Proceeds from issuance of debt . . . . . . . . . . . . . . . . . . . Borrowings under revolving credit facility . . . . . . . . . . Repayment of debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Financing costs paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash dividends paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repurchases of common stock . . . . . . . . . . . . . . . . . . . . Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash provided by (used for) financing activities . . . . Effect of exchange rates on cash and cash equivalents Net increase (decrease) in cash and cash equivalents Cash and cash equivalents at beginning of year . . . . — — — — — (63,151) (5,000) (3,768) 4,050 — (24,315) 38,015 — 250,000 104,600 (3,125) (1,798) — — (1,902) 177,417 — (60,401) 61,266 94,389 (25,000) — — — — — — (3,050) 66,339 6,097 3,750 86,207 96,353 (25,000) — — — — (3,358) (184) 1,054 2,306 — — — — — — — 25,000 — — — — — — — 25,000 — — — — — 59,443 11,911 2,674 (49,988) (100,010) (57,032) 143,947 (33,263) 6,299 56,774 (366,569) (16,124) (34,613) 663 (416,643) — — 250,000 104,600 (3,125) (1,798) (63,151) (5,000) (8,720) 272,806 6,097 (80,966) 185,488 104,522 Cash and cash equivalents at end of year. . . . . . . . . . $ 13,700 $ 865 $ 89,957 $ — $ 63 Year ended December 31, 2016 Statements of Cash Flows Operating activities: Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Adjustments to reconcile net income to cash (used for) provided by operating activities: Owens & Minor, Inc. Guarantor Subsidiaries Non- guarantor Subsidiaries Eliminations Consolidated 108,787 $ 121,165 $ 16,616 $ (137,781) $ 108,787 Equity in earnings of subsidiaries . . . . . . . . . . . . . (138,815) Depreciation and amortization . . . . . . . . . . . . . . . . Share-based compensation expense . . . . . . . . . . . . Provision for losses on accounts receivable . . . . . . Deferred income tax (benefit) expense . . . . . . . . . Changes in operating assets and liabilities: Accounts receivable . . . . . . . . . . . . . . . . . . . . Merchandise inventories. . . . . . . . . . . . . . . . . Accounts payable . . . . . . . . . . . . . . . . . . . . . . Net change in other assets and liabilities . . . . Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash provided by (used for) operating activities Investing activities:. . . . . . . . . . . . . . . . . . . . . . . . . . . . Additions to computer software and intangible assets . . Additions to property and equipment. . . . . . . . . . . . . . . Proceeds from sale of property and equipment . . . . . . . Cash used for investing activities Financing activities: . . . . . . . . . . . . . . . . . . . . . . . . . . . Change in intercompany advances . . . . . . . . . . . . . . . . . Cash dividends paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repurchases of common stock . . . . . . . . . . . . . . . . . . . . Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash provided by (used for) financing activities . . . . Effect of exchange rates on cash and cash equivalents Net increase (decrease) in cash and cash equivalents Cash and cash equivalents at beginning of year . . . . — — — — — — — 180 1,615 (28,233) — — — — 101,424 (63,382) (71,028) (4,050) (37,036) — (65,269) 103,284 389 29,589 12,042 84 6,245 (18,581) 26,666 20,280 (26,397) 999 172,481 (4,004) (10,329) 125 (14,208) — 25,804 — 293 (2,027) (6,358) (3,449) 22,862 (11,342) 1,048 43,447 (5,815) (9,973) 5,250 (10,538) (100,308) (1,116) — — (2,313) (102,621) — 55,652 5,614 — — (1,931) (3,047) 4,223 34,085 52,122 138,426 — — — — (305) (628) 288 — — — — — — — — — — — — — — — Cash and cash equivalents at end of year. . . . . . . . . . $ 38,015 $ 61,266 $ 86,207 $ — $ — 55,393 12,042 377 4,218 (25,244) 22,589 43,430 (37,559) 3,662 187,695 (9,819) (20,302) 5,375 (24,746) — (63,382) (71,028) (8,294) (142,704) 4,223 24,468 161,020 185,488 64 Condensed Consolidating Financial Information Year ended December 31, 2015 Statements of Cash Flows Operating activities: Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Adjustments to reconcile net income to cash (used for) provided by operating activities: Owens & Minor, Inc. Guarantor Subsidiaries Non- guarantor Subsidiaries Eliminations Consolidated 103,409 $ 102,060 $ 7,831 $ (109,891) $ 103,409 — 31,485 — (226) (834) (27,274) (1,277) 13,418 6,443 456 30,022 (2,397) (16,910) 56 Equity in earnings of subsidiaries . . . . . . . . . . . . . (122,258) Depreciation and amortization . . . . . . . . . . . . . . . . Share-based compensation expense . . . . . . . . . . . . Provision for losses on accounts receivable . . . . . . Deferred income tax (benefit) expense . . . . . . . . . Changes in operating assets and liabilities: Accounts receivable . . . . . . . . . . . . . . . . . . . . Merchandise inventories. . . . . . . . . . . . . . . . . Accounts payable . . . . . . . . . . . . . . . . . . . . . . Net change in other assets and liabilities . . . . Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . — — — — — — — 666 1,501 10,348 34,497 11,306 202 (5,267) 12,076 (66,317) 95,624 61,454 920 Cash provided by (used for) operating activities (16,682) 256,903 Investing activities: Additions to computer software and intangible assets . . Additions to property and equipment. . . . . . . . . . . . . . . Proceeds from sale of property and equipment . . . . . . . Cash used for investing activities . . . . . . . . . . . . . . . . Financing activities: Proceeds from (repayment of) revolver . . . . . . . . . . . . . Change in intercompany advances . . . . . . . . . . . . . . . . . Cash dividends paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repurchases of common stock . . . . . . . . . . . . . . . . . . . . Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash provided by (used for) financing activities Effect of exchange rates on cash and cash equivalents Net increase (decrease) in cash and cash equivalents Cash and cash equivalents at beginning of year . . . . Cash and cash equivalents at end of year. . . . . . . . . . $ — — — — — 183,688 (63,651) (20,000) (2,084) 97,953 — 81,271 22,013 (13,688) (3,621) 87 (17,222) (19,251) (33,700) (201,851) — — (2,428) (237,979) — 1,702 3,912 — 18,163 — — (3,016) 15,147 (4,643) 21,275 30,847 111,910 — — — — 33,531 (2,133) 4,969 (38,386) — — — — — — — — — — — — — — — — 65,982 11,306 (24) (6,101) 18,333 (69,727) 114,011 30,177 2,877 270,243 (16,085) (20,531) 143 (36,473) (33,700) — (63,651) (20,000) (7,528) (124,879) (4,643) 104,248 56,772 161,020 103,284 $ 5,614 $ 52,122 $ — $ 65 Report of Independent Registered Public Accounting Firm To the Board of Directors and Shareholders Owens & Minor, Inc.: Opinion on the Consolidated Financial Statements We have audited the accompanying consolidated balance sheets of Owens & Minor, Inc. and subsidiaries (the “Company”) as of December 31, 2017 and 2016, the related consolidated statements of income, comprehensive income, changes in shareholders’ equity, and cash flows for each of the years in the three year period ended December 31, 2017, and the related notes (collectively, the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2017 and 2016, and the results of its operations and its cash flows for each of the years in the three year period ended December 31, 2017, in conformity with U.S. generally accepted accounting principles. We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (“PCAOB”), the Company’s internal control over financial reporting as of December 31, 2017, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission, and our report dated February 23, 2018 expressed an unqualified opinion on the effectiveness of the Company’s internal control over financial reporting. Basis for Opinion These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB. We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion. We have served as the Company’s auditor since 1987. Richmond, Virginia February 23, 2018 /s/ KPMG LLP 66 SELECTED QUARTERLY FINANCIAL INFORMATION (unaudited) (in thousands, except per share data) Net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Gross margin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Net income attributable to Owens & Minor, Inc. per common share: Basic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Cash dividends per common share . . . . . . . . . . . . . . . . . . $ Market price: High . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (in thousands, except per share data) Net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Gross margin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Net income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Net income attributable to Owens & Minor, Inc. per common share: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Cash dividends per common share . . . . . . . . . . . . . . . . . $ Market price: High . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Low. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Year Ended December 31, 2017 1st Quarter (1) 2nd Quarter (2) 3rd Quarter (3) 4th Quarter (4) 2,328,573 281,180 18,785 0.31 0.31 0.2575 36.95 33.90 $ $ $ $ $ $ $ $ 2,265,907 273,532 20,141 0.33 0.33 0.2575 34.80 31.49 $ $ $ $ $ $ $ $ 2,333,961 301,942 10,871 0.18 0.18 0.2575 32.51 27.07 1st Quarter (5) 2,455,793 296,636 24,135 0.39 0.39 0.255 40.51 32.95 Year Ended December 31, 2016 2nd Quarter (6) 3rd Quarter (7) $ $ $ $ $ $ $ $ 2,483,676 299,420 27,716 0.45 0.45 0.255 41.20 35.21 $ $ $ $ $ $ $ $ 2,415,601 296,275 29,831 0.48 0.48 0.255 38.01 33.29 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 2,389,834 315,212 22,997 0.38 0.38 0.2575 29.64 18.10 4th Quarter (8) 2,368,361 294,980 27,105 0.45 0.45 0.255 35.77 31.94 (1) We incurred charges of $5.4 million after tax (or $0.09 per diluted share) in the first quarter of 2017 associated with acquisition-related and exit and realignment activities and $0.6 million after tax ($0.01 per diluted share) associated with software as a service implementation costs. (2) We incurred charges of $1.9 million after tax (or $0.03 per diluted share) in the second quarter of 2017 associated with acquisition-related and exit and realignment activities and $2.4 million after tax ($0.04 per diluted share) associated with software as a service implementation costs. We also recognized a $3.4 million ($0.06 per diluted share) tax benefit associated with the release of an income tax valuation allowance in Europe. (3) We incurred charges of $6.4 million after tax (or $0.11 per diluted share) in the third quarter of 2017 associated with acquisition-related and exit and realignment activities and $3.2 million after tax ($0.05 per diluted share) associated with software as a service implementation costs. (4) We incurred charges of $24.7 million after tax (or $0.41 per diluted share) in the fourth quarter of 2017 associated with acquisition-related and exit and realignment activities and $3.4 million after tax ($0.06 per diluted share) associated with software as a service implementation costs. We also recognized a $34.6 million ($0.58 per diluted share) tax benefit associated with the estimated benefits under the Tax Cuts and Jobs Act in the fourth quarter of 2017. (5) We incurred charges of $7.1 million after tax ($0.11 per diluted share) in the first quarter of 2016 associated with acquisition-related and exit and realignment activities. (6) We incurred charges of $4.5 million after tax (or $0.07 per diluted common share) in the second quarter of 2016 associated with acquisition-related and exit and realignment activities. (7) We incurred charges of $1.7 million after tax (or $0.03 per diluted common share) in the third quarter of 2016 associated with acquisition-related and exit and realignment activities. (8) We incurred charges of $4.5 million after tax (or $0.07 per diluted common share) in the fourth quarter of 2016 associated with acquisition-related and exit and realignment activities. 67 Index to Exhibits Purchase Agreement, dated as of October 31, 2017, by and among Halyard Health, Inc., the other sellers party thereto and Owens & Minor, Inc. (incorporated herein by reference to our Current Report on Form 8-K/A, Exhibit 2.1, dated November 1, 2017) ** Amended and Restated Articles of Incorporation of Owens & Minor, Inc. (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 3.1, dated July 29, 2008) Amended and Restated Bylaws of Owens & Minor, Inc. as adopted May 5, 2017 (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 3.1, dated May 8, 2017) Indenture, dated September 16, 2014, by and among Owens & Minor, Inc., Owens and Minor Distribution, Inc., Owens & Minor Medical, Inc. and U.S. Bank National Association, as trustee (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 4.1, dated September 17, 2014) First Supplemental Indenture, dated September 16, 2014, by and among Owens & Minor, Inc., Owens and Minor Distribution, Inc., Owens & Minor Medical, Inc. and U.S. Bank National Association, as trustee (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 4.2, dated September 17, 2014) Form of Global Note for the 3.875% Senior Notes due 2021 (incorporated herein by reference to our Current Report on Form 8-K, Exhibit A of Exhibit 4.2, dated September 17, 2014) Form of Global Note for the 4.375% Senior Notes due 2024 (incorporated herein by reference to our Current Report on Form 8-K, Exhibit B of Exhibit 4.2, dated September 17, 2014) Form of Director Restricted Stock Grant Agreement (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.3, for the quarter ended March 31, 2008)* Form of Director Restricted Stock Agreement under the 2015 Plan (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.3, for the quarter ended March 31, 2016)* Owens & Minor, Inc. Directors’ Deferred Compensation Plan, as amended and restated effective January 1, 2005 (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.3, for the quarter ended September 30, 2008)* Deferral Election Form for Owens & Minor, Inc. Directors’ Deferred Compensation Plan (incorporated herein by reference to our Annual Report on Form 10-K, Exhibit 10.9, for the year ended December 31, 2010)* Form of Owens & Minor, Inc. Executive Severance Agreement effective January 1, 2011 (incorporated herein by reference to our Annual Report on Form 10-K, Exhibit 10.10, for the year ended December 31, 2010)* Owens & Minor, Inc. Supplemental Executive Retirement Plan, as amended and restated effective January 1, 2005 (“SERP”) (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.1, for the quarter ended September 30, 2008)* Resolutions of the Board of Directors of the Company amending the SERP (incorporated herein by reference to our Annual Report on Form 10-K, Exhibit 10.12, for the year ended December 31, 2011)* Amendment effective March 1, 2016 of the Company’s SERP (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.6, for the quarter ended March 31, 2016)* Amendment effective March 1, 2016 of Exhibit II of the Company’s SERP (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.7, for the quarter ended March 31, 2016)* Owens & Minor, Inc. Amended and Restated Management Equity Ownership Program and Stock Ownership Rewards Program (incorporated herein by reference to our Annual Report on Form 10-K, Exhibit 10.15, for the year ended December 31, 2009)* Amendment to MEOP effective January 1, 2014 (incorporated herein by reference to our Annual Report on Form 10-K, Exhibit 10.10, for the year ended December 31, 2013)* 2.1 3.1 3.2 4.1 4.2 4.3 4.4 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 10.10 10.11 68 Owens & Minor, Inc. Executive Deferred Compensation and Retirement Plan effective January 1, 2013 (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.1, for the quarter ended March 31, 2013)* Owens & Minor, Inc. 2005 Stock Incentive Plan, as amended (incorporated herein by reference to our Registration Statement on Form S-8, Registration No. 333-124965)* Resolution of the Board of Directors of the Company amending the Owens & Minor, Inc. 2005 Stock Incentive Plan (incorporated herein by reference to our Annual Report on Form 10-K, Exhibit 10.21, for the year ended December 31, 2007)* Amendment to Owens & Minor, Inc. 2005 Stock Incentive Plan (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.4, for the quarter ended March 31, 2008)* Amendment to Owens & Minor, Inc. 2005 Stock Incentive Plan (incorporated herein by reference to our definitive Proxy Statement filed pursuant to Section 14(a) of the Securities Exchange Act on March 17, 2010 (File No. 001-09810))* Form of Owens & Minor, Inc. Restricted Stock Grant Agreement under 2005 Stock Incentive Plan (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.2, for the quarter ended March 31, 2008)* Form of Owens & Minor, Inc. Restricted Stock Agreement under the 2015 Stock Incentive Plan (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.2, for the quarter ended March 31, 2016)* Form of Owens & Minor, Inc. Restricted Stock Unit Agreement under the Company’s 2015 Stock Incentive Plan (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.1, for the quarter ended March 31, 2016)* Form of Performance Share Award Agreement under the 2005 Stock Incentive Plan (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.1, for the quarter ended March 31, 2014)* Form of 2016 Performance Share Award Agreement under the 2015 Stock Incentive Plan (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.4, for the quarter ended March 31, 2016)* Form of Performance Share Award Agreement for grant to James L. Bierman on September 2, 2014 (incorporated herein by reference to our Annual Report on Form 10-K, Exhibit 10.26, for the year ended December 31, 2014)* Form of 2015 Annual Executive Incentive Program (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.5, for the quarter ended June 30, 2015) * Form of 2016 Executive Incentive Program (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.5, for the quarter ended March 31, 2016) * Owens & Minor, Inc. Officer Severance Policy (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.4, for the quarter ended June 30, 2015)* Policy on Recoupment of Executive Incentive Compensation (incorporated herein by reference to our Annual Report on Form 10-K, Exhibit 10.36, for the year ended December 31, 2009)* Owens & Minor, Inc. 2015 Stock Incentive Plan (incorporated herein by reference to our Registration Statement on Form S-8, Registration Number 333-203826)* Agreement dated February 14, 2015 Regarding the Retirement of James L. Bierman (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.1, for the quarter ended June 30, 2015)* Employment Term Sheet Effective May 20, 2015 for P. Cody Phipps (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.2, for the quarter ended June 30, 2015)* 10.12 10.13 10.14 10.15 10.16 10.17 10.18 10.19 10.20 10.21 10.22 10.23 10.24 10.25 10.26 10.27 10.28 10.29 10.30 Restricted Stock Grant Agreement dated July 1, 2015 between the Company and P. Cody Phipps (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.3, for the quarter ended June 30, 2015)* 69 Credit Agreement dated as of June 5, 2012 by and among Owens & Minor Distribution, Inc. and Owens & Minor Medical, Inc. (as Borrowers), Owens & Minor, Inc. and certain of its domestic subsidiaries (as Guarantors), Wells Fargo Bank, N.A. (as Administrative Agent), JPMorgan Chase Bank, N.A. (as Syndication Agent) and a syndicate of banks as specified on the signature pages thereof (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.1, dated June 8, 2012) First Amendment dated as of September 17, 2014 by and among Owens & Minor Distribution, Inc. and Owens & Minor Medical, Inc. ( as Borrowers), Owens & Minor, Inc. and certain of its domestic subsidiaries (as Guarantors) and Wells Fargo Bank, N.A. ( as Administrative Agent), to the Credit Agreement dated as of June 5, 2012 by and among the Borrowers, the Guarantors, a syndicate of financial institutions party thereto, the Administrative Agent, and the other agents party thereto (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.1, dated September 18, 2014) Share Purchase Agreement dated August 31, 2012 between Celesio AG, Admenta Deutschland GmbH, Admenta Denmark ApS, Admenta France S.A. and OCP Portugal Produtos Farmaceuticos, S.A. (as Sellers) and O&M- Movianto Nederland B.V., O&M-Movianto UK Holdings Ltd, O&M-Movianto France Holdings SAS (as Purchasers) and Owens & Minor, Inc. (as Purchasers’ Guarantor) (incorporated herein by reference to our Current Report on Form 8-K, Exhibit10.1, dated September 4, 2012) Agreement and Plan of Merger, dated as of June 24, 2014, by and among Owens & Minor Inc., Mongoose Merger Sub Inc. and Medical Action Industries Inc. (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.1, dated June 25, 2014) Interest Purchase Agreement, dated as of May 2, 2017, by and among Owens & Minor, Inc., Barista Acquisition I, LLC, Barista Acquisition II, LLC , Mediq B.V. , Mediq International B.V. and Mediq USA Holdings (incorporated herein by reference to our Quarterly Report on Form 10-Q, Exhibit 10.1, for the quarter ended March 31, 2017) Owens & Minor, Inc. 2017 Teammate Stock Purchase Plan (incorporated by reference to Appendix A to the Company’s Definitive Proxy Statement on Schedule 14A filed March 22, 2017 (File No. 001-09810)) Credit Agreement, dated as of July 27, 2017, by and among Owens & Minor Distribution, Inc., Owens & Minor Medical, Inc., Barista Acquisition I, LLC, and Barista Acquisition II, LLC, (the “Borrowers”), Owens & Minor, Inc. and certain of its domestic subsidiaries (together, the “Guarantors), Merrill Lynch, Pierce, Fenner & Smith Incorporated, and Wells Fargo Bank, N.A. (the “Administrative Agent”), a syndicate of financial institutions party thereto, and the other agents party thereto (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.1, dated July 28, 2017) 10.31 10.32 10.33 10.34 10.35 10.36 10.37 11.1 Calculation of Net Income per Common Share. Information related to this item is in Part II, Item 8, Notes to Consolidated Financial Statements, Note 15-Net Income per Common Share 21.1 Subsidiaries of Registrant 23.1 Consent of KPMG LLP, independent registered public accounting firm 31.1 31.2 32.1 32.2 Certification of Chief Executive Officer pursuant to Rule 13(a)-14(a) under the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 Certification of Chief Financial Officer pursuant to Rule 13(a)-14(a) under the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 101.INS XBRL Instance Document 101.SCH XBRL Taxonomy Extension Schema Document 101.CAL XBRL Taxonomy Extension Calculation Linkbase Document 101.DEF XBRL Taxonomy Definition Linkbase Document 101.LAB XBRL Taxonomy Extension Label Linkbase Document 70 101.PRE XBRL Taxonomy Extension Presentation Linkbase Document * Management contract or compensatory plan or arrangement. ** Certain exhibits and schedules to the Purchase Agreement have been omitted pursuant to Item 601(b)(2) of Regulation S-K. The Company hereby undertakes to furnish copies of such omitted materials supplementally upon request by the SEC. 71 Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized, on the 23rd day of February, 2018. SIGNATURES OWENS & MINOR, INC. /s/ Paul C. Phipps Paul C. Phipps President, Chief Executive Officer and Chairman of the Board Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities indicated on the 23rd day of February, 2018: /s/ Paul C. Phipps Paul C. Phipps President, Chief Executive Officer and Chairman of the Board /s/ Richard A. Meier Richard A. Meier Executive Vice President, Chief Financial Officer & President, International /s/ Stuart M. Essig Stuart M. Essig Director /s/ John W. Gerdelman John W. Gerdelman Director /s/ Barbara B. Hill Barbara B. Hill Director /s/ Lemuel E. Lewis Lemuel E. Lewis Director 72 /s/ Martha H. Marsh Martha H. Marsh Director /s/ Eddie N. Moore, Jr. Eddie N. Moore, Jr. Director /s/ James E. Rogers James E. Rogers Director /s/ David S. Simmons David S. Simmons Director /s/ Robert C. Sledd Robert C. Sledd Director /s/ Anne Marie Whittemore Anne Marie Whittemore Lead Director Corporate Officers P. Cody Phipps (56) President, Chief Executive Officer and Chairman of the Board President & Chief Executive Officer since joining Owens & Minor in July 2015. Mr. Phipps was also appointed to the board of directors at the time he joined the company and was appointed Chairman of the Board in May 2017. He most recently served as President & Chief Executive Officer of Essendant (formerly United Stationers Inc.), where he was also a member of the board of directors. After joining Essendant in 2003 as Senior Vice President, Operations, he was appointed President, United Stationers Supply, in 2006. Previously, he was a Partner at McKinsey & Company, Inc., where he co-founded and led its Service Strategy and Operations Initiative. During his tenure at McKinsey, Mr. Phipps provided consulting services to a range of corporate clients across a diverse set of industries, including retail, manufacturing and healthcare. Mr. Phipps serves on the board of directors of RR Donnelley. Richard A. Meier (58) Executive Vice President, Chief Financial Officer & President, International President, International since August 2015, and Executive Vice President & Chief Financial Officer since joining Owens & Minor in March 2013. Mr. Meier served from 2010 to 2012 as Executive Vice President & Chief Financial Officer of Teleflex, Inc., a global provider of specialty medical devices. Prior to that, he served as President & Chief Operating Officer of Advanced Medical Optics, Inc., from 2007 to 2009, and as Chief Operating Officer & Chief Financial Officer, and in a variety of other operations roles from 2002 through 2007. Previously Mr. Meier served as Chief Financial Officer and in various other roles at ICN Pharmaceuticals (now Velant Pharmaceutical Inc.). He also served for a number of years at Schroders & Co (now J.P. Morgan); Smith Barney (now CitiBank); and Manufacturers Hanover (now J.P. Morgan). Mr. Meier currently serves as Lead Director and Chair of Audit Committee of BioMarin Pharmaceuticals. He was a Director of Staar Surgical until June, 2016. Christopher M. Lowery (54) President, Global Products President, Global Products since joining Owens & Minor in January 2018. Prior to that, from November 2014 to December 2017 Mr. Lowery was Senior Vice President and Chief Operating Officer at Halyard Healthcare, Inc. where he was responsible for leading worldwide sales and marketing, research and development, quality assurance, regulatory, and clinical affairs. From April 2010 to October 2014, Mr. Lowery served as Vice President of Sales and Marketing at Kimberly-Clark Health Care. Prior to joining Kimberly-Clark Health Care, Mr. Lowery held several senior marketing and sales roles at Covidien, a global health care products company. Stuart Morris-Hipkins (47) President, Global Solutions President, Global Solutions, since January 2018. Upon joining Owens & Minor in March 2017 to January 2018, Mr. Morris- Hipkins served as Executive Vice President, Global Manufacturer Services. Before joining Owens & Minor, Mr. Morris- Hipkins held a number of executive leadership roles within Smith and Nephew, PLC, and Smiths Group, PLC. Mr. Morris- Hipkins was Senior Vice President and General Manager for Smith and Nephew, PLC from 2014 to 2017, and previous to that, Vice President of Global Sales and Marketing for the Smiths Medical division from 2010 to 2014. Prior to that Mr. Morris- Hipkins held various leadership roles in the John Crane, Forsheda Engineered Seals, Smiths Interconnect, and Smiths Medical divisions of Smiths Group, PLC from 1998 to 2010. At Smith and Nephew, PLC Mr. Morris-Hipkins was the executive leader of the Syncera strategic business unit. Nicholas J. Pace (47) Executive Vice President, General Counsel, Corporate Secretary & Communications Executive Vice President, General Counsel & Communications since January 2018. Upon joining Owens & Minor in January 2016 until January 2018, Mr. Pace served as Senior Vice President, General Counsel & Corporate Secretary.. Prior to joining the company, Mr. Pace served as Executive Vice President, General Counsel & Secretary of Landmark Health, LLC from July- December 2015. From January 2014 to July 2015, he served in simultaneous roles of Senior Vice President, Strategy & General Counsel of Landmark Health, LLC and Executive Vice President, Corporate Development & General Counsel of 73 Avalon Health Services, LLC, two healthcare companies sponsored by the private equity firm Francisco Partners. From March to October 2013, Mr. Pace served as Executive Vice President, Operations & Compliance for Health Diagnostic Laboratory, Inc., which filed for Chapter 11 bankruptcy protection in June 2015. Prior to that role, he served as Executive Vice President, General Counsel & Secretary of Amerigroup Corporation, where he worked from 2006-2013. Rony C. Kordahi (54) Executive Vice President, North American Operations Executive Vice President, North American Operations since joining Owens & Minor in April 2016. Previously, Mr. Kordahi served as Vice President, Integrated Supply Chain Operations for Climate, Controls & Security-Americas, a division of United Technologies Corporation (UTC) from 2008 to 2016. Prior to joining UTC, Mr. Kordahi served for four years at Lennox International Inc., as General Manager of Parts & Supplies, North America, where he led the Lennox HVAC aftermarket business in North America. Charles C. Colpo (60) Senior Vice President, Strategic Supplier Management Senior Vice President, Strategic Supplier Management since October 2017. From May 2016 to October 2017, he served as Senior Vice President, Owens & Minor Europe Operations. Mr. Colpo was assigned to operational oversight of Owens & Minor Europe in 2014. He served as Senior Vice President, Strategic Relationships from August 2013 to May 2016. From March 2012 until August 2013, Mr. Colpo served as Senior Vice President, Operations. Prior to that, Mr. Colpo served as Executive Vice President & Chief Operating Officer from 2010 to 2012. Mr. Colpo served as Executive Vice President, Administration from 2008 until 2010 and as Senior Vice President, Operations, from 1999 until 2008. He has been with the company since 1981. Erika T. Davis (54) Senior Vice President, Chief Administrative Officer Senior Vice President, Chief Administrative Officer since October 2016. From August 2015 to October 2016, Ms. Davis served as Senior Vice President & Corporate Chief of Staff. Prior to that Ms. Davis served as Senior Vice President, Administration & Operations from August 2013 to August 2015. Prior to that, Ms. Davis served as Senior Vice President, Human Resources, from 2001 until August 2013. Ms. Davis has been with the company since 1993. Geoffrey T. Marlatt (49) Senior Vice President, Manufacturer Services Senior Vice President, Manufacturer Services since September 2014. From 2012 to 2014, Mr. Marlatt served as Regional Vice President, Provider Services, West Region. Prior to that, Mr. Marlatt served as Vice President, OM Solutions from 2006 to 2012. Before joining Owens & Minor in 2006, Mr. Marlatt held leadership positions with McKesson, Johnson & Johnson Ethicon, Medtronic and the Global Healthcare Exchange. Stephen R. Olive (53) Senior Vice President, Chief Information Officer Senior Vice President, Chief Information Officer since joining Owens & Minor in 2016. Previously, Mr. Olive was Senior Vice President, Global Chief Information Officer of Royal Philips in Amsterdam from 2014 to 2016. Mr. Olive served for two years as Senior Vice President, Chief Information Officer for Philips Healthcare in Massachusetts from 2012 to 2014. Numbers inside parentheses indicate age. 74 Subsidiary 500 Expressway Drive South LLC Access Diabetic Supply, LLC Access Respiratory Supply, Inc. AVID Medical, Inc. Barista Acquisition I, LLC Barista Acquisition II, LLC Byram Holdings I, Inc. Byram Healthcare Centers, Inc. Clinical Care Services, L.L.C. Diabetes Specialty Center, L.L.C. GNB Associates, LLC Key Diabetes Supply Co. MAI Acquisition Corp. Medegen Newco, LLC Medical Action Industries, Inc. Medical Supply Group, Inc. O&M Byram Holdings, GP O&M Funding Corp. O&M Halyard, Inc. O&M Worldwide, LLC OMSolutions International, Inc. Owens & Minor Canada, Inc. Owens & Minor Distribution, Inc. Owens & Minor Global Resources, LLC Owens & Minor Healthcare Supply, Inc. Owens & Minor International Logistics, Inc. Owens & Minor Medical, Inc. Owens & Minor, Inc. Owens & Minor, Inc. Executive Deferred Compensation Trust ArcRoyal Holdings Unlimited Company ArcRoyal Unlimited Company AVS Health Espana SL Healthcare Product Services Ltd. Healthcare Services Group Limited MIRA Medsource (Malaysia) SDN. BHD. Mira MEDsource (Shanghai) Co., LTD Mira MEDsource Holding Company Limited Movianto Belgium NV Movianto Ceska republika sro Movianto Deutschland GmbH Movianto Espana SLU Subsidiaries of Registrant Exhibit 21.1 State of Incorporation/ Organization Country Assumed Name AOM Healthcare Solutions AOM Healthcare Solutions OM Healthcare Logistics Delaware Florida Florida Delaware Virginia Virginia New Jersey New Jersey Utah Utah Virginia Michigan Delaware Delaware Delaware Virginia Delaware Virginia Virginia Virginia Virginia Virginia Virginia Virginia Virginia Virginia Virginia Virginia Virginia N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA USA Ireland Ireland Spain United Kingdom United Kingdom Malaysia Shanghai Hong Kong Belgium Czech Republic Germany Spain Movianto France SAS Movianto GmbH Movianto Nordic ApS Movianto Polska SP ZOO Movianto Portugal, Unipessoal LDA Movianto Schweiz GmbH Movianto Slovensko sro Movianto Transport Solutions Ltd. Movianto UK Ltd. Nalvest Limited O and M Halyard South Africa Pty Ltd O&M Halyard Australia PTY LTD O&M Halyard Canada ULC O&M Halyard Germany GmbH O&M Halyard International Unlimited Company O&M Halyard UK Limited O&M Healthcare International Limited O&M Healthcare Italia S.R.L. O&M-Movianto France Holdings S.A.S. O&M-Movianto Nederland B.V. O&M-Movianto UK Holdings Ltd. Owens & Minor Global Services Unlimited Company Owens & Minor International Limited Owens & Minor Ireland Unlimited Company Owens & Minor Jersey Holdings Limited Owens & Minor Jersey Unlimited Pharmacare Logistics Ltd. Rutherford Holdings C.V. N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A France Germany Denmark Poland Portugal Switzerland Slovak Republic United Kingdom United Kingdom Jersey South Africa New South Wales British Columbia Germany Ireland United Kingdom Ireland Italy France Netherlands United Kingdom Ireland Ireland Ireland Jersey Jersey United Kingdom Netherlands Consent of Independent Registered Public Accounting Firm Exhibit 23.1 The Board of Directors Owens & Minor, Inc.: We consent to the incorporation by reference in the registration statements (Nos. 33-32497, 33-41402, 333-124965, 333-142716, 333-203826 and 333-217783) on Form S-8 and registration statements (Nos. 333-198635 and 333-222004) on Form S-3 of Owens & Minor, Inc. of our reports dated February 23, 2018, with respect to the consolidated balance sheets of Owens & Minor, Inc. and subsidiaries as of December 31, 2017 and 2016, and the related consolidated statements of income, comprehensive income, changes in shareholders' equity, and cash flows for each of the years in the three-year period ended December 31, 2017, and the related notes (collectively, the “consolidated financial statements”) and the effectiveness of internal control over financial reporting as of December 31, 2017,which reports appear in the December 31, 2017 annual report on Form 10-K of Owens & Minor, Inc. Owens & Minor, Inc. acquired Byram Healthcare (Byram) during 2017, and management excluded from its assessment of the effectiveness of the Company’s internal control over financial reporting as of December 31, 2017, Byram’s internal control over financial reporting associated with total assets of $78 million and total revenues of $209 million included in the consolidated financial statements of Owens & Minor Inc. as of and for the year ended December 31, 2017. Our audit of internal control over financial reporting of Owens & Minor, Inc. also excluded an evaluation of the internal control over financial reporting of Byram. Richmond, Virginia February 23, 2018 /s/ KPMG LLP CERTIFICATION PURSUANT TO RULE 13a-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934, AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 Exhibit 31.1 I, Paul C. Phipps, certify that: 1. I have reviewed this Annual Report on Form 10-K for the year ended December 31, 2017, of Owens & Minor, Inc.; 2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report; 3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; 4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared; b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles; c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and 5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions): a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting. Date: February 23, 2018 /s/ Paul C. Phipps Paul C. Phipps President, Chief Executive Officer and Chairman of the Board CERTIFICATION PURSUANT TO RULE 13a-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934, AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 Exhibit 31.2 I, Richard A. Meier, certify that: 1. I have reviewed this Annual Report on Form 10-K for the year ended December 31, 2017, of Owens & Minor, Inc.; 2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report; 3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; 4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared; b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles; c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and 5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions): a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting. Date: February 23, 2018 /s/ Richard A. Meier Richard A. Meier Executive Vice President, Chief Financial Officer & President, International CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 Exhibit 32.1 In connection with the Annual Report of Owens & Minor, Inc. (the “Company”) on Form 10-K for the year ended December 31, 2017, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Paul C. Phipps, President, Chief Executive Officer and Chairman of the Board of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge: (1) (2) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. /s/ Paul C. Phipps Paul C. Phipps President, Chief Executive Officer and Chairman of the Board Owens & Minor, Inc. February 23, 2018 CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 Exhibit 32.2 In connection with the Annual Report of Owens & Minor, Inc. (the “Company”) on Form 10-K for the year ended December 31, 2017, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Richard A. Meier, Executive Vice President, Chief Financial Officer & President, International of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge: (1) (2) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. /s/ Richard A. Meier Richard A. Meier Executive Vice President, Chief Financial Officer & President, International Owens & Minor, Inc. February 23, 2018 CORPORATE INFORMATION Annual Shareholders’ Meeting The annual meeting of Owens & Minor, Inc.’s shareholders will be held at 9:00 a.m. on Tuesday, May 8, 2018, at The Jefferson Hotel, Empire Room, 101 West Franklin Street, Richmond, Virginia 23220. Transfer Agent, Registrar and Dividend Disbursing Agent Computershare Shareowner Services P.O Box 505000 Louisville, KY 40233-5000 By Overnight Delivery to: Computershare Shareowner Services 462 South 4th Street, Suite 1600 Louisville, KY 40202 United States Website: www.computershare.com/investor Toll-free: 866-252-0358 (Inside the United States and Canada) 201-680-6578 (Outside the United States and Canada) Stock Purchase and Dividend Reinvestment Plan Our transfer agent, Computershare Shareowner Services (“Computershare”), offers a Direct Purchase & Sale Plan for shares of Owens & Minor, Inc. common stock known as the Computershare CIP Plan (“CIP Plan”). The CIP Plan offers registered shareholders of Owens & Minor and interested ﬁrst-time investors a convenient way to buy, hold and sell shares of Owens & Minor common stock. Information may be obtained through the “Buy Stock Direct” link at www.computershare.com/investor, or by contacting Computershare (see contact information above). Shareholder Records Correspondence concerning stock holdings, lost or missing dividend checks, or changes of address for shares of Owens & Minor, Inc’s. common stock should be directed to Owens & Minor, Inc. in care of Computershare at one of the addresses above. Duplicate Mailings When a shareholder owns shares in more than one account, or when several shareholders live at the same address, they may receive multiple copies of company mailings. To eliminate duplicate mailings, please call Computershare or consider enrolling in electronic delivery (via Computershare’s website above), which offers secure online access to ﬁnancial documents and shareowner communications. Independent Auditors KPMG LLP Richmond, Virginia Communications & Investor Relations Press Releases Owens & Minor, Inc.’s press releases are available at www.owens-minor.com Communications & Investor Relations 804-723-7555 Information for Investors The company ﬁles annual, quarterly and current reports, information statements and other information with the Securities and Exchange Commission (SEC). The public may read and copy any materials that the company ﬁles with the SEC at the SEC’s Public Reference Room at 100 F Street, NE, Washington, D.C. 20549. The public may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC also maintains an Internet site that contains reports, proxy and information statements, and other information regarding issuers that ﬁle electronically with the SEC. The address of that site is http://w// ww.sec.gov. The address of the company’s website is www.owens-minor.com. Through a link to the SEC’s internet site on the Investor Relations portion of our website, we make available all of our ﬁlings with the SEC, including our annual report on Form 10-K, quarterly reports on Form 10- Q, current reports on Form 8-K and amendments to those reports, as well as beneﬁcial ownership reports ﬁled with the SEC by directors, ofﬁcers and other reporting persons relating to holdings in Owens & Minor, Inc. securities. This information is available as soon as the ﬁling is accepted by the SEC. Corporate Governance The company’s Bylaws, Corporate Governance Guidelines, Code of Honor and the charters of the Audit, Compensation & Beneﬁts, and Governance & Nominating Committees are available on the company’s website at www.owens-minor. com and are available in print to any shareholder upon request by writing to: Corporate Secretary Owens & Minor, Inc. 9120 Lockwood Boulevard Mechanicsville, Virginia 23116 Communications with the Board of Directors The Board of Directors has approved a process for shareholders to send communications to the Board. Shareholders can send written communications to the Board, any committee of the Board, the Lead Director or any other individual director at the following address: P.O. Box 2076, Mechanicsville, Virginia 23116-2076. Certiﬁcations The company’s Chief Executive Ofﬁcer certiﬁed to the New York Stock Exchange (NYSE) within 30 days after the company’s 2017 Annual Meeting of Shareholders that he was not aware of any violation by the company of NYSE corporate governance listing standards. The company also ﬁled with the SEC as exhibits 31.1, 31.2, 32.1 and 32.2 to its Annual Report on Form 10-K for the year ended December 31, 2017, certiﬁcations by its Chief Executive Ofﬁcer and Chief Financial Ofﬁcer. CORPORATE OFFICE 804.723.7000 www.owens-minor.com STREET ADDRESS 9120 Lockwood Boulevard Mechanicsville, VA 23116 MAILING ADDRESS Post Ofﬁce Box 27626 Richmond, VA 23261-7626

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