UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
________________________________________________ 
FORM 10-Q
________________________________________________ 
 
xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2017March 31, 2020
OR
oTRANSITION 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)


Virginia54-1701843
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
  
9120 Lockwood Boulevard
MechanicsvilleVirginia23116
(Address of principal executive offices)(Zip Code)
  
Post Office Box 27626,
Richmond, Virginia
23261-7626
(Mailing address of principal executive offices)(Zip Code)
Registrant’s telephone number, including area code (804) (804723-7000
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $2 par value per shareOMINew York Stock Exchange

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 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.    Yesx    No  ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, 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).    Yesx     No  ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “larger accelerated filer”, “accelerated filer”, “smaller reporting company” and "emerging growth company" in Rule 12b-2 of the Exchange Act.
Large accelerated filerxAccelerated filero
Non-accelerated filer
o  (Do not check if a smaller reporting company)
Smaller reporting companyo
Emerging growth companyo  
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨   No  x
The number of shares of Owens & Minor, Inc.’s common stock outstanding as of October 27, 2017,April 30, 2020, was 61,249,61363,007,803 shares.
     




Owens & Minor, Inc. and Subsidiaries
Index
 
Page
   
 
 
 
 
 
 
Item 4.
 
Item 1.
Item 1A.
Item 6.


2





Part I. Financial Information
Item 1. Financial Statements
Owens & Minor, Inc. and Subsidiaries
Consolidated Statements of IncomeOperations
(unaudited)
 
 Three Months Ended September 30, Nine Months Ended September 30,
(in thousands, except per share data)2017 2016 2017 2016
Net revenue$2,333,961
 $2,415,601
 $6,928,441
 $7,355,069
Cost of goods sold2,032,019
 2,119,326
 6,071,787
 6,462,739
Gross margin301,942
 296,275
 856,654

892,330
Distribution, selling, and administrative expenses261,045
 241,305
 735,353
 726,944
Acquisition-related and exit and realignment charges9,299
 2,739
 21,134
 19,974
Other operating (income) expense, net1,927
 (1,337) 2,143
 (5,179)
Operating earnings29,671
 53,568
 98,024
 150,591
Interest expense, net8,737
 6,770
 22,218
 20,324
Income before income taxes20,934
 46,798
 75,806
 130,267
Income tax provision10,063
 16,967
 26,010
 48,585
Net income$10,871
 $29,831
 $49,796
 $81,682
Net income per common share:       
Basic and diluted$0.18
 $0.48
 $0.82
 $1.32
Cash dividends per common share$0.2575
 $0.255
 $0.7725
 $0.765
  Three Months Ended March 31, 
(in thousands, except per share data) 2020 2019 
Net revenue $2,122,693
 $2,350,840
 
Cost of goods sold 1,854,134
 2,074,219
 
Gross margin
268,559
 276,621
 
Distribution, selling and administrative expenses 254,048
 255,112
 
Acquisition-related and exit and realignment charges 6,064
 4,863
 
Other operating (income) expense, net (2,309) 42
 
Operating income 10,756
 16,604
 
Interest expense, net 23,342
 25,458
 
Other expense, net 4,846
 2,734
 
Loss from continuing operations before income taxes (17,432) (11,588) 
Income tax benefit (8,523) (670) 
Loss from continuing operations, net of tax (8,909) (10,918) 
Loss from discontinued operations, net of tax (2,415) (3,178) 
Net loss $(11,324) $(14,096) 
      
Loss from continuing operations per common share: basic and diluted $(0.15) $(0.18) 
Loss from discontinued operations per common share: basic and diluted (0.04) (0.05) 
Net loss per common share: basic and diluted $(0.19) $(0.23) 



Owens & Minor, Inc. and Subsidiaries
Consolidated Statements of Comprehensive IncomeLoss
(unaudited)
 
 Three Months Ended    September 30, Nine Months Ended    September 30,
(in thousands)2017 2016 2017 2016
Net income$10,871
 $29,831
 $49,796
 $81,682
Other comprehensive income (loss), net of tax:       
Currency translation adjustments (net of income tax of $0 in 2017 and 2016)12,254
 1,401
 40,151
 2,443
Change in unrecognized net periodic pension costs (net of income tax of $220 and $665 in 2017 and $194 and $532 in 2016)236
 218
 702
 701
Other (net of income tax of $0 in 2017 and 2016)94
 82
 288
 119
Total other comprehensive income (loss), net of tax12,584
 1,701
 41,141
 3,263
Comprehensive income$23,455
 $31,532
 $90,937
 $84,945
  Three Months Ended March 31, 
(in thousands) 2020
2019 
Net loss $(11,324) $(14,096) 
Other comprehensive loss, net of tax:     
Currency translation adjustments (net of income tax of $0 in 2020 and 2019) (28,178) (4,207) 
Change in unrecognized net periodic pension costs (net of income tax of $44 in 2020 and $69 in 2019) 170
 197
 
Net unrealized loss on derivative instruments and other (net of income tax benefit of $4,302 in 2020 and $658 in 2019) (11,397) (2,413) 
Other comprehensive loss (39,405) (6,423) 
Comprehensive loss $(50,729) $(20,519) 



Owens & Minor, Inc. and Subsidiaries
Consolidated Balance Sheets
(unaudited)
 
September 30, December 31,March 31, December 31,
(in thousands, except per share data)2017 20162020 2019
Assets      
Current assets      
Cash and cash equivalents$98,415
 $185,488
$92,315
 $67,030
Accounts receivable, net of allowances of $14,609 and $13,538732,756
 606,084
Accounts receivable, net of allowances of $23,971 and $21,015667,607
 674,706
Merchandise inventories989,251
 916,311
1,108,844
 1,146,192
Other current assets311,499
 254,156
151,635
 79,372
Current assets of discontinued operations499,410
 439,983
Total current assets2,131,921
 1,962,039
2,519,811
 2,407,283
Property and equipment, net of accumulated depreciation of $224,970 and $201,399203,587
 191,718
Goodwill, net690,230
 414,936
Property and equipment, net of accumulated depreciation of $254,054 and $245,718301,335
 315,427
Operating lease assets133,738
 142,219
Goodwill388,000
 393,181
Intangible assets, net231,886
 82,511
271,513
 285,018
Other assets, net76,532
 66,548
100,473
 99,956
Total assets$3,334,156
 $2,717,752
$3,714,870
 $3,643,084
Liabilities and equity      
Current liabilities      
Accounts payable$875,630
 $750,750
$891,542
 $808,035
Accrued payroll and related liabilities31,998
 45,051
44,722
 53,584
Other current liabilities296,663
 238,837
229,824
 231,029
Current liabilities of discontinued operations383,586
 323,511
Total current liabilities1,204,291
 1,034,638
1,549,674
 1,416,159
Long-term debt, excluding current portion917,256
 564,583
1,484,340
 1,508,415
Operating lease liabilities, excluding current portion109,381
 117,080
Deferred income taxes137,539
 90,383
42,962
 40,550
Other liabilities71,286
 68,110
112,175
 98,726
Total liabilities2,330,372
 1,757,714
3,298,532
 3,180,930
Commitments and contingencies
 

 

Equity      
Common stock, par value $2 per share; authorized - 200,000 shares; issued and outstanding - 61,249 shares and 61,031 shares122,499
 122,062
Common stock, par value $2 per share; authorized - 200,000 shares; issued and outstanding - 62,885 shares and 62,843 shares125,770
 125,686
Paid-in capital224,183
 219,955
256,357
 251,401
Retained earnings683,444
 685,504
126,323
 137,774
Accumulated other comprehensive loss(26,342) (67,483)(92,112) (52,707)
Total equity1,003,784
 960,038
416,338
 462,154
Total liabilities and equity$3,334,156
 $2,717,752
$3,714,870
 $3,643,084



Owens & Minor, Inc. and Subsidiaries
Consolidated Statements of Cash Flows
(unaudited)
 
Nine Months Ended September 30,Three Months Ended March 31,
(in thousands)2017 20162020 2019
Operating activities:      
Net income$49,796
 $81,682
Adjustments to reconcile net income to cash provided by operating activities:   
Net loss$(11,324) $(14,096)
Adjustments to reconcile net loss to cash provided by (used for) operating activities:  
Depreciation and amortization41,060
 42,182
23,913
 28,720
Share-based compensation expense8,592
 8,934
3,941
 4,505
Impairment charges9,080
 
Provision for losses on accounts receivable1,158
 (216)5,213
 3,619
Deferred income tax (benefit) expense(4,585) (3,233)
Deferred income tax expense (benefit)6,348
 (8,613)
Changes in operating lease right-of-use assets and lease liabilities(714)
(190)
Changes in operating assets and liabilities:     
Accounts receivable(79,114) 5,023
(7,942) (22,573)
Merchandise inventories(56,134) (5,066)39,340
 80,194
Accounts payable79,787
 58,742
98,743
 (120,480)
Net change in other assets and liabilities(40,634) (44,903)(77,178) (15,668)
Other, net5,719
 1,366
4,034
 3,678
Cash provided by operating activities5,645
 144,511
Cash provided by (used for) operating activities93,454
 (60,904)
Investing activities:      
Acquisition, net of cash acquired(366,569) 
Additions to property and equipment(24,963) (13,682)(4,771) (11,674)
Additions to computer software and intangible assets(12,826) (7,081)
Additions to computer software(942) (2,605)
Proceeds from sale of property and equipment780
 4,497
33
 271
Cash used for investing activities(403,578) (16,266)(5,680) (14,008)
Financing activities:      
Change in bank overdraft
 21,753
Proceeds from debt issuance250,000
 
Borrowing under revolving credit facility117,200
 
Proceeds from issuance of debt150,000
 
(Repayments) borrowings under revolving credit facility(6,200) 72,100
Repayments of debt(166,798) (12,394)
Financing costs paid(1,798) 
(5,785) (4,313)
Cash dividends paid(47,316) (47,802)(155) (4,764)
Repurchases of common stock(5,000) (48,654)
Other, net(7,363) (8,118)(2,468) (1,124)
Cash provided by (used for) financing activities305,723
 (82,821)
Cash (used for) provided by financing activities(31,406) 49,505
Effect of exchange rate changes on cash and cash equivalents5,137
 6,652
(62) (2,721)
Net increase (decrease) in cash and cash equivalents(87,073) 52,076
Cash and cash equivalents at beginning of period185,488
 161,020
Cash and cash equivalents at end of period$98,415
 $213,096
Net increase (decrease) in cash, cash equivalents and restricted cash56,306
 (28,128)
Cash, cash equivalents and restricted cash at beginning of period84,687
 103,367
Cash, cash equivalents and restricted cash at end of period$140,993
 $75,239
Supplemental disclosure of cash flow information:      
Income taxes paid, net$26,917
 $57,996
Income taxes paid (received), net of refunds$2,695
 $(12,388)
Interest paid$19,951
 $20,023
$21,431
 $24,504




Owens & Minor, Inc. and Subsidiaries
Consolidated Statements of Changes in Equity
(unaudited)
 
  
(in thousands, except per share data)
Common
Shares
Outstanding
 
Common 
Stock
($ 2 par value )
 
Paid-In
Capital
 
Retained
Earnings
 
Accumulated
Other
Comprehensive Income
(Loss)
 
Total
Equity
Balance December 31, 201562,803
 $125,606
 $211,943
 $706,866
 $(51,825) $992,590
Net income      81,682
   81,682
Other comprehensive loss        3,263
 3,263
Dividends declared ($0.765 per share)      (47,671)   (47,671)
Shares repurchased and retired(1,378) (2,757)   (45,896)   (48,653)
Share-based compensation expense, exercises and other274
 549
 4,923
     5,472
Balance September 30, 201661,699
 $123,398
 $216,866
 $694,981
 $(48,562) $986,683
            
Balance December 31, 201661,031
 $122,062
 $219,955
 $685,504
 $(67,483) $960,038
Net income      49,796
   49,796
Other comprehensive income        41,141
 41,141
Dividends declared ($0.7725 per share)      (47,169)   (47,169)
Shares repurchased and retired(155) (310)   (4,687)   (4,997)
Share-based compensation expense, exercises and other373
 747
 4,228
     4,975
Balance September 30, 201761,249
 $122,499
 $224,183
 $683,444
 $(26,342) $1,003,784
(in thousands, except per share data)
Common
Shares
Outstanding
 
Common 
Stock
($2 par value )
 
Paid-In
Capital
 
Retained
Earnings
 
Accumulated
Other
Comprehensive Loss
 
Total
Equity
Balance, December 31, 201862,294
 $124,588
 $238,773
 $200,670
 $(45,612) $518,419
Net loss      (14,096)   (14,096)
Other comprehensive loss        (6,423) (6,423)
Dividends declared ($0.0025 per share)      (119)   (119)
Share-based compensation expense, exercises and other642
 1,284
 2,774
 

   4,058
Balance, March 31, 201962,936
 $125,872
 $241,547
 $186,455
 $(52,035) $501,839
            
Balance, December 31, 201962,843
 $125,686
 $251,401
 $137,774
 $(52,707) $462,154
Net loss      (11,324)   (11,324)
Other comprehensive loss        (39,405) (39,405)
Dividends declared ($0.0025 per share)      (127)   (127)
Share-based compensation expense, exercises and other42
 84
 4,956
     5,040
Balance, March 31, 202062,885
 $125,770
 $256,357
 $126,323
 $(92,112) $416,338



Owens & Minor, Inc. and Subsidiaries
Notes to Consolidated Financial Statements
(unaudited)
(in thousands, unless otherwise indicated)
Note 1—BasisSummary of Presentation and Use of EstimatesSignificant Accounting Policies
Basis of Presentation
The accompanying unaudited consolidated financial statements include the accounts of Owens & Minor, Inc. and the subsidiaries it controls (we, us, our or our)the Company) and contain all adjustments (which are comprised only of normal recurring accruals and use of estimates) necessary to conform with U.S. generally accepted accounting principles (GAAP). All significant intercompany accounts and transactions have been eliminated. The Movianto businessrepresents a component that met accounting requirements to be classified as discontinued operations and held for sale beginning December 31, 2019. In accordance with GAAP, the financial position and results of operations of the Movianto business are presented as discontinued operations and, as such, have been excluded from continuing operations for all periods presented. With the exception of Note 3, the Notes to the Consolidated Financial Statements reflect the continuing operations of Owens & Minor, Inc. See Note 3 for additional information regarding discontinued operations. The results of operations for interim periods are not necessarily indicative of the results expected for the full year. The Clinical & Procedural Solutions (CPS) business segment has been renamed "Proprietary Products" effective January 1, 2017. Byram Healthcare (Byram), acquired on August 1, 2017, is included in the Domestic segment. There have been no other changes to the segment composition or our method of measuring segment operating earnings.
Reclassifications
Certain prior year amounts have been reclassified to conform to the current year presentation.
Use of Estimates
The preparation of consolidated financial statements in conformity with GAAP requires us to make assumptions and estimates that affect reported amounts and related disclosures. Actual results may differ from these estimates.
Cash, Cash Equivalents and Restricted Cash
Cash, cash equivalents and restricted cash includes cash and marketable securities with an original maturity or maturity at acquisition of three months or less. Cash, cash equivalents and restricted cash are stated at cost. Nearly all of our cash, cash equivalents and restricted cash are held in cash depository accounts in major banks in the United States, Europe, and Asia. Cash that is held by a major bank and has restrictions on its availability to us is classified as restricted cash. Restricted cash represents $16.3 million held in an escrow account as of March 31, 2020 as required by the Centers for Medicare & Medicaid Services (CMS) in conjunction with the Bundled Payments for Care Improvement (BPCI) Advanced Program.
The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying consolidated balance sheets that sum to the total of those same amounts presented in the accompanying consolidated statements of cash flows. The restricted cash presented below is classified as non-current in Other assets, net within the accompanying consolidated balance sheets.
 March 31, 2020 December 31, 2019
Cash and cash equivalents$92,315
 $67,030
Restricted cash included in Other assets, net16,315
 16,261
Cash of discontinued operations32,363
 1,396
Total cash, cash equivalents and restricted cash$140,993
 $84,687


Note 2—Fair Value
The carrying amounts of cash and cash equivalents, accounts receivable financing receivables,and accounts payable and financing payables includedreported in the consolidated balance sheets approximate fair value due to the short-term nature of these instruments. The carrying amount of restricted cash also approximates fair value due to its nature. 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). We determineSee Note 6 for the fair value of our derivatives, if any,debt. The fair value of interest rate swaps and foreign currency contracts is determined based on estimated amounts that would be received or paidthe 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 terminatedetermine the contracts at the reporting date based on current market prices for applicable currencies.present value of expected future cash flows. See Note 8 for the fair value of long-term debt.derivatives.


8


Table of Contents

Note 3—AcquisitionDiscontinued Operations
On August 1, 2017,January 16, 2020, we completedannounced our intention to sell our European logistics business, Movianto, to EHDH Holding Group (EHDH), a privately held French company, for cash consideration of $133 million. The Company concluded that the acquisitionMovianto business met the criteria for discontinued operations as of Byram Healthcare,March 31, 2020 and December 31, 2019, as the intention to sell represented a leading domestic distributorstrategic shift and the criteria for held-for-sale were met. Movianto was previously reported in the Global Solutions segment. The transaction is expected to close in the first half of reimbursable medical supplies sold directly to patients and home health agencies.2020.
The consideration was $367 million,Accordingly, the results of operations from our Movianto business are reported in the accompanying consolidated statements of operations as “Loss from discontinued operations, net of cash acquired, which is subject to final working capital adjustmentstax” for the quarters ended March 31, 2020 and 2019, and the related assets and liabilities are classified as held-for-sale as of March 31, 2020 and December 31, 2019 in the accompanying balance sheets. We recognized a loss of $9.1 million and $32.1 million in connection with the seller. The purchase price was allocated on a preliminary basis toclassification of the underlyingrelated assets acquired and liabilities assumed based upon our current estimateas held-for-sale as of their fair values at the date of acquisition. The purchase price exceeded the preliminary estimated fair value of the net tangibleMarch 31, 2020 and identifiable intangible assets by $263 million, which was allocated to goodwill. December 31, 2019, respectively.

The following table presentssummarizes the preliminary estimated fair valuefinancial results of our discontinued operations for the three months ended March 31, 2020 and 2019:
 Three Months Ended March 31, 
 2020 2019 
Net revenue$122,342
 $110,548
 
Cost of goods sold32,106
 28,745
 
Gross margin90,236
 81,803
 
Distribution, selling, and administrative expenses80,953
 83,044
 
Asset impairment charges9,080
 
 
Acquisition-related and exit and realignment charges271
 126
 
Other operating income, net(461) (186) 
Operating income (loss)393
 (1,181) 
Interest expense, net1,720
 1,640
 
Loss from discontinued operations before income taxes(1,327) (2,821) 
Income tax provision from discontinued operations1,088
 357
 
Loss from discontinued operations, net of tax$(2,415) $(3,178) 

We suspended depreciation and amortization on assets acquired and liabilities assumed recognized asthat are held for sale, including right-of-use assets recorded in accordance with ASU No. 2016-02, for the three months ended March 31, 2020.


9


Table of the acquisition date. Contents


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.

8


Table of Contents

 Preliminary Fair
Value Estimated as of
Acquisition Date
Assets acquired: 
Current assets$62,902
Goodwill263,155
Intangible assets156,000
Noncurrent assets3,615
Total assets485,672
Liabilities assumed: 
Current liabilities72,397
Noncurrent liabilities46,706
Total liabilities119,103
Fair value of net assets acquired, net of cash$366,569
We are amortizing the preliminary fair value of acquired intangible assets, primarily customer relationships and a tradename, over their estimated remaining weighted average useful lives of 10 years.
Goodwill of $263 million, which we assigned to our Domestic segment, consists largely of expected opportunities to expand into the non-acute market with direct to patient distribution capabilities. None of the goodwill recognized is expecteddiscontinued Movianto business reflected on the consolidated balance sheets at March 31, 2020 and December 31, 2019, are as follows:
 March 31, 2020 December 31, 2019 
Assets of discontinued operations    
Cash and cash equivalents$32,363
 $1,396
 
Accounts receivable, net78,193
 78,643
 
Merchandise inventories12,979
 16,058
 
Other current assets227,070
 188,853
 
Current assets of discontinued operations350,605
 284,950
 
Property and equipment, net70,730
 70,976
 
Intangible assets, net7,010
 6,579
 
Other assets, net27,248
 22,165
 
Operating lease assets84,202
 87,425
 
Valuation allowance on disposal group classified as held for sale(40,385) (32,112) 
Total assets of discontinued operations$499,410
 $439,983
 
Liabilities of discontinued operations    
Accounts payable$68,058
 $53,981
 
Other current liabilities191,728
 182,980
 
Current liabilities of discontinued operations259,786
 236,961
 
Long-term debt, excluding current portion2,781
 5,523
 
Operating lease liabilities, excluding current portion69,820
 76,270
 
Other liabilities51,199
 4,757
 
Total liabilities of discontinued operations$383,586
 $323,511
 

Assets and liabilities held for sale as of March 31, 2020 and December 31, 2019 are classified as current since we expect the divestiture to be deductiblecompleted within one year of the balance sheet dates.

The following table provides operating and investing cash flow information for income tax purposes.our discontinued operations:
Pro forma results of operations for Byram has not been presented because the effects on revenue and net income were not material to our historic consolidated financial statements.
 March 31, 2020 March 31, 2019 
Operating Activities:    
Depreciation and amortization$
 $5,613
 
Asset impairment charges9,080
 
 
Investing Activities:    
Capital expenditures1,664
 8,035
 
Acquisition-related expenses in the current year consisted primarily of transaction costs incurred to perform due diligence and to analyze, negotiate and consummate the Byram acquisition, and costs to transition the acquired operations. We recognized pre-tax acquisition-related expenses of $3.1 million in 2017 related to these activities.
Note 4—Financing Receivables and Payables
At September 30, 2017 and December 31, 2016, we had financing receivables of $176.9 million and $156.5 million and related payables of $105.5 million and $110.0 million outstanding under our order-to-cash program and product financing arrangements, which were included in other current assets and other current liabilities, respectively, in the consolidated balance sheets.
Note 5—Goodwill and Intangible Assets
The following table summarizes the goodwill balances by segment and the changes in the carrying amount of goodwill through September 30, 2017:March 31, 2020:
 Global Solutions Global Products Consolidated
Carrying amount of goodwill, December 31, 2019$283,905
 $109,276
 $393,181
Currency translation adjustments
 (5,181) (5,181)
Carrying amount of goodwill, March 31, 2020$283,905
 $104,095
 $388,000

 Domestic International Proprietary Products Consolidated
Carrying amount of goodwill, December 31, 2016$180,006
 $19,391
 $215,539
 $414,936
Acquisition (See Note 3)263,155
 
 
 263,155
Currency translation adjustments
 10,001
 2,138
 12,139
Carrying amount of goodwill, September 30, 2017$443,161
 $29,392
 $217,677
 $690,230


910





Intangible assets at September 30, 2017,March 31, 2020 and December 31, 2016,2019, were as follows:
September 30, 2017 December 31, 2016March 31, 2020 December 31, 2019
Customer
Relationships
 
Other
Intangibles
 Customer
Relationships
 Other
Intangibles
Customer
Relationships
 Tradenames Other
Intangibles
 Customer
Relationships
 Tradenames Other
Intangibles
    
             
Gross intangible assets$241,444
 $41,483
 $118,223
 $4,045
$266,595
 $90,000
 $43,227
 $270,693
 $90,000
 $43,055
Accumulated amortization(48,757) (2,284) (38,429) (1,328)(97,366) (18,611) (12,332) (92,947) (16,520) (9,263)
Net intangible assets$192,687
 $39,199
 $79,794
 $2,717
$169,229
 $71,389
 $30,895
 $177,746
 $73,480
 $33,792
Weighted average useful life10 years
 11 years
 8 years
 10 years
 11 years
 8 years

At September 30, 2017, $163.5March 31, 2020, $76.1 million in net intangible assets were held in the DomesticGlobal Solutions segment $10.2and $195.4 million were held in the International segment and $58.2 million were held in the ProprietaryGlobal Products segment. Amortization expense for intangible assets was $5.1$10.6 million and $2.2$10.0 million for the three months ended September 30, 2017March 31, 2020 and 2016 and $9.7 million and $6.6 million for the nine months ended September 30, 2017 and 2016.2019, respectively.
Based on the current carrying value of intangible assets subject to amortization, estimated amortization expense is $11.6$31.1 million for the remainder of 2017, $24.6 million for 2018, $24.7 million for 2019, $24.7 million for 2020, $24.4$39.8 million for 2021, and $23.5$38.9 million for 2022.2022, $38.7 million for 2023, $33.9 million for 2024 and $28.2 million for 2025.
Note 6—5—Exit and Realignment ChargesCosts
We periodically incur exit and realignment and other charges associated with optimizing our operations which includes the consolidation of certain distribution and outsourced logistics centers, administrative offices and warehouses, in the United States and Europe.IT restructuring charges. 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 three and nine months ended September 30, 2017March 31, 2020 and 20162019 were as follows:
 Three Months Ended September 30, Nine Months Ended September 30,
 2017 2016 2017 2016
Domestic segment$3,880
 $1,224
 $12,421
 $14,194
International segment574
 457
 1,406
 3,284
Proprietary Products segment592
 465
 1,015
 1,574
Total exit and realignment charges$5,046
 $2,146
 $14,842
 $19,052

10
 Three Months Ended March 31, 
 2020 2019 
Global Solutions segment$1,829
 $566
 
Global Products segment
 138
 
Total exit and realignment charges$1,829
 $704
 




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The following table summarizes the activity related to exit and realignment cost accruals through September 30, 2017March 31, 2020 and 2016:
2019:
 
Lease
Obligations
 
Severance and
Other
 Total
Accrued exit and realignment costs, December 31, 2016$
 $2,238
 $2,238
Provision for exit and realignment activities
 3,211
 3,211
Change in estimate
 (304) (304)
Cash payments
 (3,034) (3,034)
Accrued exit and realignment costs, March 31, 2017
 2,111
 2,111
Provision for exit and realignment activities
 1,382
 1,382
Change in estimate
 (18) (18)
Cash payments
 (667) (667)
Accrued exit and realignment costs, June 30, 2017
 2,808
 2,808
Provision for exit and realignment activities
 3,156
 3,156
Cash payments
 (423) (423)
Accrued exit and realignment costs, September 30, 2017$
 $5,541
 $5,541
      
Accrued exit and realignment costs, December 31, 2015$486
 $1,840
 $2,326
Provision for exit and realignment activities
 9,895
 9,895
Cash payments, net of sublease income(486) (1,287) (1,773)
Accrued exit and realignment costs, March 31, 2016
 10,448
 10,448
Provision for exit and realignment activities
 1,254
 1,254
Cash payments, net of sublease income
 (7,087) (7,087)
Accrued exit and realignment costs, June 30, 2016
 4,615
 4,615
Provision for exit and realignment activities
 725
 725
Change in Estimate
 (268) (268)
Cash payments, net of sublease income
 (2,066) (2,066)
Accrued exit and realignment costs, September 30, 2016$
 $3,006
 $3,006
  
Total (1)
Accrued exit and realignment costs, December 31, 2019 $8,162
Provision for exit and realignment activities: 

Severance 1,391
Information system restructuring costs 183
Other 255
Change in estimate 
Cash payments (5,799)
Accrued exit and realignment costs, March 31, 2020 $4,192
   
Accrued exit and realignment costs, December 31, 2018 $7,477
Provision for exit and realignment activities:  
Severance 360
Information system restructuring costs 261
Other 83
Change in estimate 
Cash payments (2,206)
Accrued exit and realignment costs, March 31, 2019 $5,975

In addition to the(1)The accrued exit and realignment accruals in the preceding table, we also incurred $1.9 million of costs that were expensed as incurred for the three months ended September 30, 2017, including $1.7 million inat March 31, 2020 and 2019 related primarily to information system restructuring costs and $0.2 millionseverance.

Acquisition-related and exit and realignment charges presented in other costs. For the nine months ended September 30, 2017, we recognized $7.4 millionour consolidated statements of costs that were expensed as incurred, including $4.5 million in asset write-downs, $1.9 million in information system restructuring costs and $1.0 million in other costs.
We incurred $1.7 millionoperations includes acquisition-related charges of costs that were expensed as incurred for the three months ended September 30, 2016, including $0.7 million in other facility costs, $0.5 million in labor costs, $0.4 million in information systems costs, and $0.1 million in other costs. For the nine months ended September 30, 2016, we recognized $7.4 million of costs that were expensed as incurred, including $3.6 million in consulting costs, $1.8 million in information system costs, $0.7 million in other facility costs, $0.5 million in labor costs, and $0.8 million in other costs.

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Note 7—Retirement Plans
We have a noncontributory, unfunded retirement plan for certain officers and other key employees in the United States. Certain of our foreign subsidiaries also have defined benefit pension plans covering substantially all of their respective employees.
The components of net periodic benefit cost, which are included in distribution, selling and administrative expenses, for the three and nine months ended September 30, 2017 and 2016, were as follows:
 Three Months Ended September 30, Nine Months Ended September 30,
 2017 2016 2017 2016
Service cost$26
 $27
 $53
 $70
Interest cost474
 508
 1,422
 1,523
Recognized net actuarial loss456
 412
 1,367
 1,236
Net periodic benefit cost$956
 $947
 $2,842
 $2,829
Certain of our foreign subsidiaries have health and welfare plans covering substantially all of their respective employees. Our expense for these plans totaled $0.5 million and $0.4$4.2 million for the three months ended September 30, 2017March 31, 2020 and 20162019, respectively, and $1.3 millionconsisted primarily of transition costs for the nine months ended September 30, 2017 and 2016.Halyard acquisition.
Note 8—6—Debt
Debt consists of the following:
 March 31, 2020 December 31, 2019
 Carrying Amount Estimated Fair Value Carrying Amount Estimated Fair Value
3.875% Senior Notes, due September 2021$231,764
 $223,367
 $236,234
 $229,356
4.375% Senior Notes, due December 2024274,041
 184,140
 273,978
 212,086
Term A Loans, due July 2022217,924
 221,906
 377,420
 383,050
Term B Loan, due April 2025479,332
 340,751
 480,337
 442,217
Revolver171,700
 171,700
 177,900
 177,900
Accounts Receivable Securitization Program147,209
 150,000
 
 
Finance leases and other13,557
 13,557
 13,783
 13,783
Total debt1,535,527
 1,305,421
 1,559,652
 1,458,392
Less current maturities(51,187) (51,187) (51,237) (51,237)
Long-term debt$1,484,340
 $1,254,234
 $1,508,415
 $1,407,155

We have $275$233 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. AsWe used $4.4 million of September 30, 2017 and December 31, 2016, the estimated fair valuecash to repurchase $4.6 million aggregate principal amount of the 2021 Notes was $280.1during the first quarter of 2020.

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We have a Credit Agreement (amended February 2020) with a borrowing capacity of $400 million and $274.5$697 million and the estimated fair value of the 2024 Notes was $276.9 million and $270.0 million, respectively.
outstanding in term loans. On July 27, 2017,February 13, 2020, we entered into a new Credit Agreement replacing the Amended Credit Agreement. The new agreement provides borrowing capacity of $600 million and a $250 million term loan. We make principal payments under the term loan on a quarterly basis with the remaining outstanding principal due in five years. The revolving credit facility has a five-year maturity. The proceeds from the new borrowing were primarily usedFifth Amendment to fund the Byram acquisition which closed on August 1, 2017. Under the Credit Agreement, we have the ability to request two one-year extensions and to request an increase in aggregate commitments by up to $200 million.Agreement.
The interest rate on the Credit Agreement, which is subject to adjustment quarterly,our revolving credit facility and Term A loans is based on the London Interbank OfferedEurocurrency Rate, (LIBOR), the Federal Funds Rate or the Prime Rate, plus an adjustment based on the better of our debt ratings or leverage ratio (Credit Spread)Consolidated Total Leverage Ratio as defined by the Credit Agreement. Our credit spread at March 31, 2020 was Eurocurrency Rate plus 4.25%. 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 requirerequires us to maintain ratios for leverage and interest coverage, including on a pro forma basis in the event of an acquisition. Based
We also have 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 100% 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. The Fifth Amendment to the Credit Agreement included additional collateral requirements related to the parties secured on the Credit Agreement, including the obligation to pledge the Company's owned U.S. real estate and remaining equity interests in foreign subsidiaries. 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 91 days prior to the maturity date of our leverage ratio2021 Notes all outstanding amounts under the 2021 Notes have not been paid in full, then the Termination Date (as defined in the Credit Agreement) of the revolving credit facility and the Term A loans shall be the date that is 91 days prior to the maturity date of the 2021 Notes. Likewise, if as of the date 91 days prior to the maturity date of our 2024 Notes, all outstanding amounts under the 2024 Notes have not been paid in full, the Termination Date of the Term B loan shall be the date that is 91 days prior to the maturity date of the 2024 Notes.
On February 19, 2020, we entered into an accounts receivable securitization program (the “Receivables Securitization Program”). Pursuant to the Receivables Securitization Program, the aggregate principal amount of the loans made by the Lenders (as defined) will not exceed $325 million outstanding at September 30, 2017, theany time. The interest rate under the credit facilityReceivables Securitization Program is LIBOR plus 1.375%.based on a spread over the London Interbank Offered Rate (LIBOR) dependent on the tranche period thereto and any breakage fees accrued. Under the Receivables Securitization Program, certain of our subsidiaries sell substantially all of their accounts receivable balances to our wholly owned special purpose entity, O&M Funding LLC. The Receivables Securitization Program matures on February 17, 2023. In February 2020, $150 million in proceeds from the sale of accounts receivable pursuant to the Receivables Securitization Program were used to repay higher interest indebtedness under our Term A loans.
At September 30, 2017,March 31, 2020 and December 31, 2019, we had borrowings of $117.2$171.7 million and $177.9 million, respectively, under the revolver and letters of credit of approximately $5.1$11.7 million and $11.7 million, respectively, outstanding under the Credit Agreement leaving $477.7along with $508.1 million and $512.7 million, respectively, in Senior Notes. At March 31, 2020 and December 31, 2019, we had $215.5 million and $209.3 million, respectively, available for borrowing.borrowing, which reflected the letters of credit associated with discontinued operations of $1.1 million and $1.1 million, respectively, against our borrowing capacity. We also had a letterletters of credit and bank guarantees outstanding for $1.3$1.5 million as of September 30, 2017March 31, 2020 and $1.1 million at December 31, 2016,2019, respectively, which supports ourcertain facilities leased as well as other normal business activities in the United States and Europe.
The Credit Agreement and senior notesSenior 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 September 30, 2017.March 31, 2020.

As of March 31, 2020, scheduled future principal payments of debt were $37.2 million in 2020, $282.8 million in 2021, $320.5 million in 2022, $155.0 million in 2023, $280.0 million in 2024, and $468.8 million thereafter.
12


Note 7—Retirement Plans
We have a noncontributory, unfunded retirement plan for certain retirees in the United States. Certain of our foreign subsidiaries also have defined benefit pension plans covering substantially all of their respective employees.
The components of net periodic benefit cost for the three months ended March 31, 2020 and 2019, respectively, were as follows:

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 Three Months Ended March 31,
 2020 2019
Service cost$351
 $329
Interest cost494
 600
Recognized net actuarial loss214
 260
Net periodic benefit cost$1,059
 $1,189

Note 8—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 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. 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 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 enter into interest rate swaps 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. We consider the risk of counterparty default to be minimal. We report cash flows from our hedging instruments in the same cash flow statement category as the hedged items.

The following table summarizes the terms and fair value of our outstanding derivative financial instruments as of March 31, 2020:

    Derivative Assets Derivative Liabilities
 Notional Amount Maturity Date Classification Fair Value Classification Fair Value
Cash flow hedges           
Interest rate swaps$450,000
 May 2022 and May 2025 Other assets, net $
 Other liabilities $33,136
            
Economic (non-designated) hedges           
Foreign currency contracts$21,000
 April 2020 Other assets, net $280
 Other liabilities $

The following table summarizes the terms and fair value of our outstanding derivative financial instruments as of December 31, 2019:

    Derivative Assets Derivative Liabilities
 Notional Amount Maturity Date Classification Fair Value Classification Fair Value
Cash flow hedges           
Interest rate swaps$450,000
 May 2022 and May 2025 Other assets, net $
 Other liabilities $17,436


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The following table summarizes the effect of cash flow hedge accounting on our consolidated statements of operations for the three months ended March 31, 2020:
 Amount of Gain/(Loss) Recognized in Other Comprehensive LossLocation of Gain/(Loss) Reclassified from Accumulated Other Comprehensive Loss into IncomeTotal Amount of Income/(Expense) Line Items Presented in the Consolidated Statement of Operations in Which the Effects are RecordedAmount of Gain/(Loss) Reclassified from Accumulated Other Comprehensive Loss into Income
Interest rate swaps$(16,958)Interest expense, net$(23,342)$(1,259)

The amount of ineffectiveness associated with these contracts was immaterial for the periods presented.

For the three months ended March 31, 2020 and 2019, we recognized a loss of $2.7 million and a gain of $0.5 million, respectively, associated with our economic (non-designated) foreign currency contracts.

We recorded the change in fair value of derivative instruments and the remeasurement adjustment of the foreign currency denominated asset or liability in other operating (income) expense, net for our foreign exchange contracts.
Note 9—Income Taxes

The effective tax rate was 48.1% and 34.3%48.9% for the three and nine months ended September 30, 2017,March 31, 2020, compared to 36.3% and 37.3%5.8% in the same periodsquarter of 2016.2019. The changes in the effective tax rate compared to 2016 resulted primarily from a change in income mix among different tax rate jurisdictions and the effect of certain acquisition-related costs which were not deductible for tax purposes offset on a year to date basis by the release ofthese rates resulted from an income tax valuation allowancebenefit of $5.2 million recorded in Europe for $3.4 million during the secondfirst quarter of 2017.
2020 associated with the Coronavirus Aid, Relief, and Economic Security (CARES) Act, the mixture of income and losses in jurisdictions in which we operate, and the incremental income tax expense associated with the vesting of restricted stock.  The liability for unrecognized tax benefits was $13.3$11.7 million at September 30, 2017,March 31, 2020 and $10.7$11.5 million at December 31, 2016.2019. Included in the liability at September 30, 2017March 31, 2020 and December 31, 2019 were $5.0$3.1 million of tax positions for which ultimate deductibility is highly certain but for which there is uncertainty about the timing of such deductibility.
Note 10—Net IncomeLoss per Common Share
The following summarizes the calculation of net incomeloss per common share attributable to common shareholders for the three and nine months ended September 30, 2017March 31, 2020 and 2016.2019:
 Three Months Ended March 31, 
(in thousands, except per share data)2020 2019 
Weighted average shares outstanding - basic and diluted60,571

60,376
 
 


 
Loss from continuing operations$(8,909)
$(10,918) 
Basic and diluted per share$(0.15)
$(0.18) 
 




 
Loss from discontinued operations$(2,415)
$(3,178) 
Basic and diluted per share$(0.04)
$(0.05) 
 




 
Net loss$(11,324)
$(14,096) 
Basic and diluted per share$(0.19)
$(0.23) 

 Three Months Ended    September 30, Nine Months Ended    September 30,
(in thousands, except per share data)2017 2016 2017 2016
Numerator:       
Net income$10,871
 $29,831
 $49,796
 $81,682
Less: income allocated to unvested restricted shares(279) (291) (738) (855)
Net income attributable to common shareholders - basic10,592
 29,540
 49,058
 80,827
Add: undistributed income attributable to unvested restricted shares - basic
 80
 16
 216
Less: undistributed income attributable to unvested restricted shares - diluted
 (80) (16) (216)
Net income attributable to common shareholders - diluted$10,592
 $29,540
 $49,058
 $80,827
Denominator:       
Weighted average shares outstanding - basic and diluted59,849
 61,015
 60,010
 61,405
Net income per share attributable to common shareholders:       
Basic and diluted$0.18
 $0.48
 $0.82
 $1.32
Note 11—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. During the nine months ended September 30, 2017, we repurchased in open-market transactions and retired approximately 0.2 million shares of our common stock for an aggregate of $5.0 million, or an average price per share of $32.27. As of September 30, 2017, we have approximately $94.0 million remaining under the repurchase program. We have elected to allocate any excess of share repurchase price over par value to retained earnings.


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Note 12—11—Accumulated Other Comprehensive Income (Loss)Loss
The following table shows the changes in accumulated other comprehensive income (loss)loss by component for the three and nine months ended September 30, 2017March 31, 2020 and 2016:2019:
 Retirement Plans 
Currency
Translation
Adjustments
 Other Total
Accumulated other comprehensive income (loss), June 30, 2017$(10,743) $(28,348) $165
 $(38,926)
Other comprehensive income (loss) before reclassifications
 12,254
 94
 12,348
Income tax
 
 
 
Other comprehensive income (loss) before reclassifications, net of tax
 12,254
 94
 12,348
Amounts reclassified from accumulated other comprehensive income (loss)456
 
 
 456
Income tax(220) 
 
 (220)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax236


 
 236
Other comprehensive income (loss)236
 12,254
 94
 12,584
Accumulated other comprehensive income (loss), September 30, 2017$(10,507) $(16,094) $259
 $(26,342)
        
Accumulated other comprehensive income (loss), June 30, 2016$(9,999) $(40,186) $(78) $(50,263)
Other comprehensive income (loss) before reclassifications
 1,401
 82
 1,483
Income tax
 
 
 
Other comprehensive income (loss) before reclassifications, net of tax
 1,401
 82
 1,483
Amounts reclassified from accumulated other comprehensive income (loss)412
 
 
 412
Income tax(194) 
 
 (194)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax218


 
 218
Other comprehensive income (loss)218
 1,401
 82
 1,701
Accumulated other comprehensive income (loss), September 30, 2016$(9,781) $(38,785) $4
 $(48,562)
        


14



 Retirement Plans 
Currency
Translation
Adjustments
 Derivatives and Other Total
Accumulated other comprehensive loss, December 31, 2019$(14,691) $(25,301) $(12,715) $(52,707)
Other comprehensive loss before reclassifications
 (28,178) (16,958) (45,136)
Income tax
 
 4,646
 4,646
Other comprehensive loss before reclassifications, net of tax
 (28,178) (12,312) (40,490)
Amounts reclassified from accumulated other comprehensive income214
 
 1,259
 1,473
Income tax(44) 
 (344) (388)
Amounts reclassified from accumulated other comprehensive income, net of tax170
 
 915
 1,085
Other comprehensive income (loss)170
 (28,178) (11,397) (39,405)
Accumulated other comprehensive loss, March 31, 2020$(14,521) $(53,479) $(24,112) $(92,112)
 Retirement Plans 
Currency
Translation
Adjustments
 Other Total
Accumulated other comprehensive income (loss), December 31, 2016$(11,209) $(56,245) $(29) $(67,483)
Other comprehensive income (loss) before reclassifications

 40,151
 288
 40,439
Income tax
 
 
 
Other comprehensive income (loss) before reclassifications, net of tax
 40,151
 288
 40,439
Amounts reclassified from accumulated other comprehensive income (loss)1,367
 
 
 1,367
Income tax(665) 
 
 (665)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax702
 
 
 702
Other comprehensive income (loss)702
 40,151
 288
 41,141
Accumulated other comprehensive income (loss), September 30, 2017$(10,507) $(16,094) $259
 $(26,342)
        
Accumulated other comprehensive income (loss), December 31, 2015$(10,482) $(41,228) $(115) $(51,825)
Other comprehensive income (loss) before reclassifications
 2,443
 119
 2,562
Income tax
 
 
 
Other comprehensive income (loss) before reclassifications, net of tax
 2,443
 119
 2,562
Amounts reclassified from accumulated other comprehensive income (loss)1,233
 
 
 1,233
Income tax(532) 
 
 (532)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax701
 
 
 701
Other comprehensive income (loss)701
 2,443
 119
 3,263
Accumulated other comprehensive income (loss), September 30, 2016$(9,781) $(38,785) $4
 $(48,562)
 Retirement Plans 
Currency
Translation
Adjustments
 Derivatives and Other Total
Accumulated other comprehensive loss, December 31, 2018$(8,146) $(32,551) $(4,915) $(45,612)
Other comprehensive loss before reclassifications
 (4,207) (3,649) (7,856)
Income tax
 
 808
 808
Other comprehensive loss before reclassifications, net of tax
 (4,207) (2,841) (7,048)
Amounts reclassified from accumulated other comprehensive income266
 
 578
 844
Income tax(69) 
 (150) (219)
Amounts reclassified from accumulated other comprehensive income, net of tax197
 
 428
 625
Other comprehensive income (loss)197
 (4,207) (2,413) (6,423)
Accumulated other comprehensive loss, March 31, 2019$(7,949) $(36,758) $(7,328) $(52,035)
We include amounts reclassified out of accumulated other comprehensive incomeloss related to defined benefit pension plans as a component of net periodic pension cost recorded in distribution, selling and administrative expenses.cost. For the three and nine months ended September 30, 2017,March 31, 2020 and 2019, we reclassified $0.5$0.2 million and $1.4$0.3 million, of actuarial net losses. For the three and nine months ended September 30, 2016, we reclassified $0.4 million and $1.2 millionrespectively, of actuarial net losses.
Note 13—12—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 three2 segments: Domestic, InternationalGlobal Solutions and ProprietaryGlobal Products. The DomesticGlobal Solutions segment includes our United States distribution, outsourced logistics and value-added services business. Byram, acquired on August 1, 2017, is included in the Domestic segment. The International segment consists ofGlobal Products manufactures and sources medical surgical products through our European distribution, logisticsproduction and value-added services business. Proprietary Products provides product-related solutions, including surgical and procedural kitting and sourcing.operations.
We evaluate the performance of our segments based on their operating earningsincome excluding intangible amortization, acquisition-related and exit and realignment charges, certain purchase price fair value adjustments, and other substantive items that, either as a result of their nature or size, would not be expected to occur as part of our normal business operations on a regular basis.
Segment assets exclude inter-segment account balances as we believe their inclusion would be misleading orand not meaningful. We believe all inter-segment sales are at prices that approximate market.


1516



Table of Contents


The following tables present financial information by segment:
 Three Months Ended March 31, 
 2020 2019 
Net revenue:    
Segment net revenue    
Global Solutions$1,847,593
 $2,123,599
 
Global Products391,192
 347,085
 
Total segment net revenue2,238,785
 2,470,684
 
Inter-segment revenue    
Global Products(116,092) (119,844) 
       Total inter-segment revenue(116,092) (119,844) 
Consolidated net revenue$2,122,693
 $2,350,840
 
     
Operating income:    
Global Solutions$7,691
 $21,642
 
Global Products18,571
 7,724
 
Inter-segment eliminations1,169
 1,746
 
Intangible amortization(10,611) (10,026) 
Acquisition-related and exit and realignment charges(6,064) (4,863) 
Other (1)

 381
 
Consolidated operating income$10,756
 $16,604
 
     
Depreciation and amortization:    
Global Solutions$10,636
 $10,500
 
Global Products13,277
 12,607
 
Discontinued operations
 5,613
 
Consolidated depreciation and amortization$23,913
 $28,720
 
     
Capital expenditures:    
Global Solutions$1,032
 $3,341
 
Global Products3,017
 2,903
 
Discontinued operations1,664
 8,035
 
Consolidated capital expenditures$5,713
 $14,279
 

 Three Months Ended   September 30, Nine Months Ended   September 30,
 2017 2016 2017 2016
Net revenue:       
Segment net revenue       
Domestic$2,194,143
 $2,287,233
 $6,518,571
 $6,954,687
International96,661
 83,751
 287,555
 255,861
Proprietary Products124,542
 132,705
 392,654
 409,022
Total segment net revenue$2,415,346
 $2,503,689
 $7,198,780
 $7,619,570
Inter-segment revenue
   
 
Proprietary Products(81,385) (88,088) (270,339) (264,501)
Total inter-segment revenue(81,385) (88,088) (270,339) (264,501)
Consolidated net revenue$2,333,961
 $2,415,601
 $6,928,441
 $7,355,069
        
Operating earnings (loss):       
Domestic$36,056
 $41,034
 $102,812
 $126,202
International(2,163) 1,382
 (754) 3,402
Proprietary Products9,102
 14,340
 26,040
 41,866
Inter-segment eliminations416
 (449) (266) (905)
Acquisition-related and exit and realignment charges(9,299) (2,739) (21,134) (19,974)
Other(1)
(4,441) 
 (8,674) 
Consolidated operating earnings$29,671
 $53,568
 $98,024
 $150,591
        
Depreciation and amortization:       
Domestic$9,602
 $7,360
 $23,233
 $22,399
International4,304
 4,259
 12,072
 13,125
Proprietary Products1,947
 2,218
 5,755
 6,658
Consolidated depreciation and amortization$15,853
 $13,837
 $41,060
 $42,182
        
Capital expenditures:       
Domestic$9,572
 $3,071
 $23,376
 $10,274
International3,206
 3,223
 11,659
 8,053
Proprietary Products718
 1,009
 2,754
 2,436
Consolidated capital expenditures$13,496
 $7,303
 $37,789
 $20,763
 September 30, 2017 December 31, 2016
Total assets:   
Domestic$2,416,079
 $1,778,481
International418,331
 352,898
Proprietary Products401,331
 400,885
Segment assets3,235,741
 2,532,264
Cash and cash equivalents98,415
 185,488
Consolidated total assets$3,334,156
 $2,717,752
(1)2019 included interest cost and net actuarial losses related to the U.S. Retirement Plan as well as 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.

16
 March 31, 2020 December 31, 2019
Total assets:   
Global Solutions$2,168,358
 $2,205,134
Global Products954,787
 930,937
Segment assets3,123,145
 3,136,071
Discontinued operations499,410
 439,983
Cash and cash equivalents92,315
 67,030
Consolidated total assets$3,714,870
 $3,643,084




Note 14—Condensed Consolidating Financial Information
The following tables present condensed consolidating financial information for: Owens & Minor, Inc. (O&M);table presents net revenue by geographic area, which were attributed based on 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, andlocation from which 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.
Three Months Ended September 30, 2017
Owens &
Minor, Inc.
 
Guarantor
Subsidiaries
 
Non-guarantor
Subsidiaries
 Eliminations Consolidated
Statements of Income         
Net revenue$
 $2,113,450
 $264,765
 $(44,254) $2,333,961
Cost of goods sold
 1,919,049
 157,439
 (44,469) 2,032,019
Gross margin
 194,401
 107,326
 215
 301,942
Distribution, selling and administrative expenses(117) 159,108
 102,054
 
 261,045
Acquisition-related and exit and realignment charges
 6,960
 2,339
 
 9,299
Other operating (income) expense, net
 448
 1,479
 
 1,927
Operating earnings (loss)117
 27,885
 1,454
 215
 29,671
Interest expense (income), net7,018
 (1,184) 2,903
 
 8,737
Income (loss) before income taxes(6,901) 29,069
 (1,449) 215
 20,934
Income tax (benefit) provision
 7,881
 2,182
 
 10,063
Equity in earnings of subsidiaries17,772
 
 
 (17,772) 
Net income (loss)10,871
 21,188
 (3,631) (17,557) 10,871
Other comprehensive income (loss)12,584
 330
 12,254
 (12,584) 12,584
Comprehensive income (loss)$23,455
 $21,518
 $8,623
 $(30,141) $23,455
ship products or provide services.
Three Months Ended September 30, 2016
Owens &
Minor, Inc.
 
Guarantor
Subsidiaries
 
Non-guarantor
Subsidiaries
 Eliminations Consolidated
Statements of Income         
Net revenue$
 $2,287,335
 $168,216
 $(39,950) $2,415,601
Cost of goods sold
 2,070,639
 89,192
 (40,505) 2,119,326
Gross margin
 216,696
 79,024
 555
 296,275
Distribution, selling and administrative expenses(52) 169,451
 71,906
 
 241,305
Acquisition-related and exit and realignment charges
 2,237
 502
 
 2,739
Other operating income, net
 (1,205) (132) 
 (1,337)
Operating earnings (loss)52
 46,213
 6,748
 555
 53,568
Interest expense (income), net7,403
 (1,345) 712
 
 6,770
Income (loss) before income taxes(7,351) 47,558
 6,036
 555
 46,798
Income tax (benefit) provision
 14,131
 2,836
 
 16,967
Equity in earnings of subsidiaries37,182
 
 
 (37,182) 
Net income (loss)29,831
 33,427
 3,200
 (36,627) 29,831
Other comprehensive income (loss)1,701
 299
 1,402
 (1,701) 1,701
Comprehensive income (loss)$31,532
 $33,726
 $4,602
 $(38,328) $31,532


17



Table of Contents


Nine Months Ended September 30, 2017Owens &
Minor, Inc.
 Guarantor
Subsidiaries
 Non-guarantor
Subsidiaries
 Eliminations Consolidated
Statements of Income         
Net revenue$
 $6,436,599
 $635,900
 $(144,058) $6,928,441
Cost of goods sold
 5,845,789
 369,596
 (143,598) 6,071,787
Gross margin
 590,810
 266,304
 (460) 856,654
Distribution, selling and administrative expenses434
 480,765
 254,154
 
 735,353
Acquisition-related and exit and realignment charges
 17,084
 4,050
 
 21,134
Other operating (income) expense, net
 1,481
 662
 
 2,143
Operating earnings (loss)(434) 91,480
 7,438
 (460) 98,024
Interest expense (income), net20,756
 (2,777) 4,239
 
 22,218
Income (loss) before income taxes(21,190) 94,257
 3,199
 (460) 75,806
Income tax (benefit) provision
 23,303
 2,707
 
 26,010
Equity in earnings of subsidiaries70,986
 
 
 (70,986) 
Net income (loss)49,796
 70,954
 492
 (71,446) 49,796
Other comprehensive income (loss)41,141
 990
 40,151
 (41,141) 41,141
Comprehensive income (loss)$90,937
 $71,944
 $40,643
 $(112,587) $90,937
 Three Months Ended March 31, 
 2020 2019 
Net revenue:    
United States$2,033,454
 $2,303,913
 
International89,239
 46,927
 
Consolidated net revenue$2,122,693
 $2,350,840
 
Nine Months Ended September 30, 2016Owens &
Minor, Inc.
 Guarantor
Subsidiaries
 Non-guarantor
Subsidiaries
 Eliminations Consolidated
Statements of Income         
Net revenue$
 $6,954,983
 $516,131
 $(116,045) $7,355,069
Cost of goods sold
 6,305,489
 273,927
 (116,677) 6,462,739
Gross margin
 649,494
 242,204
 632
 892,330
Distribution, selling and administrative expenses838
 504,984
 221,122
 
 726,944
Acquisition-related and exit and realignment charges
 15,888
 4,086
 
 19,974
Other operating income, net
 (3,952) (1,227) 
 (5,179)
Operating earnings (loss)(838) 132,574
 18,223
 632
 150,591
Interest expense (income), net21,134
 (2,808) 1,998
 
 20,324
Income (loss) before income taxes(21,972) 135,382
 16,225
 632
 130,267
Income tax (benefit) provision
 40,237
 8,348
 
 48,585
Equity in earnings of subsidiaries103,654
 
 
 (103,654) 
Net income (loss)81,682
 95,145
 7,877
 (103,022) 81,682
Other comprehensive income (loss)3,263
 821
 2,442
 (3,263) 3,263
Comprehensive income (loss)$84,945
 $95,966
 $10,319
 $(106,285) $84,945



18



September 30, 2017
Owens &
Minor, Inc.
 
Guarantor
Subsidiaries
 
Non-
guarantor
Subsidiaries
 Eliminations Consolidated
Balance Sheets         
Assets         
Current assets         
Cash and cash equivalents$11,456
 $1,145
 $85,814
 $
 $98,415
Accounts receivable, net30,770
 595,202
 114,563
 (7,779) 732,756
Merchandise inventories
 909,406
 82,065
 (2,220) 989,251
Other current assets193
 117,403
 193,903
 
 311,499
Total current assets42,419
 1,623,156
 476,345
 (9,999) 2,131,921
Property and equipment, net
 103,765
 99,822
 
 203,587
Goodwill, net
 180,006
 510,224
 
 690,230
Intangible assets, net
 10,100
 221,786
 
 231,886
Due from O&M and subsidiaries
 645,264
 
 (645,264) 
Advances to and investment in consolidated subsidiaries2,094,759
 
 
 (2,094,759) 
Other assets, net
 43,521
 33,011
 
 76,532
Total assets$2,137,178
 $2,605,812
 $1,341,188
 $(2,750,022) $3,334,156
Liabilities and equity         
Current liabilities         
Accounts payable$
 $768,780
 $114,644
 $(7,794) $875,630
Accrued payroll and related liabilities
 18,615
 13,383
 
 31,998
Other current liabilities7,127
 110,580
 178,956
 
 296,663
Total current liabilities7,127
 897,975
 306,983
 (7,794) 1,204,291
Long-term debt, excluding current portion545,830
 6,743
 364,683
 
 917,256
Due to O&M and subsidiaries580,437
 
 65,002
 (645,439) 
Intercompany debt
 138,890
 
 (138,890) 
Deferred income taxes
 69,722
 67,817
 
 137,539
Other liabilities
 61,142
 10,144
 
 71,286
Total liabilities1,133,394
 1,174,472
 814,629
 (792,123) 2,330,372
Equity         
Common stock122,499
 
 
 
 122,499
Paid-in capital224,183
 174,613
 583,872
 (758,485) 224,183
Retained earnings (deficit)683,444
 1,267,294
 (41,539) (1,225,755) 683,444
Accumulated other comprehensive income (loss)(26,342) (10,567) (15,774) 26,341
 (26,342)
Total equity1,003,784
 1,431,340
 526,559
 (1,957,899) 1,003,784
Total liabilities and equity$2,137,178
 $2,605,812
 $1,341,188
 $(2,750,022) $3,334,156


19



December 31, 2016Owens &
Minor, Inc.
 Guarantor
Subsidiaries
 Non-guarantor
Subsidiaries
 Eliminations Consolidated
Balance Sheets         
Assets         
Current assets         
Cash and cash equivalents$38,015
 $61,266
 $86,207
 $
 $185,488
Accounts receivable, net
 526,170
 90,016
 (10,102) 606,084
Merchandise inventories
 856,566
 61,505
 (1,760) 916,311
Other current assets106
 86,907
 167,143
 
 254,156
Total current assets38,121
 1,530,909
 404,871
 (11,862) 1,962,039
Property and equipment, net
 97,725
 93,993
 
 191,718
Goodwill, net
 180,006
 234,930
 
 414,936
Intangible assets, net
 11,655
 70,856
 
 82,511
Due from O&M and subsidiaries
 573,395
 
 (573,395) 
Advances to and investments in consolidated subsidiaries2,044,963
 
 
 (2,044,963) 
Other assets, net
 49,887
 16,661
 
 66,548
Total assets$2,083,084
 $2,443,577
 $821,311
 $(2,630,220) $2,717,752
Liabilities and equity         
Current liabilities         
Accounts payable$
 $683,189
 $75,512
 $(7,951) $750,750
Accrued payroll and related liabilities
 32,814
 12,237
 
 45,051
Other current liabilities7,106
 93,327
 138,404
 
 238,837
Total current liabilities7,106
 809,330
 226,153
 (7,951) 1,034,638
Long-term debt, excluding current portion544,838
 3,219
 16,526
 
 564,583
Due to O&M and subsidiaries571,102
 
 48,044
 (619,146) 
Intercompany debt
 138,890
 
 (138,890) 
Deferred income taxes
 70,280
 20,103
 
 90,383
Other liabilities
 60,578
 7,532
 
 68,110
Total liabilities1,123,046
 1,082,297
 318,358
 (765,987) 1,757,714
Equity        
Common stock122,062
 
 
 
 122,062
Paid-in capital219,955
 174,614
 583,872
 (758,486) 219,955
Retained earnings (deficit)685,504
 1,196,341
 (42,032) (1,154,309) 685,504
Accumulated other comprehensive income (loss)(67,483) (9,675) (38,887) 48,562
 (67,483)
Total equity960,038
 1,361,280
 502,953
 (1,864,233) 960,038
Total liabilities and equity$2,083,084
 $2,443,577
 $821,311
 $(2,630,220) $2,717,752

20



Nine Months Ended September 30, 2017
Owens &
Minor, Inc.
 
Guarantor
Subsidiaries
 
Non-guarantor
Subsidiaries
 Eliminations Consolidated
Statements of Cash Flows         
Operating activities:         
Net income (loss)$49,796
 $70,954
 $492
 $(71,446) $49,796
Adjustments to reconcile net income to cash provided by (used for) operating activities:        
Equity in earnings of subsidiaries(70,986) 
 
 70,986
 
Depreciation and amortization
 23,281
 17,779
 
 41,060
Share-based compensation expense
 8,592
 
 
 8,592
Provision for losses on accounts receivable
 (377) 1,535
 
 1,158
Deferred income tax expense (benefit)
 (1,208) (3,377) 
 (4,585)
Changes in operating assets and liabilities:        
Accounts receivable
 (68,655) (8,047) (2,412) (79,114)
Merchandise inventories
 (52,840) (3,753) 459
 (56,134)
Accounts payable
 85,591
 (8,217) 2,413
 79,787
Net change in other assets and liabilities(65) (25,431) (15,138) 
 (40,634)
Other, net(1) 5,716
 4
 
 5,719
Cash provided by (used for) operating activities(21,256) 45,623
 (18,722) 
 5,645
Investing activities:        

Acquisitions, net of cash acquired
 
 (366,569) 
 (366,569)
Additions to property and equipment
 (17,884) (7,079) 
 (24,963)
Additions to computer software and intangible assets
 (5,333) (7,493) 
 (12,826)
Proceeds from the sale of property and equipment
 198
 582
 
 780
Cash used for investing activities
 (23,019) (380,559) 
 (403,578)
Financing activities:        
Change in intercompany advances50,452
 (87,278) 36,826
 
 
Proceeds from debt issuance
 
 250,000
 
 250,000
Borrowing under revolving credit facility
 6,013
 111,187
 
 117,200
Financing costs paid
 
 (1,798) 
 (1,798)
Cash dividends paid(47,316) 
 
 
 (47,316)
Repurchases of common stock(5,000) 
 
 
 (5,000)
Other, net(3,439) (1,460) (2,464) 
 (7,363)
Cash provided by (used for) financing activities(5,303) (82,725) 393,751
 
 305,723
Effect of exchange rate changes on cash and cash equivalents

 
 5,137
 
 5,137
Net increase (decrease) in cash and cash equivalents(26,559) (60,121) (393) 
 (87,073)
Cash and cash equivalents at beginning of period38,015
 61,266
 86,207
 
 185,488
Cash and cash equivalents at end of period$11,456
 $1,145
 $85,814
 $
 $98,415

21



Nine Months Ended September 30, 2016
Owens &
Minor, Inc.
 
Guarantor
Subsidiaries
 
Non-guarantor
Subsidiaries
 Eliminations Consolidated
Statements of Cash Flows         
Operating activities:         
Net income (loss)$81,682
 $95,145
 $7,877
 $(103,022) $81,682
Adjustments to reconcile net income to cash provided by (used for) operating activities:         
Equity in earnings of subsidiaries(103,654) 
 
 103,654
 
Depreciation and amortization
 22,497
 19,685
 
 42,182
Share-based compensation expense
 8,934
 
 
 8,934
Provision for losses on accounts receivable
 (84) (132) 
 (216)
Deferred income tax expense (benefit)
 (3,233) 
 
 (3,233)
Changes in operating assets and liabilities:         
Accounts receivable
 14,107
 (9,385) 301
 5,023
Merchandise inventories
 (3,662) (771) (633) (5,066)
Accounts payable
 55,060
 3,982
 (300) 58,742
Net change in other assets and liabilities2,277
 (512) (46,668) 
 (44,903)
Other, net1,321
 319
 (274) 
 1,366
Cash provided by (used for) operating activities(18,374) 188,571
 (25,686) 
 144,511
Investing activities:         
Additions to property and equipment
 (7,337) (6,345) 
 (13,682)
Additions to computer software and intangible assets
 (2,937) (4,144) 
 (7,081)
Proceeds from the sale of property and equipment
 78
 4,419
 
 4,497
Cash used for investing activities
 (10,196) (6,070) 
 (16,266)
Financing activities:         
Change in intercompany advances172,057
 (162,206) (9,851) 
 
Change in bank overdraft
 
 21,753
 
 21,753
Cash dividends paid(47,802) 
 
 
 (47,802)
Repurchases of common stock(48,654) 
 
 
 (48,654)
Other, net(4,027) (1,782) (2,309) 
 (8,118)
Cash provided by (used for) financing activities71,574
 (163,988) 9,593
 
 (82,821)
Effect of exchange rate changes on cash and cash equivalents

 
 6,652
 
 6,652
Net increase (decrease) in cash and cash equivalents53,200
 14,387
 (15,511) 
 52,076
Cash and cash equivalents at beginning of period103,284
 5,614
 52,122
 
 161,020
Cash and cash equivalents at end of period$156,484
 $20,001
 $36,611
 $
 $213,096

22



Note 15—13—Recent Accounting Pronouncements
On JanuaryIn August 2018, the FASB issued ASU No. 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework— Changes to the Disclosure Requirements for Fair Value Measurement. This ASU modifies the disclosure requirements for fair value measurements by removing the requirement to disclose the amount and reasons for transfers between Level 1 2017, weand Level 2 of the fair value hierarchy and the policy for timing of such transfers. This ASU expands the disclosure requirements for Level 3 fair value measurements, primarily focused on changes in unrealized gains and losses included in other comprehensive income (loss). We adopted ASU No. 2016-09, Improvements2018-13 effective beginning January 1, 2020. Its adoption did not have a material impact on our consolidated financial statements.
In August 2018, the FASB issued ASU No. 2018-15, Intangibles—Goodwill and Other (Topic 350): Internal-Use Software. This standard aligns the requirements for capitalizing implementation costs incurred in a cloud computing arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to Employee Share-Based Payment Accounting. The amendments in this updated guidance included changes to simplifydevelop or obtain internal-use software. We adopted ASU No. 2018-15 effective beginning January 1, 2020. Its adoption did not have a material impact on our consolidated financial statements.
In December 2019, the CodificationFASB issued ASU No. 2019-12, Simplifying the Accounting for severalIncome Taxes, which simplifies the accounting for income taxes, eliminates certain exceptions within ASC 740, Income Taxes, and clarifies certain aspects of the accountingcurrent guidance to promote consistency among reporting entities. ASU No. 2019-12 is effective for share-based payment transactions, includingfiscal years beginning after December 15, 2020. Most amendments within the income tax consequences, classificationstandard are required to be applied on a prospective basis, while certain amendments must be applied on a retrospective or modified retrospective basis. We are currently evaluating the potential impact of awards as either equity or liabilities,adopting this guidance on its consolidated financial statements and classification on the statement of cash flows. As a result of this adoption, we recognized $0.1 million and $0.3 million in excess tax benefits in the income statement for the three and nine months ended September 30, 2017. disclosures.
In addition, we recorded these tax benefits related to stock based compensation for the nine month period in operating activities in the statements of cash flows and reclassified $0.7 million from financing activities in the prior period to conform to this presentation.
In May 2014,March 2020, the FASB issued an ASU Revenue from ContractsNo. 2020-03, Codification Improvements to Financial Instruments. The Standard is part of FASB’s ongoing project to improve and clarify its Accounting Standards Codification and avoid unintended application. The items addressed are not expected to significantly affect current practice or create a significant administrative cost for most entities. The amendment is divided into issues 1 to 7 with Customers.different effective dates as follows: The amendedamendments related to Issue 1, Issue 2, Issue 4, and Issue 5 are conforming amendments. The amendments are effective upon issuance of this update. The amendment related to Issue 3 is a conforming amendment that affects the guidance eliminates industry specificrelated to the amendments in ASU No. 2016-01, Financial Instruments-Overall (Subtopic 825-10): Recognition and Measurement of Financial Assets and Financial Liabilities. The effective date of this update for the amendments to ASU No. 2016-01 is for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. The amendments related to Issue 6 and Issue 7 affect the guidance in the amendments in ASU No. 2016-13, Financial 5 Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments. For entities that have not yet adopted the amendments related to ASU No. 2016-13, the effective dates and applies to all companies.  Revenuethe transition requirements for these amendments are the same as the effective date and transition requirements in ASU No. 2016-13, which will be recognized when an entity satisfies a performance obligation by transferring control of a promised good or service to a customer in an amount that reflects the consideration to which the entity expects to be entitled for that good or service. Revenue from a contract that contains multiple performance obligations is allocated to each performance obligation generally on a relative standalone selling price basis. Amended guidance was issued on: principal versus agent considerations, shipping and handling activities that occur after the customer has obtained control of a good as an activity to fulfill the promise to transfer the good, clarification on how an entity should evaluate the collectibility threshold and when an entity can recognize nonrefundable consideration received as revenue if an arrangement does not meet the standard’s contract criteria. The amended guidance also requires additional quantitative and qualitative disclosures. These amended standards are all effective for usfiscal years beginning after December 15, 2022, including interim periods within those fiscal years. We adopted ASU No. 2020-03 effective beginning January 1, 20182020 for Issues 1 through 5. Its adoption did not have a material impact on our consolidated financial statements. We are currently evaluating the potential impact of adopting this guidance for Issues 6 and allow for either full retrospective adoption or modified retrospective adoption (cumulative effect). We have substantially completed our evaluation7 on its consolidated financial statements and disclosures.
In March 2020, the FASB issued ASU No. 2020-04, Reference Rate Reform (Topic 848): Facilitation of the amended guidance, including identificationEffects of revenue streamsReference Rate Reform on Financial Reporting, which provides optional expedients and customer contract reviews. Our revenue is primarily distribution revenue, which we recognize at the time shipment is completedexceptions for applying GAAP to contracts, hedging relationships, and title passesother transactions affected by reference rate reform if certain criteria are met. The amendments apply only to the customer. Although wecontracts, hedging relationships, and other transactions that reference LIBOR or another reference rate expected to be discontinued because of reference rate reform. The amendments are continuing to assesseffective for all entities as of March 12, 2020 through December 31, 2022. We are currently evaluating the impact of the amended guidance, including impact on financial disclosures, we generally anticipate that the timing of recognition of distribution revenue will be substantially unchanged under the amended guidance. We intend to use the modified retrospective method of adoption. We are finalizing our evaluation of how thethis guidance may require changes tohave on our business processes, systemsconsolidated financial statements and controls to support the additional required disclosures.
There hashave been no changefurther changes in our significant accounting policies from those contained in our Annual Report on Form 10-K for the year ended December 31, 2016.2019.
Note 16—Subsequent Events
On October 31, 2017, we entered into a Purchase Agreement to acquire the Surgical and Infection Prevention (“S&IP”) business
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Table of Halyard Health, Inc. ("Halyard") for $710 million in cash, subject to certain adjustments as provided in the Purchase Agreement. Halyard’s S&IP business is a leading global provider of medical supplies and solutions for the prevention of healthcare-associated infections across the acute and alternate site channels. The transaction, which has been approved by the boards of directors of both companies, is expected to close in the first quarter of 2018, subject to customary closing conditions and regulatory approvals, including Hart-Scott-Rodino.Contents

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis describes results of operations and material changes in the financial condition of Owens & Minor, Inc. and its subsidiaries since December 31, 2016.2019. Trends of a material nature are discussed to the extent known and considered relevant. This discussion should be read in conjunction with the consolidated financial statements, related notes thereto, and management’s discussion and analysis of financial condition and results of operations included in our Annual Report on Form 10-K for the year ended December 31, 2016.2019.
Overview
Owens & Minor, Inc., along with its subsidiaries, (we, us, or our) is a leading global healthcare solutions company. On January 16, 2020, we announced our intention to sell our European logistics business, Movianto, to EHDH Holding Group (EHDH), a privately held French company. The divestiture is intended to provide us with a greater ability to focus on and invest in our differentiated products, services company that connects the world of medical products to the point of care. We report under three business units: Domestic, International and Proprietary Products (formerly Clinical & Procedural Solutions (CPS) which has been renamed "Proprietary Products" effective January 1, 2017). Domestic is our U.S. distribution logistics and value-added services business. Byram, acquired on August 1, 2017, is included inbusinesses. See Note 3, “Discontinued Operations,” of the Domestic segment. International is our European distribution, logistics and value-added services business. Proprietary Products provides product-related solutions, including surgical and procedural kitting and sourcing. Segment financial information is provided in Note 13 of Notes to Consolidated Financial Statements included in this quarterly report.
Financial highlights. Thefor further information. Unless otherwise indicated, the following table provides a reconciliation of reported operating earnings, net income and net income per diluted common shareinformation relates to non-GAAP measures used by management. In the second quarter of 2017 we began to exclude acquisition-related intangible amortization from our non-GAAP measures, along with the previously excluded items. Intangible amortization amounts are highly dependent on the size and frequency of acquisitions and are being excluded to

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allow for a more consistent comparison with forecasted, current and historical results and the results of our peers. Prior period amounts have been recast on the same basis.
 Three Months Ended September 30, Nine Months Ended   September 30,
(Dollars in thousands except per share data)2017 2016 2017 2016
Operating earnings, as reported (GAAP)$29,671
 $53,568
 $98,024
 $150,591
Acquisition-related and exit and realignment charges (1)
9,299
 2,739
 21,134
 19,974
Acquisition-related intangible amortization (2)
5,071
 2,489
 9,737
 7,552
Other (3)
4,441
 
 8,674
 
Operating earnings, adjusted (non-GAAP) (Adjusted Operating Earnings)$48,482
 $58,796
 $137,569
 $178,117
        
Net income, as reported (GAAP)$10,871
 $29,831
 $49,796
 $81,682
Acquisition-related and exit and realignment charges (1)
9,299
 2,739
 21,134
 19,974
Income tax expense (benefit) (4)
(2,854) (1,015) (7,367) (6,615)
Acquisition-related intangible amortization (2)
5,071
 2,489
 9,737
 7,552
Income tax expense (benefit) (4)
(1,601) (645) (2,993) (1,956)
Other (3)
4,441
 
 8,674
 
Income tax expense (benefit) (4)
(973) 
 (2,465) 
Net income, adjusted (non-GAAP) (Adjusted Net Income)$24,254
 $33,399
 $76,516
 $100,637
        
Net income per diluted common share, as reported (GAAP)$0.18
 $0.48
 $0.82
 $1.32
Acquisition-related and exit and realignment charges, per diluted common share (1)
0.11
 0.03
 0.23
 0.21
Acquisition-related intangible amortization, per diluted common share (2)
0.06
 0.03
 0.11
 $0.09
Other, per diluted common share (3)
0.05
 
 0.10
 
Net income per diluted common share, adjusted (non-GAAP)(Adjusted EPS)$0.40
 $0.54
 $1.26
 $1.62

continuing operations.
Net incomeloss per diluted share was $0.18 and $0.82$(0.15) for the three and nine months ended September 30, 2017, a decrease of $0.30 and $0.50 whenMarch 31, 2020, as compared to the$(0.18) for same periodsperiod of 2016. Adjusted EPS (non-GAAP)2019. Global Solutions segment operating income was $0.40 and $1.26$7.7 million for the three and nine months ended September 30, 2017, a decrease of $0.14 and $0.36March 31, 2020, compared to prior year. Net income in the year to date period of 2017 benefitted by $3.4 million or $0.06 per share from the release of an income tax valuation allowance in Europe during the second quarter. Domestic segment operating earnings were $36.1 million in the quarter and $102.8$21.6 million for the year to date period compared to $41.0 million and $126.2 million in the prior year comparative periods.2019. The declines were largely a result of provider margin compression, the exit of a large customer in 2016 and lower income from manufacturer product price changes on a year to date basis. We expect the current trend of increased gross margin pressure to continue. The International segment operating losses were $2.2 million for the quarter and $0.8 million year to date, compared to operating earnings of $1.4 million and $3.4 million in the prior year. The change compared to prior year resulted primarily from increased costs to support new business. Proprietary Products operating earnings were $9.1 million and $26.0 million, reflecting decreases of $5.2 million and $15.8 million as a result of lower revenues and continued pressure on distribution margins as compared to prior year and increased production costs.
Use of Non-GAAP Measures
Adjustedyear. Global Products segment operating earnings, adjusted net income and adjusted EPS are an alternative view of performance used by management, and we believe that investors' understanding of our performance is enhanced by disclosing these performance measures. In general, the measures exclude items and charges that (i) management does not believe reflect our core business and relate more to strategic, multi-year corporate activities; or (ii) relate to activities or actions that may have occurred over multiple or in prior periods without predictable trends. Management uses these non-GAAP financial measures internally to evaluate our performance, evaluate the balance sheet, engage in financial and operational planning and determine incentive compensation.
Management provides these non-GAAP financial measures to investors as supplemental metrics to assist readers in assessing the effects of items and events on our financial and operating results and in comparing our performance to that of our

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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.
(1) Acquisition-related charges were $4.3 million and $6.3was $18.6 million for the three and nine months ended September 30, 2017March 31, 2020, compared to $0.6 million and $0.9 million for the same periods of 2016. Current year charges were primarily transaction and transition costs associated with the acquisition of Byram and the upcoming Halyard S&IP transaction. The prior year amounts related primarily to costs incurred to settle certain obligations and address other on-going matters associated with the acquisitions of ArcRoyal and Medical Action.
Exit and realignment charges were $5.0 million and $14.8$7.7 million for the three and nine months ended September 30, 2017. Current year charges were associated with severanceMarch 31, 2019, largely reflecting an increase in revenues from reduction in force and other employee costs associated with the establishment of our new client engagement centers, the write-down of information system assets which are no longer used and other IT restructuring charges. Expenses associated with the establishment of the client engagement center will continue to be recorded throughout 2017. Exit and realignment charges were $2.1 million and $19.1 millionhigher market demand for the three and nine months ended September 30, 2016. These included severance activities (including our voluntary employee separation programpersonal protective equipment in the first quarter of 2016),2020 compared to 2019.

COVID-19 Update
We are impacted by the global pandemic and other costs associated with our strategic organizational realignment which include certain professional fees and costs to streamline administrative functions and processes in the United States and Europe. More information about these charges is provided in Note 6 of Notes to Consolidated Financial Statements included in this quarterly report.
(2) Acquisition-related intangible amortization includes amortization of certain intangible assets established during purchase accounting for business combinations. These amounts are highly dependent on the size and frequency of acquisitions and are being excluded to allow for a more consistent comparison with forecasted, current and historical results and the results of our peers. We have begun to exclude these charges from our non-GAAP results in the second quarter of 2017 and thus prior year amounts have been recast on the same basis.
(3) Includes software as a service (SaaS) implementation costsrelated effects associated with the upgradingcoronavirus (COVID-19). As a result, we updated our risk factors, which can be found in Item 1A “Risk Factors” in this document.
We are closely monitoring the impact of COVID-19 on all aspects of our global IT platformsbusiness, including how it impacts our customers, teammates, suppliers, vendors and distribution channels. We have taken actions to protect our teammates while maintaining business continuity as we respond to the needs from this global pandemic. We will continue to actively monitor the situation and may take further actions that alter our business operations as may be required by federal, state or local authorities or that we determine are in the best interests of our teammates, customers, suppliers and shareholders.
Revenue in the first quarter of 2020 of $2.1 billion includes a nominal overall impact from COVID-19 as a greater demand for personal protective equipment (PPE) during the quarter, was partially offset by reduced surgical procedures beginning in mid-March.
We are evaluating various government-sponsored COVID-response stimulus, relief, and productions initiatives such as under the Defense Production Act (DPA) and recent Coronavirus Aid, Relief and Economic Security (CARES) Act. In April 2020, under the DPA, the U.S. Department of Defense initiated a technology investment agreement with us involving up to $30 million of anticipated funding of assets to expand capacity to supply N-95 respirator masks to the U.S. government. The nature of the agreement provides a program of expedited partial funding to begin expansion while final terms are completed. In addition, as allowed under the CARES Act, we have filed for a $13 million income tax refund with the IRS related to the carryback of net operating losses (NOL) incurred in 2018. This refund was included in other current assets on our balance sheet as of March 31, 2020. In connection with the redesign of our global information system strategy.
(4) These charges have been tax effected in the preceding table by determiningthis NOL carryback, we recorded a $5.2 million benefit to the income tax rate dependingbenefit for the three months ended March 31, 2020. This benefit was considered a non-GAAP item, and excluded from adjusted income from continuing operations.
We are unable to predict with certainty the full impact that COVID-19 will have on the amountour financial position and operating results due to numerous variables.







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Table of charges incurred in different tax jurisdictions and the deductibility of those charges for income tax purposes.Contents

Results of Operations
Net revenue.
 Three Months Ended September 30, Change
(Dollars in thousands)2017 2016 $ %
Domestic$2,194,143
 $2,287,233
 $(93,090) (4.1)%
International96,661
 83,751
 12,910
 15.4 %
Proprietary Products124,542
 132,705
 (8,163) (6.2)%
Inter-segment(81,385) (88,088) 6,703
 (7.6)%
Net revenue$2,333,961
 $2,415,601
 $(81,640) (3.4)%
 Nine Months Ended September 30, Change
(Dollars in thousands)2017 2016 $ %
Domestic$6,518,571
 $6,954,687
 $(436,116) (6.3)%
International287,555
 255,861
 31,694
 12.4 %
Proprietary Products392,654
 409,022
 (16,368) (4.0)%
Inter-segment(270,339) (264,501) (5,838) 2.2 %
Net revenue$6,928,441
 $7,355,069
 $(426,628) (5.8)%
Consolidated
 Three Months Ended March 31, Change
(Dollars in thousands)2020 2019 $ %
Global Solutions$1,847,593
 $2,123,599
 $(276,006) (13.0)%
Global Products391,192
 347,085
 44,107
 12.7 %
Inter-segment(116,092) (119,844) 3,752
 3.1 %
Net revenue$2,122,693
 $2,350,840
 $(228,147) (9.7)%
The change in net revenue declined for both the three and nine months ended September 30, 2017, primarilyquarter reflected the impact of lower distribution revenues as a result of customer non-renewals that occurred in 2019 and a reduction in elective surgical procedures, primarily due to the exitimpact of a large domestic customerCOVID-19, which we expect to continue through the second quarter. These were partially offset by revenue growth in 2016, lower growth with existing domestic customers and one less sales dayGlobal Products from increased demand for personal protective equipment. Foreign currency translation had an unfavorable impact on Net revenue of $2.1 million compared to prior year. Byram contributed $80.3 million in revenue to the Domestic segment for the quarter and year to date. The

25



increase in the International segment was driven by growth with existing customers and new business as well as a favorable foreign currency translation impact of $2.8 million for the quarter but offset by an unfavorable impact of $12.4 million year to date. A decrease in sales of our sourced products contributed to the year over year change in the Proprietary Products segment.
Cost of goods sold.
 Three Months Ended September 30, Change
(Dollars in thousands)2017 2016 $ %
Cost of goods sold$2,032,019
 $2,119,326
 $(87,307) (4.1)%
Nine Months Ended September 30, ChangeThree Months Ended March 31, Change
(Dollars in thousands)2017 2016 $ %2020 2019 $ %
Cost of goods sold$6,071,787
 $6,462,739
 $(390,952) (6.0)%$1,854,134
 2,074,219
 $(220,085) (10.6)%
Cost of goods sold includes the cost of the product (net of supplier incentives and cash discounts) and all costs incurred for shipments of products from manufacturers to our distribution centers for all customer arrangements where we are the primary obligor and bear risk of general and physical inventory loss and carry all credit risk associated with sales.loss. These are sometimes referred to as distribution including products sold through Byram, or buy/sell contracts. Cost of goods sold also includes direct and certain indirect labor, material and overhead costs associated with our ProprietaryGlobal Products business. There is no cost of goods sold associated with our fee-for-service business. As a resultarrangements. Cost of the decreasegoods sold compared to prior year reflects changes in sales activity, through our distribution business, cost of goods sold decreased from prior year by $87.3 million and $391.0 million for the three and nine months ended September 30, 2017, respectively.including sales mix.
Gross margin.
 Three Months Ended September 30, Change
(Dollars in thousands)2017 2016 $ %
Gross margin$301,942
 $296,275
 $5,667
 1.9%
As a % of net revenue12.94% 12.27%    
Nine Months Ended September 30, ChangeThree Months Ended March 31, Change
(Dollars in thousands)2017 2016 $ %2020 2019 $ %
Gross margin$856,654
 $892,330
 $(35,676) (4.0)%$268,559
 $276,621
 $(8,062) (2.9)%
As a % of net revenue12.36% 12.13%    12.65% 11.77%    
Gross margin forin the quarter included positive contributionthree months ended March 31, 2020 was impacted by lower distribution revenues and unfavorable impact from Byram and a change in revenue mix offset by the impact of overall lower revenues, a decline in provider margin and lower income from manufacturer product price changes (on a year to date basis). The impact of foreign currency translation was favorable for the quarter by $2.3 million and unfavorable by $6.1 million for the year to date. With increasing customer cost pressures and competitive dynamicsof $3.3 million. The increase in healthcare, we believe the current trend of increased gross margin pressure will continue.as a percentage of revenue reflected strong revenue growth from an overall improved sales mix, as the Global Products revenues constitute a higher percentage of revenue.
Operating expenses.
Three Months Ended September 30, ChangeThree Months Ended March 31, Change
(Dollars in thousands)2017 2016 $ %2020 2019 $ %
Distribution, selling and administrative expenses$261,045
 $241,305
 $19,740
 8.2 %$254,048
 $255,112
 $(1,064) (0.4)%
As a % of net revenue11.18% 9.99% 
 
11.97% 10.85% 
 
Acquisition-related and exit and realignment charges$6,064
 $4,863
 $1,201
 24.7 %
Other operating (income) expense, net$1,927
 $(1,337) $3,264
 (244.1)%$(2,309) $42
 $(2,351) (5,597.6)%

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 Nine Months Ended September 30, Change
(Dollars in thousands)2017 2016 $ %
Distribution, selling and administrative expenses$735,353
 $726,944
 $8,409
 1.2 %
As a % of net revenue10.61% 9.88%    
Other operating (income) expense, net$2,143
 $(5,179) $7,322
 (141.4)%

Distribution, selling and administrative (DS&A) expenses include labor and warehousing costs associated with our distribution and outsourced 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. The costs to convert new customers to our information systems are

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Table of Contents

Overall DS&A expenses were affected by changes in sales mix and investments in the business, partially offset by operational efficiencies.  DS&A expenses also included in DS&A and are generally incurred prior to the recognitionfavorable impacts for foreign currency translation of revenues from the new customers.
Excluding Byram, DS&A as a percentage of revenue was 10.55% and 10.40%$0.3 million for the three and nine months ended September 30, 2017. Overall expenses reflected decreased sales activityMarch 31, 2020.
Acquisition-related charges were $4.2 million and $4.2 million for the three months ended March 31, 2020 and 2019, respectively, and consisted primarily of transition costs for the Halyard acquisition. Exit and realignment charges were $1.8 million and $0.7 million for the three months ended March 31, 2020 and 2019, respectively. Exit and realignment charges in the first quarter of 2020 were associated with severance from reduction in force and year to date, benefits of cost control and productivity initiatives, and a favorable foreign currency translation impact of $6.2 million year to date. These were offset in part by increasedother costs to support new business and unfavorable foreign currency translation impacts of $2.3 million in the quarter. As a percentage of net revenue, the increases related to the large customer lossreorganization of the U.S. commercial, operations and executive teams. Exit and realignment charges in 2016.the first quarter of 2019 were associated with severance from reduction in force and other employee costs associated with the establishment of our client engagement center and other IT restructuring charges.
The changeschange in other operating (income) expense, net werewas attributed primarily to higher foreign currency transaction gains in the quarter compared to prior year and lower software as a service implementation expenses which were not incurreddue to the adoption of ASU No. 2018-15 as of January 1, 2020. See Note 13 in 2016.Notes to Consolidated Financial Statements.
A discussion of the acquisition-related and exit and realignment charges is included above in the Overview section.
Interest expense, net.net.
Three Months Ended September 30, ChangeThree Months Ended March 31, Change
(Dollars in thousands)2017 2016 $ %2020 2019 $ %
Interest expense, net$8,737
 $6,770
 $1,967
 29.1%$23,342
 $25,458
 $(2,116) (8.3)%
Effective interest rate4.15% 4.76%    7.17% 6.30%    
 Nine Months Ended September 30, Change
(Dollars in thousands)2017 2016 $ %
Interest expense, net$22,218
 $20,324
 $1,894
 9.3%
Effective interest rate4.52% 4.79%    
TheInterest expense decreased year over year primarily due to a reduction in debt, which was partially offset by an increase in interest expense and change inour effective interest rate forand the three and nine months ended September 30, 2017 wereamortization of additional deferred financing costs as a result of the borrowings under our newFifth Amendment to the Credit Agreement entered in July 2017.February 2020. See Note 6 in Notes to Consolidated Financial Statements.
Income taxes.Other expense, net.
 Three Months Ended September 30, Change
(Dollars in thousands)2017 2016 $ %
Income tax provision$10,063
 $16,967
 $(6,904) (40.7)%
Effective tax rate48.1% 36.3%    
 Three Months Ended March 31, Change
(Dollars in thousands)2020 2019 $ %
Other expense, net$4,846
 $2,734
 $2,112
 77.2%
Other expense, net in 2020 includes the write-off of deferred financing costs associated with the paydown of our Term A loans of $2.1 million and third party fees incurred as a result of the Fifth Amendment to the Credit Agreement in February 2020 of $2.2 million, which was offset by a gain on extinguishment of debt related to the partial repurchase of our 2021 Notes in March 2020 of $0.2 million, and interest cost and net actuarial losses related to the U.S. Retirement Plan of $0.7 million. Other expense, net in 2019 includes the write-off of deferred financing costs associated with the revolving credit facility as a result of the Fourth Amendment to the Credit Agreement in February 2019 of $2.0 million and interest cost and net actuarial losses related to the U.S. Retirement Plan of $0.7 million.
Income taxes.
Nine Months Ended September 30, ChangeThree Months Ended March 31, Change
(Dollars in thousands)2017 2016 $ %2020 2019 $ %
Income tax provision$26,010
 $48,585
 $(22,575) (46.5)%
Income tax benefit$(8,523) $(670) $(7,853) (1,172.1)%
Effective tax rate34.3% 37.3%    48.9% 5.8%    
The changeschange in the effective tax raterates compared to 20162019 resulted primarily from a change in income mix among different tax rate jurisdictions and the effect of certain acquisition-related costs which were not deductible for tax purposes offset on a year to date basis by the release of an income tax valuation allowancebenefit of $5.2 million recorded in Europe for $3.4 million during the secondfirst quarter of 2017.2020 associated with the Coronavirus Aid, Relief, and Economic Security (CARES) Act, the mixture of income and losses in jurisdictions in which we operate, and the incremental income tax expense associated with the vesting of restricted stock.  


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Table of Contents


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 $25$23 million.
The majority of our cash and cash equivalents are held in cash depository accounts with major banks in the United States, Europe, and Europe or invested in high-quality, short-term liquid investments.Asia. Changes in our working capital can vary in the normal course of business based upon the timing of inventory purchases, collectioncollections of accounts receivable, and paymentpayments 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.
September 30, 2017 December 31, 2016 ChangeMarch 31, 2020 December 31, 2019 Change
(Dollars in thousands) $ % $ %
Cash and cash equivalents$98,415
 $185,488
 $(87,073) (46.9)%$92,315
 $67,030
 $25,285
 37.7 %
Accounts and notes receivable, net of allowances$732,756
 $606,084
 $126,672
 20.9 %
Accounts receivable, net of allowances$667,607
 $674,706
 $(7,099) (1.1)%
Consolidated DSO (1)
27.6
 23.1
 
 
27.5
 27.1
 
 
Merchandise inventories$989,251
 $916,311
 $72,940
 8.0 %$1,108,844
 $1,146,192
 $(37,348) (3.3)%
Consolidated inventory turnover (2)
8.1
 9.2
 
 
6.6
 6.6
 
 
Accounts payable$875,630
 $750,750
 $124,880
 16.6 %$891,542
 $808,035
 $83,507
 10.3 %
(1) Based on period end accounts receivable and net revenue for the quarter
(2) Based on average annual inventory and annualized costcosts of goods sold for the quarter ended September 30, 2017March 31, 2020 and year ended December 31, 20162019
Liquidity and capital expenditures. The following table summarizes our consolidated statements of cash flows for the ninethree months ended September 30, 2017March 31, 2020 and 2016:2019, which relates to continuing operations and discontinued operations:
(Dollars in thousands)2017 20162020 2019
Net cash provided by (used for):      
Operating activities$5,645
 $144,511
$93,454
 $(60,904)
Investing activities(403,578) (16,266)(5,680) (14,008)
Financing activities305,723
 (82,821)(31,406) 49,505
Effect of exchange rate changes5,137
 6,652
(62) (2,721)
Increase (decrease) in cash and cash equivalents$(87,073) $52,076
Net increase (decrease) in cash, cash equivalents and restricted cash$56,306
 $(28,128)
Cash provided by operating activities was $5.6 million in the first ninethree months of 2017, compared to $144.5 million2020 reflected fluctuations in the same period of 2016. The decrease in cash from operating activities for the first nine months of 2017 compared to the same period in 2016 was primarily due tonet income along with unfavorable changes in working capital including inventory and accounts receivable balances.capital.
Cash used for investing activities was $403.6 million in the first ninethree months of 2017, compared to $16.32020 included capital expenditures of $5.7 million for our strategic and operational efficiency initiatives associated with property and equipment, investments for increased manufacturing capacity in the same period of 2016. InvestingAmericas, and capitalized software. Cash used for investing activities in 2017 and 2016 related to2019 included capital expenditures for our strategic and operational efficiency initiatives particularly initiatives relating to information technology enhancementsassociated with property and optimizing our distribution network. equipment and capitalized software.
Cash used for investing activities in 2017 also includes the acquisition of Byram Healthcare for $367 million.
Cash provided by financing activities in the first ninethree months of 2017 was $305.72020 included dividend payments of $0.2 million and repayments of $6.2 million under our revolving credit facility, compared to cash useddividend payments of $82.8$4.8 million and proceeds from borrowings of $72.1 million for the same period of 2019. We also had proceeds from borrowings of $150.0 million related to the Accounts Receivable Securitization Program. Financing activities also included repayments of $166.8 million in the first three months of 2020 compared to $12.4 million in the same period of 2016. During2019 on our term loans (under the Credit Agreement) and 2021 Notes. We used $4.4 million of cash to repurchase $4.6 million aggregate principal amount of the 2021 Notes during the first nine monthsquarter of 2017, we2020. We also paid dividends of $47.3 million (compared to $47.8$5.8 million in 2016), repurchased common stock under a share repurchase program for $5.0 million (comparedfinancing costs related to $48.7the Fifth Amendment to the Credit Agreement in February 2020 and $4.3 million in 2016) and borrowed on our newfinancing costs related to the Fourth Amendment to the Credit Agreement ($250 million term loan and $117.2 million on our revolving credit facility). There were no borrowings in the prior year period.February 2019.

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Capital resources. Our sources of liquidity include cash and cash equivalents and a revolving credit facility. On July 27, 2017, we entered into a new Credit Agreement replacing the Amendedfacility 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). The Credit Agreement provides a borrowing capacity of $600$400 million and a $250$697 million outstanding in term loan. We make principal payments under the term loan on a quarterly basis with the remaining outstanding principal due in five years. The revolving credit facility has a five-year maturity. Under the Credit Agreement, we have the ability to request two one-year extensions and to request an increase in aggregate commitments by up to $200 million.loans. The interest rate on the Credit Agreement, which is subject to

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adjustment quarterly,our revolving credit facility and Term A loans is based on the London Interbank OfferedEurocurrency Rate, (LIBOR), the Federal Funds Rate or the Prime Rate, plus an adjustment based on the better of our debt ratings or leverage ratio (Credit Spread)Consolidated Total Leverage Ratio as defined by the Credit Agreement. Our credit spread at March 31, 2020 was Eurocurrency Rate plus 4.25%. 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 requirerequires us to maintain ratios for leverage and interest coverage, including on a pro forma basis in the event of an acquisition.
We may utilizealso have 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 100% 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. The Fifth Amendment to the Credit Agreement included additional collateral requirements related to the parties secured on the Credit Agreement, including the obligation to pledge the Company's owned U.S. real estate and remaining equity interests in foreign subsidiaries. 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 91 days prior to the maturity date of our 2021 Notes all outstanding amounts under the 2021 Notes have not been paid in full, then the Termination Date (as defined in the Credit Agreement) of the revolving credit facility for long-term strategic growth, capital expenditures, working capital and general corporate purposes. If we were unablethe Term A loans shall be the date that is 91 days prior to access the revolving credit facility, it could impactmaturity date of the 2021 Notes. Likewise, if as of the date 91 days prior to the maturity date of our ability to fund these needs. Based on our leverage ratio at September 30, 2017, the interest rate2024 Notes, all outstanding amounts under the credit facility2024 Notes have not been paid in full, the Termination Date of the Term B loan shall be the date that is LIBOR plus 1.375%.91 days prior to the maturity date of the 2024 Notes.
At September 30, 2017,March 31, 2020 and December 31, 2019, we had borrowings of $117.2$171.7 million and $177.9 million, respectively, under the revolver and letters of credit of approximately $5.1$11.7 million and $11.7 million, respectively, outstanding under the Credit Agreement leaving $477.7along with $508.1 million available for borrowing. We also have a $1.3and $512.7 million, letter of credit outstanding as of September 30, 2017respectively, in Senior Notes. At March 31, 2020 and December 31, 20162019, we had $215.5 million and $209.3 million, respectively, available for borrowing, which reflected the letters of credit associated with discontinued operations of $1.1 million and $1.1 million, respectively, against our borrowing capacity. We also had letters of credit and bank guarantees outstanding for $1.5 million as of March 31, 2020 and December 31, 2019, respectively, which supports ourcertain facilities leased as well as other normal business activities in the United States and Europe.
We have $275 millionFrom time to time, we may enter into transactions to repay, repurchase or redeem our outstanding indebtedness (including by means 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 partopen market purchases, privately negotiated repurchases, tender or in whole prior to maturity at a redemption price equalexchange offers and/or repayments or redemptions pursuant to the greater of 100% of the principal amountdebt’s terms). Our ability to consummate any such transaction will depend on prevailing market conditions, our liquidity requirements, contractual restrictions and other factors. We cannot provide any assurance as to if or when we will consummate any such transactions or the present valueterms of the remaining scheduled payments discounted at the Treasury Rate plus 30 basis points.any such transaction.
In the thirdThe first quarter dividend of 2017, we paid cash dividends on our outstanding common stock at the rate of $0.2575$0.0025 per share which represents a 1.0% increase over the rate of $0.255 per sharewas paid in the third quarter of 2016. We anticipate continuing to pay quarterly cash dividends in the future. However, theMarch 2020. 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. During the first nine months of 2017, we repurchased approximately 0.2 million shares for $5.0 million under this program. At September 30, 2017, the remaining amount authorized for repurchase under this program was $94.0 million.
We earn a portion of our operating earnings in foreign jurisdictions outside the U.S., which we consider to be indefinitely reinvested. Accordingly, no U.S. federal and state income taxes and withholding taxes have been provided on these earnings. Our cash, cash-equivalents, short-term investments, and marketable securities held by our foreign subsidiaries totaled $60.7 million and $82.1 million as of September 30, 2017 and December 31, 2016. We do not intend, nor do we foresee a need, to repatriate these funds or other assets held outside the U.S. In the future, should we require more capital to fund discretionary activities in the U.S. than is generated by our domestic operations and is available through our borrowings, we could elect to repatriate cash or other assets from foreign jurisdictions that have previously been considered to be indefinitely reinvested.
We believe available financing sources, including cash generated by operating activities and borrowings under the Credit Agreement, and other committed financing, 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 and debt 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. Our cash and cash equivalents held by our foreign subsidiaries totaled $71.7 million and $52.9 million at March 31, 2020 and December 31, 2019, respectively. We continue to remain permanently reinvested in our foreign subsidiaries, with the exception of a subsidiary in Thailand. We have no specific plans to indefinitely reinvest the unremitted earnings of our foreign subsidiary located in Thailand as of March 31, 2020. 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. We will continue to evaluate our foreign earnings repatriation policy in 2020 for all our foreign subsidiaries.

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Recent Accounting Pronouncements
For a discussion of recent accounting pronouncements, see our Annual Report on Form 10-K for the year ended December 31, 20162019 and Note 1513 in the Notes to Consolidated Financial Statements, included in this Quarterly Report on Form 10-Q for the quarterly period ended on September 30, 2017.

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March 31, 2020.
Forward-looking Statements
Certain statements in this discussion constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Although we believe our expectations with respect to the forward-looking statements are based upon reasonable assumptions within the bounds of our knowledge of our business and operations, all forward-looking statements involve risks and uncertainties and, as a result, actual results could differ materially from those projected, anticipated or implied by these statements. Such forward-looking statements involve known and unknown risks, including, but not limited to:
our ability to achieve revenue and operating income goals may be affected by: COVID-19 related factors, risks and challenges, including among others, the length of time that the pandemic continues, a decrease in revenue ultimately resulting in less cash flow, longer duration in receivables collection, the need to expedite payments to important suppliers may grow, shifts in demand away from certain products we manufacture and distribute, reduced workforces which may be caused by, but not limited to, the temporary inability of the workforce to work due to illness, quarantine, or government mandates, or temporary production and distribution center and office closures due to reduced workforces or government mandates, potential resulting labor negotiations or disputes, changes in the types and numbers of businesses that compete with us, including non-traditional competitors, and the aggressiveness of that competition, and trends in elective surgeries and other healthcare spending not directly associated with COVID-19;
our ability to successfully close the sale of our European logistics business, Movianto, to EHDH Holding Group (EHDH);
competitive pressures in the marketplace, including intense pricing pressure;
our ability to retain existing and attract new customers in a market characterized by significant customer consolidation and intense cost-containment initiatives;
our dependence on sales to certain customers or the loss or material reduction in purchases by key customers;
our dependence on distribution of product of certain suppliers;
our ability to successfully identify, manage or integrate acquisitions;
our ability to successfully manage our international operations, including risks associated with changes in international trade regulations, foreign currency volatility, changes in regulatory conditions, deteriorating economic conditions, adverse tax consequences, and other risks of operating in international markets;
uncertainties related to and our ability to adapt to changes in government regulations, including healthcare laws and regulations (including the Affordable Care Act);regulations;
risks arising from possible violations of legal, regulatory or licensing requirements of the markets in which we operate;
uncertainties related to general economic, regulatory and business conditions;
our ability to successfully implement our strategic initiatives;
the availability of and modifications to existing supplier funding programs and our ability to meet the terms to qualify for certain of these programs;
the effect of price volatility in the commodities markets, including fuel price fluctuations, on our operating costs and supplier product prices;
our ability to adapt to changes in product pricing and other terms of purchase by suppliers of product;
the ability of customers and suppliers to meet financial commitments due to us;
changes in manufacturer preferences between direct sales and wholesale distribution;
changing trends in customer profiles and ordering patterns and our ability to meet customer demand for additional value-added services;

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our ability to manage operating expenses and improve operational efficiencies in response to changing customer profiles;
our ability to meet performance targets specified by customer contracts under contractual commitments;
availability of and our ability to access special inventory buying opportunities;
the ability of business partners and financial institutions to perform their contractual responsibilities;
the effect of price volatility in the commodities markets, including fuel price fluctuations, on our operating costs and supplier product prices;
our ability to continue to obtain financing, obtain financing at reasonable rates and to manage financing costs and interest rate risk;risk, and our ability to refinance, extend or repay our substantial indebtedness;
the risk that information systems are interrupted or damaged or fail for any extended period of time, that new information systems are not successfully implemented or integrated, or that there is a data security breach in our information systems;
the risk that a decline in business volume or profitability could result in an impairment of goodwill or other long-lived assets;
our ability to timely or adequately respond to technological advances in the medical supply industry;
the costs associated with and outcome of outstanding and any future litigation, including product and professional liability claims;

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adverse changes in U.S. and foreign tax laws and the outcome of outstanding tax contingencies and legislative and tax proposals;
our ability to successfully implement the expense reduction and productivity and efficiency increasing initiatives;
our ability to continue to comply with the terms and conditions of Byram Healthcare’s Corporate Integrity Agreement;
the potentially adverse impact of the United Kingdom’s withdrawal from the European Union; and
other factors describeddetailed from time to time in “Item 1A. Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2016.reports we file with the SEC.
We undertake no obligation to update or revise any forward-looking statements, except as required by applicable law.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
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.
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 foreign currency forwards, swaps and options, where possible, to manage our risk related to certain foreign currency fluctuations.
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 $697 million in borrowings under our term loans, $172 million in borrowings under our revolving credit facility. We had $117.2facility, $147 million in outstanding borrowings under our accounts receivable securitization program, and approximately $5.1$12 million in letters of credit under the revolving credit facilityCredit Agreement at September 30, 2017. A hypotheticalMarch 31, 2020. After considering the effects of interest rate swap agreements outstanding as of March 31, 2020, we estimate an increase in interest rates of 100 basis points would result in a potential reduction in future pre-tax earnings of approximately $0.1$6 million per year for every $10 million ofbased on our borrowings outstanding borrowings under the revolving credit facility.at March 31, 2020.
Due to the nature and pricing of our DomesticGlobal 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 hashave included entering into leases forusing trucks with improved fuel efficiency. We benchmark our domestic diesel fuel purchase prices against the U.S. Weekly Retail On-Highway Diesel Prices (benchmark) as quoted by the U.S. Energy Information Administration. The benchmark averaged $2.58$2.88 and $3.02 per gallon in the first ninethree months of 2017, a increase from $2.25 per gallon in the first nine months of 2016.2020 and 2019, respectively. Based on our fuel consumption in the first ninethree months of 2017,2020, we estimate that every 10 cents per gallon increase in the benchmark would reduce our DomesticGlobal Solutions segment operating earningsincome by approximately $0.3$0.2 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 and British Pound. We may use foreign currency forwards, swaps and options, where possible, to manage our risk related to certain foreign currency fluctuations. However, we believe that our foreign currency transaction risks are low since our revenues and expenses are typically denominated in the same currency.
Item 4. 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 September 30, 2017.March 31, 2020. There has beenwas no change in our internal control over financial reporting that occurred during the quarter ended September 30, 2017,period of this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
SEC guidance permits the exclusion of an evaluation of the effectiveness of a registrant's disclosure controls and procedures as they relate to the internal control over financial reporting for an acquired business during the year of an acquisition. In the third quarter of 2017, we acquired Byram Healthcare. This acquisition represented $477 million of total assets and $80.3 million of revenues as of and for the three months ended September 30, 2017. Management's evaluation and conclusion as to the effectiveness of the design and operation of the Company's disclosure controls and procedures as of and for the period covered by this report excludes any evaluation of the internal control over financial reporting of these acquisitions.
Part II. Other Information
Item 1. Legal Proceedings
Certain legal proceedings pending against us are described in our Annual Report on Form 10-K for the year ended December 31, 2016.2019. Through September 30, 2017,March 31, 2020, there have been no material developments in any legal proceedings reported in such Annual Report.
Item 1A. Risk Factors
Certain
The following description of risk factors includes any material changes to, and supersedes the description of, risk factors associated with our business previously disclosed in Part I, Item 1A of the 2019 Form 10-K, under the heading “Risk Factors.” Set forth below is a certain risk factor that we currently believe could materially and adversely affect our business, financial condition, results of operations and cash flows. This risk factor is 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 are subject to risks related to public health crises such as the global pandemic associated with the 2019 novel coronavirus (COVID-19).

As a global healthcare solutions company, we are impacted by public health crises such as the global pandemic associated with COVID-19. The outbreak has significantly increased uncertainty and unpredictability of global economic conditions and the demand for and supply of raw materials and finished goods required for our operations. In addition, public and private sector policies and initiatives to reduce the transmission of COVID-19, such as the imposition of travel restrictions

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and the adoption of remote working, have impacted our operations. In these challenging and dynamic circumstances, we are working to protect our employees and the public, maintain business continuity and sustain our operations, including ensuring the safety and protection of the people who work in our production and distribution centers across the world, many of whom support the manufacturing and delivery of products that are critical in response to the global pandemic. We may restrict the operations of our production and distribution centers if we deem it necessary or if recommended or mandated by governmental authorities which would have an adverse impact on us. There is a risk that revenues will decrease ultimately resulting in less cash flow, we may see longer duration in receivables collection, and the need to expedite payments to important suppliers may grow. COVID-19 may impact our supply chains relative to global demand for our facial protection and protective apparel products. COVID-19 may also affect the ability of suppliers and vendors to provide products and services to us. Some of these factors could increase the demand for our products, while others could decrease demand or make it more difficult for us to serve customers. Furthermore, COVID-19 has impacted and may further impact the broader economies of affected countries, including negatively impacting economic growth, the proper functioning of financial and capital markets, foreign currency exchange rates, and interest rates. For example, in recent weeks, the continued spread of COVID-19 has led to disruption and volatility in the global capital markets, which increases the cost of capital and adversely impacts access to capital. Due to the speed with which the situation is developing and the uncertainty of its duration and the timing of recovery, we are not able at this time to predict the extent to which the COVID-19 pandemic may have a material effect on our financial or operational results, but the following adverse risks exist:

Actions by the United States government or other foreign government could affect our business. These actions include purchasing products that we make or sell, imposing new product standards or allowing the use of alternative products, instituting regulatory requirements to purchase only locally manufactured products, exercising control over manufacturing or distribution operations, taking trade actions including the imposition or removal of tariffs or import / export controls, subsidizing the supply of products, or other actions;
Quarantine decisions by public or private entities may influence our ability to operate or our ability to ship or receive products. For example, if shipping companies cease or reduce land or sea freight channels, raw material and finished good deliveries may be slowed or stopped;
Our customers may change their payment patterns or lose their ability to pay invoices, which could have a material adverse impact on our cash flow;
Our suppliers may increase pricing or impose new purchasing requirements, such as minimum purchase quantities or pay-in-advance payment terms, which could have a material adverse impact on our cash flow;
Raw materials or finished goods that we require for our operations may not be available, or pricing for such items may increase beyond the willingness of our customers to pay;
New competitors may enter our market, including both small and large scale suppliers;
COVID-19 illness among our workers in manufacturing or distribution operations could impact our operations or compel the closure of one or more facilities for an unknown period of time. Labor relations in our facilities related to COVID-19 could also negatively impact our operations;
We may invest in additional manufacturing capacity for which demand slows in the future, which could have a material adverse impact on our cash flow; and
Technology infrastructure failures could materially inhibit our operations that currently include a substantial portion of remote work. For example, voice or data line failures resulting from natural, manmade or cyber-attack could impair our ability to operate.
We have incurred additional costs to ensure we meet the needs of our customers, including increasing our workforce in order to produce or distribute certain essential products for our customers, providing personal protective equipment to our workforce, incremental shipping and transportation costs, incremental technology costs, and additional cleaning costs throughout our facilities. We expect to continue to incur additional costs, which may be significant as we continue to implement operational changes in response to this pandemic. Further, our management is focused on mitigating COVID-19, which has required and will continue to require, a large investment of time and resources across our enterprise and will delay other value added services and strategic initiatives. Additionally, currently some of our teammates are working remotely. An extended period of remote work arrangements could strain our business continuity plans, introduce operational risk, including but not limited to cybersecurity risks, and prospects are describedimpair our ability to manage our business. If we do not respond appropriately to the pandemic, or if customers do not perceive our response to be adequate for the United States or our international markets, we could suffer damage to our reputation and our brands, which could adversely affect our business.

The impact of COVID-19 may also exacerbate other risks discussed in Item 1A. Risk Factors in our Annual Report on Form 10-K, for the year ended December 31, 2016. Through September 30, 2017, we have added the following risk factors. There have been no other material changes in the risk factors described in such Annual Report.



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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. Among these laws are the federal Anti-kickback Statute, the federal Stark Law, the False Claims Act and similar state laws relating to healthcare fraud 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, eitherany of which could have an adverse impacta material effect on our resultsus. This situation is changing rapidly and additional impacts may arise that we are not aware of operations. Violations of federal, state or foreign laws concerning privacy and data protection could subject us to civil or criminal penalties, breach of contract claims, costs for remediation and harm to our reputation.currently.
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 results.
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.
Item 2. Unregistered Sales of Equity Securities, Use of Proceeds and Issuer Purchases of Equity Securities
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 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. We did not repurchase any shares for the three months ended September 30, 2017.


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Item 6. Exhibits
 
(a)Exhibits
31.1  
   
31.2  
   
32.1  
   
32.2  
   
101.INS  XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
   
101.SCH  XBRL Taxonomy Extension Schema Document
   
101.CAL  XBRL Taxonomy Extension Calculation Linkbase Document
   
101.DEF  XBRL Taxonomy Definition Linkbase Document
   
101.LAB  XBRL Taxonomy Extension Label Linkbase Document
   
101.PRE  XBRL Taxonomy Extension Presentation Linkbase Document
104Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101)
* Certain exhibits and schedules 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.
** Management contract or compensatory plan or arrangement


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SIGNATURES
Pursuant to the requirements 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.
 
   Owens & Minor, Inc.
   (Registrant)
    
Date:November 1, 2017May 6, 2020 /s/ Paul C. PhippsEdward A. Pesicka
   Paul C. PhippsEdward A. Pesicka
   President & Chief Executive Officer
    
Date:November 1, 2017May 6, 2020 /s/ Richard A. MeierAndrew G. Long
   Richard A. MeierAndrew G. Long
   Executive Vice President & Chief Financial Officer & President, International
 


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