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Owens & Minor

omi · NYSE Healthcare
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Ticker omi
Exchange NYSE
Sector Healthcare
Industry Medical - Distribution
Employees 5001-10,000
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FY2017 Annual Report · Owens & Minor
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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