Quarterlytics / Healthcare / Medical - Distribution / Owens & Minor

Owens & Minor

omi · NYSE Healthcare
Claim this profile
Ticker omi
Exchange NYSE
Sector Healthcare
Industry Medical - Distribution
Employees 5001-10,000
← All annual reports
FY2018 Annual Report · Owens & Minor
Sign in to download
Loading PDF…
2018 ANNUAL REPORT

Company Overview

Owens & Minor, Inc. (NYSE: OMI) is a global healthcare solutions company with integrated technologies, products, 
and services aligned to deliver significant and sustained value for healthcare providers and manufacturers across the 
continuum of care. With 17,000 dedicated teammates serving healthcare industry customers in 90 countries, Owens & 
Minor helps to reduce total costs across the supply chain by optimizing episode and point-of-care performance, freeing 
up capital and clinical resources, and managing contracts to optimize financial performance. A FORTUNE 500 company, 
Owens & Minor was founded in 1882 in Richmond, Virginia, where it remains headquartered today. The company now 
has distribution, production, customer service and sales facilities located across the Asia Pacific region, Europe, Latin 
America, and North America. For more information about Owens & Minor, visit owens-minor.com, follow @Owens_Minor 
on Twitter, and connect on LinkedIn at www.linkedin.com/company/owens-&-minor.

Board of Directors

ROBERT C. SLEDD  (1*)
Chairman of the Board, Owens & Minor, Inc.
Former Interim President & CEO, Owens & Minor, Inc.
Former Senior Economic Advisor to the Governor of Virginia
Former Chairman & CEO, Performance Food Group Co.

Corporate Officers

EDWARD A. PESICKA
President & Chief Executive Officer

ROBERT K. SNEAD   
Executive Vice President & Chief Financial Officer

ANNE MARIE WHITTEMORE (1)
Lead Director, Owens & Minor, Inc. 
Retired Partner, McGuireWoods LLP

STUART M. ESSIG (3, 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 (1, 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

MARK F. MCGETTRICK (2)
Retired EVP and CFO, Dominion Energy, Inc.

EDDIE N. MOORE, JR. (2, 4)
Retired President & CEO, Norfolk State University
President Emeritus, Virginia State University

CHRISTOPHER LOWERY 
President, Global Products

STUART MORRIS-HIPKINS 
President, Global Solutions

NICHOLAS J. PACE  
Executive Vice President, General Counsel &  
Corporate Secretary

CHARLES C. COLPO 
Senior Vice President, Strategic Supplier Management

ERIKA T. DAVIS 
Senior Vice President, Chief Administrative Officer

JONATHAN A. LEON 
Senior Vice President, Corporate Treasurer

MICHAEL W. LOWRY 
Senior Vice President, Corporate Controller & Chief 
Accounting Officer

GEOFFREY T. MARLATT 
Senior Vice President, Manufacturer Services

SHANA C. NEAL 
Senior Vice President & Chief Human Resources Officer

EDWARD A. PESICKA
President & Chief Executive Officer, Owens & Minor, Inc.

JOSEPH S. PEKALA  
Senior Vice President & Chief Information Officer

Board Committees:
1  Executive Committee
2  Audit Committee

* Denotes Committee Chairman

3  Compensation & Benefits Committee
4  Governance & Nominating Committee

 
For over 137 years, Owens & Minor has been about helping 
healthcare work. If we don’t show up with the right products, 
at the right place, at the right time, our customers cannot 
get their work done. That’s the core of what we do — and the 
foundation for us to build on.

Now, we’re being tasked to do more. To do Better. Better 
at supporting patient care. Better at managing total costs. 
Better every day. Which is why we’re working to provide: 
Solutions to help healthcare work. Better.

We see a future where healthcare delivers on quality of care 
and financial value in a way that is actually sustainable. To 
us, that sounds like a healthcare system that actually works 
Better. And we know how to offer solutions and products that 
are going to help get our customers there.

Owens & Minor 
seeks to provide 
sustainable supply 
chain, product, and 
patient solutions 
that lower total costs 
and improve quality 
of care across the 
continuum of care.

ROBERT C. SLEDD 
Chairman of the Board,  
Owens & Minor, Inc.

Dear Shareholders, Teammates, Customers and Friends: 

I have had the privilege of leading 
Owens & Minor over the last few 
months, and more than ever, I am 
optimistic about Owens & Minor’s 
future and our ability to continue 
playing a vital role in the healthcare 
market, as we have over the last 
137 years. As we enter 2019, I am 
encouraged with the progress we are 
making and pleased that we are fully 
aligned with the right strategy to drive 
growth in our business. 

In March 2019, Edward (Ed) Pesicka 
joined Owens & Minor as our 
president and chief executive officer. 
Ed brings an exceptional track record 
of success over his 25 years of 
business and operational experience 
across a range of industries, including 
healthcare. Ed has the vision, drive, 
and discipline that Owens & Minor 
needs for the future, and we are happy 
to welcome him to the Owens & Minor 
family. I greatly enjoyed my time as 
interim president and chief executive 
officer, and as Ed joins the team, 
I am honored to continue serving 
as Chairman of the board. Owens 
& Minor is a proud company with a 
long, distinguished heritage, and I am 
confident in Ed’s ability to be a great 
leader for our team.  

With new leadership, new energy, and 
a strong customer focus throughout 
the business, we are encouraged by 
the opportunities ahead. During 2018, 
we faced a range of challenges, both 
external and internal, across our 
distribution business. While we have 
made great progress in meeting these 
challenges, we recognize we have to 

earn our customers’ trust by meeting 
their service needs every day. This 
is a key message that we are driving 
throughout our organization and a 
critical focus for our teams across the 
enterprise. Our customers depend on 
us for exceptional service, and we will 
provide it.  

Last year, we made a big move into 
products with the acquisition of 
Halyard’s S&IP business, which now 
forms the backbone of our Global 
Products segment. Halyard is a highly 
regarded, global manufacturer of 
surgical and infection prevention 
products. This acquisition has not only 
made us more competitive by greatly 
expanding our proprietary product 
portfolio, it has opened additional 
markets for us in the Asia Pacific 
region, Europe, North America, and 
Latin America. With all of our service 
lines and products, we now serve 
healthcare customers in more than 
90 countries. The Halyard acquisition 
also gave us more than 8,000 talented 
teammates around the world. This 
significant acquisition follows on the 
heels of our 2017 acquisition of Byram 
Healthcare, which opened a channel 
into the growing home health market. 

With the addition of Halyard’s 
products, we have an exceptional 
portfolio to offer our customers. In 
fact, selling more products is a key 
goal for us this year. Whether we sell 
our own brand of proprietary products 
or our preferred vendor products, 
we see an opportunity to help our 
customers and grow our market 
share at the same time. The continued 

positive momentum from Halyard 
and Byram Healthcare will be a key 
source of strength for us as we move 
into the future. 

are both reasonable and achievable.  
We have clear priorities that will 
help us have a solid 2019 and lay the 
foundation for a strong future.  

Long-term success depends on 
a thoughtful balance of short and 
long-term investments so we will 
invest in the company for 2019 and 
beyond. This year, we will follow 
through with planned investments, 
including continued investment in 
Fusion5, a leading provider of value-
based payment services and solutions 
across the continuum of care.

We have a dedicated team with a 
strong sense of urgency and the 
right strategy to profitably meet the 
needs of our customers. We are 
focused on delivering services and 
solutions globally that support quality 
of care and lower total costs for our 
customers. We are also focused on 
delivering best-in-class products for 
surgical and infection prevention. For 
2019, we believe that our expectations 

I want to thank the outstanding 
teammates at Owens & Minor, who 
work tirelessly every day to serve  
our customers. Our teammates are 
key to our success and truly our 
greatest asset. 

Thank you all for your continuing 
support. We care about our 
shareholders, teammates, and 
customers, and with your support,  
we believe we can make great strides 
in 2019. 

Sincerely, 

Robert C. Sledd
Chairman of the Board

[THIS PAGE 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, 2018 

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 $1,041,712,963 

    No  

as of June 30, 2018.

The number of shares of the Company’s common stock outstanding as of February 15, 2019 was 62,235,014 shares.

Documents Incorporated by Reference

The proxy statement for the annual meeting of shareholders to be held on May 10, 2019, 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

8

17

17

17

17

17
19

20

30

31

31

31

31

32

33

35

35

35

35

35

15 Exhibits and Financial Statement Schedules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

36

Corporate Officers can be found at the end of this Form 10-K.

 
 
Item 1. Business 

General

Part I

Owens & Minor, Inc. and subsidiaries (we, us or our), a Fortune 500 company headquartered in Richmond, Virginia, 

is a leading global healthcare solutions company with integrated technologies, products and services aligned to deliver 
significant and sustained value for healthcare providers and manufacturers across the continuum of care. Our teammates serve 
healthcare industry customers in 90 countries, by providing quality products and helping to reduce total costs across the supply 
chain by optimizing point-of care performance, freeing up capital and clinical resources and managing contracts to optimize 
financial performance. 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 and has operated continuously from its Richmond, 

Virginia headquarters. Through organic growth and acquisitions over many years, we significantly expanded and strengthened 
our company, achieving international scale in the healthcare market. Today, we have distribution, production, customer service 
and sales facilities located across Asia, Europe, Latin America and the United States.

In 2017, we acquired Byram Healthcare (Byram), a leading U.S. 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 diabetes, ostomy, wound care, urology and incontinence supplies. 

On April 30, 2018, we acquired substantially all of Avanos Medical, Inc.'s (Avanos, previously Halyard Health, Inc.) 

Surgical and Infection Prevention (S&IP) business, the name “Halyard Health” (and all variations of that name and related 
intellectual property rights) and its information technology (IT) systems in exchange for $758 million, net of cash acquired. The 
Halyard business is a leading global provider of medical supplies and solutions for the prevention of healthcare associated 
infections across acute care and non-acute care markets. 

 In 2018, we have made changes to the leadership team, organizational structure, budgeting and financial reporting 
processes which require changes to segment reporting. These changes align our operations into two distinct business units: 
Global Solutions and Global Products. Global Solutions (previously Domestic and International) is our U.S. and European 
distribution, logistics and value-added services business. Global Products (previously Proprietary Products) manufactures and 
sources medical surgical products through our production and kitting operations. Beginning with the quarter ended March 31, 
2018, we now report financial results using this two segment structure and have recast prior year segment results on the same 
basis. Financial information by segment and geographic area appears in Note 20, “Segment Information,” of the Notes to 
Consolidated Financial Statements included in this annual report. 

Global Solutions

  In our Global Solutions segment, we offer a comprehensive portfolio of products and services to healthcare providers 

and manufacturers.  Our portfolio of medical and surgical supplies includes branded products purchased in large volume from 
manufacturers and our own proprietary products. We store our products at our distribution centers and provide delivery of these 
products, along with related services, to healthcare providers around the nation.

Our service offerings to healthcare providers include supplier management, analytics, inventory management, and 

clinical supply management. 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. 

In addition to services to healthcare providers, we offer a variety of programs dedicated to providing logistics and 

marketing solutions to our suppliers as well. These 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.  

We also 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. 

3

 
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. In Europe, we 
have 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. 

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 partner with Penske Logistics to deliver most supplies in the United States. In 
situations where they are more cost-effective and timely, we use contract carriers and parcel delivery services. 

 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 or Group 
Purchasing Organization (GPOs).  We price our services for 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.

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 managed care plans, the U.S. federal government under the Medicare program, state 
governments under their respective Medicaid or similar programs, 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.

In 2018, our new customer solution, Fusion5, began in earnest and was created to help healthcare providers succeed in 

the shift from fee-for-service to value based care. A principal area where Fusion5 is currently engaged is helping providers 
manage bundled payment episodes under the Bundled Payments for Care Improvement, or BPCI, Advanced program. Fusion5 
incurred start-up operating costs during 2018 as the venture prepares to provide services to a portfolio of customers including 
Integrated Delivery Networks (IDNs), physician groups and individual practitioners in 2019 and beyond. 

 Global Products

Our Global Products segment manufactures and sources medical surgical products through our production and kitting 
operations. With the acquisition of our Halyard Surgical and Infection Prevention (“Halyard”) business, we have expanded to 
provide medical supplies and solutions for the prevention of healthcare-associated infections across the acute and alternate site 
channels. 

We both manufacture and source our products. Our manufacturing facilities are located in the United States, Thailand, 

Honduras, Mexico and Ireland. Our business has recognized brands across its portfolio of product offerings, including 
sterilization wrap, surgical drapes and gowns, facial protection, protective apparel, medical exam gloves, custom and minor 
procedure kits and other medical products. 

We use a wide variety of raw materials and other inputs in our production processes, with polypropylene polymers and 

nitrile constituting our most significant raw material purchases. We base our purchasing decisions on quality assurance, cost 
effectiveness and regulatory requirements, and we work closely with our suppliers to assure continuity of supply while 
maintaining high quality and reliability. We primarily purchase these materials from external suppliers, some of which are 
single-source suppliers. Global commodity prices can affect pricing of certain raw materials on which we rely. In our Halyard 
business, polypropylene polymers, which are oil based, and nitrile represent a significant component of our manufacturing 
costs. In addition, the prices of other raw materials we use, such as resins and finishing supplies, often fluctuate in response to 
changes in oil prices. 

We support customer sales through a dedicated global sales force and direct our primary sales and marketing efforts 

toward hospitals and other healthcare providers to highlight the unique benefits and competitive differentiation of our products. 
We work directly with physicians, nurses, professional societies, hospital administrators and GPOs to collaborate and educate 
on emerging practices and clinical techniques that prevent infection and speed recovery. These marketing programs are 
delivered directly to healthcare providers. Additionally, we provide marketing programs to our strategic distribution partners 

4

 
 
throughout the world. We operate five major distribution centers located in North America, Europe, Australia and Japan that 
ship multiple finished products to multiple customers, as well as other distribution sites that also have customer shipping 
capabilities, in order to optimize cost and customer service requirements. 

Our proprietary 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 Global Solutions segment when we are the designated distributor, to other third-party distributors or 
directly to healthcare providers.

Our Customers 

We currently provide products and services to thousands of healthcare provider customers either directly or indirectly 

through third-party distributors. These customers include multi-facility networks of healthcare providers offering a broad 
spectrum of healthcare services to a particular market or markets 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).  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 2018

40%

19%

13%

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. In the Global Solutions segment, sales of products supplied by Medtronic, 
Johnson & Johnson and Becton Dickinson accounted for approximately 10%, 7% and 7%, respectively of our consolidated net 
revenue for 2018. In addition, combined sales of products supplied by Medline Industries and Cardinal Health, both of which 
are also our competitors, accounted for approximately 11% of our consolidated net revenue for 2018.  

In Europe, we serve a diverse customer base of approximately 500 manufacturer clients, including pharmaceutical, 

biotechnology and medical device manufacturers. 

  Asset Management  

In our business, 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 

suppliers 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. 

5

 
 
         
 
Accounts Receivable  

In the normal course of business, we provide credit to our 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. 

Competition  

The industries in which we operate are highly competitive. Global Solutions competitors include two major 
nationwide manufacturers who also provide distribution services, Cardinal Health, Inc. and privately-held Medline Industries, 
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. 

The major competitors of our Global Products business include Cardinal Health, Inc., Medline Industries, Inc., Hogy 

Medical, Multigate Medical Products, Mölnlycke Health Care and HARTMANN Group. In the United States, several of our 
distribution partners and GPOs are also competitors or are increasingly seeking to compete with us by direct sourcing their own 
products. In developing and emerging markets, we compete against reusable products, or low usage of infection prevention 
products, due in large part to limited awareness and education on infection prevention practices and products. The highly 
competitive environment requires us to seek out technological innovations and to market our products effectively. Our products 
face competition from other brands that may be less expensive than our products and from other companies that may have more 
resources than we do. Competitive factors include price, alternative clinical practices, innovation, quality and reputation. To 
successfully compete, we must demonstrate that our products offer higher quality, more innovative features or better value 
versus other products.

Research and Development

We continuously engage in research and development to commercialize new products and enhance the effectiveness, 

reliability and safety of our existing products. In our Global Products business, we are focused on maintaining our market 
position by providing innovative customer-preferred product enhancements, with a particular focus on the operating room. 
Leveraging customer insights and our vertically integrated manufacturing capabilities, we seek to continuously improve our 
product designs, specifications and features to deliver cost efficiencies while improving healthcare worker and patient 
protection. We continuously refresh our surgical drape and gown portfolio to ensure that our products are aligned with the latest 
medical and procedural standards. Our research team works with healthcare providers to develop and design exam glove and 
apparel portfolios that optimize comfort and fit and provide cost-effective infection prevention solutions for use throughout the 
hospital. We are also investing in new categories and solutions that complement our technical expertise and existing intellectual 
property. We are particularly focused on those new categories that we believe will leverage our existing scalable technology 
platforms as well as our sales and marketing expertise.

Intellectual Property

Patents, trademarks and other proprietary rights are very important to the growth of our business. We also rely upon 

trade secrets, manufacturing know-how, continuing technological innovations and licensing opportunities to maintain and 
improve our competitive position.

On a regular basis, we review third-party proprietary rights, including patents and patent applications, as available, in 

an effort to develop an effective intellectual property strategy, avoid infringement of third-party proprietary rights, identify 
licensing opportunities, and monitor the intellectual property owned by others.

We have approximately 990 patents and patent applications pending in the United States and other countries that relate 

to the technology used in many of our products. We utilize patents in our surgical and infection protection products and 
currently have over 100 issued patents in the U.S. and over 450 issued patents in countries outside the U.S. These patents 
generally expire between 2019 and 2035.  We do not license any patents from third parties that are material to our business.

We also file patent applications for innovative product lines and solutions that result from our technical expertise.  In 
order to protect our ongoing research & development investments, we have 65 pending patent applications in the U.S. and 325 
pending patent applications in countries outside of the U.S. 

6

 
 
 
 
 
 
 
With respect to trademarks, we have approximately 1,000 trademarks and trademark applications pending in the 
United States and other countries that are used to designate or identify our company or products.  We have over 100 U.S. 
registration trademarks and over 700 registered trademarks outside of the U.S..  We also have 28 pending trademark 
applications in the U.S. and 150 trademark applications filed outside of the U.S.

Since the Halyard acquisition, we have and will continue to distribute products bearing the well-known “Halyard” 

brand. Other well-known registered trademarks we use include Aero Blue, Quick Check, Smart-Fold, One Step, Purple, Purple 
Nitrile, and Purple Nitrile-Xtra.

We consider the patents and trademarks which we own and the trademarks under which we sell certain of our 
products, as a whole, to be material to our business. However, we do not consider our business to be materially dependent upon 
any individual patent or trademark.

Regulation

The development, manufacture, marketing, sale, promotion and distribution of our products, as well as the provision 

of logistics and services in the healthcare industry are subject to comprehensive regulation by federal, state and local 
government agencies.  Government regulation by various national, regional, federal, state and local agencies, globally, 
addresses (among other matters) inspection of, and controls over, research and laboratory procedures, clinical investigations, 
product approvals and manufacturing, labeling, packaging, marketing and promotion, pricing and reimbursement, sampling, 
distribution, quality control, post-market surveillance, record keeping, storage and disposal practices.

Our operations are impacted by trade regulations in many countries that govern the import of raw materials and 

finished products, as well as laws and regulations data privacy laws (including the General Data Protection Regulation) that 
require safeguards for the protection of healthcare and other personal data.   In addition, we are subject to laws and regulations 
that seek to prevent corruption and bribery in the marketplace (including the U.S. Foreign Corrupt Practices Act and the United 
Kingdom Bribery Act, which provide guidance on corporate interactions with government officials) as well as laws and 
regulations pertaining to healthcare fraud and abuse, including state and federal anti-kickback and false claims laws in the 
United States. 

We must also comply with laws and regulations, including those governing operations, storage, transportation, 

manufacturing, sales, safety and security standards for each of our manufacturing and distribution centers, 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. 

Compliance with these laws and regulations is costly and materially affects our business.  Among other effects, 

healthcare regulations substantially increase the time, difficulty and costs incurred in obtaining and maintaining approval to 
market newly developed and existing products.  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 manufacturing locations are licensed or registered with the appropriate local authority.  In addition, our logistics 
centers are 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, our European logistics business, is also ISO 
9001:2015 certified across the entire enterprise and ISO 13485:2003 certified at certain facilities.  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 business operations outside of the United States.

Since we market our products worldwide, certain products of a local nature and variations of product lines must also 

meet other local regulatory requirements. Certain additional risks are inherent in conducting business outside the United States, 
including price and currency exchange controls, changes in currency exchange rates, limitations on participation in local 
enterprises, expropriation, nationalization, and other governmental action. Demand for many of our existing and new medical 
devices is, and will continue to be, affected by the extent to which government healthcare programs and private health insurers 
reimburse our customers for patients’ medical expenses in the countries where we do business. Statutory and regulatory 
requirements for Medicaid, Medicare, and other government healthcare programs govern provider reimbursement levels. From 
time to time, legislative changes are made to government healthcare programs that impact our business, and the federal and/or 
state governments may continue to enact measures in the future aimed at containing or reducing reimbursement levels for 
medical expenses paid for in whole or in part with government funds. We cannot predict the nature of such measures or their 

7

 
 
 
 
 
 
 
 
 
impact on our business, results of operations, financial condition and cash flows.  Any reduction in the amount of 
reimbursements received by our customers could harm our business by reducing their selection of our products and the prices 
they are willing to pay.

Compliance with these laws and regulations is costly and materially affects our business.  Among other effects, 

healthcare regulations substantially increase the time, difficulty and costs incurred in obtaining and maintaining approval to 
market newly developed and existing products.  We believe we are in material compliance with all statutes and regulations 
applicable to our operations. 

Employees 

At the end of 2018, we employed approximately 6,700 full- and part-time teammates in the U.S. and 11,200 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 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 
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.

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 continued into 2018 and put further margin pressure on our business. We expect 
this margin pressure to continue. 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 and financial 
condition.

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 retain and/or grow our revenues and to offset 
margin reductions caused by pricing pressures through cost control measures.

8

 
 
 
 
 
We have significant concentration in and dependence on certain healthcare provider customers and Group Purchasing 
Organizations.

In 2018, our top ten customers in the United States represented approximately 23% of our consolidated net revenue. In 
addition, in 2018, approximately 72% 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. 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 income is dependent on certain significant domestic suppliers.

In the United States, we distribute products from nearly 1,400 suppliers and are dependent on these suppliers for the 

continuing supply of products. In 2018, sales of products of our ten largest domestic suppliers accounted for approximately 
47% of consolidated net revenue. In the Global Solutions segment, sales of products supplied by Medtronic, Johnson & 
Johnson and Becton Dickinson accounted for approximately 10%, 7% and 7% of our consolidated net revenue for 2018, 
respectively. In addition, combined sales of products supplied by Medline Industries and Cardinal Health, both of which are 
also our competitors, accounted for approximately 11% of our consolidated net revenue for 2018. We rely on suppliers to 
provide agreeable purchasing and delivery terms and performance incentives. Our ability to sustain adequate operating income 
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, 
the decision of such a supplier to distribute its products directly to healthcare providers rather than through third-party 
distributors, or a key supplier’s failure to sell and deliver us products necessary to meet our customers’ demands could have a 
material adverse effect on our results of operations and financial condition.

Our inability to adequately integrate acquisitions could have a material adverse effect on our operation.

In connection with our growth strategy, we from time to time acquire other businesses, including recently, the Halyard 

acquisition (Halyard) and Byram Healthcare (Byram), 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 

Failure to realize the synergies and other benefits we expect from the acquisition at the pace we anticipate;

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; 
•  Difficulties encountered in conducting business in markets where we have limited experience and expertise;
• 
• 
• 

Failure to fully integrate Information Technology;
Inadequate indemnification from the seller; and
Failure of the seller to perform under the transition services agreement.

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, the economic or political environment, and 

Foreign currency fluctuations and exchange risk;

social norms or requirements;

9

 
 
 
•  Adverse tax consequences and difficulties in repatriating cash generated or held abroad;
•  Local economic environments, such as in the European markets served by both the Global Solutions and Global 
Products business units, 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.

A large percentage of our revenue is derived in the United States. 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 
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 (such as the Health Insurance Portability and 
Accountability Act of 1996, as amended, or HIPAA), state or foreign laws (such as the European Union’s General Data 
Protection Regulation, as amended, or GDPR) 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.

We may not be able to generate sufficient cash to service our debt and other obligations.

As of December 31, 2018, on a consolidated basis we had approximately $1.7 billion of aggregate principal amount of 
secured indebtedness as well as approximately $270 million in obligations under our leasing arrangements and $374.7 million of 

10

 
 
 
 
 
undrawn availability under our credit facilities. Our ratio of total debt to total shareholders’ equity as of December 31, 2018 was 
approximately 324%.

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 
operating results and resources, we could face substantial liquidity problems and may 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 our financial condition or the 
condition of the capital markets 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.

We may not be able to refinance, extend or repay our substantial indebtedness which would have a material adverse affect 
on our financial condition. 

Our 2021 Notes and our 2024 Notes become due and payable on September 2021 and December 2024, respectively.  We 
anticipate that we will need to raise capital in order to repay the 2021 Notes and/or the 2024 Notes. As of December 31, 2018, 
we owed $275 million under our 2021 Notes and $275 million under our 2024 Notes. If we are unable to raise sufficient capital 
to repay these obligations at maturity and we are otherwise unable to extend the maturity dates or refinance these obligations, 
we would be in default. Additionally, our Credit Agreement has a “springing maturity date” with respect to the revolving loans 
and the term A loans and the term B loans thereunder, that, if as of the date 91 days prior to the maturity date of our 2021 Notes 
or the 2024 Notes, respectively, all outstanding amounts under the 2021 Notes and the 2024 Notes, respectively, have not been 
paid in full, then all amounts due with respect to the revolving loans, the term A loans and the term B loans will become due 
and payable on the maturity dates of the 2021 Notes and 2024 Notes, respectively.  We cannot provide any assurances that we 
will be able to raise the necessary amount of capital to repay these obligations or that we will be able to extend the maturity 
dates or otherwise refinance these obligations. Upon a default, our lenders would have the right to exercise its rights and 
remedies to collect, which would include foreclosing on our assets. Accordingly, a default would have a material adverse effect 
on our business and financial condition. 

Our Global Products segment is exposed to price fluctuations of key commodities, which may negatively impact our results 
of operations.

Our Global Products Segment relies on product inputs, such as polypropylene and nitrile, as well as other 
commodities, in the manufacture of its products. Prices of these commodities are volatile and have fluctuated significantly in 
recent years, which may contribute to fluctuations in our results of operations. The ability to hedge commodity prices is limited. 
Furthermore, due to competitive dynamics, we may be unable to pass along commodity-driven cost increases through higher 
prices. If we cannot fully offset cost increases through other cost reductions, or recover these costs through price increases or 
surcharges, we could experience lower margins and profitability which could have a material adverse effect on our business, 
results of operations, financial condition and cash flows.

Our variable rate indebtedness subjects us to interest rate risk, which could cause our indebtedness service obligations to 
increase significantly. 

Certain borrowings under our credit agreements bear interest at variable rates and expose us to interest rate risk. If 

interest rates were to increase, our debt service obligations on our variable rate indebtedness would increase even though the 
amount borrowed remained the same, and our earnings and cash flows will correspondingly decrease.

11

Our credit facilities and our existing notes have restrictive covenants that could limit our financial flexibility.

The indentures that govern our existing notes and our credit facilities contain financial and other restrictive covenants 

that limit our ability to engage in activities that may be in our long-term best interests.

Our credit facilities and the indentures governing our existing notes include restrictions that, among other things, limit 

our ability to: incur indebtedness; grant liens; engage in mergers, consolidations and liquidations; make asset dispositions, 
restricted payments and investments; enter into transactions with affiliates; and amend, modify or prepay certain indebtedness. 
Under our credit facilities, we are subject to financial covenants that require us to maintain ratios for leverage and interest 
coverage, including on a pro forma basis in the event of an acquisition and limit our capital expenditures.

Our credit facilities also contain restrictions on the amount and timing of share repurchase activity.  This includes 

prohibiting share repurchases should a default under the Credit Agreement exist prior to or immediately after any share 
repurchases. 

Our failure to comply with these restrictions or covenants could result in a default under the agreements governing the 

relevant indebtedness. If a default under the credit facilities and the indentures governing our existing notes is not cured or 
waived, such default could result in the acceleration of debt or other payment obligations under our debt or other agreements 
that contain cross-acceleration, cross-default or similar provisions, which could require us to repurchase or pay debt or other 
obligations prior to the date it is otherwise due.

Our ability to comply with covenants contained in the credit facilities and the indentures governing our existing notes 
and any other debt or other agreements to which we are or may become a party, may be affected by events beyond our control, 
including prevailing economic, financial and industry conditions. Even if we are able to comply with all of the applicable 
covenants, the restrictions on our ability to manage our business in our sole discretion could adversely affect our business by, 
among other things, limiting our ability to take advantage of financings, mergers, acquisitions and other corporate opportunities 
that we believe would be beneficial to us.

An interruption in the ability of the our business to manufacture products may have a material adverse effect on our 
business.

We manufacture the majority of our products in eight facilities, three in the United States, one each in Thailand, 
Ireland and Honduras and two in Mexico. If one or more of these facilities experience damage, or if these manufacturing 
capabilities are otherwise limited or stopped due to quality, regulatory or other reasons, including natural disasters, geopolitical 
events, prolonged power or equipment failures, labor disputes or unsuccessful imports/exports of products as well as supply 
chain transportation disruptions, it may not be possible to timely manufacture the relevant products at previous levels or at all. 
A reduction or interruption in any of these manufacturing processes could have a material adverse effect on our business, 
results of operations, financial condition and cash flows.

An inability to obtain key components, raw materials or manufactured products from third parties may have a material 
adverse effect on our Global Products segment.

Our Global Products segment depends on the availability of various components, raw materials and manufactured 

products supplied by others for its operations. If the capabilities of suppliers and third-party manufacturers are limited or 
stopped, due to quality, regulatory or other reasons, that could negatively impact our ability to manufacture or deliver our 
products and could lead to exposure to regulatory actions. Further, for quality assurance or cost effectiveness, we have 
purchased from sole suppliers certain components and raw materials such as polymers used in our products, and we expect to 
continue to purchase these components and raw materials from these sole suppliers. Although there are other sources in the 
market place for these items, we may not be able to quickly establish additional or replacement sources for certain components 
or materials due to regulations and requirements of the U.S. Food and Drug Administration (FDA) and other regulatory 
authorities regarding the manufacture of our products. The loss of any sole supplier or any sustained supply interruption that 
affects the ability to manufacture or deliver our products in a timely or cost effective manner could have a material adverse 
effect on our business, results of operations, financial condition and cash flows.

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.

12

     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.

We may incur product liability losses, litigation liability, product recalls, safety alerts or regulatory action associated with 
the products that we source, assemble, manufacture and sell which can be costly and disruptive to our business.

The risk of product liability claims is inherent in the design, assembly, manufacture and marketing of the medical 

products of the types we sell. A number of factors could result in an unsafe condition or injury to, or death of, a patient with 
respect to the products that we source, assemble, manufacture or sell, including physician technique and experience in 
performing the relevant surgical procedure, component failures, manufacturing flaws, design defects or inadequate disclosure 
of product-related risks or information.

In addition to product liability claims and litigation, an unsafe condition or injury to, or death of, a patient associated 

with our products could lead to a recall of, or issuance of a safety alert relating to, our products, or suspension or delay of 
regulatory product approvals or clearances, product seizures or detentions, governmental investigations, civil or criminal 
sanctions or injunctions to halt manufacturing and distribution of our products. Any one of these could result in significant 
costs and negative publicity resulting in reduced market acceptance and demand for our products and harm its reputation. In 
addition, a recall or injunction affecting our products could temporarily shut down production lines or place products on a 
shipping hold.

All of the foregoing types of legal proceedings and regulatory actions are inherently unpredictable and, regardless of 
the outcome, could disrupt our business, result in substantial costs or the diversion of management attention and could have a 
material adverse effect on our results of operations, financial condition and cash flows.

We must obtain clearance or approval from the appropriate regulatory authorities prior to introducing a new product or a 
modification to an existing product. The regulatory clearance process may result in substantial costs, delays and limitations 
on the types and uses of products we can bring to market, any of which could have a material adverse effect on our 
business.

In the United States, before we can market a new product, or a new use of, or claim for, or significant modification to, 

an existing product, we generally must first receive clearance or approval from the FDA and certain other regulatory 
authorities. Most major markets for medical products outside the United States also require clearance, approval or compliance 
with certain standards before a product can be commercially marketed. The process of obtaining regulatory clearances and 
approvals to market a medical product can be costly and time consuming, involve rigorous pre-clinical and clinical testing, 
require changes in products or result in limitations on the indicated uses of products. We cannot assure you that these clearances 
and approvals will be granted on a timely basis, or at all. In addition, once a medical product has been cleared or approved, a 
new clearance or approval may be required before it may be modified, its labeling changed or marketed for a different use. 
Medical products are cleared or approved for one or more specific intended uses and promoting a device for an off-label use 
could result in government enforcement action. Furthermore, a product approval or clearance can be withdrawn or limited due 
to unforeseen problems with the medical product or issues relating to its application. The regulatory clearance and approval 
process may result in, among other things, delayed, if at all, realization of product net sales, substantial additional costs and 
limitations on the types of products we may bring to market or their indicated uses, any one of which could have a material 
adverse effect on our results of operations, financial condition and cash flows.

We may be unable to realize anticipated cost savings and efficiency and productivity gains or may incur additional and/or 
unexpected costs in order to realize them. 

13

 
In the first quarter of 2017, we unveiled our Rapid Business Transformation (RBT) process to reduce expenses, 

increase efficiency and productivity and add significant operating income (to replace lost margin). Throughout 2017 and 2018, 
the RBT process identified and implemented initiatives designed to drive better earnings and cash flow through efficiency and 
productivity gains, expense reduction and diversification of our business. We have transitioned away from using the term 
“RBT” and now have the initiatives directly managed by our business units and their respective operating plans.  However, our 
expectations pertaining to cost savings and efficiency and productivity increases are inherently estimates that are difficult to 
predict and are necessarily speculative in nature, and we cannot assure you that we will achieve expected or any actual run-rate 
cost savings or efficiency and productivity gains. A variety of factors could cause us not to realize some or all of the expected 
cost savings, including, among others, macroeconomic conditions, regulatory changes, delays in the anticipated timing of 
activities related to our cost savings programs, lack of sustainability in cost savings over time, unexpected costs associated with 
operating our business and our ability to achieve the efficiencies contemplated by the cost savings initiative. We may be unable 
to realize all of these cost savings within the expected timeframe, or at all, and we may incur additional or unexpected costs in 
order to realize them.

These cost savings and efficiency and productivity gains are based upon a number of assumptions and estimates that 

are in turn based on our analysis of the various factors which currently, and could in the future, impact our business. These 
assumptions and estimates are inherently uncertain and subject to significant business, operational, economic and competitive 
uncertainties and contingencies. Certain of the assumptions relate to business decisions that are subject to change, including, 
among others, our anticipated business strategies, our marketing strategies, our product development and licensing strategies 
and our ability to anticipate and react to business trends. Other assumptions relate to risks and uncertainties beyond our control, 
including, among others, the economic environment in which we operate, healthcare regulation and other developments in our 
industry as well as capital markets conditions from time to time. The actual results of implementing the various cost savings 
and efficiency and productivity initiatives may differ materially from our estimates. Moreover, our continued efforts to 
implement these cost savings and efficiency and productivity initiatives may divert management attention from the rest of our 
business and may preclude us from seeking attractive opportunities, any of which may materially and adversely affect our 
business.

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 investment in Fusion5 has not yet generated revenue and may continue to incur losses.

Fusion5 is a new enterprise with limited operating history.  In 2018, Fusion5 began managing bundled payment episodes 
under the BCPI-A program. As of December 31, 2018, Fusion5 had not generated revenue and had incurred losses. Due to the 
nature of the BPCI-A program and Fusion5’s contracts with Centers for Medicare and Medicaid Services (CMS) and healthcare 
providers, the timing of payments to Fusion5 may differ from our expectations.  Additionally, changes to the BPCI-A program by 
CMS with respect to payment timing could have a material adverse effect on our financial results.

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 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 
products 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 

14

 
 
 
 
 
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.

In Europe, 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 upkeep of our information systems. If our 
information 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.  

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.

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 
inventory in the United States or changes in tax accounting methods for inventory, import tariffs and taxes, or other tax items. 
These and other changes in tax laws and regulations could adversely affect our tax positions, tax rate or cash payments for 
taxes.

We operate within the European Union, including in the United Kingdom and therefore may be affected by the United 
Kingdom's withdrawal from the European Union.

We operate within the European Union (the E.U.), including the United Kingdom (the U.K.). The U.K.’s anticipated 

exit from the E.U. (commonly referred to as Brexit) and the resulting significant change to the U.K.’s relationship with the E.U. 
and with countries outside the E.U. (and the laws, regulations and trade deals impacting business conducted between them) 
could disrupt the overall economic growth or stability of the U.K. and the E.U. and otherwise negatively impact our operations 
in Europe. The U.K. is currently negotiating the terms of Brexit, with the U.K. due to exit the E.U. on March 29, 2019. In 
November 2018, the U.K. and the E.U. agreed upon a draft Withdrawal Agreement that set out the terms governing the U.K.’s 
departure, including, among other things, a transition period to allow for a future trade deal to be agreed upon. As the draft 
Withdrawal Agreement was rejected by the U.K. Parliament on January 15, 2019, there is significant uncertainty about the 
terms and timing under which the U.K. will leave the E.U. It is possible that Brexit will result in our U.K. and E.U. operations 
becoming subject to materially different, and potentially conflicting, laws, regulations or tariffs which could require costly new 
compliance initiatives or changes to legal entity structures or operating practices. Furthermore, in the event the U.K. leaves the 
E.U. with no agreement (a hard Brexit), there may be additional adverse impacts on immigration and trade between the U.K. 
and the E.U. or countries outside the E.U. Such impacts could have an adverse effect on our business and results of operations. 
The ultimate effects of Brexit on us will depend on the specific terms of any agreement the U.K. and the E.U. reach to provide 
access to each other’s respective markets.

Owens & Minor’s continued success is substantially dependent on positive perceptions of Owens & Minor’s reputation.

One of the reasons why customers choose to do business with us and why teammates choose us as a place of employment 
is the reputation that we have built over many years. To be successful in the future, the Company must continue to preserve, grow 
and leverage the value of our brand. Reputational value is based in large part on perceptions of subjective qualities. Even an 
isolated incident, or the aggregate effect of individually insignificant incidents, can erode trust and confidence, particularly if they 
result in adverse publicity, governmental investigations or litigation, and as a result, could tarnish our brand and lead to adverse 
effects on our business, financial condition and results of operations.

We may experience competition from third-party online commerce sites.

Traditional distribution relationships are being challenged by online commerce solutions. Such competition will require 
us to cost-effectively adapt to changing technology, to continue to provide enhanced service offerings and to continue to differentiate 
our business (including with additional value-added services) to address demands of consumers and customers on a timely basis. 
The emergence of such competition and our inability to anticipate and effectively respond to changes on a timely basis could have 
a material adverse effect on our business.

15

 
 
 
 
 
 
Audits by tax authorities could result in additional tax payments for prior periods, and tax legislation could materially 
adversely affect our financial results and tax liabilities.

The amount of income taxes we pay is subject to ongoing audits by U.S. federal, state and local tax authorities and by

non-U.S. tax authorities. If these audits result in assessments different from our reserves, our future results may include 
unfavorable adjustments to our tax liabilities.

We are subject to the tax laws and regulations of the U.S. federal, state and local governments, as well as foreign

jurisdictions. From time to time, various legislative initiatives may be proposed that could materially adversely affect our tax
positions. There can be no assurance that our effective tax rate will not be materially adversely affected by legislation resulting
from these initiatives. On December 22, 2017, U.S. government enacted legislation referred to as the Tax Cuts and Jobs Act 
(Tax Act), which significantly revises the Internal Revenue Code of 1986, as amended.  We have recorded an amount of income 
tax to reflect the impact of the law change based on management’s interpretation of the new legislation.  It continues to remain 
uncertain if and to what extent various states will conform to the newly enacted federal tax law.

In addition, tax laws and regulations are extremely complex and subject to varying interpretations. Although we 

believe that our historical tax positions are sound and consistent with applicable laws, regulations and existing precedent, they 
can be no assurance that our tax positions will not be challenged by relevant tax authorities or that we would be successful in 
any such challenge.

Recent significant changes to our executive leadership team and any future loss of members of such team, and the resulting 
management transitions might harm our future operating results.

We have recently experienced significant changes to our executive leadership team. In 2018, we replaced our Chief 
Executive Officer & President, our Chief Financial Officer and our Executive Vice President - North American Operations. These 
types of management changes have the potential to disrupt our operations due to the operational and administrative inefficiencies, 
added costs, increased likelihood of turnover, and the loss of personnel with deep institutional knowledge, which could result in 
significant disruptions to our operations. In addition, we must successfully integrate the new executive leadership team members 
within our organization in order to achieve our operating objectives, and changes in key leadership positions may temporarily 
affect our financial performance and results of operations as new leadership becomes familiar with our business. 

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. As a result of interim impairment tests performed during 2018, we recorded an impairment loss 
related to goodwill of $423.1 million. We may be further 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.

The market price for our common stock may be highly volatile.

The market price for our common stock may be highly volatile. A variety of factors may have a significant impact on the 

market price of our common stock, including, but not limited to:

• 
• 
• 
• 
• 
• 
• 

• 

the publication of earnings estimates or other research reports and speculation in the press or investment community;
changes in our industry and competitors;
changes in government or legislation;
our financial condition, results of operations and cash flows and prospects;
stock repurchases;
activism by any single large shareholder or combination of shareholders;
any future issuances of our common stock, which may include primary offerings for cash, stock splits, issuances in 
connection with business acquisitions, issuances of restricted stock/units and the grant or exercise of stock options 
from time to time;
general market and economic conditions; and 

16

 
 
 
 
 
 
• 

any outbreak or escalation of hostilities in areas where we do business.

In addition, the NYSE can experience extreme price and volume fluctuations that can be unrelated or disproportionate 
to the operating performance of the companies listed on NYSE. Broad market and industry factors may negatively affect the market 
price of our common stock, regardless of actual operating performance. In the past, following periods of volatility in the market 
price of a company’s securities, securities class action litigation has often been instituted against companies. This type of litigation, 
if  instituted,  could  result  in  substantial  costs  and  a  diversion  of  management’s  attention  and  resources,  which  could  have  a 
material adverse effect on our business.

Item 1B. Unresolved Staff Comments

None.

Item 2. Properties

Our Global Solutions segment operated 47 distribution centers as well as office and warehouse space across the 
United States as of December 31, 2018. 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 personnel across the United 
States. In addition, we leased space on a temporary basis from time to time to meet our inventory storage needs. Our European 
properties span 12 countries and included 19 logistics centers (17 leased and 2 owned) and seven transport depots (leased). We 
also leased office space in Ireland.

At December 31, 2018, our Global Products segment operated facilities located throughout the world that handle 

manufacturing production, assembly, research, quality assurance testing, distribution and packaging of our products. Our 
principal facilities include production (3 owned and 2 leased) in Mexico, United States, Thailand and Honduras, distribution 
(five leased) in the United States, Canada and India, and office space leased in Europe, North America, and Asia.   We also 
operate two kitting facilities in the United States (one leased and one owned) and one in Europe (owned). 

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) in Richmond, Virginia designed to support 
standardization and enhanced service to customers.

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 15, 2019, there were approximately 3,037 common shareholders of record. We believe there are an estimated 
additional 28,354 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.

17

 
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, 2013, and that all dividends 
were reinvested.

Company Name / Index
Owens & Minor, Inc.

S&P 500 Index

S&P 500 Healthcare

Base
Period

12/2013

12/2014

12/2015

12/2016

12/2017

12/2018

Years Ended

$

100.00

$

98.9

$

104.3

$

105.2

$

58.5

$

100.00

100.00

113.7

125.3

115.3

134.0

129.1

130.4

157.2

159.2

20.8

150.3

169.4

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. Our Credit Agreement contains restrictions on the amount and timing of share 
repurchase activity. This includes prohibiting share repurchases should a default under the Credit Agreement exist prior to or 
immediately after any share repurchases. 

We did not repurchase any shares during the year ended December 31, 2018.  

18

 
Item 6. Selected Consolidated Financial Data
(in thousands, except ratios and per share data)

At or for the years ended December 31,

2018 (1)

2017 (2)

2016 (3)

2015 (4)

2014 (5)

Summary of Operations:
Net revenue . . . . . . . . . . . . . . . . . . . . . . . . $ 9,838,708
Net income (loss). . . . . . . . . . . . . . . . . . . . $ (437,012)

$ 9,318,275

$ 9,723,431

$

72,793

$

108,787

Per Common Share:

Net income (loss) per share—basic
and diluted . . . . . . . . . . . . . . . . . . . . . $
Cash dividends . . . . . . . . . . . . . . . . . . $
Stock price at year end . . . . . . . . . . . . . . . $

(7.28)

0.86

6.33

$

$

$

1.20

1.03

18.88

$

$

$

1.76

1.02

35.29

Summary of Financial Position:
Total assets. . . . . . . . . . . . . . . . . . . . . . . . . $ 3,773,788
Cash and cash equivalents . . . . . . . . . . . . . $
103,367
Total debt . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,681,172
Total equity . . . . . . . . . . . . . . . . . . . . . . . . $
518,419

$ 3,376,293

$ 2,717,752

$
$

104,522
917,363

$ 1,015,479

$
$

$

185,488
569,387

960,038

$

$

$

$

$

$

$
$

$

9,772,946

$ 9,440,182

103,409

$

66,503

1.65

1.01

35.98

$

$

$

1.06

1.00

35.11

2,773,776

$ 2,729,963

161,020
573,522

992,590

$
$

$

56,772
609,173

990,838

Selected Ratios:
Gross margin as a percent of revenue . . . .

Distribution, selling and administrative
expenses as a percent of revenue. . . . . . . .

Operating income (loss) as a percent of
revenue . . . . . . . . . . . . . . . . . . . . . . . . . . .
Days sales outstanding (DSO) (6). . . . . . . .
Average annual inventory turnover (7) . . . .

13.89 %

12.58%

12.21%

12.43%

12.39%

12.83 %

10.91%

(3.99)%

28.5

7.4

0.96%

28.7

8.5

9.98%

2.05%

23.1

9.2

10.17%

10.42%

2.05%

21.0

9.4

1.69%

22.1

10.1

(1)  We incurred charges of $62.2 million ($49.1 million after tax, or $0.80 per diluted common share) associated with 
acquisition-related and exit and realignment activities in 2018, $3.5 million ($2.8 million after tax, or $0.04 per diluted 
common share) in software as a service implementation costs, $27.1 million ($21.4 million after tax, or $0.33 per common 
share) associated with fair value adjustments related to purchase accounting, and $439.6 million ($406.9 million after tax, or 
$6.81 per diluted common share) associated with goodwill and intangible asset impairment charges. See Notes 3, 8 and 9 of 
Notes to Consolidated Financial Statements.
(2) 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 14 of Notes to 
Consolidated Financial Statements. 
(3)  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.
(4)  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. 
(5)  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).

19

 
 
(6)  Based on year end accounts receivable and net revenue for the fourth quarter of the year. Changes in DSO since December 
31, 2017 are also affected by the 2018 Halyard acquisition.
(7)  Based on average annual inventory and cost of goods sold for the respective year. Changes in shipping terms with certain of 
our suppliers have contributed to increased inventory and accounts payable and had an unfavorable impact on inventory 
turnover. Changes in inventory turnover since December 31, 2017 are also affected by the 2018 Halyard acquisition.

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. In 

2018, we have made changes to the leadership team, organizational structure, budgeting and financial reporting processes 
which required changes to segment reporting. These changes align our operations into two distinct business units: Global 
Solutions and Global Products. Global Solutions (previously Domestic and International) is our U.S. and European 
distribution, logistics and value-added services business. Global Products (previously Proprietary Products) manufactures and 
sources medical surgical products through our production and kitting operations. Beginning with the quarter ended March 31, 
2018, we now report financial results using this two segment structure and have recast prior year segment results on the same 
basis. Segment financial information is provided in Note 20 of Notes to Consolidated Financial Statements included in this 
annual report.

On April 30, 2018 (the Closing Date), we completed the acquisition of substantially all of Avanos Medical, Inc.'s 
(Avanos, previously Halyard Health, Inc.) Surgical and Infection Prevention business, the name “Halyard Health” (and all 
variations of that name and related intellectual property rights) and its information technology (IT) systems in exchange 
for $758 million, net of cash acquired. The Halyard business is a leading global provider of medical supplies and solutions for 
the prevention of healthcare associated infections across acute care and non-acute care markets. This business is reported as 
part of the Global Products segment.

We entered into transition services agreements with Avanos pursuant to which they and we will provide to each other 

various transitional services, including, but not limited to, facilities, product supply, financial and business services, 
procurement, human resources, research and development, regulatory affairs and quality assurance, sales and marketing, 
information technology and other support services. On the Closing Date, certain of our affiliates also entered into transitional 
distribution agreements with affiliates of Avanos under which the Avanos affiliates will serve as limited risk distributors for 
our international customer orders on a transitional basis. The services under the transition services agreements and distribution 
agreements generally commenced on the Closing Date and terminate within 18 months thereafter.

20

Financial Highlights. 

The following table provides a reconciliation of reported operating income (loss), net income (loss) and diluted net 

income (loss) per common share to non-GAAP measures used by management:

For the years ended December 31,

(Dollars in thousands, except per share data)
Operating income (loss), as reported (GAAP) . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Intangible amortization (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill and intangible asset impairment charges (2) . . . . . . . . . . . . . . . . . . . . .
Acquisition-related and exit and realignment charges (3) . . . . . . . . . . . . . . . . . . .
Fair value adjustments related to purchase accounting (4) . . . . . . . . . . . . . . . . . .
Other (5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2018
(392,174) $

36,514

439,613

62,200

27,088

3,532

—

60,707

—

13,432

2017

2016

89,251

$

199,599

16,402

10,002

Operating income, adjusted (non-GAAP) (Adjusted Operated Income) . . . . . . . $

176,773

$

179,792

Net income (loss) as reported (GAAP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Intangible amortization (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income tax expense (benefit) (6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill and intangible asset impairment charges (2) . . . . . . . . . . . . . . . . . . . . .
Income tax expense (benefit) (6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Acquisition-related and exit and realignment charges (3) . . . . . . . . . . . . . . . . . . .
Income tax expense (benefit) (6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fair value adjustments related to purchase accounting (4) . . . . . . . . . . . . . . . . . .
Income tax expense (benefit) (6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other (5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income tax expense (benefit) (6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax adjustments (7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net income, adjusted (non-GAAP) (Adjusted Net Income) . . . . . . . . . . . . . . . . $

Net income (loss) per diluted common share, as reported (GAAP). . . . . . . . . . . $
Intangible amortization (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill and intangible asset impairment charges (2) . . . . . . . . . . . . . . . . . . . . .
Acquisition-related and exit and realignment charges (3) . . . . . . . . . . . . . . . . . . .
Fair value adjustments related to purchase accounting (4) . . . . . . . . . . . . . . . . . .
Other (5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax adjustments (7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(437,012) $
36,514
(7,677)
439,613
(32,729)
62,200
(13,079)
27,088
(5,696)
3,532
(743)
(1,596)
70,415

$

(7.28) $
0.47

6.81

0.80

0.33

0.04
(0.02)

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)

—

24,675

—

—

$

$

234,276

108,787

10,002
(2,592)
—

—

24,675
(6,835)
—

—

—

—

—

134,037

1.76

0.12

—

0.29

—

—

—

$

$

Net income per diluted common share, adjusted (non-GAAP) (Adjusted EPS) . $

1.15

$

1.61

$

2.17

Net income (loss) per diluted share was $(7.28) for the year ended December 31, 2018, a decline of $8.48 compared 
to 2017. Adjusted EPS (non-GAAP) was $1.15 for the year ended December 31, 2018, a decline of $0.46 over the prior year. 
Global Solutions segment operating income was $104.1 million for 2018, compared to $141.1 million for 2017. The declines 
were a result of a decline in distribution revenues, continued pressure on distribution margins, warehouse inefficiencies in 
certain of our facilities, increased expenses incurred for the development of new customer solutions, and higher severance and 
restricted stock expense which were partially offset by positive contributions from Byram Healthcare (acquired in August 
2017). Global Products segment operating income was $75.7 million for 2018, compared to $38.5 million for 2017.  The 
increase was a result of the contributions from Halyard (acquired in April 2018).

Adjusted Operating Income, Adjusted Net Income and Adjusted EPS are alternative views of performance used by 
management, and we believe that investors' understanding of our performance is enhanced by disclosing these performance 

Use of Non-GAAP Measures

21

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) Intangible amortization includes amortization of 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.

(2) Goodwill and intangible assets impairment charges were $423.1 million and $16.5 million, respectively. The 

charges resulted from our second and fourth quarter goodwill and intangible asset impairment testing performed as a result of 
a decline in market capitalization of the Company and lower than projected financial results of certain reporting units due to 
customer losses and operational inefficiencies, which have caused us to revise our expectations with regard to future 
performance.

(3) Acquisition-related charges, pre-tax, were $45.3 million in 2018, $17.3 million in 2017 and $1.2 million in 2016. 

Acquisition related expenses in 2018 consist primarily of transition and transaction costs for the Halyard acquisition. Expenses 
in 2017 consisted of transaction costs for the Byram and Halyard acquisitions. 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 sale of property acquired with Medical Action.

Exit and realignment charges, pre-tax, were $16.9 million in 2018, $43.4 million in 2017, and $23.5 million in 2016. 
Amounts in 2018 and 2017 were associated with severance from reduction in force and other employee costs associated with 
the establishment of our client engagement centers, the writedown of information system assets which are no longer used and 
other IT restructuring charges. Additionally, expenses in 2017 were associated with the transition of our Rapid Business 
Transformation process. 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. Further information regarding these items is included in Note 9 of Notes to 
Consolidated Financial Statements. 

(4) 2018 includes an incremental charge to cost of goods sold from purchase accounting impacts related to the sale of 

acquired inventory that was written up to fair value in connection with the Halyard acquisition.

(5) Software as a Service (SaaS) implementation costs associated with significant global IT platforms in connection 

with the redesign of our global information system strategy.

(6) These 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

(7) Includes tax adjustments primarily associated with the benefits under the Tax Cuts and Jobs Act.

More information about these charges is provided in Notes 3, 9 and 14 of Notes to Consolidated Financial 

Statements included in this annual report.

22

Results of Operations

2018 compared to 2017

Net revenue.

For the years ended
December 31,

Change

(Dollars in thousands)
Global Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,188,066
1,111,322
Global Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(460,680)
Inter-segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,838,708

2018

2017

$ 9,186,018

504,026
(371,769)
$ 9,318,275

$

2,048

607,296
(88,911)
520,433

$

$

%

—%

120.5%

23.9%

5.6%

Consolidated net revenue increased primarily as a result of the acquisition of Byram in August 2017, which 
contributed revenue growth of $340.1 million to Global Solutions offset by reduced revenues from lost distribution customers, 
and the acquisition of Halyard on April 30, 2018, which contributed revenue of $663.6 million to Global Products. The 
changes from prior year also included a favorable impact from foreign currency translation of $19.7 million. 

Cost of goods sold.

For the years ended
December 31,

Change

(Dollars in thousands)
Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,471,745

2018

2017

$ 8,146,409

$

$
325,336

%

4.0%

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 and bear risk of general and physical inventory loss. 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 Global Products business. There is no cost of goods sold associated with our fee-for-service arrangements. Cost of 
goods sold compared to prior year reflects changes in sales activity, including sales mix within our products and solutions 
businesses.

Gross margin.

For the years ended
December 31,

Change

(Dollars in thousands)
Gross margin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,366,963

2018

2017

$ 1,171,866

$

$
195,097

%

16.6%

As a % of net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13.89%

12.58%

 Gross margin included positive contributions from Byram and Halyard, increased revenues for fee-for-service 
business, and favorable impact from foreign currency translation of $12.2 million; which were partially offset by lower 
distribution revenues and a decline in distribution margins. With ongoing customer cost pressures and competitive dynamics in 
healthcare, we expect margin pressure in our distribution business to continue. 

We value distribution inventory held in the United States 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 28 basis points higher in 
2018 and 4 basis points higher in 2017. 

Operating expenses.

For the years ended
December 31,

(Dollars in thousands)
Distribution, selling & administrative expenses. . . . . . . . . . . $ 1,261,748

2018

2017
$ 1,016,978

As a % of net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other operating (income) expense, net. . . . . . . . . . . . . . . . . . $

12.83%
(4,424)

10.91%

$

4,930

Change

$

244,770

%
24.1 %

(9,354)

(189.7)%

$

$

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 

23

 
 
 
 
are primarily 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. 

Overall DS&A expenses compared to prior year reflected increased expenses related to Byram and Halyard, higher 

distribution warehouse and delivery expenses, and increased expenses incurred for the development of new customer 
solutions, as well as unfavorable foreign currency translation impacts of $12.1 million. The change in other operating (income) 
expense, net was attributed primarily to lower software as a service implementation expenses and higher foreign currency 
transaction gains compared to prior year. 

A discussion of the goodwill and intangible asset impairment charges and 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,

2018

2017

Change

$

%

77,021

$

31,773

$

45,248

142.4%

Effective interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5.30%

4.34%

Interest expense was higher than prior year as a result of borrowings under our revolving credit facility and new term 

loans in connection with the Halyard Acquisition. See Note 10 in Notes to Consolidated Financial Statements. 

Income taxes.

(Dollars in thousands)
Income tax (benefit) provision . . . . . . . . . . . . . . . . . . . . . . . . $

For the years ended
December 31,

2018

2017

(32,183)

$ (15,315)

$

Change

$
(16,868)

%

(110.1)%

Effective tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6.9%

(26.6)%

The change in the effective tax rate resulted primarily from goodwill and intangible asset impairment charges in 2018 

which were mostly not deductible for income tax purposes and an income tax benefit in 2017 of $35 million associated with 
the estimated benefits under the Tax Cuts and Jobs Act which did not reoccur in 2018.

2017 compared to 2016

Net revenue.

For the years ended
December 31,

Change

(Dollars in thousands)
Global Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,186,018
504,026
Global Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(371,769)
Inter-segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,318,275

2017

2016

$ 9,535,248

539,580
(351,397)
$ 9,723,431

$

(349,230)
(35,554)
(20,372)
(405,156)

$

$

%

(3.7)%

(6.6)%

5.8 %

(4.2)%

Consolidated net revenue for the year ended December 31, 2017,was affected primarily by the exit of a large 
domestic customer in 2016,  lower growth with existing domestic customers and an unfavorable foreign currency translation 
impact of $4.0 million for the year. Byram contributed $209 million in revenue to the Global Solutions segment in 2017. A 
decrease in sales of our sourced products primarily contributed to the year over year change in the Global 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 

24

 
 
 
 
 
the primary obligor and bear risk of general and physical inventory loss.  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 Global 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.

We value distribution inventory held in the United States 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 primarily 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.

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.

25

 
 
 
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 $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.

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 $27 million. 

The majority of our cash and cash equivalents are held in cash depository accounts with major banks in the United 
States, Europe, and Asia. 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. Changes in shipping terms with certain of 
our suppliers have contributed to increased inventory and accounts payable and had an unfavorable impact on inventory 
turnover. Changes in DSO and inventory turnover since December 31, 2017 are also affected by the 2018 Halyard acquisition. 

December 31,

2018

2017

103,367

$ 104,522

(Dollars in thousands)
Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . $
Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . $
Days sales outstanding (1) . . . . . . . . . . . . . . . . . . .

28.5
Merchandise inventories . . . . . . . . . . . . . . . . . . . . . . . $ 1,290,103
7.4
Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,109,589

Inventory turnover (2) . . . . . . . . . . . . . . . . . . . . . .

823,418

$ 758,936
28.7

$ 990,193
8.5

Change

$
(1,155)
$ 64,482

$

%

(1.1)%

8.5 %

$ 299,910

30.3 %

$ 947,572

$ 162,017

17.1 %

(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, 2018 and 2017

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,
2016
2017
2018

Operating activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Investing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Financing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Effect of exchange rate changes on cash . . . . . . . . . . . . . . . . . . . . . . . . . . .
Increase (decrease) in cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . $

$

115,589
(815,829)
701,071
(1,986)
(1,155) $

$

56,774
(416,643)
272,806

6,097
(80,966) $

187,695
(24,746)
(142,704)
4,223

24,468

Cash provided by (used for) operating activities in 2018, 2017 and 2016 reflected fluctuations in net income along 

with changes in working capital. 

26

 
Cash used for investing activities in 2018, 2017 and 2016 included capital expenditures of $65.7 million, $50.7 

million and $30.1 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 2018 included cash 
paid for the acquisition of Halyard of $758 million and in 2017 included cash paid for the acquisition of Byram Healthcare of 
$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  $48.2 million, $63.2 million and $63.4 million 

and repurchases of common stock under our share repurchase programs for $5.0 million and $71.0 million in the years ended 
December 31, 2017 and 2016. In 2018 and 2017, cash provided by financing activities included proceeds from borrowings of 
$801.3 million and $354.6 million under our Credit Agreement. Financing activities in 2018 and 2017 also included the 
repayment of $16.3 million and $3.1 million in borrowings on our Credit Agreement. 

Capital resources. Our sources of liquidity include cash and cash equivalents and a revolving credit facility under 
our 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). In connection with the Halyard acquisition, we amended our Credit Agreement to 
include, among others things, an additional $195.8 million Term A-2 loan and $500 million Term B loan. The revolving credit 
facility and Term A loans mature in July 2022 and the Term B loan matures in October 2025. Our Credit Agreement now 
includes collateral for the benefit of the Secured Parties (as defined), first priority liens and security interests in (a) all present 
and future shares of capital stock owned by the Credit Parties (as defined) in the Credit Parties’ present and future subsidiaries 
(limited, in the case of controlled foreign corporations, to a pledge of 65% of the voting capital stock of each first-tier foreign 
subsidiary of each Credit Party) and (b) all present and future personal property and assets of the Credit Parties, subject to 
certain exceptions. Our Credit Agreement has a “springing maturity date” with respect to the revolving loans and the term A 
loans and the term B loans, if as of the date that is 91 days prior to the maturity date of the Company’s 2021 Notes or the 2024 
Notes, respectively, all outstanding amounts owing under the 2021 Notes or the 2024 Notes, respectively, have not been paid 
in full then the Termination Date (as defined in the Credit Agreement) of the revolving loans, term A loans and term B loans 
shall be the date that is 91 days prior to the maturity date of the 2021 Notes. 

We make principal payments under the term loans on a quarterly basis with the remaining outstanding principal due 

upon maturity. The interest rate on our revolving credit facility and Term A loans, 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 credit 
ratings or debt to EBITDA ratio as defined by the Credit Agreement. Our Term B loan pays interest based on the Eurocurrency 
Rate, the Federal Funds Rate or the Prime Rate, plus an interest rate margin of 3.50% per annum with respect to Base Rate 
Loans (as defined in the Credit Agreement), and 4.50% per annum with respect to Eurocurrency Rate Loans (as defined in 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, 2018 is Eurocurrency Rate plus 2.00%.

On February 12, 2019, we entered into a Fourth Amendment to the Credit Agreement, dated as of July 27, 2017.  The 

Fourth Amendment implements certain principal changes to the Credit Agreement, including reduction of the revolving loan 
facility to $400 million (from $600 million); amendment to the leverage and interest coverage financial covenants (through the 
maturity date of the Credit Agreement) and the definition of EBITDA; addition of an anti-cash hoarding covenant; 
amendments to certain negative covenants, including a reduction of certain baskets for restricted payments, prepayments of 
junior debt, asset sales, investments and capital expenditures; and removal of the incremental facility.

In connection with the Fourth Amendment, we amended our our Security Agreement to include additional Joining 
Subsidiaries (as defined) providing collateral for the benefit of the Secured Parties (as defined) and holders of our 2021 and 
2024 Notes.  Also in connection with the Fourth Amendment, we entered into a Fourth Supplemental Indenture pursuant to 
which the Joining Subsidiaries became guarantors of the Company’s obligations under the 2021 and 2024 Notes.

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.  

27

 
We paid cash dividends on our outstanding common stock at the rate of $0.26 per share for the first three quarters 

of 2018. The fourth quarter dividend of $0.075 was accrued at December 31, 2018 and paid in January 2019. Quarterly 
dividends paid in 2017 were $0.2575 per share and were $0.255 per share during 2016. In February 2019, the Board of 
Directors approved the first quarter dividend of $0.0025 per common share. 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, current and future limitations under our Credit Agreement (as amended) 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. However, our Credit Agreement contains restrictions on the 
amount and timing of share repurchase activity. This includes prohibiting share repurchases should a default under the Credit 
Agreement exist prior to or immediately after any share repurchases. We did not repurchase any shares during 2018. At 
December 31, 2018, 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 
Credit Agreement (as amended), 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 income 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 and cash equivalents 
held by our foreign subsidiaries totaled $64.9 million and $79.1 million at December 31, 2018 and 2017. Upon enactment, the 
Act imposes a tax on our total post-1986 foreign earnings at various tax rates.  The Company has recognized an amount for 
this one-time transition tax.  The Company continues to remain permanently reinvested in its foreign subsidiaries, with the 
exception of our newly acquired subsidiary in Thailand. 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 in which we assert permanent reinvestment.  Management has no specific plans to indefinitely reinvest the unremitted 
earnings of our newly acquired foreign subsidiary located in Thailand as of December 31, 2018. As such, we have recorded 
withholding tax liabilities that would be incurred upon future distribution to the U.S. There are no unrecognized deferred taxes 
as there is no outside basis difference unrelated to unremitted earnings for Thailand. The Company will continue to evaluate its 
foreign earnings repatriation policy in 2019 for all other foreign subsidiaries in which we operate.

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, 2018:

(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

Less than 1
year

1-3 years

4-5 years

After 5
years

2,102,428

$

105,029

$

504,834

$

678,535

$

814,030

141,762

251,748

25,479

9,568

74,670

49,388

64,082

5,735

—

3,478

79,832

95,618

5,744

—

7,061

9,718

46,340

4,003

—

6,926

2,824

45,708

9,997

—

57,205

2,605,655

$

227,712

$

693,089

$

745,522

$

929,764

(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, 2018.
(2)  See Note 18 of Notes to Consolidated Financial Statements. 

28

(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 and retirees. 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 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, 2018, accounts receivable were $823.4 million, net of allowances of $19.6 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.

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 distribution inventories in the U.S. and the first-in, first-out (FIFO)  or weighted 
average cost method for all other inventories.  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, 2018, the carrying value of inventory was $1.29 billion, which is $146.5 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, tradenames, and other intangibles 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, as of October 1, and whenever events occur or changes in 

circumstance indicate that the carrying amount of goodwill may not be recoverable. Qualitative factors are first assessed to 
determine if it is more likely than not that the fair value of a reporting unit is less than its carrying amount. If it is determined 
that it is more likely than not that the fair value does not exceed the carrying amount, then a quantitative test is performed. The 
quantitative goodwill impairment test uses valuation techniques to determine fair value, including comparable multiples of 
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 $414.1 million at December 31, 2018.

29

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, 2018, long-lived assets included property and equipment of $386.7 million, net of 
accumulated depreciation; intangible assets of $321.8 million, net of accumulated amortization; and computer software costs 
of $67.5 million, net of accumulated amortization.

We recorded $440 million in impairment losses related to goodwill and long-lived assets in 2018. 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 $14.2 
million at December 31, 2018 and $13.5 million at December 31, 2017.

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.

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 related to our borrowing under our Credit Agreement. 

However, we enter into interest rate swap agreements to manage our exposure to interest rate changes. We had $926 million in 
borrowings under our term loans, $210 million in borrowings under our revolving credit facility and $15 million in letters of 
credit under the Credit Agreement at December 31, 2018. After considering the effects of interest rate swap agreements entered 
into during July 2018, we estimate an increase in interest rates of 100 basis points would result in a potential reduction in future 
pre-tax earnings of approximately $7 million per year based on our borrowings outstanding and the effective interest rates at 
December 31, 2018.

Due to the nature and pricing of our Global Solutions 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 has included using 
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 
$3.18 per gallon for 2018, an increase from $2.66 per gallon in 2017. Based on our fuel consumption in 2018, we estimate that 
every 10 cents per gallon increase in the benchmark would reduce our Global Solutions segment operating income by 
approximately $0.3 million on an annualized basis.

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, British Pound and Thai Baht. We may use 

30

foreign currency forwards, swaps and options, where possible, to manage our risk related to certain foreign currency 
fluctuations.

We are subject to price risk for our raw materials, the most significant of which relates to the cost of polypropylene 
and nitrile used in the manufacturing processes of our Global Products segment. Prices of the commodities underlying these 
raw materials are volatile and have fluctuated significantly in recent years and in the future may contribute to fluctuations in 
our results of operations. The ability to hedge these commodity prices is limited. 

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, 2018.

On April 30, 2018, we completed our acquisition of the Halyard Surgical & Infection Prevention business. 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 2018 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. 

In connection with the Halyard acquisition, we entered into transition services agreements with Avanos pursuant to 

which they and we will provide to each other various transitional services, including, but not limited to, facilities, product 
supply, financial and business services, procurement, human resources, regulatory affairs and quality assurance, sales and 
marketing, information technology and other support services for a period of up to 18 months after the closing date. 
Management has established controls to mitigate the risk over financial reporting and will continue to monitor and evaluate the 
sufficiency of the controls. We are currently evaluating the acquired processes, information technology systems and other 
components of internal controls over financial reporting as part of the Company's integration activities which may result in 
periodic changes. Such changes will be disclosed as required by applicable SEC guidance.

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, 2018, that has materially affected, or is reasonably likely to 
materially affect, our internal control over financial reporting. 

Item 9B. Other Information

On February 19, 2019, the Company announced that Edward A. Pesicka would become the Company’s Chief Executive 
Officer and President and be elected to the Company’s Board of Directors effective March 4, 2019, with the intention that the 
effectiveness of such appointment and election would follow the filing of the Company’s Annual Report on Form 10-K for the 
year ended December 31, 2018 (the “2018 10-K”).  The Company also announced on February 19, 2019 that its Board of Directors 
had approved an amendment to the Company’s Bylaws to increase the number of Directors from nine to ten effective upon Mr. 
Pesicka’s election to the Board.  However, in light of the delay in the filing of the Company’s 2018 10-K, the Company and Mr. 
Pesicka agreed to delay his employment as Chief Executive Officer and President and his election to the Board of Directors (as 
well as the amendment to the Bylaws) until March 7, 2019, the day following the date that the Company filed the 2018 10-K.  
Additionally, the Company and Robert C. Sledd agreed to extend Mr. Sledd’s service as interim President and Chief Executive 
Officer until Mr. Pesicka joins the Company.

31

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, 2018, 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, 2018.

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 Halyard Surgical and Infection Prevention business, which was acquired on April 30, 2018, 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 the Halyard Surgical and Infection Prevention business in the second quarter of 2018 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 the Halyard Surgical and Infection Prevention business, management excluded the Halyard 
Surgical and Infection Prevention business from its assessment of internal control over financial reporting.  Excluding $322 
million of goodwill and intangible assets (see Note 3 of Notes to the Consolidated Financial Statements), this acquisition 
represented $770 million of assets and $518 million of revenues (net of intercompany eliminations) as of and for the year ended 
December 31, 2018, of our consolidated financial statements. The Halyard Surgical and Infection Prevention business will be 
included in management’s assessment of internal control over financial reporting for the year ending December 31, 2019.

The effectiveness of the company’s internal control over financial reporting as of December 31, 2018, 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/   Robert C. Sledd 
Robert C. Sledd, Chairman, Interim President & Chief Executive Officer

      /s/    Robert K. Snead                                                                                     
Robert K. Snead, Executive Vice President & Chief Financial Officer

32

 
 
 
 
 
 
          
 
Report of Independent Registered Public Accounting Firm

To the Shareholders and Board of Directors
Owens & Minor, Inc.:

Opinion on Internal Control Over Financial Reporting 

We have audited Owens & Minor, Inc.’s and subsidiaries’ (the Company) internal control over financial reporting as of 
December 31, 2018, 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, 2018, 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, 2018 and 2017, the related consolidated  
statements of income (loss), comprehensive income (loss), changes in shareholders’ equity, and cash flows for each of the years in 
the three-year period ended December 31, 2018, and the related notes (collectively, the consolidated financial statements), and our 
report dated March 6, 2019 expressed an unqualified opinion on those consolidated financial statements.

The Company acquired the Surgical & Infection Prevention business from Halyard Health Inc. (Halyard) during 2018, and 
management excluded from its assessment of the effectiveness of the Company’s internal control over financial reporting as of 
December 31, 2018, Halyard’s internal control over financial reporting associated with total assets of $770 million and total 
revenues of $518 million (net of intercompany eliminations) included in the consolidated financial statements of the Company as 
of and for the year ended December 31, 2018. Our audit of internal control over financial reporting of the Company also excluded 
an evaluation of the internal control over financial reporting of the acquired Halyard business.

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.

33

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.

/s/ KPMG LLP

Richmond, Virginia
March 6, 2019

34

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 2019 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 6, 2018. 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.

35

Item 15. Exhibits and Financial Statement Schedules

a) The following documents are filed as part of this report:

Part IV

Consolidated Statements of Income (Loss) for the Years Ended December 31, 2018, 2017 and 2016. . . . . . . . .

Consolidated Statements of Comprehensive Income (Loss) for the Years Ended December 31, 2018, 2017,
and 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Consolidated Balance Sheets as of December 31, 2018 and 2017. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Consolidated Statements of Cash Flows for the Years Ended December 31, 2018, 2017 and 2016 . . . . . . . . . . .

Consolidated Statements of Changes in Shareholders' Equity for the Years Ended December 31, 2018, 2017
and 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Notes to Consolidated Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Report of Independent Registered Public Accounting Firm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Selected Quarterly Financial Information (unaudited). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Page
37

38

39

40

41
42

76

77

b) Exhibits:

See Index to Exhibits on page 80.

36

 
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

$

$

$

$

OWENS & MINOR, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME (LOSS)

(in thousands, except per share data)

Year ended December 31,
Net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Cost of goods sold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Gross margin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Distribution, selling and administrative expenses. . . . . . . . . . . . . . . . . . . . . .

Goodwill and intangible asset impairment charges . . . . . . . . . . . . . . . . . . . .

Acquisition-related and exit and realignment charges . . . . . . . . . . . . . . . . . .

Other operating (income) expense, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Operating income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Interest expense, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Income (loss) before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income tax (benefit) provision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

2018
9,838,708

8,471,745

1,366,963

1,261,748

439,613

$

2017
9,318,275

8,146,409

1,171,866

1,016,978

62,200
(4,424)
(392,174)
77,021
(469,195)
(32,183)
(437,012) $

—

60,707

4,930

89,251

31,773

57,478
(15,315)
72,793

Net income (loss) per common share: basic and diluted. . . . . . . . . . . . . . . . . $
Cash dividends per common share . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

(7.28) $
0.86
$

1.20

1.03

See accompanying notes to consolidated financial statements.

37

 
OWENS & MINOR, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(in thousands)

Year ended December 31,
Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Other comprehensive income (loss), net of tax:

Currency translation adjustments (net of income tax of $0 in 2018,
2017 and 2016) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Change in unrecognized net periodic pension costs (net of income tax
of $1,377 in 2018, $6 in 2017, and $343 in 2016). . . . . . . . . . . . . . . . . .
Net unrealized gain (loss) on derivative instruments and other (net of
income tax of $1,831 in 2018, and $0 in 2017 and 2016) . . . . . . . . . . . .
Other comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

2018
(437,012) $

2017

2016

72,793

$

108,787

(19,366)

43,060

(15,017)

3,920

(857)

(727)

(5,082)
(20,528)
(457,540) $

196

42,399

115,192

$

86
(15,658)
93,129

See accompanying notes to consolidated financial statements.

38

OWENS & MINOR, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(in thousands, except per share data)

December 31,
Assets
Current assets

2018

2017

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

103,367

$

823,418

1,290,103

321,690

2,538,578

386,723

414,122

321,764

104,522

758,936

990,193

328,254

2,181,905

206,490

713,811

184,468

112,601
3,773,788

$

89,619
3,376,293

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,109,589

$

48,203

314,219

1,472,011

1,650,582

50,852

81,924

947,572

30,416

331,745

1,309,733

900,744

74,247

76,090

3,255,369

2,360,814

Commitments and contingencies
Equity

Common stock, par value $2 per share; authorized—200,000 shares; issued and
outstanding— 62,294 shares and 61,476 shares . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Paid-in capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Retained earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accumulated other comprehensive loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total liabilities and equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

124,588

238,773

200,670
(45,612)
518,419

122,952

226,937

690,674
(25,084)
1,015,479

3,773,788

$

3,376,293

See accompanying notes to consolidated financial statements.

39

 
OWENS & MINOR, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

Year ended December 31,
Operating activities:
Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Adjustments to reconcile net income (loss) to cash provided by operating
activities:

Depreciation and amortization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Share-based compensation expense. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill and intangible asset impairment charges . . . . . . . . . . . . . . . . .
Deferred income tax (benefit) expense . . . . . . . . . . . . . . . . . . . . . . . . . .
Provision for losses on accounts receivable. . . . . . . . . . . . . . . . . . . . . . .
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 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 issuance of debt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Proceeds from 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 . . . . . . . . . . . . . . . . . . . . . . . . . . $

2018

2017

2016

(437,012) $

72,793

$

108,787

101,927

16,376

439,613
(35,018)
9,430

11,106
(65,451)
92,179
(23,604)
6,043
115,589

(751,834)
(20,812)
(44,873)
1,690
(815,829)

695,750

105,500
(16,250)
(28,512)
(48,200)
—
(7,217)
701,071
(1,986)
(1,155)
104,522

59,443

11,911

—
(49,988)
2,674

(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

103,367

$

104,522

$

55,393

12,042

—

4,218

377

(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

See accompanying notes to consolidated financial statements.

40

OWENS & MINOR, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY

(in thousands, except per share data)

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 . . . . . . . . . . . .
Net loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other comprehensive loss. . . . . . . . . . . . . . .
Dividends declared ($0.86 per share) . . . . . .
Share-based compensation expense,
exercises and other . . . . . . . . . . . . . . . . . . . .
Balance, December 31, 2018 . . . . . . . . . . .

Common  Shares
Outstanding

Common Stock
($2 par value)

Paid-In
Capital

Retained
Earnings

62,803

$ 125,606

$ 211,943

$ 706,866

(2,045)

(4,091)

273

547

8,012

61,031

122,062

219,955

(155)

600

(310)

1,200

6,982

61,476

122,952

226,937

108,787

(63,212)
(66,937)

685,504

72,793

(62,933)
(4,690)

690,674
(437,012)

(52,992)

Total Equity

Accumulated
Other
Comprehensive
Income (Loss)
$ (51,825) $ 992,590
108,787
(15,658)
(63,212)
(71,028)

(15,658)

(67,483)

42,399

(25,084)

(20,528)

8,559

960,038

72,793

42,399
(62,933)
(5,000)

8,182

1,015,479
(437,012)
(20,528)
(52,992)

818
62,294

1,636
$ 124,588

11,836
$ 238,773

$ 200,670

13,472
$ (45,612) $ 518,419

See accompanying notes to consolidated financial statements.

41

 
 
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), a Fortune 500 company headquartered in Richmond, Virginia, 

is a leading global healthcare solutions company with integrated technologies, products and services aligned to deliver 
significant and sustained value for healthcare providers and manufacturers across the continuum of care. Our teammates serve 
healthcare industry customers in 90 countries, by producing quality products and helping to reduce total costs across the supply 
chain by optimizing point-of care performance, freeing up capital and clinical resources and managing contracts to optimize 
financial performance.

During the first quarter, we made certain changes to the leadership team, organizational structure, budgeting and 

financial reporting processes which resulted in changes to our segment reporting. These changes align our operations into two 
distinct business units: Global Solutions and Global Products. Global Solutions (previously Domestic and International) is our 
U.S. and European distribution, logistics and value-added services business. Global Products (previously Proprietary Products) 
manufactures and sources medical surgical products through our production and kitting operations. The Halyard Surgical & 
Infection Prevention business (Halyard S&IP or Halyard), acquired April 30, 2018, is included in the Global Products segment. 
Beginning with the quarter ended March 31, 2018, we reported financial results using this two segment structure and have 
recast prior year segment results on the same basis.

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 the 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, 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, Europe, and Asia.

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 and 

are reduced by any rebates due to the customer, which are estimated based on contractual terms or historical experience. 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 Global Solutions segment under 

which we invoice manufacturers’ customers and remit collected amounts to the manufacturers. We retain credit risk for certain 

42

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 
historical experience. We write off uncollected receivables under this program when collection is no longer being pursued.  At 
December 31, 2018 and 2017, the allowance for uncollectible accounts as part of this program was $0.0 million and $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 distribution inventories in the U.S. Cost of remaining inventories are determined 
using the first-in, first out (FIFO) or weighted-average cost 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 three to 15 
years for machinery and equipment, five to 40 years for buildings and leasehold improvements, and fifteen years for land 
improvements. 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 some 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. Qualitative factors are first assessed to 
determine if it is more likely than not that the fair value of a reporting unit is less than its carrying amount. If it is determined 
that it is more likely than not that the fair value does not exceed the carrying amount, then a quantitative test is performed. The 
quantitative goodwill impairment test involves a comparison of the estimated fair value of the reporting unit to the respective 
carrying amount.

We determine the estimated fair value of our reporting units by using an income (discounted cash flow analysis) 

approach. The income approach is dependent upon several assumptions regarding future periods, including assumptions with 
respect to future sales growth and a terminal growth rate. In addition, a weighted average cost of capital (“WACC”) is used to 
discount future estimated cash flows to their present values. The WACC is based on externally observable data considering 
market participants’ cost of equity and debt, optimal capital structure and risk factors specific to our company. 

In connection with our new segment structure, which began in the first quarter of 2018, goodwill is now reported as 

part of Global Solutions or Global Products. There was no change to our underlying reporting units as part of that segment 
change and therefore no reallocation of goodwill.

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.

43

 
 
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, 2018 and 
2017 was $67.5 million and $61.8 million. Depreciation and amortization expense includes $12.8 million, $10.7 million and 
$12.9 million of software amortization for the years ended December 31, 2018, 2017 and 2016. Implementation costs incurred 
for a cloud computing arrangement that is considered a service contract (software as a service or SaaS) are expensed as 
incurred.

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. On January 1, 2018, we adopted ASC 606 Revenue from Contracts with Customers, which 
establishes principles for recognizing revenue and reporting information about the nature, amount, timing and uncertainty of 
revenue and cash flows arising from contracts with customers. We applied the guidance using the modified retrospective 
transition method. The adoption of this guidance had no impact on the amount and timing of revenue recognized, therefore, no 
adjustments were recorded to our consolidated financial statements upon adoption. 

Our revenue is primarily generated from sales contracts with customers. Under most of our distribution and product 

sales arrangements, our performance obligations are limited to delivery of products to a customer upon receipt of a purchase 
order. For these arrangements, we recognize revenue at the point in time when shipment is completed, as control passes to the 
customer upon product receipt. 

Revenue for activity-based fees and other services is recognized over time as activities are performed. Depending on 

the specific contractual provisions and nature of the performance obligation, 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. 

Our contracts sometimes allow for forms of variable consideration including rebates, discounts and performance 
guarantees. In these cases, we estimate the amount of consideration to which we will be entitled in exchange for transferring 
the product or service to the customer. Rebates and customer discounts are estimated based on contractual terms or historical 
experience and we maintain an accrual for rebates or discounts that have been earned but are unpaid. The amount accrued for 
rebates and discounts due to customers was $44.2 million at December 31, 2018 and $13.0 million at December 31, 2017.

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, 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. The amount 
deferred under these arrangements is not material.

For our direct to patient 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. 

44

In most cases, we record revenue gross, as we are the primary obligor in the arrangement and we obtain control of the 

products before they are transferred to the customer. When we act as an agent in a sales arrangement and do not bear a 
significant portion of inventory 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.

See Note 20 for disaggregation of revenue by segment and geography as we believe that best depicts how the nature, 

amount, timing and uncertainty of our revenue and cash flows are affected by economic factors.

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 Global 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 distribution, selling 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 companies in our industry. 

   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 primarily 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 $680.1 million, $589.0 million and $558.9 million for the years 
ended December 31, 2018, 2017 and 2016, 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 distribution, 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 and interest rate risk. We use forward contracts, which are agreements to buy or sell a quantity at a predetermined 
future date and at a predetermined rate or price, and interest rate swaps. We enter derivative transactions that we believe will be 
highly effective at offsetting the underlying risk and do not enter into derivative financial instruments for trading purposes. 

All derivatives are carried at fair value in our consolidated balance sheets. The designation of a derivative 
instrument as a hedge and its ability to meet the hedge accounting criteria determine how we record the change in fair value of 
the derivative instrument in our financial statements. A derivative qualifies for hedge accounting if, at inception, we expect the 
derivative will be highly effective in offsetting the underlying hedged cash flows and we fulfill the hedge documentation 
standards at the time we enter into the derivative contract. We designate a hedge as a cash flow hedge, fair value hedge, or a net 
investment hedge based on the exposure we are hedging. For the effective portion of qualifying cash flow hedges, we record 
changes in fair value in other comprehensive income (“OCI”). We release the derivative’s gain or loss from OCI to match the 
timing of the underlying hedged items’ effect on earnings.We review the effectiveness of our hedging instruments quarterly, 
recognize current period hedge ineffectiveness immediately in earnings, and discontinue hedge accounting for any hedge that 
we no longer consider to be highly effective. We recognize changes in fair value for derivatives not designated as hedges or 
those not qualifying for hedge accounting in current period earnings.The cash flow impact of the derivative instruments is 
primarily included in our consolidated statements of cash flows in net cash provided by operating activities.

45

 
 
 
 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. As of December 31, 2018, we have 

completed our accounting for the tax effects of enactment of the Act. 

We earn a portion of our operating income 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 an amount of this one-time transition tax. We continue to be 
indefinitely reinvested in foreign operations, with the exception of Thailand, and have not accrued any additional income taxes 
for any remaining undistributed foreign earnings not subject to the transition tax, or any additional outside basis differences 
inherent in these entities.  The Company does not have a plan to indefinitely reinvest the unremitted earnings of our newly 
acquired foreign subsidiary located in Thailand as of December 31, 2018. We have recorded withholding tax liabilities that 
would be incurred upon future distribution of cash back to the U.S. We have not recorded any deferred taxes as there are no 
outside basis differences unrelated to unremitted earnings in Thailand. The Company will continue to evaluate its foreign 
earnings repatriation policy in 2019 related to all the other countries in which we operate. 

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).

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. 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. 
The fair value of interest rate swaps and foreign currency contracts is determined based on the present value of expected future 
cash flows considering the risks involved, including non-performance risk, and using discount rates appropriate for the 
respective maturities. Observable Level 2 inputs are used to determine the present value of expected future cash flows. See 
Note 13 for the fair value of derivatives.

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.

46

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 (loss) and were not 
material to our consolidated results of operations in 2018, 2017 and 2016.

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 2018, we adopted Accounting Standard Updates (ASU’s) issued by 

the Financial Accounting Standards Board (FASB). 

In February 2016, the FASB established Topic 842, Leases, by issuing ASU No. 2016-02, which requires lessees to 

recognize leases on-balance sheet and disclose key information about leasing arrangements. Topic 842 was subsequently 
amended by ASU No. 2018-01, Land Easement Practical Expedient for Transition to Topic 842; ASU No. 2018-10, 
Codification Improvements to Topic 842, Leases; and ASU No. 2018-11, Targeted Improvements. The new standard establishes 
a right-of-use model (ROU) that requires a lessee to recognize a ROU asset and lease liability on the balance sheet for all leases 
with a term longer than 12 months. Leases will be classified as finance or operating, with classification affecting the pattern and 
classification of expense recognition in the income statement. 

The new standard is effective for us on January 1, 2019, with early adoption permitted. A modified retrospective 

transition approach is required, applying the new standard to all leases existing at the date of initial application. An entity may 
choose to use either (1) its effective date or (2) the beginning of the earliest comparative period presented in the consolidated 
financial statements as its date of initial application. If an entity chooses the second option, the transition requirements for 
existing leases also apply to leases entered into between the date of initial application and the effective date. The entity must 
also recast its comparative period consolidated financial statements and provide the disclosures required by the new standard 
for the comparative periods. We expect to adopt the new standard on January 1, 2019 and use the effective date as our date of 
initial application. Consequently, financial information will not be updated and the disclosures required under the new standard 
will not be provided for dates and periods before January 1, 2019. 

The new standard provides a number of optional practical expedients in transition. We expect to elect the ‘package of 
practical expedients’, which permits us not to reassess under the new standard our prior conclusions about lease identification, 
lease classification and initial direct costs. We do not expect to elect the use-of-hindsight or the practical expedient pertaining to 
land easements; the latter not being applicable to us. 

We expect that this standard will have a material effect on our consolidated financial statements. While we continue to 

assess all of the effects of adoption, we currently believe the most significant effects relate to (1) the recognition of new ROU 
assets and lease liabilities on our balance sheet for our office and warehouse facility operating leases, and (2) providing 
significant new disclosures about our leasing activities. 

On adoption, we currently expect to recognize additional operating liabilities ranging from $250 million to $350 
million, with corresponding ROU assets of the same amount based on the present value of the remaining minimum rental 
payments under current leasing standards for existing operating leases. 

The new standard also provides practical expedients for an entity’s ongoing accounting. We currently expect to elect 

the short-term lease recognition exemption for all leases that qualify. This means, for those leases that qualify, we will not 
recognize ROU assets or lease liabilities, and this includes not recognizing ROU assets or lease liabilities for existing short-
term leases of those assets in transition. We also currently expect to elect the practical expedient to not separate lease and non-
lease components for all of our leases.

On June 16, 2016, the FASB issued ASU No. 2016-13 Financial Instruments - Credit Losses, Measurement of Credit 

Losses on Financial Instruments, which changes the way entities measure credit losses for most financial assets and certain 
other instruments that are not measured at fair value through net earnings.  This standard will be effective for fiscal years 
beginning after December 15, 2019, including interim periods within those fiscal years.  Early adoption is permitted.  We are 
evaluating the impact the adoption of ASU No. 2016-13 will have on our consolidated financial statements and related 
disclosures.

47

 
 
 
 
 
 
 
In January 2017, the FASB issued ASU No. 2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the 

Test for Goodwill Impairment, to simplify the subsequent measurement of goodwill. The new guidance eliminates the 
requirement for an entity to calculate the implied fair value of goodwill to measure a goodwill impairment charge. Instead, an 
entity will perform its annual, or interim, goodwill impairment testing by comparing the fair value of a reporting unit with its 
carrying amount and recording an impairment charge for the amount by which the carrying amount exceeds the fair value. We 
early adopted this guidance in conjunction with our interim impairment testing performed during the quarter ended June 30, 
2018.

In August 2017, the FASB issued ASU No. 2017-12, Derivatives and Hedging (Topic 815): Targeted Improvements to 

Accounting for Hedging Activities. ASU No. 2017-12 is intended to simplify the application of hedge accounting and provide 
increased transparency as to the scope and results of hedging programs. For calendar year-end entities, the update will be 
effective for annual periods beginning January 1, 2019, and interim periods within those fiscal years. We are evaluating the 
impact the adoption of ASU No. 2017-12 will have on our consolidated financial statements and related disclosures.

On February 14, 2018, the FASB issued ASU No. 2018-02, Income Statement - Reporting Comprehensive Income 

(Topic 220): Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income. ASU No. 2018-02 allows 
companies to reclassify stranded tax effects resulting from the Tax Cuts and Jobs Act from accumulated other comprehensive 
income (loss) to retained earnings. ASU No. 2018-02 will be effective for the Company on January 1, 2019 and we do not 
expect this to have a material impact on our consolidated financial statements.     

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 2018, 2017 and 2016, net revenue from hospitals under contract with these GPOs represented the following 
approximate percentages of our net revenue annually: Vizient—40% to 48%; Premier—19% to 21%; and HPG—13% to 14%.

Net revenue from sales of product supplied by Medtronic represented approximately 10% of our net revenues for 

2018, 11% of our net revenues for 2017 and 13% of our net revenues for 2016. Net revenue from sales of product supplied by 
Johnson & Johnson represented approximately 7% of our net revenues for 2018 and 9% of our net revenues for 2017 and 2016. 
Net revenue from sales of product supplied by Becton Dickinson represented approximately 7% of our net revenue for 2018 
and 9% of our net revenues for 2017 and 2016.

Note 3—Acquisitions

On April 30, 2018 (the Closing Date), we completed the previously announced acquisition of substantially all of 

Avanos Medical, Inc.'s (Avanos, previously Halyard Health, Inc.) Surgical and Infection Prevention business, the name 
“Halyard Health” (and all variations of that name and related intellectual property rights) and its information technology (IT) 
systems in exchange for $758 million, net of cash acquired. The Halyard S&IP business is a leading global provider of medical 
supplies and solutions for the prevention of healthcare associated infections across acute care and non-acute care markets. This 
business is reported as part of the Global Products segment. 

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, as 

48

 
 
valuations of tangible and intangible assets and liabilities are still in process.  

Preliminary Fair 
Value
Originally Estimated 
as of
Acquisition Date (1)

Differences Between
Prior and Current
Period Preliminary
Fair Value Estimate

Fair Value Estimated
as of Acquisition Date

Assets acquired:

Current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

307,427

$

Goodwill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other noncurrent assets . . . . . . . . . . . . . . . . . . . . . . . . .

Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Liabilities assumed:

Current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Noncurrent liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

183,711

191,000

152,555

834,693

83,822

11,223

95,045

$

23,443
(53,347)
230

65,685

36,011

8,616

8,994

17,610

Fair value of net assets acquired, net of cash . . . . . . . . . . . .

$

739,648

$

18,401

$

330,870

130,364

191,230

218,240

870,704

92,438

20,217

112,655

758,049

(1) As previously reported in our second quarter 2018 Form 10-Q.

The change in fair value of net assets acquired, net of cash, of $18.4 million was the result of the final purchase price 

settlement with the seller of the Halyard S&IP business.

We are amortizing the preliminary fair value of acquired intangible assets, primarily customer relationships, a trade 

name and other intellectual property, over their estimated weighted average useful lives of eight to 12 years.

Goodwill of $130 million, which we assigned to our Global Products segment, consists largely of expected 

opportunities to expand into new markets and further develop a presence in the medical products segment. None of the 
goodwill recognized is expected to be deductible for income tax purposes.

The following table provides unaudited pro forma results of net revenue for the years ended December 31, 2018 and 

2017 as if Halyard S&IP was acquired on January 1, 2017. The pro forma results of net income (loss) and net income (loss) per 
common share have not been represented because the effects were not material to our historic consolidated financial statements. 
Accordingly, the pro forma results below are not necessarily indicative of the results that would have been if the acquisition had 
occurred on the dates indicated, nor are the pro forma results indicative of results which may occur in the future. 

Net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Byram Healthcare

Pro Forma - Unaudited

Year Ended December 31,

2018
$ 10,118,708

2017
$ 10,158,275

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 $360 million, net of cash acquired. 
The purchase price was allocated to the underlying assets acquired and liabilities assumed based upon our estimate of their fair 
values at the date of acquisition. The purchase price exceeded the estimated fair value of the net tangible and identifiable 
intangible assets by $284 million which was allocated to goodwill. 

The following table presents the 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 

49

 
inputs. 

Preliminary Fair Value
Originally Estimated as 
of
Acquisition Date (2)

Differences Between
Prior and Current
Period Preliminary Fair
Value Estimate

Fair Value 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. . . . . . . $

(2) As previously reported in our 2017 Form 10-K.

61,986

$

— $

288,691

115,000

5,069

470,746

72,962

31,215

104,177

(4,933)
—
(1,282)
(6,215)

—

—

—

366,569

$

(6,215) $

61,986

283,758

115,000

3,787

464,531

72,962

31,215

104,177

360,354

We are amortizing the 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 $284 million, which we assigned to our Global Solutions segment, consists largely of expected 
opportunities to grow in the non-acute market with direct to patient and home health agency distribution capabilities. None of 
the goodwill recognized is expected to be deductible for income tax purposes.

Pro forma results of operations for Byram have not been presented because the effects on revenue and net income 

(loss) were not material to our historic consolidated financial statements. 

The change in fair value of net assets acquired, net of cash, of $6.2 million was the result of the final purchase price 

settlement with the seller of Byram.

Acquisition-related expenses in the current year consisted primarily of transition and transaction costs for the Halyard 
S&IP transaction. Expenses in 2017 were primarily related to Byram and due diligence costs for the Halyard S&IP transaction. 
Expenses in 2016 related primarily to costs incurred to settle certain obligations and other matters associated with the 
acquisitions of ArcRoyal and Medical Action which were partially offset by a gain on the sale of property acquired with 
Medical Action. We recognized pre-tax acquisition-related expenses of $45.3 million, $17.3 million and $1.2 million for the 
years ended December 31, 2018, 2017 and 2016.

Note 4—Accounts Receivable, Net

Allowances for losses on accounts receivable of $19.6 million and $16.2 million have been applied as reductions of 
accounts receivable at December 31, 2018 and 2017. Write-offs of accounts receivable were $2.8 million, $0.8 million and $0.9 
million for 2018, 2017 and 2016.

Note 5—Merchandise Inventories

At December 31, 2018 and 2017 we had inventory of $1,290.1 million and $990.2 million, of which $1,023.1 

million and $964.2 million were valued under LIFO. If LIFO inventories had been valued on a current cost or FIFO basis, they 
would have been greater by $146.5 million and $119.6 million as of December 31, 2018 and 2017.  At December 31, 2018 and 
2017, included in our inventory was $43.8 million and $22.1 million in raw materials, $67.3 million and $7.0 million in work in 
process and the remainder was finished goods. 

Note 6—Financing Receivables and Payables

At December 31, 2018 and 2017, we had financing receivables of $183.3 million and $192.1 million  and related 

payables of $100.3 million and $124.9 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.

50

Note 7—Property and Equipment

Property and equipment consists of the following:

December 31,
Land and land improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Buildings and leasehold improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Machinery and equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Construction in progress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Property and equipment, gross . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accumulated depreciation and amortization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Property and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

2018

2017

23,046

$

17,638

200,881

418,208

14,693

656,828
(270,105)
386,723

$

148,288

274,604

5,541

446,071
(239,581)
206,490

The gross value of assets recorded under capital leases was $27.3 million and $33.4 million with associated 

accumulated depreciation of $15.7 million and $18.1 million as of December 31, 2018 and 2017, respectively.  Depreciation 
expense for property and equipment and assets under capital leases was $42.9 million, $32.3 million and $32.5 million for the 
years ended December 31, 2018, 2017 and 2016.  

We had no property held for sale at December 31, 2018 or 2017.

Note 8—Goodwill and Intangible Assets

As a result of a decline in market capitalization of the Company, and lower than projected financial results of certain 

reporting units due to customer losses and operational inefficiencies, which have caused us to revise our expectations with 
regard to future performance, we determined that there were indicators present that would require an interim impairment 
analysis. During the quarter ended June 30, 2018, we performed an interim goodwill impairment test and concluded that the 
fair values for certain reporting units comprising our kitting business within our Global Products segment were below their 
carrying amount. The amount by which the carrying values of the impaired reporting units' goodwill exceeded their fair values 
was $149.0 million, which was recognized as an impairment loss for the quarter ended June 30, 2018.

As of October 1, 2018, we performed our annual impairment test and concluded that there were no impairments of 

goodwill as the estimated fair value of each reporting unit exceeded its carrying value.  During the quarter ended December 31, 
2018, we noted a further decline in market capitalization of the Company and determined that there were further indicators 
present that would require another interim impairment analysis as of December 31, 2018. As a result of the interim impairment 
test, the estimated fair value of certain reporting units were determined to be lower than their carrying value and we recorded 
an impairment loss of $205.5 million within our Global Solutions segment and $68.5 million within our Global Products 
segment. 

We recorded these amounts in “Goodwill and intangible asset impairment charges” in our accompanying consolidated 

statements of income (loss).

The following table summarizes the changes in the carrying amount of goodwill through December 31, 2018:

Global
Solutions

Global
Products

Consolidated

Carrying amount of goodwill, January 1, 2017 . . . . . . . . . .
Acquisitions (See Note 3) . . . . . . . . . . . . . . . . . . . . . . . . . .
Currency translation adjustments . . . . . . . . . . . . . . . . . . . . .
Carrying amount of goodwill, December 31, 2017 . . . . . . .
Currency translation adjustments . . . . . . . . . . . . . . . . . . . . .
Acquisitions (See Note 3) . . . . . . . . . . . . . . . . . . . . . . . . . .
Carrying amount of goodwill, December 31, 2018 . . . . . . .
Accumulated goodwill impairment, December 31, 2017 . .
Goodwill impairment charge . . . . . . . . . . . . . . . . . . . . . . . .
Accumulated goodwill impairment, December 31, 2018 . .
Net carrying amount of goodwill, December 31, 2018 . .

$

$

199,397
288,691
7,772
495,860
(1,347)
(4,933)
489,580

—
(205,675)
(205,675)
283,905

$

$

215,539
—
2,412
217,951
(637)
130,364
347,678

—
(217,461)
(217,461)
130,217

$

$

414,936
288,691
10,184
713,811
(1,984)
125,431
837,258

—
(423,136)
(423,136)
414,122

51

 
 
 
Intangible assets at December 31, 2018 and 2017 were as follows:

Gross intangible assets. . . . . . . . . . . . . . $
Accumulated amortization . . . . . . . . . . .
Net intangible assets . . . . . . . . . . . . . . . $
Weighted average useful life . . . . . . . . .

Customer
Relationships
267,510

(72,947)

194,563

10 years

2018

2017

Tradenames
97,000
$
(8,544)
88,456

$

Other
Intangibles
$ 42,930
(4,185)
$ 38,745

11 years

8 years

Customer
Relationships

Tradenames

Other
Intangibles

$

$

$

$

199,265
(54,757)
144,508

11 years

$

$

31,000
(1,769)
29,231

9 years

12,537
(1,808)
10,729

10 years

During the quarters ended June 30, 2018 and December 31, 2018, we noted impairment indicators related to our 

intangible assets. Consistent with the impairment indicators that were considered in performing our interim goodwill 
impairment assessments, lower than projected financial results of certain reporting units due to customer losses and operational 
inefficiencies have caused us to revise our expectations with regard to future performance. We performed impairment tests for 
the asset groups to which our intangible assets are assigned and based on the projected undiscounted future cash flows, we 
recorded an impairment charge of $16.5 million related to a write-off of customer relationships for the quarter ended June 30, 
2018. We recorded this amount in “Goodwill and intangible asset impairment charges” in our accompanying consolidated 
statements of income (loss). We did not record an impairment to intangibles other than goodwill at December 31, 2018.

At December 31, 2018 and 2017, $106.9 million and $127.4 million in net intangible assets were held in the Global 
Solutions segment and $214.9 million and $57.0 million were held in the Global Products segment, respectively. Amortization 
expense for intangible assets was $36.5 million for 2018, $16.4 million for 2017 and $10.0 million for 2016.

Based on the current carrying value of intangible assets subject to amortization, estimated amortization expense is 

$41.6 million for 2019, $40.7 million for 2020, $39.0 million for 2021, $38.1 million for 2022 and $38.1 million for 2023. 

Note 9—Exit and Realignment Costs

We periodically incur exit and realignment and other charges associated with optimizing our operations, which 
includes the consolidation of certain distribution and logistics centers, administrative offices and warehouses in North America, 
Europe, and Asia. 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, 2018, 2017 and 2016 were as follows:

Year ended December 31,
Global Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Global Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total exit and realignment charges . . . . . . . . . . . . . . . . . . . . . . . . . . . $

2018

2017

2016

16,808

133

16,941

$

$

41,549

1,893

43,442

$

$

21,795

1,669

23,464

52

 
 
 
 
 
The following table summarizes the activity related to exit and realignment cost accruals through December 31, 

2018:

Lease
Obligations

Severance and
Other

Total

Accrued exit and realignment charges, January 1, 2016. . . . . . . . . . . . . . . . . $
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. . . . . . . . . . . . . .

Provision for exit and realignment activities . . . . . . . . . . . . . . . . . . . . . . . . .

Change in estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash payments, net of sublease income . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued exit and realignment charges, December 31, 2018 . . . . . . . . . . . $

486

$

1,840

$

—

—
(486)
—

—

—

—

—

—
—
—
— $

11,823
(261)
(11,164)
2,238

17,691
(365)
(7,592)
11,972

10,325
(108)
(13,975)
8,214

$

2,326

11,823
(261)
(11,650)
2,238

17,691
(365)
(7,592)
11,972

10,325
(108)
(13,975)
8,214

In addition to the exit and realignment accruals in the preceding table, we also incurred $6.7 million of costs that 
were expensed as incurred for the year ended December 31, 2018, including $2.7 million in information system restructuring 
costs, $1.7 million in asset write-downs, and $2.3 million in other costs.

We 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 do not expect significant additional costs in 2019 for activities that were initiated through December 31, 2018; 

however, we anticipate new actions will be taken in 2019. 

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 A-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Term Loan A-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Term Loan B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Revolver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Capital leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,681,172
Less current maturities . . . . . . . . . . . . . . . . . . . . . .
(30,590)
Long-term debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,650,582

1,418,440
(30,590)
$ 1,387,850

$

2018

2017

Carrying
Amount

Estimated
Fair Value

Carrying
Amount

Estimated
Fair Value

273,577

$

207,001

$

272,734

$

278,080

272,972

231,847

190,575

483,327

210,100

18,774

174,859

231,847

190,575

385,284

210,100

18,774

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

53

 
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. 

As of December 31, 2018, we had a Credit Agreement with a borrowing capacity of $600 million and a $250 million 
Term A-1 loan.  In connection with the Halyard S&IP acquisition, we amended our Credit Agreement to include, among others 
things, an additional $195.8 million Term A-2 loan and $500 million Term B loan. The revolving credit facility and Term A 
loans mature in July 2022 and the Term B loan matures in October 2025. 

In connection with amending our Credit Agreement, we entered into a Security and Pledge Agreement (the “Security 

Agreement”) pursuant to which we granted collateral on behalf of the holders of the 2021 Notes and the 2024 Notes and parties 
secured on the Credit Agreement (“the Secured Parties") including first priority liens and security interests in (a) all present and 
future shares of capital stock owned by the Credit Parties (as defined) in the Credit Parties’ present and future subsidiaries 
(limited, in the case of controlled foreign corporations, to a pledge of 65% of the voting capital stock of each first-tier foreign 
subsidiary of each Credit Party) and (b) all present and future personal property and assets of the Credit Parties, subject to 
certain exceptions. Our Credit Agreement has a “springing maturity date” with respect to the revolving loans and the term A 
loans and the term B loans, if as of the date that is 91 days prior to the maturity date of the Company’s 2021 Notes or the 2024 
Notes, respectively, all outstanding amounts owing under the 2021 Notes or the 2024 Notes, respectively, have not been paid in 
full then the Termination Date (as defined in the Credit Agreement) of the revolving loans, term A loans and term B loans shall 
be the date that is 91 days prior to the maturity date of the 2021 Notes. 

We make principal payments under the term loans on a quarterly basis with the remaining outstanding principal due 
upon maturity. The interest rate on our revolving credit facility and Term A loans, 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 credit 
ratings or debt to EBITDA ratio as defined by the Credit Agreement. Our Term B loan accrues interest based on the 
Eurocurrency Rate, the Federal Funds Rate or the Prime Rate, plus interest rate margin of 3.50% per annum with respect to 
Base Rate Loans (as defined in the Credit Agreement), and 4.50% per annum with respect to Eurocurrency Rate Loans (as 
defined in 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, 2018 is Eurocurrency Rate plus 2.00%.

At December 31, 2018, we had borrowings of $210.1 million under the revolver and letters of credit of $15.2 million 
outstanding under the Credit Agreement. We also had letters of credit and bank guarantees outstanding for $7.7 million as of 
December 31, 2018 and $1.3 million as of December 31, 2017, which supports certain facilities leased as well as other 
normal business activities in the United States and Europe.

As of December 31, 2018, scheduled future principal payments of debt were $27.5 million in 2019, $30.3 million in 

2020, $316.6 million in 2021, $558.4 million in 2022, $5.0 million in 2023, and $748.8 million thereafter.

On February 12, 2019 we amended our Credit Agreement. Please see Note 22 for further information.

  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, 2018.

Cash payments for interest during 2018, 2017 and 2016 were $68.6 million, $30.6 million and $27.9 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 which is subject to a long-term capital lease.  As of 
December 31, 2018, we were obligated under capital leases for minimum annual rental payments as follows:

54

 
 
 
Year

2019. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2020. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2021. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2022. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2023. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 . . . . . . . . . . $

5,735

3,471

2,273

2,051

1,952

9,997

25,479
(6,705)
18,774
(3,090)
15,684

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, 2018 approximately 3.4 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 2018, 2017, 
or 2016.

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, 2018, 2017 and 2016, was $16.4 million, $11.9 million 

and $12.0 million, with recognized tax benefits of $4.3 million, $4.6 million and $4.5 million. Unrecognized compensation cost 
related to nonvested restricted stock awards, net of estimated forfeitures, was $21.7 million at December 31, 2018. This amount 
is expected to be recognized over a weighted-average period of 2.2 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 $1.4 million. Unrecognized compensation cost related to nonvested performance share awards as 
of December 31, 2018 was $1.7 million and will be recognized primarily in 2019 if the related performance targets are met.

55

The following table summarizes the activity and value of nonvested restricted stock and performance share awards 

for the years ended December 31, 2018, 2017 and 2016:

2018

2017

2016

Weighted
Average
Grant-date
Value
Per Share

Number  of
Shares

Weighted
Average
Grant-date
Value
Per Share

Number  of
Shares

Weighted
Average
Grant-date
Value
Per Share

Number  of
Shares

Nonvested awards at
beginning of year. . . . . . . . .

Granted . . . . . . . . . . . . . . . .

Vested . . . . . . . . . . . . . . . . .

Forfeited . . . . . . . . . . . . . . .

Nonvested awards at end of
year . . . . . . . . . . . . . . . . . . .

1,657

$

2,281

(616)

(809)

2,513

42.60

15.33

31.59

22.59

23.96

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

The total fair value of restricted stock vesting during the years ended December 31, 2018, 2017 and 2016, was $19.5 

million, $11.9 million and $11.0 million. 

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 $10.7 
million, $9.1 million, and $12.5 million of expense related to this plan in 2018, 2017 and 2016. 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 
2018, 2017 and 2016. 

U.S. Retirement Plans. We have a noncontributory, unfunded retirement plan for certain officers and retirees 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.

56

 
 
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2018

2017

53,274

$

52,051

1,674

(3,207)

(3,578)

48,163

$

1,887

2,796
(3,460)
53,274

— $

—

3,578

(3,578)

— $
$

(48,163)

(3,410)

$

(44,752)

13,722

(34,440)

48,163

$

$

3,460
(3,460)
—
(53,274)

(3,481)
(49,791)
19,019
(34,253)
53,274

4.00%

N/A

3.25%

N/A

Plan benefit obligations of the U.S. Retirement Plan were measured as of December 31, 2018 and 2017. 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 (loss), 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. . . . . . . . . . . . . . . . . . . . . . . .

2018

2017

2016

1,674

2,091

3,765

$

$

1,887

1,849

3,736

$

$

1,980

1,646

3,626

3.25%

N/A

3.75%

N/A

4.00%

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 $1.1 million of the net actuarial loss reported in the following table as of 
December 31, 2018, as a component of net periodic benefit cost during 2019.

57

Year ended December 31,
Net actuarial loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Deferred tax benefit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amounts included in accumulated other comprehensive income (loss), net of tax . . . . . . . . . . $

2018

2017

(13,722) $
5,562
(8,160) $

(19,019)
6,939
(12,080)

As of December 31, 2018, 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
2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2024-2028. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3,378

3,325

3,147

3,006

2,868

12,316

International Retirement Plans. Certain of our foreign subsidiaries, including the 2018 Halyard acquisition, have 
defined benefit pension plans covering substantially all of their respective employees. As of December 31, 2018 and 2017, the 
accumulated benefit obligation under these plans was $9.4 million and $2.4 million. We recorded $1.0 million in net periodic 
benefit cost in distribution, selling and administrative expenses for the year ended December 31, 2018 and $0.1 million for the 
years ended 2017 and 2016.

Note 13—Derivatives

We are directly and indirectly affected by changes in foreign currency, 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. We do not enter into derivative financial instruments for trading purposes. 

We use a layered hedging program to hedge select anticipated foreign currency cash flows to reduce volatility in cash 
flows. We account for the designated foreign exchange forward contracts as cash flow hedges. These foreign exchange forward 
contracts generally have maturities up to 12 months and the counterparties to the transactions are typically large international 
financial institutions. 

We pay interest under our Credit Agreement which fluctuates based on changes in our benchmark interest rates. In 

order to mitigate the risk of increases in benchmark rates, we entered into interest rate swaps during the third quarter of 2018 
whereby we agree to exchange with the counterparty, at specified intervals, the difference between fixed and variable amounts 
calculated by reference to the notional amount. The interest rate swaps were designated as cash flow hedges. Cash flows related 
to the interest rate swap agreements are included in interest expense.

We determine the fair value of our foreign currency derivatives and our interest rate swaps based on observable 

market-based inputs or unobservable inputs that are corroborated by market data. We do not view the fair value of our 
derivatives in isolation, but rather in relation to the fair values or cash flows of the underlying exposure. Our derivatives are 
over-the-counter instruments with liquid markets. All derivatives are carried at fair value in our consolidated balance sheets in 
other assets and other liabilities line items. We consider the risk of counterparty default to be minimal.  We present cash flows 
from our hedging instruments in the same cash flow statement category as the hedged items.

The following table summarizes our outstanding cash flow hedges as of December 31, 2018:

Notional
Amount
Interest rate swaps . . . . . . . . . . . $ 450,000
Foreign currency contracts . . . . $ 25,592

Fair Value

$
$

(6,875)
20

Level in Fair
Value
Hierarchy

Level 2
Level 2

Maturity Date

May 2022 & May 2025
January 2019 - December 2019

58

 
The following table summarizes the gain (loss) included in accumulated other comprehensive loss for our hedges as of 

December 31, 2018:

Interest rate swaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Foreign currency contracts. . . . . . . . . . . . . . . . . . . . . . . $

(6,875)
20

For the year ended December 31, 2018, we reclassified $1.0 million associated with our interest rate swaps and $0.1 
million associated with our foreign currency contracts out of accumulated other comprehensive income (loss). The amount of 
ineffectiveness associated with these contracts was immaterial for the periods presented.

We enter into foreign currency contracts to manage our foreign exchange exposure related to certain balance sheet 

items that do not meet the requirements for hedge accounting. With the acquisition of the Halyard business, we also assumed 
foreign currency contracts that mature through April 2019 that do not meet the requirements for hedge accounting treatment. 
These derivative instruments are adjusted to fair value at the end of each period through earnings. The gain or loss recorded on 
these instruments is substantially offset by the remeasurement adjustment on the foreign currency denominated asset or 
liability. We record the change in fair value of derivative instruments and the remeasurement adjustment on the foreign 
currency denominated asset or liability in acquisition-related and exit and realignment charges for contracts assumed with the 
Halyard acquisition and in other operating (income) expense, net for all other foreign exchange contracts.

The following table summarizes our outstanding economic (non-designated) hedges as of December 31, 2018:

Notional
Amount
Foreign currency contracts . . . . . . . . . $ 32,683

Fair Value

Level in Fair
Value
Hierarchy

Maturity Date

$

(198)

Level 2

January 2019 - April 2019

For the year ended December 31, 2018, we recognized a loss of $1.6 million associated with our economic (non-

designated) foreign currency contracts. 

We were not a party to any derivatives for the years ended December 31, 2017 and 2016.

Note 14—Income Taxes

The Tax Cuts and Jobs Act (the Act) was enacted in December 2017.  The Act reduces the U.S. federal corporate tax 

rate from 35 percent to 21 percent, requires companies to pay a one-time transition tax on earnings of certain foreign 
subsidiaries that were previously tax deferred and creates new taxes on certain foreign earnings. We recognized an income tax 
benefit of $35 million in the year ended December 31, 2017 associated with the items we could reasonably estimate. 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. As of December 31, 2018, we have completed 
our accounting for the tax effects of enactment of the Act, resulting in immaterial adjustments to our initial estimate. Our policy 
election for GILTI is that we will record such taxes as a current period expense once incurred and will follow the tax law 
ordering approach. 

The components of income (loss) before income taxes consist of the following:

Year ended December 31,
Income (loss) before income taxes:

2018

2017

2016

U.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (419,964) $
Foreign. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(49,231)

Income (loss) before income taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (469,195) $

49,903
7,575
57,478

$150,942
21,600
$172,542   

59

 
The income tax provision consists of the following:

Year ended December 31,
Current tax provision (benefit):

2018

2017

2016

Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total current tax provision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred tax provision (benefit):

Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total deferred tax (benefit) provision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total income tax (benefit) provision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ (7,991)
1,901
8,925
2,835

(23,956)
(7,640)
(3,422)
(35,018)
$ (32,183)

$ 27,043
5,455
2,175
34,673

(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

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 and other prior period adjustments. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill and intangible asset impairment charges . . . . . . . . . . . . . . . . . . . . . . . . .
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effective income tax rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2018

2017

2016

21.0 %

35.0 %

35.0 %

1.4 %
(0.1)%
(0.5)%
0.4 %
(14.0)%
(1.3)%
6.9 %

4.3 %
(8.2)%
(1.9)%
(60.2)%
— %
4.4 %
(26.6)%

3.7 %
(4.3)%
0.5 %
— %
— %
2.1 %
37.0 %

60

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:

2018

2017

Employee benefit plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued liabilities not currently deductible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Finance charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Capital leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Allowance for losses on accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net operating loss carryforwards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interest limitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
     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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Withholding tax liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total deferred tax liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net deferred tax liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

$

25,240
25,924
2,661
3,320
3,988
25,422
1,048
4,473
10,325
102,401
(14,346)
88,055

44,015
—
34,926
10,177
767
30,279
7,963
662
128,789
(40,734)

$

$

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)

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, 2018. 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. The remaining net operating 
losses without a valuation allowance represent amounts in the U.S. and state jurisdictions. As of December 31, 2018, the U.S. 
federal net operating loss was $29.1 million, which has 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, with the exception of Thailand, and no provision for deferred U.S. income 
taxes has been recorded on the basis differences attributable to those subsidiaries. Management has no specific plans to 
indefinitely reinvest the unremitted earnings of our newly acquired foreign subsidiary located in Thailand as of the balance 
sheet date. As such, we have recorded withholding tax liabilities that would be incurred upon future distribution to the U.S. 
There are no unrecognized deferred taxes as there is no outside basis difference unrelated to unremitted earnings for Thailand. 

Cash payments for income taxes, including interest, for 2018, 2017 and 2016 were $28.9 million, $41.8 million  and 

$74.1 million.  During 2018, our cash tax refunds were $9.8 million.

61

 
At December 31, 2018 and 2017, the liability for unrecognized tax benefits was $9.6 million and $13.6 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, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

$

13,585
1,035
29
(142)
(4,939)
—
9,568

$

$

10,725
1,644
1,928
(712)
—
—
13,585

2018

2017

Included in the liability for unrecognized tax benefits at December 31, 2018 and 2017, were $1.9 million and $5.0 

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 $7.7 million and $6.4 million at December 31, 2018 and 2017, 
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, 2018 and 2017 was $0.6 million. The amounts recognized in interest expense were immaterial for all 
periods presented. There were no penalties accrued at December 31, 2018 and 2017 or recognized in 2018, 2017 and 2016.

     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 2015, 2016 and 2017 are subject to examination. Our income tax returns for U.S. state and local 
jurisdictions are generally open for the years 2015 through 2017; 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, for all income tax liabilities incurred by Byram entities prior to 
its acquisition on August 1, 2017, and for all income tax liabilities incurred by the Halyard foreign entities located in Thailand, 
Mexico, and Honduras prior to its acquisition on April 30, 2018.

Note 15—Net Income (Loss) per Common Share

The following table summarizes the calculation of net income (loss) per share attributable to common shareholders 

for the years ended December 31, 2018, 2017 and 2016:

Year ended December 31,
Numerator:

2018

2017

2016

Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Less: income allocated to unvested restricted shares . . . . . .

Net income (loss)—basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(437,012) $

—
(437,012)

$

72,793
(1,060)
71,733

108,787
(1,147)
107,640

Add: undistributed income attributable to unvested
restricted shares—basic. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Less: undistributed income attributable to unvested
restricted shares—diluted . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net income (loss)—diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

—

—

(437,012) $

58

297

(58)
71,733

$

(297)
107,640

Denominator:

Weighted average shares outstanding—basic and diluted . .

60,014

60,001

61,093

Net income (loss):

Basic and diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

(7.28) $

1.20

$

1.76

62

 
Note 16—Shareholders’ Equity

Our Board of Directors has 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 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. Our Credit Agreement contains restrictions on the amount and timing of share 
repurchase activity. This includes prohibiting share repurchases should a default under the Credit Agreement exist prior to or 
immediately after any share repurchases. 

We did not repurchase any shares of our common stock during the year ended December 31, 2018. As of 
December 31, 2018, we have approximately $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, 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.  

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. 

Note 17 — Accumulated Other Comprehensive Income (Loss) 

The following tables show the changes in accumulated other comprehensive income (loss) by component for the 

years ended December 31, 2018, 2017 and 2016:

Retirement
Plans

Currency
Translation
Adjustments

Derivatives
and Other

Total

Accumulated other comprehensive income (loss), December 31,
2017. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (12,066)
3,207
Other comprehensive income (loss) before reclassifications . . . . . . . .
(834)
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,
2018. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

2,090
(543)

(8,146)

3,920

2,373

1,547

$

(13,185)
(19,366)
—

$

167
(7,867)
2,099

$ (25,084)
(24,026)
1,265

(19,366)

(5,768)

(22,761)

—

—

954
(268)

3,044
(811)

—
(19,366)

686
(5,082)

2,233
(20,528)

$

(32,551)

$

(4,915)

$ (45,612)

63

 
Retirement
Plans

Currency
Translation
Adjustments

Derivatives
and 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

Derivatives
and 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)
—

$

(115)
86
—

$ (51,825)
(17,647)
869

(1,847)

(15,017)

1,646
(526)

1,120
(727)

—
—

—
(15,017)

86

—
—

—
86

(16,778)

1,646
(526)

1,120
(15,658)

(11,209)

$

(56,245)

$

(29)

$ (67,483)

We include amounts reclassified out of accumulated other comprehensive income (loss) related to defined benefit 

pension plans as a component of net periodic pension cost recorded in distribution, selling and administrative expenses. For the 
years ended December 31, 2018, 2017 and 2016 we reclassified $2.1 million,  $1.9 million  and $1.6 million of actuarial net 
losses. We included $1.0 million for the year ended December 31, 2018 reclassified out of accumulated other comprehensive 
income (loss) related to our interest rate swaps in interest expense.

Note 18—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 $31.3 
million in 2019, $28.9 million in 2020, and $25.4 million in 2021. 

64

 
 
 
 
  
In 2018, we transitioned the management of our U.S. private fleet transportation and drivers to Penske Logistics, 
which provides a robust technology platform that includes customer tracking and additional delivery capabilities.  Under this 
contractual commitment with Penske, we pay scheduled fees which can vary based on changes in the level of support required.  
Assuming no early termination of this contract, our estimated remaining annual obligations under this agreement are $2.3 
million in 2019, $2.3 million in 2020, $2.3 million in 2021, $2.3 million in 2022, $2.3 million in 2023, and $2.1 million 
thereafter.  In addition to these fixed annual obligations disclosed herein, we are also contractually obligated to reimburse 
Penske for variable costs including, but not limited to, vehicle costs, driver wages and fringe benefits, fuel, and insurance 
premiums.

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 some of our transportation and material handling equipment for terms generally ranging from three to ten years. At 
December 31, 2018, 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:

2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total minimum payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

Total

64,082

53,138

42,480
26,445

19,895

45,708

251,748

Rent expense for all operating leases for the years ended December 31, 2018, 2017 and 2016, was $78.3 million, 

$73.1 million and $70.0 million.

Note 19—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, 2018 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 20—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 two segments: Global Solutions and Global Products.  The Global Solutions 
segment includes our United States and European distribution, logistics and value-added services business. Global Products 
manufactures and sources medical surgical products through our production and kitting operations. The Halyard S&IP business, 
acquired on April 30, 2018, is a part of Global Products.

We evaluate the performance of our segments based on their operating income 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. Beginning in 
the second quarter of 2018, the Company is excluding intangible amortization from the measure of segment operating income. 
This change is consistent with management's internal measure of segment results. Prior periods have been recast on a consistent 
basis.

65

 
 
Segment assets exclude inter-segment account balances as we believe their inclusion would be misleading and not 

meaningful. We believe all inter-segment sales are at prices that approximate market.

The following tables present financial information by segment:

Year ended December 31,
Net revenue:

Segment net revenue

2018

2017

2016

Global Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Global Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total segment net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9,188,066

$

9,186,018

$

9,535,248

1,111,322

10,299,388

504,026

539,580

9,690,044

10,074,828

Inter-segment net revenue

Global Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total inter-segment net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Consolidated net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

(460,680)
(460,680)
9,838,708

$

(371,769)
(371,769)
9,318,275

$

(351,397)
(351,397)
9,723,431

104,099

$

141,091

$

175,508

Operating income (loss):

Global Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Global Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Inter-segment eliminations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Goodwill and intangible asset impairment charges . . . . . . . . . . . . . . . . .

Intangible amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Acquisition-related and exit and realignment charges. . . . . . . . . . . . . . .
Other (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Consolidated operating income (loss) . . . . . . . . . . . . . . . . . . . . . . . $

75,688
(3,014)
(439,613)
(36,514)
(62,200)
(30,620)
(392,174) $

Depreciation and amortization: 

Global Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Global Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

63,710

38,217

Consolidated depreciation and amortization . . . . . . . . . . . . . . . . . . $

101,927

Capital expenditures:

Global Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Global Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Consolidated capital expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . $

49,524

16,161
65,685

$

$

$

$

38,458

243

—
(16,402)
(60,707)
(13,432)
89,251

50,809

8,634

59,443

46,932

3,805
50,737

$

$

$

$

$

59,384
(616)
—
(10,002)
(24,675)
—

199,599

46,586

8,807

55,393

27,207

2,914
30,121

(1) 2018 and 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. 2018 also includes the incremental charge to cost of goods sold from 
purchase accounting impacts related to the sale of acquired inventory that was written up to fair value.

December 31,
Total assets:

2018

2017

Global Solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Global Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Segment assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2,618,759

$

2,870,998

1,051,662

3,670,421

103,367

400,773

3,271,771

104,522

Consolidated total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

3,773,788

$

3,376,293

66

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. 

Year ended December 31,
Net revenue:

2018

2017

2016

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9,261,149

577,559

Consolidated net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

9,838,708

$

$

8,899,208

419,067

9,318,275

December 31,
Long-lived assets:

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
International. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Consolidated long-lived assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

2018

582,667

193,322

775,989

$

$

$

$

9,338,543

384,888

9,723,431

2017

327,442

125,395

452,837

Note 21—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.

67

 
Condensed Consolidating Financial Information

Year ended December 31, 2018
Statements of Income
Net revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . .

Gross margin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Distribution, selling and administrative expenses . .

Acquisition-related and exit and realignment
charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Goodwill and intangible asset impairment charges .

Other operating (income) expense, net. . . . . . . . . . .

Operating income (loss) . . . . . . . . . . . . . . . . . . . . . .

Interest expense, 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

— $ 8,871,152

$ 1,660,763

$

8,048,457

1,113,315

(693,207) $ 9,838,708
(690,027)
8,471,745
(3,180)
—

1,366,963

1,261,748

547,448

529,100

17,860

259,607
(7,426)
(251,693)
12,104
(263,797)
5,423

—

—
(477)

—

—

—

477

21,896
(21,419)
(5,569)
(421,162)
(437,012)
(20,528)
(457,540) $

822,695

733,125

44,340

180,006

3,002
(137,778)
43,021
(180,799)
(32,037)
(79,629)
(228,391)
(14,940)
(243,331) $

—

—

—
(3,180)
—
(3,180)
—

62,200

439,613

(4,424)

(392,174)

77,021

(469,195)

(32,183)

—
(437,012)

(20,528)
(457,540)

—
(269,220)
(18,873)
(288,093) $

500,791
497,611

33,813
531,424

$

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 income (loss) . . . . . . . . . . . . . . . . . . . .
Interest expense, 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

(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

— $

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

68

 
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 income (loss) . . . . . . . . . . . . . . . . . . . .

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

— $

9,190,660

$

697,559

$

(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

—

—

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

69

December 31, 2018
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

Owens &
Minor, Inc.

Guarantor
Subsidiaries

Non-guarantor
Subsidiaries

Eliminations

Consolidated

37,254

$

657

$

65,456

$

— $

—

—

117

745,085

1,044,395

115,539

542,228

250,466

207,302

37,371

1,905,676

1,065,452

—

—

—

—

199,115

130,364

186,771

486,669

1,697,191

1,788
1,736,350

$

429,926

53,545
3,392,066

187,608

283,758

134,993

—

—

57,268
1,729,079

$

(463,895)
(4,758)
(1,268)
(469,921)
—

—

—
(486,669)

(2,127,117)
—

$ (3,083,707) $

103,367

823,418

1,290,103

321,690

2,538,578

386,723

414,122

321,764

—

—

112,601
3,773,788

— $

1,147,081

$

437,866

$

(475,358) $

1,109,589

—

9,641

9,641

595,856

605,558

—

—

6,876

19,954

137,401

1,304,436

1,040,664

—

816,785

—

49,442

28,249

167,177

633,292

14,062

470,318

752,105

50,852

25,606

1,217,931

3,211,327

1,946,235

—

(475,358)
—
(1,075,876)
(1,568,890)
—

—
(3,120,124)

—
(298,479)
281,859

53,037

36,417

48,203

314,219

1,472,011

1,650,582

—

—

50,852

81,924

3,255,369

124,588

238,773

200,670

(45,612)

518,419

$ (3,083,707) $

3,773,788

Common stock . . . . . . . . . . . . . . . . . . . . . . . .

Paid-in capital. . . . . . . . . . . . . . . . . . . . . . . . .

Retained earnings (deficit) . . . . . . . . . . . . . . .

Accumulated other comprehensive income
(loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total equity . . . . . . . . . . . . . . . . . . . . . . . . . .
Total liabilities and equity . . . . . . . . . . . . . . $

124,588

238,773

200,670

(45,612)
518,419

—

174,614

37,777

(31,652)
180,739

1,736,350

$

3,392,066

$

—

123,865
(319,636)

(21,385)
(217,156)
1,729,079

70

Condensed Consolidating Financial Information

Owens &
Minor, Inc.

Guarantor
Subsidiaries

Non-guarantor
Subsidiaries

Eliminations

Consolidated

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. . . . . . . . . . . . . . . . . . . . . . . . . . .

13,700

$

865

$

89,957

$

— $

—

—

100

559,269

902,190

123,067

13,800

1,585,391

—

—

—

—

2,114,853

—

107,010

180,006

9,582

439,654

558,429

57,724

206,410

89,580

205,087

591,034

99,480

533,805

174,886

—

—

31,895

(6,743)
(1,577)
—
(8,320)
—

—

—
(439,654)

(2,673,282)
—

104,522

758,936

990,193

328,254

2,181,905

206,490

713,811

184,468

—

—

89,619

Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . $

2,128,653

$

2,937,796

$

1,431,100

$ (3,121,256) $

3,376,293

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 . . . . . . . . . . . . . . $

(6,763) $
—

—
(6,763)
—
(1,068,703)
(138,890)
—

—
(1,214,356)

—
(758,483)
(1,185,749)

947,572

30,416

331,745

1,309,733

900,744

—

—

74,247

76,090

2,360,814

122,952

226,937

690,674

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

71

 
 
Condensed Consolidating Financial Information

Year ended December 31, 2018
Statements of Cash Flows

Operating activities:

Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Adjustments to reconcile net income (loss) to cash
(used for) provided by operating activities:

Owens &
Minor, Inc.

Guarantor
Subsidiaries

Non-
guarantor
Subsidiaries

Eliminations

Consolidated

(437,012) $

(228,391) $

(269,220) $

497,611

$

(437,012)

Equity in earnings of subsidiaries . . . . . . . . . . . . .

421,162

Intercompany dividend. . . . . . . . . . . . . . . . . . . . . .

Depreciation and amortization . . . . . . . . . . . . . . . .

Share-based compensation expense . . . . . . . . . . . .

Goodwill and intangible asset impairment charges

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: . . . . . . . . . . . . . . . . . . . . . . . . . . .

—

—

—

—

—

—

—

2,355

854

(12,641)

—

—

—

—

—

79,629

30,000

28,069

16,376

180,006

140

(31,435)

(92,751)

93,612

249,004

(29,690)

5,740

300,309

(751,834)

(15,076)

(33,245)

1,429

(798,726)

Change in intercompany advances . . . . . . . . . . . . . . . . .

87,295

(256,888)

Intercompany dividend. . . . . . . . . . . . . . . . . . . . . . . . . .

Proceeds from issuance of debt . . . . . . . . . . . . . . . . . . .

Proceeds from revolving credit facility . . . . . . . . . . . . .

Repayment of debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Financing costs paid . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash dividends paid . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Cash provided by financing activities. . . . . . . . . . . . .

Effect of exchange rate changes on cash and cash
equivalents

Net increase (decrease) in cash and cash equivalents

Cash and cash equivalents at beginning of year . . . .

—

—

—

—

—

(48,200)

(2,900)

36,195

—

23,554

13,700

Cash and cash equivalents at end of year. . . . . . . . . . $

37,254

$

—

695,750

105,500

(16,250)

(28,512)

—

(1,391)

498,209

—

(208)

865

657

—

73,858

—

259,607

9,290

(3,583)

(353,294)

(162,241)

311,765

(7,710)

(551)

(142,079)

—

(5,736)

(11,628)

261

(17,103)

169,593

(30,000)

—

—

—

—

—

(2,926)

136,667

(1,986)

(24,501)

89,957

(500,791)

(30,000)

—

—

—

—

457,151

3,178

(468,590)

11,441

—

(30,000)

—

—

—

—

—

—

30,000

—

—

—

—

—

—

30,000

—

—

—

$

65,456

$

— $

—

—

101,927

16,376

439,613

9,430

(35,018)

11,106

(65,451)

92,179

(23,604)

6,043

115,589

(751,834)

(20,812)

(44,873)

1,690

(815,829)

—

—

695,750

105,500

(16,250)

(28,512)

(48,200)

(7,217)

701,071

(1,986)

(1,155)

104,522

103,367

72

Year ended December 31, 2017
Statements of Cash Flows

Operating activities:

Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
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 . . . . . . . . . . . . . . . . . . .

Proceed from revolving credit facility . . . . . . . . . . . . . .

Repayment of debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Financing costs paid . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cash dividends paid . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Repurchases of common stock . . . . . . . . . . . . . . . . . . . .

Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Cash provided by financing activities. . . . . . . . . . . . .

Effect of exchange rate changes 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

$

— $

73

Condensed Consolidating Financial Information

Year ended December 31, 2016
Statements of Cash Flows

Operating activities:
Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
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 used for financing activities . . . . . . . . . . . . . . . .

Effect of exchange rate changes 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. . . . . . . . . . $

—

—

—

—

—

—

—

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

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

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

38,015

$

61,266

$

86,207

$

— $

74

 
Note 22—Subsequent Events

On February 12, 2019, we entered into a Fourth Amendment to the Credit Agreement, dated as of July 27, 2017.  The 
Fourth Amendment implements certain principal changes to the Credit Agreement, including a reduction of the revolving loan 
facility to $400 million (from $600 million); amendment to the leverage and interest coverage financial covenants (through the 
maturity date of the Credit Agreement) and the definition of EBITDA; addition of  an anti-cash hoarding covenant; 
amendments to certain negative covenants, including a reduction of certain baskets for restricted payments, prepayments of 
junior debt, asset sales, investments and capital expenditures; and removal of the incremental facility.

In connection with the Fourth Amendment, we amended our our Security Agreement to include additional Joining 
Subsidiaries (as defined) providing collateral for the benefit of the Secured Parties (as defined) and holders of our 2021 and 
2024 Notes.  Also in connection with the Fourth Amendment, we entered into a Fourth Supplemental Indenture pursuant to 
which the Joining Subsidiaries became guarantors of the Company’s obligations under the 2021 and 2024 Notes.

75

 
Report of Independent Registered Public Accounting Firm

To the Shareholders and Board of Directors
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, 2018 and 2017, the related consolidated statements of income (loss), comprehensive income (loss), changes in 
shareholders’ equity, and cash flows for each of the years in the three-year period ended December 31, 2018, 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, 2018 and 2017, and the results of its operations 
and its cash flows for each of the years in the three-year period ended December 31, 2018, 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, 2018, 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 March 6, 2019 expressed an unqualified opinion on the effectiveness of the Company’s 
internal control over financial reporting.

Change in Accounting Principle 

As discussed in Note 1 to the consolidated financial statements, the Company has changed its method of accounting for 
revenue effective January 1, 2018 due to the adoption of Financial Accounting Standards Board (FASB) Accounting Standards 
Codification Topic 606, Revenue from Contracts with Customers and its method of goodwill impairment measurement during 
2018 due to the adoption of FASB Accounting Standards Update No. 2017-04, Intangibles - Goodwill and Other (Topic 350): 
Simplifying the Test for Goodwill Impairment.

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 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.

/s/ KPMG LLP

We have served as the Company’s auditor since 1987.

Richmond, Virginia
March 6, 2019

76

SELECTED QUARTERLY FINANCIAL INFORMATION

(unaudited)

Year Ended December 31, 2018

1st
Quarter (1)

2nd
Quarter (2)

3rd
Quarter (3)

4th
Quarter (4)

(in thousands, except per share data)
Net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Gross margin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Net income (loss) per common share:

2,372,579
324,687
8,151

Basic and diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Cash dividends per common share . . . . . . . . . . . . . . . . . . $

0.13
0.260

$
$
$

$
$

$
2,458,271
324,994
$
(182,777) $

2,464,877
352,574

$
$
(565) $

2,542,981
364,710
(261,821)

(3.07) $
$
0.260

(0.01) $
$
0.260

(4.37)
0.075  

Year Ended December 31, 2017

1st
Quarter (5)

2nd
Quarter (6)

3rd
Quarter (7)

4th
Quarter (8)

(in thousands, except per share data)
Net revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Gross margin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Net income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Net income per common share:

2,328,573
281,180
18,785

Basic and diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Cash dividends per common share . . . . . . . . . . . . . . . . . $

0.31
0.2575

$
$
$

$
$

2,265,907
273,532
20,141

0.33
0.2575

$
$
$

$
$

2,333,961
301,942
10,871

0.18
0.2575

$
$
$

$
$

2,389,834
315,212
22,997

0.38
0.2575

(1) We incurred charges of  $11.2 million after tax (or $0.19 per diluted share) in the first quarter of 2018  associated with 
acquisition-related and exit and realignment activities and $2.0 million after tax ($0.03 per diluted share) associated with 
software as a service implementation costs.
(2) We incurred charges of $163.4 million after tax (or $2.73 per diluted share) in the second quarter of 2018 associated with 
goodwill and intangible asset impairment. We also incurred charges of  $18.2 million after tax (or $0.31 per diluted share) 
associated with acquisition-related and exit and realignment activities, $13.1 million after tax ($0.22 per diluted share) 
associated with fair value adjustments related to purchase accounting and $0.6 million after tax ($0.01 per diluted share) 
associated with software as a service implementation costs. 
(3) We incurred charges of  $6.2 million after tax (or $0.10 per diluted share) in the third quarter of 2018 associated with 
acquisition-related and exit and realignment activities. $7.1 million after tax ($0.11 per diluted share) associated with fair 
value adjustments related to purchase accounting and $0.2 million after tax ($0.00 per diluted share) associated with software 
as a service implementation costs. We also recognized a $1.6 million ($0.02 per diluted share) tax benefit associate with the 
estimated benefits under the Tax Cuts and Jobs Act in the third quarter of 2018.
(4) We incurred charges of $243.5 million after tax (or $4.08 per diluted share) in the fourth quarter of 2018 associated with 
goodwill impairment. We also incurred charges of $13.8 million after tax (or $0.22 per diluted share) associated with 
acquisition-related and exit and realignment activities and $0.1 million after tax ($0.00 per diluted share) associated with 
software as a service implementation costs. 
(5) 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.
(6) 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. 
(7) 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. 
(8) 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. 

77

 
 
 
Index to Exhibits

2.1

2.2

3.1

3.2

4.1

4.2

4.3

4.4

4.5

4.6

10.1

10.2

10.3

10.4

10.5

10.6

10.7

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 Purchase Agreement, dated as of April 30, 2018, 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, Exhibit 2.1, dated  May 1, 2018)

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 March 7, 2019- filed herewith

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)

Third Supplemental Indenture, dated as of April 30, 2018, by and among Owens & Minor, Inc., the guarantors 
signatory thereto and U.S. Bank National Association, as trustee. (incorporated herein by reference to our 
Current Report on Form 8-K, Exhibit 4.1, dated  May 4, 2018)

Fourth Supplemental Indenture, dated as of February 12, 2019, among Owens & Minor, Inc., the guarantors 
signatory thereto and U.S. Bank National Association, as trustee. (incorporated herein by reference to our 
Current Report on Form 8-K, Exhibit 4.1, dated February 19, 2019)

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)*

Form of Owens & Minor, Inc. Restricted Stock Agreement under the 2018 Stock Incentive Plan effective 
February 28, 2019 (incorporated herein by reference to our Current report on 8-K, Exhibit 10.1, dated March 1, 
2019)*

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)*

Form of Owens & Minor, Inc. Executive Change in Control Severance Agreement between Owens & Minor, 
Inc. and Edward A. Pesicka effective March 4, 2019 (incorporated herein by reference to our Current Report on 
Form 8-K, Exhibit 10.1, dated February 25, 2019)*

Form of Owens & Minor, Inc. Executive Change in Control Severance Agreement effective October 25, 2018- 
filed herewith*

78

10.8

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)*

10.9

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)*

10.10

10.11

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

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)*

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 Owens & Minor Director Restricted Stock Agreement under the Company’s 2018 Stock Incentive Plan 
(incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.1, dated May 9, 2018)*

Form of Owens & Minor Restricted Stock Agreement under the Company’s 2018 Stock Incentive Plan 
(incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.2, dated May 9, 2018)*

Form of Owens & Minor Restricted Stock Unit Agreement under the Company’s 2018 Stock Incentive Plan 
(incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.3, dated May 9, 2018)*

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)*

79

10.27

10.28

10.29

10.30

10.31

10.32

10.33

10.34

10.35

10.36

10.37

10.38

10.39

10.40

10.41

10.42

Form of Owens & Minor, Inc. 2019 Performance Share Award Agreement under the 2018 Stock Incentive Plan 
(incorporated herein by reference to our Current report on 8-K, Exhibit 10.2, dated March 1, 2019)*

Owens & Minor, Inc. Officer Severance Policy dated May 7, 2018 (incorporated herein by reference to our 
Current Report on Form 8-K, Exhibit 10.4, dated May 9, 2018)*

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)*

Owens & Minor, Inc. 2018 Stock Incentive Plan (incorporated herein by reference to our Registration Statement 
on Form S-8, Registration number 333-224787)*

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)*

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)*

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)

Restated Guaranty Agreement, dated as of the February 12, 2019, by and among Owens  & Minor, Inc., the 
other Guarantors party thereto and Bank of America, N.A., as administrative agent for the Pro Rata Facilities 
and the Term B Facility (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.1, 
dated February 19, 2019)

80

10.43

10.44

10.45

10.46

10.47

10.48

10.49

10.50

Executive Separation Agreement and General Release, dated as of August 16, 2018, by and between Richard A. 
Meier and Owens & Minor Medical, Inc. (incorporated herein by reference to our Current Report on Form 8-K/
A, Exhibit 10.1, dated August 23, 2018)*

Executive Separation Agreement and General Release, dated as of August 3, 2018, by and between Rony 
Kordahi and Owens & Minor Medical, Inc. (incorporated herein by reference to our Quarterly Report on Form 
10-Q, Exhibit 10.10, for the quarter ended June 30, 2018)*

Executive Separation Agreement and General Release, dated as of November 14, 2018, by and between Paul 
Cody Phipps and Owens & Minor, Inc.- filed herewith*

Security and Pledge Agreement, dated as of April 30, 2018, by and among Owens & Minor, Inc., O&M 
Halyard, Inc., Owens & Minor Distribution, Inc., Owens & Minor Medical, Inc., Barista Acquisition I, LLC and 
Barista Acquisition II, LLC, Bank of America, N.A., U.S. Bank National Association, and the other secured 
parties thereto. (incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.2, dated  May 
4, 2018)

First Amendment to Credit Agreement, dated as of March 29, 2018, by and among Owens & Minor 
Distribution, Inc., Owens  & Minor Medical, Inc., Barista Acquisition I, LLC, and Barista Acquisition II, LLC, 
as Borrowers, Owens  & Minor, Inc. and certain of its domestic subsidiaries, as Guarantors, the banks party 
thereto and Wells Fargo Bank, N.A., as Administrative Agent for the banks party thereto (incorporated herein by 
reference to our Current Report on Form 8-K/A, Exhibit 10.1, dated  April 18, 2018)

Second Amendment to Credit Agreement, dated as of April 30, 2018, by and among O&M Halyard, Inc., Owens 
& Minor Distribution, Inc., Owens & Minor Medical, Inc., Barista Acquisition I, LLC and Barista Acquisition 
II, LLC, Owens & Minor, Inc. and each other domestic subsidiary of the Company party thereto from time to 
time, Wells Fargo Bank, N.A., as administrative agent for certain of the credit facilities, Bank of America, N.A., 
as collateral agent and administrative agent for the term B facility, and the other agents party thereto. 
(incorporated herein by reference to our Current Report on Form 8-K, Exhibit 10.1, dated  May 4, 2018)

Third Amendment to Credit Agreement, dated as of May 9, 2018, by and among O&M Halyard, Inc., Owens & 
Minor Distribution, Inc., Owens & Minor Medical, Inc., Barista Acquisition I, LLC and Barista Acquisition II, 
LLC, Owens & Minor, Inc. and each other domestic subsidiary of the Company party thereto from time to time, 
Wells Fargo Bank, N.A., as administrative agent for certain of the credit facilities, Bank of America, N.A., as 
collateral agent and administrative agent for the term B facility, and the other agents party thereto. (incorporated 
herein by reference to our Form 10-Q, Exhibit 10.9, dated May 10, 2018)

Fourth Amendment to Credit Agreement, dated as of February 12, 2019, by and among O&M Halyard, Inc., 
Owens & Minor Distribution, Inc., Owens  & Minor Medical, Inc., Barista Acquisition I, LLC and Barista 
Acquisition II, LLC, Owens  & Minor, Inc. and each other domestic subsidiary of the Company party thereto 
from time to time, Bank of America, N.A., as administrative agent for certain of the credit facilities and as 
collateral agent and administrative agent for the term B facility, and the other agents party thereto. (incorporated 
herein by reference to our Current Report on Form 8-K, Exhibit 10.1, dated February 19, 2019)

11.1

Calculation of Net Income (loss) per Common Share. Information related to this item is in Part II, Item 8, Notes 
to Consolidated Financial Statements, Note 15-Net Income (loss) 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

81

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

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.

82

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 6th day of March, 2019.

SIGNATURES

OWENS & MINOR, INC.

/s/ Robert C. Sledd
Robert C. Sledd

Chairman and Interim President & Chief Executive Officer

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 6th day of March, 2019:

/s/ Lemuel E. Lewis
Lemuel E. Lewis

Director

/s/ Martha H. Marsh
Martha H. Marsh

Director

/s/ Mark F. McGettrick
Mark F. McGettrick

Director

/s/ Eddie N. Moore, Jr.
Eddie N. Moore, Jr.

Director

/s/ Anne Marie Whittemore
Anne Marie Whittemore

Lead Director

/s/ Robert C. Sledd
Robert C. Sledd

Chairman and Interim President & Chief Executive Officer

/s/ Robert K. Snead
Robert K. Snead

Chief Financial Officer

/s/ Michael W. Lowry
Michael W. Lowry

Chief Accounting Officer

/s/ Stuart M. Essig
Stuart M. Essig

Director

/s/ John W. Gerdelman
John W. Gerdelman

Director

/s/ Barbara B. Hill
Barbara B. Hill

Director

83

 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
Corporate Officers

Robert C. Sledd (67)
Chairman and Interim President & Chief Executive Officer of Owens & Minor 

Chairman and Interim President & Chief Executive Officer of Owens & Minor since November 7, 2018 and a director of 
Owens & Minor since 2007. Mr. Sledd most recently served as a member of the Executive and Audit Committees and as 
Chairman of the Compensation & Benefits Committee. He brings more than two decades of experience in distribution from his 
time as Chairman and CEO of Performance Food Group Co. (“PFG”), a foodservice distribution company he co-founded in 
1987. Mr. Sledd served as Chief Executive Officer of PFG from 1987 to 2001 and from 2004 to 2006, and as Chairman from 
1995 until 2008. Mr. Sledd most recently served as a Managing Partner of Pinnacle Ventures, LLC, and Sledd Properties, LLC. 
Prior to that, he spent four years as Senior Economic Advisor to a former Governor of Virginia and was responsible for 
development of Virginia’s strategic economic development plan and oversight in coordination with the Secretary of 
Commerce. Mr. Sledd has served on the Board of Universal Corporation (NYSE: UVV) since 2009, and is Chairman of the 
Pension Investment Committee, as well as a member of the Audit and Finance Committees. He also serves as a Director of Pool 
Corporation (NASDAQ: POOL), a wholesale distributor of swimming pool supplies, equipment, and related leisure products, 
and is a member of the company’s Audit and Compensation Committees. Mr. Sledd previously spent seven years as a member 
of the Board of Bon Secours Health System, including four as Chairman. 

Robert K. Snead (42)
Executive Vice President & Chief Financial Officer

Executive Vice President & Chief Financial Officer of Owens & Minor since December 6, 2018. Prior to that, Mr. Snead served 
as Group VP of Finance - Global Solutions and as Interim Financial Officer from June 2018 to December 2018. From 2017 to 
June 2018, he served as Vice President of Strategy & Corporate Development. From 2013 to 2017, Mr. Snead was Treasurer 
and Vice President of Corporate Development, when he led the company’s globalization of the treasury function following an 
international expansion. Prior to that, Mr. Snead was Operating Vice President of Corporate Development from 2010 to 2013. 
Prior to joining Owens & Minor, Mr. Snead served as a director in the mergers and acquisitions group of Barclays Capital in 
New York. Mr. Snead joined Owens & Minor in 2010.

Christopher Lowery (55)
President, Global Products

President, Global Products since January 2018.  Mr. Lowery leads worldwide sales and marketing, research and development, 
quality assurance, regulatory, and clinical affairs for the company’s Global Products Strategic Business Unit.  Prior to that, from 
November 2014 to December 2017, Mr. Lowery served as Senior Vice President and Chief Operating Officer at Halyard 
Health’s Surgical & Infection Prevention business, where he was responsible for the same worldwide functions. From April 
2010 to October 2014, Mr. Lowery served as Vice President of Sales and Marketing at Kimberly-Clark Health Care, where he 
was responsible for strategic direction, as well as sales and marketing execution globally. He joined Kimberly-Clark Health 
Care as Vice President of Medical Devices in 2010. Prior to joining Kimberly-Clark Health Care, he held several senior 
marketing and sales roles at Covidien, a global health care products company. 

Stuart Morris-Hipkins (48)   
President, Global Solutions

President, Global Solutions since January 2018. Mr. Morris-Hipkins joined Owens & Minor in March 2017 as Executive Vice 
President, Global Manufacturer Services. A senior executive with more than 20 years of global leadership experience, Mr. 
Morris-Hipkins previously worked for Smith and Nephew, PLC, where served as Senior Vice President and General Manager 
from 2014 to 2017.  Prior to that, he worked for Smiths Group, PLC, for 16 years, where he held a number of positions 
including Vice President of Global Sales and Marketing for Smiths Medical from 2010 to 2014. From 2006 to 2010, Mr. 
Morris-Hipkins was President for various Smiths Medical Divisions, and held the position of President, Hypertronics (Smith 
Interconnect) from 2002 to 2006.  At Owens & Minor, Mr. Morris-Hipkins is responsible for the Global Solutions business 
segment, which includes Distribution Solutions, Provider Solutions, Manufacturer Solutions and Payor Solutions businesses 
with Supplier Relations and Operations. 

84

 
 
Nicholas J. Pace (48) 
Executive Vice President, General Counsel & Corporate Secretary

Executive Vice President, General Counsel and Corporate Secretary since May 2018. Mr. Pace joined Owens & Minor in 2016, 
serving as its Senior Vice President, General Counsel & Corporate Secretary. He was promoted to Executive Vice President in 
May 2018. 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 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. Prior to that role, he served as Executive Vice President, General Counsel & Secretary of 
Amerigroup Corporation (NYSE: AGP), where he worked from 2006-2013 until its sale to Anthem, Inc.  

Charles C. Colpo (61)
Senior Vice President, Strategic Supplier Management

Senior Vice President, Strategic Supplier Management since October 2017. Mr. Colpo was assigned to operational oversight of 
Owens & Minor Europe in 2014, and later served as Senior Vice President, Owens & Minor Europe Operations from 2016 to 
2017. 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 (55)
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.

Jonathan A. Leon (52)
Senior Vice President, Corporate Treasurer

Senior Vice President, Corporate Treasurer of Owens & Minor since May 2018. Prior to that, Mr. Leon served as Vice 
President, Treasurer, after joining Owens & Minor in January 2017.  Before joining Owens & Minor, Mr. Leon worked for the 
Brinks Company for nineteen years, beginning in 1998, where he served as Treasurer. Mr. Leon has extensive experience in 
treasury management. 

Michael W. Lowry (57)
Senior Vice President, Corporate Controller & Chief Accounting Officer

Senior Vice President, Corporate Controller & Chief Accounting Officer, effective June 1, 2018. Prior to that, from 2013 to 
May 2016, Mr. Lowry was Senior Vice President, Corporate Controller and Vice President, Corporate Controller beginning in 
2013. Prior to that, from 2009 to 2013 Mr. Lowry was the company Vice President, Treasurer. Mr. Lowry joined Owens & 
Minor in 1988. During his time at Owens & Minor, he has held a variety of leadership positions on the finance team. 

Geoffrey T. Marlatt (50)
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.

85

 
Shana C. Neal (52)
Senior Vice President & Chief Human Resources Officer

Senior Vice President & Chief Human Resources Officer since joining Owens & Minor in March 2018. A global Human 
Resources professional, Ms. Neal worked for Becton Dickinson (BD), from 2005 to 2018, where she most recently served as 
Senior Vice President, Human Resources, Life Sciences. Additionally, Ms. Neal led the organization and talent integration for 
BD’s acquisitions of Bard and CareFusion. Over the course of her career, she has acquired experience in the medical device 
industry, global manufacturing, and mergers & acquisitions. She has a proven record of success in change management, 
performance management, executive coaching, and building and executing growth strategies.

Joseph S. Pekala (48) 
Senior Vice President & Chief Information Officer

Senior Vice President & Chief Information Officer (CIO) since joining Owens & Minor in December 2018. For the previous 
four years, Mr. Pekala served as Senior Vice President & Chief Information Officer for ACCO Brands, Inc., a global provider 
of branded business and consumer products, where he led a successful transformation of the information technology (IT) 
function. Prior to joining ACCO, Mr. Pekala served as CIO for Graphic Packaging Holding Company, where he worked for 15 
years. An experienced IT executive, Mr. Pekala brings 25 years of experience in transforming and leading technology teams to 
Owens & Minor.

86

Subsidiaries of Registrant

Exhibit 21.1

Subsidiary

500 Expressway Drive South LLC

Access Diabetic Supply, L.L.C.

Access Respiratory Supply Inc

AVID Medical, Inc.

Barista Acquisition I, LLC

Barista Acquisition II, LLC

Byram Healthcare Centers, Inc.

Byram Holdings I, Inc.

Clinical Care Services, L.L.C.

Diabetes Specialty Center, L.L.C.

Fusion 5 Inc.

GNB Associates, LLC

State of
Incorporation/
Organization

Delaware

Florida

Florida

Delaware

Virginia

Virginia

New Jersey

New Jersey

Utah

Utah

Delaware

Virginia

Halyard North Carolina, LLC

North Carolina

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.

Michigan

Delaware

Delaware

Delaware

Virginia

Delaware

Virginia

Virginia

Virginia

Virginia

Virginia

Virginia

Virginia

Virginia

Owens & Minor International Logistics, Inc. Virginia
Virginia
Owens & Minor Medical, Inc.

Owens & Minor, Inc.

Owens & Minor, Inc. Executive Deferred
Compensation Trust

Arabian Medical Products Manufacturing
Company (19%)

ArcRoyal Holdings Unlimited Company

ArcRoyal Unlimited Company

Avent de Honduras S.A. de C.V.

AVS Health Espana SL

Halyard Malaysia SND BHD

Healthcare Product  Services Ltd.

Healthcare Services Group Limited

La Ada de Acuna, S. de R.L. de C.V
MIRA Medsource (Malaysia) SDN. BHD.

Virginia

Virginia

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A
N/A

Country

Assumed Name

AOM Healthcare Solutions

AOM Healthcare Solutions

OM Healthcare Logistics

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

USA

USA

Saudi Arabia

Ireland

Ireland

Honduras

Spain

Malaysia

United Kingdom

United Kingdom

Mexico
Malaysia

Mira MEDsource (Shanghai) Co., LTD

N/A

Mira MEDsource Holding Company Limited N/A

Movianto Belgium NV

Movianto Ceska republika sro

Movianto Deutschland GmbH

Movianto Espana SLU

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 Brasil Consultoria Ltda

O&M Halyard Australia PTY LTD

O&M Halyard Belgium

O&M Halyard Canada ULC

O&M Halyard France

O&M Halyard Germany GmbH

O&M Halyard Health India LLP

O&M Halyard International Unlimited
Company

O&M Halyard Japan GK

O&M Halyard Mexico, S. DE R.L. DE C.V.

O&M Halyard Netherlands B.V.

O&M Halyard Singapore PTE Ltd

O&M Halyard UK Limited

O&M Healthcare International Limited

O&M Healthcare Italia S.R.L.

O&M International Healthcare C.V.

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

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

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Owens & Minor Ireland Unlimited Company N/A

Owens & Minor Jersey Holdings Limited
Owens & Minor Jersey Unlimited

Pharmacare Logistics Ltd.

Rutherford Holdings C.V.

N/A
N/A

N/A

N/A

Safeskin Medical & Scientific (Thailand) Ltd. N/A

Shanghai

Hong Kong

Belgium

Czech Republic

Germany

Spain

France

Germany

Denmark

Poland

Portugal

Switzerland

Slovak Republic

United Kingdom

United Kingdom

Jersey
South Africa

Sao Paolo

New South Wales

Belgium

British Columbia

France

Germany

Maharashtra

Ireland

Japan

Mexico

Netherlands

Singapore

United Kingdom

Ireland

Italy

Netherlands

France

Netherlands

United Kingdom

Ireland

Ireland

Ireland

Jersey
Jersey

United Kingdom

Netherlands

Songkhla

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 March 6, 2019, with respect to the consolidated balance sheets of Owens 
& Minor, Inc. as of December 31, 2018 and 2017, the related consolidated statements of income (loss), comprehensive income 
(loss), shareholders’ equity, and cash flows for each of the years in the three-year period ended December 31, 2018, and the 
related notes (collectively, the consolidated financial statements), and the effectiveness of internal control over financial 
reporting as of December 31, 2018, which reports appear in the December 31, 2018 annual report on Form 10-K of Owens & 
Minor, Inc. 

Our report on the consolidated financial statements refers to the adoption Financial Accounting Standards Board (FASB) of 
Accounting Standards Codification Topic 606, Revenue from Contracts with Customers and Accounting Standards Update No. 
2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. 

The Company acquired the Surgical & Infection Prevention business from Halyard Health Inc. (Halyard) during 2018, and 
management excluded from its assessment of the effectiveness of the Company’s internal control over financial reporting as of 
December 31, 2018, Halyard’s internal control over financial reporting associated with total assets of $770 million and total 
revenues of $518 million (net of intercompany eliminations) included in the consolidated financial statements of the Company 
as of and for the year ended December 31, 2018. Our audit of internal control over financial reporting of the Company also 
excluded an evaluation of the internal control over financial reporting of the acquired Halyard business. 

/s/ KPMG LLP

Richmond, Virginia 
March 6, 2019

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, Robert C. Sledd, certify that:

1. 

I have reviewed this Annual Report on Form 10-K for the year ended December 31, 2018 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:   March 6, 2019

/s/ Robert C. Sledd
Robert C. Sledd
Chairman and Interim President & Chief Executive
Officer

 
 
 
 
 
 
 
 
 
 
 
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, Robert K. Snead, certify that:

1. 

I have reviewed this Annual Report on Form 10-K for the year ended December 31, 2018, 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:   March 6, 2019

/s/ Robert K. Snead
Robert K. Snead
Chief Financial Officer

 
 
 
 
 
 
 
 
 
 
 
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, 2018, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Robert C. Sledd, 
Chairman and Interim President & Chief Executive Officer 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/ Robert C. Sledd
Robert C. Sledd
Chairman and Interim President & Chief Executive
Officer
Owens & Minor, Inc.
March 6, 2019

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 period ended December 
31, 2018, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Robert K. Snead, Chief 
Financial Officer 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/ Robert K. Snead
Robert K. Snead
Chief Financial Officer
Owens & Minor, Inc.
March 6, 2019

 
 
Corporate Information

ANNUAL SHAREHOLDERS’ MEETING
The annual meeting of Owens & Minor, Inc.’s shareholders will 
be held at 9:00 a.m. on Friday, May 10, 2019, at Owens & Minor 
Inc., 9120 Lockwood Boulevard, Mechanicsville, Virginia 23116.

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://www.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 2018 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, 2018, 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